Moderna

12/28/2020 around 5:30 PM she started getting itchy. Progressing as night went on. On 12/29/2020 around 5-6:00 AM you woke with hives, hoarse voice and eyes swollen. A little SOB with talking. Also had weakness and tingling. Tingling was "everywhere".. Went to ER. Treated in the ER and released. Also on this day she had additional reaction to prednisone and she found out she is allergic to this. On 12/31/2020 she had to return to ER. She was at work and not feeling the greatest. Feeling light headed on and off. Continued to work and while driving home felt confused and light headed and called co workers. Felt weak again.. Called co workers who work for ambulance service They came and checked her out and her B/P was high and having PVC's per the heart monitor Transported to ER per the ambulance. 1/1/2021 she is feeling better. Received fluids last night. ER felt it was due to receiving vaccine and then additional allergic reaction to prednisone.

I was given the shot around 1 pm and didn?t have any reaction throughout the day besides my arm becoming sore around the injection area. I later went to bed and woke up from my sleep at 12am, shaking uncontrollably (It?s like I had the chills but the shaking was much worse that I contemplated going to the emergency room ). I felt very cold, my heart was racing,& I couldn?t catch my breath. The shaking lasted for about two hours. I finally fell back asleep and woke up again at 1am and woke up sweating, my whole body was hot and fighting off one of the worse fevers I had. Another hour passed as I tried to fall asleep and not soon after I was awoken from my sleep. At 3 am I woke up very nausea and also had to use the restroom , it felt like everything wanted to come out both ways. During this time time on the toilet I felt exhausted, dizzy, & my whole body was just aching. 2 hours later I finally fell asleep. When I awoke in the morning I still felt nauseous, had horrible body aches, & had the chills. I genuinely hope this helps someone else who May experience the same symptoms!

Around 11pm started having chills. Around 3:00am. fever, started shaking, had temperature 104 around 5: AM vomited and is having headache, had trouble breathing like someone was pushing on her chest last night. Now she is talking normal. Headache is bad and the light hurts her eyes.

Approached by vaccination staff reporting that a patient who had just received the Moderna COVID-19 vaccination was not feeling well at approximately 1:45 pm. Upon assessment, patient complained of itching all over her body, chest/throat tightness and difficulty swallowing. Called nurse to the scene to assess vital signs and patient continued to complain of above symptoms. Administered (1) epinephrine pen (0.3 mg) to patient's right thigh at 1:50 pm as 9-1-1 was called per protocol. EMS arrived and provided emergency care. Patient was transported to local ER at 2:00 pm.

0530 - woke up. nausea, dizziness, malaise, generalized significant joint and muscle pain. Unable to stand. 0535 - crawled to Bathroom in case of vomiting, tried to stand and had near LOC (vision completely black, only able to hear), dizziness, nausea, tingling and loss of function of hands/feet acc. by extremities twitching, hyperventilating, cold sweat. 0555 - husband helped me downstairs with plan to go to ER, but I refused and wanted to sit down. violent body shakes, nausea, hyperventilating, chills, dizziness. Ear temp 98.8. Was covered in blankets and drank ~8oz water. 0630 - body shakes stopped. mild waves of nausea/generalized malaise and muscle pain/lightheadedness continued. 0730 - same symptoms, ear temp 100.1. Removed some blankets 0800 - ear temp 99.8, chills, lightheadedness, mild headache.

generalized itchiness; woke up with headache; feeling fatigued; anaphylactic reaction; right arm started going numb; right arm was tingling; A spontaneous report was received from a 26-year-old, female consumer who received Moderna's COVID-19 vaccine and experienced anaphylactic reaction, right arm numbness and tingling, headache, fatigue, and generalized itchiness. The patient's medical history was not provided. No relevant concomitant medications were reported. On 23 Dec 2020 prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: OU520A/011520A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 23 Dec 2020, within minutes of receiving the vaccine, the patient experienced an anaphylactic reaction and was rushed to the emergency room (ER). When transported to the ER she began to experience throat swelling, redness of arms and chest, trouble breathing with lower chest pain shooting into lungs, and numbness with tingling in her right arm. Treatment for the event included epinephrine, steroids, and diphenhydramine. She was released from the ER on 23 Dec 2020. On 24 Dec 2020 patient awoke with a headache, fatigue, and generalized itchiness. Treatment for the event included ibuprofen and diphenhydramine. Action taken with the second dose of mRNA-1273 in response to the event was not reported. The outcome for the events, anaphylactic reaction, right arm numbness and tingling, were reported as resolved on 23 December 2020. The events of headache, fatigue, and generalized itchiness were considered resolving.; Reporter's Comments: This case concerns a 26-year-old female patient who received their first of two planned doses of mRNA-1273 (Lot OU520A/011520A), and who experienced the unlisted events of anaphylactic reaction, right arm numbness and tingling, and generalized itchiness, and the listed events of headache and fatigue. The events were considered to be possibly related to the vaccine due to the temporal relationship with onset on the day of vaccination.

At 1:45pm approximately 30 minutes after receiving vaccine symptoms included: throat tightness, slightly difficulty swallowing which proceeded mostly until about 5:15pm. Symptoms progressively improved slowly over time continuing although minimal at this current time. This writer was in route home and pulled over at 2:15 to a Health clinic for this concern. Advised to be monitor. Vitals all stable, no other signs of repository distress. Stayed at clinic until 5:15pm.

Within 1 hour of receiving the vaccine the patient developed asthma symptoms,dizziness, tingling in mouth and swollen tongue. She presented at a walk-in clinic and received Epi-Pen 0.3mg, Solu-Medrol and Benadryl, while there she received 2 additional doses and was transferred to the nearest ED by ambulance. At the ED she received a 4th dose of Epi-Pen 0.3mg and albuterol and DuoNeb treatments. She was admitted for observation. She went home and needed to return within 24 hours to the ED because her lips and tongue started to swell and she turned blue. She subsequently needed 3 additional doses of Epi-Pen over the next 24-48 hours. She has been on Benadryl 50mg every 6 hours and Famodine 20mg until present.

Patient experienced pain radiating from injection site up to neck, neck stiffness and SOA. Patient was evaluated in ED and toradol and benadryl were administered. Patient's neck pain and SOA have resolved but neck stiffness persists.

By report, EpiPen given at 1410 and repeated at 1430. VS at 1413 HR-145; BP-137/89; RR-20; O2 sat 100%. Other vitals taken through 1431; BP - 121/74; HR - 110; RR - 14 and O2 sat 100%. 1424 - "fingers on left hand tingling"; 1428 - "nausea, throat burning, breathing better, chest heaviness less tightness". 1435 - "rescue squad arrived". Reporter was not present at this event.

Chills, fever of 100.8, headache, throwing up, body aches and stiffening, lethargic, trouble breathing/coughing.

Fever, arthralgias, dizziness, pain at injection site, shortness of breath, chest tightness, headache, fatigue, photophobia

About 20 minutes after receiving the vaccine (5 minutes after the 15 minute observation period) I experienced hot and cold chills through my body, numbness and tingling in my cheek and facial area, and a constricting feeling in my throat with shortness of breath. This lasted about 20 minutes.

On Dec 28 - three hours after vaccine - started getting pain near injection site. It ached. 8:30PM that night I started getting itching from the midback to top of head on left side. Not left arm just the back, neck and face of left side. No rashes but a little red because I scratched. Then I noticed some bumps on my left side of my face and one hive on each knee and one hive on left shoulder. Telemed visit with dr. - took Benadryl - 25 mg. - within one hour of symptoms - at 9:00 pm per dr. Woke up next morning and had intense fatigue; muscles and back were really achy. Couldn't move my muscles very well. Felt like the wind had been knocked out of me. Bouts of itchiness. Slept throughout the day. That helped. But then had headache start - felt like a circle where my temples are to the back of my head and that is where is stayed. Next day - no fever and but my symptoms improved except still had the symptoms but they had improved. Went to work on Wednesday because it started to go away - on and off headache - felt foggy. Bouts of itchiness and felt physically weak because my muscles had gotten so so tight. Felt a physical weakness for five more days. Headache went away by Wednesday night (Dec 30th). Itchiness went away. Three days symptoms went away although the physical weakness lingered until 5th day. Used a heating pad for my muscles to help relax them.

Shortly after the injection I started feeling light headed.. as the 15 minute window went on I also got super dizzy and my vision started going out.. a few minutes after that happened my chest started tightening up and my breathing became very labored and difficult. They hospital staff came and checked my vitals and gave me Benadryl. They put me on a stretcher and rushed me down to the er.

Significant insomnia overnight, some coughing overnight, shortness of breath/tightness in chest the following day

Anaphylactic reaction. Throat tightness and shortness of breath. Emergency protocal initiated. 3 doses of Epinephrine 0.3mg and Benadryl 50mg PO administered and symptoms were not improved. 911 actived and patient transported to local Hospital.

Pt presented to COVID vaccine clinic today and developed a reaction after receiving the vaccination. Denies hx of anaphylaxis. Pt has allergy to Cefzil (rash). Pt reported immediate flushing sensation after receiving vaccination. Pt also reported slight tightness of her throat and a sensation of a scratchy throat 15 minutes after administration. Pt denied SOB, difficulty swallowing, chest tightness, nausea, rash, itchiness, dizziness. No visible swelling. HR: 70 O2: 100% BP: 120/78 Flushing resolved after 15 minutes. Throat symptoms continued to be the same. Paged Allergy (Itchy). Pt given 10 mg Cetirizine PO. Pt observed for another 15 minutes and symptoms continued to improve. Pt sent home, advised by Allergy to follow up/seek emergency care as needed with any changes or new symptoms and to continue to take an antihistamine for a few days at home. Pt will f/u with Allergy for second vaccination.

1-21-21 @ 11 pm - chills started,with 98.7 F fever. Body aches and headache. They continued all night and still going today 1-22-21 @ 5:08pm. Temperature continues to go up it has not gone down from 102.5 F. In the past 2 hours after taking Tylenol at 3:30pm. feels very thirsty, have drank 4- 24oz of water, a bottle of 28oz Gatorade. Shortness of breath started 8:45 am 1-22-21 Fast heart rate and feels heart skip started around 3:30pm 1-22-21 took 500mg Tylenol at 3 am Took 1000mg Tylenol at 7:30 am Took 420 mg Naproxen @ 9:30 am Took 1000 mg Tylenol @ 3:30pm

At 2:05, when patient was ready to leave the post-vaccination observation room, she stated that she experienced a brief interval of symptoms, lasting less than 30 seconds; tingling at vaccination site, tingling finger tips both hands, mild dizziness, and brief shortness of breath. Resolved on its own. Took some fruit juice P.O. States she had not eaten since breakfast, 6 hours ago. Felt well and able to leave site independently.

Pt received Moderna Covid vaccine, during observation period pt reported "throat is swelling and itchy, feels like heart rate is up and thumping." Patient taken to first aid area to check O2 sats and monitor airway.

My arm injection site was hurting. I had stabbing pains in my lower back like a knife into my spine. I had a fever, chills, dizziness, body aches, light headed. I could not hold my eyes open cause light was too bright. I had a migraine and nausea and vomiting. I had a knife stabbing sensation in my chest that did not stop. I was short of breathe and wheezing. Very itchy all over my body mainly on whole left side where I got the injection. Very tired and felt like I could not move

Body aches Headache Temperature of 100 degrees and higher Shortness of Breath Worsened and suicide thoughts

DATA: 2:45pm: Pt scheduled for first dose Moderna COVID-19 vaccine today. Allergies and appropriateness for injection reviewed with pt prior to immunization. Pt reported bell pepper allergy only and denied prior use of epi pen. Pt received immunization at 2:45pm and waited in waiting room for 15min. 3:00pm: This RN evaluated pt for response to vaccine. Pt reported her neck was itchy, anterior neck assessed which showed multiple red "hive-like" spots. Pt was brought back to procedure room and informed that a provider would need to evaluate her. Provider evaluated pt. This RN then assisted per provider with interval vitals and assessments and medication administration of the following: 3:06pm VITALS: 123/80 bp; 73 HR 3:07pm MEDICATION: Administered per verbal of BJB solumedrol 125mg/2ml (lot AK5128, exp 10/21), 2mL administered in R dorsal gluteal. Pt had site tenderness, otherwise tolerated well. 3:07pm MEDICATION: Diphenhydramine 25mg two capsules administered to patient. Exp 1/2021. 3:20pm VITALS/LUNGS: 128/78 bp; 58 HR; 96% O2 on room air; clear lung sounds bilat. 3:35pm Pt reported feeling dizzy and that her throat was itchy. Vitals and assessment done by this RN; provider called in to room who evaluated further. 3:35pm VITALS/LUNGS/THROAT: 125/87 bp; 69 HR; 97% O2 room air; clear lung sounds bilat; throat check, no visible swelling. 3:50pm Pt reported feeling hot as well as throat slightly swelling. Denied dizziness. Vitals and assessment done by this RN; provider called in to room who evaluated further. 3:50pm VITALS/LUNGS/THROAT: 108/79 bp; 66 HR; 98% O2 room air; clear lung sounds bilat; throat check, no visible swelling. 4:04pm MEDICATION: This RN administered per verbal of BJB, Epi pen 0.3mg lot OFM128 exp 09/30/21 in to pt's right vastus lateralis. Pt tolerated well. 4:05pm VITALS/LUNGS/THROAT: 120/79 bp; 68 HR; 97% O2 room air; clear lung sounds bilat; no visible throat swelling. 4:15pm Pt reported lessened throat swelling sensation. 4:15pm VITALS: 116/77 bp; 78 HR; 97% O2 room air. Pt reported continued sensation of throat swelling sensation to provider. Pt refused EMS and agreed to further treatment of 2nd epi pen and famotidine IV. 4:25pm MEDICATION: This RN administered per verbal of BJB, 2nd Epi pen 0.3mg lot OFM128 exp 09/30/21 in to pt's left vastus lateralis. Pt noted site tenderness upon injection, otherwise tolerated well. 4:35pm MEDICATION: Pt began IV drip of famotidine 20mg/50ml over 15min through left arm. 4:40pm VITALS: 129/80 bp; 80 HR; 96% O2 room air. Pt's mother arrived to help pt home. 4:45pm VITALS: 126/78 bp; 83 HR. 4:50pm IV disconnected and pt was assisted with transferring to wheel chair. Discharge instructions for pt included provider recommending she go to ED for further evaluation. Pt refused. Provider sent pt home with #8 capsules of benadryl 25mg PO two Q4-6hrs; x2 epi pen pack of 0.3mg each, lot OFM128, exp 09/2021; provider also gave recommendation for pt to use triamcinalone pt already had on hand at home topically for red spots on anterior neck BID 7-10days and to avoid hot showers. This RN educated patient on epi pen administration, instructing her to try and do it while sitting due to affects on heart; to remove from plastic case, remove blue top, and to dart perpendicularly into outer middle thigh, hold for 3 seconds. Pt instructed to contact office for any questions and to seek emergency medical care for any worsening. Pt referred to allergist for consultation and approval for 2nd COVID-19 Moderna dose. Pt stated understanding.

about ten minutes after the second dose, i got dizzy, felt like my heart was pounding out of my chest, hives around the injection site, and my tongue went numb. after the nurses checked my vitals, my blood pressure was elevated, i was tachycardic, so they administered oral Benadryl. after an hour of being closely monitored i was cleared to go. the next day, i was still really dizzy, nauseous, had body aches and bad headaches. that saturday, i went to the er at hospital for the same symptoms just worsening and now at this point my lymphnodes under my left armpit were very large. they proceeded to do blood work, gave me 2 liters of fluids, iv zofran and iv pepsid. the blood work had no signs of infection and was completely normal. the doctor then sent me home with zofran to help with the nausea and pepsid 2 times dailey to try to get the lymph node to come down. 1/27/21 i returned back to the er for chest pains and still dizzy, body aches, and headaches. all chest x-rays, blood work, and ekg were normal and they sent me home. still today 1/28/21 i am still very dixxy, have body aches, bad headaches, nauseous, have no appetite, short of breathe when walking short distances, and have swollen lymph nodes.

About 2 to 3 minutes after receiving my injection, I began to feel a burning sensation in my nostrils. It felt like a 4/10 pain. The burning sensation worsened when breathing through my nose. When trying breathing techniques to calm down (breathing deeply through the nose, exhaling out the mouth), the burning sensation deepened towards the back of my throat - but I never felt it in my lower throat and chest - only the top of my throat and nose. The nurse on staff took me to a corner for closer evaluation. She had me remove my mask and checked my body for hives. I had no hives and the burning sensation occurred even after my mask was removed. She asked if I had trouble breathing or itchiness, I had neither of those symptoms. My heart rate was high and I began to hyperventilate because I was having a panic attack. I had no other symptoms besides the panic attack symptoms (tight chest, tingly face and hands, rapid heart rate, and dizziness) and the burning nostrils. The sensation lasted about 5-10 minutes, then dissipated. I then put my mask back on after it was requested. I continued to be monitored by the nurse for another 20 minutes until I gained back my normal breathing and my heart rate lowered. I was scheduled for a 2nd dose and was dismissed with no other treatment or issues. I drove myself back home and rested for the remainder of the day. I had no other symptoms that day, other than the typical sore arm, fatigue, and mild chills, which resolved themselves in a couple days. I had no other complications.

Throat swelling, SOB, rash on chest. Symptoms began to occur within 4 min after injection. Began to improve within 20 mins, without medical treatment. Throat swelling completely resolved at about 30 mins without medical treatment. Given solumedrol benadryl, although symptoms had already begun to resolve.

Shortness of breath, migraine, Chest pain, abdominal pain, body aches, joint aches, fatigue and fever

Pt received first dose 1/5/2021. Pt received second dose 02/01/2021. Pt started to have SOB and tachycardia 2/2/20201. She presented to Hospital and was diagnosed and admitted with a pulmonary embolism. She is a paramedic in our EMS system. It is not known to me whether she had other risk factors for a pulmonary embolism.

Arm pain extending from injection site to elbow started two hours after administration of the vaccine and continued for 48+hours. Body aches, headache, night sweats, and tiredness started the morning after vaccine administration and extended for 24+hrs. Breathing painful at times due to severe muscle aches around the ribs. General life activities severely impacted.

After I got the shot within 15-20 minutes I was coughing, and my heart rate was 147 and my blood pressure was 138/110 I felt light headed and my ears felt like they got clogged went back to see a nurse practitoner and they said to take a few deep breaths and that my throat did look irritated but that I should be fine because it was after 20 minutes and she said when I am driving home if it gets worse call 911. My throat started to hurt really bad and I felt like I could not breathe I looked in my mouth and my tonsils were swelling and I had to give myself an epi pen so I could breathe. Went home called my doctor and told him what happen I was very flushed, headache, sore throat cough, and I started to warm up several hours later to 100.9. He told me to take steroids I was given when I had COVID and told me if I start to have other symptoms to go to the emergency room. He also said since I recently had gotten COVID I was not suppose to get the second vaccine yet.

Sweating, chills, fever, joint pain, muscle aches, nausea, difficulty eating, around 2am almost collapsed and had tight throat

PATIENT COMPLAINED OF REDNESS AND SWELLING TO LEFT ARM THAT IS MOVING UP ARM TO SHOULDER, BROKE OUT IN RASH WITH SLIGHT SHORTNESS OF BREATH.

Staff reported that she experienced rash at injection site followed by "hives all over" (scalp, arms, legs, back of neck, chest, back of legs) itchiness, shortness of breath for 2 days with persistent cough, severe body aches, fever, chills, sweats, fatigue, headache, loss of appetite

WITHIN 5 MIN OF RECEIVING VACCINE- BEGAN TIGHT COUGH"TICKLE" COUGH, THROAT ITCY, PROGRESSED TO FACIAL REDDNESS, HIVES TO FACE, THROAT, NECK, CHEST- PROGRESSING TO SCALP. EMS IN ATTENDANCE AT OBSERVATION AREA- ADMINISTERED 25MG BENADRYL. CLIENT SELF ADMINISTERED PERSONAL ALBUTEROL INHALER- 2 PUFFS. VITALS MONITERED- WNL. AMBULANCE TRANSPORT NOTIFIED AND TRANSPORTED.

Pain at Injection Site-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium

Site: Pain at Injection Site-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium

The patient had her second COVID vaccine on 2/13/2021 around 1130 a.m. At 1145 she stated her lips were tingling. We placed her with the crew. Around 12noon she She said she started feeling like her tongue felt different. 1210 she said her tongue swelling sensation. We continued to monitor closely. at 1215 she reported that her throat felt like there was a pill stuck. 911 was called she stated herthroat felt funny, some nausea and a slight rash and her tongue started to feel like it was swellingworst and therefore sheinjected herself with her EpiPen at 1230. She was started feeling better and was brought in by EMS for medical eval. Denies short of breath and is having no trouble breathing or swallowing.

Vaccine given at approximately 1143am. Individual told to sit in waiting area so they could be observed for 15 min. Within approximately 5 mins individual reported having a rapid heart rate, tingling in hands, & felt they were having issues catching their breath. Individual walked into medical area for evaluation & additional medical staff including LIP called to scene. 1150 am HR 150 & O2 86% before nonrebreather applied. Nurse applied O2 at 15L with nonrebreather while LIP assessed, 1154am 50mg IM benadryl given per verbal order from LIP. 911 called. vitals at 1154 were O2 99% on 15L HR 115 BS 99. Ice packs & cold compresses placed on individual while additional questions asked by LIP. Individual admitted to having a little chest tightness 3 days prior, which was not told to the RN giving the covid 19 vaccine prior to vaccination. Individuals breathing began to slow down after 5 mins and they stated they were able to catch their breath more easily. At 1215 O2 was removed O2 sat 98% RA and HR 107. Individual began to feel more tired after benadryl injection and was more lethargic in response. Ambulance arrived at approx 1215 & individual transported to ER for further evaluation.

Was monitored for half hour, went out to car, felt nauseous, vomited x1, initially vitals were stable, felt weak, 02 sat dropped to high 70's, pulse was elevated, respiratory rate increased to mid 30's, given IM Benadryl and epi-pen, became unresponsive. Went to ED for observation-was given anti nausea medication. Sent home same day.

Pt received Moderna COVID- 19 Vaccine at 8:30am and sent to observation lobby. Pt reports tingling and swelling symptoms of throat at 8:40. Pt was brought into exam room for further assessment. EMS called at 8:40 AM to further assess pt. Pt showing elevated BP and HR at 8:41. 0.3 mg of Epinephrine Auto-injector administered at 8:42. Pt reported immediate relief of symptoms. EMS arrived at 8:46 and began assessing. Pt refused transport to hospital. 25 mg Benadryl PO given at 8:45 AM. Pt report she is feeling fine and is okay to drive home. Pt left for home 9:00 AM. Pt called HD at 9:15 to report she arrived safely.

Patient complained of chest tightness and throat tightness. Onsite EMS was called vitals BP 108/73 100% O2 room air. Patient seemed cheerful & talkative, feels better. Patient treated and released against medical advice.

11:55: felt dizzy, throat tightening with difficulty swallowing, walked to the side of room, sat; continues to report dizziness; lied down, elevated legs on chair; Face became red and splotchy within 5 mins; 1203: O2: 99% HR: 86 BP: 118/82 Administered Benadryl 25 mg PO, coughed during 2nd dose of benadryl & c/o throat tightening; laid down; EMS notified; 12:08: Epi 0.3 mg Auto injector admin in right thigh; continues to c/o dizziness, and throat tightness; Voice clear; shaky, HR: 130s; Face became ashen and green; was sitting up, assisted to lie back down; EMS arrived 12:12 for transport to ED

Arm pain began in early afternoon with skin tenderness beginning in the evening, which were followed by extreme chills, body aches that hurt to be still, muscle spasms, fever (102-101.4), throbbing headache (treated with ibuprofen x2 200mg Q4hr which helped some), then around 12am became hot and sweaty with aches and spasms persisting. Was able to sleep off and on every time I turned over onto my vaccine arm I woke because of the pain. Next morning I spent the day in bed with lingering chills, muscle aches, headache, and spasms, but less than night before. High Fever persisted (101.4) and a cough with mild shortness of breath developed. The night of 2/28 I took ibuprofen (same dose as before) and Benadryl which allowed me to sleep all night. This morning (3/1) I feel better, with fatigue, lightheaded, a mild fever of 99.3, and minimal muscle aches. Cough persists.

At aprroximately 1030, began having heart palpatations, chest pain, and shortness of breath. She contacted her primary care provider who advised her to go to the Emergency Room since this was just a little over an hour since she received the vaccine. At the emergency room, they gave her IV fluids, pepcid, and benadryl. She was released home at 1430.

Chest pain, shortness of breath, palpitations, tachycardia, facial swelling Emergency Department IV Benadryl and solumedrol

Around 6 pm I got a severe headache, very bad body aches, trouble breathing, and a very fast heart rate. I felt faint and had cold sweats so I went to ER after work. The ER doctor gave me fluids, a vial of tylenol through IV, and just observed me to make sure my heart rate and blood pressure came down. They said it sounded like a normal reaction. Fever of 101. I am getting a MRI of my brain on Tuesday 3/9/21 for continued severe headaches.

Fever leading to chills and confusion for 1 day, shortness of breath for 1 day, tightness in chest at end of day for 1 hour, extreme fatigue for 1 day

Pt received first dose Moderna COVID vaccine, during 30min observation period pt states she was feeling a tingling on her tongue and arms. Pt breathing became shallow. Patient had personal epipen, asked pharmacist to administer in thigh. Pt was also given 25mg oral benadryl, ice pack placed behind pt neck. 911 contacted, pt conscious taken via EMS.

Starting about 1 minute after vaccination I became extremely dizzy, blacked out/lost vision, had shortness of breath and a tight chest, lost feeling in my hand and fingers on my left side (the side I got the vaccine), was sweating but felt cold flowing through my body. These feelings lasted for about 30 minutes and my vision and feeling in my fingers and hand came back as the dizziness subsided and my body temp returned to normal. Around 40 minutes after the vaccine I started experiencing echoing in my left ear (the side I got the vaccine on) and soreness around the vaccination site. The echoing in my left ear lasted about 30 minutes and then subsided. The arm pain spread to the rest of my arm and I began to get a headache. About 4 hours after the vaccine I began to experience intense back, hip, foot and hand pain making me unable to do any regular activities. The back pain feels like intensely sharp pain in my spine and hurts to the gentle touch. I previously had no back pain prior to the vaccine. The muscles surrounding my spine up to my shoulders were also painful/sore. This pain subsided after 6 days. On about the 4th day after the vaccine I began experiencing underarm and breast pain on the side I got the vaccine. It is now exactly 1 week since my vaccination and I am still experiencing the underarm and breast pain. I have experienced lethargy since vaccination.

1120 injection. 1125extreme itching at injection site, 1127 itching down arm of injection site , 1136throat tightness, 'sticky tongue' , 1137difficulty speaking and mentally altered, difficulty breathing 1138 Benadry 50 mg IM 1139 Dexamethasone 10 mg IM 1140 EPI Pen 0.3 mg IM 1141 Oxygen 6 L via face mask added responding to commands , assessed by PA 1145 Patient able to speak but speech slurred . Paramedics arrived transported patient to nearby Medical Center

Pt received Moderna Vaccine at 04:56pm, was placed on observation for 30 mins due to hx of allergies. Upon observation of patient, patient stated she was experiencing possible allergic reaction tingling sensation to lips and irritation to throat. No angioedema, no wheezing, no hives, generalized rash or respiratory distress, O2 sats were noted to be 100% on RA. Pt stated she felt as her throat was closing up, pt was noted to be anxious due to symptoms, and continued to state her throat was closing up. Epi pen 0.3mg IM administered at (05:09) was administered, pt was also medicated with benadryl 50mg IM (05:10) and solumedrol 125mg IM (05:16pm). Pt was alert, oriented, no angioedema noted, no wheezing, no respiratory distress, no ALOC, no hives, no chest pain. Overall, pt stated she felt better and symptoms had resolved after administration of medication. Pt was transported to hospital for further evaluation.

The adverse event began as a feeling that there was an air bubble stuck in my throat. It then manifested into feeling like there was swelling in my throat. Eventually, there was external swelling on the left side of my throat. This lasted for a couple weeks, and would happen off and on. I visited the Nurse Practitioner at my doctor's office, and she confirmed that there indeed was some minor swelling in the lymph node on the left side of my throat. She ordered an ultrasound for my head/neck, but because of the cost, I was unable to get the ultrasound. The swelling has since subsided. I made the correlation that the swelling was on the same side as both of my Moderna injections, so I figure the swelling is due to the COVID vaccine.

Possible seizure, pt shaking, shortness of breath, bluish skin, kept saying "couldn't breathe." Epi-pen autoinjector administered afterwords patient was laid down and raised legs and blood pressure taken which was 118/68, pulse 68. Emergency 911 was called and arrived on scene in 2-3minutes. Paramedics took vitals and deemed it to be a syncopal episode, instructed patient to go to hospital for further monitoring. Husband to drive pt to hospital.

approximately 30 min after patient received COVID vaccine #2, pt stated she started feeling "throat tightening". Denied difficulty breathing. BP162/88. Benadryl 50 IM injected to RD. 911 called-Volunteer Rescue Squad arrived within 2-3 min of call. Assessed patient. O2 sats on Room Air 99-100%. Ambulance services arrived 20 min after call placed. Pt was feeling some better; BP 112/80 HR 125. Pt declined EMS taki1105878-1 03/16/2021 Non-Serious Initial Report - Hng her to ER, but did consent to boyfriend taking her. Pt was discharged from ER at approximately 1300 hours after receiving "2 shots in ER" per patient. ER staff declined to give treatment information d/t HIPPA.

Swollen lymph nodes under both arms, urgent care, referred to ultrasound tech, mammogram, referred to general surgeon (awaiting appointment). Lymph nodes stayed swollen after first dose, got worse after second dose, and have been swollen since. Swollen lymph nodes in neck, hard to breathe, went to hospital, told it was just the vaccine and to wait it out. Lymph nodes in neck went down in swelling after 2-3 days. Irregular menstrual cycle, started approximately 2 weeks after first dose. Have had a menstrual cycle for 5 days every 9-12 days since first dose. Hospitalized for stroke-like symptoms (lost vision, couldn't form sentences) on 5 Feb 21. Discharged after CT scan and MRI came back fine.

throat tightening, metal taste in mouth, skin flushing/feeling hot. Epinephrine 0.5 mg IM 1:1000 given right quadriceps with immediate relief. 50 mg IM benadryl right deltoid. 40 mg po prednisone. home after 2 h observation. Has epi pen, given 4 more days prednisone 40 mg pd, told to take 4 more days zyrtec

She described her symptoms as: "face became red and puffy, lips blistered, blisters around nostrils, hard to swallow, and throat closing." She went to the ER around 7 pm where she was given Benadryl and prednisone. She came into work today with no symptoms. She was advised by the ER doctor to not get the second Moderna dose, but to follow up with her PCP for further guidance. Her appointment with the PCP is scheduled for tomorrow morning.

3/15 Vaccine- 2:40pm 3:00pm- headache 3:30pm- headache, sore throat and chills 8:30pm- chills, fever of 103.1, muscle ache, sore throat, nausea 3/16 Early morning- throat and mouth swelling, ear ache, sore throat, chills, headache, exhaustion Prescribed Prednisone to take down swelling in throat and mouth- swelling came down 3/17 Sore throat, headache, exhaustion and fatigue 3/18 Sore throat, cough, exhaustion and fatigue 3/19 Early morning- sore throat, nausea and fever of 100.7

1/25/21 - numbness and tingling, feeling of nerve tension began in right arm and hand with no clear peripheral nerve pattern; next day in both arms with twitching of R middle finger; third day afternoon began in R foot and spread up into calf as well as L foot; went to the ER on 1/27/21; clear ECG, chest XR, brain and cervical CT, and bloodwork; referred to neurologist with concerns of MS or transverse myelitis; saw neurologist on 2/3/21 - he found mildly hyperactive reflexes and a (+) hoffman's reflex; ordered MRI of brain and cervical spine with and without contrast and more bloodwork; MRIs performed apx 1 1/2 weeks later and bloodwork done same day (2/3); bloodwork revealed elevated C-reactive protein of ~14 and ESR of 14 (higher than previous baseline of <2) but all else clear; MRIs came back clear 2/8/21 - 9 days after second dose woke up with throbbing headache, body aches, and overall feeling of being ill; on the third day of this went to go get tested for COVID and flu to be safe; both rapid and PCR came back negative; sx resolved by the weekend; 2/15/21 - began getting frequent headaches, inability to take a deep breath and sharp retrosternal chest pain up into the back of my throat when I would try; difficulty breathing with a mask on; significantly elevated heart rate; SOB at work esp with mask on; symptoms worse with mask and then eased on weekends without mask; then became able to take deep breath but with chest pain then began to need to cough with a deep breath then more frequent coughing esp after long days of mask wearing; several occasions of waking up at night unable to breath esp when lying on either side with racing heart; symptoms vary in intensity but on days when they would act up, heart rate is consistently elevated (normal resting heart rate ~55, would be up at 90 while lying down, 120 while standing making coffee) 3/9/21 - went to ER in the evening due to symptom increase of chest pain, SOB, and elevated heart rate; ER ran bloodwork and found elevated D-dimer of 0.6, WBC of 27,000, high neutrophils, and low lymphocytes; CT angiogram to r/o PE came back negative; (-) chest XR other than minor atelectasis; abnormal ECG with incomplete RBBB and prolonged QT interval; tachycardia; admitted to hospital; blood cultures, urine cultures, and respiratory pathogen panel including COVID test negative; started on albuterol breathing treatments and 40 mg of steroids 2x/day which normalized WBC count and eased sx significantly; consult with pulmonology and cardiology; 2nd chest x-ray (-) and transthoracic ECHO (-); started on beta blockers 12.5 mg 2x/day which helped heart rate some; second ECG found no RBBB and normal QT interval but unable to rule out anterior MI or inferior ischemia. D/c on steroid dose pack, beta blockers, cough suppressant. Follow up with cardio and pulm. Now seeing immunologist as well who started me on corticosteroid inhaler, monteleukast. Running more blood work soon. PCP gave albuterol inhaler, did round of antibiotics, orders to use incentive spirometer for breathing capacity. Waiting on pulmonology follow up and 30 day holter monitor, stress ecg, and other cardiac tests.

When I first got home about an hour after the vaccine I just have chills and sore arm. At 9pm that night when I took out my dog outside for a couple minutes I started uncontrollably shaking and I couldn?t stop. My chest started hurting and my breathing was difficult. I went back inside and laid on the floor and waited for the symptoms to stop. Once they finally stopped after about 10 minutes I just had the sore arm and chills again. It?s now been 2 days sense the vaccine and the chills hasn?t gone away. But I don?t have the uncontrollable shaking anymore.

One hour after vaccination on Saturday got lethargic and so tired. Same the next day. Monday, the fatigue improved but Instartes to get muscle aches and stiffness. Soreness in my joints. By Wednesday evening my chest started to hurt for a few minutes and my heart rate temporarily Increased. As the days went on the symptoms became more regular. I also got extreme anxiety, a very fast heartbeat (up to 130 BPM), insomnia, sweating palms and feet, and very difficult to breathe. I couldn?t even get up to take a shower sometimes or sit up. I was admitted to the ER on I believe Tuesday the 23rd of March. This is all in the records. All tests came back normal aside from low iron, but anemia tests came back negative. After all doctors refused to give me medication to directly treat it, I finally went to an urgent care where they gave me prednisone. It?s currently helping me. I was finally able to go for a walk today.

Chills, fever, nausea, headache, out of breath, foggy, and exhaustion just hours after receiving second dose of moderna vaccination.

Shortness of breath, High fever, rash, swelling and pain on arm. Heavy chest pain, headache, tiredness

After receiving the COVID- 19 vaccine experienced a rash to throat which burned and painful. Throat pain and swelling sensation with a burning cough immediate following vaccine.

Patient reports feeling tingling sensation in her throat and feeling like her throat is closing up, she is able to swallow without difficulty, no other symptom. Patient was seen and cleared by EMS. Pt reports symptoms improved. BP: 140/84, pulse:70, Spo2 100%

Extreme arm soreness, extreme fatigue, lightheadedness, mild nausea, mild breathing difficulties overnight

Sob, hives, vomiting, chest tightness, dizziness, lightheaded, diarrhea. Antihistamines and pepcid. Lasted 24 hours

Increased heart rate immediately after injection and continued until arrived at ER Weak legs while leaving clinic and continued until arrived at ER Dizziness/lightheaded Sensation of throat swelling while leaving clinic and continued until arrived at ER Difficulty breathing while leaving clinic and continued until arrived at ER

facial burning / itching, itching redness of ears, face, palms of hands and soles of feet. Trouble breathing. Epinephrine was offered but declined, benadryl 25mg was given, symptoms did not subside.

Client verbalized feeling throat "fullness." Notified Head RN . Upon assessment by RN , client denies SOB, difficulty breathing, and throat closure. VS initiated during assessment. VS WNL. 25 mg Benadryl IM RA administered by RN. Continued to monitor. Upon reassessment, client verbalizes resolution of symptoms. Client reports throat was "feeling fine again." Patient recommended to be escorted home. Client rejected recommendation, as client is unable to find an available escort and lives "close by." Client discharged, and left facility alone.

Exhaustion set in about six hours following the appointment on 4/1. Slept rest of day and then slept most of 4/2 and 4/3. Not as exhausted after that but still persistently tired days following. Shortness of breath set in 4/7, got bad on 4/8. Made use of inhaler.

Pt experienced throat swelling around 10 minutes after vaccination. She described the sensation as "tightness" and "something in the back of my throat." No visible angioedema at first evaluation. PO Claritin administered. Vitals remained stable throughout episode. Throat became visibly edematous around 20 minutes post vaccination. 0.5mg epinephrine was give at this time. (9:20am)

Pt. started to experience the following symptoms: Throat tightness and difficulty swallowing. Audible wheezing heard bilaterally in lungs. Vitals taken at approximately 1425 and were the following: BP - 140/102, HR - 120, and RR - 25. 50mg (20mL) of Benadryl orally at 1430. Pt. feeling better, but distressed. Second set of vitals were taken at 1450 and were the following: BP - 123/83, HR - 83, and RR - 13. Pt. was released to go home and given advice on secondary reactions at 1505.

About 5-10 minutes post vaccination, experienced severe dizziness, impaired vision, and shortness of breath. Experienced sore throat and nausea about 20-30 minutes post vaccination. All of these side effects lasted under 40 minutes. Shortness of breath and dizziness is still prevalent hours post vaccine, but is mild.

While at pharmacy my lips started feeling tingly and itchy, thought it was just from mask. After 15 minutes I was told I was fine to leave, so I left and headed home. Almost halfway home my throat began to feel swollen and tighter, like a rock was in it. My lips and face continued to itch and tingle. My face also was bright red. I have experienced anaphylaxis before, and was on Bactrim for days before I had the reaction. I waited it out to see if I needed to go to the hospital, but felt I was okay. The next couple days however I still felt like there was a rock in my throat and it was still a little tight, but no longer itchy or feeling hard to swallow so I didn't take myself in.

Chest pain, throat tightening, pain with deep breath, dizziness, chills, fever, arm rash under injection site, muscle pains throughout back/legs/neck, lightheadedness, fatigue, nausea, difficulty holding head up. Several Sx lasted up to five days.

Shortness of breath after 1st dose, increased shortness of breath after 2nd dose when talking and walking

IM shot given at 2:52. Took 4-5 alcohol prep pads to stop continuous blood dribbling. Within 30 seconds, patient showed a slight bump at site of injection. Just as the bleeding concluded and I was about to apply bandaid, patient blacked out, eyes began to flutter, body straighten and began to slouch in chair as I held her up, and fingers fluttered a bit as well. Patient came about with 30 seconds, moderate hyperventilating, and with clammy sweat, unaware of where abouts. Monitored patient for 30 minutes, but she did go home after re-attempting to work once again (got a ride from family).

Patient experienced shortness of breath, hives, and throat closing after receiving the second dose of COVID vaccine. Patient received 0.3 IM epinephrine and IV Benadryl. Patient was brought to ED and subsequently received, IV dexamethasone 10mg and famotidine 20mg IV.

It aggravated my asthma around bedtime that night. The next few days I had mild cold/allergy like symptoms. 4/21 I woke up feeling like I had the flu and it progressively got worse throughout the day. I called the pharmacy and they told me to see a doctor to make sure I wasn't sick. Today, 4/22, I was tested for covid-19 and flu a and b and they were both negative. I'm still feeling under the weather. My symptoms have included: increased asthma like symptoms, increased allergy like symptoms such as increased sinus irritation, mucus, and sinus bleeding, fatigue, feeling feverish and achy without having an actual fever, irritation at bottom of throat that sometimes causes coughing, stiffness, slight dizziness/fogginess

Patient received second dose of moderna vaccine at 3:31pm on 4/22/2021, during observation patient reported to feel "dizzy" and reported heavy breathing. Felt like she would lose consciousness/fall over. While discussing her symptoms, she began to feel pain in the center of her chest and continued with feeling of being faint and difficulty breathing. Patient appeared flushed and was warm to touch which later resolved. Ambulance was called and patient decided to leave by ambulance at 4:21pm after it arrived at 4:16pm. Her husband was onsite and was notified by herself. No further incident.

Throbbing pain upon injection, within 10 minutes had increased heart rate, clammy skin, rash at injection site, within 20 minutes had nasal drainage, irritated throat, coughing, feeling faint and dizzy, heart rate kept increasing although was sedentary, started to have trouble breathing. Took Benadryl and loratadine, observed symptoms to see if epinephrine was needed.

Woke up at 12:55 am on 4/15 with rapid heart beat ranging from 166-182 bpm. Lightheadedness, shortness of breath.

Patient developed worsening breathing difficulty about 5 minutes after receiving vaccine, two doses of EpiPen were administered 5 minutes apart; patient's breathing improved. Paramedics arrived on scene and took patient to the hospital. I called patient later same day and she stated that she was feeling better and that she was leaving the hospital.

The Patient has an anaphylactic history to an oral pain medication she didn't know the name of, food allergies, and to the flu vaccine (with eggs). She has gotten the flu shot without eggs and been fine. The administering RN asked the med led to further assess. We discussed that she is at a higher risk for anaphylaxis than most people given her allergy history. She said that she was not Allergic to any component of the covid 19 vaccine when shown the list, and this was double checked. We discussed that if she gets the vaccine and has a reaction, she will need emergency room treatment and that she may want to consider being vaccinated at a hospital where they have more resources. However, given she did have known anaphylaxis to a component of the vaccine we will give it to her if she so chooses. It was explained that if she gets the vaccine, we will monitor her for 45 minutes, and if she has a reaction, she will be treated and sent to the E.R. She verbalized consenting to getting the vaccine after being thoroughly educated. She was vaccinated at 1337 with 0.5 ml of Moderna Vaccine in the left deltoid. I was not present upon the administration. I was informed shortly after administration that she had cold sweaty palms and felt a little lightheaded. She was placed in a wheelchair and taken to a private observation tent to be further assessed. Initially in the tent she was not showing alarming signs of anaphylaxis and appeared stable. She had clear lung sounds and her oxygen level was 99% with no respiratory distress or airway compromise. At 1405 she felt her lips and throat get tingly and slightly bigger, although upon assessment they did not appear swollen. She was fasting and refused to swallow water or Benadryl when offered. She was able to swallow her spit with no issues. We explained to her that we are going to keep monitoring her, but if things change at all we are going to have to call 911 and administer epinephrine. She kept saying she is fine and that she did not want it and that her boyfriend would take her home. Currently her VS were BP 94/70, HR 72, O2 99%, RR 22. She was rubbing her back and her lungs were clear. At 1410 her bp was 90/62, HR 74, o2 98% and RR 24. Again, she was rubbing her back. Her lungs sounded clear. At 1415 her BP was 84/60, HR 80, O2 93%, and RR rate of 30. She had small expiratory wheezes when listening to her breath sounds. She appeared to be in respiratory distress as she was coughing and rubbing her chest. She stated her chest felt back, neck, and chest felt tight. She still stated she was fine, and she did not have insurance. She was informed that this was a life-threatening emergency At this time 911 was called as it was determined she was having an anaphylactic reaction needing epinephrine. Her Emergency contact was notified as he was on the phone with her. At 1417 0.3 mg of epinephrine was administered into the left deltoid, which is where I was informed, she had received the vaccine. At 1420 her VS read 118/74, HR 122, O2 99%. Her respiratory distress appeared to be improving, and her VS improving. She stated she felt better, and she wanted to go home, but per policy she was taken to EMS in a wheelchair. She was handed off to EMS around 225 and verbal report was given. She was transferred to her emergency contact was present for transfer and filled in of the events.

