Moderna

Pt experienced nausea, shortness of breath, chest tightness and anxiety and then lost consciousness. Vitals were obtained several times during the medical intervention. Respirations were within normal limits throughout, BP was 135/89 initially, then rose to 210/110, then declined to 180s/? prior to EMS assuming care. Heart rate was 47 initially, then rose to normal limits. Treated with epinephrine, Benadryl and ammonia smelling salts and transported by ambulance to hospital.

Woke up during the night (12/24) with a sore throat, felt like it was closing and called 911. Did not go to ER. took Benadryl with relief. Injection site hot with an extremely sore arm the first day which is better now. Fatigue, achy all over persists taking tylenol and ibuprofen for symptoms.

After an hour of receiving my vaccine, I started feeling a little jittery, my heart rate went up to 113. I felt very short of breath. worst when walking and talking that improved with me sitting. Nausea with lots of drool. Around 4:30 I started feeling body aches . Then at 5 on my way home, i started feeling extreme pain in my joints, to where i couldnt hold the steering wheel tight. Around 7:30 I started having shaking and aching. Around 9:30 I ate potatoes, and took motrin and it helped a little. I felt weak and washed out like I ran a marathon. I was still feeling fatigue and wiped out, I had no energy. I took my pulse ox and it was 95-96. I am now having muscle pain at the injection site, and injection site is very sore.

Within 10 minutes of receiving the vaccine patient began to look sleepy and started to gasp for breath. She called for help and slouched over in a chair and was moved to lay on the floor. Her feet were elevated and 911 was called. Epinephrine was given, patient responded by being able to gasp for breath and her face returned to a more natural state. Within 5 min she began to struggle to breath and epi was given again. Some improvement did occur. EMS arrived and she was taken to the hospital.

I took the Moderna Covid vaccine on 12-28-2020 at 1420. After getting the shot, I had a metallic taste in my mouth and drank some water then waited 20 mins. When I left to go back to my department, I started getting dizzy and coughing. I sat down in my department and could not stop coughing so I went to the ER department. My eyes were swollen, I had a rash from my arms and legs all the way down my body. I had hives on my face and my eyes were swollen. I was coughing and wheezing. the ER RN started an IV and I was given steroids, diphenhydramine, ondansetron and IV fluids. I was also given some cough medicine. I was monitored for a few hours and before I left - they gave me hydroxyzine for the hives and itching. The PA also ordered meds for me to take at home. - per patient report

At 10:12 am, Client c/o of sore throat, tightness in throat that relieve quickly, nausea, dry heaves, flushed, light headed and dizziness. Called for EMT. They arrive at 10:25 am and transported her to the local hospital for observation. 01/06/21-Treatment in hospital blood draw, medications given Zofran, Decadron, Benadryl, and Pepcid, and IV fluids. Discharged home at 1244.

fast and racing heartbeat, chest pain, dizzy and weak, shortness of breath only lasted 2 days after vaccine was given and then stopped.

Nausea, stridor, tachypnea, dyspnea, and epistaxis occurred within 15 minutes of vaccination. The patient's respiratory status declined rapidly. 2 epi pens were administered with no improvement. A 3rd epi-pen, IM Benadryl and high flow oxygen via non-rebreather were administered/applied. The patient showed a decline exhibiting dyspnea and decerebrate posturing. A 4th epi-pen was administered, after approximately 1-2 minutes the patient began to improve. Care was transferred to EMS and the patient was transported to the local hospital. This event occurred over the course of approximately 20 minutes.

throat itching and mild throat swelling Narrative: aprox 40 mins ater vaccine,pt c/o throat itching and slight throat swelling.pt give PO 25 mg Benadryl with ease of symptoms.

C/O- States SOB, "perhaps due to mask", feeling much better after sitting and receiving education on vaccine side effects. Action- Monitored in OBS area, released after 30 minutes with no complaints

Skin rashes (itchy) and breathing shallow and arm sore. I got prednisone, benadryl, tylenol, clotimazole/hydrocortisone cream, albuterol breathing treatments. Getting better after day 3.

Felt tingling all over. Swelling in face, neck and throat. Felt like a lump in throat. 50mg of diphenhydramine injected, 40mg of pepcid and 40mg of prednisone.

approximately 10 minutes after Covid vaccine the patient was starting to have right sided facial tingling then she started to have tingling in her throat. I sat with her and she had progressive tingling, worsening throat tightness and some facial swelling under her eye. We then moved her to a room and laid her down. I discussed the use of the Epipen and a dose was given at approximately 400PM. We also called 911 at that time. Vitals were taken and EMS arrived and by the time they were taking her away her symptoms were improving.

-Pt received COVID19 vaccine (Moderna) at MDLS on 1/8/2021 at 9:51 PM. -Pt was observed for the recommended 15 minutes but then came back at 2:13PM with a little rash on her face and chest. -Denies headache, shortness of breath, difficulty breathing, chest pain, dizziness, numbness/tingling, N/V, rash anywhere else on her body, difficulty swallowing, itchy/sore throat, itchy/watery eyes, congestion. -Vitals were stable (see vitals). -Pt was observed for 30 min & did not have worsening of rash or other symptoms. -Discharged after 30 min.

This facility staff member received her first dose of the MODERNA COVID-19 vaccine (Lot037K20A/EXP 6/22/21) at clinic at approximately 9:15AM on 1/14/21. She initially answered "no" to any allergies on the VAR but revealed to the pharmacist reviewing the VAR that she had experienced an allergy to food and contrast dye that required an epi-pen and hospital attention. She did not offer additional details and explained that she had tolerated other shots (including the 2020 flu shot) without incident. I advised patient to remain for a 30 minute monitoring period post-vaccination due to history of allergic reaction. Patient presented with some anxiety before the shot and immediately started to complain of feeling "sick" and said she was having trouble breathing due to chest pressure. We advised patient to remove her mask and provided her with water and a trash can though no vomiting occurred. After 15-20 minutes, patient still complained of chest pressure and difficulty breathing. When asked if she was experiencing any itchiness or throat swelling, patient said she did feel some throat swelling so she was given 25MG of Benadryl. After an additional 15 minutes, patient's condition seemed unchanged (not worsening, not improving) so the facility's nursing team was called to evaluate patient. Patient said she was still experiencing difficulty breathing and throat swelling so nursing advised use of EPI-PEN and patient consented. I administered a dose of 0.3MG (LOT0FM4066/EXP 02/2022) to the right lateral thigh and nurse called for EMS. Immediately after injection, patient's eyes fluttered and she seemed to be on the verge of fainting. Nursing checked her oxygen saturation which was 100%. Patient reported no improvement after 5 minutes so another EPI-PEN 0.3MG was administered to the left lateral thigh. Nursing also gave the patient 81MG chewable aspirin due to the patient experiencing a stroke last month. EMS arrived a few minutes after the second EPI-PEN dose and patient was transported to the hospital for evaluation. Facility reported that patient went home that afternoon but did not provide details. Based on my assessment of patient's symptoms and behavior, I feel it is likely that she experienced either an acute panic attack or anaphylaxis due to vaccine administration. I called the patient today (the day after the incident) and she confirms that she received treatment for an anaphylactic reaction to the Moderna COVID shot and is doing well without any lasting adverse effects.

Pain at site of injection 12 hours after vaccine. Headache 48 hours after vaccine. Low grade fever, body aches, difficulty breathing started approximately 60 hrs after the first injection, the peak of symptoms was at approximately 64 hours after injection. Most symptoms went away after 72 hours except for difficulty breathing and coughing, which are still being experienced 84 hours after the vaccine.

Around 12 hours after time of vaccine dose until 28 hours post-vaccine, I felt very nauseous, had intense body aches, chills, shivering, body weakness, rapid heart rate (around 120), decreased O2 sat (around 90), and difficulty breathing. Symptoms came on very suddenly (around 10pm on the day of the vaccine) and ended very suddenly (around 2pm the next day). Body was still weak once recovered.

Employee states swelling to tongue and throat, hives, itching, and now bruises easily. She went to emergency room where she was given Benadryl, Medrol dosepak, and Pepcid. The only remaining symptom is bruising easily.

Had Moderna 1st shot on Jan 7. Eye infection that night and the next day. Then, Saturday the 16th, a tickle in my chest.. soon produced a dry cough in relief/response to the tickle. Next day, I was hoarse (Sunday the 17th). Still hoarse. Sore throat off and on. Headache. Body aches. Incredible arthritis-like ache at the tops of my shoulders, upper back, and neck. Runny nose. Spitting mucous - was clear, now some thick solid white. Chest pain in the middle that comes and goes. Chest pain on left center side - it feels like in the area of my heart. Ache in my lower left side. Today, aching in my jaws mostly left side, but both. Ache on upper right front (lung area?). INCREDIBLY tired. It's so hard to stay awake.

Delayed anaphylaxis after receiving the vaccine. Symptoms including hives, shortness of breath, and felt like her throat was closing. Her initial symptoms included hives which began 6 hours after receiving the vaccine. This eventually progressed to anaphylaxis and she went to the ED 2 days later.

itchy throat, next day chills at night woke with fever itchy throat, terrible r lung pain; lung pain still continues to occur throughout the day. Hurting when she breaths or exhales, runny nose. Sought treatment Urgent Care

Pins and needles at injection site and neck, feeling warm, throat tightness, dizziness Benadryl IM, IV Fluids, Solumedrol, Monitoring Discharged with tapering prescription of Predisone and Zyrtec

started having asthma attacks (chest pain and Shortness of breath with wheezing) on friday 01/15/2021 Didnt get any better over weekend. was taking inhaler every 3-4 hours. Monday was tested for covid which was negative. body aches and fatigue began over weekend. asthma progressively got worse. On 01/20 had to visit dr office, my neck was swollen on both sides, injection site had a raised large area that extended from my shoulder to my elbow. Up until yesterday, you could not even tell where I had the shot. Now there is still a raised area and you can tell exactly where i recieved it.

Patient received injection at 3:35PM. Called clinic ast 4:15pm from home reporting facial swelling, numbness and difficulty breathing. Sent to ER. Called patient next morning. Reports she received anthistamines and steroids in ER and told to stay home following day. She reports no further symptoms

Patient started as having distress and hyperventilating. Patient was breathing and able to take 50 mg of diphenhydramine. Progressed some and patient used inhaler. Patient developed flushing/warmth to face and neck pain. On pulse oximetry O2 was 98% to 99%. BP was in low 140s and 100s. Patient began having chills and BP was read as 98 over 42 (possibly a bad read). Chills persisted and became worse. Inhaler was used again. The patient began to become harder to keep conscious. The patient's chills became worse, began to complain of bilateral arm pain. A BP reading occurred at some point prior that read back in the 140's; however, after this reading the pulse oximeter failed to read on multiple fingers, another individual was unable to find a pulse multiple times, and the patient grasped at their chest in the universal for need air. This was the point at which an epi was administered. The patient seemed to improve a bit as EMT arrived at the scene. Patient was still having chills.

1-5: fever, chills, aches,fatigue. Started tylenol/ibuprofen 1-6: facial and throat swelling, continued side effects. Started benadryl. Continued through 1-7 with some improvement in swelling and general side effects. 1-8: swelling and numbness with droop to left eye and numbness to lips. IC visit. Received steroid injection and started pepcid and allegra in addition to benadryl. 1-9: swelling and most general side effects resolved. Left eye numbness/droop and numb lips still present. 1-10 : Droop resolved, numbness remained. 1-12: Numbness resolved.

After approximately 5 minutes after the vaccination, the patient report swelling on the throat, heavy tongue, and some itching. At 5:30 pm 50 mg of oral diphenhydramine were given and after that the swelling of the tongue worsen an at 5:33pm an Epinephrine auto-injector of 0.3 mg was administered on the thigh. After that patient was transported to the nearest hospital and the family of the patient was contacted.

I waited the 15 min at the clinic and felt okay. As I got a few minutes down the road (at about 4:00) my lips began to feel tingly this then spread to my teeth and face. I could feel my throat begin to tighten. At that point I call the clinic and they suggested I go to ER to get looked at. Got to ER and Tingling and numbness continued, throat had started to loosen up some but felt thick and heavy. I also had a headache that was more like pressure all over then stabbing and my teeth and jaw ached. Doctor saw me between 4:30 and 5 sometime gave me diphenhydrAMINE 50 mg by mouth, famotidine 20 mg by mouth and dexamethasone 10 mg by mouth. By 5:45 symptoms were dissipating and I started to feel more normal. By 6:45 I felt much better (just very fatigued from the medications and slight headache still), and was discharged from E.R. sometime a little after 7. Through the night I had headache and hot flashes. Next morning some face swelling and tongue swelling still as well as tightness in throat (mild) continue to take Benadryl as suggested by E.R. doctor.

anaphylaxis throat closing ,hives, feeling faint Benadryl 50mg I.M. no effect then epi 1mg I.M. little effect Emergency services called patient was sent to E.R. via ambulance

30 minutes after vaccine experienced hot flashes, heart flutters, shortness of breath and increased heart rate, dizziness, confusion. 15 hours after vaccine begin having chest pain, continued increased heart rate, headache. Went to the emergency room with chest pain, shortness of breath, heart rate 133 and blood pressure 169/93. 48 hours after vaccine had low grade temp, dizziness and pain at injection site. 72 hours after vaccine pain at injection site.

Angioedema- swelling to left upper lip, sensation of tightness in throat, no visible edema of tongue or posterior pharynx, no difficulty breathing, wheezing, or stridor

onset of chest pressure, tachycardia within 10 minute. hives, swelling of lips and upper extremities, shortness of breath, systemic itching, sore throat and change in voice occurred 20 minutes post vaccination. epi-pen administered at onset of hives, etc. taken to ED and given more epinephrine, IV solu-medrol and diphenhydramine. monitored for a few hours and then discharged. 5 day course of prednisone prescribed.

1340 - As patient left shot table, she became faint and eased to floor by assist of staff at shot table. Patient panicked stating she needs air. Patient instructed to remove mask and deep breath. Assisted x 2 into w/c and taken to private observation area. EMT on site in attendance. 1349 - c/o inability to catch breath, opened back doors and sat partially outside. Mask off, on room air. BP 135/103; HR 85. Offered water, patient declined. 1356 - BP 129/95; HR 73 1405 - BP 135/111; Recheck of BP with another cuff and is 144/96; O2 sat 98% on r/a. HR 79 then 71. Denies SOB, or difficulty breathing. Talking and explaining medical history. States she feels a lot better. Patient denies injuries from being assisted to the floor. EMT does not indicate need for ambulance for further eval or for transport. Patient declines EMS for further eval. 1417 BP 118/89; HR 72 Patient states she feels fine. States she has had this vagal reaction before but not with an injection. Discussed with patient to attempt to obtain dose #2 in a private setting, however to notify wherever second dose is taken to notify staff so she can be placed in a w/c from beginning through observation. Pt. laughed, stating she will be fine. Re-stressed the need to avoid fainting and should either recline or be in a w/c for dose #2. Patient agreed. Patient stood and re-assessed. No dizziness noted. Patient ambulated to parking lot independently, accompanied by nurse. Gait steady. No SOB noted.

Sudden onset dizziness, near syncope, tachycardia, shortness of breath, facial numbness, shaking/rigors

Fever 100.9 at its highest, severe chills, sever headache, sever body aches, resting heart rate 124-130 chest pain and hard to breath. I was unable to work or take care of my children this started 12 hours after having the vaccine. reactions lasted about 12 hours

Headache, severe chills, severe body ache, fatigue, fever, shortness of breath, pain in location of shot, muscle ache,

Roughly 25 minutes after getting vaccine I passed out and when I came to my throat felt like it was closing and I was very itchy on my neck and chest . Had hives

Went out to car around 25 min after with only mild throat discomfort. Shortly after, was having difficulty swallowing, felt dizzy & face swelling. Took quick release (dissolve under tongue) prednisolone 20 mg (have for peanut allergy). Symptoms didn't initially improve, used albuetrol inhaler and returned to hospital. Swelling symptoms started feeling better. Blood pressure when first checked was very high, still at 170/118 at 21:54. Sent to ED. Wheezing and constant throat clearing in ED, used inhaler again & symptoms improved. BP still high for me at 138/80 at 21:54 with patchy confluent erythema over anterior chest that blanches, non-pruritic & 3-4 hives on abdomen. Given Benadryl 50 mg, famotidine 50 mg & dexamethasone 10 mg at 22:22. At 23:09, chest rash resolved, but pruritis & mild urticaria to back and arms. At 23:41, urticartia resolved & discharged. After second dose of Decadron was delayed the following day, itchy hives returned on chest, stomach, back and left shoulder. Same occurred on the 3rd day, along with wheezing (resolved by other meds & inhaler) and more steroids were prescribed. This resolved the remaining symptoms.

Per 's description, she experienced a tight throat at 0805 that started moving down, at 0813 started to cough, was sent to ER at 0820 and had shortness of breath, and at 0845 was dizzy and couldn't stand up.

1/23/21 got the vaccine. Was fine till the evening. Started feeling the heart rate increasing. Soreness at the site. Fever was 103 that day. Next day 8am noticed hear rate was fast. Still felt hot. During the day heart rate kept increasing started getting sweats. Diff breathing, weakness, dizziness. Wanted to call EMT. But went to the ER on own. BP was high, HR /160. Gave medication for the heart to slow down the rate. Was given Emtoprolol in the ER. Was in the ER for several hours.

Went to the ER for mild swelling of the mouth and throat, also had chills, body aches, fatigue, muscles aches.

Moderna COVID-19 Vaccine EUA: Day of vaccine: Arm throbbing, sore at injection site (Upper left arm). Took 600mg ibuprofen right after the shot and every 4 hours after. Day 2: Entire left arm very sore and heavy, felt like the arm will fall off. Woke up with congestion/tightness in lungs and yellow mucus. Needed to take asthma inhaler and allergy meds. Congestion cleared up. Felt warm all day. Low grade fever. Highest temperature was 100.1. Took ibuprofen 800 mg every 4 hours Day 3: Woke up with mucus/congestion/tightness in lungs. Took asthma inhaler and allergy medication. Cleared up. Arm still sore but slightly better. Felt warm all day, highest temperature was 99.9. Didn't feel like myself, like my head was in a cloud, very fatigue. Felt like I was coming down with something all day but didn't get really sick. Weird feeling. Some shortness of breath today while walking around. Day 4: Arm slightly sore, shortness of breath, not feverish, slight congestion

Pt complained of shooting arm pain down to fingers. Pt stated that she had this with her last moderna vaccination. Site is clear without redness or demarcation. Ice pack applied to injection site. Pt then started to get short of breath and a feeling of discomfort in her chest. Rapid response called and pt taken to emergency room for monitoring. Wheezing noted.

Right after injection felt dizzy immediately. Within minutes chest became tight. blood pressure was taken and read 158/103. pulse ox was 86. evaluated by physician at the vaccine clinic. took 50 ml of Benadryl. Close monitoring continued and 02 went up to 95. Tightness in chest continued throughout the day. Began experiencing abdominal pain approx. 730pm. on 1/13. At 930pm began with worsening severe abdominal pain with continued shortness of breath. At that time, pt. went to the Hospital ER. for evaluation. In the ER, her pulse ox was in the 90's. She received Benadryl, lab work, and CT Scan of abdomen, and was discharged to home. Day 2 pt. continued to experience abdominal pain and shortness of breath. The third day fever and chills. Day 4 body aches. pt. is completely recovered at this time, and is recommended by her health care provider to NOT receive the second dose of the vaccine. pt. s not taking the second dose of the Moderna vaccine.

within 5 minutes of receiving the vaccine, patient experienced generalized itching and feeling of swelling in throat; given IM injection of diphenhydramine 50mg; within 5 minutes of receiving diphenhydramine symptoms resolved

Sensation of throat irritation and tightness. Benadryl 50 mg was administered with symptom resolution. Waiting for allergist to approve second vaccine dose.

The patient received the 1st dose of Moderna vaccine. She waited 20 minutes for observation without any symptoms. She left and began to drive home in her car when she felt her tongue begin to swell. She returned to the vaccine clinic observation area and was transferred to the ED. Her overall symptoms included tongue swelling, throat irriation, oral and facial swelling, lightheadedness, shortness of breath, wheezing, hypertension (170/118; HR=83), urticaria over chest wall. The patient had self-administered oral prednisone prior to ED transfer. Was further treated with diphenhydramine, famotidine, and dexamethasone. Discharged to home after 3 hours. Follow-up notes report symptoms resolved by 2 days post-discharge.

Vomiting, shortness of breath, itching, joint pain, hot, swollen, red, itchy arm from shoulder to elbow started 45 minutes after vaccine.

IMMEDIATE: dizziness, light-headedness, shortness of breath, jaw clenched shut (lasted about 30 seconds) FOUR HOURS AFTER VACCINATION: muscle weakness, confusion, brain fog (All of these symptoms are on-going.) 33 HOURS AFTER VACCINATION: in addition to previously mentioned symptoms, fever, chills, extreme muscle fatigue, headache, jaw soreness

Sore arm at site immediately after injection, moderate abnormal fatigue approximately 2 hours before bedtime, right side neck pain, right side wrist pain. Following day: all joints hurt, neck lymph swollen, mild raspy breathing chest congestion, no appetite, fatigue, malaise, sensitivity to sounds, sensitivity to cold. Uncomfortable. Don't want to move. Just want to lie down.

With in 5 mins of getting my shot I started to get sweaty and my heart starting getting bad palpitations. I could feel myself get super flush, I could feel my whole body warming. I had a hard time swallowing and my tongue burned and felt swollen. My throat would just get super tight. Each episode lasted under a minute This happened on and off it for about 30 minutes. Each time it happened it was not as bad as the time prior. I was dizzy when I tried to stand up and I sat and was monitored for an hour. They administered Benadryl. I have some edema on my upper chest when I got home. I was super tired too. The next day still the edema and I have a sore throat . I explained the best I could to the pharmacist when it was happening . I refused to get EMT because it was not constant and it was getting less intense each time.

Woke from sleep at ~1:00 am with anxiety and the sensation that I could not breathe. It progressed to a panic attack with uncontrollable crying and breathing issues for ~5-10 minutes. I was able to calm down, but continued to feel horrible all night. I threw up twice about an hour later. Muscle aches in both my shoulders (far worse in the one I got the injection in), back, buttocks, hips, and feet all night that kept me from being able to sleep. Ongoing nausea, headache, and fatigue all morning. Mostly has resolved now (2 pm) aside from fatigue.

Pt stayed 30 min for monitoring d/t hx of allergies. 2 hours after admin developed wheezing, chest tightness, diarrhea. Went to ED, had severe diarrhea, throat swelling, chest tightness, DIB, n/v; pt received IV doses of steroids, benadryl, IM epinephrine, racemic epinephrine breathing treatments x2; and duoneb tx's every 2 hours. Pt required overnight admission to the hospital for monitoring as had some persistent symptoms.

Throat swelling/trouble breathing, hives on neck, throat, and shoulder, and inflammation and rash at injection site beginning approx. 45-60 minutes after injection. Treated with Benadryl. Throat swelling reduced by following day. Hives on neck, throat, and shoulder, and rash at injection site have not resolved. Continue to take Benadryl. Severe arm pain and shoulder pain at injection site. Began within 1 hour of injection. Treated with ice and Aleve. Shoulder pain has not resolved. Continue to treat with ice and Aleve.

Intermittent sharp pain, dizziness and lightheadedness. Patient reports anxiety, left-sided chest pain (2-6/10) that comes and goes. Mild SOB. No signs of heart attack. BP 118/73, HR - 85, respiratory rate 20.

Top lip tingling, swelling, itching all over body, rapid heart rate, throat felt "thick" had to keep clearing throat or drinking

Severe headache, body aches, chills, night sweats, burning in left arm, shortness of breath, loss of appetite and fatigue -last approx 36hrs -headache and body aches, burning in arm mostly relieved with ibuprofen and sleep

Received vaccine on 12/28/2020. started having muscle aches, ear pain, chest congestion, cough, fatigue, nasal drainage, HA, nausea and vomiting, chills on 12/29/20. Went to urgent care on 1/1/21 and diagnosed with viral upper respiratory tract infection.

I got the 1st shot-I have fever, chills, and fatique for 2 days. The 3rd day I had chest pains and high blood pressure and went to the ER. They sent me home. I never felt good. My doctor did an ANA test and it was positive. I have weakness, pain and tingling in my legs, arms, feet and hands. I went to a rheumatologist and they did more testing. I am elevated for Inflammation and was sent to now a neurologist. 2nd dose- hours later I had shortness of breath, numbness in the left side of my chest going down into my left arm. My mom had to call 911 and they sent me to the hospital. I have now made an appt to see a cardiologist because my resting heart rate is low. I have never had issues to this prior.

Within 1 1/2 to 2 mins after receiving vaccine pt states starting having an anaphylaxis reaction. Immediately transported to the emergency department. Pt had audible wheezes and stridor noted. Patient was given EPI pen her rt outer thigh. IV started. Pt started having relief within 30 seconds. Wheezing and stridor was decreasing. Pt was also started on a racemic epi neb. Pt placed on monitor and oxygen monitor. One hour later the symptoms of feeling "throat was swelling off" returned and EPI 3 mg given and another racemic treatment given. Treated with solumederol, Benadryl and Pepcid. Patient was admitted to the hospital where she remained overnight with no additional symptoms.She was released next day.

Triggered Asthma Attack at 12:30pm on 2/6/2021, Caused throat to become hoarse, raspy and sob. Extreme pain in left arm and swelling of arm and fingers. By 4:30pm on 2/6/2021 Hands Swollen, L Arm Extremely Swollen, Swelling of Lymph Nodes in Throat and L Armpit. Hands, Feet and Face Swollen. Extreme Fatigue and Body Aches, Extreme Headache, Fever 100-101 for 4 days, Vertigo, Dizzy Spells, Nausea, Joint Pain, Teeth Pain, Heart Rate and Blood Pressure Increased. Took albuterol nebs, antihistamine and napoxen, increased fluids, reported to director of pharmacy at work/vaccine site and was on bed rest for 4 days. Broke fever on 2/9/2021 in the evening, fatigue, joint pain, lupus symptoms, migraine, swelling in hands and vertigo/nausea still present as of 2/11/2021. Doctor Appt already scheduled with neurologist on 2/11/2021 at 11:30am, family physician notified but out of the office.

lightheaded, nausea, feels like unable to get enough air. Observed for one hour lying down. Symptoms persisted. EMS called and transported to local ED.

weakness and shortness of breath reported during the observation period. Patient taken to ED for observation and evaluation. Pepcid and Benadryl given. Patient discharged home

Painful pin feeling stabbing in the back of tongue, tongue swelled, tip of tongue went numb, lips went numb, pain in left part of chest, difficulty breathing, started to break out in hives, bloody nose. The medics did nothing for me as I am allergic to albuterol. After I felt like I could breathe properly, I went back to work and took some allergy medicine to help stop my reactions. It took four hours for the reactions to subside.

Patient began having throat swelling and shortness of breath, administered EpiPen, Solumedrol 125mg IV push, DuoNeb breathing treatment, 2L of O2 via nasal cannula. Patient taken by ambulance to ER.

I received the second dose of the COVID vaccine on 2/8/21 around 11:30 am in my right deltoid. That same evening I had only pain at the injection site. When I woke up the following morning on 2/9/21, I had complete body fatigue, muscle and joint aches, and a migraine headache. The following morning, on 2/10/21, when I woke up at 5:00 am for work I had a sore throat. The sore throat rapidly progressed from mild to moderate pain. My sore throat persisted and worsening into the following day. On 2/11/21 my sore throat was still progressively getting worse so I had a co-worker (my charge nurse) inspect my mouth/throat. She told me it was swollen, red and spots on my throat/top of mouth. I left work and went to Urgent Care (on 2/11/21). They ordered a rapid beta strep test which came back negative. After evaluation, the doctor mentioned my throat being red, swollen and lymph nodes enlarged. He thought it was viral versus and an upper respiratory infection. I was not prescribed any medication when I was discharged. Over the next 2 days my sore throat worsened to the point of having severe pain, difficulties swallowing and talking, grossly enlarged lymph nodes, swollen and red tonsils, spots on the top of my mouth and throat, and pain in my ears, stiff neck, constant headache. I returned to Urgent Care on 2/14/21 at 9:00 am. The doctor ordered another rapid beta strep test which came back negative again. Upon inspection, the doctor quickly diagnosed me with peritonsillar abscesses (left greater than right). I was prescribed an antibiotic and a steroid pack. I have an appointment to follow up with an ENT (Ear, Nose and Throat) doctor in one week to ensure it is healing. Prior to this second vaccine dose, I was completely healthy. No illness. Not around anyone who was likely sick. I have never had an issue or illness related to my tonsils in my entire life. Since tonsils are a part of our body's immune system, I believe the vaccine triggered this adverse reaction (peritonsillar abscesses) I experienced.

Symptoms - Mild swelling of checks and throat. Time Course - Started about 20 minutes after shot, ended after about 30 minutes

Vaccine given at 1745. In observation at 1803 began c/o "throat closing" feeling, similar to early onset allergic reactions. Pt requested to start w/50 mg Benadryl po d/t being able to control airway and denies sob/wheezing. Benadryl given at 1805. Confirmed 95% relief of throat feeling at 15 min s/p med admin. Further c/o throat scratchiness left over and continued to monitor her for symptoms for a total of 40 mins s/p vaccine. Pt left at 1842 w/only c/o throat scratchy-1%. She will monitor for s&s tonight and seek emergency care if they reappear. 1803 p86, r16 ; 1824 bp 133/84 p70; 1835 124/84

That night, 2/11, left arm, neck and head became so sore it woke me up in the middle of the night about 3am on 2/12. The next day, 2/12, full body aches and muscle/joint pains and headache. It felt like all my previous injuries in life came back to haunt me. As the day went on, my head got hot and my feet freezing. Then the fever and chills/sweats began. Fever reached 100.6 degrees. The soreness radiated out from my left arm until my hands and head hurt. Eventually, my teeth/gums, eyes and scalp were hurting. I took both ibuprofen and Aleve but neither helped much. The morning of 2/13, I couldn?t wake up in the morning. I woke up from one vivid bad dream into another into another. Finally was able to wake up. Fever was gone, soreness decreased over the course of the day. But my chest, back and ribs hurt like they had when I was sick with COVID. I developed a runny nose and raspy voice and shortness of breath. Used my inhaler and felt better. Now fully recovered.

About 7 minutes after receiving the second dose, patient was in the waiting room and felt a 'really rapid heart rate and felt it was difficult to breathe". Patient said it lasted about 3 minutes and she did not tell the paramedic or clinic staff that were in the waiting area. After waiting 15 more minutes, she went to the car and felt "shaky and couldn't focus". She waited another 15 minutes before leaving the parking lot to drive home, "feeling a little funny". Dose 1 was on 01/22/2021. When I spoke with patient at 16:00 on 02/19/2021, she was home and feeling better. She feels her heart rate and breathing are normal, now only noticing a dry, sore throat. She does not feel she needs to seek medical care.

16 hours after administration had intense chills and body ache, about 2 hours after that chills were replaced by fever, the fever lasted about 7 hours. About 38 hours after shot until 4 days after the shot I had a migraine and runny nose. 3 days after the shot I started having difficulty breathing although not as bad as with the first shot, and that lasted two days. After that there was some coughing that lingered for about a week after which it subsided. From the time the injection was taken until the end of the third day I took 750 mg of tylenol every 6 hours.

February 8- 10:00 pm nauseous February 9- sore arm, nausea, headache, 1:00 low grade fever, 4:00 fever of 102.9, stomach pains February 10- sore arm, nauseous, headache, onset of diarrhea, 100-101 fever. Stomach pains February 11- sore arm, nausea, headache, diarrhea, stomach pain, low grade fever February 12- February 19- nausea, headache, diarrhea, low grade fever February 20-21 nausea, diarrhea, shortness of breath February 22- fever of 100.8, nausea, diarrhea, chills, headache

5 am - sore arm - a little swollen. That evening of the second day at about 7 pm - I had body aches and a low grade fever. The third day, I felt back to normal and my arm was back to normal. The following week, the day after I tested positive for COVID, so that was January 7th. The arm was itchy and burny. It had a big rash on that area. (January 6 My upper back was hurting really bad and I had a fever. I wasn't feeling good at all. Had shortness of breath. So I went for a COVID test.) The rash lasted for about 48 hours and then it was gone. I didn't take anything for it. My other COVID symptoms lasted for about 6 days. I still didn't have taste though. I got that back on about day 10. I had the shortness of breath (feeling out of breath) which lasted a week and a half longer than when I felt better from the other COVID symptoms. I treated COVID symptoms with VIT C; Vit D3 and tylenol.

Felt hot and sweaty x 10 min. Felt like she needed to take her mask off. Denies SOB difficulty breathing or swelling of the tongue or throat 1445 BP was 133/89 P 76 R 16 O2 100% 1500 BP 116/81, P 73, R 16, 02 100%

Moderna COVID-19 Vaccine EUA Within a minute of receiving the vaccine, I walked about 40-50 feet and experienced extreme dizziness and shortness of breath, and could not stand straight. I was able to stop my own fall due to a wall being next to me, and I stooped down close to the floor so as to prevent a fall. I then was able to walk about 20 feet to an office where I could sit and the dizziness continued. I noticed I was shaking and heartrate was elevated (that could have been the anxiety caused by the dizziness and being unable to walk straight). I sat for a total of 30 minutes before I walked to my office, which is a couple minute walk. I continued to have dizzy spells (not as severe) while sitting in my office for a few more hours. Also, I'm having a hard time focusing, feel dazed.

Pt with multiple allergies and history of anaphylaxis/angioedema requiring intubation x5 per report. Received first dose of Moderna Vaccine and developed swelling of lips, hives, and acute shortness of breath. VS at 10:04: 116/93, HR 94, SpO2 on RA 83% exam w stridor, swollen mucous membranes, tongue and periorbital swelling. EMS Called, 0.3 mg of epinephrine x 2 (at 10:05 and 10:09) Administered with significant improvement in stridor, SOB, and improvement in lip/tongue swelling. Transported to ER for further care/evaluation.

5 mins after receving vacine felt swells sweaty + tightness + closg in throat , difficulty swalling- brought to observation area. - given Benadryl 50 mg, Panent 7:05 PM- still feeling sensation on swallows but No swelling, does not feel fluid, no headache.

5 mins after receing vacene felt swells sweaty & tightnes & closig in throat, difficulty swalowing- brought to observation area. -given Benadryl 50mg. Panent 7:05PM - still feeling sensation on swallows but NO swelling, does no feel holad 0 headache

At roughly 9:00pm I was scrolling through my phone when it became very difficult to focus and I felt nauseous. I got up to go to the bathroom and became extremely dizzy and my heart felt like it was going to beat out of my chest. I was having difficulty breathing and felt disorientated. I crawled up the stairs and when I reached the top I stood up to walk and promptly fainted/passed out. According to my husband I was out for roughly 30 seconds. He described my body as completely tense (formed fists, shaking). I don't have any recollection of passing out. When I came to I was overwhelmed with nausea and immediately vomited. I was sweating profusely and struggling to breath. After I vomited, within minutes (less than three) I felt fine. My heart rate returned to normal and I wasn't dizzy or nauseous.

red, blotchiness on patient's chest, neck, face, and at the injection site - did not have bumps - did not itch - felt hot to the touch - appeared after taking a shower - later it felt difficult to breathe (easy to talk but felt constricted in taking a deep breath) - patient took inhaler at that time - called hotline and spoke to a nurse practioner - she advised to take a Benadryl and notice if the blotchiness spread to other areas of the body or if breathing became more difficult - patient took Benadryl (2 doses about 6 hours a part) - the red, blotchiness did not subside but it did not get worse - patient felt fatigued the next day (Monday) and felt hot/flushed for most of the day - the symptoms continued to decrease throughout the day on Monday but patient felt itchy on Monday night - symptoms were almost gone on Tuesday - patient took 2 Benadryl on Monday night and Tuesday night - bumps and itchiness appeared at the injection site on Tuesday night

dizziness, throat slightly closing, tongue swell, red face and neck, odd taste and drymouth, heart palpitations. This happened right when I left cvs after the 15 min, I should have went back inside. drove home and felt worried so stopped and grabbed bendaryl and spoke to a pharmacist at a Walgreens. Symptoms went away. Next day felt a little off. throat funny/tongue funny but not like the first day.