Patient stated, "Dizziness, shakiness, chest discomfort, and throat tightening", treated in Emergency Room with dexamethasone and Benadryl , as well as receiving cardiac monitoring and monitoring of O2 sat along with vital signs.

Fever (100.2°), skin discomfort, splitting headache, abdominal pain, and sore arm at injection site. For several hours (9AM-11:30AM) breathing was restricted and airways felt swollen/inflamed/not fully open. At no point was it impossible to breathe, but it took noticeably more effort to breathe.

On Thursday 19th, around 6pm I started to feel my face itching and there were hives around my eyes. Similar to mosquitoes or aunts bits. At 10pm on the same day my lips got swollen and I decided not to take anything for it since I thought it was just an allergic reaction. When I went to sleep, it seemed to have gone better; however the next day when I woke up to go to work. Not only I had my face swollen and with hives but it had spread towards my arms and legs, still similar to mosquitoes bits. I decided then to take Benadryl and around 10 AM while I was working my chest got tight and my throat started to close. It was difficult for me to breathe and speak. They took me to the ER were I was given an IV with anti inflammatory and an allergy medication.

Vaccine provided at 4:35pm. Patient was asked to wait 30 minutes observation time due to history of allergies, facial swelling/throat tightness in the past. At 30 minutes she stated she had some numbness in her hand that had gone away, but her heart was racing still and a little bit of throat issues. She waited in the pharmacy longer and intermittently checked on her. She took her heart rate at one point and it was 127. Asked around 1 hour wait time if she wanted to inform her doctor of her symptoms and any next steps. Around 5:50pm the patient reported she was having trouble breathing so 911 was called and an epinephrine pen was administered. The paramedics came shortly after and took the patient to hospital where she stayed around 4 hours.

Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: dizziness-Medium, Additional Details: patient was taken to the er after receiving the epipen. She was monitored for a couple of hours and released. I spoke with husband, when they were home, and was informed that she was feeling well.

Upon administering the vaccine , patient. Became very dizzy , and we had her lie down . She then complained of chest tightness , throat tightness , and difficulty breathing . An epipen was administered and paramedics were called . She was taken to the hospital where she was monitored and released . I spoke with her husband when they were home , and he indicated that she was fine

3:35pm - Pt waited full 15 minutes without reporting issues. Pt stated that she felt difficulty breathing, but "thought it was because of the mask", went to her car, and used her asthma inhaler. Pt stated she began feeling chest tightness, so came back into the clinic. Reported no change from inhaler, and complained of nausea. 3:32pm - 135/78, 99%, 101/min - chest tightening has gotten worse. 3:44pm - Quick Response Team called over, pt stated sx started to subside. 3:46pm - 142/70, 99%, 100/min - offered pt ER transport, declined at this time 3:53pm - 131/87, 98%, 93/min - tightening in chest 3:56pm - 143/89, 99%, 124/min 5:59pm - 198/93, 98%, 113/min 4:03pm - 184/106, 98%, 107/min 4:07pm - pt called family to bring her home as she did not feel comfortable driving.

0938 Patient presented for first dose of Moderna vaccination. Patient provided a 30 min observation card due to history of Penicillin allergy. At 1011 Patient complained of her throat itching and swelling, tongue swelling and tingling and chest pain. EMS called by assisting staff member. Assessment of throat and oral mucosa were unremarkable. Lungs clear on auscultation. Pulses bilaterally strong and equal. Patient coughing continuously with increased respirations. Skin pink, no redness or rash present. BP 126/88, P106, R22, O2 98%RA. Administered 50mg IM Benadryl into right deltoid. Continued to observe patient. 1024 EMS arrived, patient reported feeling better. Respirations were easy and unlabored, P84, 02 99RA. Patient declined emergency transport, refer to EMS call number 21-803376. Advised patient to seek immediate medical attention if symptoms progressed after episode, patient verbalized understanding.

About 2 weeks after second dose started having chest pain, shortness of breath. Still having symptoms 3 months later, however, fewer and further in between and more mild

Heart rate of 128bpm woke me up 5/28/2021 2:30am and lasted until around 9:00am. Had chest pain for the next two days and woke up 5/30/2021 around 4:00am with heart rate of 115bpm that lasted until 8:00am. Since then I?ve had on and off again chest pain/tightness/ flushed feelings/ and trouble breathing.

Felt achey and flu like all day, starting at about 5pm I noticed a change in the symptoms. I suddenly couldnt catch my breath, couldnt stand up without feeling dizzy. I put on my apple watch to see if my heart rate was elevated, it was reading 147bpm while I was sitting down. experienced tightness in chest, could not walk without stopping every couple steps to catch my breath and steady myself. could not talk out loud without running out of breath after several words. attempted to relax and just sit on the couch, drinking fluids. after about 3 hours it started to fade. had shortness of breath and dizziness for several days, but it was steadily improving.

Shortness of breath in the early morning, and lasted about 3 hours. The symptom woke me up from sleep, and it's pretty intense that I was gasping for air at some point.

I had hives, swollen in my throat and left side lymph nodes from my neck to my breast. I got COVID arm 9 days after (softball size lump and swollen at the injection site). Had to visit urgent care.

Within 30 seconds of receiving the Moderna Vaccine, I began having shortness of breath, sweating profusely , light headedness, my heart was racing. About 5 mins later, I began doing the same thing as before, then as well as becoming lethargic and had to be taken to the emergency room.

At 0400 woke up and notified heart skipping a beat and heart palpitations. Chest felt uncomfortable with palpitations. Went back to sleep and woke up at 0730 and still had heart palpitations and chest felt uncomfortable with palpitations. Heart palpitations continued to get worse and went to Urgent care where the physician said I had a heart murmur and PVCs were noted when listening to my chest. I was send to the ER where PVCs were noted on heart monitoring multiple times per minute with shortness of breath. I got a chest X-ray and lab work that came back normal and was told to follow up with cardiology and get an ECHO done. The heart palpitations continued until the following day where they only were occurring once an hour or so and by today 6/19 I am no longer having heart palpitations.

Client received her 1st dose of Moderna COVID vaccine lot # 021C21A at 1852 by agency. At 1901, ancillary stayed with client as Medic came to Lead office to alert Co-Lead RN that the client was complaining of dizziness and shortness of breath. 15 seconds later, Co-lead arrived in vaccination room #10 and visualized the client sitting in a chair, drinking a bottle of water. Client stated "I feel a little warm" and asked "can I lay down?" Zero-gravity chair was retrieved as well as an EMT at 1904. We then assisted client to the zero-gravity chair and placed her in trandelenberg position with her feet elevated. Client denied headache, nausea, and chest pain. She stated that the dizziness had passed, she was no longer short of breath and she was feeling better. She stated she had eaten and drank fluids within the past couple of hours before her vaccination. Client explained that "this happens sometimes with medical stuff", "I'm sometimes anxious" and "just last week I almost passed out when I donated blood". Client denied any medical hx, current conditions, medications, or allergies. Preliminary vital signs were taken at 1906 and were: BP 110/86, HR 58 (her normal, she stated she is a runner), O2 Sat 100%, and RR 18. Client was then asked if she felt well enough to walk, and when she responded yes and was then escorted to the Observation Room which she ambulated to with a normal, steady gait. Client denied needing a ride home, and stated she lived 7 minutes away and would have no problem driving as she felt fine. Co-lead RN consulted Clinical Care Coordinator who advised IR but no VERP as this was a near syncopal episode with client's history of anxiety with medical procedures. Client was educated by Co-lead RN to stay for 30 minutes and to call 911 or go to the ED if she experienced any signs or symptoms of a vaccine reaction after she left the vaccination site with examples provided such as SOB, hives, tachycardia, and chest pain. Co-lead also advised client to f/up with her PCP for further evaluation if needed. EMT took a final set of vitals at 1930: BP 116/82, HR 68, O2 Sat 99%, and RR 16. Co-lead observed client with an improved color and no complaints as she departed the Observation Room independently with a normal, steady gait at 1933.

Bronchitis with some fluid/mucus in lungs resulting in frequent, painful cough. Symptoms actually started one day prior to second dose and continued to worsen, prompting an urgent care visit. Experienced coughing fits and shortness of breath when active Treated with 1 round of Z-pak (6/11-6/16, somewhat effective), 1 round of prednisone (6/22-current), with virtussin to suppress cough and al albuterol rescue inhaler. Patient also had a concurrent rash/hives at onset, assumed to be an allergic reaction to a new soap. Treated with OTC antihistamines and aloe vera and went away on its own.

PT WOKE UP OM 6/19/21 WITH 102.6 DEGREE FEVER. FEVER LASTED FOR ABOUT 2-3 DAYS. PT ALSO REPORTS SOB, HA, BODY ACHES. PT TOOK TYLENOL AND IBUPROFEN PRIOR TO BEING SEEN IN CLINIC 6/24/21. SHE WAS GIVEN 30 MG OF TORODOL IM AT THIS VISIT.

After the 2nd dose vaccine, I had nausea, vomiting and diarrhea. A few days later, I developed a rash on both my arms. The rash looked like little raised bumps and was itchy. I applied some Benadryl cream on it and it hasn't improved. About a week after my vaccination, I had flu like symptoms- shortness of breath, cough, low grade fever, body aches and joint pain. I went to the ER (Hospital) and was given oxygen, breathing treatments and was diagnosed with pneumonia. I was given a prescription of Z-pak azithromycin and discharged to follow up with my PCP.

Patient complains of itching, abdominal pain, body aches, eyelid swelling throat itching, mild shortness of breath and rash all over body. Patient received epi pen, benadryl 25 mg, solumedrol 120 mg, pepcid 20 mg IV,

Chest began to feel very tight, breathing became labored within 6 hours of getting the vaccine. I could not sleep the night of the vaccine because lying down on my back or side made the pain/tightness in chest worse. This continued through the next day and night (still could not sleep due to pain and discomfort in chest lying down). The tightness and pain were at the very center of my chest. Breathing hurt, and I felt like I couldn't get enough air even though I was breathing fully. These events are still going on today (7/20/21) 3 days after the vaccine. I had fever and nausea last night, and my chest pain seems to be doing better today but still present.

PT FELT OUT OF BREATH AND EXPERIENCING DIZZINESS. FACE WAS PALE. NOTICED THAT THE PT WAS ABOUT TO EXPERIENCE SYNCOPE, I TOLD HER TO LIE DOWN WITH HER FEET ELEVATED. AFTER 5 MINUTES, PT'S SYMPTOMS WERE RELIEVED AND DRANK WATER AND SAT FOR 15 MINUTES AFTERWARDS WHILE BEING MONITORED. NO FOLLOW UP WAS REQUIRED.

PT RECEIVED VACCINE AND AFTER 15 MINUTES SHE BEGAN TO STATE THERE WAS TINGLING IN ARMS AND FACE/LIPS. I KEPT THE PATIENT FOR ABOUT AN EXTRA 10 MINUTES AND AFTERWARDS SHE BEGAN ITCHING AND STARTED TO STATE THROAT STARTED TO SWELL UP AND LIPS WERE TINGLING, SHE BEGAN TO SCRATCH HER ARMS. PT WAS GIVEN ORAL LIQUID BENADRYL 50MG (20ML)

Red Ring around injection, swollen, itchy, hot to touch, and wheezing. Patient took benadryl, iced and rested. Patient's PCP prescribed zpack and steroids.

Arm pain, extreme fatigue, body/muscle aches, fever, shortness of breath, sensitivity to light, unable to go to work or preform daily activities Onset 5 hours after vaccination

I received the vaccine at 2pm on January 5, 2021. At 8pm I started to feel tightness in my chest. Then it kept getting worse, and developed a burning feeling when I breathe. It has been intense since then.

Localized rxn to injection site. Warm to touch, red area, itchy. Also reports throat swelling when received the vaccine but resolved with benedryl. No difficulty breathing.

Tip of tongue was burning, weird metallic taste in mouth, entire tongue numb and tingly , throat closing, hard to swallow. received 50 mg Benadryl po

Headache, Myalgia, CoughWheeze, NauseaVomiting, Panic Attacks-on sunday Narrative: Went and got a COVID test on Mon 12/28/2020

12/23/2020: 2 hr after injection, patient noted swollen lymph nodes, nausea, room spinning (motion sickness-like) sx. Stayed home from work that day and slept. 12/24/2020: "typical injection site pain" 12/30/2020: injection site hot, itchy, welts 12/31/2020: area of welts doubled in size to entire upper left arm; throat starting to close up

I waited 20 minutes after my injection and left facility. While I was driving home around 1:00 pm my left arm started to tingle, I got really hot and a wave of lightheaded/dizziness washed over me and I couldn?t swallow. I pulled over to wait it out and my throat swelling got worse.

Quick onset of mild chest pain and tightness that extends into the throat. Symptoms get worse with exertion.

27-year-old female with past medical history of anxiety, allergic to shellfish, presented for COVID-19 vaccination, developed shortness of breath after COVID-19 Moderna injection, felt lightheadedness and noted with cyanosis as per nursing, received epinephrine injection and transferred to ED. In ED she received solumedrol, benadryl and pepcid. Vitals in the ER Revealed tachycardia HR 95-105 , Sat 96% on room air not in distress. Patient was admitted for further observation

-Pt is an employee in dental. -Reporting reaction at site of vaccine (left deltoid). -Received vaccine 1/8/2021 (Moderna). -No rxn at time of vaccine, was observed. -Presented TODAY (7 days later) 1/15/2021 while at work for rash at injection site and on her face and neck. -Pt denies itchy throat, difficulty swallowing, shortness of breath, chest pain, n/v, abdominal pain, fevers, chills, numbness/tingling. -Denies allergies to food, meds, seasonal allergies. -Denise hx of allergic rxns. -Denies hx of anaphylaxis reactions. -Of note pt also has asthma. Reports she has not seen PCP about it in awhile. -She is using her albuterol inhaler 4x/day. Some dyspnea on exertion. -Not on controller inhaler. -No cough, wheezing, shortness of breath at rest. -Not taking any other medications besides albuterol inhaler. -Pt with itchy rash at site of injection and on face. -Pt without signs of anaphylaxis. -Denies respiratory symptoms. -Gave pt 25mg Benadryl PO. -Observed pt for 1 hour. -Vitals normal besides elevated HR - likely due to reaction/anxiety about situation. -Pt's rash diminished and she was less itchy ~10 minutes after Benadryl. -No worsening of symptoms during observation. -Pt discharged after 1 hour. -Will f/up with patient (she is employee) later today. -ED precautions given.

Body aches and fatigue started at 12pm and continued, in conjunction with temperature that got up to 101.0 by 4:00 pm. Sore arm at injection site. Body aches and fatigue increased and peaked at 5pm. Tylenol was taken at 5 pm, fever broke and body aches dissipated at 6pm. At 11pm, both symptoms including fever returned until another dose of Tylenol. Tylenol was taken around the clock for 24 hours until all symptoms were gone without treatment. Additionally, chest pain and SOB started 1/16/21, lost of taste 1/17/21, tested POSITIVE for Covid on 1/18/21.

Callwer had vacccine yesterday and this morning at 8:00 AM she started to vomit. She denies any fever, Shortness of breath, chest pain, rash, or any other symptoms. RN stated if she vomits again this morning to call her provider. Set for follow up tomorrow.

burning, painful blotchy hands, sweating. Rash escalated to face, sweating, 10/10 pain all over body, shallow breathing. itchy tongue. fevers

Patient received 1st of moderna vaccine ~4pm and was monitored for ~15 mins after the vaccination with no issues. The patient called the pharmacy around ~5pm while on the road driving home with complaints of mild tongue/throat swelling and a severe headache. Patient was told to go to the ER/hospital to get checked out as soon as possible.

-Feeling hot then cold with chills related to fever of peak at 102.7 - treated with Tylenol 650mg q6h. 3 days later my temp is 100.4 Fahrenheit -Body aches all over -migraine off and on - treated with excedrin migraine but migraine still present, -Arm pit lymph nodes swollen in injection arm - using warm compresses -injection site pain 6/10 - can?t raise my arm more than halfway -my lungs feel sore - hurts to breathe -sore throat -extreme fatigue - exhaustion walking 10 feet to the bathroom

Received COVID vaccine at 6:30pm on 1/23/21 at Reading Hospital; Waited 15 min at hospital under nurse supervision; noticed twitching in arms and hands; 2 hours later, still twitching, mild difficulty getting full breath; 4 hours later (10:35pm) hives spread from mid arm to shoulders to neck, up behind ears and along sides of face; Took 3 Benadryl, 3 Tylenol, 1 Ativan; 30 min later (11:00pm) moderate difficulty swallowing, shakes and twitching; 30 min later, most symptoms subsided with Benadryl. Fell asleep at midnight. Woke up next day with sore arm, overall fatigue and headache.

MODERNA COVID- 19 Vaccine EUA Shortly after receiving the second, scheduled dose of COVID-19 vaccine, patient experienced shortness of breath, weakness, and sensation of throat tightening. Was administered an Epi-pen and presented to ED for follow-up care. In emergency department patient received diphenhydramine orally. Patient was discharged with resolution of all symptoms after 5 hours of observation.

Late entry for 1/28/21 at 12:00 noon. Received info. reg possible reaction to Covid 19 vaccine 2nd dose. Triaged pt. Pt. sitting in office. Per pt. stated feels warm and face is hot. Per pt. bil hand are cold and clammy. Pt's faced is flushed and slight swelling noted. Per pt. feels throat is swollen an slightly tight. Pt. is able to speak well and is able to swallow. V/S B/P 161/100, Pulse-84 and Resp. 20. PO Benadryl 25mg given. Post 20min at 12:20pm per pt. felt a little better. B/P at this time 155/96. Con't with face flushed and hands feel cold, no longer clammy. BS checked, results 97. clinic manager informed of incident. Post 45min at 1:05pm, pt stated felt much better, does not feel throat closing or discomfort. Pt. remained alert and talkative. Pt. instructed on OTC Benadryl to always have at home, go to see PCP and of ER precautions. Pt's brother and mother on their way to pick her up and take her home. Pt. left and was alert and talkative.

Moderna COVID-19 Vaccine EUA I had a headache from shortly after injection until around 9PM. At 9PM I noticed a rash on my neck and chest and had minor throat swelling. I went to Patient First and received 20mg Prednisone and 25 mg Hydroxyzine. I woke up in the morning and the rash was much worse, covering my face and the rest of my body in addition to my neck and chest.

Employee states within 5 - 10 min. developed profuse sweating, dizziness, shortness of breath, nausea, vomitting, fatigue, confusion, chest pain and felt panicked. Symptoms waxed and waned. After 45 minutes went to Emergency Department and they completed and EKG, no meds, no labs per employee. Developed rash on her chest while waiting. Symptoms eased by 7pm and she was sent home. Continues with intermittent tightness in her chest, shortness of breath and heartburn since vaccination. No history of anxiety or panic attacks in past.

Please note: I had similar symptoms after the first dose but after the second dose they are more intense. Persistent headache pain 5/10 Body weakness/fatigue- difficultly going up stairs that I usually don?t have an issue with. SOB upon exertion. Nausea&vomiting- persistent feeling of nausea; intense urges to vomit. Loss of appetite- related to N&V Pain at injection site (right deltoid)- unable to raise arm, minimal ROM, pain 6/10 SOB- periods throughout the day of SOB, sometimes even while sitting simply doing desk work Cough- non productive cough throughout the day **please note- I recently had a COVID PCR completed through my work on Friday, January 29th. I have no known exposure. I live alone and have not been out and about. We receive a daily antigen test upon arrival to our shift- these have all been negative as well.

Vaccine was administered around 5 PM on 1/14/2021. Chest pain started around 9 PM the same day and continued, also had some shortness of breath. Headed to emergency room around 4 AM on 1/15/2021. Several tests were done, found general systemic inflammation. Chest pain caused by inflammation in lungs and airways. Treated with ibuprofen and chest pain cleared in about 40 minutes. Discharged at 1/15/2021 around 7 AM.

1/30: Fever, chills, body aches, arm soreness, dizziness, headache, fatigue, nausea 1/31: Arm soreness, headache, fatigue, nausea, dizziness 2/1-2/4: headache, dizziness, fatigue 2/5: Fatigue, "weirdness" feeling, dry throat 2/6: Dry throat, couch, difficulty breathing 2/7: increase in 2/6 symptoms; weight in chest feeling

Employee became SOB and warm soon after vaccination. Helped to floor; 02 at 2L per N/C started. HR elevated; having difficulty breathing so EpiPen 1:1000 given IM in left thigh. Adult code blue called. Code team arrived within 30 seconds to one minute and employee transported to ER via gurney. Per ER Notes: DEXAmethasone (DECADRON) 10 mg/mL injection for oral use 10 mg (10 mg Oral Given 12/28/20 1301) Patient is in no acute distress, states that she feels well. History and physical exam as above. Patient states that her symptoms have resolved as of arriving in the emergency department. We will assume that this was an anaphylactic reaction, she was not given time to develop all signs and symptoms of anaphylaxis, however she was given an EpiPen and her dyspnea rapidly improved and therefore we will treat her as if she experience anaphylaxis. She will be kept in the emergency department for 6 hours for observation, she was given 10 mg of p.o. Decadron. At the time of my shift change she continued to be hemodynamically stable, awake, and talkative. She still required ~3 hours of observation at that time. I saw this patient with attending physician, please see her note for ultimate disposition or further developments.

"started shortness of breath when outside in the cold, palpitations, feeling on edge, ringing in ears with normal hearing"

Pulmonary Embolism 27 year old female presented to ED with chest pain and shortness of breath that began within 24 hours of receiving second Covid vaccine injection on 1/29/21. Chest pain subsided with Tylenol and time, but shortness of breath persisted, worsening on 2/8/21 which brought patient to ED. CTA confirmed PE diagnosis and treated with out patient oral therapy - Xarelto.

Received second dose of vaccine at about 9:20 a.m. on Saturday, with no immediate adverse reactions. Around 8:30 p.m. on Saturday I began to have severe stomach cramps and bloating, with my stomach sensitive to touch and it was difficult to catch my breath. Symptoms lasted for about an hour before I started vomiting. After vomiting 3 times and taking benadryl I had stomach cramps lasting about an hour, then all symptoms subsided.

103 degree fever for 48 hours Severe fatigue and pain Shortness of breathe and difficult breathe occurred over the follow days and ending in a trip to the Emergency Room

02/12/2021 at 1031- Patient received 1st dose of Moderna COVID 19 vaccine. At 1047 patient began to experience mild sob. Doctor and Registered Nurse to patient to assess patient. Patient alert, oriented, and awake. GCS=15. Clear speech with full sentences. Pt denied any itchiness in throat or body, n/v/d, or any other complaints. Benadryl 25mg PO given at 1050 by RN. Patient tolerated well. Vitals are as follows bp=140/87 hr=73 pulse ox=98% rr=22. At 1100 patient self administered personal INH. Patient report to feel ?better? at 1110. Patient discharged with discharge instructions by Doctor. Patient with no signs of distress upon discharge at 1115.

The next day, I experienced terrible body aches, slight headache, low grade fever (100.4), and the worst chills I?ve ever experienced in my life. Intense chills and teeth chattering that lasted about an hour. Felt like I couldn?t breathe/ catch my breath. I was in bed all day, sleeping on and off.

1st - pain at site, nausea, swollen lymph node, fatigue, muscle soreness 2nd - headache, shortness of breath, fatigue, muscle/joint soreness, fatigue

10 minutes post 2nd vaccination patient passed out and had shortness of breath. Patient was administered Epi via Epipen and transported to the hospital.

Patient began feeling nauseous about 30 minutes after vaccine, then dizzy. A few minutes later she appeared to faint and became unresponsive. She did not appear to be breathing and looked cyanotic. Epipen was administered and patient began responding a few moments later. EMS arrived and was taken to the emergency room. Patient reported feeling fine and was back at home around 7 pm.

Moderna COVID-19 Vaccine. 30 minutes post injection: pain at injection site, burning. 3 hours post-injection: fatigue, 99*F body temperature. 6 hours post-injection: nose and chest congestion, deep coughing. 8 hours post-injection: 100.7* fever, dizziness, restlessness, anxiety, headache. 24 hours post-injection: headache, coughing, rhinitis, sore throat, congestion. Congestion, rhinitis, coughing continued until 72 hours post-injection.

Began with extreme fatigue. Within a couple of hours developed shortness of breath walking up stairs (never an issue prior) and palpitations. 01/26-walked to my gyno appointment two blocks away. After 20 minutes of rest had elevated blood pressure of 148/90, never had an issue w/ blood pressure. Woke up everyday with palpitations, shortness of breath and a headache that would last 10-15 minutes (not similar to any of my previous migraines). My palpitations and shortness of breath worsened over time and I started to feel them while lying flat or even slight movements such as standing up. My fatigue was pretty unbearable. I would need to take several naps a day and even then I never felt fully rested. I received my 2nd dose 02/27 and my symptoms increased in frequency and intensity. I was having more episodes a day and even walking within my own home I was out of breath. I went to the hospital and they were not able to find a cause for immediate danger so I was sent home. Originally they thought possible autoimmune issue such as Rheumatoid arthritis or lupus (prior to my RF, C-proteins and sedimentation rate results). My symptoms worsened from that visit; I began experiencing episodes of light headedness, brain fog, almost loss of consciousness, numbness in hands, muscle weakness, joint pain in knee, ankles and wrists. I am at a point now where even talking I can get out of breath or while showering I have difficulty breathing. Recently my brain fogs have become more frequent and noticeable. I have started seeing a cardiologist and am getting echo, exercise test and had a halter monitor placed, but still waiting on the results. During that visit the cardiologist noticed a slight aortic murmur, which was not present prior to this situation This is has been completely debilitating to the point where I am on temporary leave from medical school.

First: Extreme lightheadedness, difficulty seeing, fingers very red. Patient was given water while she sat. Second (minutes later): Tightness of the throat and difficulty speaking. Epinephrine 0.3mg and diphenhydramine 25 mg given. Over the next 30 minutes the patient's symptoms resolved.

10 minutes after administer the vaccine pt. started feeling her throat is closing up. Asked me to wait few minutes before using Epi-pen. Waited 5 minutes and administered Ep-pen 0.3mg IM. and called 911. took patient BP and HR (118/85- 98). Paramedics arrived and took over. Patient has history of bee stings allergy

Fever (100.0 2AM, 103.6 5AM, 104.2 8AM) Chills Body aches Headache Cough Wheezing Asthma exacerbation

27 year old female with PMHx as below notable for ulcers and GERD who presents for acute onset of nausea 5 minutes after she received her 2nd covid vaccine. Pt is A&Ox4, denies shortness of breath, denies chest pain. No angioedema, rash, swelling, stridor noted. Airway intact. VSS. Afebrile. Transported pt to ED for further evaluation.

I have been experiencing shortness of breath, swollen arm, red rash around injection site, fever, fatigue, increased heart rate, headache, and joint pain. Most symptoms appeared overnight (about 8-12 hours post injection on 3/24) and have continued throughout the day (3/25). The shortness of breath began about an hour after injection (3/24), and has continued through the next day (3/25). So far treatment has involved taking ibuprofen at 10:30pm (3/24).

DAY AFTER VACCINE: PATIENT HAD MIGRAINE-LIKE HEADACHE, WHICH WAS NOT RELIEVED BY TYLENOL 2ND DAY AFTER VACCINE: PATIENT IS DEVELOPING HIVES ON HER CHEST AND WHEEZING - RECOMMENDED BENADRYL, AND A TRIP TO URGENT CARE IF NO RELIEF

Patient reported vomiting, fever, fatigue, coughing, congestion, shortness of breath and pain at injection site.

Vaccine administered at 0959. At 1004 observation nurse noticed patient was diaphoretic and patient stated she was feeling nauseous, light headed and felt throat pain and short of breath. At this point nurse checked vital signs. The pulse o2 sat was 78% heart rate of 85. 1005 patient vs bp 125/76 rr 22 sat 82% unable to check temp patient still diaphoretic patient stated she is able to breath now. Staff lead made aware. 1007 ems call initiated. 1008 as per patient throat pain subsided patient denies SOB. 1018 EMS on site patient and refuses any further hospital evaluation. 1020 vs 110/82 hr 74 sat 99%. 1030 As per Doctor on call, contraindication for 2nd Moderna vaccine. Patient made aware and agreed to recommedation. Teaching on further allergic reaction advised to call 911 if symptoms occur.

Day 1- sore throat, fatigue, cough, and chest pain following few hours after shot Day 2- sore throat, runny nose, cough worsened, severe chest pain, difficulty breathing, loss of taste, fatigue, diarrhea, arm soreness Day 3- sore throat, severe cough, severe chest pain, fatigue, diarrhea, arm soreness Day 4- severe chest pain, severe cough, extreme difficulty breathing, severe sore throat , fatigue Day 5- severe chest pain, cough, sore throat, fever, fatigue, headaches Day 6- sore throat, fever, body aches, fatigue, headaches Day 7- fever, body aches, fatigue, headaches Day 8- fever, body aches, fatigue, headaches Day 9- body aches, fatigue Day 10- body aches, fatigue Day 11- body aches, fatigue

Right lower lobe Pulmonary Embolism diagnosed in the ER after presenting with severe right sided flank pain and shortness of breath,

I was called at approximately 11:40. I went to evaluate the patient who was c/o feeling itchy, having bumps come up on her forearms, and feeling short of breath. Pt denied feeling pressure on chest of having trouble getting air in, but did describe it like she had just gotten done climbing a flight of stairs. Denies any trouble swallowing. Discussed with patient that the safest option would be for her to be transported to Emergency Department via EMS for further evaluation and possible treatment. Patient preferred not to go if she did not need to and was also informed of OTC treatment options for possible allergic reactions. Discussed OTC Benadryl and Pepcid to be taken when she gets home if she is declining transportation to ED. Again informed the patient that safest option would be for her to be in ED but with normal SpO2, good breath sounds, no trouble swallowing, and rather benign exam that she could go home if she wanted to and take OTC Benadryl and Pepcid as directed on packaging. I did recommend that patient monitor for additional symptoms, that she have an extended wait in observation area, and that she be monitored. Pt instructed to present to ED should she have any issues after leaving the facility.

Vaccine given around 4pm. Within 30 seconds, the patient began having muscle spasm. She initially had tightness in her throat, but it did not progress into an anaphylactic reaction. The muscles in her hands and arms contracted severely- her hands into fists. With pain. She began to sweat profusely. After a few minutes, her symptoms did not abate and the pain/spasms became worse. We contacted EMS Ambulance who arrived and began monitoring. They treated her with oxygen, then a nebulizer treatment with albuterol and ipratropium. At around 5pm she was recovering and the EMS left. We kept track of her until about 5:30pm when she felt well enough to drive home. I checked on her at 7pm and she was feeling fine.

Fever of 37.5 to 38.5 for 6-7 days every evening and night after the vaccine (starting on 03/28 and stopping by 04/02-04/03) + chills, body aches, headache, nausea. Starting 04/03 chest pain and tightness, back pain between shoulder blades, difficulty breathing when going up the stairs, throat and jaw pain, blood pressure higher than usual. Starting 04/06 warm rash on the injection site and itchy bumps on fingers and toes (chilblains).

Extreme chills, Right leg pain / jumping within 3 hours of getting vaccine, shortness of breath / Heart racing started around 11:00 pm, fever 101.3, Started over night, severe headache. Had a seizure during the night and the following day. Symptoms continued for a few days. My arm pain lasted for a couple weeks.

Extreme fatigue, breathlessness, inability to perform normal daily tasks a week after receiving the vaccine, extreme headache (7-9 on pain scale), low oxygen levels (staying in the 93-95 range, occasionally bouncing back up to 97), blue lips, dizziness, facial swelling, confusion/brain fog, hyper-spasticity, high blood pressure, high pulse, shakiness

Patient received her 2nd dose of Moderna vaccine. No reactions reported from 1st dose. A few minutes after administration, patient stated feeling a racing heart rate. We had her sit down. Checked on patient a few minutes later, she stated trouble breathing, feeling dizzy, nauseous, and jaw pain. My partner called 911 and EMS came to check on patient, they then took her by ambulance to medical services.

For both doses of vaccine. Day 3: fatigue, muscle weakness, blurry vision. Day 5: fever, nerve twitching in left arm, numbness, difficulty breathing. Day 6: Nerve twitching, some prickling, though not as severe as before. First dose also lead to migraine with aura but at the end of the second week; there were outside stressors also so not sure if it'll happen again.

PATIENT WAS FEELING LIGHTHEADEDNESS AND SHORTNESS OF BREATH. THROAT DID NOT CLOSED. SHE WAS OK AFTER 3SITTING FOR 30 MINUTES. SHE THOUGHT SHE MIGHT BE HAVING ANXIETY FROM GETTING THE SHOT DUE TO THE THINGS SHE HEARD ON THE NEW TODAY REGARDING THE j& j VACCINE.

Anaphylaxis (nausea, dizziness, lost vision, muffled hearing, difficulty breathing, swollen-feeling throat, blue under fingernails). Nausea began < 5 min after vaccine; everything else began within 10 min of vaccination. Was treated with epinephrine, water, and Benadryl. Most symptoms subsided within a minutes. Breathing ease returned to normal within 5-10(?) minutes. Was only monitored for 30 min or so after epinephrine. No EMS called; was not advised to go to hospital.

PT was very anxious about receiving the shot. Patient ate a muffin and had water after receiving the vaccination. Patient started feeling tingling throughout the entire body, chest pain, and had difficulty breathing. Symptoms resolved > Cleared by EMS and NP

Regional LAD (anterior cervical, supraclavicular, axillary and inguinal (all L side); mild pleuritic CP.

pain at injection site, shortness of breath (off and on for 3 hours from 6PM-9PM on Saturday April 17)-felt like I was winded like after climbing up lots of stairs. Heartbeat a little more prominent/faster than usual.

At the time of injection, I started to feel extremely dizzy and my lips started tingling. I was sweating a lot and got red. I think because I was panicking at some point it was hard to breath. I laid on the floor for a while until I felt better. My pressure was taken and it was 150/90. I felt dizzy and lightheaded the rest of the day. At night and the next day I had a joint pain and a sore throat. I got a mild fever at night the next day and on the third day I just had a sore throat.

Received COVID-19 vaccine (Pfizer) at on 3/16/21 and 2/22/2021. On 4/14 developed chills, cough, headache, nasal congestion, shortness of breath, and sore throat. Tested positive for COVID-19.

Severe full-body redness and itching, tightness in throat, swelling in tongue, tightness in chest, difficulty taking a full breath. Happened 30 minutes after the shot, as of 10:25 on April 20th I am still having itchiness, and my throat is sore, still have tightness in chest.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Tachycardia-Mild, Additional Details: EMT was called.

4.21.2021- I spoke with (patient's husband) related to spouse. Husband stated the patient has a history of 2nd Degree Type 2 heart block, pacemaker placed at the age of 14, and she currently has issues with an eating disorder dx with anorexia. Patient is reported to be approximately 68-70 pounds at the time of vaccination. March 8.2021- Husband states he and his wife came to receive the vaccine around 1630. After, receiving the vaccine the patient stated to her Husband "my arm really hurts." She begin experiencing s/s at approximately 1900 including: fever, chills, runny nose, fatigued and tired - reportedly temperature was 100.0 and the patient began to drink Gatorade and take Tylenol. Monday, 3.15.2021 patient continued to have symptoms therefore, (husband) contacted Moderna Representatives from the safety team, to determine if it would be safe for the patient to get the 2nd vaccine dose - advised everyone that does not have contraindications should be vaccinated-advised to reach out to PCP. Husband stated that the patient did not want to go to her PCP because of her eating disorder. The patient worked from bed during the week per the husband and spent 90-95% of her time in the bed after receiving the vaccine. Husband states on Saturday 3.20.2021 the patients fever had subsided however, she continued to feel poorly and remained bedbound most of the time. Husband is an Pilot 3.23.2021 stated once, he had landed he began trying to contact wife but she was not answering the phone, after several attempts to contact wife - Husband called a neighbor to check on wife. Upon, entering the residence the neighbor found wife lying on the floor unconscious and not breathing. The neighbor notified Husband and called 911. EMS arrived at the scene and pronounced the patient as a DOA. Husband states that the death certification list cardiac arrest, electrolyte imbalance, and heart block, as causes for death. Husband is concerned that the vaccine may have contributed in some way demise of his wife as he stated "she was never the same after the vaccination."

Patient was given vaccine and waited her required 15 min at facility to be monitored. Aft this point she left, but reported that she immediately felt difficulty with breathing. She explains that her throat and tongue started to swell so she drove directly to the closest emergency room where she was treated with Benadryl and steroids. After a couple of hours of observation she was sent home without further issue. She was given instructions to use Benadryl prior to her second vaccine and given an Epi pen to have just in case. After discussion, this writer also recommended she follow up with her PCP to discuss having the vaccine in clinic vs at our facility.

Patient immediately fell ill after injection. She was dizzy, nauseated, and weak. Patient asked to lie on the floor. She was breathing rapidly and looked pale. She rested on the floor for several minutes but began to feel better once her partner entered the room with her. He provided comfort and stated that she normally has someone with her when she gets vaccinated because she has fainted in the past. He said this was the first vaccine that she has had without him. We offered ambulance service which she initially accepted but later declined once her partner entered the room and she began to feel better.

Pt. presented to clinic front desk at approx. 1300 hrs today (4/27/2021) w/ c/o full body pruritis and urticaria. Front desk staff notified nursing staff. Pt. escorted by nursing staff to treatment room for assessment and evaluation. No obvious respiratory distress noted. Pt. reported receiving 2nd dose of Moderna COVID -19 vaccine at 0845 today by staff during off-site, COVID-19 mass vaccination event. Notified MD; examined. At 1334hrs, 50mg diphenhydramine given orally per MD order. Pt. is did not endorse any previous reactions to vaccines. Did not endorse any history of allergic reactions to medications. Reported previous history of similar symptoms (urticaria and pruritis) that her provider indicated was due to "the wind". VSS at 102/58, HR 124, RR 20, 99% O2 sats. Observed urticaria with small welts to bilateral arms, chest, abdomen, and lower back; worsening in redness and welt size. Pt reported mild facial swelling, redness, and "tight throat". Airway patent; no distress noted. MD ordered to call EMS for transport to ED. At approximately 1345 hrs., mild improvement of urticaria. EMS arrived at 1400 hrs.; 1414 hrs transported via ambulance to ED.

Patient has been admitted to the hospital with pleural effusion, possible pericarditis and is positive for coronavirus, ongoing workup unclear if pleural effusion is secondary to covid 19 as this is atypical.

Pt c/o "I have to take deep breaths in order to breathe" 14 mins after receiving the first dose of the vaccine. She denied any other symptoms or past med hx. She was assessed and monitored by NP, EMT, and paramedic. BP - 115/80, HR - 75, O2 sat - 97% on R.

My throat started to feel dry, scratchy about 20 minutes after I received my second Moderna dose. These symptoms continued and my throat gradually started to swell, as well. I took a Benadryl after about 30-35 minutes, which made the symptoms go away. My throat started to swell again after about five hours, so I took another dose of Benadryl. Throat symptoms feel very similar to when I am stung by a bee, which I am allergic to. So far, have not needed to use epinephrine.

Fever/chills, extreme fatigue, body aches in all large joints (especially L hip), pain in thoracic spine/ribs that resulted in difficulty taking a deep breath. All symptoms subsided after 36 hours with the exception of the extreme fatigue.

Patient reported tongue swelling, start of throat swelling. Vitals obtained and rapid response team called to evaluate. Patient transferred to ED for further evaluation/ treatment.

I am a 27 year old female with no medical conditions. Received my first Moderna shot Friday 5:30 pm, and I felt fine immediately afterwards but developed a sore arm (at injection site) within 2-3 hours, which intensified Saturday. No redness nor swelling in the arm, just the pain. Saturday I had stronger arm pain accompanied by constant neck pain, lymph node pain and headache. I also experienced random intermittent pains in the left chest (I have occasionally experienced chest pain in the past), side (left), and lower back. After these appeared I experienced what felt like an anxiety attack, with uncontrollable crying, shortness of breath and worry. My partner helped calm me. Today, Sunday, body aches are gone minus the sore arm, for which the pain is about 75% reduced.

Feel respiratory distress. A lot of wheezing accompanied by a cough as I cannot take in a full breath without coughing.

shortly after vaccine administration, patient was unable to speak and throat tightened. had difficulty breathing. diphenhydramine 50 mg and epinephrine 0.3mg x2 administered. face mask applied @ 15L. positive for voice change and shortness of breath. treted with methylprednisolone, famotidine, albuterol inhaler

He got the vaccine, and his arm was sore. Before his arm got sore a few hours after that suddenly it was harder and harder to breath. He was trying to lie down and go to sleep and couldn't breath, and progressively it got worse. He did check his pulse and other VS and they were not unusual. Yesterday it was worse, tingling in his hands and felt like they were asleep. He was about to go to the ER and was out of breath while lying down and trying to rest. Today, 5/4/21 his symptoms have totally subsided. He took tablets for your immune system. Did not have any chills or anything else other than the arm pain and the shortness of breath.

Approximately 12 hours after I received my second Moderna vaccine dose (around 4:30am EST), I began having chills, fever, body aches, nausea, moderate chest pain/discomfort, vomiting, and shortness of breath. I called 911 and asked for an ambulance because of difficulty breathing. Arrived at Hospital Center ER around 5:00am, given oxygen and several tests (blood, urine, EKG) and also IV fluids in my left arm. Vomited a second time around 8:00am. Continued difficulty breathing until around 11:00am and chest pain improved somewhat. Got chest x rays done and monitored until I could breathe more regularly without oxygen. Discharged around 12:26pm. Heartbeat was abnormally fast for this whole duration and did not return to resting heart rate until about 5:00pm later that evening, 24 hours after vaccine. All symptoms subsided within 48 hours. Diagnosis was nonspecific chest pain and UTI.

Dose 1: 45 minutes after shot: slight swelling of airways; breathing difficulty. Congestion lasted roughly an hour. 10 hours: slight nausea, dizziness and possible fever. Slept it off and woke up fine. Dose 2: About 3 hours after injection the worst swelling of airways I've experienced. Slight panic arose from being unable to breathe freely. Was making plans to go to the ER when breathing became easier. It was all in all a very strange experience. Airways remained somewhat contracted for about an hour but faded without anything noteworthy. 6 hours after injection severe arm pain. About 10 hours after the shot i experienced the worst feeling fever i have had. Did not take temp. Serious chills. I was under piles of blankets. Quite disoriented. Felt the need to move but was completely wracked with pain in all my joints. Despite that I couldn't sit still. I am a complete stranger to insomnia. No medication has ever induced it. However, this night I simply couldnt sleep more than 10 minutes at a time. Finally took extra ibuprofen and my body seemed to respond well and the pain and chill subsided. I was achey and exhausted but couldn't sleep. I was also quite nauseous. About 36 hours after first dose i mostly seemed back to normal. I think it was 6 days later i got hit with the same vertigo and dizziness that preceded my fevers. It's so bizarre. It happens mildly throughout the day but around 10pm or later it hits me hard and is debilitating. I have to stop whatever I'm doing just to lay down. There's no chance of walking without falling unless I have a wall to guide me. The worst of it passes in about 10-15 minutes but lasts about a full hour. Then I'm just nauseous but otherwise fine.

Normal post vaccine symptoms for 2 days, then on day 3 I developed: Tachycardia at baseline in the low 100s which worsens when vertical and/or active (120's when standing, up to 170's when active), dyspnea and diaphoresis when vertical, body aches, headache extending into neck, low grade fever, severe fatigue, night sweats & brain fog. Symptoms worsen with: eating, staying vertical for longer than a few minutes, exercise, not enough sleep, dehydration. Symptoms improve with: increased fluid intake (>4.5L/day of Gatorade), increased salt intake & rest/laying down. Symptoms have forced me to quit working as an ICU nurse and move home with my parents. I am now awaiting an appointment with a dysautonomia specialist out of town.

Chills, fever, huge headaches, muscle pain, joints pain, difficult in breathing, heavy chest, nausea, frequent urinations, random pinching sensation on my arms.

Swelling of tongue & throat; numbness of face. BP 145/103; HR 1212; RR 23. Allergic to Lamictal. Given Benadryl 25mg PO x1. Sx resolved, released home & recommended follow up with PCP. 2nd dose of Moderna cancelled & made appt for J&J in 28 days

Left side shoulder and up to chest is sore(painful). At time taking deep breath in left side shoulder and chest hurts.

Swelling of the lips, tongue, throat and feeling of heaviness in the lungs. No loss of ability to breathe. No urgent care or Epipen was used. No long term effects.