Moderna COVID?19 Vaccine EUA 2/13/2021: chills, fever (101-102), body aches, headaches and slight nausea. Treated at home with tylenol. 2/14/2021: fatigue, slight dizziness. 2/15/2021: Asthma flare up, used rescue inhaler 2/17/2021: Eyelid swelling, itching, discharge. Went to Urgent Care and was diagnosed with an allergic reaction. Was given 60 mg of 60 mg prednisone, benedryl then took 20 mg of prednisone daily for 5 days. 3/2/2021: Eyelid swelling continue. Went to primary care doctor and was given erythromycin ophthalmic oinment usp .5% to use for 10 days .

Flushing, lightheaded, sinus cleared 5 minutes after shot, extreme fatigue 2 hours after. Pain, harness, redness at injection site 6 hours after shot. Fatigue, sleepiness, floatiness , headache, palpitations, neck pain, right ear pain, 2 ulcers on left tonsil, sinus pressure lasted 3 days. Right lung/back pain upon exertion. Constipation 5 days without bm. Fatigue and palpitations linger.

Patient developed an itchy throat within 15 minutes of her moderna covid vaccine. The patient was given Diphenhydramine 25mg at that time and her symptoms resolved. An hour later the patient was feeling completely normal. Later that evening the patient developed coughing. She self treated with Diphenhydramine. The next morning around 10:30 or 11am she developed shortness of breath, coughing and voice scratchy. The patient was advised to call her primary Doctor and be seen immediately or go to ER. Per patient consult she was seen immediately by her provider.

Day of vaccine- has increased HR within 3 mins but resolved within an hour; severe headache, lip tingling, "loopy feeling" Day after vaccine: facial swelling, daily headache, fatigue 3/7: Itchy between her breasts and bilat arm, arm pit itching, lip burning, described "spiderweb like rash with visible capillaries"; throat itchy/swelling intermittently Taken benadryl without improvement H/O asthma, allergies:

During 15 observation period I had a tightness in my throat, nausea, shortness of breath, abdominal and lower back cramping. By 7 pm on the same day the cramping and back pain was substantially worst and it progressed through the week. I was unable to move, walk, sit or take a deep breath on Wednesday March 10th due to the pain. On Monday March 8th and Tuesday the 9th, I awoke and my insides hurt. Today that pain from my insides hurting returned as well as the back pain and the abdominal cramping. I have contacted my primary and have yet to hear back.

Pt reported hives/redness at the site about 5 minutes after immunization, then reported tightening of the throat about 15 minutes after immuzation along with worsening lightheadedness.

I woke up at 1:00 am feeling like I was going to get sick. I tried to get our of bed, but was so dizzy I fell. I was unable to stand up, so I crawled to the bathroom. I couldn't catch my breath and my heart was racing. I wanted to get my phone off of the counter and call for help, but I was too confused and too dizzy to get it. I felt like I couldn't control my body. My left arm was hurting really bad during this. I am not sure if I fell asleep or laid there awake, but I couldn't get myself up and start making sense of things until 4 am. I did not have any other episodes similar to this, but I did feel really tired and weak for two days. My arm hurt really bad around injection site and through my shoulder blade for 3 days. My symptoms are all improving now. Just a slightly sore arm.

During 15 minute observation following the Moderna vaccination. Client complained feeling itchy, redness/ flushing noted to her face. Also reported that her throat felt like it was tightening and swelling. Staff provided her with 25 mg Benadryl at 2:20 and another 25 mg dose at 2:50. Following the second dose client reported that tightness in her throat decreased. Flushing and redness of her face also decreased. Blood pressure was 155/88 pulse 102 and 99% O2 Sats

Patient was observed for 15 minutes and then left the building. She returned a few minutes later complaining about a neck and face rash, as well as throat swelling. She was given Benadryl 50 mg IM. O2 sats were 99-100% on RA, lungs clear . HR 105, B/P 158/80. She was taken t0 Treatment area of the clinic for further observation with Dr. .

Patient stated she felt her throat tightening and had trouble swallowing within 5 min or so of vaccination. History of shrimp anaphylaxis.

Received vaccine at 7:31a, and at 7:37a I started to feel a mild swelling in throat. It did not get worse after being there under observation for 35 more minutes. I was able to swallow and breathe ok, nurse checked on me every 10 minutes or so. No need to take any medication as it was slight and I wasn't sure if it was anxiety or the start of an anaphylaxis reaction. The swelling was gone by 9:30a, and then it reappeared that evening and was more intense, around 4:40p. It did not get worse, and was gone by 5:30a the next morning (3/25/2021).

Fever of 101.0, rapid heart rate for patient (average of 69 bpm compared to 51 bpm the next night); short HRV of 26 ms (compared to 77 ms the next day); heightened respiratory rate of 20.8/min, compared to 17.8/min the next night. By Monday, March 22nd, a hard red lump had formed near the injection site. This itched and persisted until Thursday March 25th.

Arm where injection was given stayed swollen for 7 days, to the point where I could not use my hand. They swelling continued into chest and neck which resulted in a trip to the ER. I was given steroids and told to alternate Vistaril, Pepcid, and Allegra every two hours.

Minutes after- Itching throat, felt like swelling, sneezing, increased blood pressure 1.5 hours after- sweating and shaking, swollen arm, red and hot Next day- headache and nausea Arm swelling, redness and hot, kept moving down and around my arm as days went on

Patient had the panic attack, she did not faint , just said she had trouble breathing at first. She started shaking and said that she had anxiety. We gave her 25mg of Benadryl at first just in case. We did call EMS but refused any treatment

After I got the shot April 1 2021..less that 2 mins I felt my lips swollen and had a hard time breathing I ask for help the. They put me on the side.my lips gets more swollen and my tongue all the way to my throat that I can't breathe paramedics give me 2 benadryl and pepcid and oxygen my BP went high as well..stayed there for long hours to make sure ill.be back to normal.im reporting this incident that happen to Me, coz I don't knw if someone will report this incident. DR was the attending physician that day and she took care of me.today is my 2nd day after I got vaccine I'm feeling chest pain and episodes of difficulty breathing.i hope someone will get in touch with me about my severe reaction to the Moderna vaccine.they didn't tell.me what to do after I got home..if I need to see my family doctor?they just said continue to take benadryl. I really don't knw what to do.and I don't want to panic.

My thought swelled up a little, after my fingers started to slightly itch the next day my fingers started to itch more they have been itching ever since a lot.

Moderna administered at 10:30, at 1035 pt was at checkout and started feeling flushed and dizzy, sat down in waiting room, and notified staff Immediately, 3 nurses attended to pt, brought her to exam room and got her up on exam table. Initial vitals were 180/136, O2 100%, pulse 101. Public safety officer called. Pt reported itchiness in throat, and epi pen was given to pt, and she self administered dose as at 10:40. Vitals 160/104, 102, 79%, placed on 4L O2 nc. within seconds, pt started feeling better, talking in complete sentences, relaxing, and joking while waiting EMT arrival at 10:49. Vital at 10:55 139/78, 85, O2 100% on 4L. Once pt was sitting on stretched, she started to vomit, and then again became SOB, asking for 2nd epi pen, given to emt and was administered. Then they wheeled pt out to ED. In ED Note, Patient is a 40 year old F with PMH multiple allergies, asthma, POTS on metoprolol presenting from clinic after her first dose of Moderna. She states after the injections she felt her throat closing in. She was given an epipen by staff and EMS arrived. She was given another epipen by EMS after she endorsed more throat swelling. EMS reports she did not have any wheezing, stridor, or rashes. Pt presents to trauma room hyperventillating. Primary Survey Airway patent speaking clearly w/o stridor breath sounds present bilaterally normal HR and normal BP satting well GCS 15 Lungs are CTAB bilaterally with good movement to the bases and no wheezing. No rashes noted on the skin. Pt states she felt dizzy with 50mg benadryl. She was also given 125mg solumedrol. EKG shows sinus tachycardia with HR 108. No STE or TWI. Plan to observe. 1429 Pt feeling well, has had no respiratory distress. No wheezes noted on repeat eval. Pt has had no wheezing, rashes, or oropharyngeal swelling. Pt states she has epipens for other allergies and will follow up with her PCP. VS remain wnl. Plan to discharge.

Lips swelled and throat swelled. Unable to swallow, tongue swollen. Benadryl and epipen administered. Oxygen administered. Declined going to ER. Kept taking Benadryl every 6 hours. Felt heavy chest, nausea and fatigue for 2 days, now all symptoms have resolved by day 3.

Chest pain, palpitations, PAC's, short of breath, chest tightness, tingling in left shoulder/arm/little fingers, high blood pressure. 2 Emergency Room visits, admitted to hospital for monitoring.

APPROXIMATELY 26 MINUTES AFTER ADMINISTRATION OF VACCINE, PATIENT BEGAN EXPERIENCING THROAT SWELLING, FACIAL AND MOUTH/TONGUE NUMBNESS. POD OBSERVATION STAFF WAS NOTIFIED AND 50 MG (1 ML) OF DIPHENHYDRAMINE WAS ADMINISTERED IM BY APN STILL PER PATIENT REQUEST OF NOT WANTING THE FULL 2 ML AT ONCE. 5 MINUTES LATER APN STILL ADMINISTERED 2ND DOSE (50 MG/1ML) OF DIPHENDYDRAMINE. AFTER 2ND DOSE, PATIENT REPORTED ALL SYMPTOMS RESOLVED. PT WAS CLOSELY MONITORED FOR ADDITIONAL 30 MIN PRIOR TO EXITING THE POD SITE VIA PERSONAL VEHICLE (AS PASSENGER).

I felt itchiness throughout my body, starting coughing and wheezing, throat felt tight and closing. I used my epi-pen and then went to the ER where I was given prednisone and antihistamines. The following day I was still having trouble breathing, tightness in my chest, wheezing, trouble walking due to not being able to breathe and symptoms persisted. I went to urgent care where I was given a prednisone booster and was sent back to the ER. ER observed me and sent me back home. I went back to urgent care and was prescribed higher dose of prednisone and singular. One week later, I still had trouble breathing, coughing, and tightness in my chest, my doctor prescribed albuterol solution with nebulized to use 4xs a day. 2 weeks later symptoms worsened when I started walking more and was prescribed another round of prednisone and continue albuterol. Currently, 7 weeks later, my asthma has not gotten better, still wheezing, coughing, unable to walk without struggling to breathe. My doctor has now referred me to a pulmonoligist.

Patient complained of being unable to breathe and began vomiting 15 minutes after receiving her COVID vaccine. Vital signs were normal. 911 was called and patient was taken to ER by ambulance.

On 4/1 at 12pm began have lightheadedness and very shaky. By 4/2 at 6am developed SOB, cough, and heart racing.

On 4/1/21 at 1200 became shaky and light headed. THen on 4/2 deveoped Shortness of breath, cough, and heart racing. See in clinic on 4/5.

Patient reports symptoms at 1514 of parensthesias to posterior neck and right arm followed by dizziness and shortness of breath. Denies tightness to throat or dysphagia. VS bp 125/80 pulse 83 oxygen 99%. At 1520 patient reports complete resolution of symptoms including shortness of breath. Oxygenation continues 99% patient accompanied by significant other home.

Swelling and rigidity at injection site (immediate), shortness of breath (1:20pm) dizziness (1:20pm), nausea (1:20pm)

Became SOB but used her inhaler with resolution of SOB but then at the end of her 30 minute observation period she developed a rash on her left LE. 4 quarter sized, erythematous raised, round lesions. She reported they were itchy. Skin exam and additional direct observation by NP completed for 30 minutes. She was given 25 mg Benadryl. Itching resolved, rash began to fade. No additional rash or SOB. was released home with instruction for second benadryl if needed in 4-6 hours and call 911 if SOB, dyspnea or any other serious symptoms arise.

1st day: lightheadedness, nauseam with fatigue and mild SOB. 2nd day: In addition to the above symptoms, she developed headache with pallor, continuous vomiting until she had dizziness. She went to the Emergency Room and told she had infection and she was given an cephalexin. Stayed with nausea, low-grade fever, fatigue, chills and headache until today 04/17/2021.

Pt calls clinic on 4/16/21 about 8:30am to report adverse reaction to vaccine she received the previous day. Pt reports that while driving home after vaccination she suddenly felt difficulty breathing, dizzy, "like she was going to die". She drove herself to closest ED, and was treated for allergic reaction with epinephrine, pepcid and oral benedryl. She was released from ED later that same day. She reports having a "rough night", difficulty sleeping, felt like symptoms of lips tingling, throat tightening return when benedryl was wearing off. She has an epipen and her husband is home with her. She called her local PCP and has follow up appointment on 4/20/21. Pt calls in afternoon, around 3:00pm and reports no improvement and is taking benedryl more frequently, about every 2-3 hours. She is advised to return to local ED.

Body aches, nausea, vomiting, headache, dizziness, sore throat, asthma flare up, fever, swollen lymph nodes under my arm extending to my collar bone, fatigue. Started with body aches and fatigue at 8 pm after getting the shot. by the next day I had all of the other things going on. Fever ended on the 9th and I felt better by the 11th. The lump under my arm didn't go away until about the 14th. I took lots of Tylenol and rested and I also used my inhaler and took anti nausea medicine, but didn't go to a doctor because I knew the reason I felt bad and din't think there was anything to do about it.

Symptoms - tickle in throat, pressure in ears and jaw, difficulty breathing, heavy chest Treatment - used own epi pen in right thigh

Feeling dizzy and bad; Thought her blood sugar was dropping; Lips started tingling; Started sweating; Felt weak; Felt pressure on chest; Muscles started twitching/legs started twitching; Had difficulty breathing; Anaphylaxis Shock; When the Benadryl wears off I start shaking; When the Benadryl wears off I have shallow breathing; When the Benadryl wears off throat starts tightening; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (Feeling dizzy and bad), BLOOD GLUCOSE DECREASED (Thought her blood sugar was dropping), PARAESTHESIA ORAL (Lips started tingling), HYPERHIDROSIS (Started sweating), ASTHENIA (Felt weak), CHEST DISCOMFORT (Felt pressure on chest), MUSCLE TWITCHING (Muscles started twitching/legs started twitching), DYSPNOEA (Had difficulty breathing) and ANAPHYLACTIC SHOCK (Anaphylaxis Shock) in a 40-year-old female patient who received mRNA-1273 (batch no. 027B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Fruit allergy. On 15-Apr-2021, the patient received first dose of mRNA-1273 (Intramuscular) 1 dosage form. On 15-Apr-2021, the patient experienced DIZZINESS (Feeling dizzy and bad) (seriousness criteria hospitalization and life threatening), BLOOD GLUCOSE DECREASED (Thought her blood sugar was dropping) (seriousness criteria hospitalization and life threatening), PARAESTHESIA ORAL (Lips started tingling) (seriousness criteria hospitalization and life threatening), HYPERHIDROSIS (Started sweating) (seriousness criteria hospitalization and life threatening), ASTHENIA (Felt weak) (seriousness criteria hospitalization and life threatening), CHEST DISCOMFORT (Felt pressure on chest) (seriousness criteria hospitalization and life threatening), MUSCLE TWITCHING (Muscles started twitching/legs started twitching) (seriousness criteria hospitalization and life threatening), DYSPNOEA (Had difficulty breathing) (seriousness criteria hospitalization and life threatening), ANAPHYLACTIC SHOCK (Anaphylaxis Shock) (seriousness criteria hospitalization, medically significant and life threatening), TREMOR (When the Benadryl wears off I start shaking), HYPOPNOEA (When the Benadryl wears off I have shallow breathing) and THROAT TIGHTNESS (When the Benadryl wears off throat starts tightening). The patient was hospitalized from 15-Apr-2021 to 15-Apr-2021 due to ANAPHYLACTIC SHOCK, ASTHENIA, BLOOD GLUCOSE DECREASED, CHEST DISCOMFORT, DIZZINESS, DYSPNOEA, HYPERHIDROSIS, MUSCLE TWITCHING and PARAESTHESIA ORAL. On 15-Apr-2021, DIZZINESS (Feeling dizzy and bad), BLOOD GLUCOSE DECREASED (Thought her blood sugar was dropping), HYPERHIDROSIS (Started sweating), ASTHENIA (Felt weak), CHEST DISCOMFORT (Felt pressure on chest), DYSPNOEA (Had difficulty breathing) and ANAPHYLACTIC SHOCK (Anaphylaxis Shock) had resolved, MUSCLE TWITCHING (Muscles started twitching/legs started twitching) had not resolved. At the time of the report, PARAESTHESIA ORAL (Lips started tingling) had not resolved and TREMOR (When the Benadryl wears off I start shaking), HYPOPNOEA (When the Benadryl wears off I have shallow breathing) and THROAT TIGHTNESS (When the Benadryl wears off throat starts tightening) outcome was unknown. Not Provided The action taken with mRNA-1273 (Intramuscular) was unknown. The patient was treated at the closest hospital with epinephrine (epi pen), IV diphenhydramine, and IV Famotidine. The patient was having anaphylaxis shock (confirmed by Emergency Department). She stated epinephrine made her heart beat so fast that it was going to collapse. She was discharged 3 hours later from the hospital with epi pen (emergency use), diphenhydramine(as needed), Famotidine (as needed). Consumer stated that when the Benadryl weaned off she felt tingling of lips, starts shaking, muscles start twitching, throat tightening, and has shallow breathing. Company comment: Based on the information provided which includes a strong temporal association between the use of mRNA-1273 vaccine and onset of the reported events, excluding other etiologies causal relationship cannot be excluded. Anaphylaxis is consistent with the product known safety profile.; Sender's Comments: Based on the information provided which includes a strong temporal association between the use of mRNA-1273 vaccine and onset of the reported events, excluding other etiologies causal relationship cannot be excluded. Anaphylaxis is consistent with the product known safety profile.