While administering second dose of Moderna vaccine patient reported immediate post vaccination feelings of chest pressure and difficulty breathing and feeling faint. Respirations are Shallow and even. Nurses supported patient in chair. Patient moved to cott. On-site medical staff arrived while code green was called. Vital signs taken patient refused additional blood sugar check patient refused to be transported for emergency services no additional measures needed right now. patient stable and walking to observation.

Experienced shortness of breath and one instance of heart palpitations, particularly during workouts. Three additional instances heart palpitations when not working out.

Pt returned to Pharmacist about 45 minutes after vaccination stating she felt short of breath and wheezy . I took her back into the vaccination room. Pt took 25mg of Benadryl and drank some water and was observed for about 20 minutes at which poinst she stated she was feeling better and thought she was fine to go home, which was just down the street, where her mother that was a nurse was there as well

Healthy 27 year old female with no medical history developed premature ventricular contractions approximately 7 days after second Moderna COVID vaccine. Developed shortness of breath and dizziness upon exertion (walking). Went to emergency room on 5/22/21 and diagnosed with PVCs and cardiomegaly.

First dose went fine with just some arm soreness. About one week after second dose I began having a lot of trouble breathing, feeling like I couldn?t get nearly enough oxygen. I am active, never have had asthma, I run - I never felt anything like it before. Now it has been about 8 days and symptoms have not improved. I went to urgent care the other day and they tested me for covid, x-rayed my lungs, and gave me an EKG - all tests came back fine and they sent me home. I am sure that this is not anxiety, and I suspect that it is related to my heart and not my lungs - for when I jog in place and get my heart rate up, my breathing improves. It is my understanding that if it were a lung issue, that my breath would get worse with exercise. I miss breathing and am quite frightened that this will stay with me. I also had to spend several hundred dollars at urgent care. I would like to know any and all info available on this.

07Jun: heart palpitations, chest tightness and pressure, lung tightness, rapid heart rate, rapid shallow breathing, low grade fever (101.4), dizziness upon standing 08Jun-10Jun: dizziness upon standing, rapid heart rate, rapid shallow breathing

PATIENT RECEIVED VACCINE AND SAT DOWN TO BE MONITORED, SHE THEN FAINTED AND APPEARED TO BE SEIZING, VACCINATOR MONITORED PATIENTS BREATHING WHILE STAFF CALLED 911. PATIENT HAD SEIZURE LIKE ACTIVITY FOR 10-15 SECONDS, WAS UNCONSCIOUS FOR 30-45 SECONDS, MADE LABOR BREATHING SOUNDS WHILE UNCONSCIOUS, APPEARED FLUSHED AND SWEATING. AMBULANCE TRANSPORTED HER TO THE HOSPITAL, SHE WAS AWAKE AND ALERT WHEN SHE LEFT OUR FACILITY.

27-year-old female without significant past medical history who presents to the ER with 9/10 substernal chest pressure that awoke the patient from sleep at 4 AM and radiated to her left chest and neck. She has never had symptoms like this before. She reports nausea and one episode of vomiting with the pain around 430 AM. Did not feel better after. She called her mother crying due to the severity of the symptoms. She reports some shortness of breath but reports that taking a deep inspiration makes the discomfort better. She denies abdominal pain. She denies cough, rhinorrhea, fevers, or chills. She also denies arm pain, leg pain, back pain, numbness, weakness, tingling, dysuria, dysuria, constipation. No history of hyper-mobility. No trauma. He has frequent lose stool, but this is not new. On arrival to the ED, her pain was a 7 or 8 out of 10 and had been constant since onset. She reports that she had her second Moderna COVID vaccine on Tuesday 6/15/21 and wonders if it may be related. She had a breast reduction surgery in January 2021. No complications from that and no symptoms related to the surgery. No new medications. She got a GI cocktail with viscous lidocaine and Maalox in the ER and the pain has completely resolved. She walks for exercise with her dog. No symptoms with that.

On the day my symptoms started, I had face pain through the tops of my cheeks and my jaw and a congested nose. The following day when I woke up, I had a bad cough that produced a green/yellow mucus, body aches through my chest and shoulders, runny nose, congestion, sneezing, difficulty breathing, and fatigue. I went to my local urgent care because my primary care doctor's office was closed. I was diagnosed with bronchitis. I was prescribed ten 20mg tablets of prednisone and six 250mg tablets of zithromax z-pack. After finishing both prescriptions, I still have a slight cough which occasionally produces clear mucus and an occasional runny nose.

16:14 - vaccine administered 16:24 - itchy throat, chest, and left arm; throat tightened 16:29 - coughing and wheezing; hives on chest, neck, L shoulder; took 1000 mg Benadryl 16:34 - epipen administered

Day 1 Slight pinkish hue under the injection area on left arm with pain. 1 1/2 hours after injection. Feeling of tightness accompanied by sharp pains in same area. 2 hours after injection. Feeling of tightness/lack of circulation (as if the arm was falling asleep). Left arm. 3 hours after injection. Experiencing pain/ area has become warm. Pinkish hue has turned to reddish hue. 4 hours after injection. Arm has become heavy. 6 hours after injection. Day 2 Advised to rest. Take a Tylenol. Relax arm. Did just so. No flu-like symptoms. Day 3 Slight inability to breathe: Experienced weird inability to breathe that lasted for only 20 minutes. Took a Benadryl. Stepped outside for some fresh air. Breathed in and out slowly. Sharp pains below injection area. Pinkish hue below injection area. Arm is warm. Experienced no flu-like symptoms though. Day 4 Reddish hue still there below the injection area. Arm is slightly warm. Experiencing No Flu-like symptoms. Day 5 Reddish bump has grown 3 more inches around arm in length. Feeling tightness. Experiencing slight swelling. Slight Itchiness. No Sharp Pain. Day 6 Reddish hue still under injection spot. Area Has become extremely itchy. No Sharp Pains. Contacted Rx. Advised to apply anti-itch cream and to ice the arm. Day 7 Applied anti-itch cream. Not working. Trying best to not scratch the arm. Bump feels hard and HOT. Icing arm: Area all around bump is Cold. Bump itself feels HOT. May have a fever. Days 8-12 No flu-like symptoms. Bump feels hard and HOTTTTT. Concerned about arm. Applying anti-itch cream and periodically taking Benadryl. Feeling drowsy. Staying active. Icing arm: Area all around bump is Cold. Bump itself still feels HOTTTTT. Itchiness has not left. Reddish bump has changed to a dark pink color. Seeing it slightly brownish too. Around the bump there is a ring that has formed. Light pink in color it has permeated day by day. Still icing arm. Avoiding the sun so as not to irritate arm. Day 13 AM Bump still there. Pinkish hue. Slight irritation..not as intense. Concerned about the ring around the arm that keeps permeating. Resolved to show up at the Rx so they could see for themselves what I have. Day 13 PM Arrived at Rx. Attempted to show my left arm area to pharmacist that gave injection but it nearly cleared by the afternoon and by the time I got there? Pinkish hue was there along with the ring but it was almost clear! I showed pictures as proof of my concern. Was given assurance that I am okay. (Concerned because every person I spoke with that got the vaccine never experienced what I did with Moderna), Was given Cortizone (with Aloe) to purchase to help with itchiness that remains. Was instructed for my 2nd Dose to stay longer for them to check for any allergic reactions. Day 14-19 Experienced Periodic itchiness. Applying anti-itch cream was enough. Iced only on Day 14 just in case any fever remained on arm that I could not feel. Arm immediately felt cold from icing. Concluded icing was no longer necessary. No bump on arm. Large Brownish spot has remained where the pinkish bump used to be. Resembles a slight bruise. Darker than arm color. Hopefully original look of arm will return.

Patient called around 3:30 p.m. to report her side effects. All side effects were within expected range, except she also said it "may be difficult to breathe." This started a couple of hours ago. Other expected side effects included: headache, body aches, chills, fever, and sore arm. She said she took some Advil for her headache, which helped. She was reminded that all other reported side effects were to be expected and may last for up to a few days. She was told she may continue to take the oral pain reliever and use a cold compress for local side effects, but she was advised to seek medical attention if she is having difficulty breathing.

Approximately 5 minutes after the vaccine was administered, patient notified me that she felt her throat tightening. I had her sit down. After 5 more minutes she condition had not improved. at that point I called 911 and the paamedics arrived at the pharmacy. Patient could speak and breath but reported that the tightening in her throat was still continuing. Her blood pressure was normal as well as her pulse-ox. she was brought to the hospital by ambulance.

1616: Vaccination 1630: C/o throat swelling and scratchy throat. Denies pruritis on body. Hx of food allergies with same symptoms. Usually takes Benadryl with relief. 1632: Benadryl 25mg PO 1653: Benadryl 25mg PO 1730: Pt reports symptoms have improved but usually takes a little time to resolved. Awake, alert, oriented, smiling, laughing. No distress noted. Informed Dr. who stated that okay to send home. Informed pt to seek medical attention as needed and then report to COVID hotline. No addition adverse reaction recorded in EMR

pt began to feel tingling in her left arm and her throat. she felt tightness in the throat and voice was hoarse. she felt ligh headed like she might pass out but did not pass out. she felt chest discomfort with deep breath.

Patient received a Covid vaccine and instructed to wait 30 minutes before leaving facility. A few minutes later patient started c/o swelling in throat, difficulty breathing and being hot and flushed.1600: Pt was moved to a quiet space, BP was 146/83 HR 93 RR 20. 911 was called. 1604: Epinephrine injection given in right thigh. 1606: BP 175/74, HR 94 RR 20. EMS arrived at 1610. 1611 2nd dose of Epinephrine given in left thigh, per direction from EMS. Client continued to c/o shortness of breath and "throat closing off". EMS took over care at 1612, transferred to Hospital.

Moderna COVID-19 EUA Mild lower back muscle pain began around 12 pm on 1/4/2021. Symptoms of headache, severe body aches, chills, nausea, shortness of breath, chest pain lasting 5 hours began around 7 pm on 1/4/2021. Headache and muscle pain remains present 36 hours after receiving vaccine

Monday night of vaccine got extreme chills, muscle aches, joint aches. Woke up with a fever of 100.8. Very fatigue. Pounding headache and fatigue all day Tuesday on 1/5/2021. Tuesday night I felt better and was able to get some energy back. Tuesday morning woke up with sore throat. Around 9am got extremely tired and laid down. Started wheezing, throat starting itching and I started coughing. Called on call nurse at health center and they advise me to go to hospital to get checked out. Went to hospital. They gave me Benadryl and prednisone for my symptoms. Kept me for 30 minutes and I fell asleep. Was discharged and prescribed prednisone for the next 5 days if symptoms persist. My diagnosis was adverse drug reaction.

Diminished lung capacity with SOB and slight cough upon exhalations, intermittent. Started day of vaccination and continues.

Rash started on 1/6 around the injection site. Developed into L axillary lymphadenopathy, fatigue, myalgias, and headache. Erythema does recede with benadryl but does not resolve. was a little wheezy on 1/6. She has h/o anaphylaxis due to latex and has an epi pen

Sudden extreme fatigue and mild nausea for about 2 hours. Then felt tachycardia and palpitations. Heart rate was checked by medical professional in household and was found to be 120 and irregular. This lasted approximately 2 minutes. At this time also felt shortness of breath which lasted 30 minutes. Once the tachycardia and shortness of breath ended, I was getting chills and continued to have nausea and extreme fatigue. Since the vaccination my arm has continued to be very sore. When I woke up on 1/8/2021 I am still very fatigued and still have a sore arm.

PATIENT STATUS POST MODERNA VACCINE RCVD 1425. SITTING IN NURSE STATION, PATIENT HAS SOB, DIAPHORESIS, CHILLS. 1508 PATIENT IS TRANSFERRED TO EXAM ROOM FOR EVAL. BP 100/60. SHE REPORTS A TIGHTENING IN THROAT. EPIPEN 0.3MG ADMIN IM AT 1515. VITAL SIGNS 118/78. HR 109. 02 SAT 97% ON 2L 02. 1522- PATIENT CONTINUES TO REPORT A SORE THROAT BUT NO DIFFICULTY BREATHING. 1535 PT IS TRANSFERRED BY EMS TO HOSPITAL

Received vaccine on 12/31/2020, developed mild arm pain following day at injection site. On 1/05/2021, developed mild lip swelling around 1630, that increased to hives on upper back and hips. At 2030, lip swelling had significantly increased and throat felt ?weird? and tight. Fiancé drove to Emergency Department, was deemed not necessary to have epinephrine at the time. Discharged with four day course of prednisone and famotidine. On 1/09/2021, returned to Emergency Department for bilateral hand swelling, increased hives on arms, back and sides. Epinephrine 0.3 mg administered IM right thigh, discharged with another script for prednisone. There were no other changes to lifestyle including lotions, body washes, perfumes, food, etc. that could have potentially triggers reaction.

mild throat tightness Narrative: approx 15 mins after vaccine administered employee started having mild throat tightness -- 25mg po benadryl given -- within 10-15mins, symptoms resolved - she was evaluated by a MD --

Patient was administered vaccine at an off hospital site. Patient acknowledged anxiety prior to vaccine administration. Following administration of vaccine, paatient reported that felt tingling in both hands, followed by lightheadedness, tunnel vision, dampening of hearing; was then moved from post vaccine observation area to an exam room. Patient complained that tongue felt swollen and numb and complained of difficult breathing Patient received Epinephrine 0.3mg SQ by the Physician Assitant; ambulance then requested. Stated that she felt relieved after receiving Epi pen, but heart racing and shakiness. Evaluated by paramedics; BP134/80 HR 85 spo2 100% and transported to local ED for suspected panic attack.

5pm injection, felt fine. 505pm hr 150s, chest tight, winded, no rash- BP 140s/70s and sat upper 90s. 515 HR 120s-140s and felt slightly better. 520pm HR back up to 150s w chest tighness so pt taken to local ER. In wait room FR 140s plus, sat dropped to mid 80s and mucosal sweeling (tongue/oral mucosa) Sat in ER wait room 5 more min then taken back, tx w steroid injection, benadryl iv then medrol dose pack at dc observed in ER a few hours

1530: arrived for appointment 1545: vaccinated, observed, released 1600: drove back up to site w symptoms after talking to med greeter 1605: we called 911 1614: ambulance arrives 1648: patient departed in POV -fullness in throat -wheezing -hives on chest

Anaphylaxis reaction; A spontaneous report was received from a nurse concerning her co-worker, a 28 year-old female patient, who received Moderna's COVID-19 Vaccine and experienced anaphylaxis reaction. The patient's medical history was not provided. No relevant concomitant medications were reported. On 23 Dec 2020, prior to the onset of the event, the patient received the first of two planned doses of mRNA-1273 for prophylaxis of COVID-19 infection. On 23 Dec 2020, within five minutes of vaccine administration, the patient experienced anaphylaxis reaction. The patient had symptoms of throat tightness, dizziness, nausea, weakness, and increased heart rate. Treatment for the event included an epinephrine pen On 29 Dec 2020, the nurse reported that the patient was still having some of the symptoms, including dizziness, nausea, and weakness. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, anaphylaxis reaction, was considered not resolved. The reporter assessed the event, anaphylaxis reaction, as related to Moderna's COVID-19 Vaccine.; Reporter's Comments: This case concerns a 28 year old female patient, who experienced a serious unexpected event of anaphylactic reaction. The event occurred apparently 5 min after first dose of mRNA-1273 (Lot# unknown) vaccine administration. She was treated with epinephrine pen. 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.

Extrema fatigue, shortness of breath, headache, chills, for 24 hours wheezing and cough and headache for 3-4 days

Patient received 1st dose Moderna covid vaccine at 1343 and monitored for 15 minutes At approx 1402 patient c/o dizziness, HA, chest tightness & feeling as she was going to pass out Patient started hyperventilating & her eyes rolled back. Code Blue called & she was lowered to the floor, difficult to arouse, following simple commands & breathing/had pulse. Was jerking, Code team arrived, placed on NRB & IV placed for IVF, transported to ED via stretcher. States also got fatigued after vaccine

Swollen face and throat. Benadryl decreased swelling in face with one day. Prednisone is currently being taken for swollen glands in throat.

Patient c/o dry mouth and some shortness of breath with in 10 min of getting vaccinated. However states she can breath fine. EMT in attendance and evaluated. O2 sat 98% on room air. BP - 130/86; HR strong/regular at 88. EMT recommended ambulance and patient declined transport. Patient drove self and ambulated to personal vehicle. . No SOB noted.

blood pressure drop, cold body, sweaty/clamy, dizziness, loss of hearing, shortness of breathe and unconsciousness/fainting. This happened 4 hours after vaccine was administered with a duration of 5 minutes.

After receiving the vaccine I felt HOT, JUST NOT RIGHT. IT WAS ABOUT 30 MINUTES DRIVING HOME WHEN MY THROAT SWELLED UP. DIFFICULT DRINKING, MY BODY BECAME VERY ITCHY. I PULLED OVER TOOK A BENADRYL. MADE IT HOME AND TOOK 2 MORE BENADRYL. FOLLOWING DAY I FELT SO DIZZY, WEAK STILL ITCHY WITH SWOLLEN THROAT I TOOK 2 MORE BENADRYL THAN ABOUT 2PM I HAD TO WAKE UP TO PICK MY DAUGHTER FROM SCHOOL JUST FROM WALKING DOWN THE STAIRS I BECAME SO DIZZY, MT FACE WAS FLUSHED. HAD NO CHOICE BUT TO CALL AN AMBULANCE AT THE HOSPITAL THEY GVE ME A EPIPEN FEW HOURS LATER SENT HOME. 3 DAYS STRAIGHT MY THROAT STILL SWOLLEN, FATIGUE JUST NOT MYSELF. BUT I CANNOT SEEM TO GET ANY HELP. MY PRIMARY CARE DOCTOR DOESNT KNOW ANYTHING SHE IS CONSTANTLY GOOGLING EVERYTHING. I CANNOT TRUST WHAT SHE SAYS AS SHE DOES NOT SEEM VERY EDUCATED. I NEED A NEW pCp . WELL ANYWAY I NEED TO KNOW WHAT I AM ALLERGIC TO AND IF IT IS SAFE TO GET THE SECOND VACCINE. ALSO HOW LONG ARE THESE SYMPTOMS SUPPOSE TO LAST BECAUSE I NEED TO GET BACK TO MY DAILY ACTIVIES AND WORK BUT DOING BASIC CHORES ETC WIPES ME RIGHT OUT. I NEED GUIDANCE ASAP

approximately 5 minutes after vaccine, pt began with a constant cough and tightness in her chest, no airway swelling. Evaluated by allergist on site given cetirizine and albuterol 2 puffs with good effect monitored for 45 minutes, evaluated the patient on 1/2/21. Patient's symptoms resolved after 10minutes. Complete Progress note from chart below. -HD, MSO "Patient here for 30min vaccine clinic visit dose #1. She has a hx of asthma and contrast, NSAID allergy. 10min after dose patient complained of throat Discomfort and coughing that felt like her asthma sxs. Coughing extensively on exam but NAD. Uvular exam normal, no flushing, no rash, resp: no wheezing, no rales or ronchi. Given 10mg cetirzine, albuterol 2puffs inhaler x 1. Sxs resolved in 10min, observed for full 30min time frame and sent home. Prior to next vaccine recommend 10mg cetirizine 20min before and 2 puffs of albuterol 20min before dosing.

Patient received 1st dose Moderna Covid-19 vaccine @ 1405, patient has hx of anaphylactic reaction to contrast dye requiring her to carry epi-pen & multiple severe allergies. Patient being monitored for 30 minutes when she felt neck/throat tightness, difficulty swallowing & rash extending from L mid arm across bilateral chest & breasts. Vitals stable, BP 126/75, HR 69, sats 100%. No difficulty breathing or increased WOB, no swelling to tongue/lips or other symptoms noted. Allergist on-call made aware, per MD 20mg cetirizine given at 1445, after 45 minutes patient's rash resolved and difficulty swallowing resolved. Repeat vital stable, 110/69, 68 & 100%.

Swelling and redness at injection site, dizziness, fatigue, body aches, chest pressure, difficulty breathing, nausea- currently lasting almost 2 days

five minutes after vaccine developed tingling in left shoulder. ten minutes after vaccine felt tightness in throat, fifteen minutes after vaccine had difficulty swallowing

Shortness of breath, occasional heavy breathing, increases resting heart rate. Started to notice it more frequently Monday 1/18/21 and only lasted a couple days. Got tested on Wednesday 1/20/21 and received positive result.

Itching/hives, feeling extremely hot but no fever, difficulty breathing, throat feeling tight/difficulty swallowing, shakiness, headache, nausea, confusion. Treatment was epinephrine and Benadryl in the ambulance, saline IV, steroid in the hospital. Prescribed prednisone for 4 days after event.

I am a MD student who got the first dose of the moderna vaccine on 1/4/2021. I had no immediate reaction other than arm soreness. A couple weeks after my first vaccine, I had a reaction when drinking miralax. Within ~5 minutes of having a few sips of a 17g solution, I had throat tingling/tightening, sense of impending doom, cough, dyspnea, nausea, fecal urgency, and intense chills with shivering. I stopped drinking the solution and my symptoms eventually resolved on their own (the chills and nausea took the longest, about 1.5 hours) - I didn't even think to take benadryl because it wasn't clear to me at the time if I was really having an allergic reaction (no hives, no vomiting - but in retrospect I'm concerned). I've had miralax in the past without any issues. I've never had a vaccine adverse reaction. I have no history of atopy.

Patient became short of breath and very anxious. She self administered her own albuterol inhaler, shortly after becoming short of breath. She was taken to exam room where she received 0.3 mg Epinephrine IM into her right thigh. She was tachycardic in the 150s but was normotensive and satting 100% on room air. Approximately 5 minutes after receiving Epi, her breathing slowed down and symptoms began to fade. She was transported via ambulance per protocol.

2nd dose Moderna given at 0729 0740 throat felt like closing, bright red flushed 0741 Epi given 131/92 94 0742 head/face shaking rapid eye movements with attempted eye contact, Alert/oriented appropriate in conversation, sitting position 0743 110/83 face redness resolving, flush/red BUE, feeling better 0744 106/76 Rapid Response called 0747 106/68 benadryl 25 given 0751 911 called per Dr. recommended for further eval/potential reactions 0752 129/95 80 99% room air 0756 ambulance here 0801 left via stretcher with EMS to nearby hospital ED, patient tolerated activity to stretcher well 0925 reported by vaccinator of team member return to pick up rest of belongings to go home, tolerated activity well.

felt very dizzy, out of it, couldn't think straight and couldn't focus for 15 minutes. Then developed dry mouth and tachycardia about 20 minutes after shot. Took water. Had BP check 140/85 ish. She felt like she couldn't breath. Patient was wheelchaired to the ER.

Tuesday 1/26 Body aches, chills, headache, nausea, weakness. Wednesday shortness of breath pain in between chest and back and pain with breathing oxygen saturation dropping while walking weak legs

Anaphylaxis. Epi Pen given and ambulance called. Given anaphylaxis cocktail in ER. 2:30pm: Vaccine administered 3:30pm: Headache & teeth ache which continued 7:00pm asthmatic cough which continued throughout 11:00pm fever and chills 9:00am felt generally very ill--stomach pain (more anaphylactic type pain) 10:00am nausea, severe stomach pain, diarreaha, vomiting, lungs very tight, continued coughing 11:00am excruciating stomach pain (stomach on fire) Throat felt "thick", feeling faint, brain fog, dizzy (These are my typical anaphylactic reactions) Epi pen administered & ambulance called Anaphylaxis symptoms returned in ER. The pain was the worst since my bowel obstructions several years ago.

fatigue (extreme, could barely keep eyes open), headache, painful deep breaths, heart racing, fever over night with night sweats, body aches/ joint pain, hot/cold flashes, loss of appetite- all happened with in 2/2 to 2/3. Symptoms began to resolve on 2/4

Dizziness, Headache, Myalgia, Rash, shaking, pale, diaphoretic, dyspneic, pain at injection site Narrative:

Patient was vaccinated on 2/4/2021 at 1:02pm. She was monitored for a 1/2 hour due to history of anaphylaxis. No concerned noted upon release. It was Reported by a nurse, that patient reached out to her with a reaction from the vaccine and that she took Benadryl at 2pm. She started to have some coughing, then her throat is sore and tight. Nurse called patient at 2:40pm. Patient stated that symptoms have improved. Patient was instructed to take epi pen for worsening symptoms and go to the ED. Patient agreed. PCP notified; supervisor notified Patient reported that after her first dose she did have mild hives, slight cough about hour after, then diminished. -This was reported by patient during phone call with nurse.

Approximately 20 minutes later had numbness in her fingers, once got home had blisters and hives in her arms. Had night sweats very bad. The following day, 1/6/21, saw a PA for the blisters and hives due to the itchiness and hydrocortisone was not helping. Then had a headache, body aches and flushes for at least a week. She did have shortness of breath and by the weekend she was feeling confused like the feeling of waking up from anesthesia. She started loosing her balance, could not go up the stairs, trip and fall. They did lab work, told her that she was fine. She was having confusion and forgetful and let it run it's course. She did have the 2nd vaccine, but is still having hot flushes from it.

At four minutes post injection patient complained of a funny taste in her mouth. Upon further questioning, patient stated she felt like she had phlegm in her throat, tightness in throat and hard time swallowing. PA with patient. Oral diphenhydramine administered eight minutes after injection, four minutes after first signs of reaction. After 30 minutes of observation, patient stated she felt better. Vital signs normal.

Shortness of breath; sensation of pressure in my chest/lungs along with increased resting heart rate (126-136bpm)

I received my shot at 6:53pm. I went to the waiting room and waited until my time was up, I was released from my observation station at 7:11pm. Staff did ask me how I was feeling I had no signs or symptoms upon being released. I left the facility feeling great had no issues at all. I went to pick up my dinner at 7:45pm drove home. When I arrived home my lips started to tingle, and my face was starting to swell up. I inspected the rest of my body for any rash called my mom and read over the fact sheet that was given to me at time of shot. As per the directions regarding the risk of an allergic reaction I called my primary care doctor because my face was beginning to swell, and my throat started to feel scratchy. My primary care doctor called me back and advise I go to the ER immediately to be monitored for an allergic reaction. I arrived in a Hospital just before 9pm and checked in at the ER. The doctor saw me quickly. By the time the doctor saw me at the ER my face was bright red I had developed a rash all over my chest and back and on the injection site, my lips were swollen and had mild throat swelling. She gave me a high dose of prednisone and 2 Benadryl's. They continued to monitor me for a while until they felt better and discharged me with a epi pen and other meds.

RASH ON LEFT ARM, FEVER, CHILLS, BODY ACHES, NAUSEA, DIFFICULTY BREATHING, PAIN IN CHEST WHEN BREATHING

Patient received vaccine and was waiting out her 15 minutes. Right at her 15 minute mark, patient states she felt itchy all over. Vital signs were taken. BP 98/71. States her head felt like it was in a haze. Skin was red and flushed. After a minute or 2, stated her throat felt itchy and tight. Clinical assistance code called over the PA system. Patient was taken to the ER via wheelchair for further evaluation and monitoring. In the ER, was given diphenhydramine 25 mg, famotidine 20 mg, and methylprednisolone 4 mg all PO. Following medication administration and monitoring, patient states her symptoms had subsided and she was feeling better, so she was released from the ER.

Injection site soreness approx 5 hrs later Extreme shaking/chills approx 6-7 hrs later Fever of 102-104 approx 8 hrs later Severe joint/muscle/body pain approx 8 hrs later Cont severe pain, inability to move, elevated HR 140-150, shortness of breath, severe migraine, fever 103-104 the entire next day with the use of 650mg Tylenol q4hrs (02/06/2021). Joint/muscle pain, generalized fatigue, migraine, elevated HR 110-140, fever 102 the entire day (02/07/2021). Irregular HR dropping to 43-51 from 110, shortness of breath, dizzy, generalized weakness, shaking, went to ER for observation (02/08/2021). Symptoms nearly resolve 02/09/2021 with the exception of occasional shortness of breath and mildly irregular HR.

Dizziness, followed by chest pain, then difficulties breathing. Couldn't take deep breaths without pain or coughing.

At 0954 EMS requested by medical standby at City Hall for the COVID vaccination clinic with report of an allergic reaction. Upon arrival found patient who received the vaccine sitting up in a chair, breathing normally and complaining of being itchy and chest tightness. Patient also complained of pain in chest when taking a deep breath. At 0955 25 mg of Benadryl was given to the patient by liquid oral route prior to arrival of EMS. Patient did say that itch had improved but still feeling tightness in the chest. Vitals were done by EMS at 1012 which were as follows: BP 164/120, HR 104, RSR, O2 sat 97%, RR 20, Effort normal. Patient was given a 2nd dose of 25 mg of Benadryl at 1030 because she; This patient did have a similar reaction after receiving the 1st COVID vaccine on 01/14/21 but symptoms. Additional information for Item 18: reported itching returned. The itchy feeling did subside after the 2nd dose of Benadryl. 2nd set of vitals at 1020 were as follows: BP 140/86, HR 101, RSR, O2 sats 96%, RR 16, normal effort. Patient did contact her father to respond to the scene to discuss options. Patient did not want to be transported to the hospital and decided to go home with her father and that he would keep an eye on her until symptoms subside. Patient stated she would seek medical attention if things change for the worse. Upon leaving, the patient was given 2, 25 mg Benadryl tabs from the health department to take home and use if needed. Patient did sign a release with EMS. Patient's vital signs prior to leaving at 1032 were as follows: BP 143/82, HR 89, RSR, O2 sats 97%, RR 16, normal effort; symptoms subsided without the use of Benadryl. Patient was observed for approximately 1.5 hours after receiving the 1st dose of COVID vaccine and was able to go home without incident.

Called to see patient ~10 min after prime dose of Moderna COVID-19 vaccination. Patient reported acute onset of left eye swelling sensation and throat tightening. Was able to talk without difficulty. Normal salivation. Moved immediately from observation area to treatment room. Reaffirmed that symptoms persisted and that time she also reported chest tightness. Vitals were normal and pulse oximetry = 99%. Exam conducted while vitals being measured. No wheeze or stridor. No rash. No obvious oral lesions or swelling. Eye lids not swollen. Epi IM given at once (within 1-2 min of arrival at the treatment room). Symptoms resolved over the next 10 mins. Vitals were monitored frequently. Heart rate was increased before and just after Epi then dropped to ~70 b/m. Other vitals also remained normal and she was comfortable. EMS was called and she was transported to ED for continued observation. Husband accompanied her. She was seen in ED and observed for 4 hours. Benadryl, Pepcid and Prednisone taper prescribed. She was released from ED.

After my first dose of the vaccine, I got a fever the next day along with fatigue, weakness, headache, racing heart, shortness of breath and an extremely sore arm. The fever went away that night but I still felt very fatigued for the next 3 days. By Wednesday, I was feeling better but still had some heart palpatations/racing heart. But Thursday, I was feeling good enough to go for a short run/walk, but Friday I woke up feeling fatigue, nausea and headache again. My body does not feel strong enough to do simple things like walks outside. This morning i woke up with slight headache and a feeling that is hard to describe, but mainly fatigue and slight nausea.

The same day I had horrible headache. 1/13 headache/chest pressure and SOB (shortness of breath), there after horrible flu like symptoms body aches. 1 wk after injection site was swollen golf size red/hot to touch and really itchy. 1 wk after that horrible brain fog and pain in shoulder elbow and wrist. 3 wks after first dose started feeling better.

Normal AEs -chills, fever, fatigue, and pain at injection site for first 24 hours. Then developed severe SOB and blue hands.

Full body rash with hives that covers trunk, scalp, limbs, face, chest tightness and breathing issues. I have had a steroid shot on 2/18/2021 and was started on a Medrol dose pack, no relief and the rash got worse. I contacted my doctor/dermatologist over the weekend and was prescribed Prenisone 60 mg. I have been taking Prednisone 60 mg daily since Sunday 2/21/2021, with Zyrtec tid, Pepcid tid and Benadryl twice daily. I have been using my bronchodilator (Albuterol) about 3-4 times daily with my daily Brillinta (diskus inhaler) to prevent airway issues. I have had no relief. My rash and hives are not fully suppressed and I they move over my body. They burn, and get hot. Ice helps but doesn't seem to make them go away.

Had an allergic reaction to the vaccine in the right arm. Swelling around injection site, fever, redness, headaches (still ongoing), shortness of breath (still ongoing), lightheadedness (ongoing), nausea (ongoing). On medications for headaches.

2 hours after the vaccine I started getting hives down both of my arms. I took 1, 25mg Atarax. 6 hours later the hives came back on my arms and were also across my neck and chest. It became hard to breathe. I took 2, 25mg Atrax and the symptoms went away. 18 hours after the vaccination I am still itchy all over my body but the hives are gone. I have a headache and the injection site is sore.

Patient experienced throat tightness after injection. No respiratory distress, rash, vomiting or diarrhea. Treatment with IM epinephrine, prednisone, diphenhydramine and Cetirizine. Patient was observed in the emergency department and was able to be discharged to home.

Pt received second Moderna COVID-19 immunization in L deltoid at 1020. Pt had reported hx of anaphylaxis to sesame, wait time was increased to 30 minutes. At 1026 pt alerted nurse in observation area of tightness in her throat, an itchy throat, and shakiness. Denied any change in breathing or tongue swelling/tingling. Pt was moved to a more private area with FNP and 2 RNs. At 1035 administered 50 mg IM diphenhydramine in L deltoid. Symptoms started to improve within 5 minutes. Between 1030-1100, BP 138-140/80-84, P 72-88, RR 18-22, O2 sats 98-99% throughout. Symptoms had improved by 1115 and pt was sent home with colleagues. Advised if symptoms worsened or if she had any difficulty breathing to call 911 or get to the closest ER immediately. Pt verbalized understanding and agreed with the plan of care.

THE PATIENT RECEIVED THE VACCINE AT 2:00PM, AFTER THAT, AT 2:15PM THE PATIENT BEGINS TO FEEL ITCHING ON THE BODY AND THE TONE OF THE SKIN TURN FROM WHITE TO RED/PURPLE. THE PATIENT ALSO REFERED TO EXPERIMENT SHORTNESS OF BREATH. A REGISTERED NURSE IMMEDIATELY ADMINISTERED BENADRYL 50MG IM. AT 2:30 PM THE PATIENT INFORMED THAT SHE WAS ABLE TO BREATHE. A FAMILIAR PICKED HER UP AT THE FACILITY.

Nausea, body aches, headache, fatigue, chills, increased anxiety, sore throat, swollen lymph nodes, wheezing, severe injection site pain.

I received the vaccine at 10:10 am on 2/13/2021. I began feeling as though I couldn't breath approximately 5-6 minutes after I received the vaccine. The difficulty breathing began to get worse and I got the attention of the nurse. She administered my first epi-pen at 10:18 am. I was transported from the observation room to the emergency department. On my way to the emergency department I began to have difficulty breathing again and received a second dose of epinephrine. When I arrived at the emergency department I was given Benadryl, Zyrtec, and another medication. I was monitored in the emergency department for 3 hours without further incident.

Within 3 hours of getting the vaccine, I noticed red, swollen hives on both forearms. It was very itchy and uncomfortable. I also got hives on the bottom of my neck. I noticed slight difficulty in breathing, but it was not significant enough to require emergency care. The hives persisted overnight and showed up on both hands as well. The hives on my arms lasted about 4 days. The hives on my hands lasted about 6 days and are only slightly itchy now. The hives are still on my neck and now under my eyes and throughout my face/jawline (1 week after vaccination).

Rash at injection site: red, raised, warm, mildly itchy, about the size of my hand. I noticed it 3 hours ago, but it may have been there for longer. I have been feeling very mild swelling in my throat and slight tenderness in right-side lymph nodes for about 36 hours, but didn?t think anything of it until I saw the rash.

10:10 Patient complaining of some chest tightness. Patient had already used inhaler before medical staff arrived. After arrival, patient stating that felt like she was having trouble breathing, tightness moving up into throat, hoarse, coughing, flushed, rash noted and itchy. At 10:15 am, ambulance called, Epi-injector administered in right upper thigh area. At 10:17 am, Benadryl 50mg 1 cc given in right deltoid. Ambulance arrived at 10:20 am. Sent to E/R in ambulance.

I had fatigue, headaches, SOB, dizziness. I had a routine check up already scheduled and was seen at that appointment. My blood pressure was elevated; 148/106 at the time of my appointment. I was sent to Labor and Delivery to be seen, I had my blood pressure continued to be high so my OB admitted me. I was induced without complication. My baby was born early but is healthy and home. I had a normal pregnancy up until Dose 2 of the vaccine. I had an estimated date of 03/17/2021 but delivered on 02/26/2021.

concerned about poss reaction to 1st covid vaccine - been 17-18 days since vaccine. sx started couple days after she got the vaccine the prednisone affected her bipolar d/o so does not want more prednisone. but still c/o feeling like her lungs are not normal, usually asthma flareup if ill, usually prednisone helps and the inhaled corticosteroid usually helps. also c/o neck and back pains flared up again since covid vaccine though no recent trauma not radiating to arms/legs

I felt very comfortable and stared to sweat cold and felt I could not breath. I lost conscious for some time and my husband was able to hold my before I heat the floor. I felt I needed to use the restroom. Went to the restroom and pooped. I felt better and walk back to the chair and drink a little bit of water. After 5 minutes I started feeling terrible very very sleepy and cold not breath and my hart was going fast. Was loosing conscious again and felt I needed to go to the bathroom. I vomit and had to use the restroom. I still feel very weak and and having difficulty breathing. I'll update if I need too.

Pt had vaccine at 6:10, she was observed in the waiting area for 30 minutes with no adverse reactions. Pt was walking out to her car and stated she had trouble breathing and felt tingling in her face, hands and feet. Pt was brought back into the clinic and evaluated at 6:50. VS were within normal limits, pt did not have any difficulty breathing or noticeable swelling. No hives or rash was observed. Once seated in the clinic pt was given water and was able to calm down. Pt states her symptoms began to resolve but the numbness and tingling in her hands and feet persisted. Pt was advised to go to the nearest emergency room for further evaluation but pt declined and states she is comfortable going home. Neuro exam was completed and no deficits were observed. She left the clinic with her fiance with instructions to go to the ER if symptoms did not improve or worsened.

ON 3/19/2021 AT 11:13 A.M., THIS 28 Y/O FEMALE RECEIVED HER 2ND COVID (MODERNA) VACCINE. APPROXIMATELY 35 MINUTES LATER HAD ONSET NAUSEA, VOMITING, AND ABDOMINAL PAIN. SHE CAME FROM THE MONITORING AREA AND WAS ASSESSED AND GIVEN 25MG BENADRYL LIQUID PO. ALSO GIVEN SOME SPRITE. SHE WAS MONITORED FOR ABOUT ANOTHER 15 MINUTES AND STATED SHE WAS FEELING BETTER SO RELEASED TO GO HOME. WITHIN ABOUT 10 MINUTES, SHE CALLED BACK TO OUR VACCINATION SITE AND SAID THAT SHE HAD BEGAN TO HAVE SOME CHEST TIGHTNESS AND USED HER EPIPEN BUT WONDERED IF SHE NEEDED TO COME BACK TO THE VACCINATION SITE OR GO TO THE HOSPITAL. PATIENT WAS ADVISED TO GO TO THE NEAREST HOSPITAL.

tachycardia, chest tightness, SOB, dizziness, throat tightness about 20 minutes after vaccination. Epi-pen administered shortly after patient reported symptoms. Symptoms improved within 1-2 minutes of epi-pen administration.

Patient had vaccine at 6:10, she was observed in the waiting area for 30 minutes with no adverse reactions. Patient was walking out to her car and stated she had trouble breathing and felt tingling in her face, hands and feet. Patient was brought back into the clinic and evaluated at 6:50. Vital signs were within normal limits, patient did not have any difficulty breathing or noticeable swelling. No hives or rash was observed. Once seated in the clinic patient was given water and was able to calm down. Patient states her symptoms began to resolve but the numbness and tingling in her hands and feet persisted.

Onset of sudden chest pain during 15 minute observation period post vaccine. "Hard to breath. BP 122/73 P 90, spO2 96%. Lungs clear. BP 118/74 P 90 SpO2 95%. Color pale. Not diaphoretic. EMS called. Patient transported to Medical Center ED. 3/25/21 - phoned for followup. All tests in ED negative for heart related issues. May have been a panic attack. OK to get second dose.

Mild throat tightness and discomfort beginning within 15 minutes after vaccine and lasting at least a week. Rash covering torso, arms, and legs the day after and lasting two days. Lip tingling beginning an hour after vaccine and lasting two days. The day after vaccine, visited immediate care center and emergency room. They prescribed Benadryl. No change when taking benadryl. Throat discomfort persisted so saw doctor at employee health center a few days later. They prescribed Montelukast which provided some relief from throat discomfort and tightness. Throat still not back to normal.

Patient's lips blistered; hands, lips, nose and vagina became swollen. Patient had hives on arms, lower extremities were extremely tender, patient felt poking sensations over the body (felt like needles). Nose and throat became dry and patient felt out of breath and extreme fatigue. Patient had low blood pressure and extreme sweating. Patient went to urgent care and was given a steroid injection to reduce swelling and was diagnosed with bronchial spasms. Patient received a butanol treatment.

10 hours after injection I immediately spiked a 101 fever I had chills, joint pain, nausea, vomiting, diarrhea, confusion, dizziness, blurred vision extreme chest pain, difficulty breathing, swollen fingers and toes, headache, loss of taste and smell , itchy throat , a cough and blood in my mucus. These side effects persisted until 7 am the next morning... currently I still have a headache , bodyaches, confusion weakness and extreme sensitivity to light ... unbearable I felt like I was dying... I tried sleeping it off but only laying bed all day drinking water was what I was forced to do as I could not drive myself to a healthcare facility

Anaphylactic reactions; Within 5 minutes could not breath; Heart was racing; A spontaneous report was received from a consumer concerning a 28-yearsold female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced within five minutes could not breath/ dyspnea, heart was racing/ palpitations, and anaphylactic reaction. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 13 Feb 2021, five minutes prior to the onset of the symptoms, the patient received their second of two planned doses of mRNA-1273 (Batch Number: 16M20A0) intramuscularly for prophylaxis of COVID-19 infection. On 13 Feb 2021, the patient experienced within 5 minutes could not breathe, heart was racing, and anaphylactic reaction. The patient was seen in the emergency room for treatment. The event anaphylactic reactions was considered as Medically significant. Treatment for the event included oxygen, prednisone, cetirizine hydrochloride, diphenhydramine and two doses of epinephrine. 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. The outcome of the events, could not breathe and heart racing, was resolved on 13 Feb 2021. The outcome of the event anaphylactic reaction 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.

Patient had some redness and soreness after first vaccine. After the second vaccine patient had a little shortness of breath. Paramedics were called patient declined to be taken to the hospital. No EpiPen was used.

A 28 year old took first vaccine of moderna at 11:15am. Patient started c/o throat tightness and pain to Left side of neck @11:30am. VS hr 76 Bp 145/103 RUA, O2 99 Room air. Observed patient an additional 20 mins and reassessed patient vitals Hr 61 134/86 Larm. patient stated that she had an allergic reaction to tamiflu injection 2016 and Methylprednisolone injection in 2008. Patient states she experienced nausea and diarrhea for a few days. No other complaints voiced. encouraged fluids and to seek medical attention if she begins to feel bad once she gets home.

Difficulty breathing, sweats, feeling dizzy and like I was going to pass out (vision went dark a few times), nausea. Oral liquid antihistamine administered. Recovered within 20 minutes.

8:00 pm Wednesday rash (welted hives) appeared on chest, stomach and upper arms. Thursday morning it had spread to upper thighs and both arms. 9:30 am doctor appointment was prescribed a Methylprednisone taper. Extreme fatigue occurred at 1:30 pm, took 3 steroid pills and slept until 5:15 pm. Woke up to find rash had spread to back and buttocks and palms. Also developed trouble breathing with cough and throat clearing. Went to urgent care. Given a shot of benadryl and Methylprednisone in left and right buttocks respectively. Rash started to go down. Was sent home with a new regimen of benadryl, prednisone, and pepsid. Did not take anymore of the Methylprednisone taper. Went to sleep at 9:30 and woke at 3:30 for more meds. Rash had spread again to face, ears, and neck. Went to er. Given two benadryl and 1 pepsid and a prescription for epipen and sent home. Went to primary care physician at 9:45 for unrelated toenail fungus that started a year ago and has not healeded. Went home and slept until 1:30. Woke up to rash having spread again to legs (it covered face, neck, ears, hands, palms, arms, chest, stomach, back, buttocks, genitals, and upper legs now). Went to a dermatologist who stated it could be the Moderna but since it had started 6 days after the shot we can't be sure one way or the other. Given new prednisone regimen with levocetirizine and hydroxyzine. Stopped other medications. Went to bed at 9:30 and woke throughout the night due to burning/itching and chills. 9:30 am rash now covers body from scalp to soles of feet.

Mucus buildup in throat, which briefly constricted airway. Cleared up after about 15 minutes. No medical treatment required.

patient exhibits symptoms of syncope and orthostatic hypotension after receiving first shot of moderna vaccine. patient experienced shortness of breath and tachycardic (HR: 134 bpm). Patient also complained of bilateral tingling/ numbness in upper arm, and nausea. To relieve symptoms patient was placed in supine position with legs elevated. Patient was transported to Hospital.

Received Moderna COVID vaccine on 2/26/2021 and 3/26/2021. After initial dose she was fatigued. had also taken Plan B 3/1/2021. Fatigue lasted 1 month. 5-6 days after second dose she developed shortness of breath and chest pain. and 9-10 days lateraled noticed a prominent vein in the leg. Called physician office 4/8/2021 and sent to urgent care then ER, found to have superficial thrombosis in leg and multiple bilateral segmental and subsegmental pulmonary emboli.

After receiving the first dose of the moderna vaccine I went to sit on one of the waiting chairs and after about less than a minute later I started to feel a shortness of breath. It felt like a tightness in my chest and it became hard for me to breath. Once a nurse checked my Bp and offered a bottle of water, as I was drinking the water my breathing began to improve.

First week after, I got arm pain, headache, fever - slight fever (99.6). The second week after, I had nausea. The last two weeks (before getting the second dose) I got super sick - my breathing got restricted. I started running a fever again. 1-22-2021 - I went to Clinic - Respiratory Infection; Acute Exacerbated Asthma; Prescribed another albuterol inhaler and Prednisone steroid (2 weeks) to open up the lungs. I had the second dose on 2/5/2021. - I haven't had another asthma episode since then.

Sense of panic, couldn't sleep, dizzy, nauseous, chest pain with shortness of breath (lasted 2 days), chills started at around 10 PM, then switched to body feeling very very hot, profuse sweating and feeling like body was burning without a fever (started at ~12am and lasted about 10 hours, it was about 50 F that night, so it wasn't the temperature)

Pt developed difficulty breathing, tingling in lips and face, elevated pulse and swelling of lips. 50mg diphenhydramine IM in R deltoid, symptoms slowly subsided over the course of 1 hour.

Patient complained of swelling in throat (described as 7/10) 10min following receipt of vaccine. Clinic staff administered liquid diphenhydramine 25mL (62.5mg) PO at 2:43pm, swelling improved to 3/10 at 2:55pm per patient report. Patient discharged from clinic at 3:08pm to husband, elected to transport to ER for further evaluation. EMS reports patient discharged from ER within 20-30min.

Patient reported throat/tonsils swelling, patient was monitored for 10 minutes. Then patient reported tongue swelling, patient was talking normal, able to swallow. Vital signs: HR: 72, O2: 98. EMS called, 25mg Benadryl IM given. Patient transferred to Hospital .

Dizziness and rapid heartbeat five minutes after shot with lightheadedness continuing for a few days after. Sore throat and swollen throat glands twenty minutes after shot that continued for a couple hours after. Swollen breasts leading to back pain twenty minutes after shot continuing for a week following. Headache, fatigue, and joint pain for 48 hours after shot. Nausea and acid reflux for several days after shot. Menstrual spotting occurring one week after shot (had period the week before). I saw a doctor at an urgent care and he suspects I may have anemia that was worsened due to being on my period right before shot and that likely contributed to the dizziness and rapid heartbeat. No explanation for other symptoms but I am healthy.

Patient complained of severe lightheadedness, tunnel vision, ringing of the ears, and sweating. History of syncopal episodes with blood draws/shots. Denies shortness of breath, denies swelling of face/throat. Felt better 2 minutes after she was assisted to supine position. Vitals signs stable.

Fever, Chills, Cold sweats, Body aches, Feelings of ear infection coming on, rash on injection site approx 5" in diameter, extreme swelling of injection site like multiple mosquito bites in one area. extreme exhaustion, symptoms lasted until mid-afternoon, got better for a few hours, then symptoms came back before bed. Symptoms mostly disappeared the next day except for body aches, sensitive inner ears (some difficulty draining the eustachian tube, they randomly pop, and some pressure is released). 3rd day most symptoms gone except still cannot fully release eustachian tubes, still mild swelling in arm light, and started menstrual spotting (day 15 of the cycle, my previous cycle started 4/1 and was regular.). 4th-day post vaccine and I am starting to spot more heavily, I think the cycle is about to start. I wonder if my body was stressed enough I did not ovulate. I experienced a change in discharge on days 2 and 3 but when I took an ovulation test it came up negative on both days, After the first shot, I felt like I couldn't take a full breath and I felt like something was in my lungs like phlegm or something ( I don't Smoke FYI) but I noticed the symptoms went away after the second dose.

Very red, almost like sunburn, skin flaking, hives, chest heavy, asthma like wheezing following morning

Patient received vaccination in Right arm and sat for observation. Patient reported difficulty breathing and numbness in her throat. Pharmacist administered 10ml of liquid Diphenydramine and called paramedics. Paramedics arrived in 15-20 minutes, but did not feel patient should be admitted as the symptoms were resolving.

Patient received dose 1 of the COVID Moderna vaccine (lot 041B21A, exp 5/6/2021) at 1430. At 1500, EMT approached patient who was crying and sweaty. Patient complained of anxiety, itching, chest tightness, feeling sweaty, and shortness of breath. Vital signs: O2 99%, pulse 106, blood pressure 140/90, respirations 20. Allergies to bee stings. Medical condition includes severe anxiety disorder. Medications: Lexapro, Ativan as needed. PHN approached to help assess the patient. Patient reported having the same reaction as when she has previously had anxiety and panic attacks. At 1507, vital signs: O2 99%, pulse 87, blood pressure 128/80, respirations 18. Patient reported symptoms had mostly resolved except for lingering itching. PHN offered Benadryl but patient declined. At 1516, patient reported all symptoms had resolved. Vital signs: O2 99%, pulse 74, blood pressure 118/78, respirations 18. Patient stood up with PHN and EMT nearby, reported no symptoms. Patient left walking with steady gait at 1520.

PATIENT DEVELOPED CHOKING AND GRABBED THROAT AT THE END OF 30 MINUTE OBSERVATION PERIOD. ATTENDED BY EMS AND TWO PHYSICIANS. PATIENT'S O2 LEVEL WAS STABLE AT 95 % THROUGHOUT. PATIENT'S LUNGS STAYED CLEAR THROUGHOUT. PATIENT'S COLOR AND COGNITION WERE WNL. BENADRYL WAS GIVEN. PATIENT REFUSED TO GO TO HOSPITAL. PATIENT WATCHED 30 ADDITIONAL MINUTES. IMPROVED TO JUST FEELING ANXIOUS. PATIENT DRAMATICALLY IMPROVED ONCE HUSBAND ARRIVED. BOTH PHYSICIANS STRONGLY RECOMMENDED THAT PATIENT VISIT CLINIC DOCTOR TODAY. PATIENT DISCHARGED AT 1:00 PM. FOLLOW UP - PATIENT DID NOT SEE CLINIC DOCTOR AS ADVISED.

The day following the Moderna injection with severe headache and sensitivity to light which lasted for 3 days. then followed by low level confusion and forgetfulness, loosing words during conversation until 2/23/2021 when had grand mal seizure. I have a history of epilepsy since 13 yrs old and had been seizure free for 8+ years until 2/23/2021. Since that seizure with continued forgetfulness , foggy feeling in head, and eye fluttering. Seen by epilepsy specialist on 4/12 and was admitted to hospital for video EEG and MRI and found to have significant both focal and generalized seizure activity despite my usual anti-seizure medications that had been working for 14 years. My medications were changed and I was discharge home after 6 days.

5/10 CHEST PAIN, TROUBLE BREATHING, SEEN BY PARAMADICS, VSS, PROVIDED WITH WATER, SYMPTOMS IMPROVED, REFUSED TRANSPORT, AMA SIGNED.

"felt funny as soon as medicine went in" dizzy, feel like throat closing, but could eat a power bar Taken to exam room, vitals taken and are stable, no SOB, slight nausea, no LOC

38C fever and chill lasted for more than 22 hrs. Serious headache lasting for 72hrs. Nausea and dizzy showed up at same time with headache. Breath difficult happened on 29th Apr afternoon around 2pm.

Fever, chills, change in menstrual cycle, extreme all full body joint pain, muscle spasms, head ache, nausea, extreme fatigue, shortness of breath on exertion.

Same day as vaccine (Wednesday): expected achy arm, spreading to aching all over. Overnight (Wednesday night): Woke in the night with aches strong enough to prevent me from sleeping. Near-hallucination sensations of being able to "feel" my body warring with my left arm (injection site). Able to stand and walk around. Fever unknown. Next day (Thursday): Extreme fatigue, slept most of the day. Unable to stand for very long before the world started to go grey as if I was going to faint (I always sat down before I had a chance to faint). Feeling of breathlessness as if I was at a higher altitude than usual. Home O2 monitor repeatedly read at 97% throughout the day. Low-grade fever of 100.7ºF. Nauseous. Friday: Able to stand for longer but not indefinitely before the world went grey. Limbs and extremities easily got pins-and-needles tingling sensation after a couple moments of rest. Saturday: Hands tingling without any rest or constriction. Able to stand and walk. Still fatigued, still a bit breathless. Sunday: Tingling better but still present. Still fatigued. Breathlessness gone, standing nearly normal but still tiring. [Next few days too vague to describe, but symptoms are mostly gone by the following Wednesday except for occasional tingling in hands and arms.]

Shortness of breath, dyspnea, itchy throat, sweaty, throat felt tight. Treatment here in the ER was racemic epinephrine, im epinephrine, famotidine, albuterol nebulizer solution, dexamethasone iv, 1L of NS.

Administered vaccine at 0920. Patient got up, went to the bathroom then returned to seat. Around 0935 started feeling hot. Water bottle given to patient and cool cloth applied to neck. Patient began to feel dizzy. Encouraged patient to lean forward, resting head on arms and taking slow deep breaths. Patient states that leaning forward was not helping. Encouraged patient to lean forward further or gave option to lay down on ground. RN assisted patient to ground when patient stated that she was starting to feel tingling in her throat. Denies SOB. Called urgent care provider, in at 0936 to assess patient. Provider arrived to vaccination conference room at 0938 and assessed patient. Patient states she is having tingling in throat, denied having trouble breathing but then started to cough. Provider directed RN to give epipen injection of 0.3mg to patient. RN administered 0.3mg EpiPen to patient in her left lateral thigh at 0941. Provider informed patient that we would call EMS to bring her to the hospital. Vitals: O2 100%, pulse 79, BP 138/91. Provider stepped out of room to get additional supplies, RN remained with patient. Patient and husband agreed with plan. Patient then started to feel SOB, gasping for air and face became red. RN alerted provider and had MA in room call EMS called @ 0943. Provider back in room at 0944. At 0944, BP 148/99, pulse 116, O2 100%. 2L of oxygen applied via face mask per provider. At 0946, BP 142/92, pulse 112. Patient's face no longer bright red, breathing slowed at regular rate and patient closed her eyes. Patient less alert and denied trouble breathing states her throat still tingles, answers to commands with stimulation to rouse patient. At 0950 BP 129/80, pulse 90, O2 100%, patient is oriented x4, is following verbal commands states she is "just tired". At 0951, EMS arrived and assessed patient. Report given to medics and patient was transported to nearby hospital. Patient left via EMS at 1002.

After 40 minutes, my entire body was uncomfortably itchy and I could not stop scratching. I had a cough along with it. Also, I could not ride in a car without getting car sick. I was told to take 50mg Benadryl and call 9-1-1 if my throat started closing up. After discussions with a few of my regular health care providers, I was instructed not to get the second vaccine.

Patient reported dizziness approximately 10min following vaccination. During assessment, patient complained of swelling in throat (was able to swallow and drink water). Patient received liquid diphenhydramine 63.6mg PO 15min after vaccination and stayed for observation. Patient notes 15min after receiving diphenhydramine throat swelling had resolved and requested to go home from work. Patient was released from work to boyfriend, vitals WNL at discharge.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Hyperventilation-Mild, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium, Systemic: Weakness-Medium.

Patient developed extensive acute bilateral pulmonary emboli, R leg DVT, large LV thrombus, acute heart failure, hypertensive emergency with symptom onset 8 days after immunization. She presented to hospital 22 days after immunization for progressive sypmtoms including shortness of breath.

Sternal, non-radiating chest pressure and pain with associated shortness of breath, fatigue and dry cough

1:05- vaccine given 1:13- Patient reported chest tightness and throat closing that started within 1 minute of receiving the vaccine. (she reported it to us about 13 minutes after vaccination) 1:14- Benadryl given - Vital signs stable 1:19- Symptoms worsening - no additional symptoms. Vitals all stable O2 sat 99/ Epi Pen given, O2 2L started and EMS called 1:25- EMS arrived and patient was transported to local hospital.

1-2 days after?Swollen lymph node in left neck, soreness in arm and other muscles in left side of body, exhaustion. 1 week after ? randomly racing heart, anxiousness, diarrhea, headache, odd breathing, restlessness.

Adverse Events: I went to the emergency room on 5/18 after experiencing major back pain, sharp pain in ribs, chest pains, difficulty breathing, shortness of breath and chronic coughing. Outcome: After x-rays, EKG, D-Dimer Test and a CT scan the doctor determined that I have Pulmonary Embolism (blood clots in my lungs). I've never had any symptoms prior to receiving the covid vaccine. Today is 5/24 and I am still experiencing most of the same symptoms despite taking my medications as prescribed. The worst symptoms are difficulty breathing and chronic coughing. Treatment: -No longer taking birth control (Azurette) since that can cause blood cots -Xarelto (to treat and prevent blood clots) -Gabapentin 100MG 3x Day (for pain) -Benzonatate 200MG 3x Day (for cough) -Tizanidine 2MG 1X day (for pain) -Albuterol Inhaler Every 4 hours

slight delirium; racing heart; tachycardia at 120 bpm; not hungry but very thirsty; not hungry but very thirsty; lot of trouble sleeping; low grade fever; EKG at home and she was catching Afib; tinnitus - ears ringing; could'nt talk; could'nt move; TIA with eyes fluttering; TIA with eyes fluttering, couldn't talk or move; chest pain; shortness of breath; extreme hypertension 200/115; forgot name for about 15 minutes; sterile diarrhea; lost 20 pounds; This spontaneous case was reported by an other health care professional (subsequently medically confirmed) and describes the occurrence of ATRIAL FIBRILLATION (EKG at home and she was catching Afib), DELIRIUM (slight delirium) and TRANSIENT ISCHAEMIC ATTACK (TIA with eyes fluttering, couldn't talk or move) in a 28-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 003B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 (For about a month.) in March 2020. Concomitant products included INTRAUTERINE CONTRACEPTIVE DEVICE (COPPER IUD) and MULTIVITAMIN [VITAMINS NOS] for an unknown indication. On 08-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Apr-2021, the patient experienced WEIGHT DECREASED (lost 20 pounds). On 09-Apr-2021, the patient experienced DIARRHOEA (sterile diarrhea). On 10-Apr-2021, the patient experienced MEMORY IMPAIRMENT (forgot name for about 15 minutes). On 18-Apr-2021, the patient experienced CHEST PAIN (chest pain), DYSPNOEA (shortness of breath) and HYPERTENSION (extreme hypertension 200/115). On 19-Apr-2021, the patient experienced TRANSIENT ISCHAEMIC ATTACK (TIA with eyes fluttering, couldn't talk or move) (seriousness criterion medically significant), BLEPHAROSPASM (TIA with eyes fluttering), SPEECH DISORDER (could'nt talk) and HYPOKINESIA (could'nt move). On 20-Apr-2021, the patient experienced TINNITUS (tinnitus - ears ringing). On 27-Apr-2021, the patient experienced ATRIAL FIBRILLATION (EKG at home and she was catching Afib) (seriousness criterion medically significant). On an unknown date, the patient experienced DELIRIUM (slight delirium) (seriousness criterion medically significant), PALPITATIONS (racing heart), TACHYCARDIA (tachycardia at 120 bpm), DECREASED APPETITE (not hungry but very thirsty), THIRST (not hungry but very thirsty), INSOMNIA (lot of trouble sleeping) and PYREXIA (low grade fever). On 10-Apr-2021, MEMORY IMPAIRMENT (forgot name for about 15 minutes) had resolved. On 05-May-2021, PYREXIA (low grade fever) had resolved. At the time of the report, ATRIAL FIBRILLATION (EKG at home and she was catching Afib), DELIRIUM (slight delirium), TRANSIENT ISCHAEMIC ATTACK (TIA with eyes fluttering, couldn't talk or move), CHEST PAIN (chest pain), DYSPNOEA (shortness of breath), HYPERTENSION (extreme hypertension 200/115), BLEPHAROSPASM (TIA with eyes fluttering), PALPITATIONS (racing heart), TACHYCARDIA (tachycardia at 120 bpm), WEIGHT DECREASED (lost 20 pounds), DECREASED APPETITE (not hungry but very thirsty), THIRST (not hungry but very thirsty), TINNITUS (tinnitus - ears ringing), DIARRHOEA (sterile diarrhea), INSOMNIA (lot of trouble sleeping), SPEECH DISORDER (could'nt talk) and HYPOKINESIA (could'nt move) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Apr-2021, Dehydroepiandrosterone test: increased (High) Elevated. On 18-Apr-2021, Blood pressure measurement: 200/115 (High) Extreme hypertension. On 18-Apr-2021, Urine analysis: increased (High) High leukocytes in urine. On 18-Apr-2021, White blood cell count: increased (High) Elevated.. On 19-Apr-2021, Body temperature: increased (High) Low grade fever. On 19-Apr-2021, Heart rate: 120 (High) 120 beats per minute. On 20-Apr-2021, Neutrophil count: increased (High) high. On 27-Apr-2021, Electrocardiogram: atrial fibrillation catching atrial fibrillation. 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 09-Apr-2021, the patient reported that she consulted her primary care, followed by an OBGYN consult on On 13-Apr-2021, and unspecified blood work was done. The patient reported that she visited the ER (emergency room) on 18-Apr-2021, 19-Apr-2021 and 20-Apr-2021 with a follow-up visit with her primary care on 19-Apr-2021. The patient also reported that she started consulting her primary care physician since March 2020, for abnormal weight gain and blood tests were done for thyroid levels. It was reported that this whole period the patient lost 20 pounds. The Treatment medications included Tylenol (acetaminophen), hydroxyzine and propranolol. The patient reported that she had taken buspirone and quetiapine for insomnia, but stopped the medications on an unspecified date. On an unspecified date, Ativan (lorazepam) was discontinued. Company Comment: Based on the current available information which shows a temporal association between the use of mRNA-1273 and the onset of the other events, a causal relationship cannot be excluded. Fever is consistent with the product known safety profile.; 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 other events, a causal relationship cannot be excluded. Fever is consistent with the product known safety profile.

She had onset of rapid heartrate. approximately 40 higher than normal at rest. With gentle exertion heartrate would increase. Shortness of breath also. Pretty consistent for about 2 weeks. She went to primary care doctor. EKG showed signs of tachycardia.

Client received the vaccination around 10:00 am and around 10:06 am felt chest tightness and it was hard to breathe. She described it as not being able to get a full breath. She drank water, leaned back, and took deep breaths. After about 5 minutes, client felt better. Client left at 10:31 am with symptoms completely resolved.

Shortness of breath, numbness is hand, sweats, blurred vision, headache, muscle aches, swelling, dizziness, confusion, worsened depression

DELTOID PAIN EVERY MORNING, PAINFUL TO LIFT OR ROTATE LEFT ARM (DELTOID/ROTATOR CUFF REGION), CAN NOT LIFT HEAVY OBJECTS WITH LEFT ARM, INFLAMMATION IN AIRWAY, ASTHMA SYMPTOMS/ASTHMA ATTACKS DAILY, SOB/TROUBLE BREATHING DAILY, EXERTIONAL DYSPNEA, DRY COUGHING IN FIRST WEEK, PRODUCTIVE COUGHING AFTER FIRST WEEK, SWOLLEN LYMPH NODES, SORE THROAT, THICK NASAL MUCOUS, COUGHING AND SOB MADE WORSE WHEN LYING DOWN, CHEST TIGHTNESS/PRESSURE, HEADACHES.

I have had about 6 episodes of heart palpitations, shortness of breath, dizziness/ lightheadedness, and at times accompanying tingling in leg limbs starting a few days after first dose of the COVID19 Moderna vaccine on 1/27/21 until about April 2021. I got my second dose 2/23/21. I am a healthy and active 29 year old female, and have not had heart palpitations or dizziness in the past. I was not on any medications or supplements. I made an appointment to see my primary care physician regarding this issue, but can't get an appointment until July 20, 2021.

Pt received covid vaccine # 2 on 6/1/21 at 10:15 am and an hour later (11:15 am) developed itch and swelling in both eyes with sob. Pt also reported face feeling warm to touch. Eyes were sensitive to light and felt pressure around eyes. Patient was unable to keep her eyes open. No temp noted. Pt took Claritin at 2:00 pm with no relief, felt symptoms became worse. Pt reported having side effects from first vaccine on 6/1/21. She states she had lethargy, low-grade fever and body aches. Pt was advised to go to Urgent Care for evaluation. Pt went to Urgent Care and left without being seen, she has not followed up with primary care provider.

One hour after receiving the vaccine, I started feeling a change in my breathing. I have been experiencing restricted breathing and shortness of breath ever sense then, along with light headedness and fatigue. It has been 5 days and no improvement.

Immediately after the vaccine I felt very faint, and I was very flush. I had trouble breathing and I felt like I was gasping for air. I waited for 45 minutes until I left but I did not receive treatment. I took a Benadryl after one hour and I felt better. It did not happen again. Later that night I had flu-like symptoms that resolved quickly. I took a Tylenol that night. After the vaccine I was fine.

Pt reported that approx 12 hrs following vaccine, her lips and nails turned "blue". She reports "intense" body aches, chills and difficulty breathing. She also reports headache. She denied and swelling of lips or throat. She did not seek treatment. She took OTC excedrin migraine and states symptoms lasted 3 days

I experienced multiple symptoms after my first dose for a couple of days: body aches, fever, head ache, nausea, diarrhea, etc. After my second dose, I experienced nausea, vomiting, body aches, fever, head ache, chest pain, numbness and pain in arms, and shortness of breath. I started to feel chest pain when I woke up Monday (6/07) from 4 am- 10 am and then again Tuesday (6/08) when I woke up from (2 am-4 am). I went to my PCP Monday around 3 pm and they thought I had acid reflux or body aches. I called an ER Tuesday morning and was told chest pain was an emergency and should go to the ER. I went to the ER Tuesday at 4 am and was admitted for elevated heart enzymes and heart inflammation.

Diagnosed with Covid after Vax , started with extreme headache , body aches and now coughing. Lots of inflammation in nose/sinus. minor chest pains, shortness of breath. hallucination, slight feverish . No taste or smell.( Confusion and loss of direction)

On the day of the vaccine, 05/20/2021 I was light headed and dizzy, and I almost passed out. And on 05/23/2021, I started to experience periods of shortness, of breath, chest pains, dizziness and they were intermittent. My cardiologist and my PCP, both gave me an EKG- and they were both inconclusive. Doctor described that my heart had a bit of a snap. The chest x-ray came back negative for pneumonia. The doctor wanted to run a few more test before he gave me a diagnosis. He put me on a heart monitor from 07/12/2021-07/26/2021. I just mailed it back 07/26/2021. I am still having chest pain, shortness of breath at intermittent times. I will be having another EKG in August 2021.

28 yo woman who started having chest pains after Moderna COVID vaccine. Dose #1 was 5/28/2021 (027C21A); dose #2 was 6/23/2021 (027C21A). Both given through clinic. She says she had to get the vaccine in order to work with employer. She said that the same evening after the 2nd dose she had a severe headache, soreness all over, nausea. Chest pains started the next day, worse with laying on her back. She says the chest pains have continued, and are at their worst later in the day and when she lays back. Says she noted some areas of freckling on her hands in the days after the vaccine, and that under her armpits she also got some small areas of freckling. She says she also feels palpitations, and an overall heaviness in her chest. Pain is worse with deep breaths also, so she avoids deep breathing.

Numbness to right side of upper body, arm, and face. Clammy, hot flashes, severe headache. Throat was swelling shut. Could feel it closing each time I swallowed. Emergency room gave steroids, Benadryl, and a coating for stomach.

1121 Patient started feeling hot, face red, throat feeling dry and tight. Vital signs: Blood pressure 122/78 Heart rate 88 SATS 99% ON ROOM AIR. Patient was given Benadryl 25 mg by mouth. After about 15 minutes after administration, patient noted her "hot flash" had dissipated and her "funny feeling in throat" had minimized. She denied difficulty breathing or swallowing. Patient was discharged at 12:00. At 12:15, patient returned appearing slightly flushed and complaining of feeling warm again. While accompanying patient to Convenient Care, patient noted her throat "felt funny" and had to clear her throat to speak. Patient was transferred to convenient care nurse at 12:20

Nausea and dizziness 5 minutes after injection. Vomiting 20 minutes after injection. Throat felt scratchy and c/o chest felt "heavy" 25 minutes after injection. Gave Epinephrine 0.3mg IM x1 and placed on oxygen 2L/min via mask. EMS contacted. She declined EMS transport to hospital. EMS gave Zofran ODT (dose unknown). Nausea improved. Breathing improved, but still c/o feeling like she has to take shorter, more frequent breaths. Dizziness also improved. Oxygen removed and observed about 2 hours after incident. Patient requested to go home with family. Gave ER precautions and advised emergent evaluation/management.

Employee became diaphoretic, complained of SOB and tingling from the feet up to her head. She was hypertensive at 159/105, and tachycardic at 115.

Tachycardic 145, SOB, headache, nausea, fatigue, fever, weak, dizzy, ground glass lungs suspicious infiltrate.

Complaining of left deltoid site pain hot and red. Pt complaining of fatigue and feelings of SOB overnight when laying flat on back. Complaints of heat sweats overnight. States this morning she is not having SOB, but having pain from left elbow up to shoulder injection site. States no visible rash other than injection site redness. Encouraged to call 911 if she has SOB that is unrelieved. Also stated that she is having Headaches that are not relieved by tylenol. Gave pt a list of normal reactions including, headaches, body aches, fever, fatigue. Encouraged her to alternate tylenol and Ibuprofen for body aches and headaches. Encouraged pt to call 911 with SOB that is not relieved. Contacted physician.

Patient is a 29 y.o. year-old female that presented to the clinic today for a Moderna COVID-19 vaccine.  Moderna COVID-19 vaccine was administered at: Time: 1820 Date: 1/8/2021   Patient presented with symptoms at time 1837. Patient's symptoms include the following:   Skin and Mucosal symptoms: Yes: Swelling of the throat and nose. Patient states that her nose started to feel funny and her throat was tight. She also noticed that her arm was red and swollen.   Respiratory Symptoms: No   Gastrointestinal Symptoms: No   Cardiovascular: No   The following actions were performed: Bendaryl 25mg administered as a single dose, patient brought to exam room by RN & MA. Vitals taken every 5 minutes while monitoring patient condition. At 1849 patient reported that her throat was feeling better. Patient had a localized reaction at the site of injection Left upper arm including redness, swelling and warm to touch. At 1903 RN reevaluated patient and reports that her redness is decreasing in her left arm and the throat/nose numbness was getting better. PA-C came into the room and evaluated patient. She said she sounds good and did not appear to be in distress. Patients husband drove her home after patient was monitored for approximately 40 minutes. Prior to patient leaving clinic RN advised patient of the 911/emergency room protocol . Patient verbalized understanding and was escorted out by RN to her car.   Incident reported to VAERS and database report completed   1/8/2021  

patient developed large rash on chest. Nausea and vomiting. Also had tightness and scratchiness in throat but did not progress

patient developed instant itch in throat after administration of vaccine 25mg PO Benadryl was given reassessment 5 minutes later throat itchy, denies wheezing or SOB. Additional 25mg PO Benadryl was given Patient devloped SOB, Epi pen adminstered 10:04am. EMS called for transport. SOB improved. Vital remained stable. EMS arrived and transported patient to hospital.

Friday morning1/8/21 at 0645 when awaking it felt like my right nostril was congested and it was hard to breath, also the tip of my nose was bright red, swollen and tender to touch. throughout the day the swelling, redness and pain increased with the right side of my nose. breathing did get easier. Saturday 1/9/21 the right side of my nose was still presenting with symptoms listed above and continued to grow toward my right eye. Sunday 1/10/21 the swelling increased but redness and pain stayed the same as the previous day. Ice was applied with mild improvement. No medication was taken. Monday 1/11/21 swelling on the right side of the nose has slightly gone down, minimal swelling (puffiness) under the right eye had started.

Received 1st vaccine 1/5/21. Arm was tender. Around midnight 1/6/21 my arm was very painful to the touch, move, awful. 24 hours later just sore. On 1/7/2021 I started to feel short of breath and run down. Sinus infection symptoms. I was sent home from work to get a COVID swab. That evening I lost my taste and began to feel achey. Negative test on 1/10/21. Saw urgent care on 1/9/21 for Covid swab and visit. He diagnosed viral and was sure I was positive. On 1/11/21 my energy returned and I wasn?t achey. Congestion and cough. By 1/13/21 felt fine other than lingering wet cough. This morning, 1/14/21 I noticed my arm itched and looked at it and I?ve got a small red rash around the injection sight and tenderness on palpation.

Achy neck; Stiff neck; Monocyte was high; Diarrhea; Passed out; Very dizzy; Chills; Headache; Fatigue; Walking across a room takes breath out; Lightheaded; A spontaneous report was received from a consumer, who was a 29-year-old female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced the events, passed out, very dizzy, lightheaded, fatigue, walking across a room takes breath out, headache, chills, diarrhea, monocyte was high, and stiff and achy neck. The patient's medical history was not provided. Concomitant product use included acetylsalicylic acid. On 31 Dec 2020, approximately one day prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 intramuscularly in the right arm for prophylaxis of COVID-19 infection. During the morning hours of 01 Jan 2021, the patient passed out, felt dizzy, lightheaded, fatigued, had a headache, and chills. The patient reported that walking across a room took the breath out of her. On 02 Jan 2021 the patient experienced diarrhea in the evening. On 03 Jan 2021 the patient presented to the emergency room but was not admitted. Her monocyte count was high, but other lab results were normal. Her headache was treated with anti-migraine medication intravenously. She stated she was still experiencing dizziness and her neck was still achy and stiff. No additional treatment information was provided. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events, passed out, lightheaded, fatigue, walking across a room takes breath out, headache, chills, diarrhea, and monocyte was high, was unknown. The events, dizziness and stiff and achy neck, were considered not resolved.; Reporter's Comments: This case concerns a 29-year-old female patient with unknown medical history, who received their first of two planned doses of mRNA-1273 (Lot 0371C20A), and who experienced the serious unlisted event of Syncope, the non-serious listed events of diarrhea, chills, headache, and fatigue, and the non-serious unlisted events of Dizziness, Monocyte count increased, Musculoskeletal stiffness, Dizziness (lightheadedness), Neck pain, and Dyspnoea. Based on the current available information and temporal association between the use of the product and the onset of the events on the day after vaccination, a causal relationship cannot be excluded and the events are considered possibly related to the vaccine. The events may be explained by an undiagnosed viral illness based on the constellation of symptoms and elevated monocyte count.

1/7/21 PM sore left arm at injection sight 1/10/21 PM severe congestion, headache, sinus pressure 1/11/21 AM severe headache, vertigo, shortness of breath, cough 1/11/21 AM went to get covid test due to being symptomatic, tested positive. I had a negative weekly (required by work) test done on 1/5/21 prior to getting vaccine.

Wed Jan 13, 2021 13:54 Patient was not feeling well right after she got the vaccine. They had her sit for 15 minutes. She started to feel better and left. Started to feel bad in the car on the way back to work. Her boss is a dentist and advised her to take Benadryl, which she did. Traveling to Hospital now. She has not yet been seen by a physician. Current symptoms are throat constriction, hard time swallowing, and having a hard time concentrating. She is pale and feels unwell. Wed Jan 13, 2021 16:09 Followed up with patient. Patient is currently in the Emergency Room at Hospital. She has so far received steroids and benadryl. Thurs Jan 14, 2021 08:56 Followed up with the patient again. She returned home from the first ER visit at 17:30 last night. About 4 hours after that her heart rate became elevated again (130-140 bpm while lying down) and she was confused, lethargic, and had a HA and backache. She went back to ER last night around 21:30. They gave her more benadryl in IV and toradol for the HA. She is now on PO benadryl every 4 hours for 4 days. Symptoms today include: runny nose, feels like a mild case of flu, HA and backache. Upon awaking this morning, prior to the morning dose of benadryl, her heart rate was a little elevated. She was also told she could alternate Tylenol or ibuprofen prn and use OTC cold remedies but hasn't needed any. The doctor said she is not a candidate for the next the second vaccine dose.

Physical findings: Rash, Hives, Symptoms: shortness of air, throat swelling, felt faint. . BP, o2 sat fine., Pt did fine and was treated immediately with epi pen, benadryl, solumedrol and fluids.

Immediate feeling of tightening of chest, and light headed. Tingling in head and chest. Feeling went away for 15 minutes and next event then happened and feeling of tightness in chest and feeling like short of breath. Hooked up to monitor and blood pressure was 150/100 and had tremors. Was given Benadryl and ibuprofen and after 45 minutes started to feel normal again.

I received the first dose of the COVID 19 (Moderna) on 01/15/2021 in the evening. The next morning I woke up at 05:45am with a sore arm, which I was told was one of the side effect. However I was sore and aching all over my body. As my day continued, I became tired and feeling flushed within the face. I felt my heart rate beating faster than normal. I began having cold chills and the aching within my body progressed through out the day (12 hr shift). When I clocked out at 07:08 pm and got home from work, I was unable to hardly move with out hurting and I felt like I had a fever. My husband checked my temperature and I had a low grade temp of 99.4 with an increase work of breathing and had ,a difficult time catching a breath. My husband took me to the hospital ER and before arriving to the ER I was having a stridor episode and when the nurse checked my temperature it read 102.3. I could not complete a full sentence and began vomiting. I was given epinephrine nebulized, solumedrol, benadryl, zofran, lidocaine nebulized. I had a CT with contrast of my neck and a chest xray. All images came back normal, I had been treated for an allergic reaction from the COVID vaccine and discharged home once the symptoms and stridor subsided.

7:30pm 1/20 - headache, body aches, fatigue, fever 6:15am 1/21 - temp 100.1, continued symptoms as 1/20 but more severe 11:45 1/21 - temp 100.9 7:45pm 1/21 - took ibuprofen 600mg 4.00am 1/22 - woke up drenched in sweat but aches improved 7:45am 1/22 - difficulty breathing, lungs ache with full inhalation - symptom still ongoing. 6:30pm 1/22 - neck and shoulder pain along with lung issue.

Pt describes "can't get a breath in" Warm, dizzy, SOB, light headed, shaky Assessed by AMR and transported to ED Pt stated that she did not have any reaction to the first dose of the Moderna vaccine Pt stated that she was tested for COVID last week. Result was negative

I just want to report that I felt some pretty bad symptoms from the first shot: First 24 hours: Bad headache from 10am-8pm day of dose #1 Fatigue Body aches Cold sweats / fever during night Fast HR (almost 100 bpm resting HR at 2am) Shortness of breath 48 hours: Fatigue Body aches Periodic headaches

Patient reports she received second dose of Moderna Covid 19 vaccine lot #039K20A on 01/19/21. On 1/20/21, Patient awoke with fever 100.4, body aches, headache, fatigue, nasal congestion, and sob. Patient contacted the Covid line and followed recommendation to get tested. COVID swab was negative. Patient reports symptoms self resolved on 01/23. Patient reports symptoms were bad enough that she was unable to cover 2 shifts. Patient reports she only developed chills and fatigue after initial dose of Moderna lot #039K20A. VAERS. Patient declines additional concerns at this time. D/c from health service.

Diarrhea, sharp stomach pains, dizziness, tiredness, body aches, body chills, low grade fever, joint pains, shortness of breath, high heart rate (tachycardia), lack of appetite, soreness at injection site, headaches, neck pains, fogginess (hard to think clearly).

Friday started to experience chest pain and shortness of breath. It progressively got worse. Went to urgent care the next day. Was told at urgent care it was costochondritis. Never went away. Seen in ED in for worsening chest pain and hard to breathe. D-dimer was around 600. Chest x-ray was normal. Lymph nodes in chest were swollen according to the MD. ED MD advised her this was a result of the vaccine. Seen in follow up by CT ordered and result pending. labs redone. D-dimer now around 500.

Strep throat like symptoms began 3 days after my 2nd covid vaccine (Friday January 29, 2021). Sore, red, and swollen throat, white patches on tonsils, low grade fever (max temp 100.5), chills, body aches beginning Friday, January 29, 2021. I initially went to urgent on Sunday, January 31, 2021 for a strep test. The test was negative and the nurse practitioner told me to return if my symptoms didn?t improve in a few days. On Tuesday February 2,2021, after my symptoms worsened, I went to Urgent Care for a second opinion/strep test as this is generally the hospital I use for treatment as opposed to the urgent care that I mentioned previously. The nurse practitioner did not swab me for strep, but rather observed my red, swollen, white patch filled throat and ordered me a round of steroids and antibiotics. I started both the antibiotics and steroids today, February 2,2021.

Developed severe headache nausea facial and neck swelling, chest pain and respiration. Called PCP. prescribed Benadryl next day, increased swelling to include left side of face and eye. DX Bell's Palsy

about 15min after injection, pt c/o feeling tightness and lump in throat, hands tingling, pt states "I felt swimmy headed", provider notified, assed pt , BP elevated, provider ordered: 0.3 IM Epinephrine 50mg IM Benadryl Monitored additional 30 minutes Pt VS WNL pt was instructed to follow up with PCP pt was stable

Allergic reactions as swelling of lips, tongue, face, and throat, and rash and itching on face and lips

3-4 minutes after receiving injection patient's caregiver noticed some swelling of patient's left eye. Patient did not complain of any shortness of breath, itching, hives, etc. BP and pulse ox were normal, but some wheezing was noted by a physician in the vaccine clinic. Patient was transferred to our ED for further evaluation. The ED did not hear any wheezing, and the patient's caregiver said that the swelling of her eye appeared to lessen. She was treated in the ED with IV Benadryl, Solu-Medrol, and Pepcid. Was discharged approximately 2 hours later.

Shortness of breath and chest tightness starting the day after the second dose of the vaccine. This was also present after the first dose of the vaccine, but much milder. I also experienced, chills, headache, and body aches. I took Tylenol for these symptoms and took 2 zyrtec for the shortness of breath. All symptoms lasted only about 24 hours. They seem much better on 2 days after the vaccine.

Time of symptoms: 5 minutes after vaccine; lasted 45 minutes Symptoms: Throat tightening, tongue swelling, and severe nausea Treatment: Benadryl and observation until symptoms subsided Outcomes: full recovery; not advised to take second Moderna dose

Delayed allergic-type reactions starting around 1800 on 2/5/2021. Symptoms included: hives, SOB, fever, and rigors lasting for a few hours. Pt. had extreme fatigue and fell asleep a little past 2000. Pt. woke up around midnight and symptoms were gone. Pt. is a nurse and cared for self at home. Did not seek medical care.

Around 5-10 min after administration patient started to feel chest tightness, "lump in throat", SOB and headache. She was treated with 50mg of Benadrl. Initial vitals were : BP 152/103, O2 sat on RA 99%, HR 10# RR 16. Repeat Vitals were WNL. Patient has hx of asthma and took 2 pumps of albuterol inhaler. She started to feel better and was sent home. Next day symptoms did not resolve and pt went to ER. She was not examined in ER due to wait time. She took abother 50mg of benadryl and 2 puffs of albuterol inhaler with significant relief. On today she is feeling much better.

Pt had actual Covid 8/2020 (loss of taste/smell--mild/long resolved--no respiratory sx). Received Moderna vaccine (first dose) 1/7/21--24 hours later had typical symptoms (HA/fatigue/chills) but also SOB--SOB continues to linger in isolation currently.

c/o chest pain/pressure today after vaccination yesterday, along with fever, chills, SOB, body aches. She was instructed to call her cardiologist immediately to report.

CHILLS, INJECTION SITE REDNESS, AND PAIN; ARM STIFFNESS; SHORTNESS OF BREATH; SWOLLEN LIPS; OTC BENADRYL, PREDNISONE; TYLENOL; IBUPROFEN; 2 HR MONITORING.

Burning sensation in stomach, Chest pain, headache, dizzy/lightheaded, needle feeling in inner arm (the day of). Body soreness, fatigue, weak, chest pain, cough (day after). (On 2/13/21) still a headache with difficulty focusing vision, chest pains, shortness of breathe.

Developed headache, dizziness, nausea, face tingling, sore throat/tight throat. No shortness of breath, no rashes. All vital signs normal. Symptoms improved while being monitored in clinic, although still felt a bit nauseous at the time of discharge. Patient did not want to present for further medical care.

Around 5:30 PM I began experiencing normal symptoms like headache and muscle ache. At 8:15 PM I began to feel light headed, nauseous, and short of breath. Around 8:20 I needed to lay on the floor to prevent myself from fainting. My eyes were rolling back because I was borderline unconscious. I felt like I had no control of my body and had to go to the bathroom. For around 15 minutes I was on the floor convulsing, shaking as if I had chills and my muscles were involuntarily tensing. My pulse was extremely low. After the convulsions stopped I remained on the floor an additional 15 minutes. Around 8:45 PM I was able to return into my bed with assistance. My nauseous remained and I began experiencing chills. I slept on an off the entire night. At about 1 AM what I suspect was a fever began to break and I was extremely sweaty. For the following day I experienced exhaustion and muscle soreness. I am still experiencing exhaustion. I recognize a bulk of my symptoms were normal but the convulsions, losing consciousness, and inability to control my body seemed worth reporting.

Vaccine recipient woke up 2/17/21 at approximately 7 AM with itchy skin and small hives. Around 8 AM she had difficulty breathing, and when she went in to be seen at her clinic she had difficulty swallowing. At this time, an ambulance was called and she was transported to the ER.

Pt transferred to observation area for 15 min. At 2:19 for discharge I noticed pt having some difficulty breathing. Pt then started to have sensation of throat closing and chest tightness. Pt stated she is allergic to shellfish, peanuts, seasonal and anesthesia. Blood pressure was 136/86-HR-100 O2 saturation 99%. AOx3 no change in mental status, stridor or wheezing noted. No N/V or abdominal pain. No dizziness or hypotension. No hives, swelling of lips, tingling, or itching noted. Pt took her own medication of Qvar80mcg-Redinhaler @2:30pm. Stiolto Respimat inhaler 2.5mcg. @2:35pm. Also has albuterol/ EPI pen, but didn't take it. Pt given Benadryl 50mg 2:40pm with water. Patient symptoms resolved completely by 3:45pm. Continued to monitor pt. Pt states she is feeling better no signs or symptoms of distress noted. Pt verbalize understanding of follow up with PMD and allergist@ Allergy and Sinus before coming for second dose. Pt taking taxi home husband was notified.

Around 10 minutes after the dose, I started feeling my throat close up, I could not concentrate and felt very dizzy. 20 minutes later I felt a sharp stabbing pain in right side of my throat and my chest/lung area. I started feeling itchy in that area as well. I started getting bumps all over. I took 2 puffs of my Symbicort, Benadryl, and Loratadine. I continued taking the Symbicort and Benadryl. I fell asleep siting up. By 12/24 I could not swallow and it would hurt my chest to breath so I decided to go to the ER.

Patient reports she received 2nd dose Moderna vaccine Lot 039K20A on 01/26/2021. Shortly following the injection Patient developed SOB. Staff at vaccine clinic administered epi pen. Patient was transferred to ED. Evaluated and released following inhaler administration.

patient ears and throat became itchy, patient began to cough and gasp for air. EpiPen was administered a couple of minutes after and the paramedics were called , Patient was vomiting but started coughing less after EpiPen, Paramedics arrived after about 10 minutes, Patients vital signs improved by the time they arrived. They took her to hospital emergency where she was given Benadryl and another EpiPen, She was released from hospital later in the afternoon to go home and rest.