My tongue swelled and felt like it was scorched with boiling water, difficult to swallow and breathe properly. I took benadryl which help the reaction stay steady. The reaction lasted about 24 hours.

Throat tightening, BP 203/109; HR 80, RR 18, 100% RA; Prior to D/C 17mins later BP 179/104; HR 75, 100% RA. No additional information provided. Provider indicated that the patient was stable and released from the vaccination site with a recommendation to f/u regarding elevated BP.

3/26: Shortness of breath symptoms noted. Symptoms continued until 3/31: Noted significant increase in severity of symptoms of difficulty breathing. 4/1: Urgent care visit followed by chest xray and hospital admission for Spontaneous pneumothorax (Right). Chest Tube Inserted and discharged 4/3. 4/20: Followup visit with Dr. - order received for a followup chest xray. 4/22: Followup Chest xray showed small pneumo. Under observation with followup chest xray ordered for 4/27.

I feinted 2 min after the vaccine. Upon regaining consciousness I felt pain above my knees. I felt better 30 min after but after driving in the car, I started to feel vertigo, numbness in my legs and arms and it was a bit hard to breath. I went to the ER. 1h after the vaccine, I started feeling very week and my body was shaking, I threw up. After being treated in the ER room for 3 hrs with three bags of IV, I felt better. The next day I was very weak and all motions made me very dizzy, I was out of breath. Then the pain in my joints started. It lasted for 20 days. I couldn't use my hands well and couldn't stand for a long time. I could not drive the car as I was getting very dizzy. Moving objects made me dizzy for 26 days. I am still out of breath if I lecture for 80 minutes.

Fast Racing heart beat. Heart was Pounding in chest. Felt like I couldn?t breathe. Felt like a weight was on chest. Pain in left arm and hand was cold. Next morning had a slight issue with breathing in the morning but went away.

Difficulty breathing because of swelling in mouth & throat 2-4 minutes after injection. Rash/hives on face, neck, injection sight (left arm) and surrounding area. I took 50 mg of Benadryl and it has kept the reaction from spreading.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Medium, Systemic: Hyperventilation-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: During observation period, Patient had a fluttering sensation in chest, tingleing in chin/neck. She appeared flushed and speech became slow. Took pulse and blood pressure readings which were elevated but not concerning. However, tingling spread to arms and legs and mental confusion persisted. Team called 911 and patient rode in ambulance to ER. Patient reported that ER doctor said reaction was likely because she had Covid only a few weeks ago, which was not reported prior to immunization.

Patient stated felt difficulty breathing and that swallowing was becoming difficult. Nurse looked at throat and saw some edema. Proceeded to administer epinephrine and call emergency services. Patient was taken to local ER and physician stated signs/symptoms were not present upon examination and the epinephrine may have resolved reported symptoms. Patient was discharged home in stable condition.

Difficulty swallowing, extremely painful sore throat, swollen, painful red tongue with bumps, swollen throat.

40 yo F with a history of SAH presents with allergic reaction after receiving Moderna vaccine. Received vaccine ~8:30 AM and subsequently felt her "throat closing." She denies change in voice, diaphoresis, nausea, vomiting, dizziness, or difficulty breathing. She drank some water and had no issue swallowing. She stated her throat felt similar to how it feels when she has a viral infection. Given epinephrine and benadryl at 8:50 AM for symptoms.

Vomiting Asthma and trouble breathing Chest pains Severe back pain Severe head ache Er visit 5/9/2021

After 2 minutes taking the vaccine, I had difficult breathing, fast heartbeat, dizziness and weakness. I called the pharmacist and asked for my blood pressure to be checked, the machine was without battery. By the time the machine was working, my blood pressure was higher than my normal, I think 10/14. I asked for water and got better after 5 min. I ended up staying there for 30 minutes to be safe.

She got her vaccine, had no symptoms other than her arm being a little bit sore. Then on Friday morning when she woke up her upper lip had little red bumps on top of it which turned into blisters and her tongue swelled, lips swelled and also part of her throat. She went to the ER was given Albuterol and a high dose of Benadryl and took over a week before it went down. it made her loose feeling in her upper lip which stayed numb for 2 weeks. She went to an immunologist and was told to be tested for COVID and it was negative. She was tested for numerous things and they call came back negative. They told her not to get the 2nd vaccine. At times her left arm goes numb and it feels like it goes to sleep for no reason. This started on Saturday after the vaccine, and both arms went numb, and this still continues. She thought she may have had a stroke, but everything has come back okay. She has had all kinds of blood work, an MRI to make sure she did no have a stroke. She also got real weak, but all tests were negative. Once she started taking the steroids and the antihistamines and the listers were gone by Monday but the swelling stayed for a week and a half. 3 months after this vaccine she got COVID. Her left arm still goes numb from time to time and also her right arm occasionally. She was also set an hematologist and al tests were negative and told him to get a real jo. She also went to Clinic who referred her to a rheumatologist to get a full work up. She said all of those tests were negative for any autoimmune disorders. She also saw a neurologist who did a nerve test on her and he could not find anything. They thought at first that the vaccine may have given her Guillain Barre and was checked for that and that was negative as well.

Pt was in observation, after receiving Moderna 0.5mL IM, c/o difficulty breathing through Lt. nostril and itching to neck area. Upon assessment noted redness and swelling to neck area, no flaring of nares noted. Administered Benadrly 0.5ml IM to Lt deltoid, tolerated well. 21:00-no redness or swelling noted, no complaint of difficulty breathing voiced.

The same night of the injection, I experienced shortness of breath and I had to concentrate on my breathing in order to breath. That right short hurt. A day or two this continued. After the next few days I was fine. The following week, I noticed under my right breast and right arm, I had limited moving and a lot of swelling. That arm from the deltoid down also was red and swollen. I contacted my doctor a week after my vaccination. My doctor recommended not getting the second dose due to how it affected my breathing more so than anything. There is still some swelling under my right armpit where my lymph node is but it is not anywhere as bad as it was, and my doctor is not concerned.

I became ill the day after the shot. The following day I had absolutely no voice. I?ve never lost my voice in my life. 5 days after my second dose I began having chest pains. I've never experienced chest pains. These have been occurring now daily at rest and I started having SOB. I had an ekg done and it came back abnormal. I?ve never had an abnormal ekg. I am waiting the results of a stress test/echo. I was placed on an inhaler and they want me to see a pulmonologist now. Thinking maybe seasonal asthma. This all started after my vaccine. I?m 40 years old. I?ve never had seasonal asthma or asthma of any kind now I choke every morning. My chest hurts and just doesn't feel right. Could it all be coincidence- maybe but it just isn't sitting well with me the timing of the symptoms and the vaccine.

started with c/o "feels weird in my chest like a pulled muscle", few days later slight short of breath with fatigue, May 2 11:45 cardiac arrest when paramedics placed O2, rounds of CPR and med's, pronounced dead at hospital after attempts of CPR. Out come on death certificate Bilateral Pulmonary Thromboemboli. Coroner stated there were multiple PE's in bilateral lungs. Positive for Covid 19 (Had in Feb, vaccine in April 20)

On May 15, I experienced severe pain in my right thigh. By May 17, I was experiencing extreme shortness of breath and pain in my chest and ribs. I ended up in the emergency room on May 20th and was diagnosed with a pulmonary embolism with infarction.

Blood Clots (2 PE in right lung) Chills Memory Loss Numbness in limbs Tingling in limbs Muscle weakness Rapid Heart Beat

At 2am I woke up with a fever and severe headache. I went to the bathroom and then to the sink to get Tylenol. After opening the Tylenol, I could feel myself beginning to pass out so I laid on the floor where it went dark. I had faint breathing and was sweating. My arms began tingle. With assistance, I was able to return to bed with no further issues.

She got her vaccine, within 10 minutes her heart felt like it was racing. She noticed over the next 2 days that she was unable to move with nausea and body aches from head to toe and had to lie in bed those days. She had been exercising regularly and now she had fatigue and had to stop exercising as her heart was acting strange and not able to do so. On 5/21/21 her heart was beating so fast and went to UC and they tested her blood work. She said that she had left chest pain, pain down her beds, and pain down her arms. They did blood work stated that she had very high troponin levels, and her BP was dropping to low levels and they called 9-1-1 and she was taken to another hospital and they did the same tests and found that her troponin levels were even higher, and that her heart was experiencing some kind of arrest. Her BP was dropping and she was admitted to the ICU where she was there 4 days. While she was there they did angiograms, echocardiograms, and every one came back stating that her heart was good. They told her that she may have had a mild heart attack and they did not know why and she said that she felt it was due to thev accine. on 5/24/21 she was discharged and on 5/25/21 she called 9-1-1 again and her BP was high and her heart rate was high, and she was taken to the ER again. She was tested again and they did not see anything, and they felt that she had myocarditis or pericarditis and that she needed an MRI of the heart and to contact her cardiologist and her PCP. She came home that night and went to the ER again the next day and felt that she was heaving a heart attack, arm pain, heart racing, and did the same things again and told them what tests she was supposed to have, and they have not done an MRI of her heart yet. She is waiting to get a referral from her PCP for the cardiac MRI and she is experiencing the same reactions that she has been having. They have put her on a baby aspirin to take daily, Lopressor 25 mg twice a day, Lipitor 40 mg to take once a day, She continues to have the bouts of the chest pain, erratic heart beat, weakness and not able to take a shower due to the weakness and the heart racing and the shortness of breath. They were telling her during this time that parts of her heart were dying, and all kinds of other things, and that's when they put her in the ICU. She went to UC, and was transferred to ER and admitted to the ICU and stayed 4 days. She was discharged from there on 5/24/21. Then back to the ER on 5/25/21, and discharged from the ER. Then she went back again last night 5/27/21 to ER and they treated her partially, they did an EKG and tried to explain her situation and they told her that she was fine, and she told them that her troponin levels were high and he more or less dismissed her and said that his troponin levels would be high if he exercises excessively. She left the ER as they were not going to do anything for her. She has a phone appointment scheduled for Tuesday as they have nothing until later in June.

March 31, 2021 they give me the vaccine on my left arm, and I get an allergic reaction a few minutes later left side of my throat felt like it was swelling in my throat ganglion and my tongue became numb from the middle back and I felt obstruction in my throat, also my breath as if I was short of air. Walking home I felt my nose dry and inflamed. I took a BENADRYL and the symptom went away but it also gave me a pain in the belly for a few minutes this was 2:30 pm On the 21st and 22nd. I had another allergic reaction itchiness on my body took BENADRYL the two days had never happened to me. On April 27, 2021 I decide to apply the second dose of MODERNA and it gave me a reaction again, I applied it to my right arm and the reaction began on the right side this time my throat, my tongue and my cheek went numb in addition to what I felt like an obstruction in the throat, a few more minutes passed and the rest of my face and throat went numb and my head from the right side from back to front. I stayed there 50 minutes later I vomited liquid and accompanied by foam. On May 8 he gave me another Allergic reaction, the same inflammation in the throat and I felt obstruction, I took a BENADRYL. On May 18, I got an allergic reaction and I had to go to the emergency room. On May 19, the allergic reaction returned accompanied by soreness in my arms, while there my body began to shake, they put me in a CT scan and they told me that I had a transient ischemic attack.

Wheezing, hives all over body, itching. Treatment: EpiPen, Benedryl. Hives and itching still present.

Patient presented to our facility complaining of shortness of breath. A CTA of the chest revealed bilateral pulmonary emboli.

The night of the vaccine I spiked a fever of 103.0 that lasted 3 days along with chills, vomiting and body aches. On May 10th I started having problems breathing, I was having coughing fits, trouble getting air and was brought to the emergency room on on May 11th. They did chest xrays, have me albuterol treatments and steroids and sent me home. I tried to go to work on May 13th ( I work at a doctors office) and I was immediately sent to the hospital as I went into respiratory distress with my oxygen levels in the low 80's. I was given more steroids, IV steroids and sent home with an inhaler. I went to my primary care physician for a follow up on May 17th I was still having trouble breathing, was given 2 breathing treatments at the doctors office and then they called an ambulance for me to take me to the hospital for respiratory distress. I was admitted to the hospital for 4 days where I was given 2 IVs, more chest x-rays, a CT, I.V. steroids, epinephrine, and breathing treatments every 3-4 hours or as needed. At one point they considered intubating me to let my lungs rest as I could not breathe and would cough until I vomited. No one could figure out the cause and assume it was a vaccine reaction. I was then sent home with at home Duo nebulizer treatments, inhaled steroids, and cough syrup. I also had a lung function test done.

Lymph node swollen near neck area, pain radiates to injection site. With 2nd vaccine lymph node swollen with pain that radiates to injection site. Felt chills and night sweats that night. Fever reached 103.4 for over 24 hours then went to 101. 4 with the use of ibuprofen. Finally got it to come down to 99.2 that Friday. Was seen by doctor through virtual. Felt fatigued muscle aches through our body. Pounding headache. Had Sob and wheezing heard when I went in person to doctor on Friday. Was prescribed steroids and albuteral. Seen primary doctor on Monday she went over my chest X-ray and noticed infiltration on lungs was dx with pneumonia. Prescribed antibiotics with steroids! Have to go for another chest X-ray in 2wks. Also referred to have a Pulmonary capacity test done.

Unknown lot, site ED visit, Non-prescription medication, Prescription medication Anaphylaxis PMH significant for 40-year-old female presenting to the ER after second Covid vaccine. Concerns for allergic reaction. States that after her vaccine she felt like her throat was closing. Called 911. EMS gave her a dose of epinephrine in the field. On arrival symptoms have completely resolved. No lip or tongue swelling. No stridor. Handling secretions. Denies chest pain or shortness of breath. Denies lightheaded or dizzy. Denies any hives. Denies any abdominal pain nausea or vomiting. Patient presents to the ER for allergic reaction after COVID-19 vaccine. Given a dose of epinephrine in the field. On arrival no signs of anaphylaxis. Normal physical exam. No stridor, no lip or tongue swelling, clear breath sounds, no abdominal tenderness and no skin rash. Patient be given a dose of Benadryl and steroids (Prednisone) in the ER. Will observe for period of hours due to epinephrine administration to watch for rebound anaphylaxis. 1912: Patient asymptomatic. No feeling much better. Observe for period of time without any rebound symptoms. Heart rate is resolved 94 on monitor. No signs of anaphylaxis. Will discharge with instructions to follow-up with primary care doctor in 1 to 2 days.

Beginning 20 days post 2nd vaccine dose: fever, chills, headache, low grade fever, sore throat, throat slightly swollen, shooting pain in left breast (around implant) with hot and red skin. Continuing for 3 days as of reporting today. Immediately Post 2nd vaccine dose: low grade fever; chills; fatigue; low appetite; pain in leg, groin, and back lymph nodes lasting less than 48 hours.

Almost immediate finger tingling - lasted 3 days Within 2 minutes - face flushed/red - lasted around 30 minutes Within 5 minutes - mild throat tightening - lasted around 20 minutes Within 20 minutes - diarrhea - only once Headache - lasted 3 days Sore throat from lymph node swelling - started next day, lasted 3 days I am a healthcare worker and self-monitored the severity. Since I have had many similar reactions to numerous allergens and carry an epi-pen I did not seek treatment.

C/o throat closing up, dizziness, headache soon after 2nd dose Moderna. Pt took a puff of her inhalant & felt relieve. All vitals wnl.

G3P2002, due date 9/23/21, pregnancy complicated by hyperemesis gravidium, received first dose vaccine Moderna march 19th. Starting 2-3 weeks later, she has progressive rash that initially improves with steroids but after rapid taper of steroids in early June progresses to include fevers, body aches, fatigue, joint pain, headache. She is admitted to the hospital, found to have bilateral infiltrates on imaging, oxygen requirement, thrombocytopenia, mild transaminitis. Extensive infectious and rheum eval neg. Skin biopsy positive for eosinophila. Represents to hospital beginning of July with nearly identical symptoms, which never fully improved from first hospitalization. ICU stay, multiple consultants involved. Diagnosed with DRESS (drug reaction with eosinophilic systemic symptoms). Based on medication list and timing, this is vaccine induced.

7/6/2021 - 40yr F given first dose Moderna @4:30pm. Pt. c/o shortness of breath and c/o tightening in upper chest @4:35pm. Pt. c/o shortness of breath not relieved by taking slow deep breaths, drinking water. VS checked 4:40pm O2-92, PR-68, BP 126/80. 4:46pm ambulance called 911 4:48pm EpiPen 0.3mg IM Lot #06M433, given left thigh 4:51pm O2 by mask at 2L increased to 3L 4:55pm Paramedics arrived

Lips swelled got hives on my chest and throat felt like it was closing . Did not get the sec moderna instead got the J&j. After the first event I went home and took benedryl and kept my epi pen close by.

Progressive fatigue, mental cloudiness, headaches, SOB/DOE, ultimately leading to an episode of syncope on 7/10/21. etiology for syncope still pending, concerning for cardiogenic, seizure, other?