Patient had vaccine moderna fisrt dose at 237pm, in right arm. Pt. sittngn inobservation area aat 3pm, c/o of headache sharp, adn SOB, vitalas take at 3pm, BP 142/94, pulse 106. Temp 98.9F Right arm 154/95 pulse 112 SAT O2 100%... pulse 116 Pt anxious as well. Wheeled via wheeklchair to ER, for evaluation in satble condition Alertt adn oriented to arrvial ER; lot # 0011A21A exp 8/16/2021 moderna first dose

Fever of 102.4, chills, hard time breathing, body aches lasted about 5 hours until I fell asleep, woke up the next morning at 8:00 AM with body aches

High fever at 2:00 AM following second vaccine injection. Nausea, vomiting, pain, swelling and hardening at injection site. Arm soreness lasted 4 days. Fever lasted 3 days. Extreme fatigue lasted from time of injection to present. Asthma attack 1 week post. Full upper body rash including face, neck, arms, scalp, back, chest and torso. Tylenol and Benydryl taken for fever and rash respectively.

Shortness of breath, asthma flare. Not improved with oral and inhaled steroids. Severe congestion, lost voice, cough, chest pain, lightheadedness, joint ache, muscle ache, low grade fever, stomach pain, headache. Dehydration. Require nebulizer 2x daily. Not made better after antibiotic and oral steroids. Been 7 days and no sign of improvement.

The patient described feeling hot all over, hard to catch her breath, felt like a panic attack, blood pressure slightly elevated lasted 30 minutes. Patient describes nausea and vomiting for 3 hours last night 8pm -11pm last night. Patient describes cold / sweats and shivering

Sunday March 7th started to get itching on face and lips Monday March 8th got progressively worse, took Benadryl and didn?t help. Felt as though my throat was closing, got to urgent care where it got worse while I was waiting to be seen, was rushed back and given a shot of epi pen and predisone, and Tagament had to have an iv with 2 bags of fluid. Went home, continued to have Face swelling, itching, pain . Took regimen of drugs I was told to take, got worse. Went back to urgent care and was given another epi pen. Face itching turned into burning pain which continued until March 13th afternoon and slowly went away. Face was back to normal March 15th. Horrible excruciating burning, red, hot pain all over my face.

THROAT SWELLING OCCURED 10 MINUTES POST VACCINATION; TOOK 2 BENADRYL 25 MG TABS, PEPCID 10 MG AND ADMINISTERED EPIPEN 0.3 MG, STARTED TO IMPROVE. EMS CALLED AND TRANSPORTED PATIENT FOR OBSERVATION

6:02 PM- 1st dose of Moderna administered on RA, Lot # 029A21A 6:12 PM- pt. Complained of throat closing and hoarseness in voice. Dr. by chair side monitoring patient 6:14 PM- EPI pen 0.3mg administered on right thigh by Dr. . Called 911 VS 147/97, 121, 96% 6:16 PM- Benadryl 50mg administered IM by licensed nurse VS 146/91, 119, 96% 6:21 PM- Pt c/o chest pain 6:23 PM- VS 128/85, 122, 96% Pt continues to complain of chest pain Fire arrives and takes over. Report given to to , paramedic

On 01/09/2021 I woke up around 10AM and felt chills, I had to be in bed, I had fever (103F) and once I started taking Advil it went down to 100F. I felt body aches, a horrible headache. The next day I had the fever (it went away on the 13th). the body aches were better. I also had pain in my arm and the symptoms were all back in the evening. On 01/09 I was tested and was negative but on the 20th I was tested again and was positive. I was seen by the Doctor on the 13th and he prescribed me something that helped me with the fever. He also diagnosed me with pharyngitis. After the 20th, when I was diagnosed positive I also started with shortness of breath and anxiety attacks.

Patient previously had an adverse reaction of throat tightness to the first dose of the Moderna covid vaccine. She had been counseled to discuss with her doctor about getting a second dose, and if cleared, to receive the second dose at a hospital facility. Patient reports that she discussed with her doctor, who advised her to wait for allergy testing, however the patient chose not to wait for the shipment and decided to proceed with receiving the second dose at the same location as the first dose. Per patient, had taken two puffs of QVAR prior to second dose vaccination. 11:30am Time of administration of second dose 11:40am Adverse reaction began. Patient reports throat tightness, lightheadedness, foggy. Denies trouble breathing, itching. Reports had breakfast. Two areas of erythema noted on her neck. No erythema on chest/trunk/arms/face/ears. 11:50pm BP 147/92, HR 91, O2 sat 99% 12:01pm Administered two tablets of 25mg diphenhydramine. 12:03pm O2 sat 99%, HR 112. Appears teary-eyed, distressed about circumstances. Lungs clear to auscultation bilaterally, no stridor or use of accessory muscles. 12:08pm Neck erythema resolving. 12:11pm O2 sat 99%, HR 92, BP 143/97. Reports throat tightness feels the same, but not worse. 12:19pm O2 sat 99%, HR 94 12:28pm Reports throat still tight, but feeling much better. Affect and appearance much improved, no acute distress, lucid and conversational. No erythema on neck/chest/trunk/arms/face/ears. 12:35pm Patient declined offer to consider EMS if throat tightness not resolving. Patient has her own epi-pen. Provided counseling on s/s of anaphylaxis, training husband on use of epi-pen. Instructed to call 911 if symptoms worsen or have difficulty breathing. 12:45pm BP 145/88, HR 89, O2 sat 99% 12:49pm Discharged home.

Pregnant 10 weeks due date 10/12/2021 20 minutes after shot feeling tingling in face around nose, elevated heart rate and slight trouble breathing. Lasting about 15 minutes. 2 or 3 hours later rash on cheeks that went away after couple of hours. Wednesday night chills for 5 hours

Shortly after arriving in observation area, patient reported tightness in her throat and hot flashes. She had a hx of anaphylactic reaction to peanuts. Patient was observed for 45 to 60 minutes. Vital signs remained stable 0956 Pulse 98, 0xygen sat 99%, BP 124/82 1004 Pulse 88 O sat 98%, BP 111/82 Benadryl 50mg given orally, tight feeling in throat and chest feeling much better 1013 Pulse 84, O sat 98% BP 104/78 1025 Pulse 76, O at 100% BP 111/83 Patient stated she felt she returned to baseline, with expected drowsiness from benadryl and felt well enough to proceed home. Patient had her own EpiPen for previously stated allergy and her and her husband confirmed competency in its usage.

DURING THE 20 MINUTE WAIT AFTER THE VACCINE, PATIENT REPORTED A TIGHTNESS IN HER CHEST AND WAS HAVING DIFFICULTY BREATHING. WE CALLED 911 AND HAD THE PARAMEDICS CAME OUT. WE KEPT OUR EYES ON HER BUT DID NOT ADMINISTER ANY MEDICATIONS AS SHE WAS TALKING TO US AND STILL ABLE TO BREATH ON HER OWN. PARAMEDICS TOOK HER TO THE HOSPITAL FOR OBSERVATION.

My heart was racing, I felt suffocated. Like I couldn't breathe. It lasted a few min give 1-3. I took deep breathes (breathe in Breathe out) I tried to relax myself. I wasnt sure if i was normal or just nerves.

Suddenly experiencing intermittent hives daily, over large areas of the body, starting approx 2 days following the 1st dose of the Moderna vaccine. Hives develop anytime there is friction or pressure on skin and develop in the pattern of any scratch on skin. Intermittent episodes of itching across neck and in mouth/throat, with wheezing and stridor following. Reactions continued daily until around 1 month after 2nd Moderna vaccine and then declined, but are still occurring infrequently and unpredictably as of present time.

I became very hot and couldn't breathe. I passed out and fell over. My tongue swole up so much I couldn't talk to emt. My neck and body broke out in a rash. My entire right side of my face and neck hurt like I got punched in the face. No treatments just a prescription for an epi pen.

My asthma cough started on 4/4 in the morning. I cheat was right and I was coughing just like I do when I get sick and my asthma acts up. I used my albuterol inhaler all day and it helped. I had no cough prior to getting the vaccination.

Patient reported a few minutes after receiving vaccine that her throat was swelling. It began on one side of her throat and moved to the other. after a few minutes her voice began to change and it was difficult for her to speak. She had no difficulty breathing. 02 100%, She reported having these symptoms when she is around cats and that it would usually pass after benadryl and fresh air. benadryl was given. patient did not show improvement with benadryl . patient advised for us to call 911. She refused. Advised to go to ED and refused. She was with her husband who said they lived 2 minutes away from the hospital and that he would take her to the ED or call 911 if she got worse.

Within a few hours from getting the vaccine I was very tired. But the severe reactions started around 9 hours after I received the shot. I had the chills and then a fever. I had nausea so bad I couldn?t hardly eat all day. I was dizzy, short of breath, exhausted, and had a sore throat. I was so tired and so dizzy I couldn?t get out of bed all day. These symptoms lasted at least 24 hours. I am still slightly tired today and dealing with a mild sore throat and headache. The adverse effects I had from the moderna vaccine were awful. I couldn?t take care of my kid or do anything all day. I didn?t even have the energy to look for a thermometer.

Mild allergic reaction. Hour 6- Around hour 6 or 7 (somewhere between 1 and 3 am of 4/7), while fighting the fever the first episode of the numbing occurred. Alongside the hot/cold chills my exterior mouth and left lower face went numb, followed by left arm, down body to left foot. I feel asleep eventually and woke up and this was gone. injection site sore. Hour 40- woke up with swollen and numb lips. lower left facial numbness and left hand numbness returned. injection site still sore. hour 60- woke up with swollen and numb tongue. still had swollen and numb lips. lower left facial numbness and left hand numbness remained as well. injection site still sore. Hour 84- woke up with numbness in the back of my throat and swelling of exterior throat. Rest of symptoms dissipating some - Still had slightly swollen and numb tongue and lips. Slight lower left facial numbness and left hand numbness remained as well. injection site only sore to touch the area. Hour 108 -current: All symptoms dissipating some - Very slight numbness in the back of my throat, tongue, and lips. swelling of exterior throat. Slight lower left facial numbness and left hand numbness when I make a fist. injection site only sore to touch the injection site exactly.

Patient began to slump in chair and became lethargic. Patient was laid on the ground and legs elevated. Breathing was slow and shallow @ 15 breaths/min.BP was fairly stable @108/78 and climbed to 147/93 over 10 min period. EMS was called and patient recovered. Patient was released on own with her boyfriend by 11:10a

The night of the shot I had a headache and some fatigue with some nausea. The next morning when I woke up around 8 am my arm was sore and my entire body felt achy. Over the next couple hours my body was progressively achy to the point of not wanting to move. By 12 pm I was in tears of just how much my body hurt. This is also around the time I had a fever of 101.3. I took a double dose of ibuprofen and attempted to sleep it off however I was only able to fade in and out of sleep because despite taking medicine my fever started to climb more and more high and the chills started to intensify. I recorded my fever through out the day and watched it climb more and more high until about 6 pm it was at 103.4. My head was pounding, my ears were hearting, my body aches so much and despite having chills I felt as if my body was over heating to the point where I had to put a bag of ice on my neck and a cool wash cloth on my head to cool down. I took more ibuprofen and eventually my fever went down again. By 11 pm it was back down to 101.3 and I felt so exhausted o went to bed however I woke up about every 2 hours and tossed and turned all night as my fever went back up to about 102 and I had chills. I woke up today about 7 am feeling better from yesterday but my body is still slightly achy, fever is low grade at 100.6 and the chills have eased. The sides in the back of my throat are very swollen and painful still though and have been since the night I received the shot.

Extreme very severe headache, swollen throat, extreme fatigue, bone crushing pain especially in hips and legs, muscle pain

"Moderna COVID-19 Vaccine ." - About 30 minutes after the shot, in addition to having a sore arm, all of the pain that I usually get on my arm from the pinched ulnar nerve on my elbow got really intense without me having triggered any movements that could have aggravated it. The pain extended through all of it - from my elbow through both my little finger and ring finger, and I could barely move my arm without it making it hurt more. The intense pain slowly went away within the next 3 hours. - About an hour later I was really exhausted. -Around 4pm, I was extremely tired, had a really fast heartbeat, and I was having difficulty breathing (similar to when I have asthma). The fast heart rate and the breathing difficulties went away around 6/6:30pm. The fatigue went away the next day.

At around roughly 7:00 pm my regular achy arm became body aches followed by chest pain and shortness of breath. I know I do not have COVID 19 I haven?t left my house since March 2020 until October 2020 to have my baby and since then haven?t been out again except to get vaccinated in March 2021. I also do not have any underlying conditions I?ve had full check ups because I had a baby 6 months ago. The only side effect concerning me are the shortness of breath and chest pain.

About 20 minutes: Heart beating faster or louder. I Felt like I got paralysis on my middle finger. Feeling numb. 20 - 30mins: Felt a little drowsy, dizzy? Heart beating faster or louder. 1hour: Tiredness and drowsy. 1st day - 2nd~3rd day: Muscle pain (pretty bad on the arm) and all over the body. Middle finger feeling numb. Evening, April 13th - 16th: Slight shortness of breath. It got much better, but I still feel very very minor shortness of breath. Evening, April 15 - till now: Hives on neck, under eyes(Right side), Between front of my left eye and nose, near mouth, Forehead. Very itchy. Hives keep appearing and disappearing. It gets better and then all the sudden gets bad. I am planning to call the place where I got the vaccine today and visit the pharmacy.

About 20 minutes: Heart beating faster or louder. I Felt like I got paralysis on my middle finger. Feeling numb. 20 - 30mins: Felt a little drowsy, dizzy? Heart beating faster or louder. 1hour: Tiredness and drowsy. 1st day - 2nd~3rd day: Muscle pain (pretty bad on the arm) and all over the body. Middle finger feeling numb. Evening, April 13th - 16th: Slight shortness of breath. It got much better, but I still feel very very minor shortness of breath. Evening, April 15 - April 17th (until 6am): Hives on neck, under eyes(Right side), Between front of my left eye and nose, near mouth, Forehead. Very itchy. Hives keep appearing and disappearing. It gets better and then all the sudden gets bad. April 17th evening (8:00pm): Face and neck itchy. I had 1 pill of Benadryl after seeing a doctor. I had fever and chills. April 18th: Nose bleeding. Having a little chest pain.

I woke up at 7 AM the next day with a very swollen throat - uvula swelling. It felt funny to swallow. I tried to cough it out and spit up blood. I had a phone appointment with an online doctor. The doctor said to go to urgent care. The urgent care doctor gave me prednisone and a script for an epipen. The doctor also sent a referral to an allergy specialist to determine what actually cause the reaction and to tell me whether I should get the second dose or not.

At approximately 0845, patient began to complain about a tightness in her throat and chest. This was 13 minutes after receiving her COVID vaccination while sitting in post vaccination waiting area. Was escorted to the Clinic where she was assessed by medical provider, and EMS was called. Pulse oximeter showed 100% oxygenation. EMS arrived approximately 0920 and transported patient via ambulance to Emergency Room.

I experienced what I felt was a panic attack a little over two days after I received my second dose of Moderna. I had shortness of breath, mind fogginess, chest pressure, and dizziness when standing up. It didn't seem to go away fully that night as I went to bed with slight shortness of breath and I woke up with chest pressure the next morning. I continued to have slight chest pressure/pains that came & went as well as a bad headache so I went to go see my doctor. He suggested that it was from anxiety & side effects from the shot since I had Covid in March of 2020. I still have chest pressure/pain and headache that comes and goes.

10 minutes after her first dose, pt described that she couldn't feel her "legs," had a "hard time breathing" and likened to a minor version of any dystonic and catatonic reactions she has had in the past.

Immediately after getting the vaccine, I felt my heart race. I was a little lightheaded, but I thought it was normal, so I didn't notify the healthcare workers. Approximately, 20 to 30 minutes after the shot and after leaving vaccination facility, I had chest pain and shortness of breath, which stopped after about an hour. About 6 or 7 hours after the vaccine (9 or 10 pm), I started having shortness of breath, cough, mucus in my throat, slight chest pain, shivers and trembling (temperature was about 36.8 Celsius). At some point, for a few minutes, I felt lightheaded, dizzy, my speech was slow, slurry and I had brain fog. After some hours, the symptoms receded. I was able to fall asleep at about 3 am. The next day, I only felt a little shortness of breath and body aches. The second day after the vaccine, I felt almost normal except for a lingering, occasional shortness of breath.

4/4/21 while hiking my heart started beating really fast, which is unusual, but chalked it up to the hiking. Then for several days after that, my heart would randomly ?flutter? but it only lasted a couple seconds, I assumed it was anxiety. 4/11/21 I was on a walk and my heart started beating really fast and it was hard to breathe. I went back home. 4/12/21 I was at work when suddenly my chest felt tight and it was hard to breathe for a few seconds. Then following that for days it was the fluttering again, off and on, maybe once every other day, but now my chest had started hurting and feeling tight without the heart palpitations. Just all of a sudden a tight chest, this continues every day including today . 4/26/21 I was at work sitting at my desk when my heart started beating wildly, I?ve never experienced anything like that before. It lasted longer than the others and was stronger, and towards the end it was hard to breathe. I spoke to my doctor and she ordered bloodwork. I went to urgent care and they listened to my heart and lungs, and did an EKG and said everything looks good at the moment. I can still feel the chest tightness. I bought a heart monitor so I can track these flutters.

Intense muscle cramp in left side of neck/jaw. Causing inability to swallow and difficulty breathing. Severe for 5 minutes, moderate for over 1.5 hours currently.

10:30pm uncontrollable shivering and shaking and teeth chattering, racing thoughts and mild-moderate delirium, 11:30pm pounding and racing heart (my normal resting HR is 55bpm, and Hr was 120-130bpm) which continued the entire night into the morning, 12:30 hot and cold flashes, neck pain and stiffness and jaw pain, pain/discomfort in lungs when taking deep breath, 1:00am took 1000mg acetaminophen, insomnia the entire night as well until 4am. These symptoms continued into the following day 4/25/21 on and off until 9pm (along with expected symptoms like muscle aches and joint aches) and the pain in lungs with a deep breath continued consistently until 9pm 4/25/21. As of 4/26/21 all symptoms have resolved.

The patient complained of rash on bilateral arms, chest, neck. Denies shortness of breath. The patient took over the counter Benadryl at home. Patient received 0.3mg Epinephrine IM and Benadryl 50mg IM in urgent care

Day 2 - Extreme fatigue and disorientation/vertigo, and felt like I could not breathe. Went to Urgent Care and was told it was an allergic reaction. Was prescribed an over the counter antihistamine and told not to receive the second vaccine. Over the course of the following week pain throughout my body worsened - the most painful being in my ovaries, in my muscles, and (believe it or not) feeling like in my blood! I eventually stopped sleeping and psychosis developed. I was voluntarily hospitalized in an ER first, then in a Psych unit at Hospital where my psychosis was stabilized along as the primary concern while my physical health symptoms were monitored and managed with (what I assume was) patient-lead care. During my time in-patient I requested to stop taking my birth control pills, which was heard. Upon leaving the hospital (currently 2 days out), I have continued taking prescribed mental health medications (Geodon 20mg in the evening, Prozac 40mg in the morning) and continue to monitor and manage my pain with over-the-counter Tylenol. Since leaving in-patient the pain is localized to pelvis/ovaries.

Patient reported experiencing shortness of breath and pain at injection site x 14 days post vaccination of first dose. Patient reported receiving treatment from EMS however was prescribed Tylenol and was not transported to ED.

Intense shoulder pain. Shoulder blade/Scapula is inflamed and radiates heat/pain. Limited mobility and shortness of breath due to pain in upper back.

After about 3 minutes of getting her covid-19 vaccination, patient starting fainting while sitting on her chair in the observation area. I was right in front of her, so I held her and made her lie down in a supine position and ensured normal breathing. She came back to her senses in about 20 seconds. Upon discussion with the patient - she also complained about nausea & dizziness feeling. Also, breathing difficulty for a few minutes

Within minutes of receiving the 1st dose of moderna, I got extremely shaky, weak, hot (started sweating), and felt as if I would pass out. These symptoms mostly subsided within the 15 minute waiting period. The exhaustion/weakness lasted about 2-3 hours after the injection. I noticed upon eating afterwards (within 1 hour of vaccine) that it was harder to swallow and my throat just felt a little swollen. By that evening, around 6 pm all of these symptoms had subsided and I just had a very sore arm (in the muscle) and tightness/swelling in my trapezius muscle for a few days.

Extremely lathargic, cannot move without running out of breath. Has a very difficult time breathing and she is unable to do ANYTHING

Patient said felt throat staring to close and we administered epi-pen 0.3 mg. Patient was transported to hospital, checked out and released later same day.

Patient works at the store and after receiving IMZ at 1pm returned to pharmacy stating she was not feeling well. She was blurry eyed and was short of breath with an itchy throat. She stated she had allergy to fish and recently had allergic reaction. She had used an EpiPen before in November. She was given diphenhydramine 50mg and an EpiPen 0.3mg AutoInjector and we called 9-1-1. Paramedics arrived and attended to her.

After receiving Covid 19 vaccine, patient reported airway felt like it was closing. Epi Pen was administered and 911 was called. BP 162/90, Pulse 75, Pulse Ox 99%. 10 minutes post Epi pulse 80, Pulse Ox 99%, BP 166/96. Patient discharged to ED via ambulance. Patient was stable in the ED and eventually discharged. Patient was not admitted to the hospital.

Headache, neck pain and stiffness, fatigue, brain fog, trouble concentrating, shortness of breath on exertion. Lasting greater than 2 months after vaccine. Followed up with PCP and urgent care. Neurology consult, Long-haul covid clinic consult (awaiting appointment).

03/14/2021 I woke up at 2 am and I was coughing, I had coughing attacks and it was hard to catch my breath, I had drainage in my throat, runny nose, slight fever, 100.4. Persisted for a few days. Visited Urgent Care

Presented to the ED after 2nd covid vaccine. 5 minutes after the administration patient developed throat fullness, she was administered one dose of an epi pen and symptoms were somewhat relieved. After first dose she broke out in hives a week after, which resolved.

I went to the hospital due to shortness of breath and extreme pressure and pain in my chest, specifically surrounding my heart, diaphram, and radiating up to my collar bones and shoulders. After blood work and EKG, they found that my EKG was irregular and I had an elevated D-DIMER blood result at 1600. I was taken for a CAT scan of my upper abdomen and they found that I had a large (650ml) pericardial effusion causing cardiac tampenade. I underwent a procedure that inserted a needle into my pericardium, sucked out the fluid, and inserted a drain tube for 48 hours to drain excess fluid. Upon additional testing, it was determined that I had none of the usual causes for a pericardial effusion (no heart attack or trauma, no infection either viral or bacterial, no cancer, no autoimmune conditions.) My inflammation markers were extremely elevated and my lymph nodes in CAT scan were swollen. As a result, I now have constrictive pericarditis, scar like tissue surrounding my heart constricting its function.

Very severe flu like symptoms - chills, night sweats, muscle aches, nausea, and vomiting. Chest pain and shortness of breath. Very large rash at injection site.

patient's throat swelled up and couldnt breath quite easily. gave epipen and 10ml of benadryl solution. patient was able to breath more easily within minutes

Well the next day I felt like I couldn't breath and I was very pail and cold and clammy. The people that I live with told me I passed out for about 30 seconds. I had that tingly feeling all over my body and could not breath still. They called the ambulance and went to the hospital, they gave me Ativan, but they told me I needed to see a DR and get checked out. So after I left the hospital I was fine but every day since the 11th on June 2021 I have had similar symptoms but just a little smaller intensity. Eventually the shortness of breath it started to go away. Then on the 19th of June I was very light headed and just feeling very week for about 4 hours and then on Monday the 21st of June I had a "normal" day so apparently I am starting to feel better. On the 15th of June I also had a very bad heavy breathing panic attack like symptoms. She prescribed me the generic of Ativan. I went to the DR yesterday 6/22/2021 to follow up, but am feeling better so far. I have felt fine ever since the 21st June 2021, but that has been only a few days since then.

Approximately 9 hours after I got the second dose of Moderna, I woke up and didn't feel well. I ended up fainting due to low blood pressure. I was taken to the ER and given an IV. Then a few days later, I felt unsteadiness/lightheadedness for approximately two weeks. Then that subsided and then I was experiencing shortness of breath for one to two weeks. Ever since the second dose of the vaccine, I've felt off.

This spontaneous case was reported by a consumer and describes the occurrence of SEIZURE (Convulsions), DYSPNOEA (couldn't breathe) and OROPHARYNGEAL DISCOMFORT (felt like her throat was closing) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038L21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was reported. On 05-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 06-Jun-2021, the patient experienced DIZZINESS (dizziness), PAIN IN EXTREMITY (arm soreness) and HEADACHE (headache). On 12-Jun-2021, the patient experienced DYSPNOEA (couldn't breathe) (seriousness criteria medically significant and intervention required), OROPHARYNGEAL DISCOMFORT (felt like her throat was closing) (seriousness criteria medically significant and intervention required), INSOMNIA (couldn't sleep), VACCINATION SITE SCAR (huge spot at injection site), NAUSEA (nausea) and VOMITING (vommitted). On an unknown date, the patient experienced SEIZURE (Convulsions) (seriousness criterion medically significant) and VACCINATION SITE REACTION (She is still having an injection site reaction.). The patient was treated with IBUPROFEN at an unspecified dose and frequency and DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. On 07-Jun-2021, DIZZINESS (dizziness), PAIN IN EXTREMITY (arm soreness) and HEADACHE (headache) had resolved. At the time of the report, SEIZURE (Convulsions), DYSPNOEA (couldn't breathe), OROPHARYNGEAL DISCOMFORT (felt like her throat was closing), INSOMNIA (couldn't sleep), VACCINATION SITE SCAR (huge spot at injection site), NAUSEA (nausea) and VOMITING (vommitted) outcome was unknown and VACCINATION SITE REACTION (She is still having an injection site reaction.) had not resolved. 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 reported. The patient went to emergency room and they gave her Benadryl she had convulsions, and she never had an issue with Benadryl. They then gave her steroids that helped with her symptoms of throat closing and breathing. She was still having an injection site reaction. 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.

worsen episode; heavy breathing; lightheadedness a day; passed out; the left arm was very weak then the whole body very weak; trouble breathing like a shortness breath; tingling feeling in the whole body; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (passed out) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 038C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 10-Jun-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-Jun-2021, the patient experienced LOSS OF CONSCIOUSNESS (passed out) (seriousness criterion medically significant), ASTHENIA (the left arm was very weak then the whole body very weak), DYSPNOEA (trouble breathing like a shortness breath) and PARAESTHESIA (tingling feeling in the whole body). On 12-Jun-2021, the patient experienced RESPIRATORY RATE INCREASED (heavy breathing) and DIZZINESS (lightheadedness a day). On 15-Jun-2021, the patient experienced CONDITION AGGRAVATED (worsen episode). The patient was treated with LORAZEPAM (ATIVAN) on 15-Jun-2021 at an unspecified dose and frequency. On 11-Jun-2021, LOSS OF CONSCIOUSNESS (passed out), DYSPNOEA (trouble breathing like a shortness breath) and PARAESTHESIA (tingling feeling in the whole body) had resolved. At the time of the report, RESPIRATORY RATE INCREASED (heavy breathing), DIZZINESS (lightheadedness a day), CONDITION AGGRAVATED (worsen episode) and ASTHENIA (the left arm was very weak then the whole body very weak) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant medications include birth control very low dose. 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.

Felt like she was gong to to pass out; Dizziness; Felt somewhat confused; Felt hot; Felt it was hard to breathe; Heart was racing; Fatigue; Nauseous; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Felt like she was gong to to pass out) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. D22B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history reported. Concomitant products included VALPROATE SEMISODIUM (DIVALPROEX) for an unknown indication. On 26-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced LOSS OF CONSCIOUSNESS (Felt like she was gong to to pass out) (seriousness criterion medically significant), DIZZINESS (Dizziness), CONFUSIONAL STATE (Felt somewhat confused), FEELING HOT (Felt hot), DYSPNOEA (Felt it was hard to breathe), PALPITATIONS (Heart was racing), FATIGUE (Fatigue) and NAUSEA (Nauseous). At the time of the report, LOSS OF CONSCIOUSNESS (Felt like she was gong to to pass out), DIZZINESS (Dizziness), CONFUSIONAL STATE (Felt somewhat confused), DYSPNOEA (Felt it was hard to breathe) and PALPITATIONS (Heart was racing) outcome was unknown and FEELING HOT (Felt hot), FATIGUE (Fatigue) and NAUSEA (Nauseous) was resolving. 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 medication were not reported. Patient experienced dizziness and felt somewhat confused. She also felt like it was hard to breathe, and she was going to pass out. Her heart was also racing. At the time of reporting patient further stated that she experienced fatigue, and she felt nauseous and hot but she was feeling better now. Company comment: This case concerns a 29-year-old female with a serious unexpected event of loss of consciousness, and nonserious dizziness, confusional state, dyspnea, palpitations, feeling hot, fatigue, and nausea. Event onset 3 days after first dose mRNA-1273. Events resolving. 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 29-year-old female with a serious unexpected event of loss of consciousness, and nonserious dizziness, confusional state, dyspnea, palpitations, feeling hot, fatigue, and nausea. Event onset 3 days after first dose mRNA-1273. Events resolving. 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.

Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

My throat closed and it has gone downhill since then. My lungs have not stopped hurting since that day, I keep getting a rash and I react to sunlight. My vision is foggy, my eyes hurt. I have low back pain and I feel like my kidneys hurt. I get confused very easily now. My neck and my head hurt. I feel like a big ball of pain. I have been to ER 3 times since the 2nd dose. My normal doctor believes I had an autoimmune response to vaccine.

On 01/29/2021 I began to have severe chest pain, shortness of breath, fatigue, dizziness, right arm numbness, severely low BP. I was taken to the ED on 01/30/2021, 02/04/2021, and 02/18/2021. Each time I was cleared for COVID-19, heart attack and stroke. I was given bags of IV to help increase my BP because it was (on average between the 3 visits) 90/55. Other than that I was not "treated" for anything. I followed up with Cardiology and Endocrinology and continue to follow up to hopefully find an answer and a "cure" to start to feel better.

After Moderna shot on 7/8/21 around 6:55p.m., patient complained throat swelled up, numbness of face and tongue, airway closing up, fast heart rate (heart rate went from 80 to 144bpm in a few minutes). Benadryl 50mg was given around 7:05pm but patient did not feel better. Epinephrine 0.3mg was injected around 7:15p.m. Patient felt better. Around 9 p.pm, patient felt hurt in stomach and dizzy that she could not walk and needed to be escort on wheelchair. With patient's agreement, I called 911 and ambulance came. BP measured 140/90mmHg. Patient was escorted her to the hospital. On 7/9/21, pharmacy manager called to follow up and patient was doing fine with no symptom. On 7/12/21@12:31p.m, pharmacist called to follow up, patient complained patient has mild rash on skin and leg, light cough, chest pain, slight tingling on tongue and weird taste. Patient will visit her primary care doctor on 7/13/21.

I recieved my second vaccine 4/8/2021. Beginning of May to mid may range, I developed chest pains, palpitations, dyspnea, fatigue on and off. It was never severe enough to go to doctor. It never got better so I saw my PCP. She ordered lab tests and Holter monitor which came back fine. I chalked it up to my zoloft not working and had her increase my dose in case it was anxiety related. I saw that we should report things if they seem odd so just wanted to make you aware

30 minutes after my vaccination i had really bad chest tightness and heaviness it lasted about a week. I could not reach out and grab anything and was out of breath all the time. I had body fever and tiredness. I went to the doctor but they didn't run any test and just said that i was diagnosed with chest inflammation.

Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Dizziness / Lightheadness-Severe

Within 5 minutes of patient receiving the vaccine during her monitoring period, she complained of nausea and dry mouth, then dizziness; initial blood pressure 172/98, HR 126, RR 24 and O2 Sat 99% RA; activated EMS at 2:13pm; patient assisted to lie down on a cot, at 2:18 pm BP 142/88, HR 109, O2 sat 97%; c/o difficulty swallowing and feeling tightness in throat, no rash or hives seen; EMS arrived on site at 2:23 pm and evaluated patient in vehicle and then transported; contacted patient by phone at 7 pm on 3/31/2020 - was transported to Seton ER on 38th Street and received an antihistamine and medication for nausea, discharged at 5:00 pm and given new prescription for Epi pen since the one she had was expired; pt stated she felt much better

The night of getting the vaccine I was the sickest; fatigue, malaise, body aches, hot and cold sweats, weakness, loss of appetite, dizziness. The day after I had to call into work due to these symptoms. Since then I?ve continued to feel fatigue, throat swelling / scratchiness, dry cough, malaise. Also arm soreness.

The onset of symptoms started around 9:15am. I experienced numbness and tingling to bilateral feet and lower legs. I experienced dizziness. I also experienced an increased heart rate (160s-170s BPM). I was hyperventilating and had difficulty with breathing. I was pale and cold. I had uncontrollable shakes. My BP was a bit higher than my normal but not hypertensive. I was given candy and juice after onset of symptoms. ( I did have an English muffin prior to receiving the vaccine). My symptoms subsided for some time but then came back about 15 minutes later. These symptoms continued to occur about every 15 minutes for a period of close to 2 hours. I was given Benadryl 50mg PO after the first hour of symptoms. I continued to experience the symptoms for up to about 45 minutes after being given Benadryl. My symptoms began to subside and eventually stopped after the 2 hour mark.

Presented to the ED after developing chest tightness, cough, lightheadedness, and throat closing sensation. She received the Moderna COVID-19 vaccine on the morning of presentation. Within 15 minutes of receiving the vaccine she developed pain and numbness, starting at the injection site traveling down the ulnar aspect of her arm, and nausea. Over the next several hours she continued to develop worsening nausea, chest tightness, cough, lightheadedness, and the sensation that her throat closing. She took PO Benadryl 25mg; however, her symptoms were not alleviated. She was subsequently evaluated in the ED.   Received PO Benadryl 25mg, IV Benadryl 25mg, Epinephrine 0.3mg x 2, IV Famotidine 20mg, IV Solumedrol 125mg & 60mg, DuoNebs x 3, Racepinephrine x 1.

W/in 10 minutes of receiving vaccine of reported SOB Felt like she couldn't get enough air - removed mask - still SOB - took BP 110/72 @ 1045am- pt waited to make sure she was sure she was having a RxN before taking Benadryl. Took 50mg Benadryl @1115 D/C 1145 Feeling Normal

CO came to me at 1105 C/O fast heart beat and feeling a little SOB, thinking she was possibly having an anxiety attack. She was scared to get the COVID-19 vaccine. Then she said she did feel SOB and throat feels tight. I grabbed the EPI pen and injected 0.3mg into lateral right thigh. Brought patient to our emergency room, administered Benadryl 25mg (2 caps) po. Started IV NaCl 1000 mL in RAC. Administered famotidine 20mg/2ml IPV over 2 minutes. Currently on slow IV drip, 2nd bag. Patient is doing well. She was initially shaky after the EPI pen but throat did not feel tight less than 10 minutes after injection. Currently is relaxed as I monitor her. Vitals have been stable.

Started having severe chills on saturday Jan 2, 2021 resolved with acetaminophen and rest. The next day it kept coming back and more symptoms became present. Symptoms: chills, fever (100.7F), diarrhea, shortness of breath, cough, fatigue, muscle and body aches all over and loss of appetite. OTC meds have helped, but does not resolve. Still unable to get out of bed or function due to severity of cough and shortness of breath as of today Thursday Jan 7th, 2021. This has been going on for 6 days now.

5 minutes after vaccination patient reported heart racing and dizziness. Blood pressure and heart rate were checked. Both were elevated at 146/90 and 133. Patient told to take slow deep breaths. Blood pressure and heart rate checked 15 minutes later. They were lower than first reading, but still elevated. About 5-10 minutes later, patient stated her throat felt a little tight. Patient was given 50mg of benadryl 12.5ml/5ml. Nurse practitioner came from urgent care clinic connected to the pharmacy to evaluate. Patient was taken to a room at the urgent care to have vitals monitored and to lay in a supine position. Patients' vitals normalized, and patient was released around 5:05pm. Patient was given instructions to take benadryl later this evening from aprn, and to go to the er if any problems develop with breathing.

One hour after administration adverse events noticed: major headache that continued on and off for 7+ days, metallic taste with fullness of throat on and off for a few days, following day neck and upper shoulder soreness on and off for 7 + days, general fatigue on and off for 7+ days

I received my vaccination at my place of work. Local pharmacy came in to administer them. In less then a minute of recieving the vaccination I experienced a tightness in my chest and difficulty breathing. I told my symptoms to the pharmacist that was there. I had to take my mask off due to the difficulty breathing. I sat down and was trying to catch my breath. Roughly 10 -15 minutes passes then my throat began to swell. My extremities were feeling tingly and I was very dizzy. I sat with my neck extended to maintain my airway until they could locate some benedryl. My voice was wheezy when attempting to answer questions the pharmacist was asking. The pharmacist wanted to administer the EpiPen but I would not allow her to because then they would have to call 911. It took about 45 minutes in total to locate benedryl. I took 50 mg. Roughly 15 -20 minutes after taking the benedryl I was able to breath with ease. I waited about another 15 minutes at the facility to ensure I was ok. I was told I would not be recieving the second dose due to my anaphylactic reaction.

After 15 min from receiving vaccine I started feeling tightness in my throat, chest and my mouth , the nurse were walking around so I told the nurse I could not breath and the nurse told the doctor and the doctor looked into my mouth and saw my mouth and throat were swelling. I was taken into a clinic room and given a epi shot and another one less then ten mins. both given to left thigh . Along with oxygen. Ambulance came and given Benadryl and started and IV. they took me to the hospital. once I was at the hospital I was given a shot of prednisone and had a fast HR, was released 3 hours later (1/7/21) Was given RX by the ER doctor. Still have a sore throat, my tonsils are really really bright red , my tongue is still a little swollen with red dots and a tingle feeling.

25 minutes after the administration of COVID-19 (Moderna) vaccine, reported complaints of throat tightening and difficulty swallowing, respiratory effort unlabored, no retractions, facial or lip swelling noted. Denied any GI symptoms or rash.

25 minutes after receiving the COVID-19 (Moderna) reported having difficulty swallowing and tightness throughout the throat, able to speak clearly. No facial or lip swelling noted. Respiratory effort unlabored, denied any GI symptoms or rash.

APROXIMATELY 25 MIN AFTER RECEIVING VACCINE DOSE C/O FEELING LIGHTHEADED, SOB,C/O FEELING WHEEZY, HAD NON PRODUCTIVE COUGH. VS 121/71, HR 66, RR24, O2 SAT 100% ON RM AIR. STATED SHE HAD SIMILAR SYMPTOMS A FEW YEARS AGO AFTER RECEIVING FLU SHOT WITH PRESERVATIVE BUT HAD FLU SHOT PAST FEW YEARS WITH NO PROBLEM,PATIENT WAS TAKEN TO ED AT MSMHC

0756:15 minutes after immunization she stated that she felt itchy. Her back felt itchy. Hives were noted on her left arm. Felt she was going to pass out. 0800: Taken to ED. Evaluation revealed tachycardia, c/o throat constriction, wheezes heard on auscultation of lungs, hives noted on chest. Treated with Decadron, Benadryl, Famotidine and Ativan. She was observed for 5 hours before being discharged.

ABOUT 3 MINUTES AFTER RECEIVING VACCINE, PT REPORTED LIP SWELLING, PT EVALUATED AND FOUND TO HAVE MODERATE EDEMA TO LIPS, SENSATION OF SWELLING TONGUE AND THROAT. PT ALSO NOTED TO BE BRADYCARDIC, PLACED ON MONITOR, AND PT WAS IN BIGEMINY WITH A HR OF 55, PT GIVEN BENADRYL IM, VS WERE STABLE, MODERATELY HYPERTENSIVE, WITH AN 02 SAT OF 100%, IV ESTABLISHED AND PATIENT MONITOR WHILE AWAITING PARAMEDIC RECUSE AMBULANCE. PT DID NOT WORSEN AND BIGEMINY RESOLVED. 12 L PM WERE UNREMARKABLE, NO EPI GIVEN EN ROUTE, PT TRANSPORTED TO EMERGENCY DEPARTMENT WITHOUT INCIDENT.

light headed, flush, wobbly on feet when attempting to stand, BP elevated, diastolic over 100, HR elevated , dilated pupils, became SOB. states she was observed for 30mins post vaccination. was still experiencing weakness when leaving the hospital and got a ride home. states s.sx improved within 10 hrs.

Approximately 5 minutes after receiving the Moderna COVID-19 vaccine in my left deltoid, my mouth felt prickly and tasted metallic, my lips and tongue turned red and slightly swollen, along with swelling in my throat. After about 30 minutes the oral sensations improved, but my throat tightness increased. With some difficulty I swallowed a 25 mg capsule of diphenhydramine. Fifteen minutes after ingesting the capsule, the esophageal swelling improved slightly. Over the next 18 hours I continued taking 50 mg diphenhydramine every 4-6 hours. On 12/31/20 I no longer experienced any oral/esophageal swelling or abnormal sensations. However on 12/31/20 I developed severe pain and swelling at the injection site, extending to the left shoulder, head and neck, along with profound fatigue and full body myalgias and arthralgias, lasting through 1/3/21. I felt well January 4-6. However, on the evening of 1/6/21 I again developed severe pain and swelling at the injection site, extending to the left shoulder, head and neck, along with profound fatigue and full body myalgias and arthralgias, persisting until 1/9/21. On 1/8/21 I additionally experienced pruritis and erythema on my left deltoid, this resolved spontaneously on 1/10/21.

Approximately 30 minutes post immunization, she developed throat tightness and tongue swelling. Patient was assessed by the Medical Assistance Team and transferred to ED. Did not require epinephrine prior to transfer.

chest tightness with inspiration, throat tingling, scratchy throat. no labored breathing, no tongue or lip swelling. she notes also right leg hurts but able to stand and walk on leg with improvement. Monitored with stable VS. O2 Sats at 100% and non labored breathing. Given total of 50 mg Benadryl and monitored for total of 45 minutes from exam time and she was taken home by family member and given ED precautions.

Pt reported her chest hurt, dizziness, chest tightness, heart racing, anxious, shaky. Shaky voice, inc. RR, elevated BP & HR, O2 Sat 99%, diaphoretic. vs monitored, pt laid down, practiced pursed lip breathing. 22 min after symptoms reported, pt began to improve. c/w vasovagal response. pt d/c feeling well/stable condition 1hr after symptoms first reported.

Rash around injections site, anterior upper chest wall rash, tachycardia (HR 120-150), numbness in hands, SOB, dizziness, nausea. Treated with Xyzal and prednisone

Patient reported noticing throat closing up. Has had previous anaphylactic reactions in the past, and had epi-pen on site. EMTs evaluated, vital signs taken, and patient was transported to emergency room.

Day 1-After immunization on Jan 8, 2021-covid 19 moderna vaccine-no symptoms or concerns on this day Day 2- Woke up at 3am-headache, chills, felt cold, fever 101.4F-took ibuprofen as needed Day 3-Woke up trouble breathing-history of asthma, used inhaler and resolve, temp at 99.7 continued to take ibuprofen as needed Day 4- No signs or symptoms

30 y.o. female who was seen at a COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines. She was given the Moderna vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience Right arm pain, numbness/tingling and soreness, note that injection was given in left arm. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. ALLERGY REVIEW OF SYSTEMS: Patient complains of muscle aches (Right arm) Previous Reactions: No previous reactions to vaccines. Objective Vitals Vitals: 01/15/21 1239 01/15/21 1248 BP: 137/89 134/89 Pulse: 99 100 SpO2: 100% 100% Blood Sugar 66 collected at 1236 * Patient given snack (granola bar) just before blood glucose checked. Physical Exam Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is not ill-appearing. Cardiovascular: Rate and Rhythm: Normal rate. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Musculoskeletal: Right shoulder: She exhibits pain. She exhibits normal range of motion and no tenderness. Right elbow: She exhibits normal range of motion and no swelling. No tenderness found. Right wrist: She exhibits normal range of motion and no tenderness. Skin: General: Skin is warm and dry. Neurological: Mental Status: She is alert and oriented to person, place, and time. Assessment/Plan Treatment included: Ibuprofen/analgesics. Follow up response to treatment: no change. Patient discharge: Stable to go home and follow up with PCP. Reports that she had work up for Guillain Barre 2.5 years ago but this was ruled out. States that she has had intermittent pain of all extremities since that time and has a handicap parking placard due to this. She denies any pain in right arm prior to the vaccine but states it started just a few minutes after administration. She has full ROM without difficulty and full sensation but reports some numbness and tingling as well as soreness but not necessarily tender to touch. Ibuprofen was administered but shortly after patient requesting to leave and feels this pain is the same as what she's had over the past 2.5 years but wanted to keep us aware. She will be discharging home and states she does not live alone.