Slightly swollen painful tongueand throat with the feeling of tightening in the throat, migraines got worse, vomiting, Nausea, extreme fatigue, swollen painful and tight shouldershoulderl

I woke up the next morning with a swollen throat. It was red and sore. When I open my mouth I saw a white spots on my tonsils. My left side of my jaw is extremely tight and hurts when I open and close it

15 min after vaccine, I felt dizzy and lightheaded. 2 hours after vaccine, I felt nauseous and lost my appetite The following morning I felt like I had been run over by a truck. I had a low grade fever of 99.9 that went up to 100.0 measured by ear thermometer I had joint pain and over all muscle pain By the evening I had mucous in nose, post nasal drip and slight difficulty breathing. I took 2 advils which relieved the fever and body aches On Saturday and into Sunday, I continue to have an over arching malaise, I do not feel healthy. I feel like my body is fighting something, I developed a slight sore throat and my head feels heavy and foggy. I've continued to take advil.

?Moderna COVID- 19 Vaccine EUA? Flu vaccine allergy discussed at length with patient prior to Moderna vaccine. Patient's arm became red and very swollen on two separate occasions after receiving flu vaccine but patient did NOT experience difficulty breathing, respiratory distress, throat swelling, shortness of breath, or anaphylaxis. Approximately 11 minutes after receiving Moderna vaccine, patient complained of warmth and redness at injection site. Immediately after this complaint, patient began to faint and complain of difficulty breathing and pain when breathing. Rapid response was called. Patient continued to complain of painful inspirations and difficulty breathing. EpiPen, albuterol inhaler, and diphenhydramine IM were administered. Patient improved and was transported to emergency room for further monitoring. Patient improved in emergency room and was discharged sooner after.

41 y.o. female presents to the ED with concern for possible allergic reaction to Moderna COVID-19 vaccine that she had received approximately an hour prior to arrival. Patient reports that shortly after receiving her vaccine in her left arm she developed the sensation of her throat closing and a "film "in the back of her throat. Patient has also reported feeling nauseated and having a throat clearing cough. No chest pain, headache, abdominal pain or development of a rash. Injection site appears to be unremarkable. Patient is given some antihistamine medications as well as steroids and observed here in the ED. The patient has improvement in her sensation of her throat closing and is able to be discharged. I discussed with the patient the usefulness of continued antihistamines over the course of the next few days and would likely advise on not receiving the second COVID-19 vaccine based on her reaction to the first. Discussed with the patient the use of epinephrine and EpiPen as needed. See discharge instructions. Patient is discharged home with her sister in improved condition.

1845 PATIENT REPORTS HEART PALPITATIONS, FLUSHED FACE, FEELING WARM, ICE PACK TO NECK, FEELING NAUSEATED. 1848 BP 161/114 HR 112. 1852 BP 148/91 HR 92 PATIENT RESTING. 1900-1910 PATIENT FEELS LIKE SHES "HAVING A DRY THROAT, "A LITTLE SHORT OF BREATH, AND TIGHT IN CHEST." BP 144/95 HR 84 SAO2 99%. ICE PACK TO NECK. PT OFFERED H20 AND JUICE. RELAXING WITH EYES CLOSED.1920-1928 BP156/97 100% PATIENT FEELING ANXIOUS. DEEP BREATHING. 1938-1949 PATIENT MOVED TO QUIET AREA UNDER OBSERVATION. BP 138/93 HR 81 SAO2 99%, FEELING BETTER, NO NAUSEA, SCRATCHY THROAT IMPROVING, DENIES SEVERE ANXIETY. 1959 PATIENT FEELING BETTER, NO RASH, THROAT TIGHTNESS OR ANXIETY, VSS, CHEST TIGHT BUT BETTER, PATIENT REPORTS SIMILIAR TO BASELINE. PATIENT STABLE WANTING TO GO HOME. AWARE OF NEEDING TO SEEK MEDICAL CARE THROUGH ER OR HER PROVIDER IF SYMPTOMS WORSEN.

Recipient reported chest tightness, throat closing up, tachycardia, feeling flush approximately 2 minutes after vaccine administration. B/P- 162/76, HR- 124, O2 sat. 100%. She was taken to our outpatient clinic for close monitoring. Some symptoms were resolving. She reported right and then left arm numbness with a heavy feeling in her left eye. She remained in the outpatient department for monitoring until approximately 3p last set of vital signs B/P- 109/72, HR- 16, O2 sat. 100%

Recipient reported symptoms of chest tightness, throat closing up, tachycardia and feeling flush approximately 2 minutes after the vaccine administration. She was taken to our outpatient clinic for continued observation. Vital signs: B/P 162/76, HR-124, O2- 100% she had relief of some symptoms but also reported right then left arm numbness and heaviness of the left eye. She was monitored for until approximately 3p. Last set of vital signs: B/P 10/72, HR- 81, O2- 100%.

Pt described a film in throat, tightness in throat, mucus in throat, and reported nausea. HR was 87, BP 142/90 RR 16, O2 sats on RA 99%. Pt was reluctant to seek care but after nausea continued and pt became slightly SOB she agreed and went to the ER for treatment. Pt was treated in ER and discharged home.

Shortly after vaccination, client felt slight tightness in the chest and shortness of breath. Approximately 5 minutes after vaccination, client began having tingling in the right arm (same arm as vaccination). Tingling spread to head and neck area and client began to feel warm. O2 saturations were 100%. Pulse was normal. Client had a general feeling of "unwell". Client was monitored for 30 minutes after vaccination. Symptoms were stable, and client was sent home with husband. Instructions given to client to watch for worsening symptoms and call their healthcare provider if symptoms worsen.

Estimated due date: 02/07/2021. Will probably be induced a week earlier. I felt mild pain in my arm in the evening of the 31st and then the pain started from my elbow to my neck on my right side. I went to sleep and woke up with general malaise, chills, body ache, sore throat, headache. the same feeling I had when I had covid, a heaviness in my chest, almost like a shortness of breathe. I was flushed and felt feverish although I never had a fever. The symptoms lasted all day. On the first also my arm pain was severe, I could not even lift it the whole day. I went to sleep on 01/01 and when I woke up on 01/02 the symptoms were all gone. I took Tylenol 3 times to help me with the symptoms. 3 grams total in 24 hrs.

Allergic reaction to COVID vaccination. Vaccine given at 10:00. Allergic reaction around 10:30. Same reaction as shellfish allergy: mucous in throat, tightening of throat muscles, loss of voice. Patient

I received the injection around 2:15 pm. There were no immediate effects. By late afternoon/early evening, my arm was a bit sore and later started to feel warm near the injection site. However, I otherwise felt fine. At 9 pm, I suddenly became very dizzy and passed out for several minutes. When I regained consciousness, I felt a little short of breath, which resolved within 20 minutes or so. However, I was also extremely nauseous, which got worse any time I tried to move. This continued for several hours. I also alternated between being very warm and chills during this time - it was like waves of heat. I did not have a fever. Later, my head began to hurt and I took tylenol to help with that. I also had diarrhea. These symptoms began to gradually lessen after a couple of hours and I was able to fall asleep around 12:30 pm. I woke up hot and sweaty several times throughout the night. The following day, 1/6, I was very tired and had a headache and could not eat much, but otherwise felt much better.

I woke up from sleep with severe chest pain at approx. 0400. It was sharp and radiated up to the left side of my neck. The pain was worse with breathing whether I was sitting up or lying down. My heart rate was 150 initially, but came down to 110's after a few minutes of waking up. My heart rate did not decrease with rest and the chest pain was not going away, so I drove to the emergency room to be checked. Before I left the house I used my albuterol inhaler once to see if it would make the chest pain and tightness any better. I received an EKG, mylanta mixed with lidocaine, IV pepcid and IV torodol to help relive the pain. The pain eased some (was a 8/10 when I awoke to a 2/10 after treatment). My blood was drawn, a chest x-ray was taken and the provider informed me all of my lab results, chest x-ray, and physical examination was normal. My EKG showed tachycardia and my heartrate did not drop below 100 beats per minute throughout the whole ER visit. My BP at the highest was 151/94. I have never had a problem with a fast heartrate or high blood pressure in the past. I was discharged with a diagnosis of pleurisy caused by a cough I have been having. I spent the rest of the day with chest pain and left arm pain from the site of the vaccination.

EXACTLY 15 MINUTES AFTER THE VACCINE ADMINISTRATION WHEN I FELT LIKE MY THROAT IS CLOSING UP LIKE I CAN'T SWALLOW THEN I FELT MY HR IS BEATING FAST THEN MY FEET AND MY LEFT SIDE OF THE BODY FELT COLD. THAT'S WHEN I RAISED MY HAND AND CALLED FOR HELP. THEY IMMEDIATELY CAME AND ASSESSED ME. THEY PUT MY HEAD DOWN, GAVE ME 02 WITH 2L/MIN AND WET TOWEL ON MY FOREHEAD. THE INITAL BP WAS ABOUT 158/90 111 PER STAFF THE MCS. AFTER 20-30 MINUTES OF MONITORING MY SYMPTOMS STARTED TO GET BETTER, THEY TRIED TO SIT ME UP SO I CAN TAKE BENADRYL BUT I FELT DIZZY. SO THEY PUT BACK MY HEAD DOWN AND CALLED 911. TOOK 50 MG OF BENADRYL AND LATER SENT HOME BY PARAMEDICS.

EXACTLY 15 MINUTES AFTER THE VACCINE ADMINISTRATION WHEN I FELT LIKE MY THROAT IS CLOSING UP LIKE I CAN'T SWALLOW THEN I FELT MY HR IS BEATING FAST THEN MY FEET AND MY LEFT SIDE OF THE BODY FELT COLD. THAT'S WHEN I RAISED MY HAND AND CALLED FOR HELP. THEY IMMEDIATELY CAME AND ASSESSED ME. THEY PUT MY HEAD DOWN, GAVE ME 02 WITH 2L/MIN AND WET TOWEL ON MY FOREHEAD. THE INITAL BP WAS ABOUT 158/90 111 PER THE MCS. AFTER 20-30 MINUTES OF MONITORING MY SYMPTOMS STARTED TO GET BETTER, THEY TRIED TO SIT ME UP SO I CAN TAKE BENADRYL BUT I FELT DIZZY. SO THEY PUT BACK MY HEAD DOWN AND CALLED 911. TOOK 50 MG OF BENADRYL AND LATER SENT HOME BY PARAMEDICS.

Kept pt. for 30 minutes as precaution because of her previous history of allergic reactions to Morphine and Flagyl. At 30 minutes patient c/o being hot, feeling dizzy and having a HA. b/p was 140/90, HR 110, SaO2 96%. Did hear few upper airway expiratory wheezed. Called Doctor and she came and assesessed pt and ordered Benadryl 50 mg IM. Given at 3:10. Pt was also given 1000 mg Tylenol for fever of 100.6. Pt. was monitored and returned to baseline in 50 minutes.

I received the vaccine at 12:59 pm and at 1:05 pm my heart began to beat rapidly. I felt heat rush into the left side of my head, I was extremely light headed and couldn?t catch my breath. I asked if there was a nurse that could help me. There was 1 paramedic watching everyone. I stepped outside, took my mask off to catch my breath. One staff member accompanied me and sat next to me. I began to shake in my legs and arms involuntarily, my heart kept beating and I just tried to do deep breathing techniques to catch my breath. The paramedic came outside and asked if I wanted help. I declined his help and I called my husband who was sitting in the car to help me walk to our car. At 1:15, my heart was beating less rapid, I walked back to the car and as my husband was driving us home, my heart began to beat rapidly again, I felt burning and heat in my head and I began to shake in my arms and legs. It lasted about 10-15 minutes. We got home and I could barely walk into the house because I was so weak in my legs. I went to bed where my heart began beating back to normal after 1 hour or so.

Right at the 15 minute mark I developed a full body sense of warmth followed by tremors and my HR rose from 70 to 138 very rapidly. My mom was on the phone with me and stated I didn?t quite know what I was saying to her and she became worried. The RN came by asking how I felt and I told her I was jittery and decided to wait at the site a few more minutes. The sensation passed after about 3-4 minutes and then I felt ok. I drove home and showered. The rest of the night I would get random bouts of tachycardia and felt overall not well. Also a small amount of chest tightness. I also noticed things such as climbing by stairs cause me to become winded very fast and my HR would elevate rapidly. Today I woke up and am feeling almost normal. HR has not been elevated but when I ate I did notice a small amount of lightheadedness.

She felt dizzy immediately upon standing. She has a hx of SVT with cardiac ablation in Feb 2020. No medications noted. Experienced rapid heart beat within 10 minutes with dizziness and shortness of breath. Complained of chest pain, Rapid response team called. Per team - NSR, vital signs stable. Taken to ER for further evaluation.

Patient is a 41 y.o. female who presented to the ED with complaints of a reaction after she took the COVID vaccine. Patient is an RN here and had earlier received COVID-19 vaccination (Moderna) around 0130 this afternoon. Soon after she experienced rash which was burning and itchy on her arms thighs and back. She reported to Occ health and was directed to the ED. While in the ED she experienced throat tightness and nausea. She had one episode of diarrhea. No tongue, lip swelling, SOB or difficulty swallowing. Denies any chest pain, palpitations, pre-syncope/syncope. No vomiting abdominal pain. H/o of allergy to fish mix and dust mite.

1. ASTHMA ATTACK- 10 MINUTES POST VACCINATION, SUBSIDED WITHIN AN ADDITIONAL 10 MINUTES WITH USE OF EMERGENCY INHALER AND OTC ALLERGY MEDICATION. 2. ITCHING - FULL BODY ITCHING BEGAN WITHIN 1 HOUR POST VACCINATION. ITCHING WAS UNCONTROLLABLE BY EITHER OVER THE COUNTER ALLERGY MEDS OR MY REGULAR PRESCRIBED ALLERGY MEDS. NO RASH OR WHELPING. ZYRTEC DOSAGE DOUBLED BY ALLERGIST MD 48 HOURS AFTER REACTION BEGAN, NEGLIGIBLE EFFECT UPON SYMPTOMS. ITCHING REACTION LASTED FOR 72 HOURS (TUE AFTERNOON - FRI AFTERNOON) BEFORE SUBSIDING. 3. INJECTION SITE ITCHING - ITCHING AT INJECTION POINT IN ADDITION TO THE EXPECTED INJECTION SITE PAIN, REDNESS, & SWELLING. BEGAN WITHIN 1 HOUR POST VACCINATION & LASTED 72 HOURS

Tingling of tongue and lips approx. 30 mins after receiving the vaccine. Shortness of breath started 3-4 hours later. Did not see treatment until 1/12/21. Employee health nurse was made aware of side effect and lingering shortness of breath which persisted.

A day after the shot I was in the shower and started experiencing exhaustion and shortness of breath. I also had tachycardia. I proceeded not to feel well they?re very next day. Then on Friday I was dizzy and a coworker said that I was flushed and I wasn?t feeling well. I proceeded to go see patients and while examining a patient I became very dizzy and lightheaded while bent over and almost passed out when I came up.. at that time I decided to leave work and go to my PCP. Orthostatic?s were positive and EKG showed normal sinus rhythm and an echo is ordered. Echo was normal. Throughout the week I continued to have tachycardia and shortness of breath with any type of exertion. I left work this morning and was tested for Covid because of my symptoms.

Anaphylaxis- throat tightness , nausea , rash , pruritis , chest tightness, wheezing . 9-11 called epinephrine x 2 , decade on , IV Benadryl , duo-nebs, famotidine, admission to icu high dose prednisone , nebulizers , zofran , duo-neb nebulizers

Saturday 1/9/21 I felt fine all day, until approximately 6:15 pm when I suddenly felt light-headed, dizzy, increased heart rate, palpitations, feeling of tight throat, disconnect between what I was saying and how I was hearing my own voice, difficulty expressing my thoughts, headache, shortness of breath. The following day I continued having some dizziness, headache, nausea, shortness of breath. Mon. 1/11-Thurs. 1/14 I had splitting headaches and nausea. I developed a rash on my arm at the site of the injection at some point, unsure when. The rash wasn't noticed until Sunday 1/17 and still remains today, 1/18.

I waited 15minutes at the facility and then began walking home. Approximately 30minutes after receiving the injection, my throat started swelling a bit and the back of my tongue seemed to swell, too. It was very hard to swallow. I removed my Covid mask and continued to breathe normally. Approximately 40 minutes after receiving the injection, I took 2 Benadryl tablets. The throat swelling eased but it was still much more difficult to swallow than usual. About 4 hours after my first dose of Benadryl, I took 1 more tablet of Benadryl. I fell asleep and woke up feeling completely normal with normal swallowing. Note: at no time did I have a rash, I did not wheeze, and my blood pressure and heart rate seemed normal. I have no history of allergic reactions beyond possibly reacting to penicillin when I was age 2.

Pt states her throat stated her throat felt like is was closing up. She had a burning sensation running down her throat. She began to lose her voice. I gave the patient 10m of Zyrtec liquid. After 30 minutes, she began to fell better. Pt had a hoarse voice.

Dyspnea with exertion 1/5, felt like retaining fluid, noted a 5# weight gain, treated 1/6 with lasix 40mg and improved. Did not seem to return. Occasional brief dizziness. 1/10 noted dull aching in left shoulder joint pain, radiates to left neck muscles. Has been very mild during the day, mild to moderate in evening. Does not prevent activity but definitely noticeable and seems to be ongoing.

On 12-26-2020, I woke up feeling weak, very dizzy and dragged down. I felt generalized malaise, headaches, body aches,. I worked a 12 hour shift, was pale. I had alot of more weakness through my body and was very nauseated and had loss of appetite. On 12-29-2020, I felt a heaviness to my chest, extreme pain with rapid heart beat, I had elevated blood pressure, had numbness to my face and hands (pins and needle sensation) . The day after 12-30-2020 I was seen lower extremity weakness and visible muscle spasms in my knees and legs. I had a hard time ambulating and I was weak for another week. I had shortness of breath and had difficulty going up the stairs. I went home that same day when they ruled out it was not a cardiac event.