Symptoms started 30 minutes after injection: Shortness of breath, chest tightness and pressure, difficulty breathing, throat tightness, all over body pain, nausea and vomiting, extreme diarrhea, stomach cramps

"history of multiple allergic type reactions in the past is presenting for itching and the feeling of hoarse voice after receiving the first Covid vaccine. Here, she is slightly tachycardic, but her oxygen level is good, her lungs are clear. She has no urticaria, she has no stridor or wheezing. She does not wish to receive epinephrine because she has had such bad effects from it in the past, and is agreeable to Solu-Medrol and Benadryl. She took Pepcid prior to having her injection. Her friend who is with her recommends that she has a history of severe events like this in the past, and she usually does better after breathing treatment. However, patient states that she often ends up on BIPAP" PER ED MD NOTE

Facial swelling, rash, difficulty breathing, tingling in face, tachycardia, dizziness, fever, Treatment: Epinephrine, clartitin, steroids

I started feeling generally unwell around 9:00 PM. I developed chills and fever around 10:30 PM. I went to bed and fell asleep until 12:00 AM. I fell back asleep until 3:30 AM. I woke up with a racing heartbeat, chills and shortness of breath. My oxygen saturation which is usually normal was in the high 80?s. I took another dose of Motrin 800 mg and was able to break my fever and this reduced my heart rate. My oxygen saturation was still low. I fell back sleep around 4:10 AM and was able to sleep until 7:00 AM. I took another dose of Motrin around 8:00. I had a persistent headache and general malaise the day following vaccination. 2 days after vaccination I still felt very tired and weak and had a persistent headache. Day 3 was symptom free.

Heart rate increased from 71 to 158 (captured on apple watch) within two seconds post administration, and experienced shortness of breath, flushing and palpitations.

30 minutes after vaccine heart rate increased to 130 BPM, tingling in extremities, lightheadedness, rapid breathing, and nasal congestion began. Patient was driving home from vaccine site when symptoms presented. Patient drove to nearest emergency room for assessment and treatment. Patient was placed on heart and blood pressure monitors. IV fluids were administered. EKG was administered. Heart rate decreased after about an hour. Patient stayed at the emergency room for roughly 2 hours before feeling well and being released.

After the vaccine I got chills beginning at 10pm. About 1am I got a fever but was already taking started tylenol and motrin because I developed a headache also. The fever went as high as 101.2. On Tuesday I woke at 2am soaked in sweat and the fever had broke. Later that day the fever returned at 100.5 but broke on its on. By Saturday I woke up again with SOB and super cold. Fever had returned at 101 so I went to Urgent Care because the fever just kept returning. A chest xray was done and it showed my lungs were really inflammed. The fever returned later but went away. The SOB is still here. And on 1/19 I got the same feeling with SOB, 101.1 fever and felt awful all over again. So I visited with my PCP and another chest Xray and blood work was done again. The chest xray showed normal but was started on a Flovent enhaler to help with the breathing and SOB.

About 10pm I developed chill but was already taking tylenol and motrin because I had a headache. About 1am I developed a fever of 101.5 which had went to 102.1 and for 24 hrs I could not get it down below 101. On Tues I woke up at 2am soaked in sweat but the fever had broke for about 12 hrs. I developed another fever of 100.5 but it went away with no medication. I felt better the next day but the fever returned later along with SOB and because the fever returned it prompted me to go to the urgent care where a chest xray was done. The xray showed my lungs were inflamed. On 1/19 I developed the same SOB, chest tighness and another fever of 101. I reached out to my doctor and had an office visit where another xray was done but normal and was started on the Flovent enhaler to help with the SOB and breathing.

15 minutes after receiving the vaccine, I was feeling light-headed. Upon having my vitals checked, my heart rate was at 110bpm. By the next morning my whole body was sore, especially at the injection site, and I was feeling flush and was sweating. I also have experience lost of appetite, fatigue, and shortness of breath.

Tachycardia (active) Had expected chills, headache, fever (101.5-101.9, oral)... around 6am on 1/28/21, I took a warm shower and had near vasovagal syncope episode after feeling lightheaded and dizzy. As a result, I had mild nausea. If went away after 20 minutes. As the expected chills, headache, and fever continued, I started to develop tachycardia at rest (107-172bpm) with heart palpitations around 9:30am. The palpitations went away approximately 2 hours later. I still continue to have tachycardia with minor shortness of breath sensation. My heart rate is currently 115bpm at rest. My typical resting heart rate is 65-70bpm.

Fast heart rate, anexity, shortness of breath, sore arm, vomiting, chills, fever, muscle aches, migraine, shaking. 8:00AM to current but getting less severe 8:00PM .

Red, swollen injection site Welt two-three inches below site; not connected directly to site Fever of 101 Aches Chills Difficulty breathing- needed rescue inhaler Fatigue

As soon as the injection was given IM, patient's arm felt numb. Now it is still tingling. Itchy and swollen eyes, ears getting hot, itchiness on scalp and spreading, palpitations/increased heart rate, chest pain, slight straining when breathing.

APPROXIMATELY 10 MINUTES AFTER RECEIVING VACCINE C/O THROAT TINGLING, FEELING OF CLOSING AND BODY FEELS WIERD. BENADRYL GIVEN PO AND 911 CALLED. PT TRANSPORTED TO ED AT MHSO BY EMS. PT STILL AWAKE WITHOUT FURTHER SYMPTOMS

App 30 minutes post vaccination, pt was observed to have facila flushing- asked to take down her mask, we noted facial swelling pt now stated she has some trouble breathing. Assisted to stretcher, VSS 139/96 hr 92 regular, resps 14 no wheenzinf however, possible stridor noted, no tongue swelling clear speech, tolerating secretions, O2 sat 100%- 911 called pt transported to hospital- uneventful.

1/27/21-red rash noted below injection site LA spreading around arm with pain noted. 1/28/21-Went to ER & received Benadryl & Pepcid. LA from shoulder to wrist was swollen, painful & itchy. 1/30/21-Rash was gone and arm felt fine. 1/31-21-4 pm that day rash was back on LA, area hot to touch, swollen & painful, felt woozy. Noted itching on torso, back, arms & head. Went back to ER & given topical cream. 2/1/21-Now has a slight rash on RA & back reddened. States she is getting 3/4 of her normal breath. (She has asthma).

The morning after vaccination, patient woke up with chest pain, extreme body aches and fatigue. She reported headaches and shortness of breath, chills, no fevers.

Red rash appeared on Left upper arm. It was raised and itchy and mild wheezing accompanied the rash and itchiness. Oral Benadryl 50 mg taken twice approximately 10 hours apart. Rash was present 24 hours. Mild wheezing and allergy symptoms present approximately 18 hours.

Patient reported head tingling and tongue tingling. Patient had an occasional dry cough. Reported having asthma and wanted to try inhaler that was on site. Patient took inhaler but still was not having any relief. Given 50mg of liquid Benadryl for relief of tongue tingling. Vital signs taken two times, cough not subsiding and breathing becoming more difficult for patient. EMTs evaluated and placed on supplemental oxygen for comfort. Taken to the emergency room via ambulance with medic assistance.

15 minutes after injection, started feeling of impending doom, tachycardia (190), confusion, dizziness, and shortness of breath.

Ten minutes after receiving the vaccine, pt reported feeling a lightheaded and let us know that she was going to stay for an extra 15 min. walked pt to recovery first aid area. Gave the patient water and crackers. Pt reported feeling her heart rate felt fast and a she felt a little out of breath. removed pt mask.assessed pt, medical history, vaccine history. took vital signs, pulse ox, notified supervisor. continued to offer water and snack and suggested pt stay here until feeling better. stayed with patient until she felt better.

Around 4am on the morning after I had the second dose of the Moderna vaccine, I experienced a Laryngospasm / throat closure. I was gasping for air and choking as I was trying to wake myself up, it took about 5 minutes for my throat to fully open back up.

Recieved Moderna vaccine on 2/2 at 10AM. Shortness of breath symptoms at 2pm. Adverse effects started at 10PM- extreme body aches. 2/3 at 3:00am took temperature 102F fever. Admitted to Urgent Care Facility at 7AM. Doctor ran EKG test, X-ray lungs, checked breathing with stetoscope. Given benadryl, tylenol, Albuterol treatment, and liquid steroid to open the chest. Recieved a COVID-19 test. Results = Negative. Fever lowered to 98F before being released at 9:30AM. Shortness of breath still persistant with cough, nausea, and shortness of breath on 2/4/21.

I work up at around 7:45 am on Monday, 2/8, and around 8am I began feeling nauseous, having a headache, a funny taste in my mouth, and feeling out of breath

My symptoms began that night approximately 5Pm with severe body aches, a fever 101.6, shaking, tachypnea, a pounding heart rate, and swelling at the site. For the rest of night I felt quite terrible and the next day I felt similarly but with a temp of 100, and less vital sign related symptoms. Around 5 PM on 2/7 I started feeling better and my body started responding to Tylenol. The swelling persisted. I marked the erythema and measured it as 6 inches of swelling at 9PM, 7 1/2 inches by midnight, and this morning it?s 8 inches at 8am.

The pt drank a tea with cinnamon in it which she has a known allergy to. Once she realized this she took two 25mg Benadryl. She did not inform us of this until after the shot was given and she was under observation. As her signs of difficulty breathing and allergic blotches on her face increased 911 was called and an Epipen was used.

Started to get muscle aches and INTENSE chills at 11:30 pm. Arm was also quite painful around this time. Woke up at 0300 with nausea and a fever of 100.9. Also had a mild cough, SOB, fatigue, and low appetite. I called out of work that morning due to illness. I was instructed to get a COVID test that day. Results were negative. All symptoms resolved the following day with the exception of malaise which lasted until 2/5/21.

I was considered low risk for adverse events therefore was monitored for 15 minutes. As I left facility I started to have tingling and numbness in my right arm which is where I received injection. I then started to feel tingling and swelling in my mouth, tongue, and throat. I also noted some difficulty swallowing. I took 25 mg of Benadryl and monitored my symptoms. My symptoms resolved after 4 hours.

Pt's hands are swollen and red, and felt numbness to face. Pt also c/o feeling a scratchy throat, like she swallowed something. Pt went to the UC -received benadryl 50mg IM occurred 15 minutes after the second administration of the covid 19 vaccine. Given methylprednisolone 125mg IV, benadryl 50mg IV. Prescribed zyrtec x 3 days and medrol dose pack and discharged home.

Employee developed difficulty breathing, hives. Employee immediately sent to the Emergency Department for evaluation and treatment.

Developed right sided chest pain with sob approx 22 hrs after vaccine administration. Felt lightheaded with increased heart rate. Fatigue, nausea, chills. No fever. Pt contacted office and pt was instructed to report to ED for evaluation. Employee was evaluated at Medical Center. Pt was released and is feeling better today (2/11/21). No treatment per patient. Pt stated ED felt symptoms were side effect of Covid vaccine.

Rapid heart rate above 100 beats per minute when normal is around 70. Hard to take a deep breath due to chest tightness. Started a few hours after vaccine and continued for over a week (still occurring today)

Before vaccine I did take Benadryl and took my advice 500 inhaler concerned about previous anaphylaxis. I was fine in observation and about 1hour after my heart started racing and I became flushed with hives on my chest and mild difficulty breathing. My mother is a nurse and I had her stay with me and took 50mg more Benadryl and my albuterol inhalers and breathing issues subsided and I went to sleep for about 4 hours. When I woke up my heart rate was fine, flush was gone but I still had mild hives. For the next 4 weeks I have had hives on and off and itching. I have had this happen before during almond harvest but never this time of year. I am currently breast feeding and hives have resolved everywhere except for my chest.

Swollen and red tonsils, throat, and uvula. Painful swallowing. Fatigue and headache. Symptoms started 2/2 7-8 hours after receiving the vaccine and are still persisting 11 days later.

Fever of 104 and hives the day of the vaccine, followed by a rash on my arms, legs, and torso. My chest was tight and my throat was swollen. Went to the emergency department and was treated with Benadryl and steroids.

After receiving Covid vaccine, employee experienced lightheadedness, palpitations, and throat tightness. VS: BP 147/94, HR 112, spo2 100%. She was given water and snacks. Repeat VS: BP 128/90, HR 85, spo2 99%. After waiting longer, employee felt better tachycardia.

About 4 hours after the injection I began experiencing arm pain. In the middle of the night the muscle aches, headache, and nausea started. The whole next day I hardly left my bed due to extreme fatigue. The injection site was hard to the touch and so swollen you could visibly see a lump on my deltoid. My highest temperature taken was 100.8 and I had chills. I had a cough and could not take a full breath without coughing. I was congested. Later on in the day I had diarrhea. The following day I continued to have fatigue, muscle aches, headache, chills, and cough. I also had a rash on the area around the injection site that spread up to my shoulder, neck, and chest. The fatigue has continued until now, which is 50.5 hours after injection. I took ibuprofen 400-800 mg at a time 4 times throughout yesterday and today with little effect. I also took an antihistamine 4 times.

Hives and swelling all over body, face, armpits, vagina, and feet. Difficulty breathing. Zyrtec, Benadryl, and Prednisone all given at different ER visits. 4 ER visits in 3 days due to new or worsening symptoms.

Extremely short of breath O2 was in low 90s and pulse was 130+ . Labs drawn and D-dimer was elevated . No active clot was found by the time I got to ER and seen . Due date June 11th 2021

Shortness of breath, low tolerance for physical activity (winded walking up & down stairs or talking for periods of time) fatigue has improved, nausea is improving but worsens with exertion. Reaction to first dose was similar, took about a month to feel completely better. First dose lot #032H20A Left arm, IM, 1/21/21.

Vaccine administered 9:10am and reaction began around 09:15am with throat swelling, nausea and dizzy after 5 mins. Had some improvement with observation at 15 mins, vitals remained stable. Patient was able to drink water although continued to have throat swelling after 30 mins of observation. EMS arrived at 35 minutes and determined stable, asked for non-emergent ambulance to be called for transfer. Patient transferred per guidelines via EMS to Hospital approximately 10:15am.

5 mins- red itchy rash 1 hour- took zyrtec (benadryl allergy) 2 hours- itchy throat, shortness of breathe 230- diarrhea and nausea 230- given IV steroids 400- feeling better sent home with instructions to return to ER is symptoms return and to continue with oral antihistamines

I was observed for15 minutes and I went home and around 05:30-6:00 pm, my body started to ache. I started having 102.8 - 103 fever. I was having severe chills - never experienced these kinds of chills before. I took Tylenol. I tried to still go to work but I by was having difficulty breathing and on January 11, I called my primary care Dr. and waited for appt but on January 13, there was no appt available and she told me to go ER. ER part of medical group/hospital. They told me I might have COVID. Dr said severe reaction to vaccine. I was still having trouble breathing. I have albuterol inhaler that I use as needed. I had it in my bag and I used that (and I had been using it when I was having trouble breathing but it wasn't helping like it could have ). They sent me home but I was still having trouble breathing. I had difficulty breathing for about about three days and then it resolved. I followed up with my PCP - video visit after two days after ER and then I had an office visit with her. After two weeks, I felt recovered. Although my right arm still have pain - pinching sharp pain in my arm that comes.

after the shot, back pain intensified. Throughout the day, the back pain turned into severe stomach issues. Took stomach meds (pepto bismol) with no effect. Went to sleep and woke up in the middle of night with stabbing pain in my stomach. used a heating pad to help me go back to sleep. the 2nd day my stomach felt as if it was a balloon- extremely bloated and it hurt to breath deep, and stand straight. Took pepto, gas x, and also tried tums- nothing helped. Today is day 3, and I am back to feeling normal aside from still being very tired, and hazy. No more stomach issues. Called doctor to see what I should do today, and was advised to not take the second dose. Would like a second opinion.

Patient came today for her second vaccine. After receiving first vaccine, patient had some throat swelling at home. Was advised by MD to take Benadryl. Patient did, symtpoms resolved. Patient received vaccine around 0830. Within about 10 mins patient reported feeling of throat closing. No shortness of breath, no audile wheezing, able to speak with clear speech. O2 at 100%. Heart rate 50-60. Mom administered Benadryl PO at 0840. About 15 minutes after, patient began to complain of worsening throat swelling, lip swelling, and eyelid swelling. Patient unable to swallow water. Vital signs remain stable. 0.3mg EpiPen was administered at 0845. Security was called to initiate 911 procedure. After Epi, patient reported feeling better right away. Eye are little less swollen and O2 remained 100% entire time. Patient was alert and oriented, stable. Regular respiratory rate, regular heart rate, mild shortness of breath with speaking. EMS arrived and escorted patient to emergency room. In The ED, patient was observed and no medical intervention is needed. patient symptoms resolved and was discharged home

PT C/O DIZZINESS, SOB, TIREDNESS, AND FACIAL FLUSHING. SHE STATES THAT THESE SYMPTOMS STARTED ABOUT FIVE MIN AFTER RECEIVING HER VACCINE. AFTER 10-15 MINUTES HER EYES STARTED TO FEEL HEAVY AND SHE NOTICED SHE WAS SQUINTING MORE. SHE HAS A Hx OF ANAPHYLAXIS AND BROUGHT HER EPI PENS IN CASE SHE NEEDED THEM, BUT THIS REACTION WAS NOT AN EARLY SIGN OF HER NORMAL ANAPHYLAXIS. SHE MENTIONED THAT SHE CONSUMED A MONSTER ENERGY DRINK THIS AM AND A PIECE OF TOAST. PT DENIED CP OR CHEST PRESSURE. BP 134/92 AND 138/93 SpO2 100% HR 71 AND 67 PT APPEARED IN MILD DISTRESS DUE TO A SENSE OF TIGHTENING WITHIN HER CHEST AND FATIGUE. AFTER ALLOWING PATIENT TO SIT IN HER CAR FOR AN ADDITIONAL 15 MIN , GIVING HER COOL WATER, AND A SNACK , THE PATIENTS BREATHING IMPROVED 100% AND HER DIZZINESS/FATIGUE IMPROVED 70%. AT THIS TIME PT WAS STABLE TO TRAVEL HOME (15 MIN) AND INSTRUCTED TO EAT AND REST FOR THE DAY. PT WAS NOT GIVEN MEDICATION.

none for the first day. Day of shot was fine. 2nd day about 2:30 -3 pm symptoms started while at work. My skin all over hurt for anything to touch it, even my clothes hurt my skin and no visible rash anywhere, had the RN check. 3rd same thing as 2nd day, arm swelling and red around injection site. Minor rash started around 12pm on 3rd day, periods of shortness of breath. I am so far only 3 days in, the skin sensitivity all over is the worse I had to leave work. All reported to my nurse supervisor at work.

Bad Headache that began Monday afternoon (currently comes in waves) Hives/ Red Rashes all over body started Monday night (currently present) Shortness of Breath began Monday afternoon over by Monday Night

Immediately after injection, arm felt some tingling that subsided. Within 10 minutes of receiving the vaccine, my throat began to feel tight with my tongue feeling a heaviness. I experienced some difficulty swallowing and my heart began to race. Swelling did not worsen but face became flushed and entire mouth had a stinging/numbness. Took 25mg benadryl and 20 mg Pepcid about 25 minutes after vaccine and swelling is improved. Still some residual flushed feeling in my face and tongue still feels weird but am swallowing okay despite some dry mouth.

Started with chest pain one hour after and then was having trouble breathing and got chills and fever

45 mins past vaccination experiencing shortness of breath, chest tightness/lump in throat feeling squeezing/heart palpitations. not wanting to move around at all due to chest discomfort. heartbeat over 100 bpm resting shortness of breath relieved with inhaler went home and went to bed, chest tightness and palpitations through the night, along with chills/aches/ injection site pain and elevated temp 99.8 F persisted through evening and improved next day @ 98.4 F urgent care visit, feeling better, vitals in normal range, suggested EKG/ER to be sure no heart issues went to GP for EKG 3/10, EKG normal, vitals good

On March 15, 2021 around 9:00 a.m., I started to have severe COVID-19 symptoms. The most severe symptoms were, in the following order, fatigue, shortness of breath, dry cough, and nausea. I also had a moderate chills and a headache. All of these symptoms remained severe or moderate until approximately 2:00 p.m. The symptoms have now all lowered to mild after about 3:00 p.m.

Lightheadedness, dizziness, shortness of breath (resolved), sweats (resolved), nausea, throat tightness

onset of extreme fatigue within a few hours. by 8 pm strange pains all over my body: toes, fingers , arm, my scalp hurt. Nausea, dizziniess, fever, extreme chills, my head felt so heavy, burned to breathe through my mouth, cloudy vision, dry mouth, extreme pain in left arm pit, painful to lower my arm

ASTHMA ATTACK, GRADUALLY WORSENING COUGH CONGESTION SHORTNESS OF BREATH AND WHEEZING NOT RESPONDING TO HOME RESCUE INHALER. ONSET STARTED THE DAY AFTER THE FIRST COVID VACCINATION.

High Blood Pressure, high heart rate, vomiting, diarrhea, burning in chest, tired, tremors, hives all over, dizzy, shortness of breath

Initial symptoms were normal but progressively got worse in a matter of minutes to include pain/burning at the injection site, feeling of warmth through body, dizziness, lightheadedness, and extreme craving for sugar followed by tightness upper chest and throat, and difficulty breathing/swallowing. Symptoms lasted around 30-60 minutes. Was able to breath through nose, not mouth, for the duration of the symptoms. The tightness in chest/throat did not go away.

HPI: patient is a 30 y.o. female with various medical conditions and various allergies who presents to the emergency department secondary to an allergic reaction following her first COVID-19 vaccination. This morning patient went to have her first Moderna COVID-19 vaccination. She was accidentally given and 3 mL instead of 0.5 mL of this vaccine. She was monitored following administration of this vaccine. Patient apparently did well and she went home. Then around 1030 she started having diffuse body itching and felt that her throat was tight. She has an epinephrine pen at home and administer this medication to herself over concerns of potential anaphylaxis. She contacted EMS who transported her to the ER. EMS gave her 25 mg of Benadryl in route. On arrival patient reports that she still feels itchy but she is no longer having any tightness in her throat. She reports that she is feeling better. Patient denies any lip swelling, tongue swelling, throat tightness, difficulty breathing, difficulty swallowing, and other related symptoms not mentioned above.

Itching at injection site, large red rash, swollen arm 7 days after shot. Rash grew for 7 days. Cream lowered the swelling and redness. Second dose, redness and rash immediately. Rash grew. Chest became tight and difficulty breathing. Received cream and steroids.

After maybe 16 minutes of getting the vaccin in Northeast valleyclinic, walking to my car in the parking lot my eyes vision was not actually judging the distance between my legs and the floor. Then I started to feel very dizzy and light headed. My body could not hold me up so I fell to the floor. My heart started to palpitate very fast, and I could not catch my breath to try to regulated my self. I was like this for maybe 20 minutes. While this was happening the clinic called 911 for a ambulance. While this was happening I could not talk, my words and my thoughts could not connect for lack of a better world. I was like THIS FOR 4 hours not being able to talk. After this my word get getting confused with other word and switching them around with other words.

PT C/O TIGHTNESS OF THE THROAT O/E BP 109/57 PULSE 75 O2SAT 99%,NO SOB,NO RESPITORY DISTRESS,PT WAS OFFERED DRINK AND ACCEPTED, CONTINUE TO MONITOR.PT WAS STABLE AND WAS ABLE TO DRIVE HOME.

After a few hours experienced swollen throat, difficulty breathing for about 1week. Use personal inhaler and Benadryl to self medicate. Did not seek medical care outside the home--father is a surgeon.

2 hours after second dose had swollen throat, fever and body aches. Used own inhaler and Benadryl. Had premedicated before the second Moderna vaccine with Benadryl and Tylenol.

Decerebrate posturing, loss of consciousness for ten seconds, wheezing, atypical seizure, eyes rolled back, EMS called, supplimental oxygen administered Went to ED, given ativan, zofran, 1L LR bolus and neuro assessment by PA-C Severe nausea for 5 days, slept off and on for five days, dizzyness for five days, brain fog for 5 days

Within a few minutes of the vaccine I developed itchiness, tightness, difficulty breathing, coughing, couldn't move air properly etc

Shortness of breath, dry cough, and chest pain 10 minutes after getting the vaccine. Dry cough, sore throat, headache, mucus, tiredness, COVID arm from day 7 after vaccination.

Some facial swelling, slight trouble breathing and rash. This aligns with other allergic reactions I've had with medications. I took two Benadryl and that alleviated symptoms. Symptoms were not severe enough to go to the hospital or seek medical treatment like I've had to do in the past with my allergies to medications.

Patient received first dose of Moderna around 1147 1150: Patient reported "feeling numbness in the hands, throat tightness and itching, heart racing, hot" while waiting in post observation area. Patient escorted to extended post vaccination observation room for monitoring. Dr. notified. 1153: Dr. at bedside. VS: 151/82, HR: 96, RR: 20, SPO2: 98% on RA. Patient throat assessed. AOx4. NAD. Able to communicate and make needs known without any difficulties. Pt appears anxious. C/o of throat swelling, itching, nausea, and feeling flushed. Denies any dyspnea or CP. Patient reports allergies to Morphine and history of anaphylaxis reaction from Morphine, per patient benadryl was given and helped with reaction. 1156: Benadryl 25 mg PO given per Dr.order. Patient able to swallow benadryl and drink water without any difficulties 1205: Patient given Albuterol inhaler per Dr. order. 1215: patient resting comfortably. Calm. Reports that throat feels better. Able to communicate without any difficulties. VS: 111/77, HR: 82, RR: 16, SPO2: 98%. 1230: patient remains stable. Dr. at bedside to reassess patient. Patient report feeling better and "ok to go home". Patient significant other, , at bedside. Patient discharge home safely.

Patient reported feeling cold and experiencing intermittent tightening of her neck/throat muscles after receiving the Moderna vaccine.

Patient presented complaining of worsening shortness of breath onset 50 minutes ago after receiving first COVID vaccination. Sx started as a "pin pricks" in her throat and move down her neck and have continued to worsen. Also c/o nausea, coughing. She received PO Benadryl at vaccination site. Brought to ED and found to be tachycardiac, tachypneic, O2 saturation at 100% on room air with no stridor or wheezing. Pt actively coughing on exam leading to mild respiratory distress, severe anxiety. In ED, given Epinephrine IM, inhaled racemic epi, benadryl 25 mg, Zofran, Decadron, Pepcid. Sx improved over 30-45 minutes, observed for 6 hours with no recurrence.

Here?s what happened to me to far, starting on my walk home from the rec center and monitored at home by myself using my oximeter: Starting 40 minutes after injection: -oxygen rate went down to 94% -heart rate went up to 140 -Numbness in the right side of body, especially my right leg and arm. Currently feels like there is a block or something in my right leg. Massaging it now. -Hard to swallow/ swelling on right side of throat (I think my thyroid nodules are inflamed). Caused me to feel like my throat is closing. But I?m able to breathe fine when I don?t panic and concentrate on my breathing. -Sense of impending doom, which relaxes when I focus on my breathing -tingling right foot 2.5 hours after injection: left arm is starting to feel numb as well. Other symptoms persist, though oxygen levels are back to 98% and bpm is down to 88-90

patient received covid vaccine today ( moderna). Within 15 mins she developed hives and throat tightness. She received diphenhydramine IM 50 mg. After 30 mins she was administered methylprednisolone 125 mg IM and famotidine. warm all over especially upper body (throat/chest), and hives (chest, neck, upper arms). Diffuse flushing.

April 6th, 2021 Today at about 2:43pm, one of our technicians came to me and stated that a customer (employee too) had just got her second COVID-19 shot (Moderna), and she was at her car and not feeling well. The patient's co-worker had told us that her finger tips were numb and that she had a headache. The technician asked the customer to come back in, which she did and sat down in a chair immediately in front of me. I went directly to talk to her, as another technician was helping in the clinical services room, drawing up more shots. I asked the patient how she was feeling, and what she was feeling. She said she did not feel well, that her finger tips were numb, and she had this incredible pounding in the back of her head, and she ran her hand over the lower back part of her head and neck. She looked down and I asked her again how she was doing, she said not well, that she was beginning to get light headed and was looking a little pale. I called to the pharmacy team for help, to clear out the clinical services room and asked the technician to help me slowly walk her to the room. As we got her in the room I asked her if she would be ok to lay down on the floor and put her feet up in a chair, briefly explaining that this would help with the dizziness and keep her safe should she faint, because she would already be on the floor. another technician popped in and asked her if she could get her a cold cloth for her forehead, Patient said yes and the technician did so. an employee was working at the computer and just quietly stayed working (for another store). I moved around him and got the Blood Pressure Machine. I asked the patient if it would be ok it I monitored her blood pressure, she said yes. Patient was always 100% coherent and helped move her arm for me. I asked the employee for a piece of paper to document the reading, but the technician ran and got me one. Her first set of vitals were high. I marked them down and the employee told me the time. I just sat on my knees next to the patient for a while and tried to comfort her. I asked her a couple of times if she felt any change, and she said yes, Shot given 2:40pm 2:45pm BP 149/99 Pulse 71 SX: fingers numb, pounding in the back of her head cool cloth placed on forehead calmed area down & quietly talked to the patient to determine how she was doing ************************************************ (Patient volunteered that she had just gotten tested for COVID-19 and that she tested negative.) I asked patient how she was feeling and she said that she was feeling a little worse. She said she was starting to get the shakes. I asked her if she had gotten anything to eat on her lunch and she said no. I asked her if she felt like it and if her BP was good, how would she like a sip of juice. ******************************************** I asked the patient how she was feeling and she stated that her tight felt ever so slightly tight, but she said "I am asthmatic, and it did not feel any different than what she had experienced before. I took her BP/P again... 2:55pm BP 157/105 Pulse 68 I looked at the employee and he looked at me, and I told the patient that I would be right back. I quickly went and consulted with the technician and we decided that we should call 911 due to the increased in BP, pulse lower and the change in symptoms. The technician called 611 and talked to an employee and I called 911 and explained what was going on and what our need was. (The technician and I quickly discussed that neither of us felt that she was having an allergic reaction, just an adverse reaction, Epi was not called for. ) Employee stated that the clinic recommended we give her Benadryl. I did a fast check w/ the technician, it was not on our standing order/ protocol. Antihistamines can exacerbate asthma.) Then I went back to the patient. By the time I had gotten off the phone with 911, 2 more employees were in the room, and the patient was just getting off the phone with her father. Once I got positioned in the room, one employee left, I asked one employee sit down in a chair and the other employee was by the door leading to the pharmacy. I told the patient that we had called for an ambulance. I briefly explained due to her BP/P and her symptoms changing. I asked her if she wanted another cool cloth and she said yes. I asked an employee to get one for her from the sink in the pharmacy. I was again kneeling at her side. I saw her eyes well up with tears and a few tears were running down her face. I asked another employee to get me a paper towel, which he did, and I handed it to the patient. I tried to reassure her that things would be ok and this was just to ensure that she was safe. She stated that she felt a little nauseated. I then took her BP/P again. 3:05PM BP 146/99 P 66 2 employees and I remained with the patient, all calm and I made sure she knew we were there for her. I am not sure the time the EMTs arrived, but another employee let us know and we opened the door to let them in. They asked the patient a lot of questions and I gave them my sheet of what I had recorded for her blood pressure and pulse (BP/P). They asked the patient if they would help her into a sitting position, she said yes, but it was an awkward position, so I asked the patient if it would be ok if I helped support her back, she said yes, and I did just that. I stayed with the patient until they got her situated on the gurney and I helped cover up her legs. I went back to work when the EMT's wheeled the patient away. The BP/P is the best of my recollection, as the EMT's took my sheet of paper. At no time did the patient ever exhibit difficulty breathing, labored breathing or any change in her breathing. She was calm and her chief complaint was the numbness in her fingers and the pounding headache at the back of her head.

Patient reported slight difficulty breathing, redness/itching. Gave patient Benadryl and had patient stay in the pharmacy for continuing monitoring. Patient symptoms did resolve after a few minutes and was well enough to head home after with someone to bring her home (we didn't want her to drive drowsy). We did keep patient in the pharmacy for 30 minutes monitoring. Did tell patient to go to her primary doctor to discuss whether she should receive the second dose and if she may need to pre-medicate.

Three hours after getting shot, I started experiencing tightness and raspiness of throat, and my face feels swelled. These symptoms are still ongoing now [an hour after onset], accompanied by nausea, cough, and a runny nose.

patient had tonic movements in the arms, adminstered an EPI pen due to reports of patient not breathing, but observed patient having labored breathing. Patient refused to go to hospital after EMS arrived. Patient threw up after we elevated legs, and patient described having strange dreams. blood pressure was normal, ems also reported normal vital signs

Before this vaccine, my thyroid antibody levels were in the 60s. Post-vaccine and into the next week I felt symptoms of my hashimotos thyroiditis flare (headache, exhaustion, swollen/pressure feeling in my throat). I got bloodwork done on 3/26 and my thyroid antibodies (TPO) were in the 270s (higher than I have ever seen). I got the TPO retested on 4/7 to see if they had come down any, and they were even higher, in the 350s. I still have increased symptoms of hashimotos thyroiditis including headache, exhaustion, and swollen/pressure feeling in my throat today 4/12.

After waiting by the pharmacy for approximately 15 minutes the patient and her sister (who also got the vaccine) went shopping in the store. After a few minutes she started coughing and having difficulty breathing and felt as if her throat was starting to close up. Her sister urged her to come back to the pharmacy. We had her come sit in the counseling room and have her tell us what was happening. Since her chest and throat felt tight and she she was having breathing issues we gave her a dose of epinephrine and called 911. She did state her breathing got easier after the epipen was administered. At no time did she lose consciousness or the ability to speak. She did go with EMS to the ER for observation.

Saturday April 10th at 5 pm: Back pain in the thoracic area, pain when breathing, breathing was short, pain when taking deep breaths. Monday 12th at 2 am: abdominal pain and bloating: pain similar to gastritis around the Cardia or diaphragm area. Pain in my intestines as I feel my digestion move, probably the large intestine. Pain in my back, in the lumbar area related to the abdominal pain. All pain was manageable. I didn't go to the doctor.

guardian concerned about breathing and mucus buildup. Guardian described patient normally has mucus buildup this time of year. However, she wanted her assessed- no swelling, rash, or strider noted. wheezing in upper Amway described as normal by guardian

Dizzy, Lightheaded, weakness, swelling at injection site, redness at injection site, shortness of breath

Shot was given on April 6th. Mild arm pain and lymph node in armpit was sore the day after. No other side effects till April 11th when injection site turned red and hot. April 14 back pain started in the middle of the day. Later that day fever spiked up to 101.4. Major body aches, skin sore to the touch, sore throat, sore ears, swollen throat. April 15th, slept most of the day, side effects not so bad. Fever never went past 99.5. April 16, swollen throat and sore ears, temp still at 99.

Lightheaded spells beginning on day after shot. Accompanied by frequent heart palpitations that some times left me breathless or feeling very out of it.

4/20/21 ER HPI 30 y.o. female who presents with history of asthma in ER with complaint of shortness of breath and substernal chest pain since yesterday. Chest pain is nonradiating and is associated with coughing. Cough is productive of clear sputum. No nausea vomiting, no fever or chills, no abdominal pain. Patient said her asthma only flares of around this time of the year that is during the spring season

About two hours after my second shot, I started feeling tingling in my legs. Within half an hour, the tingling spread to my arms and face and my lips and tongue started to swell and my throat felt like it was closing. I called 911, and they gave me an epipen, shot of steroids, and a shot of benadryl and said I went into anaphylaxis shock. I was released from the hospital Friday night, but on Monday night I had another (milder) allergic reaction and the following day began to have shortness of breath. I went to my doctor's on Tuesday, who prescribed me steroids and histamine blockers. I began taking them but on Wednesday my difficulty breathing increased and it got to the point where I had difficultly swallowing and couldn't eat so I went to the ER again. I have had some sort of rash and hives every day since my second shot, which my doctor says is a continuing allergic reaction from the shot. I am going to see an allergist, but I have no history of allergies or allergic reactions to vaccines.

Day 2 after the 1st dosage of the Covid 19 vaccine (Moderna) I noticed that I had a slight cough. I was not feeling ill. Other than the tiredness. The cough would come and go. It was in no sense persistent. Day 3 after the vaccine, my cough returned in morning, around 10:00AM. I was no longer feeling any of the described side effects but this cough was now noticeable. It went away in the afternoon, around 2:00pm. It returned at night, briefly before bed time at around 11:00pm. Day 4 the cough was all day. On and off. If I got excited and if I moved around too much it felt like an asthma cough. I would then feel uncomfortable in my breathing. It persisted all day. At night I could not lay down to sleep. I needed to be propped up. I needed to use my Alvesco inhaler. Day 5, In the morning the cough was not immediate, I used an air purifier the entire night and day. Used the Inhaler again. My breathing felt unconformable but it was not as bad as day 4. Day 6, the cough was gone. Only when going up stairs or moving around too much did it come back for a few mins then would go away. Inhaler used again at night. No air purifier. Am able to sleep laying down again. Day 7 I am feeling better now and no longer have discomfort breathing. No longer need inhaler.

30 year old female C/O difficulty breathing and feels like cotton balls in her mouthafter getting her first Covid vaccination 30 minutes prior. Pt hx of reacting poorly toprevious vaccinations. Med hx of liver disease, acute kidney failure, hypercalcemia;Meds Rx'd as listed, No known allergies to Rx'd meds. Pt given 0.3 mg epi IM atvaccination site.Found Pt sitting upright with GCS 15, BP 148/100, HR 60 NSR, RR 16 clear, equal, O2Sat 98%, Neuro intact, skin W/P/D, abs soft/nontender, extremities unremarkable.H: ClearE: ClearE: MERLN: ClearT: ClearR/O Anaphylaxis Pt exam, vitals, 4 lead, transport to. VITALS16:27:12 P 75, BP 108/67 A16:42:05 P 60, R 16 , BP 142/100

Day 1: Woke up at 5:30 am achy and tired. Hungry. Obtained food. Was going okay. Arm was expectedly sore. A couple hours later chills set in, aching, joint pain, and fatigue increased. Occasionally had a running nose, pain in abdomen when bending over like knife being drawn in a line across my hips. by 4:00 pm, so achy, tired, and nauseous. Terrible chills, followed by occasional hot flashes. No fever anytime it was taken. Could not do more than lay on floor and turn a quart of the way over. By 8:00 pm, symptoms start to ease. Am able to walk again. Back to chills/hot flashes, aches, joint pain, fatigue, runny nose, and shortness of breath. Day 2: Wake at 6 am feeling achy like my whole body had been tensed for a day, was awake off and on during the night with hot flashes/chills and body pain. Went through the day achy and fatigued, with no temperature control. Started feeling worse around 5 pm, but tolerable. Still short of breath. Day 3: Wake at 3:50 am with horrible aching in lymph nodes from armpits up through neck. Still rapidly rotating from chills to hot flashes. Do not sleep until 6 am. Get up at 7:30. Go through day mostly fatigued and a little achy. Had chills/hot flashes till approximately 11 am. Around 2 am aching in neck started to set in and increased throughout evening to the time of this report. Neck is so still and sore I can barely turn my head.

Less than 24 hrs from getting the shot I got my period, I don?t get my period on this birth control, this was very abnormal, heavy bleeding and painful cramps, which I?ve never had in my entire life. Still have this 2 weeks later along with shortness of breath.

Initial NP evaluation for facial swelling. VS: 147/94, 122, 99%, HEENT: hives noted on face, and bilateral arms. No facial edema noted, oropharynx wnl, Lungs: cta, CV: tachycardic Benadryl 25 mg po given @ 1159 At 1212 pt noted with extension of hives onto her chest, also noted with facial edema extending to ears. Also now c/o throat tightness, now with post pharygnx edema. VS: 137/88, 118, 99% Ambulance called, Epi pen injected @ 1213, Vs 12:21, 136/76, 142, 100% Post dose noted with reduction in hives and facial edema. Still with c/o throat tightness but no edema noted. Care transferred to ambulance crew.

Fever. Diarrhea. Heavy fatigue. Swollen arm. Red rash. Nausea. Sneezing. Wheezing. Heavy chest. Coughing. Phlegm.

Immediate large welts and hives on arm then appeared on the entire body; confusion reported (and observed by me when she called me that afternoon on the phone) later, throat began to swell and constrict. She has Biphasic delayed protracted anaphylaxis as a result of multi drug allergy syndrome and her symptoms were consistent with that in this case as she has had this kind of on going response to other anaphylaxis events in the past. She had severe joint pain for more than 2 weeks and has ongoing recurrent hives on the injection site that have not completely subsided yet. She developed additional allergic responses and ultimately ended up in the ER after this and was seen by local allergist who advised DO NOT take next shot/vaccination.

About 6 hours after the shot I had fever, chills and a headache. About 24 hours after I had: Face swelling, Shortness of breath, Difficulty breathing, Tongue swelling., Throat swelling, Extreme fatigue, Fever, Chills, Headache, shaking, heart palpitations and Muscle weakness. The doctor prescribed antihistamine, albuterol inhaler, Tylenol, steroids. After a week of treatment there was no change. I went back to the doctor with the same symptoms. Doctor gave more of the same medications. After another week of medication the swelling shortness of breath and difficulty breathing have gotten better, but are not gone. I still have fatigue and muscle weakness chest tightness and a swollen face after 22 days.

A minute after receiving the vaccine patient complained of shortness of breath and chest tightness, called EMT and per dispatcher instructions gave her a dose of EpiPen, when EMT arrived all vitals were within normal range but still complaining with same symptoms, according to them, patient was experiencing a panic attack, no need to take her to the hospital, they stayed with her for approximately 15 minutes and then send her home. I follow up an hour later and patient was feeling good .

this has prevented her from doing her exercises; couldnt sleep well due to pain; I cannot bend down; had never experienced a symptom like this one before, do not know how to explain it¨; Tired; choke with my breath; pain in ribs; pain internally in the lungs; I get out of breath when I'm speaking; normal mild pain in arm; swelling in arm; This spontaneous case was reported by a consumer and describes the occurrence of CHOKING (choke with my breath) in a 30-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. O1UC21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 27-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Apr-2021, the patient experienced PAIN IN EXTREMITY (normal mild pain in arm) and PERIPHERAL SWELLING (swelling in arm). On 30-Apr-2021, the patient experienced CHOKING (choke with my breath) (seriousness criterion medically significant), MUSCULOSKELETAL CHEST PAIN (pain in ribs), PULMONARY PAIN (pain internally in the lungs), DYSPNOEA (I get out of breath when I'm speaking), MOBILITY DECREASED (I cannot bend down), UNEVALUABLE EVENT (had never experienced a symptom like this one before, do not know how to explain it¨) and FATIGUE (Tired). On 03-May-2021, the patient experienced INSOMNIA (couldnt sleep well due to pain). On an unknown date, the patient experienced LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (this has prevented her from doing her exercises). On 03-May-2021, PAIN IN EXTREMITY (normal mild pain in arm) and PERIPHERAL SWELLING (swelling in arm) had resolved. At the time of the report, CHOKING (choke with my breath), MUSCULOSKELETAL CHEST PAIN (pain in ribs), PULMONARY PAIN (pain internally in the lungs), DYSPNOEA (I get out of breath when I'm speaking), INSOMNIA (couldnt sleep well due to pain), LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (this has prevented her from doing her exercises), MOBILITY DECREASED (I cannot bend down), UNEVALUABLE EVENT (had never experienced a symptom like this one before, do not know how to explain it¨) and FATIGUE (Tired) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product use was not reported. Treatment information was not provided. Company comment:Based on the current available information and temporal association between the use of mRNA-1273 and the onset of the events, a causal relationship cannot be excluded. Fatigue is consistent with the product safety profile.; Sender's Comments: Based on the current available information and temporal association between the use of mRNA-1273 and the onset of the events, a causal relationship cannot be excluded. Fatigue is consistent with the product safety profile.

About 15 min after immunization, patient presented with scratchy throat and shortness of breath. Breathing became more labored and throat tighter. EMS was called and 1 dose of EpiPen was administered. Breathing improved. EMS transported patient to hospital.

Tachycardia during rest periods, shortness of breath while walking short distances, muscle cramps to bilateral lower extremities, sense of nervousness without involuntary movements.

I had fever and body pain and tiredness just like when I get 1st does but fever went up to 101.5 ? this time and still have little fever at day 5 after that shot. I also had cough for a week after I got first does and Especially at 2does , I cough badly and became hard to breathe , so I went to see doctor, it triggered to let me have atopy asthma. At Day5

9 Days after the first dose of moderna, I developed a substernal chest pressure that would not go away and the inablility to take a deep breath. I went to an ED where they did a covid test that was negative and was sent home.

Patient complained of feeling flush in face and having tightness in throat. EMS was called and vitals taken. at 13:51 BP 138/88, Pulse 135, Resp 20, O2 Sat 98. Patient was breathing and talking without visible distress. At 13:56 BP 135/84, Pulse 110, O2 Sat 98 and patient breathing and talking without visible distress. EMS arrived at 14:00 and care was handed over to them.

My entire upper body began breaking out in a hives like rash. My skin began to burn and my breathing became difficult. It was a true allergic reaction, my injection site was hot to the touch for hours. My skin did turn a little purple once in the hospital and I?ve missed two days of work looking like three due to this reaction to the vaccine.

Pain and discomfort in lower chest near heart and Extreme breathlessness, fatigue and on May 13, 14. Breathlessness was worst on May 14. lasted at lower intensity over next week. Fever (100 degrees) on May 14.

The patient received the vaccine in her left deltiod. Immediately following the vaccination, the patient stated that her body felt numb. She became sweaty and said she was having difficulty breathing. She fainted and then was responsive to ammonia inhalant. Due to her difficulty breathing, the paramedics were called and responded. Her blood pressure and oxygen levels were normal. The patient refused additional medical treatment. She remained in the pharmacy for about 45 minutes after her vaccine and said she felt better.

The patient started vomiting about an hour after her second dose of Moderna. She then got hives and took Benadryl. Then she got short of breath and came to the ED. She was in respiratory distress on arrival but not clear that this was asthma or anaphylaxis. She was treated aggreassively with epi, solumedrol, albuterol, and epinephrine

Exactly 2 weeks after having the second moderna COVID vaccine, the patient developed acute chest pain and shortness of breath. She was evaluated in the ER. Negative troponins, normal EKG, negative CT angio PE. She followed up with a cardiologist. Echocardiogram was normal. She was treated for presumed pericarditis with colchicine and NSAIDS with no improvement in symptoms. She had very severe chest pain and shortness of breath at times to the point that it was difficult to breathe and do light exertion. There was a second ER visit a month later for the same symptoms negative for acute MI/ heart failure. Cardiac event monitor showed many PVCs and there is slight symptom improvement with metoprolol but she is still symptomatic to some degree 2.5 months later. She is following up with general cardiology and electophysiology. There was also a TSH elevation at the time that symptoms started. This resolved upon recheck about 6 weeks later with no change in levothyroxine dose and a thyroid ultrasound was normal.

On the the 16th of January I started feeling like a had a virus. The next day I started to cough and shortness of breath and was feeling like I was going to pass out. I also had diarrhea and lactic acidosis.

Few minutes after having the second moderna shot. PT started to get severe swelling, redness and itching at the shoulder injection site. this was followed by pt having swelling in the back of the throat and trouble breathing. This occued at the Clinic. She was given sub cutaneous epinepnephirne. She was trasported to my hospital emergency room where additional benadryl, pepic and prednisone. She was observed in the emergency room and discarged home. to follow up her doctor.

SOB, chest pain, fever, night sweats, dizziness, neck pain, headache, axillary lump of the left arm occurred within the first 3 days. Given Toradol 30mg IM, Ketorolac 30mg/1mL IM, Celebrex Capsule 200 MG. Improvement within two weeks

I received my first dose 05/25/2021. On my vaccination card, the administered nurse wrote for me to come back 06/15/2021 for my second dose. So I did today and got it done. Within few minutes of getting it administered, I developed a rash on my left arm (injection site), my heart began to beat rapidly, & I was experiencing shortness of breathe. They asked me to stay an additional 15-30 minutes and so I did until I felt a little better to leave. I called my sister, considering we received our first dose on the same day but different place and she questioned why I got mines early and I explained that?s what my card said. We hung up and I did some additional research, went on the CDC website and saw I was to get my second dose 28 days from my first dose and today made 21 days! Same administrator the first time gave me my second dose today. She failed to correctly time my dose and didn?t not double check it was correct. I never knew about the timing until today and as a healthcare professional, she should have known considering she would have been properly trained and now I?m experiencing difficulty breathing, chest pains, & heart beat feels off!

I got the shot around 2 pm and the next day at 4:08 am I woke up and took my dog to potty. Within 5 minutes of waking up I got dizzy, felt like I had to throw up, my heart felt weird and my lips were going numb. I fell and blacked out for a few seconds. I fell so hard I scraped my knees really bad. After that I went back inside and fell on the couch because it was difficult to breath for about 5 minutes. I ended up falling back asleep for about 4 hours. And during all this my head was pounding like crazy and my vision was kind of blurry.

Anaphylaxis (difficulty swallowing, tingling tongue and throat, difficulty breathing, rash, increased heart rate) - transported to ER at Medical Center, treated with IV steroids/antihistamines, sent home with scripts for continued steroids/antihistamines

Patient started to feel a tight throat and swelling in throat about 5 minutes after vaccine. Her vital signs were as follows: BP 119/82, Pulse 100 Pulse O2 98%. She was given Benadryl at 3:45. After 10 min she felt better. BP 107/73. Pulse 94,O2 sat 98%.

15 minutes after I received my shot I started to feel dizzy and light headed and my throat started to swell shut

After the first 10 minutes I felt dizzy, I got a cold sweat and them my throat become tight -I was feeling like having two hands on my neck squeezing it like they want to struggle me), I couldn't swallow well and I had problem with my breathing. After 30 minutes I was feeling my tongue becoming bigger. The same day I started having problems with my heart. My pulses are super high even when I am laying on bed and I have a chest pain. My cardiologist Dr. at Hospital has ordered a lot of tests but he still doesn't know what the heart muscle reacts like that. I have put Holter, I have done stress treatmill, many blood tests while I have scheduled the table exam and an exam to test my lungs because after the vaccine I have a big difficulty in breathing.

Starting about a week later after first shot on April 5th- Severe chest pain, heart palpitations, racing/pounding heart, shortness of breath, difficulty breathing, exacerbated by speaking and all forms of physical movement, worse when laying down. Emergency room visit on April 16th diagnosed with pericarditis. Followed up with Rheumatology and Cardiologist on April 20th-started colchicine and naproxen prescriptions and refrained from phsysical activity for one month, called out from work multiple days due to chest pain. Followed up again with cardiologist on June 4th for continued chest pain. Chest pain improved with treatment but continues to be mild to this day-June 23rd.

Patient experienced symptoms that began a little over 15 minutes post vaccination that included numbness, cardiac "jiggiling" and then racing, throat closing. Symptoms lasted approximately one-two minutes and resolved. Patient reports only symptom 24 hours later is sore arm.

After receiving the shot on my upper left arm near the shoulder, I had a severe allergic reaction. After 2 hours, a painful rash formed around the injection site and the other parts of the upper arm. I still have markings left from the rash. After 4 hours I was feeling nauseous and dizzy to the point I decided to just lay down and rest. I woke up from the nap as the symptoms worsen and threw up multiple times. About 11 hours after the injection, I was having trouble with breathing and it gradually worsened. I tried breathing by doing heavy breathing for two hours. As I felt like dying from suffocation, my partner decided to call 911 and also called the emergency room nearby to speak to the nurse. We are informed that this is a serious reaction and I needed to be treated ASAP. I took an antihistamine as recommended by a paramedic and the emergency room nurse. I was able to breathe normally after 30 minutes. The day after, I couldn't breathe in deep since my lung felt as it was bruised from heavy breathing. As of now, I still have some marks from the rash, and muscle tension/sore on my left armpit.

SO the following day I was extremely tired and nauseous. I was shaky didn't have much of an appetite either. Those symptoms lasted for about two days, I was also a little bit out of breath and I thought at the time that it was just my asthma flaring up. On Sunday I contacted the employee health and talked to them about it and they told me it was "normal". I saw them in the beginning of February, I couldn't walk 50 steps in my living room without my chest getting really tight, they said not to worry about it and that it was "normal". My Oxygen levels were also going low like 91/92 for my blood oxygen levels. My pulse would go up to 102 at the lowest and jump up to 160/170 just to walk from my couch to my kitchen. That and the oxygen dropping lasted for 2 to 2.5 weeks. I also got a Covid test and that was negative.

Patient requesting walk-in COVID-19 vaccine. Patient reported history of anaphylaxis to shellfish and iodine products during pre-vaccine screening and was told she would be observed for 30 minutes post vaccine, per protocol. Patient verbalized understanding. Vaccine administered. Patient observed for adverse reactions and verbally asked by nurse how she was feeling. Patient stated she was fine. Approximately 15 minutes after vaccine was administered, patient requested some water, which she was given. Nurse asked how she was feeling. Patient reported "It feels like I have something stuck in my throat." Sensation did not resolve with sips of water, nurse instructed clerk to call 911. Emergency cart was brought next to patient. Nurse drew up Epi. Patient was not in distress and continued to breathe unlabored. Nurse took patient's vital signs: heart beat was strong, steady, and a normal rate. BP was slightly elevated. Nurse uncertain whether clinical picture was consistent with anaphylaxis. Patient continued to breathe unlabored and stated throat felt the same: no better, no worse. Nurse called Clinic Nurse Supervisor by phone. Nurse Supervisor stated ?don?t give Epi unless you have to.? Nurse drew up IM Benadryl. Nurse used flashlight to look into patient?s throat and saw swelling. Nurse quickly explained to patient that this did appear to be mild anaphylaxis and that she did need the medications. Nurse administered Epi and then IM Benadryl, both to L thigh. EMS arrived shortly after and assessed patient. Vitals continued to be stable. Patient was transported to hospital. Nurse called patient today (2 days post event). Patient reports is now doing fine. Patient reports at hospital she developed "itchy rash" on her neck. Patient was given additional dose of Benadryl prior to being discharged.

Chest pain- felt it in my chest through my back intense pain, shortness of breath Took a Tylenol Started at 4:00 pm and again around 7:30 pm Continued off and on from April 14 to April 16.

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Pt was experiencing a severe anixety attack-Mild, Systemic: Hyperventilation-Mild, Additional Details: Pt was apprehesive about the shot upon arrival to pharmacy. Very nervous. Administer the vaccine and within a few minutes patient begin to complain of lightheadness/breathing issues. I called 911 upon patient request and emts arrived within a matter of minutes. They walked patient to ambulance to check her out. Patient returned to the pharmacy after about 30 minutes to check in with us. She was feeling a little bit better and EMTs believe she had severe anxiety attack.

1st 2 days after shot, body sore, flu-like symptoms no fever, left arm/site sore with limited range of motion. 05/11/2021 started about 2 weeks of very easily fatigued with activity, high resting heart rate, difficulty taking a deep breath, left arm/left partial chest red/edema/extreme soreness/limited range of motion/heat intolerance/itchy/large raised area, nausea, muscle soreness/fatigue, migraine for 4 days and light sensitivity for 6 days. Symptoms had less duration/frequency and more tolerance over time. Not fully able to tolerate previous activity without above s/s for 4 weeks after shot.

About 10 minutes after receiving her 1st Moderna vaccine the patient started feeling nauseas and faint. She was very pale and eyes unfocused and stated she felt hot, like she was going to pass out . I applied a cold wet cloth to her head and gave her some water to drink. She then state she was starting to feel short of breath and her arms and hands were tingling. EMTs were called since she was having shortness of breath. I then had her lay on the floor. After laying on the floor for few minutes she stated the shortness of breath had subsided but her arms were still tingling and felt very strange. A few minutes later the EMTs arrived and after a few more minutes she was able to sit back in the chair. The EMTs took her vitals and after monitoring her for about 15 minutes. She was feeling better and well enough to leave and did not need to go to the emergency room.

Patient c/o feeling tired and running out of breath on 12/31/20. Condition exacerbated on 1/2/20 and she thinks it may be due to anxiety. Patient will go to urgent care today for an evaluation (1/3/21)

Moderna COVID-19 Vaccine EUA Vaccinated Thursday 12/31/20 at 12:30pm Friday1/1/21 7:00AM- Nausea, fever 99.6-101.6, body aches, chills, fatigue, painful to use left arm, headache, racing heart beat, shortness of breath. Persisted all day. Saturday 1/2/21 8:00AM-fatigue, headache, muscle pain in left arm. Sunday 1/3/21 felt pretty normal all day, some fatigue, slight headache. Monday 1/4/21 5:00AM- nausea, shortness of breath, racing heart beat, fever 99.8, fatigue, headache. Monday 1/4/21 10:00AM- COVID test- negative

Elevated heart rate-resolved quickly; flushing feeling; potential throat swelling (felt like lump in throat), no airway compromise.

Throat tightness, tongue swelling ~30 minutes following vaccine. No hx of anaphylaxis. Symptoms resolved with benadryl

Started to feel like my breath was being taken away at times for a few days (started a few days prior to 1/2/2021. Also, I felt like my heart was racing and having heart palpitations. On 1/2/2021, I noticed a inflamed rash over the injection site. It was slightly warm to to the touch and slightly sore. The rash had a red line around it with red spot inside the circle. The rash was gone by the morning on 1/3/2021.

A few minutes after receiving the first dose of moderna vaccine on my right arm, my arm felt numb and tingly. My heart rate increased and I felt like I was having a panic attack and difficulty breathing even though I was very calm before and during the injection. I felt lightheaded and had to elevate my legs while I waited in the observation area for 15 minutes. I never experienced this before with any vaccine or injection. That night and the next day, I had extreme fatigue and muscle weakness that I was not able to go to work for one day. On the second day, I felt joint pain in both knees. By the fourth day, I felt better.

received first dose of moderna vaccine; approximately 3 mins later feet became numb. Hands became numb. felt flushed. progressed into vago-vagal reaction; was instructed to lie down in bed provided in clinic. patient felt better after lying for 40 minutes and left clinic. Proceeded to work from home the rest of the day. Approxmiately two hours later felt throat tightening/swelling. resolved with benedryl.. Patient has had previous vaso-vagal reaction to all three doses of HPV vaccine series.

During the first 15 minutes after the vaccine I started feeling cold, light headed and slowed body functions. A half hour after I started feeling breathing difficulty. Shortly after I felt swelling in my throat. I then started having anxiety and laid down. This lasted for about a half hour to hour then stopped once I started having diahrea. I then continued feeling chilled, nauseated and fatigued. The following day I didn't do much activity. Had arm pain, chills the first part of the day and some feelings of nausea, fatigue, weakness and continued diahrea. I felt dehydrated and was drinking fluids. Sunday 1/10 still felt weak with little energy but was able to go to the grocery store. Monday 1/11 I attempted to work but felt light headed and weak with activity and continued to have diahrea. Went home from work early and took today 1/12 off from work. Today my throat is sore and feels inflamed and I continue to feel lethargic but not as dehydrated or fuzzy headed. I notified my PCP Dr. and the physician I work with Dr. Dr. expressed concern about me getting the second vaccine and encouraged me to report my experience for further guidance. Dr. thinks it could be possible for me to get the second dose with allergy meds and an epipen just in case. I have never reacted to a vaccine in the past and have never required an epipen. Guidance would be appreciated. I'm supposed to receive my second dose on 2/5/21.

Dry cough, mild wheezing, and mild shortness of breath began ~11:30 pm 1/12/21. Slight relief for 90 minutes from albuterol at 9:00 am 1/13/21. No change with expectorant guaifenesin at 2:00pm 1/13/21.

At about 0130 on 01/13/21, I woke up not feeling well (I had also not been sleeping well prior due to arm pain and minor aches). I became extremely dizzy and lightheaded feeling like passing out, I was tachycardic, had increased respirations, pale (per my husband), felt hot and cold, and was sweating. I also became very anxious. I had to go lay on the bathroom floor - my husband woke up with me and got me some water, Ibuprofen, and a cool rag for my head. He also said I wasn't sleeping well - moving around and making noises before then. I laid on the floor about 15 minutes until the symptoms had improved, but still didn't feel well. No further episodes at this time. Only other issues are the continued expected possible side effects (arm pain, body aches). I did notify our Nurse Manager this morning as well.

At approximately 7:55PM, patient developed near syncopal episode, "I felt like I was going to pass out". Patient became nauseated and shaky. This lasted for approximately 10-15 minutes. For the next several hours the patient was light headed/ dizzy. The patient also felt short of breath, more so with activity. At around 9PM, the patient took diphenhydramine 50mg x 1 and acetaminophen 1000mg x1. The patient then laid down for the evening and awoke around 10 AM feeling much better.

for 5 minutes after injection, i felt slightly light headed and nauseous but that went away after 5ish minutes. Slight shoulder pain right of the day, with a headache starting after 30 min. Later that night around 10-11pm i woke up with a splitting headache, chills, cold sweat and had a fever of 100.7. Took tylenol, woke up feeling better. Mild headache lasted 3 days, when headache stopped heaviness/pain started in my left armpit - huge swollen lymph node (injection side). Was painful for 1.5 wks, this past week the lymph node is still swollen but not painful. I tried to go for a run 3 days after injection, I was short of breath and legs felt heavy (usually walk 2 miles daily with dogs, run 3-4 miles 3-4x/wk) figured that went along with swollen lymph node. Today is the first day I was able to run without difficulty catching my breath and my legs don't feel as heavy (2 miles, slow jog vs run).

Painful arm until Sunday, then throat felt tight, thought it was acid reflux so I took some tums. The heart palpitations started shortly after. Worse when lying down and almost felt short of breath. The heart palpitations continued until Monday night and Tuesday I woke up and palpitations resolved. I have only ever had this reaction one other time when had the Mirena. Symptoms resolved after having it removed but wasn?t sure what ingredients caused it. Now I believe there may be a common ingredient.

I had a racing pulse, my throat was really itchy and tighter than normal , my lips were numb, my tongue was tingling. This happened during the observation period and then I was sent to the ED. About a week later, on the left arm, looked like I had hives, it was swollen and warm to the touch, pain went down into my wrist. I went to Urgent Care.

started 2 January - shortness of breath getting worse over 3 days - no coughing, wheezing or chest tightness

The vaccine itself was well tolerated with just some injection site pain and minor body aches the next day. Then, last night I took miralax and had an allergic reaction to it. I have taken miralax in the past and I have tolerated it well. This is my first time taking miralax since the Covid vaccine and I suspect it is related since there is polyethylene glycol in the vaccine. About 10 minutes after taking the miralax (in water) I had chest and throat tightness, rash on my chest and face, severe facial flushing, and itching. After that began to resolve I had chills, rigors, and aches in every joint. I had not eaten or consumed anything else and had no exposure to any other potential allergens.

1/21/21-12 AM-stiff back, back felt like it was on fire along with joint pain all over body, body aches, pulling pants down to go to bathroom hurts. Patient states that she started feeling worse throughout the day. Pt. states that when she is talking she feels like her breath is being cut off. Nausea on and off this am. Feels like a burning sensation to muscles throughout body. Pt. states that she has not taken anything for it. Pt. states that she feels like body aches and pain are getting worse but nausea has subsided.

About 7 hours after the shot I had a migraine and arm soreness About 20 Hours after the shot I woke up with chills but sweating and felt fatigue, muscle soreness, dizziness, migraine About 24 hours after the shot I felt abnormal breathing

Approx 30 minutes after vaccination --Sensation dryness, need to clear throat, tickly feeling later felt short of breath. Evaluated in Emergency Dept-Epinephrine, Benadryl, Dexamethasone. Discharged home to use Benadryl as needed.

One week after vaccine, arm developed raised bump that grew, red ring started to spread. Also developed stuffy nose, cough, and some chest tightness, shortness of breath later that week. Symptoms continued, COVID test performed 1/23, positive. I did attend a funeral on 1/15 where I was masked, but several people have tested positive since.

Complained of difficulty swallowing that quickly progressed to difficulty breathing and answering questions. Taken to ER at 1540.

SOB, Itching in throat Resolved by PO Benadryl-50mg Negative for Hives Pt. Left Via Personal Vehicle

Body aches, fatigue, chills, headache 24 hrs after vaccine. Tachycardia and SOB Day 2 & 3 after vaccine. HR up to 120.

8 hours post vaccination: severe arm pain, severe chills, severe body aches, fever 100; 13 hours post vaccination: fever 101, shortness of breath, headache; 21 hours post vaccination: migraine, persistent fever 100

SHORTNESS OF BREATH AND FEVER UP TO 101.6 BEGINNING ABOUT 6 HOURS AFTER INJECTION. SHORTNESS OF BREATH PERSISTED THROUGHOUT THE NEXT DAY. USED INHALER AND IT IMPROVED AND EVENTUALLY SUBSIDED.

Six minutes after receiving COVID 19 Vaccine patient reported to the vaccine administration area and reported dizziness and chest pain that was localized in the center of her chest described as a pinching sensation with inhaling and exhaling. Member reported to the vaccine administration area and stated that immediately after receiving her vaccines she began to feel slightly dizziness but approximately 6 minutes after her vaccine she began to have a localized chest discomfort located in the center of her chest described as a pinching sensation with inhaling and exhaling. At members arrival to the vaccine administration area she was instructed to lay down and an in initial set of vitals were obtained. As member continued to lay down. After 5 minutes vitals were reassessed, member then stated that she chest pain subsided and was non reproducible. Doctor of the dental clinic spoke with the patient cleared her to leave at 0950. Member was instructed that if this pain returns or she develops any additional side effects to report to the nearest ER

Pt reported her throat felt like it was swelling and she was having trouble swallowing at 12:28. Pt laid down on exam table. Medical provider and nurse called to room. Pt reported she could no longer swallow her secretions, was in visible distress reported that is was becoming more difficult to breathe. SpO2 remained stable. Pt has experienced anaphylactic reaction to avocados. Through shared decision-making, provider administered 1st dose of 0.3 mg epinephrine at 12:56. Pt unable to speak, confirmed mild improvement, but consented to 2nd dose of 0.3 mg epinephrine at 13:03 d/t persistent inability to swallow secretions and respiratory distress. 911 was called at 13:00, EMS arrived at 13:08, pt was taken to Hospital at 13:13.

Three minutes after the vaccine occurred the patient started having itchy throat, throat tightness, also dizziness and SOB. Patient escorted to stretcher to lay down. No change in symptoms. RRT called. 17:11 no change in throat s/s, decreased SOB and dizziness. No CP noted. At 17:17 patient complained of itchy injection site. Patient than taken to ED.

Asthma attacks, fatigue, brain fog, eyebrow hairs fell out, endometriosis pain unbearable, chills, nausea, headaches

10pm, headache, tired, dizzy, shoulder/upper arms ache 7am next day, headache, body ache, shortness of breath 12pm, fever, chills, headache, shortness of breath, overall body aching, tired

soreness @ injection site, 4 puffs of inhaler & advair diskus within 1st hour. No additional symptoms until 1:30 am where I was up all night. In severe systemic pain, fever, severe myo aches, some mild wheezing resolved with inhalers & migraine. Intermittent stuffy nose & sore throat but it goes away. Pain level 10. I can barely move. Dizzy & drinking water & taking otc pain meds. Unable to work or daily function

my wife has had many symptoms since she got the covid vaccine. chronic Insomia, anxiety,2 weeks ago she started twitching like tics uncontrolled shortness of breath.

Sever headache, severe muscle pain, vomiting, fever, chest pain, sob, increased heart rate, decreased 02 sat (95%).

Had a allergic reaction about 10 minutes after vaccination. Was taken to the ER for a work up. Gave Benadryl. Had throat tightness, and skin blotchiness. After I left the hospital. Slept the rest of the evening. Woke up at 3 am with nausea., vomiting, headache, dizziness, fatigue, joint pain, and fever. (100.6 was the highest) The symptoms lasted about 2 days, and the fatigue lingered until yesterday. Today I am feeling better but my arm is tender, swelled, and itchy. I have a rash on my arm. The body aches were very painful.

Day 7 post vaccine: Coughing, chest congestion, fatigue Day 8 post vaccine: Coughing, chest congestion, fatigue, wheezing, injection site became red and hard and was hot to the touch; was tested for COVID-19 and given a topical steroid for the injection site. Day 9 injection site reaction was larger and arm was swollen in the area of the injection and was still hot to the touch and hard. Day 10 injection site reaction was larger again and was still swollen and hot but was less hard. Day 11-15 continued to use steroid cream, did not get larger, perimeter of reaction could still be seen but started to get less red and less swollen. Day16-20 no longer swollen still a red area Day 27 (today) still slight discoloration still exists around the injection site

Severe fatigue, generalized myalgia, weakness, sleep disturbance, mild shortness of breath Onset of sx were ~10-12 hours after receiving shot, symptoms lasted ~24h. Did not seek any medical care. Took 2 doses of Tylenol 500mg about 8 hours apart, Tylenol provided some relief but still felt very poorly.

Pt scheduled for 30min observation due to PCN allergy. After 20 mins post-vaccination pt c/o "tightening of throat". Pt had NO difficulty breathing. Serial VS begun. O2 saturation was 97% with room air. Initial B/P = 162/112 P90 R20. EMS on site begun evaluation. Second B/P =158/99 P92 R 20. Pt states she feels :anxious". Pt defers transport via EMS. Pt discharged without complaints after 60 mins eval.

Headache onset within 45 minutes of vaccine administration. Headache worsened with dizziness and vomiting. Felt foggy. Other symptoms - muscle aches, fatigue, site pain, started overnight. 2/5/21 @ 0400 was woken up due to wheezing and coughing fits. Wheezing resolved with albuterol treatment. patient was advised to seek medical care for evaluation

At first just flu like symptoms (exhaustion, joint pain, headache) but this morning I stopped breathing in my sleep, then couldn?t move. My heart started racing, chest pain, and difficulty moving my left side. I was able to get my heart rate to go down with motherwort and CBD (heart regulators) and electrolytes, and took a baby aspirin. still experiencing chest pain and some discomfort

Fever 100.1-100.6*F Body chills Body aches, severe lower back ache. Joint aches Headache, severe Painful breathing

Started having Chest pain, SOA, body aches, fatigue, HA, chills, fever (100.1), and diaphoresis after second COVID vaccine was seen in ER on 2/3/21. Diagnosed with chest pain, fever, and adverse effect of vaccine.

ED visit 1/21/21: Patient presents today with constellation of symptoms including some myalgias with low-grade fevers at 100.9 degrees, feeling some wheezing as well as a fine rash across her upper chest, she states that she had the vaccine for COVID-19 2 days ago, yesterday she started experiencing the symptoms, she tried using her inhaler for the wheezing, she utilize Tylenol for her fever and she also took Benadryl for the itching on the skin. These improved her symptoms. They seem to come back later in the day after the medicines were wearing off so she presented here for further evaluation. She denies nausea vomiting abdominal pain. Patient believes she had COVID-19 around Thanksgiving 2020, she was not test at that time but had symptoms consistent with COVID-19 loss of taste and smell and her grandmother whom she was around at that time did test positive. Constitutional: patient in no active distress, resting in room Skin: Skin is warm and dry, normal for ethnicity, no rash visualized. Head: Atraumatic, normocephalic Neck: Normal range of motion. Neck supple. Trachea centerline, no lymphadenopathy Mouth: Oropharynx is clear to inspection, uvula centerline, no tonsillar exudate Cardiovascular: No peripheral edema, normal rate and rhythm, no murmur Pulmonary/Chest: Effort normal. Mild expiratory wheeze posteriorly bilaterally at the end of expiration, good respiratory excursion. Abdomen: Soft, nontender negative Murphy's negative McBurney's, no guarding, negative rebound Musculoskeletal: Normal ROM, no deformity. Neurological: Patient is alert. No focal neurologic deficits diphenhydrAMINE (BENADRYL) capsule 25 mg (25 mg oral Given 1/21/21 1333) dexAMETHasone (DECADRON) vial 10 mg (10 mg oral Given 1/21/21 1400)

Patient received vaccination at 1:45 P.M. At 1;50 p.m. the patient collapsed. Her throat and tongue were swelling and she was having trouble breathing. She was not unconscious. At 1:52 p.m., epinephrine 0.3mg was administered to patient. She began to recover and swelling started decreasing, She was able to breath again. Shortly after this, the patient began to have more swelling of throat and tongue. Another dose of epinephrine 0.3mg was administered at 1:55 p.m. Again, the epinephrine worked quickly and patient was able to breathe again. The ambulance arrived and took patient to local medical facility.

Low grade fever, muscle pain, chills, sweating profusely, headache, nausea, sore throat, hurts to take a breath

Awakened with L superolateral chest pain radiating to L inframammary region in anterior axillary line on post-vaccination day 3 (Moderna dose #2). Pt presented for care on post-vaccination day 4. Pleuritic chest pain, 4-5/10, accompanied by lightheadedness and dyspnea on exertion. Chest wall locally tender, but pt also on ocp and with positive D-dimer and mildly elevated BNP, so chest CT angio obtained to evaluate for PE. Symptoms ongoing at time of discharge but treated with OTC analgesics. ***Concern here is (as noted in CT read) raised by interpreting radiologist not just for this patient, but for women with chest wall adenopathy in addition to axillary lymphadenopathy may be difficult to distinguish from malignancy on screening mammography and may lead to increased numbers of biopsies following this screening study if done within a few weeks of COVID-19 vaccination.

2/13 I only had fatigue and a headache. 2/14, I had fatgue, a headache, muscle ache, joint ache, and trouble breathing. It was bad enough, I only got up from bed to pee and it took all of my power to do so. I fell asleep afterwards. 2/15, I only have fatigue, muscle aches, and joint aches, but they're bad enough that I called off from work.

12:50pm shot received, 1:00pm headache started, 97%spo2, head feels heavy. 1:05pm 1,000 mg apap taken. 1:13 pm slightly harder to breath, 65bpm, 95%spo2. 1:18pm 50mg Benadryl taken, 98%sp02, 66bpm, 97.7temperature, headache worsens. 1:24pm breathing improved, headache very strong, 97.7temperature, pt feels cold. 1:30pm nausea gone, very sleepy, watery mouth gone. 1:33pm 66bpm, 98%sp02, 98.2temperature pt no longer cold. 1:35pm head feels tight. 1:35pm 140/85mmHg. 1:46pm 4oomg ibuprofen taken. 1:52pm 151/91mmHg. 2:08pm 158/90mmHg, headache stronger. 2:19pm134/77mmHg.

-Initially I had moderate side effects to my 2nd shot, shortness of breath/increase of asthma symptoms, severe joint pain, flu-like symptoms (slight fever, chills, loss of appetite, inability to sleep) lasting for a total of 4 days. I have anaphylaxis to Walnuts (2x needed epipen and hospitalization) and asthma, many seasonal allergies, and am highly biologically sensitive (have broken out in hives several times), -8 days later I traveled to a high altitude location (Aspen, CO), and had 4 glasses of wine over a 8 hour period. For the next two days I skiied for 5 hours, going up to 12,500 ft in altitude. On the first morning after arrival I started feeling badly, with symptoms including dizziness, asthma symptoms (unusual for me as it is only exercise-induced), a headache in the front of my head, and a slight redness in my left eye. As the days increase my symptoms increased to the point of inability to leave the house. After 3 days I received an IV, oxygen, that did not help. On day 4 I went to the hospital after a virtual appointment with a clinician and had chest xrays taken as Hospital (never received the results) and was put on Diamox 250MG 2x/day, this helped slightly. Day 6 I left and traveled back to CT at low altitude, my symptoms did not improve immediately and got worse (eyes became significantly more red by this point), asthma and dizziness increased). Two days after arriving home I went to two doctors who misdiagnosed me with a sinus infection, water in my middle left year and left lung, and conjunctivitis. I was given antibiotic eyedrops that had no improvement for 36 hours. Upon receiving a 1mg cortisone shot these symptoms improved, I was also given 500MG of a Z-pack type antibiotic 1x day/4 days. I went to my PCP, doctor who was able to accurately diagnose my symptoms as an immune response to being unable to acclimatize due to my moderate immune response to the 2nd shot. My body went through significant inflammation. He treated me with Prednisone and continued my antibiotic.

Over 5 hours progressively worsening symptoms of allergic reaction in order: Fatigue Itchy throat Chest tightness Cough Wheezing Shortness of breath Took 2 benadryl which did not improve symptoms and then went to the ER at ~8:30 pm. Given IV fluids, pepcid, and dexamethasone which resolved symptoms and was discharged around 11:30pm.

Nausea Dizziness Lightheadedness Dehydration Systolic hypotension Afebrile Syncope without collapse Tachycardia Anxiety Anxiety attack Panic attack Tachypnea Pain upon palpation at site Erythema at site Swelling at site Muscle pain at site that lasted for 3 weeks Weakness that lasted for 7 hours

-Severe chills -High Fever (Did not measure) -Trouble breathing -Neck pain/facial pain -Arm soreness -Weakness and SOB -Tachycardia - (Peak 132 BPM)

Anaphylaxis - chest pain, shortness of breath, tingling in throat, lightheadedness Responsive to Epipen x 2. Given IM solumerol EMS took her stable to ER

Fever of 101.5F, chills, migraine, severe body aches, stomach ache, nausea, no appetite, not able to sleep, constant coughing, dry mouth, short of breath, and bruising at injection site. Adverse event lasted approximately 2.5 - 3 days.

Patient began to feel throat tightness and dizziness after received vaccination. Vital signs stable, no respiratory complications assessed. Patient drank some juice and laid down and felt better after 15 minutes. Vitals checked again and once again were stable.

Itching all over the body started about 2 hours after receiving the vaccine ( around 11:30am). At noon, I noticed I was dizzy and weak, and I couldn't stand up without holding onto something. The itching got worse as the day went on and became intense and painful around 3pm. At that time, I noticed a rash on both arms, my legs and my chest, so I took 25mg of hydroxyzine (prescribed by my doctor) which has been helpful in the past for itching and rashes. Around 7pm, I had hives on my arms and legs, and the itching was getting worse and more painful. I also had intense itching on my face, especially on/around my nose. I took another 25mg of hydroxyzine but the itching wasn't subsiding and at that point, it was so bad that I couldn't focus on anything else. At 9pm, I still had hives and itching but also noticed that I was having a hard time breathing and it felt as though my throat was closing up. This continued throughout the night, with it being at its worst between 1-3am on March 12th. I woke up and the rash was gone, but the itchiness is still present and I'm having trouble breathing. I keep choking and gasping for air.

Swelling of throat and tongue about a half hour after vaccination. Patient took benadryl and symptoms resolved.

It was 7 mins after the shot, I started feeling my throat closing up, like a golf ball. they gave me an epi pen it helped a little bit but went to the ER. When the epi wore off I was having issues, I had it again 4-5 times. I had a hard time getting air in and out. I was admitted to the ICU for an Epi drip. The stayed over night and they winged me off the Epi and sent me home. I was home for a couple days, and in my kitchen not doing anything I felt like my air way was closing, my husband gave me Epi pen and took me to the ER. They have more IM Epi (3x) and steroids and Benadryl. I had a CT of my brain because I had the worst headache and it came back ok. I was there for 6-8 hours and it cleared up after 3 doses of Epi. A week after I was eating in the Cafeteria, my throat started to itch and took the Epi pen and gave myself a dose and took Benadryl, it did not get better. I ended up really struggling to catch my breath, I went down to the ER and they gave me another Epi and started Epi drip- I went again to the ICU for the night, more Epi, steroids and Benadryl. By the morning I felt a lot better and went home. I have seen my PCP and waiting to see my Allergist. Randomly I have just been getting rashes, my face, cheeks and nose, patchy rashes that will come and go.

24 hours post vaccination patient with throat tightening and shortness of breath. Patient self treated using her asthma inhaler

About 20 min after receiving the vaccine, the bottom half of my face became numb/tingly, along with tightness in my throat. I went back in the store to advise the pharmacist and she gave me Benadryl.

I have asthma that is primarily seasonal or exercise- induced. About 2 days after the vaccination, I experienced asthma symptoms that lasted for about 5 days. This was not related to exercise, humidity, or seasonal allergies- I woke up struggling to breathe on day 3 after the vaccine. I had shortness of breath, wheezing, resulting lightheadedness, and some dry coughing. Symptoms were worst first thing in the morning and at night. I am still experiencing some lingering difficulty breathing 10 days out from the vaccine, but no wheezing. It is very likely that I had COVID-19 in early February 2020, before testing was available in the here (My coworker returned from abroad very ill; another coworker and I became sick shortly after, and she lost her sense of taste and smell. I experienced low grade fever, intense nausea, diarrhea, shortness of breath, and extreme fatigue. The fatigue lasted for about one month.) Following this illness, I saw a sharp increase in my asthma symptoms for about 6-7 months, which gradually tapered off. Again, there was no other trigger for these symptoms such as exercise or humidity. It seems likely that I contracted COVID-19, which damaged my lungs in some way, and that the vaccine has resulted in irritating or "re-activating" that damage at a lesser intensity.

Very short of breath a week after receiving vaccine. Wasn't sure if related to exercise-induced bronchospasm which I've never been diagnosed with or Covid (healthcare worker) so I went to my PCP for a Covid test and to check my lungs. Was given a prescription for rescue albuterol inhaler which did make the shortness of breath subside. Used it every 4 hours for the rest of the day and the following day and have no had another occurrence. Have exercised many times since and have not had to use the inhaler before or after exercise.

1320- Patient complained of difficult swallowing and breathing. Seen by EMS and NP 1327- Benadryl 50 mg IM. BP 143/102 -92-SAT-100 Resp 32- shallow. Wheezing heard on ascultation 1332 - Continues with SOB 1334 - Epinephrine 1mg IM . Decreasing LOC, Sleepy, not following commands 1338:- 142-88/94/Sat 100 on NRB- Sats decreased to 90% Moved to Ambulance for transport. Triple jaw maneuver improved SATS 1339: Transportation to ER via EMS. Respirations assisted by.

immediately after vaccine felt unsteady. So stars when sat down and started getting hot and turning dark red. Felt like there was an elephant on her chest and couldn't breathe. States lungs felt like they wouldn't inflate to fill with air. Tingling in head and headache also noted.

Site: Bruising at Injection Site-Mild, Systemic: Confusion-Medium, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Fever-Mild, Systemic: Headache-Mild, Systemic: Hyperventilation-Medium, Systemic: Hypotension-Medium, Systemic: Weakness-Medium, Additional Details: patient completed vacination form at 10:43am. Patient recieved vaccination at 10:45am and by 10:50am patient request informed others she felt light headed. Nurse rushed to the patient with the Epi pen. They observed patient head tilted backward and unresponsive. Nurse opened the Epi pen but did not remove the blue needle cover and was unable to inject patient. At this time the patient started to be responsive and was confused. called 911, patient refused to go with them

Within five minutes, I experienced a hot, tingling, and metallic tasting sensation in my mouth, throat, and on my tongue. I started to feel an increase in my heart rate, experienced sweating, shaking, and shortness of breath. I was observed for 30 minutes and the symptoms lessened over that time. Driving home, I developed tingling and numbness in my face and the odd sensation of hot/tingling/metallic in my mouth, throat, and on my tongue continues to come and go.

Today is the day 5 since receiving the first dose of the Moderna vaccine. Within the first 24-36 hours, I experienced the to be expected symptoms (headache, tiredness and body aches); however, I continue to experience the following symptoms: ? Shortness of breath ? Difficulty taking a deep breath ? Lightheadedness ? Dizziness ? Low heart rate ? Fatigue These symptoms developed within 24-hours of receiving the vaccine and continue to persist.

Patient called to report severe weakness, vertigo, intermittent chest cramps, difficulty breathing, severe body aches, constant headache, extreme fatigue, chills, loss of appetite, nausea, and vomiting. Patient received her 1st dose of moderna covid vaccine 4-1-21 at pharmacy at 5:15 PM and started experiencing symptoms at 5:30 PM. Patient states her vertigo comes on when she is sitting up or standing, to the point where she is no longer able to stand up without feeling like she is going to fall. Patient also states her weakness is so severe she can "barely lift" her arms up. Patient states she is unable to touch her chin to her chest due to her experiencing neck stiffness stating "my neck feels locked up". Patient does have a history of "POTS" and explained that she will occasionally have "chest cramps" but notice it has been becoming more frequent since receiving the vaccine with each cramp occurring every 3 hours and lasting from 2-10 minutes. Patient states she has "vocal cord dysfunction" and at baseline always has difficulty breathing but has had more difficulty breathing since last night. Patient states she has used cyclobenzaprine with mild response.

PT experienced difficulty breathing and swallowing and felt like her throat was closing within 5 minutes of vaccination. Epinephrine given and 911 Dispatch called. She was monitored with care.

1/27 6:00pm- General not feeling well, stomach cramps 1/27 7:00pm-9:00pm- Skin painful, itchy, hives, all over reddness after soaking bath 1/27 9:00pm- Wheezing, cough, chest tightness Tongue swollen/pain, face swollen 1/28 7:00am- Tongue swollen/pain face swollen, hives/reddness and wheezing lasted into the morning and over next two weeks Took Allegra and Claritin in the morning. Went to allergists for steroids, took Prednisone.

4/7: Woke up feeling exhausted, could not get out a bed all day. It was too much effort even to sit up. mild headache throughout day, aching mucles, chills, low grade fever 99.6, arm pit sore to touch on side of vaccination. later in the evening, sore neck lungs feel tight and it was difficult to take a deep breath. upon deep breath, lungs were "burning" and I couldn't take a deep breath without a stabbing pain, felt constricted. skin felt hypersensitive throughout the day. pain at injection site the symptoms worsened as the day went on. By bedtime my whole body was aching and felt "tight". I took OTC Nyquil at this point and went to sleep. 4/8 woke up and felt better, mild neck pain, moderate fatigue, sore armpit on vaccinated side, mild burning feeling in lungs on inhalation 4/9 highly fatigued, mild headache, mild neck pain/stiffness

Sore arm the whole arm was bruised and hurt to even touch this lasted a week and a half . My face around my eyes were swollen and red and puffy and sore that lasted a week and a half. My throat was tight and a little hard to breathe lasted a day or two. Has servers body aches and the pain in my shoulder still persist to this day. Fever 100.3 two-3 days.

Pt did not wait 15 min observation period. 5 minutes into driving home her throat started closing up. She was still able to breathe and drive him. She said after 30 minutes. Was resolved

Pt c/o chest tightening, scratchy throat BP 147/100, pulse 95, o2 100% RA. 10 mg Zyrtec given, 10 mins later p/o feeling flushed and needed to lay down. Pt transferred to gurney via WC. 30 mins later symptoms still present, accompanied by a piercing frontal HA, pain 8 out of 10. BP 188/111, pulse 90, o2 98 %. Pt then c/o of throat closing, she felt that she couldn't breathe, Dr ordered Epi pen to be given, symptoms resolved and pt transferred to ED for further observation. Bp 178/109, pulse 100. o2 99%, upon being transferred.

1st dose of Moderna vaccine administered at 9:47 am. At 10:15 am patient complained of throat swelling that progressed to SOB, and complaining of sensation of tongue swelling. No significant lip or tongue swelling noted. Epipen (0.3mg/0.3mL) administered to L thigh at 10:15 am. Benadryl 50mg/1mL administered to R deltoid at 10:16 am. Patient was placed on 2L of O2 via nasal cannula. Vitals monitored and remained stable with no hypotension or bradycardia. Symptoms improved after 2-3 minutes. Patient was transported via ambulance to ER for further evaluation and monitoring.

Client c/o "feel like I can't breathe". V/S stable, no c/o nausea, no fainting. Client laid down on cot. VS monitored q5m for 15 min 0844: 164/89, 88/min, 100%RA 0850: 143/91, 84/min, 100% RA 0853: 137/97, 85/min, 99%RA Client sat up, stated feeling better. Given water, client exited clinic stable and without incident.

Patient received first dose of vaccine at 1508. Pt complained of scratchy throat , coughing, and shortness of breath. Patient states "my throat feels like it is closing". Patient placed on all monitors and O2 at 4L per nasal cannula. Patient received epi via epipen auto-injector at 1516. Patient received benadryl 25mg at 1518. Patient verbalized that her "throat was feeling better" at 1521. Ambulance contacted and arrived at 1530 to transport patient to emergency room.

TINGLING IN LEFT FOREARM DIZZINESS LASTING APPROXIMATELY 4 MINUTES TIGHTNESS IN THROAT LASTING APPROXIMATELY 2 MINUTES

Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Headache-Severe, Systemic: Hyperventilation-Severe, Systemic: Seizure-Medium, Systemic: Shakiness-Severe, Additional Details: Patient was given Moderna Covid Vaccine in Right Deltoid at 10:50. About 30 seconds later patient slid down from sitting possition and was shaking uncontrollably and reported difficulty in breathing. Patient was given Epi 0.3mg pen IM in right outer thigh and 911 was called.