Within first 15 min my throat started to feel like it was closing up. My tongue also felt like it going towards the back of my throat and I was dizzy/lightheaded. It lasted. About 5/7 min. It felt like was easing up so the school nurse told me wait an additional 15 min to be sure I was ok. She also took my blood pressure and said was normal. Dr. a pharmacist brought me orange juice a d said maybe was just low blood sugar. I said it felt similar to when my epidural during last delivery was up too high and my throat closed up and I couldn?t breathe. About ten min later it began again. I tried to get up and walk around some and I felt a little better at first but then started to get significantly worse. I felt like I was struggling to breathe and tongue was swollen feeling and stuck to back of mouth as if it was paralyzed. I say back down and my blood pressure was high (just told bottom number was 106). I was moved to another room to lie down and pharmacist mentioned using epi pen or benedryl shot. I had to sit up and almost passed out. I was having difficulty breathing. Not because of my lungs but my throat and tongue seemed frozen. He decided to give me a 25 mg Benadryl shot but had me drink it. It had a horrible bitter taste and made my throat and tongue numb. At this point it was about 12:30. My administrator called a coworker to drive me home. I decided to leave about 29 min after I had the benedryl. I could still feel that my throat was somewhat tight but it had improved enough that I didn?t think I was in danger of not being to breathe again. I went home (15 min drive) and by then my throat felt a lot tighter. I took 25 mg more of benedryl and it felt better. About four hours later it became tight again and I took 50 mg of benedryl. Through out all this I had severe pain at site of injection in my left arm, dizziness, nausea, and headache.

Patient stated they felt hazy, and had chest pain 3/10, has asthma history. Used inhaled and after ~15 minutes patient stated he felt better and was discharged.

Vaccine was received in the left deltoid. First symptom was right arm going numb at about 10 minutes. At about 25 minutes had full body severe itch. At 35 to 40 minutes had sudden onset of chest pain, tachycardia, shortness of breath, and hypertension. I had pre-medicated with Benadryl and Pepcid. No further interventions were needed. Symptoms resolve spontaneously about 30 minutes later.

Mouth tingling and burning, throat feels a little swollen, mouth tastes like metal, itchy hands and head, loss of clear verbal articulation

Endorsing nausea, shortness of breath, throat swelling, tingling in tongue. EMS called and IM epinephrine 0.3 mg given. Follow IM epinephrine she reported improvement in mouth/tongue tingling, worsening nausea and shortness of breath. She was transferred to the ED for worsening/persistent symptoms. In the ED she was observed 2.5 hours, given Decadron, H1 and H2 antihistamine and IV fluids and discharged home.

Complained of severe shortness of breath and chills night of vaccination; no treatment saught; resolved by 1/21/2020 with no intervention

Shortness of breath and chills/fatigue onset night of vaccination; no treatment sought or received; alleviated naturally by 1/21/2021

After 15 min I walked to my car. In car felt NUMB LIPS, FAST HEARTRATE, over the next 3 hours I felt EXTREME DIZZINESS, LIGHTHEADED , CONFUSION, THROAT SWELLING, NAUSEA, FOGGINESS, FLUSHED, WEAKNESS and TIRED. I felt like I might die, yet I couldnt do anything to get help because I was out of it. At the first signs I sent my Doctor a message that said "Got my shot today. Have extreme dizxziness., fast heart rae,, num blips, fogginess. Lump in throat . Is this normal feel hotl? They sent me back a phone number for covid. I called the number and asked for help, they told me the symptoms of the covid shot, not the reaction. They did not offer help.

Vaccine at 9 am 1-15-21, by 7 pm experiencing fatigue, chills, sweats for the next 24 hours. 1-17-21 at 2am woken up by itching, covered in rash/hives from head to toe, took benadryl. Severe headaches began and continued until around the 25th, treated with tylenol and ibuprofen with little relief. Morning of 1-18-21 developed thrush and treated with nystatin. Noted increased fluid retention and swelling, rash still present. From the 17th to 21st noted a 10lb weight gain due to fluid, rash present until 21st, swelling continued to increase. Noted increased SOB, and chest pressure, went to ER at 9pm 1-23-21 when at #28lb weight gain was noted. Sx began to subside over the next few days with weight slowly coming off.

41 yo healthy woman with history seafood allergy, developed sensation of throat tightness/closing 7 minutes after vaccination. She stated this was similar to sensation she has after exposure to seafood and that these respond to diphenhydramine. She looked well and had stable vitals. She was observed for10 minutes and did not have worsening symptoms. She was given diphenhydramine 50mg orally and monitored for an additional 60 minutes. She was breathing comfortably, had no dyspnea or wheezing, or swelling of lips, gum, or oropharynx. She reported improved symptoms and was allowed to return to her home. On follow up telephone call 3 hours later, she reported complete resolution of the symptom.

Shortneas of breathe. Headache. Dizziness. Heaviness in chest. Exhaustion. Rescue inhaler, Tylenol, water, rest

Shortness of breath, swollen tongue, smooth spots on tongue. These symptoms lasted 24 hours. 7 days after vaccination I had a 5" rash at injection site.

Shot 1 given Dec 29 in the morning. I had no symptoms. I got very sick at about 4:30pm Symptoms: muscle aches, chills, fever, headache, SOB, chest pain, sore throat, cough. I ended in the ED because I couldn?t manage my asthma and my HR was high on Wed. I was diagnosed with Covid as I found out my husband gave it to me. Then a couple days later my asthma got worse and I ended up in the ED overnight. They were able to get better management in my Asthma. I was sick for 3 weeks. Went back to work week four 1/25 Monday and 1/27 they cleared me to get the second dosage of the vaccine. I got the vaccine 3:20 pm and at 5:00 I walked my son in Kung Fu and then waited in my car. I ended up passing out in my car at approx 5:15 pm and my 8 year old son knew something was wrong and had to wake me up. I could barely drive home I felt very drunk. When I got home my temp spikes to 101.3. I had extreme muscle pain, fatigue, chills, sore throat, chest pain, cough, SOB. My left arm swelled up where I was injected and I couldn?t move my arm. I was told I couldn?t take anything tylonel or Ibuprofen for 8 hours. I suffered. Even when I could take something my body was very painful. This lasted wed, thurs, and Friday morning.

o After about 10 minutes of receiving the vaccine, while she was in the observation unit, she suddenly developed lightheadedness, shortness of breath, and nausea without vomiting. She was assisted to the ground in a supine position and given one EpiPen injection, with subsequent improvement of her symptoms. Upon arrival to ED, she does endorse some diffuse itching over her body, but airway is asymptomatic. She denies taking Benadryl, Zyrtec, or any other antihistamines today. o Of note, on the day of her first vaccine dose 4 weeks ago, she had gradually developed symptoms including severe fatigue, muscle aches, and headache. The following day, she also developed increased redness, hives, and similar itching to her presentation today, which she describes feeling like "bugs crawling inside." She subsequently had a virtual visit with her PCP on 1/7, who prescribed her an EpiPen and Zyrtec. She has had resolution of these symptoms and has had no other complaints since.

Around 10am today I started having chest tightness and pain, some shortness of breath. It was constant and every time I got up to walk around my BPM (on my Fitbit) went up to about 120. I am normally around 70 and even when sitting still it was 80-95. I went to urgent care around 1 and saw Dr. They checked my blood pressure several times and it was between 118-126/84 (normal for me is about 105/70). They did a PCR test for COVID but later called to tell me the sample was mislabeled. In the meantime I went to a rapid testing site and got an antigen test that was negative. Dr opinion was that the reaction was most likely an immune response to the vaccine. He said I should go in if symptoms last longer than 1-2 more days or if they get worse. They said I could repeat the PCR test if I needed to be seen again but felt pretty confident about the antigen test results. I am still having the same symptoms tonight, the same severity. I have no other symptoms of COVID and did not have any other vaccine side effects besides expected/mild ones. I had a little shortness of breath last night before bed but the chest pain didn?t start until today. I?ve gotten all scheduled vaccines throughout my life plus some for travel and have never had a reaction. I have never had anything like this chest pain and have no history of heart issues.

Within 12 hours of receiving vaccine I began to feel fatigue in my muscles and a mild headache. The next morning I experienced brain fog, inability to formulate thoughts correctly, difficulty thinking, lack of concentration, muscle soreness, aches all over body, tired easily, shortness of breath, fever, chills, and nausea. 36 hours after receiving vaccine, I still feel uneasy on my feet, light headedness, muscle soreness, stiff neck, nose bleeds, headache, nausea and extreme fatigue.

I experienced pain at the injection site and my whole arm but much lesser, milder than the first dose. I also had with this dose shortness of breath (I have asthma) and I would say the pain in my arm lasted for about 3 days or so. The shortness of breath was only the day of the vaccination. I used my inhaler and was fine.

The patient received dose 1 of the COVID Moderna vaccine at around 7:00 AM on 2/8/21 at her place of work The patient came back to the vaccine area around 10:00 AM saying she was experiencing shortness of breath, jaw pain, tingling in her left arm, and chest tightness. Her blood pressure was 188/120 mmHg at 10:05 AM with a heart rate of 105 bpm. The patient said she had had a heart attack a year prior. We called 911 at around 10:12 AM. EMS arrived and took a manual blood pressure of 178/118 mmHg, and took the patient to the hospital shortly after.

Patient vaccinated at 2:37pm. At 2:46pm, patient reported throat tightness, tongue tingling, and extremities tingling. Administered liquid Benadryl 25mg at 2:46pm. Continued to observe patient for 30 minutes. Vital signs remained WNL throughout observation period. Patient reported overall improvement 15 minutes after Benadryl administered. Symptoms diminished by end of observation period.

patient received dose 2 of the moderna vaccine and waited the required 15 mins, in which no symptoms appeared. As she went to leave, she felt as if her throat was closing up. She received one dose of 50mg IM Benadryl, followed by a second dose administered 15 mins later. Symptoms resolved and she left after 45 mins of observation

About 25 minutes after receiving vaccine, Patient complained of weird feeling and tightness in her jaw and throat. Upon trying to drink water, she started to feel sick and dry heaved (never vomited) then she said she had problems trying to swallow. She did not report trouble breathing. I called 911, they had me ask her a series of questions. As soon as she said her throat was bothering her again, I administered the EpiPen at 12:10. We also called her emergency contact person.

2/4/21-chills, fever, abdominal pain, body aches, sore arm; 2/8/21-asthma flare up, chest pain and tightness, rash on legs, bruised injection site.

I started having a sensation of scratching in the mouth; took Benadryl; Next day I started having fever up to 100.4, body aches, back pain and a cough! second day after vaccination I was still having a dry COUGH, then I developed SHORTNESS of BREATH for at least 3 hours, and felt tightness around chest and back; took Benadryl again .It helped. Third day the cough persists, the breathing improved a bit but still there is tightness in chest.

Waited 20 minutes after shot in facility. Walked to my car and felt very thirsty and that swallowing was not normal. Thought I was panicking and sat in my car for a little bit. My throat, tongue and mouth felt weird like they were swelling. Kept looking at my tongue and it appeared normal. Sat for about 15 minutes and decided it was nothing. Started to drive away and then my mouth became so dry like nothing I have ever experienced before. I had trouble talking. Turned around and went back into the clinic. Paramedics took my oxygen level and my heart rate which was elevated. My throat, mouth and tongue felt like I had been given Novicane at the dentist. I had no rash. I sat with the paramedics for about thirty minutes and they thought I was fine and that I should go home and be prepared that the next dose would be worse. My mouth did not feel normal again until the next day.

Patient was seen in office today to receive the first dose of her Covid vaccination, Approximately 2 to 3 minutes after receiving her dose she began feeling hot all over her body and began feeling swelling and irritation to her neck and throat. Patient was brought back at that time for me to evaluate and was found to have urticaria and erythema from her chest up to her neck and into her face. There was no tongue swelling or dyspnea noted upon initial exam. The patient was initially given 50 mg of p.o. liquid Benadryl. Approximately 5 minutes after receiving Benadryl the patient began stating that she felt as though she could not breathe and became panicking while having rapid and shallow respirations. At that time 0.3 mg of epinephrine was administered into the patient's left thigh and EMS was called. While awaiting the arrival of EMS the patient began feeling significantly better, was able to speak in full sentences, and the rash begin to diminish. EMS transported the patient to the emergency department for further evaluation and treatment.

The patient received her 1st dose Moderna on 2/6/21. On 2/7/21, the patient reports that she began "shaking, chills, numbness all over, headache, and felt as though she may pass out.' She sought care via a visit on 2/11 where she described heart palpitations. She was referred to the Emergency Department on 2/11/21. On arrival, her chief complaints were "shaky, dizzy, intermittent heart palpitations, some shortness of breath at times, headache, and body aches." Labs and vitals normal. EKG showed a right bundle branch block with nonspecific ST changes (Twave inversion V1V2). No prior EKG for comparison. Normal troponin, d-dimer = 0.29. Overall clinical impression per ED: (1) heart palpitations, (2) fatigue following covid-19 vaccine, (3) shortness of breath, (4) Right bundle branch block.' She was discharged to home with instructions to follow-up with her PCP. A post-discharge phone call on 2/12 confirmed patient was feeling well and only reported 'dizzy' as an ongoing symptom. The only medication intervention in the ED was one dose of ketorolac for body aches.

Within 12 hours was having trouble breathing heart pounding thought I could just rest and could not it was so bad went to the ER on 2/14/21 @ 8:30 am my O2 was at 87 dropped to 81 BP was 158/101

3:30 shot, 4:02pm itchy throat, trouble breathing 97.8degrees, 103bpm, 99sp02, itchy throat worsening. 4:05pm albuterol hfa 2 puffs. 4:08pm EpiPen right leg, 97%sp02 110bpm. 4:12pm 2liters of oxygen placed on patient nos. 4:13pm EpiPen left deltoid. 4:18pm 155/102mmHg.

As soon as I received the vaccine it felt like I drank a hot alcoholic shot, my throat was thickening and hard to swallow, tingling and numbness on my face I felt hot inside and cold shivering, I was a little out of it, very tired nauseus and I had a really hard time swallowing saliva, 30 mins later I had no feeling in my face, my lips felt huge like I had just had novacaine, my eye felt like it was drooping, I went to employee health I was given Benadryl and I took it for two days and one day I did not take the Benadryl and my face started drooping all over again so I took Benadryl and it went back to normal. I was advised not to get the second vaccine. I fully recovered.

10 mins following injection, breathing felt painful. Used albuterol inhalor 2 puffs per dr instructions. Felt relief after 10 mins and left campus. Had painful breathing and utilized full course of medicine, increasing advair dose to 250/50 for 2 days. Unable to breath enough to complete yard work, called dr who said my lungs sound tight and wheezing. Started tapered dose of prednisone 40mg/4 days, 30mg/3 days, 20mg/1 day, 10mg/1 day. Am at day 4 today and feel relief?able to complete yard work.

respiratory distress (new), audible wheezing, shortness of breath, sensation of throat swelling or closure

Immediately following vaccine tingling in face and mouth and headache. Following days severe headache, severe fatigue, slight temperature, tightness in chest all the way around the rib cage and difficulty taking a deep breathe developed a few days after getting vaccine and lasted 24 hours

Received the vaccine Friday around 11:40 am. Arm was sore and had joint/body aches that evening. Saturday 2/20, 24 hours after getting the vaccine my tongue started to swell up/ was splotchy/ had bumps allong the side and my throat was scratchy. My breathing/asthma was also triggered and I increased use of my albuterol. I took benadryl with minimum results, but symptoms did not get severe enough to go to the ER. The next day, Sunday 2/21 my tongue was still swollen and my jaw/ face were also sore and had inflammation. This was in addition to the sore arm/joints.

Chills began within 2 hours of injection. Fever rose to 101 within 6 hours and lasted for approximately 48 hours. Chills lasted the entire time the fever lasted. After the fever came down to below 100, bodyache became more recognizable. Most unusual pain, which began while the temperature was above 100, was in the muscles connecting my neck to the shoulders, more severely on the left-side where the injection was administered. The pain was so severe that it felt the muscle was tense, numb and itchy at the same time. The severity of the pain made it feel like the throat was closing up even though I knew it was not true because I did not have trouble breathing. This pain lasted (in similar intensity) approximately about 36 hours. After this, on the third day, most of the pain was gone but I experienced dizziness, nausea, and diarrhea. I had a loss of appetite the whole time (over 72 hours) I was experiencing these side effect symptoms.

asked me to reach out to you in regards to a COVID Vaccine Reaction I had yesterday. I received my first shot on Tuesday around noon and yesterday I experienced shortness of breath, headache and muscle pain. I ended up in the ER. The ER doctor advised for me to stay home for a few days to make sure everything calms down.

Patient reported Shortness of breath and that she almost passed out after walking up the stairs. She reported fluctuation of heart rate for about an hour, heart rate went up to 119 then drastically dropped to 36 then up to 147 then back to 119.

This 41 year old received her second Moderna covid vaccine on 2/5/2021. She had no immediate issues the first 15-30 min post vaccination. During her drive home (about 30 -40 min post vaccination) she noticed her throat felt full and kept trying to clear it. She tried drinking but this did not ease the reaction. She called her MD but was sent to local ER which was closer. She denied any SOB, fever, rash, itching, HA, swelling to throat, tongue or body, and had no dizziness, GI distress or other systemic reactions. She presented to a specific hospital and was treated with epi pen, IV benadryl, solumedrol and pepcid and released on 5 day predinisone taper

Fever101.8. Nauseous, sweats, chills headache. Swollen lymph nodes under left arm, shortness of breath, fatigue

Within 15 minutes post vaccine, complained of "scratchy throat". HR 80 Resp 16 BP 130/90 Complained of tingling lips and hands. color pink/flushed. Agreed to transport to ER. In ER, further hyperventilating and developed wheeze. EpiPen given. In ER given benedryl and discharged within 3 hours with prednisone prescription. On 02/26, denies any symptoms

Patient received Moderna Covid 19 vaccine lot# 031L20A exp date 07/22/2021 0.5ml to left deltoid at 10:15 a.m. 02/12/2021. Patient was asked to wait in parking area for monitoring of adverse reaction. At approximately 10:20 a.m. officer called to nurse that patient was not feeling well. RN and LPN went to assess patient at her vehicle. Patients lips were blue pallor color and she stated that she "just felt weird and a little short of breath". No rash or swelling. Patient reports that she did not feel her throat was swelling. RN applied ambu bag to patient appropriately and LPN assisted patient with air for approximately 2 minutes. EMS contacted. Vitals assessed by RN. BP 90/55, HR 60 and normal, Resp 22. After ambu bag assistance patient reports that she is feeling much better and does not feel short of breath anymore. Lips are pink and patients respirations 18. EMS arrived and assessed patient at this time. Patient reports feeling fine and no other side effects. Vitals taken again by paramedic. BP 124/86, HR 73 and normal and O2 sat 98%. Patient was asked to wait at site for an additional 30 minutes for monitoring with RN. Patient asked how she was feeling multiple times and she states she was fine now. Patient left site approximately 11 a.m. RN contacted patient at home on the same day at 1446 and patient states she was fine and no other reactions. No medications given at incident. Called patient on 03/01/2021 to check in with her. She states "she is doing fine and has had no other issues."