Pt received initial Moderna vaccine at 1406 in left deltoid. Escorted to observation with RN for 30" wait time due to hx of multiple severe allergic reactions. At 1417 pt complained of "itchiness in throat" followed by subsequent throat tightening. Pulse 130, SaO2 98% on room air. Pt states she has history of postural orthostatic tachycardia syndrome and that she in not to receive epinephrine. No rash noted on body; no obvious airway swelling. Pt stated that she felt nauseous and began to vomit. Benadryl 50mg IM right deltoid given at 1424. Throat tightness initially not worsening and pulse down to 104 after emesis and Benadryl; SaO2 99% on room air. At 1427 pt states that she feels that tightness was starting to increase again. Decision made to call EMS. Call made at 1428. BP 146/102, pulse 110, SaO2 98 % on room air. EMS arrival at 1435. Report given to paramedics. Pt transferred out on stretcher, stable at 1440.

Client started to complain of itchiness and hives within 5-6 minutes of receiving the vaccine. She was red in the face. Described herself as shaky inside, had shortness of breath along with a scratchy throat. 50mg of Benadryl was given IM in right deltoid at 6:03 pm. EMS was called for further evaluation and release form. She had improvement of symptoms by the time they arrived. She signed the release form to go home. Upon attempting to leave, she had difficulty standing, became lightheaded and nauseous. Unable to get to vehicle, unsteady on her feet and complained of chest tightness. EMS called for transport to ER.

?Moderna COVID?19 Vaccine EUA? --Injection site reaction arm pain the day of injection ( for 1.5 days) - 7 days after fatigue, short of breath upon over exertion ( 1 full day) - 9 days : redness at the injection site, fatigue, heavy breathing upon exertion, soreness around left shoulder

Approximately 5 minutes after administration of the covid-19 vaccine, the patient became dizzy/light headed. The patient laid down in the vaccination room, where we provided water, ice, and an epi-pen at stand by. patient became red in the face and stated she had difficulty breathing. Upon obstervation, she was also very clammy and shaking. After 30 minutes, patient stated she was starting to be unable to breathe and was nauseous, upon request by her and the patient's mother, an Epi-pen was adminitestered by myself, and the mother felt comfortable taking the patient to the hospital a few minutes later for observation. A second epi pen was not requested/needed/administered at our facility.

Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium, Additional Details: Approximately 5 minutes after adminitering the moderna covid vaccine the patient became dizzy and shakey. We had her lay down in the vaccination room with and ice pack and water. She became red then white in the face, nauseous and weak. After 30 minutes the patient reported difficulty breathing, and per patient and mother's request for an epi pen injection, one was given. 5 minutes later the mother agreed to take the patient to the hospital for monitering/further care.

She received her first dose of the coronavirus vaccine from Moderna this morning at 930. 15 minutes later at 945 she began experiencing shortness of breath, nausea, and rash on the back of both of her arms. She was administered 0.3 mg of epinephrine IM into her right deltoid as well as 50 mg of Benadryl and an albuterol breathing treatment. She was then transported to the emergency department. On arrival to the emergency department, approximately half an hour after receiving epinephrine states she is feeling significantly improved and her rash has resolved.

April 22 - 2PM Took vaccine dose 1 April 23,24,25 - Disturbed sleep, Irritability, Heightened emotions, Anger, Emotional breakdown, Stress, pressure in the head April 26, 27 - fever, chills, lymph node swollen under arms, pelvic region (no fever or chills beyond 27) April 28, 29, 30 - all symptoms except fever chills from 26 or 27, ankle pain, leg pain, severe pain near tailbone, feels bones are breaking, muscle pain May 1,2,3 - same symptoms increasing, dizziness, breathlessness up to 1 min 3 went to doctor

Patient called pharmacy at 11:15 am on 5/4/21 with complaint of lip numbness and shortness of breath. Told patient to call 911. Spoke with patient at 12:06 pm again, she stated the fire department came to her. They said her lungs sounded clear, take Benadryl and call them back if she is still having symptoms. She was not transported to the hospital. Recommended follow-up with her PCP +/or allergist and if warranted, and have 2nd COVID shot done in an MD office.

Per RN on site - pt received the Moderna vaccine and immediately c/o L arm tingling and pain from injection site to forearm. Symptoms not relieved with range of motion exercises. Within 10 minutes, patient reported lip tingling. RN noted that lips and face were swollen. Patient then developed difficulty breathing and inability to produce saliva. Pt began retching without vomiting. CMO notified and 911 called. Pt developed labored breathing and HR was 135. APRN on site administered an EpiPen through patient's pants to the left thigh. After about 3 minutes, patient's breathing improved, but her lips and face remained swollen, HR decreased to 100. Left arm weakness observed. Patient was transferred via EMS to the local hospital.

Client complained of tightness in throat, swelling of tongue and face 15 minutes after vaccination. 50 mg of PO Benadryl was administered to client at 1400, she was able to swallow and finished taking the medication at 1405. Vital signs were taken at 1404 (Blood Pressure 110/80 Heart rate 70 Oxygen 96%). EMS services were called and arrived at 1409. Client stated that the swelling was no longer progressing. Client left with EMS at 1412.

Patient came to vaccine clinic to receive 1st dose of Moderna COVID-19 vaccine on Saturday, May 08, 2021 with lot number 043B21A at 12:40PM right deltoid. Patient is a Spanish-speaking and fire fighters on duty helped with the interpretation. Patient stated that she does not have any health issues nor allergies to any medications as evidenced by answering all screening questions as ?No?. Patient stated that she ate breakfast but feeling anxious before coming to the vaccine site. At 12:56 pm, pt experienced tightness on her throat and felt vitals were checked as follows: BP: 145/100 on right arm, PR: 92 bpm, O2 sat: 99% RA. Patient was further assessed together with fire fighters on duty, then, Ambulance was called since the patient. Patient was anxious but oriented to time and place. Patient continuously felt anxious due to the situation but was re-assured and throat started to be itching. Patient stated that she started to feel dizzy and having blurred vision. No coughing and no chest pain noted. Vitals were at re-checked at 1:01PM as follows: BP: 145/97 on right arm, PR: 114 bpm, O2 sat: 98% RA. Ambulance came at 1:03PM at the scene and did the assessment. Recommended to bring her to hospital for further evaluation.

Initially lightheadedness and nausea and after almost 50 minutes throat tightness and left facial numbness with decrease in BP and brief increase in heart rate. 25 weeks pregnant without complications. She was transferred to the ED for continued care.

Patient started with shortness of breath one hour after getting vaccinated. She called our student health line. We told her to call 911. She did; the EMTs came and assessed patient. Her oxygen levels were fine and she felt better. She did not go to ER.

Fever, chills, hot/cold sweats, extreme fatigue, chest pain, shortness of breath, every part of my body feels pain and aches, didn't feel alert much on day one but i did drink a lot of water, day two i am a little more alert but could hardly stay sitting up, extreme fatigue both days so far, dizziness, shortness of breath, had chest pain on day one throughout the day. Tomorrow will be day 3.

Within 10min difficulty swallowing, tongue swelling, shortness of breath. Following resuscitation on-going shortness of breath for >10 days. On high dose steroids and q6h benadryl for 5 days then 7 days of steroid taper with PRN albuterol for shortness of breath.

All symptoms are 4.18.21 - Present * New onset POTS like symptoms (70+ BPM increase from laying down to standing) * Unable to walk without inducing further tachycardia (previously could ski with tachycardia) - Week of 5/10 lowered to 40BPM increase, still cannot lift things or go up stairs. New occasional heart palpatations * New tingling sensations in left fingertips and left foot * Short term memory confusion * Shortness of breath and visual shakiness upon walking

Fever, fatigue, no appetite, chills, on 5/5/21 and 5/6/21. Rash developed under left armpit same arm as injection site 5/7 to 5/10. Right calf started to hurt on 5/12 and was diagnosed with a blood clot in right calf on 5/14. Chest felt heavy hard to breathe on 5/15 and went to ER. Bloodwork and EKG came back fine.

Had the shot two times both time. I felt tingling or electrical pulses in my body and head. Would wake out of sleep not breathing. I do not have sleep apnea never have, but I was feeling shocks and woke up with no air in my lungs. Was so scary woke up and sat out of bed because I wasn't breathing and feeling a type of shocking electrical feeling.

I began having very mild tachycardia and occasional shortness of breath after I had Covid 19 in the middle of December. My symptoms were very mild and did not require a doctors visit. I improved and went to get my first covid vaccine on 1/26/21. I started noticing some more mild tachycardia and shortness of breath a few days after my vaccine but I assumed I was just out of shape from not working out & being sick. I got my second vaccine on 2/26/21 and began having more severe tachycardia and shortness of breath with lightheadedness a few days later. I went to the ED March 12th due to heart rate in 160s at rest, chest pain, and difficulty breathing. I saw the cardiologist March 18 and was told I most likely have myocarditis. No treatment other than rest and no exercise. I began feeling back to normal again around the week of April 12.

4 hours later, subjective SOB and chest tightness. Worsened by the next morning, slowly eased off. No other symptoms.

Dizziness; did not feel well; felt very on the edge and could not think straight; a large red area on my R arm; Diarrhea; Feels Tired/fatigue; Sore arm; Throat hurt and feel closing; Swollen tongue; Throat hurt and feel closing; Rash; Flushed; Harder to breath; feeling hot/feeling warm; tachycardia; began feeling very odd/felt pretty awful; This spontaneous case was reported by an other health care professional (subsequently medically confirmed) and describes the occurrence of THROAT TIGHTNESS (Throat hurt and feel closing) and SWOLLEN TONGUE (Swollen tongue) in a 31-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. Concurrent medical conditions included Seasonal allergy, Allergy to insect sting (Allergy to cockroaches, dust mites,) and Allergy to plants (allergy to sycamore). Concomitant products included VITAMIN C [ASCORBIC ACID] for Immune disorder prophylaxis, MULTIVITAMIN [VITAMINS NOS] for Supplementation therapy. On 27-Dec-2020 at 8:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Dec-2020, the patient experienced FLUSHING (Flushed), DYSPNOEA (Harder to breath), FEELING HOT (feeling hot/feeling warm) and TACHYCARDIA (tachycardia). On 27-Dec-2020 at 8:15 AM, the patient experienced THROAT TIGHTNESS (Throat hurt and feel closing) (seriousness criterion life threatening), SWOLLEN TONGUE (Swollen tongue) (seriousness criterion life threatening), OROPHARYNGEAL PAIN (Throat hurt and feel closing) and RASH (Rash). On 28-Dec-2020, the patient experienced PAIN IN EXTREMITY (Sore arm) and FATIGUE (Feels Tired/fatigue). On 30-Dec-2020, the patient experienced DIARRHOEA (Diarrhea) and VACCINATION SITE ERYTHEMA (a large red area on my R arm). On 31-Dec-2020, the patient experienced THINKING ABNORMAL (felt very on the edge and could not think straight). 31-Dec-2020, the patient experienced MALAISE (did not feel well). On an unknown date, the patient experienced FEELING ABNORMAL (began feeling very odd/felt pretty awful). an unknown date, the patient experienced DIZZINESS (Dizziness). On 27-Dec-2020, DYSPNOEA (Harder to breath) had resolved. On 30-Dec-2020, PAIN IN EXTREMITY (Sore arm) had resolved. On 31-Dec-2020, DIARRHOEA (Diarrhea) had resolved. On 11-Jan-2021, TACHYCARDIA (tachycardia) had resolved. On 15-Feb-2021, THROAT TIGHTNESS (Throat hurt and feel closing) had resolved. At the time of the report, SWOLLEN TONGUE (Swollen tongue), OROPHARYNGEAL PAIN (Throat hurt and feel closing), RASH (Rash), FLUSHING (Flushed), FEELING HOT (feeling hot/feeling warm), THINKING ABNORMAL (felt very on the edge and could not think straight), DIZZINESS (Dizziness), VACCINATION SITE ERYTHEMA (a large red area on my R arm), MALAISE (did not feel well) and FATIGUE (Feels Tired/fatigue) outcome was unknown and FEELING ABNORMAL (began feeling very odd/felt pretty awful) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 27-Dec-2020, Blood pressure measurement: 132/97 (Inconclusive) 132/97, 121/74 (Inconclusive) 121/74 and 130/69 (Inconclusive) 130/69. On 27-Dec-2020, Heart rate: 135 (Inconclusive) 132, 117 (Inconclusive) 117 and 113 (Inconclusive) 113. On 27-Dec-2020, Respiratory rate: 20 (Inconclusive) 20 and 18 (Inconclusive) 18. On 31-Dec-2020, Heart rate: 140s (High) 140s. On 01-Jan-2021, Heart rate: 140-1150s (High) 140-1150s. 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 for the events included epipen, iv solumedrol, Benadryl (diphenhydramine) and propranolol. 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. Most recent FOLLOW-UP information incorporated above includes: On 29-Mar-2021: The patient information, vaccine information, concomitant drugs, event updates, additional events and treatment were provided. On 05-Apr-2021: Event outcome and onset date were updated.; 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; 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.

I had flu like symptoms and body ache on Saturday (day after vaccine). Then I began experiencing difficulty breathing, shortness of breathe, and low pulse oxygen levels with movement/exertion. Breathing difficulties have continued to worsen Over the last week and increased palpitations . Developed a skin infection at the injection site as well.

Syncope; Unresponsive to stimuli; Asthenia; Confusional state; Diarrhoea; Dizziness; Hyperventilation; Hypotension; Injection site bruising; Lethargy; Headache; Pyrexia; Fatigue; This case was received via FDA VAERS on 01-Jun-2021 and was forwarded to Moderna on 01-Jun-2021. This regulatory authority case was reported by an other health care professional and describes the occurrence of SYNCOPE (Syncope) and UNRESPONSIVE TO STIMULI (Unresponsive to stimuli) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 008b21-2a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 29-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 SYNCOPE (Syncope) (seriousness criterion medically significant), UNRESPONSIVE TO STIMULI (Unresponsive to stimuli) (seriousness criterion medically significant), ASTHENIA (Asthenia), CONFUSIONAL STATE (Confusional state), DIARRHOEA (Diarrhoea), DIZZINESS (Dizziness), HYPERVENTILATION (Hyperventilation), HYPOTENSION (Hypotension), INJECTION SITE BRUISING (Injection site bruising), LETHARGY (Lethargy), HEADACHE (Headache), PYREXIA (Pyrexia) and FATIGUE (Fatigue). At the time of the report, SYNCOPE (Syncope), UNRESPONSIVE TO STIMULI (Unresponsive to stimuli), ASTHENIA (Asthenia), CONFUSIONAL STATE (Confusional state), DIARRHOEA (Diarrhoea), DIZZINESS (Dizziness), HYPERVENTILATION (Hyperventilation), HYPOTENSION (Hypotension), INJECTION SITE BRUISING (Injection site bruising), LETHARGY (Lethargy), HEADACHE (Headache), PYREXIA (Pyrexia) and FATIGUE (Fatigue) 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. Concomitant product use was not provided by the reporter. Treatment information was not provided. Patient received vaccination at 10:45am and by 10:50am patient informed others she felt light headed. Nurse rushed to the patient with the Epi pen. They observed patient head tilted backward and unresponsive. The patient started to response and become confused. Nurse didn't administer the Epi Pen. 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.

Trouble breathing, increased use of inhaler. Change of inhalers due to the severity of breathing troubles

Pt has a history of allergy to hand sanitizer(unknown) and sesame Oil (hives). The patient has been under care for chronic cough and is being evaluated by an allergist. There was a reported sensation of tightness in the throat and upper chest, respiratory distress, itchy throat and difficulty swallowing 5mins after vaccination. There was no stridor or wheeze though a persist upper airway cough throughout the observation period. BP 113/81, HR 100, RR 18, 100% RA -- > 105/87, 108, 16, 100% RA. Pt given 50mg PO benadryl and Albuterol 2puffs inhaled. The albuterol inhaler did seem to relax the cough effort and approximately 15 minutes after the p.o. benadryl the patient reported no further itching of the throat and was able to take water without difficulty. NP recommended J&J vaccine if booster is needed at a later date. Pt stable and released from the vaccination site. Recommended that the pt f/u with healthcare provider, f/u instructions provided.

I received my first covid shot at about 2 in the afternoon, within about 2 hours my arm was sore, and almost hungover? I don't have a better description. I went into work (graveshift) because I felt alright, but by about 1am I felt like I was getting sick, the chills and slight nausea I was expecting. The soreness in my chest I was not. I've been progressively worse each day being congested, in my sinuses as well as my lungs, Mucinex has helped some. It's Monday and I still can't breathe right, taste anything or go more than 20 minutes without my box of tissues.

Pt reports sharp pain to left flank after receiving 2nd dose of moderna vaccine two days ago. pt seen at company sick call yesterday for same and given quarters. pt also reports breathing issues for past 6 months and is concerned it may be related.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Abdominal Pain-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Severe, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Mild, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Systemic: Vomiting-Medium, Additional Details: Within 5 minutes of administration patient experienced sweating, claminess, nausea, stomach upset, felling faint, slight dizziness, minor trouble breathing. After around 5 more minutes, patient vomitied. EMS was called and patient left pharmacy with EMS within 20 minutes of administration of vaccine.

Upon recieving shot: I developed white horizontal lines in nail with many vertical lines extending to the top of nail (I also developed this with my first dose) A little under 12 hours after recieving the shot: Chills, fever, shortness of breath upon standing and when laying down, inability to walk for longer than a few seconds, blacking out, and body pains. All symptons lasted for over 24 hours straight. I also experienced chest pains and pinching pains in my chest, side, stomach and head. Basically the worst flu and difficulty sleeping. At 40 hours after shot, the fever broke and I was able to walk again, but was exhausted. For over a week after getting the shot, I experienced headaches and pressure in my head daily lasting most of the day, nausea which made it difficult to eat, and extreme exhaustion.

29 Jan 2021 9am - received first dose of Moderna 12:30pm - diarrhea 8pm - started to not feel well 9pm - feeling cold and shaky 10pm - Feeling very tired, ready to sleep 11pm - throws up about 10 times, more diarrhea 11:30pm - drinks some water and throws it up immediately. Continues throwing up but it turns into dry heaving. 11:45pm - starts to experience Acidosis or Metabolic Acidosis. Muscles cramp so much it?s hard to walk, talk or write. At this point I?m worried about dehydration. Breathing becomes short and heavy. 30 Jan 2021 Midnight - arrives at the ER 12:30am - my heart rate is 150. I have a low grade fever at around 100 degrees F. 1 am - 3am - 3 different nurses try to stick me with an IV but my veins are so small they were unsuccessful. They ended up giving me a pill for nausea and encourage me to take small sips of water and eat some crackers. During this time I calm down enough so my heart rate lowers back down into the 90s and muscle cramping subsides. My bloodwork came back normal so no infections. 3:30am - discharged from ER 4am - falls asleep 3pm - wakes up feeling much better but still feel exhausted from the rough night

The evening on the day of my second vaccination I experienced mild side effects of body aches and fatigue. The following morning this was accompanied by a fever of 101 F and severe sharp chest pain. The chest pain lasted for several minutes at a time on and off throughout the day. When the chest pain was at its worst I also had shortness of breath and what felt like a fluttery heart beat and the pain radiated to my sternum and rib areas. The pain was severe enough that I could not sit or stand upright during these episodes, I cried, and asked not to be left alone in case something happened to me. It felt like sharp, knife-like pain not dull aching pain. Body aches and chills also continued throughout the entire day and evening. I used heat and cold packs, baths, and took Tylenol starting in the afternoon and again in the evening to help cope.

shortness of breath; chest pain; breast pain; lymph node under arm pain; weird viral infection; WBC came back double of what is supposed to be; tiny bit wheezy; slight fever of 100.5; muscle ache/body ache; chills; heart rate up in the 120s going into 130s/Heartrate was 138; felt really tired that night; weird flush feeling; She was high as a kite/felt wicked high and really weird; had all this weird stuff that happened/felt like a train hit her; tachycardia; pain; lymph nodes inflamed; sore arm; This spontaneous case was reported by a consumer and describes the occurrence of HEART RATE INCREASED (heart rate up in the 120s going into 130s/Heartrate was 138), DYSPNOEA (shortness of breath), CHEST PAIN (chest pain), BREAST PAIN (breast pain), FLUSHING (weird flush feeling), EUPHORIC MOOD (She was high as a kite/felt wicked high and really weird), FEELING ABNORMAL (had all this weird stuff that happened/felt like a train hit her), WHEEZING (tiny bit wheezy), FATIGUE (felt really tired that night), PYREXIA (slight fever of 100.5), MYALGIA (muscle ache/body ache), CHILLS (chills), LYMPH NODE PAIN (lymph node under arm pain), WHITE BLOOD CELL COUNT INCREASED (WBC came back double of what is supposed to be) and VIRAL INFECTION (weird viral infection) in a 31-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 Pregnancy (Patient is 4 months postpartum. She had a baby in February). On 28-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Apr-2021, the patient experienced FLUSHING (weird flush feeling) (seriousness criterion hospitalization), EUPHORIC MOOD (She was high as a kite/felt wicked high and really weird) (seriousness criterion hospitalization), FEELING ABNORMAL (had all this weird stuff that happened/felt like a train hit her) (seriousness criterion hospitalization), FATIGUE (felt really tired that night) (seriousness criterion hospitalization) and PAIN IN EXTREMITY (sore arm). On 18-May-2021, the patient experienced HEART RATE INCREASED (heart rate up in the 120s going into 130s/Heartrate was 138) (seriousness criterion hospitalization), MYALGIA (muscle ache/body ache) (seriousness criterion hospitalization) and CHILLS (chills) (seriousness criterion hospitalization). On an unknown date, the patient experienced DYSPNOEA (shortness of breath) (seriousness criterion hospitalization), CHEST PAIN (chest pain) (seriousness criterion hospitalization), BREAST PAIN (breast pain) (seriousness criterion hospitalization), WHEEZING (tiny bit wheezy) (seriousness criterion hospitalization), PYREXIA (slight fever of 100.5) (seriousness criterion hospitalization), LYMPH NODE PAIN (lymph node under arm pain) (seriousness criterion hospitalization), WHITE BLOOD CELL COUNT INCREASED (WBC came back double of what is supposed to be) (seriousness criterion hospitalization), VIRAL INFECTION (weird viral infection) (seriousness criterion hospitalization), TACHYCARDIA (tachycardia), PAIN (pain) and LYMPHADENOPATHY (lymph nodes inflamed). The patient was hospitalized from 18-May-2021 to 20-May-2021 due to CHILLS, EUPHORIC MOOD, FATIGUE, FEELING ABNORMAL, FLUSHING, HEART RATE INCREASED, MYALGIA, PYREXIA, WHEEZING and WHITE BLOOD CELL COUNT INCREASED. The patient was treated with NAPROXEN for Pain, at an unspecified dose and frequency. At the time of the report, HEART RATE INCREASED (heart rate up in the 120s going into 130s/Heartrate was 138), DYSPNOEA (shortness of breath), CHEST PAIN (chest pain), BREAST PAIN (breast pain), FLUSHING (weird flush feeling), EUPHORIC MOOD (She was high as a kite/felt wicked high and really weird), FEELING ABNORMAL (had all this weird stuff that happened/felt like a train hit her), WHEEZING (tiny bit wheezy), FATIGUE (felt really tired that night), MYALGIA (muscle ache/body ache), CHILLS (chills), LYMPH NODE PAIN (lymph node under arm pain), WHITE BLOOD CELL COUNT INCREASED (WBC came back double of what is supposed to be), VIRAL INFECTION (weird viral infection), PAIN IN EXTREMITY (sore arm), TACHYCARDIA (tachycardia), PAIN (pain) and LYMPHADENOPATHY (lymph nodes inflamed) outcome was unknown and PYREXIA (slight fever of 100.5) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In May 2021, Blood test: normal (normal) nothing was wrong. In May 2021, Body temperature: 100.5 (High) slight fever. In May 2021, Heart rate: high (High) heart rate up in the 120s going into 130s; 138. In May 2021, SARS-CoV-2 test: negative (Negative) negative. In May 2021, White blood cell count: high (High) double of what is supposed to be. In May 2021, X-ray: normal (normal) nothing was wrong. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No concomitant information was provided. Patient stated that she was due for the second dose on 26-May-2021 but had it rescheduled for this Thursday. She said she had all this weird stuff that happened. She doesn't know if it's related to the vaccine or if it's a fluke thing. Three weeks after the first vaccine, she was admitted to the hospital from 18-May-2021 to 20-May-2021. On 18-May-2021, she was coming home from. She felt like a train hit her. She went to the ER that night, they did notice a slight fever of 100.5 which she said went away quickly without Tylenol. They did blood work WBC came back double of what is supposed to be. They immediately started administering antibiotics. They also did CT scan with oral contrast, soft echo to look for blood clots, chest X-ray because she sounded a tiny bit wheezy. She had negative COVID test. Saw an infectious disease specialist there. Last Friday, the patient again went to the ER; had shortness of breath and chest pain. They did bunch of blood test, chest X-ray. They said nothing was wrong and was discharged. She felt worse over the weekend. On Saturday, she had chest pain, breast pain, lymph node under arm pain. She went back to the ER. They did more blood work and chest X-ray. Patient has no idea of what to do. She still feels this way. She's been avoiding NSAID and ibuprofen. She was in so much pain Sunday, she asked them to do something. Since the vaccine, the patient has been to the hospital 4 times and has seen specialist. No one can tell her what the diagnosis is. The blood tests are coming back fine. She's had chest pain, tachycardia, lymph nodes inflamed. They think it's a weird viral infection. Based on the current available information and temporal association between 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 product and the start date of the events, a causal relationship cannot be excluded.

17 minutes after injection my tongue felt heavy and weird. Then my head felt heavy. Shortly after I passed out. The staff said my BP was in 180s. My normal BP is 100-110. Heart rate stayed around 115. Ice packs used and remained laying down for 30 minutes until heaviness passed. Oxygen remained normal although it felt hard to breathe. Just a heaviness on my chest.

Palpitation lasted for a day after the second dose of moderna. Shortness of breath occurred during ambulating and lasted for three days. Experienced chest pain which lasted for less than 5 secs for two days after receiving moderna.

1509: Patient received COVID vaccine in L arm and was instructed to sit in waiting area for 15 minutes to watch for any reactions. 1522: Patient presented to front desk stating she had burning and numbness in her L arm 13 minutes after vaccine. She was examined by immunizations technicians and told it may be a local reaction or may be a hit nerve. She was then instructed to wait an additional 15 minutes in waiting area where the immunizations technicians can keep an eye on her. 1525: Patient presented to front desk again stating she was having "difficulty breathing and felt like her throat might be closing" Patient was talking normally and able to answer questions. She was placed on high flow oxygen 15LPM. Another member of the immunizations team brought two providers to the patient for additional evaluation. Patient was still breathing normally and answering all questions. She stated that she was feeling nauseas, dizzy, had difficulty breathing and still felt like her throat was closing. Provider stated her symptoms were enough to determine possible anaphylaxis and administer the epi-pen. 1530: Epi-pen was administered to L thigh. Patient was answering all questions. Immunizations technician called 911 for local EMS transport to hospital. 1532: Vital signs were obtained. BP: 126/81 P:76. Patient was still answering all questions and breathing normally. She stated she felt like it was easier to breathe and her throat was not closing anymore. Oxygen flow was lowered due to patient feeling "jittery" to 10LPM. 1547: Local EMS arrived and took over patient care. Patient was still alert and oriented answering all questions for the EMS personnel.

swollen lips and throat after first shot went to urgent care and they gave me steriods and benadrly . lips and face swelled up two more times. doctors wouldnt say it was due to the covid shot. i needed the vaccine for entrace to my program . i decided to go ahead and get the second dose of moderna and a day later my upper lip and right eye completely swelled up including my throat feeling tight and hard to swallow. i was told it was angiodema possibly from vaccine but to follow up with rerrered physicians for further evaluation. was given steriods through and IV and sen home on a steriod routine . my body is weak, my mind cant catch up to my thoughts , my memory is bad, my glands are swollen , i have a headache

Dose 1 was given on 1/9/21. Dose 2 was given on 2/6/21 Lot #042L20A. 12 hours after receiving the 2nd dose I had chills, and had a fever that reached 103 degrees. I was very tired & had body aches. The symptoms stopped approximately 24 hours later. The morning of 6/29/21 at approximately 5:30 am, as I was getting ready for work, my upper body became numb & collapsed. I began coughing & coughed up frank blood. I was lethargic & having difficulty keeping my eyes open, and chest pain on my right side. I was transported to Hospital via ambulance. My troponin levels were elevated & after a Chest CT, they found a lung nodule on my upper right lung. I was diagnosed with myocarditis & the lung nodule. I was hospitalized & had an echocardiogram the next day. After being discharged home, I felt normal, other than some pain in my chest when I would cough or sneeze. On July 7th, my chest pain became worse. I was unable to contact my PCP, therefore I went back to the ER. My troponin levels were normal & was given tramadol and a lidocaine patch for the pain. Since then I have had a "dull" pain in my right chest, however I have not had to take any medications for this.

Labored breathing, confusion/brain fog, disorientation and loss of focus, fever, extreme body chills, cold sweats, generalized aches and pains, severe malaise. Was not able to drive anywhere to seek medical evaluation. Did not yet feel threatened enough to call for ambulance but was scared about the breathing and mentation changes. The first dose of the Moderna lot 011D21A caused hematemesis which I self treated with omeprezole for 3 days. The other symptoms from the first dose were all common side effects. The second dose was much more severe.

The week before I had tingling sensation on my face and hot. Two days later I felt the tingling on my face again. I decided to lay on the couch. Then the tingling went to the back of my neck. My chest started to feel weird, and I started to have trouble breathing. My husband called the ambulance. My face was numb, and my hands were cramping. I got put on oxygen right away in the ambulance. I was on oxygen for 36 hours and I was admitted. My blood pressure was also high. My hands were numb for 4-5 hours. They did bloodwork around the clock. My electrolytes were extremely low, and my calcium and potassium were as well. They investigated my blood pressure medication to see if that was causing my problems. They also did a COVID test, and it came back negative. They are still trying to figure out why I have high blood pressure. They changed my medication to Amlodipine. I still do not feel 100 percent.

Throat swelling Joint pain Chills Headache Cellulitis at injection site-redness, swelling, warm, tingling in fingers

Patient presented for Covid-19 vaccine clinic. She did report a previous reaction to influenza vaccine, but she premedicated with benadryl for that. She did not premedicate for covid vaccine. Approximately 20 minutes after her vaccination, she was observed in the post vaccine waiting area and stated that she was a bit dizzy and tickling in her throat. In addition, she had an itchy rash on her left forearm, the side in which her vaccine was given. She was escorted to the nearest exam room. There, she began to have nearly non-stop coughing to the point of gagging. She was given epi 0.3mg im with some improvement of symptoms. Continuous monitoring showed oxygen sats in the upper 90s, BP was in the 150s systolically. She was given 50 mg of Benadryl orally. At that point, patient was taken to the procedure room via wheelchair. After approximately 30 minutes, the ticking sensation in the throat returned and patient was having more difficulty breathing. Another epi 0.3mg im was given, along with pecid 40 mg po. 125 mg of Solumedrol was given IV, with saline lock left in place. After 20 minutes, patient again was having difficulty. Another epi 0.3mg was given and EMS activated. While awaiting EMS, an albuterol neb was given. EMS activated ALS. Patient left facility in stable condition, transported to hospital. Pt received another 0.3mg of epi im enroute to hospital. Pt was in good condition at hospital and discharged to home. Pt returned to ER the following day with c/o cough, neb and prednisone given and discharged home. Pt returned to ER again on 1/2/21 with c/o elevated BP 170/80's. Pt presented to clinic on 1/4/21 with continued elevated bp 170/110, and shortness of breath.

Moderna vaccine on 12/31/2020. The next day, Friday she had a sore left arm, that was it. No redness or swelling at the injection site.. On Saturday she had a dry cough with deep inspiration, chest tightness, and shortness of breath and left shoulder pain requiring aleve and heating pad. Saturday she used her rescue inhaler a few times, Sunday she used it 2-3 x and one time today. Ongoing chest tightness . Got order for 5 days of steroids and epi pen prescription

Arm soreness, facial flushing immediately following injection. Pt later became short of breath with mid sternal pain.

At 7:10am yesterday 1/7/21 I received the covid vaccine. Immediately my lips went numb, and my left arm and hand went numb. I waited at the hospital for 15 minutes and then attempted to drive home. I got about 2 blocks away and noticed my face was numb all the way from my chin to my nose. I went back into work into employee health and let them know. They called the pharmacist who instructed me to go to the ER. While walking to the ER I began to have difficulty breathing, and throat tightness. They called a rapid response alert and I was taken on a stretcher to the ER. I felt dizzy, nauseous and the numbness to my face was from my mid neck up to the top of my hairline at the top of my face. My left hand and arm were still numb. When they took my vitals I was hypertensive BP approximately 155/86, I was also tachycardia HR 104-110. EKG was abnormal-sinus tachycardia HR 104, and probable left atrial enlargement. I began to have severe chills/shaking for approximately 1 hour. I was given 1 liter of normal saline IV, Benadryl 25mg IV, and Zofran 4mg IV. After inspection by the doctor my throat was not swollen, or closing so an epi pen was not administered. My oxygen saturation remained above 91%. After 3 hours of being monitored in the ER my numbness to my face started to improve so I was discharged home. Labs were taken in the ER and my potassium was 3.1, calcium was 8.1. The day prior at my primary care doctors office labs were taken and all my labs were normal including my potassium and calcium. My primary care physician believes the low electrolytes the day of the reaction were due to the reaction to the vaccine. I also had a repeat EKG today (1/8/21) the day after the reaction at my primary cares office and it was normal sinus rhythm with no abnormalities. Vitals were all within normal limits. Today (1/8/21) approximately 36 hours after the vaccine administration I have mild numbness to my face as well as moderate body aches. My primary care physician believes I should not have the second dose of the covid vaccine as she fears I would have a anaphalactic reaction.

Dizziness Patient complaints of shakiness, dizzy, and SOB after injection. Coherent and able to talk. Narrative: Patient transfered with assist of 2 to wheelchair and in attend of x1 RN to the ER. Patient stable and talking with evident shaking and SOB however, able to answer and talk to staff present.

Injection site: pain, tenderness, soreness - still present General side effects: Dizziness -10/08/2021 3 hrs Weakness - still present Chest pain - 10/08/2021 2hrs Difficulty breathing - 10/08/2021 2hrs Chills -still present Muscle pain - still present Joint pain -still present Fever - 10/08/2021 1130pm Chest sore - still present Muscle stiffness - 10/10/2021 1130am

Within 10 minutes I've receiving vaccine I became dizzy flushed from the chest to the throat and face throat felt tight for a brief moment which passed quickly dizziness came back approximately one hour later then starting 2 days after injection I had diarrhea 3 days after injection that I had chills and nausea. days 4-6 after injection I had severe headache nausea chills muscle aches

Pt received Covid 19 Moderna While waiting afterward reports chest tight, heart racing feeling flushed. SOA relieve by removing face mask. Reported this happened 2 wks ago & this happen prior to that & thought to be anxiety

30 mins after receiving the vaccine, I started feeling my tongue more in my mouth. I also experienced difficulty breathing. I was told that my lips and cheeks were swollen and that my eyes were red. I was first given benadryl (25 mg) and prednisone (20 mg). I was later given epinephrine ( 0.3 mg/0.3mL injection). I was then taken to the emergency room where they prescribed the above medications to be taken for 3 days (minus the epinephrine).

Patient developed generalized urticaria, nausea/vomiting 10 seconds after vaccine injection. Had difficulty swallowing after that with a feeling of airway closing. On exam, she maintained a normal, patent airway - no epinephrine was given as a result. She did receive IV Benadryl and IV Solumedrol and was transported to the hospital via ambulance. Initial vital signs were as follows: BP 130/89, HR 110, RR 16, SpO2 99%. Advised she should not get second dose of the vaccine given severity of reaction.

Patient reported shortness of breath, throat swelling, shaky, tingling in arms and legs approximately 8-10 minutes after administration. I immediately gave patient 2-25mg diphenhydramine caps. Patient felt better but still difficulty breathing, I called 911 approximately 10 minutes following injection. EMS arrived on scene in approximately 4-5 minutes. Checked vitals, BP and heart rate were elevated. EMS transported patient to Hospital.

Patient vaccinated on 12/28. Approximately one day later, develops cough and on azithromycin x 1 week. On 1/3, patient develops left-sided weakness and aphasia. Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P. Patient died on 1/4/21 at 7:20am.

1/9/2031: at time of shot extreme burning in left arm and into left shoulder blade. 15-30 minutes after vaccine: high pulse at 98 bpm, throat tightened, shake hands (lasted 1 hour)(had to take allergy pill for throat tightening) High anxiety the rest of the day. Sharp pain in left shoulder blade into neck, extreme fatigue. 1/10/2021: high fatigue, sharp shoulder blade pain and stiffness in neck. Right kidney/back pain, headache, fuzzy thinking, feeling blah and out of it 1/11/2021: arm, shoulder blade and neck pain, heart racing in the am. 1/12/2021: shoulder blade and neck pain. Afternoon nausea and feeling like I could throw up, clamy sweaty hands

Complaint of throat tightness and brought to the patient room. On exam she had mild swelling of the uvula and was given diphenhydramine 50 mg orally. Patient had normal vital signs and normal lung exam. She had tingling of her hands and lips and was given a brown paper bag to help with the hyperventilation. Vital signs remained stable. Lungs remained clear. The uvula swelling resolved. Patient was monitored and released to go home after 2 hours feeling well but tired.

Client complained of feeling flushed, hot, heart racing and tight throat and difficulty breathing. Vitals taken and placed in supine position with feet elevated but complained of hard to breathe so sat up. Started yelling she couldn't breathe, encouraged her to calm down take deep breaths, able to take drinks of water, and talk. BP 144/80 Pulse: 119 No swelling noted and no blueness of lips or fingers. Calmed down after drank water but then started yelling again in about 2 minutes she couldn't breathe and she wanted EPI would I please give her EPI. Gave 0.5cc Epinephrine, this immediately helped she said still wanted 911 called noted no breathing issues or swallowing issues drinking water, also called 911 . Ambulance here at 1:45 and checked o2 sat reported 98% Vitals taken by ambulance but not reported to us. Called the patient this morning 01/13/2021, she reported she had another episode in the ambulance she felt she couldn't breathe and they gave her Benadryl 0.5cc and she said she never had another episode after she got to the hospital, she reported the ER DR. diagnosed her with anaphylactic reaction to the vaccine. She returned to work this morning no issues she reported.

9:21 AM- Redness around injection site, anxiety 9:25 AM- Patient had increase respiration and became restless 9:28 AM- O2 sat. 99% on room air, 94 Pulse, water provided with talk therapy 9:40 AM- Vitals; 98% O2 sat on room air, 88 Pulse, decreased erythema 10:01 AM- Patient stated feeling better

01/07/2021- Following injection, site pain radiating to hand/fingers. Resolved 01/08/2021. 01/07/2021 - Headaches, intermittent still. 01/07/2021 - Neck Pain - Left Side, intermittent still. 01/08/2021 - Pain Left Index Finger/Tightness, Resolved 01/08/2021 evening. 01/08/2021 - Left Hip Pain, Intermittent/Ongoing. 01/08/2021 - Left Side Face Numbness/Tingling at 4PM. No paralysis. Bell's Palsy ruled out. Continues as of 01/14/2021. 01/08/2021 - Left Side Mouth Numb, cannot feel pain/temperature when eating/drinking. Tongue Numb. Resolved 01/12/2021. 01/08/2021 - Slight Nausea, Resolved 01/09/2021. 01/08/2021 - Feeling of swollen throat, or something in throat, Resolved 01/10/2021.

Around 8 minutes post-vaccination patient started complaining of itching in her eyes and legs. RN in room with patient, vitals obtained immediately. While obtaining patients vitals, patient started to feel tingling on her face starting at her cheeks and going down towards her mouth, but no itching or swelling of mouth, throat, or tongue. NP brought into room to evaluate patient and Benadryl 50 mg given at 1125. Patient expressed that tingling was spreading to jaw and down into neck. 911 called at 1127 per recommendation from NP. While waiting for EMT's to arrive, patient complained of tingling down to her chest at 1133, and the tingling progressed down to her legs at 1136. Patient still denied any difficulty breathing, trouble swallowing, shortness of breath, swelling of mouth, lips, and/or tongue. Patient was able to talk without any difficulty during the entire event. EMT's arrived at 1139 and patient walked out to ambulance without assistance and was transported to ER for evaluation. At ED, pt reports she started getting tingling sensation all over her body, fullness sensation in her throat, feeling flushed, itching eyes and all over her body within 10 minutes of receiving vaccine. Pt notes she has had antibiotic allergies in the past that are very similar to this experience. Pt also endorses numbness/tingling sensation stretched from head to just below abdomen. Pt received famotidine 20 mg IV x 1, methylprednisolone 125 mg IV x 1, 1L NS IV x 1 (in addition to diphenhydramine 50 mg PO x 1 she received at clinic). Pt states she felt no improvement so diphenhydramine 50 mg IV x 1 ordered. Half hour later pt felt she wsa not getting worse, but not better and she stated her thoat felt full and she had tingling all over. Pt received albuterol 2.5 mg nebs x 1 and epinephrine 0.3 mg IM x 1. Discharged to home with prescrpitions for Medrol Dosepak 4 mg PO tabs x 6 days, famotidine 40 mg PO QHS x 5 days, hydroxyzine 25 mg PO QID PRN x 5 days. Instructed to return to ED with worsening condition and to discuss 2nd dose of vaccine with PCP.

Symptoms started to occur roughly an hour and a half after the injection. Symptoms included tingling of pins and needles throughout my body. A weird overwhelming feeling that something was wrong with my body but I did not know what and that my body was going to shut down. I would go through phases where my body would get overwhelmed flushed and hot and I would be confused or dazed in that moment until it passed. I started to have vision problems in my right eye with it going blurry and pain behind my left eye almost as if it was swollen. It felt like there was something in the back of my thought and I had to cough to get it out and it felt like that my bottom lip was swollen. When I got to the ER because I did not know what was going on when waiting in the waiting room my symptoms worsened. In the ER lobby I started having issues with my speech with not being able to say what I wanted to say and repeating the somethings over and over again. The tingling starting going into my throat, neck, and head area and I started getting sharp pain in my head. When everything started to intensify the knot in my throat got worse and I started coughing more. Before I knew it I was unable to swallow, I was unable to breath, it felt like my throat was closing shut and I had to tell medical staff due to still being in the ER lobbing and not having any type of medication. I felt like I was going to pass out and was seeing flying dots due to having a hard time breathing, it felt like I was going to choke on my tongue and my throat was completely impeded. After being taken back in the ER they provided me with the following medications. diphenhydraAMINE 50 MG/ML, dexAMETHasone sodium phos, famotidine 20 mg/2 mL ink, EPINEPHrine 1 mg/mL. 1 mL inj. And was monitored until my vitals were stable to go home.

Shot on Thursday (1/7/21h at 1PM) Immediate: Experienced some light headiness right after shot. 2-3 hours later - Some chest tightness, even up to throat. Resolved evening that day. Usual soreness in arm, expected resolved after about 48 hours. Around 2 pm 1/14, felt chest tightness return up to throat, looked at arm, hot red and swollen, like a bug bite, itchy. Did not take antihistamine. 1/15/21 redness and itchiness still at injection site. Mild itching. Lingering mild chest tightness. Upon big inhalation, feels like someone squeezing ? numb pain ? in chest and up to throat with a big breath.

Patient developed a hoarsenss of voice and tightness of throat and flushed feeling immediately following vaccination. Epi Pen was administered and 50 mg Benadryl given p.o., EMS transport to ED after administration of solumedrol 125 mg - received Pepcid and Zofran and NS IV in the ED. Discharged from ED with prednisone 40 mg daily x 4 day with Epi Pen prescription.

1-2 minutes after the vaccine, I got very hot then my chest got very heavy. I never struggled to breathe, but it was harder to breathe. My pulse and blood pressure went up. I got dizzy and lightheaded. Maybe 5-7 minutes after the onset, it started to get better on its own. No medicine was given. The paramedic did an ekg which was normal. My blood pressure and pulse also went back to normal. My oxygen level was normal. Later that evening and the following day, the only noticeable difference was extreme fatigue and a headache. I was dizzy and lightheaded for a few hours after.

Immediately felt dizziness, shortness of breathe and left body numbness. Fainted in and out and left body tightness/pain for 2 hours post injection. fever, fatigue, headache, shortness of breathe, muscle fatigue, chest ache for several days after. 01/08/2021 all symptoms become worse and severe. Left body muscle tightness and fatigue, heart palpations, vomiting, chest pain, dizziness, syncope, difficult breathing, unable to walk. ER Visit 01/08/21, 01/09/21, 01/09/21, and 01/11/21 PCP visit 01/12/21 Cardiologist visit 01/15/21