Within 10 minutes: anxiety, dizziness Within 1 hour: diarrhea, anxiety, mild trouble breathing 2 days later: trouble breathing, mild fever

I do not have a peanut allergy but I did eat waffles topped with peanut butter for breakfast that morning. About 30 minuets after eating the waffles I started to feel sick to my stomach, both like nausea and also having to have a bowel movement. I went to lie down in bed and after about 15 minuets my heart began to race and I felt very hot. I got up to get my pulse oximeter and noticed my face was very red and I had red blotches down my neck, chest and shoulders. My pulse was at 120 so I laid back down for a few minuets. I felt like I needed to have a BM so got back up to go to the toilet when I saw the hives were now down my arms to my wrists so I took 1 Benadryl 25 mg. I still did not have a BM or vomit. My chest began to have tightness and pressure and I felt short of breath. I was home alone and was feeling very scared. I took 2 aspirin 325 mg each. I unlocked the front door and got my daughter's Epi-Pen Jr. 0.15 mg. I waited a few minuets yet and began to sweat heavily, I was feeling cold and like I was going to faint. I gave myself the Epi-Pen Jr and called 911 around 11:50 AM. I never lost consciousness thankfully. EMS arrived and gave me another 25 mg of Benadryl IM in my left arm and they started me on fluids. I received a prednisone and pepcid shots at the hospital.

The next day after I felt my throat closing and was having breathing issues so I was transported to the ER where I was administered IV benedry with another antihistimine with it and monitored for a few hours and released shortly after. Advised to continue taking the benedryl and the other antihistimine for an additional week. I was really sick and nonfunctioning sick for about 2 weeks after and I still have respiratory issues that comes and goes periodically to date.

After 15 minutes of my first vaccine, I experienced hives in my right arm and left arm. The hives also radiated to my back, face and chest. I felt my chest and throat closing up on me. Every once in awhile I get an itchy spot where the first dose vaccine was injected. I did not get my 2nd dose vaccine due to my first dose symptoms.

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Lymph Node Swelling-Medium

Pt given vaccine at 1150, started to have facial swelling and feeling of throat closing at 1200. Epi Pen given at 1204 and pt transferred by EMS to hospital

fever, redness and swelling and itch at injection site, trouble breathing, tired, felt like I had covid again, insomnia, itchy through out body, headache, chills

Approximately two minutes after I received the vaccine I had a strange feeling in my right arm (where I received the injection) that went away after about 30 seconds. About two minutes after that, I developed a bitter taste on my tongue that later spread to the rest of my mouth. Several minutes later, my lips began to tingle and swell, then my mouth (i.e. my soft palette) began to swell as well. About forty minutes after I received the vaccine, I began developing shortness of breath and spiked a fever. The on-site doctor administered an Epipen and I was transported to the ER. While at the hospital I had a blood drawn, a COVID test, a chest X-ray, and multiple EKGs performed. I was discharged about 2.5 hours later.

Slight swelling of the back of the throat and tongue. I waited 30 minutes and was able to leave to take a Benadryl for the swelling. 15 minutes later I coughed a couple of times and then felt my throat constrict and had a hard time swallowing. My breathing became labored so I used my emergency inhaler and while trying to use my inhaler I started coughing and could not stop. Hard coughing. I work at a school that has a nurse on site and she helped the front office stabilize me after 30 minutes of coughing and not being able to swallow well. My pulse ox got down to 90 with a pulse of 122. I had a rash covering my throat and chest. I did take a Benadryl as well. An ambulance was called but by the time they got there the coughing was slowing down and my throat was opening back up. I was sent home to rest.

The patient had tightness in the throat. Then her lips started to tingle and her face looked red and swollen.

About 45 minutes after receiving my vaccine I started feeling a tightness in my throat. I then became lightheaded and shakey. I was driving so I pulled over and called 911 who transported me to Hospital. The tightness and pressure moved down to my upper chest area also and my hands were tingling. I was given benadryl, pepcid and prednisone at the ER. About 30 minutes later I was feeling much better except for a scratchy throat. I was sent home where I slept the majority of the rest of the day. The next day I woke up with a very sore arm, very tired and a headache. Today the injection site is still a little sore and I have a headache.

Within 1-2 minutes of taking the vaccine , I started having shortness of breath, my heart rate was rapid, severe chest tightness, and dizziness , tingling in the whole body , face became pale and flushed .

Within minutes after the vaccine I noticed my arm swollen and my fingers started swelling as well. It was moderate swelling though. the injection site swollen up and it was hard for me to breathe as well. Not sure if it was the shot itself or if I was just nervous, anxious about receiving the shot. I received the 1st dose on 01/13/21 and I was supposed to receive the second one on 02/10/21 and because I had a flare up on my face, my face swollen up around 01/21 - 01/24, and I found out that I had the infection on my gums and had to get the teeth extracted. It seems that after receiving the vaccine my overall health that is not at the best just got worse. I could not stand for a long period of time, it aggravated things that were already going on with my system. It affected my uterus, I already have bleeding issues but now I have very heavy periods since the vaccine. And they are lasting longer. I also had a lot of pain at the injection site and also a severe headache. I also am now battling 2 different kinds of yeast infection that are resistant to the meds given to me.

4 days fever over 102, vomiting, day 2 unable to stand or walk, shortness of breath for 3 days to the point it was hard to talk. day 3, delayed skin reaction hive at injection site, along with hives on chest, back, thighs. both feet and both hands fully numb for 3 days. severe headache.

patient had redness and swelling at the injection site the evening after she got the vaccine, then experienced muscle aches, nausea, SOB, fatigue, headache, and loss of smell over the weekend. Reported feeling much better Monday 3/8/21, but still nauseous and had no sense of smell

I?ve experienced severe allergic reactions to many things. I?m now allergic to soy, yeast, wheat, coffee, casein (dairy) peanuts, green beans/ legumes, eggs, onion and celery. I?ve had a huge rash that broke out on my left arm that started at the spot where I received the injection. Now I?ve been experiencing my mouth and tongue swelling to the point that my throat has closed up. I?ve been hospitalized as air wasn?t going through my body. I had to inject an Epi-pen in my leg, and be taken to the hospital. I?m currently on high dosage prednisone, Benadryl and several other meds to address the swelling in my tongue that happens daily. I am desperate to find out if there is anyway to stabilize anything that vaccine had in it to see if this condition will get better.

Patient has history of heart problems (unspecified arrhythmia), type 2 diabetes, food related allergies and previous meth use. She denies any recent meth use or previous anaphylactic reactions. She received her vaccine dose at approximately 1331 and started complaining of shortness of breath and palpitations approximately 5 minutes after. She denies any chest pain, throat tightness, itchiness or swelling. She appeared lethargic, awake and oriented x 4, speaking in full sentences, diminished breath sounds bilaterally, no respiratory distress, Her vitals were stable (BP 126/84, HR 73, RR 24, SaO2 94% RA). She self administered ProAir MDI 2 puffs. Her breath sounds improved and palpitations resolved. Her reaction time lasted until approximately 1351. She was educated on sign and symptoms of anaphylactic reactions and strict ER precautions.

The day after my vaccination I woke up with horrible bone pain like my bones were breaking. Intense dizziness and shortness of breath when getting up and moving around. Muscle pain would come and go all day long. On the second day, the bone pain has lightened up but still very tired and running a fever on and off. I then felt a lymph node the size of a lemon in my left armpit. I couldn't put my arm down because of the size of it. This was 12 hours ago. The lymph node has shrunk a small amount, but I am still having dizziness, weakness, and body aches.

Got the shot Friday March 5th. Sore arm and muscle aches like the first dose on 2/5. Woke up March 7th with swollen lips/throat/tongue. went to urgent care and received an EpiPen and steroid. Monitored for a couple of hrs and went home for a nap. (refused the ER at this time as I felt better). Woke up around 2:30 and my symptoms worsened . We to ER and received another Epipen for anaphylactic shock. Remained at the hospital for 5 days. Had 5 episodes while there. Also, had tightening in chest and what felt like a heart attack. Been resting, still very tired and swollen nodes in my neck and sore throat as well as aches. Also, might be developing thrush. Didn't run a fever and Ive never had an allergic reaction before this.

Anaphylaxis. Initially, pt experienced palpitations and tightness in throat after vaccination and wasn't sure if she was experiencing swelling in her arms. BP was 130/79 and HR 93 initially. Pt started to feel better without intervention but given diphenhydramine as a precaution while we continued to monitor her. 10 mins later she started to have tingling in lips and tongue and visible lip swelling in addition to palpitations. Immediately administered Epipen (0.3mg) x 1. EMS was called. No worsening but not improvement after 5 mins so a second dose of Epipen (0.3mg) was administered. By the time EMS arrived (9 mins after first epipen dose) pt was feeling better, swelling had resolved, no throat tightness. Pt was transported to local hospital by EMS for monitoring.

?Moderna COVID- 19 Vaccine EUA? 41-year-old female past medical history of hypertension who presents to the emergency department approximately 6 hours after receiving her 2nd COVID-19 injection. Patient states that approximately 30 minutes after receiving the injection, she felt somewhat flushed, short of breath, and felt as if there may be some swelling on the left side of her neck. These symptoms have come and gone over the last several hours. Currently they are mild. She has a history of anaphylaxis to bee venom this concerned her so she came to the emergency department for evaluation. At this time she is breathing well, denies lightheadedness or dizziness. Was monitored in ED. On re-evaluation, she is feeling well, denies any worsening of symptoms. ED assessment: feel this was a mild localized reaction, did not represent anaphylactic or anaphylactoid reaction. She will be safe for discharge to home.

Fever, chills, body aches, shortness of breath, fatigue, nausea, dizziness, sore arm, runny nose, food tasted funny/off by 8pm on 3/6. Fever lasted almost 3 days. Shortness of breath was gone on the second day, chills and body aches lasted until the fever was gone. Nausea and dizziness lasted a week. Red, raised, blotchy, itchy patch on arm around injection site arrived within a day. On the evening of 3/16/21 a red, raised, blotchy, itchy rash began on my legs and by 3/17/21 had spread up my legs, buttocks, back and small blotches began forming on my arms before I took Benedryl which calmed down the reaction. It is 3/18/21 and I am still fatigued, especially at the end of the day.

After approximately 5 minutes after receiving Dose 1 of Moderna Vaccine patient complained of metallic taste in mouth, dizziness, and increased heart rate. Patient sat down in chair. Pharmacist called 9-1-1. Patient complained of swelling of throat. Paramedics evaluated patient for hives, took vitals, and evaluated patient. Patient was ok, but still complained of swelling in her throat. Paramedics told patient to take Benadryl to decrease swelling. Patient refused to go to hospital.

several hours, 8, after getting the COVIDvaccine, my throat began to feel tight and my chest began to feel tight as well. I began to wheeze and notice that my breathing had changed and it was not normal. symptoms similar to anaphylaxis of when I was given Rocephin in my teen years and had anaphylaxis within a minute of receiving that medication.

Sore arm all day. Woke up at 1am extremely nauseated, headache, and in sweats. Went to kitchen to get some nausea meds and felt my ears closing. I couldn?t breathe and apparently passed out. My husband called 911 and I came in and out for about 30 min he said. I couldn?t open my eyes and couldn?t feel my legs. Bp was normal and so was blood glucose. They gave me some fluids and nausea meds and I started coming too. Today I am extremely achy and terrible headache, scared to get out of bed.

1/7/21: injection site started to turn red, swell, itch and was hot ~12 pm; by 7 pm redness had extended to apx. 3 in. wide by 2 in. high; also I had extreme pain in my back between my shoulder blades and had a hard time breathing. These symptoms persisted until 1/10/21; on 1/10/21 the redness turned from swollen and smooth to not swollen and bumpy - rash like. By 1/12/21 the swelling had gone away, but the rash had turned red and spread to more area on my arm. The rash reached its full size on 1/14/21 of apx. 6 in. wide by 4 in. high making a "box" like shape with a circle (apx. 2 in dia.)inside of the rash box; I was still having a hard time breathing; I saw the Dr. on 1/13/21 and was diagnosed with respirator infection. He prescribed antibiotics and prednisone. I felt better by 1/18/21, but then started having more back pain. Went back to the Dr. and was told I was having severe muscle spasms possibly due to the respiratory infection; was prescribed a muscle relaxer. The (1st ) doctor did not feel the symptoms I experienced were due to the vaccination, but all of the symptoms started as soon as my injection site started to have a reactions. I finally felt better without medication on 1/29/21. I received my second shot on 2/2/21 and had normal symptoms the day after (body aches, fever, chills, fatigue). Thank you! :)

Pt had anaphylactic reaction including throat, mouth swelling and SOB, administered Epinephrine 0.3mg, sent patient to ER via ambulance.

mild SOB, lightheaded Narrative: 03/12/2021: 40 year old female received in left arm lot#044A21A exp 08/31/2021 Moderna.approximately 10 minutes after 1st dose. vet stated she felt nauseated, and mildly short of breath. she was observed for extra minutes and she said she felt better.she attempted to walk from clinic and became lightheaded and was hyperventilating. "I feel tingling in my fingers and legs"vs's. sat 100% resp 24, pulse 100, bp 134/88. Hx of asthma and GERD. w/PMH s/f anaphylaxis to allergy shots (ER visit with Epi x2 the first time and epi x5 plus admission the second time) asthma, grass allergy, and eczema who presents to the ED With nausea and pain in the back of the head and shoulders, throat irritation, facial redness with small hives, SOB, occasional cough, and fatigue 30 min after Covid vaccine #1 followed by anxiety, hyperventilation and chest tightness alleviated by albuterol. Sx similar to the onset of anaphylaxis after allergy shots. No wheezing, lightheadedness, tongue or lip swelling, or abd pain

Vaccine dose 1 rash and itchy for 3 weeks and slight shortness of breath and tightness Dose 2 severe rash on neck and chest with mild shortness of breath and tightening in chest lasting 24 hours.

Waves of metalic taste in my mouth on the second dose. On the first dose I had a VERY strong metallic mucus tasted for about 3 days and nausea. After the second dose all my muscles seized up and I had fever, chills, overnight sweats, I had waves of nausea and a terrible headache. I am still nauseous 2 weeks later. I am taking anti nausea meds and drinking ginger teas. Any injury I have ever had like broken bones or torn rotator cuffs have all started hurting so incredibly bad. I also had a COPD flare up.

Patient was given her first dose of the Moderna vaccine 3/24/21. Patient was directed to the observation room for monitoring and asked to wait 30min due to anaphylaxis allergy to peanuts and angioedema reaction to shellfish. Pt explained her throat was "scratchy" and "feeling funny, like I ate something I wasn't supposed to." Pt was alert and oriented. Denied SOB/chest pain. Reports slight wheezing. Vitals WNL-see below. ED rapid response was called. Vitals @ 0900 BP 110/80 HR 96 O2 sat 96% on room air Patient declined receiving epinephrine pens and requested diphenhydramine which she received when she was taken to ED for observation. Patient was discharged an hour later

Red rash and swelling at site of vaccination 1 week following vaccine. Shortness of breath every day following vaccine for 1 week.

I started to feel tingling in my right arm and right hand at 3:45pm. Shortly after, I began to feel like I was having trouble swallowing. I immediately took 2 Benadryl tablets. I called my best friend who is a nurse and is volunteering at Covid Vaccine sites. She advised me to go park outside my local urgent care in case my symptoms worsened and I needed quick access to an epi-pen, etc. I drove to the Urgent Care. I continued to feel that my throat was constricted and could only swallow if I was drinking water through a straw. I could not swallow on demmand. I sat outside urgent care for an hour and my symtoms stayed the same for 35 min and then by 60 minutes I felt much better and could swallow without drinking water.

I noticed a few days after receiving the Moderna vaccine that I was feeling a tightness in my throat but it wasn?t preventing me from daily activities and was not impacting my breathing but was still bothersome. I wanted to share this information in case someone needed to know. I figured out that this occurred after I took the Metoprolol and Flecainide when I woke up and before I had anything to eat or drink (besides a sip of water).

Approximately 30 minutes after administration of Covid vaccine in left upper arm patient complained of a tingling sensation down the entire arm and into the palm. She then began noticing a sensation that she needed to clear her throat and cough. Reports it started to feel tight. No facial edema no oropharyngeal edema visible. Lungs clear to auscultation. Blood pressure and pulse remained normal throughout the visit. anaphylactoid reaction 1. 9:28 am given Epinephrine 0.5mg/0.5ml given IM, in the left thigh; administered by: healthcare professional: ( lot #344615; exp. 01/2022; Par Pharmaceutical ) 2. 09:31 am given Diphenhydramine 50mg/1ml given IM, in the right upper arm; administered by: healthcare professional; ( lot #070101; exp. 07/2022; west-ward ) Epinephrine was administered followed by Benadryl. Patient was observed for another 30 minutes and noted the throat symptom disappeared and was feeling back to her normal self. 9:45am felt better, 10:00am discharged Discussed with patient anaphylactoid reaction. She is well versed in anaphylactic reactions having had them in the past. Has an in date epinephrine pen on her at all times. Is being driven home by friends and has family members at home to help observe her. Discussed rare cases of delayed second reactions up to 12 hours later. She will observe for this.

1. First: Rash between breasts appears that evening. It is very very itchy and red. There are five raised hives which are white and dime-sized. They appear almost to have a pinhead sized pus in them. At the 36 hr mark, it remains the same in discomfort, but there are more hives and it has spread out by three inches across the chest and is halfway up to the neck. The rash does not improve or spread further and remains the same at the 4.5 day mark today. 2. Around day 1.5 or 2, a mucusy film fills throat making it necessary to constantly clear my throat in an almost violent way order to feel comfortable. It feels like there is lots of post nasal drip in my throat, however, I have completely clear sinuses. Sometimes this means coughing though I would not say I have a cough. 3. I need to use my inhailer in my car on Sunday, day 3.5 to breathe deeply. This is very unusual. I have shortness of breath and deep wheezing more than usual. 4. Day 3, I realize I am very very tired, which I had though was just because I have been busy, but with alight myalgias starting, now recognize that the fatigue is abnormal. I feel like if I let my eyes close at 3pm, which they feel like doing, I would fall asleep. This continues day 4. Ironically, I have trouble sleeping. .. 5. Day 4.5, Myalgias, see above. And skin also feels fender in spots. .. 6. Today started a general unease, day 4,. I had this with Covid. It is hard to explain. The feeling of just "bad" -- an experience I have only ever had with Covid. Like a dread mixed with a fear with a stomach bug. Maybe that helps. 7. Day 2 on -- Headache off and on. A tension headache. Could be from not getting enough sleep but it was persistent throughout the day yesterday and today.

Upon injection it felt like heat entering my body. No less than 10 seconds after the shot my chest started to feel hot and my heart started to flutter before beating very rapidly. I was breathing very rapidly in response. People nearby were telling me that my face was very flushed and bright red. All of this subsided after a few minutes but the experience of this reaction felt significant. It felt like my heart was going to seize. During the reaction the pharmacists looked at me for an allergic reaction, checked my blood pressure, and oxygen level. Blood pressure was elevated but normal. Oxygen was normal and they could visually see any signs of an allergic reaction. They had me wait at the pharmacy for 30 mins for monitoring before I went home. I felt okay when I left the pharmacy.

Throat felt tight, patient unable to swallow. Benadryl given, 12.5mg PO at 1330. Repeat dose of Benadryl 12.5mg PO given at at 1334. Vitals 1330: B/P: 146/99, PR: 109, RR: 24, Temp: 98.8, O2 Sats: 100% Vitals 1345: B/P: 140/95, PR: 97, RR: 20, Temp: 98.4, O2 Sats: 100% Throat no longer felt tight after two doses of PO Benadryl.

3/30/21 11pm- intense itchiness on legs, left leg had a rash, veins were raised and made skin bumpy, hands red, left wrist swollen. 3/31/21 8:30 am- woke up with itchy face, eyes itchy, nasal congestion. 9:30 am- throat was tightening. Took 2 benadryl. Slept from 10-12:30. When I woke, I had no symptoms. 3:30- itchiness around eyes returned, slight tingling lips. 4:00- contacted healthcare provider. Urgent care was recommended. 6:00- received a steroid. Symptoms went away after about 45 minutes.

Injection site pain, muscle and bone pain, elevated heart rate to 115, difficulty moving, headache, nausea, fever of 104.1 for 2 days. Tylenol only brought down to 102. Trouble breathing (rescue inhaler used).

deep chills 4 hrs, fever of 101 for 6 hrs, headache, fever off/on plus chills for 48 plus hrs. greatly exasperated my asthma which was under control into needing steroid inhaler for a month plus many other remedies to calm lungs and be able tp breath. asthma includes shortness of breath, deep coughing with nothing in lungs, pain in lungs/chest. greatly inflamed several other chronic inflammation conditions some after a month still have not receded. exclusively breastfeeding at time of both injections baby reacted like she had shots, aggravated the reflux, decreased milk supply reactions lasted more than a week.

Short of Breath and lightheaded at 4:47 pm, was given 50 mg oral Benadryl tablets with apple juice, Vitals were as follows: BP: 110/46, P: 99 and SpO2: 99%. 911 was called. She was placed in recumbent position with head and feet elevated and Vitals continued to be monitored until paramedics arrived. Paramedics arrived about 5:10 - 5:15 pm. They assessed her and stated BP was in normal range and her breath sounds were clear bilaterally. She refused to go with paramedics and they left the clinic.

Within 30-40 mins -Tight chest, difficulty breathing, closed throat, shortness of breath, occasional sore throat, now have ?Covid arm? rash.

Shortness of breath. I need to gasp for air, comes and goes since it first started. I tried taking mucinex thinking it will decongest my chest for better breathing, worked slightly. When it came back in a couple of days I took benadryl but didn?t help much.

Started with a headache the next morning around 10:00am then progressed throughout the day to a horrendous migraine similar to the effects of when I took immitrex and had the worst migraine in my life. All day on the 20th, I felt lethargic and dizzy and would start blacking out when doing even light activity. In the evening, I got chills even being under the blankets and having the thermostat in my room up to 75F. I had a low grade fever at 100F, super fatigued, shortness of breath. Sunday the 21st I was fatigued so much that with activity such as walking to my garden shed and getting chairs cause me to start blacking out. I had to sit for a moment to regain eyesight and even out to walk. This lasted through the 23rd of March, I had fatigue, brain fog, and shortness of breath. On the 24th and 25th I still felt fatigued but less brain fog. By the 26th of March I was feeling more myself. I am worried what the 2nd shot will do.

During observation after receiving 2nd dose of Moderna vaccine, client reported not being able to breathe. EMTs called. Vital signs taken. Client stated dizziness and some nausea. Client was offered water, monitored for an additional 15 minutes and stayed in the care of the EMTs. EMTs determined client stable and was able to go home of own volition. States she "feels better".

Initially the adverse effects were severe chills, shortness of breath, malaise, headache, fatigue, severe swelling and pain at injection site, dizziness. I took Ibuprofen and Tylenol to help with the above symptoms. On 3/28/21, I got better and stopped taking the medications. On 4/2/21, I started back experiencing chills, headache, fatigue, shortness of breath and malaise. In addition, I also started experiencing multiple joint pains. I must include that I was hospitalized for COVID in July 2020.

@11:35 pt complain of palpations and throat closing. pt was in distressed. epi pen given @ 11:37. @ 11:44 pt symptoms improving and transported to the hospital by ambulance @ 11: 50.

At the time of adverse event - Rapid heartbeat. Flushed / tingling feeling throughout my body. Hot / sweating. Blotchy skin in appearance on chest. Lump feeling in my throat. Knot in stomach. Extreme shakiness. Days following - heart palpitations, shortness of breath, fatigue, heavy chest. Weeks following - heart palpitations, shortness of breath, fatigue, heavy chest.

Patient experienced shortness of breath and palpitaition after moderna covid vaccine, no headache, no dizziness, no rash. She is able to communicate throughout the process. She sat down and was given one dose of epinephrine injection usp 0.3mg auto-injector (NDC 00093-5986-27). She had rested and sat down from 6:40pm to 7:15pm. She has been talking and laughing with her friend during the time. Pharmacist had been checking every 5 mins . She has been laughing and talking with her friend during the rest. She stood up and walked for a while, and left pharmacy at 7:15pm. Pharmacist called her, confirmed that she has experienced no more symptoms. Patient said she will go ER in case she experienced any side effects.

Patient felt anxious then began feeling uncomfortable that progressed to feeling nauseated. Pt initially not able to sit still in her seat in the vehicle. Breathing fast. Pt stated she felt her fingers tingling. Panic type attach with history of this similar type event after receiving other needle injectable medications. Pt calmed down after being evaluated further by Medic unit called to the scene. Pt returned to normal and signed refusal form after risks explained to her. Transport to ER offered multiple times, but patient stated she feels better and signed refusal form.

Shortness of breath, fatigue, fever, muscle soreness / aching. Shortness of breath was immediate; paramedics called. Transportation to hospital refused due to lack of health insurance. Other symptoms began the next evening. Six days later, as I complete this form, the symptoms have improved. The fever is gone. The muscle soreness is gone except in the arm that received the injection. The shortness of breath has improved. It was really quite concerning. It is still present but to a lesser degree. The fatigue is somewhat better but still very much an issue. There is no appropriate field below regarding the outcome because after only approximately one week, I am expecting that the remaining issues will resolve. Since I was not hospitalized and did not die, I will mark 'Disability or Permanent Damage' since I definitely can not currently do many of the things I normally do, however, I expect to recover those abilities.

Felt immediate burning near injection site as the shot was given. After about 8-10 minutes of sitting - burning (closest thing I've ever experienced is the burning sensation when given dye in IV before a catscan) radiated throughout my chest from my heart, rapid breathing, tongue started to go numb. One of the personnel noticed I was having difficulties and asked if I was okay when I said I thought I was a having a reaction I was asked to sit near her while they contacted a doctor to order a benadryl shot (not sure of the dosage). The doctor observed me and gave the okay to get the shot which was given in my upper right arm. After sitting for another 15 minutes or so I was able to leave the facility, but advised to go straight home as the benadryl shot would make me tired.

About 25 minutes after receiving her dose her throat began to feel like it was closing almost as if she were being choked. Her nose swelled shut and her neck and face became very red. This lasted until about 11pm. She took benadryl and drank a lot of water.

Hi, I got my Moderna 1st dose. Shortly after, I felt light headed with a metal taste in my mouth. After 45 minutes I was no longer light headed so I left. Driving home I noticed my tongue felt numb and large (although it looked normal). Similar to the sensation after novicane after dental work. The sensation got worse to the point that I noticed it was felt different and uncomfortable swallowing my food (especially the back of my tongue). It cleared up 4-5 hours later starting with the front of my tongue feeling normal and progressing to the back of my tongue/throat. I did not affect my speech. That night it felt like the beginning of an asthma attack but I?m not sure if that was due to Spring allergies Or Moderna. It never developed into asthma The following 7 days I have an upset stomach.

Gave shot sat at office 15 mins, 1 hour after shot throat became scratchy the swelling up stopped got Benadryl started to feel better then 2 hours later started to swell up again took another dose of Benadryl called Dr. wanted me to go to hospital I couldn't asked what is stronger then Benadryl she said to take another Zyrtec can take up to 4 day if needed if effects me worse or breathing no choice hospital call 911 hives on neck and chest, became itchy all over even with all this allergy medicine.

15 minutes following vaccination, pt c/o "face burning and L arm burning". Pt given Benadryl 50mg PO x 1 at 1900. Pt was monitored, o2 sats 100% and HR 77 BPM. At 1922 pt's symptoms had not resolved and pt stated her legs felt like they were also "on fire". Pt sent to ER at at 1922 and she felt okay to drive herself when asked. Called pt at 2030 and she stated she left the ER and they said they couldn't really do anything for her even though she had heavy breathing but O2 was normal. She asked if it was okay to take Benadryl again. Told her she was given 50mg and to follow directions on the bottle if she would like to take it again later on if symptoms had not resolved. She voiced understanding.

I had a terrible migraine on March 9th and again on April 6th. I haven't had a migraine in 10 years. I have also been experiencing daily shortness of breath to the point that I have to use my inhaler each day. I have never had to do this. My asthma is uncontrolled usually. I had extreme fibromyalgia pain and dizziness for three days following my 2nd dose. I had extreme arm swelling on the day of both of my injections. The injection site was also red and hot.

The injection site was red and started itching around 7:30 p.m. on 4/12/21 until 4/14/21. I used cortisone ointment. It was also hot on the night of 4/13/21. My tonsils were swollen when I woke up at 2:40 a.m. on 4/14/21 and I am hopeful this is not related to the injection. My tonsils are still red and swollen. I am using saltwater and one initial peroxide rinse. I previously reported an apparent allergic reaction to the shot on the date of injection. I received the shot around 9:30 a.m. and by 11:00 a.m. my tongue felt numb and my throat felt like it was closing in but was not sore. I was extremely sweaty and my heart felt like it was pounding. These symptoms passed within two hours.

At-10:45 am C/O dizziness, headache, vertigo, eyes closed secondary to sensitivity to light from headache. C/O mild SOB, has diagnosis of asthma. Color pink, skin warm and dry. No use of accessory muscles for breathing, no coughing. Also diagnosed with HTN , takes Cozaar. Has allergy to Ibuprofen, morphine, levaquin and chocolate. 11:30 am- BP 130/82, P 84, R 14 T 99.2 chest clear, alert and oriented x4 11:50 am- BP 140/82, P 80, R 16 T 98.2 chest clear, alert and oriented x4 12:15 pm- BP 138/90, P 68, R 14, T 97.5 chest clear, alert and oriented x 4 Action Taken: Laid down on cot, cold compress to head, drank water, took her Breztei asthma medication one puff for her symptoms which she had not taken this morning as she usually takes it. 12:15 Headache was improving, dizziness gone, appeared better, sitting up in chair. Drank water, poweraide and ate Starburst candy. Eyes opened, conversing. Left with daughter who drove the car home with her.

c/O DIZZINESS, HEADACHE AND VERTIGO, LIGHT SENSITIVITY, MILD SOB. DIAGNOSED WITH ASTHMA AND HTN. SKIN PINK WARM AND DRY. NO USE OF ACCESSORY MUSCLES FOR BREATHING, TOOK HER BREZTIE ASTHMA MEDICATION SHE CARRIES WITH HER. COLD COMPRESS TO HEAD AND NECK, LAID DOWN ON COT. 11:30 130/82, 84, 14, 99.1 CHEST CLEAR, ALERT AND ORIENTED. 11:50 140/82, 80, 16, 98.2 CHEST CLEAR, 12:15 138/90, 68, 14 97.5 ALERT AND ORIENTED, FELT BETTER AFTER DRINKING WATER, POWERAIDE AND ATE STARBURST CANDIES. SAT UP IN CHAIR, FELT BETTER, EYES OPENED, CONVERSING, PICKED UP BY DAUGHTER, AMBULATED WITH STAND BY ASSIST TO CAR. INSTRUCTED TO FOLLOW UP WITH PCP OR URGENT CARE IF NEEDED.

5 min after injection to my right arm: redness and swelling to the left side only of my face. 8 min after injection to my right arm: sharp chest pains over my heart. 10 min after injection to my right arm: mild chest and throat tightness, mild shortness of breath. After 30 min: no shortness of breath, no chest tightness, no chest pains. After 2 hours: swelling and redness to face disappeared. 2 weeks after injection: red, hot, raised, itchy area to right arm at injection site. Disappeared after about 2 weeks.

Patient is a 41 yoF that was transferred to Medical Center on 4/10/21 after being seen at a free-standing Emergency Department for chest tightness and shortness of breath worsening over the past week. Pt reportedly received both COVID-19 Moderna vaccines (1/24/21 and 2/26/21). Over two weeks prior to admission she was exposed to her brother who was found to be COVID19 positive. The patient stated that her symptoms started 3/30/21 and she was found to be both COVID19 and influenza positive on 4/2/21 prior to admission. She did not take COVID precautions when she was exposed to her brother. Her symptoms started with fever, chills, myalgias, fatigue, nausea, vomiting, and loss of taste/smell. She also reported her pulse ox revealed O2 sats at 88%. She was admitted to the hospital 4/10/21 and later discharged on 4/15/21. She was given supplemental oxygen, Remdesivir, Dexamethasone, and convalescent plasma while being admitted.

Dry throat, hoarseness, tiredness, difficulty breathing, throat spasm, difficulty swallowing, throat inflammation. First she used 2 puff of Proventil, next day went to ER where she was given Solumedrol and Benadryl IV

sore arm, could hardly lift it by the end of the night of the vaccine, hot and chilled all night, left arm pain, right neck pain, next day slight headache, very tired, weak, winded easily, improved by the end of the next day

Numbness of face, arm and leg (right side of the face became droopy), closed-eye hallucination, vision blurriness, difficulty breathing, brain fog, tingling sensations on the chest and neck.

First day, obvious swelling on left arm with bruise. Left side of the body experienced muscle pain. At night, fever started at 37.6. Second day morning, fever 38.5 degree. Fever lasts whole day. Sever headache. Taking Tylenol every 7 hours. Body temperature dropped half an hour to one hour after taking Tylenol but came back 3-4 hours later. Muscle with pinch pain. Short breath. Stomach ached. fascial muscle also pinch pain. Almost no food intake. Only water. Eye hurt when seeing light. Cooling forehead by cold wet towel. On third day, temperature dropped to 37.8. Sweating a lot. Felt weak. Headache when moving or coughing.

she appeared diaphoretic and stated she was feeling anxiety and dizziness with nausea and bilateral tingling in hands and arms. Immediately removed mask, raised her feet and applied cold compress to her neck . She felt sob, O2 sat was 98-99%. Her blood pressure was 168/103. She was taken by wheelchair to treatment are of clinic for further evaluation and she began to vomit around 1105.

Pt. stated, she had been working all day to get herself ready for the shot. The shot was given at 2:30pm. She said, she did not even feel it. Then as she was getting her stuff together, she said, "Is it unusually for my arm to feel weird?" When asked what she meant by weird, she could not explain it. This writer asked if she was dizzy/light headed. She said, "no." PHN walked her to the monitoring room. She said, she did not need to lay on the cot and sat down on the chair. A minute later an usher came to get another PHN stating that pt. was feeling lightheaded. When PHN arrived pt. was hyperventilating and grabbing at her neck and chest. PHN asked pt. if she was okay,

Pt developed throat tightness shortly after vaccination. Symptoms were mild. Pt was observed for over a half hour. No signs/symptoms to suggest anaphylaxis. HR 84, BP 110/82, SP02 97%. Pt elected to drive home and did not want to stay for further evaluation or possible treatment.

Hyperventilating, dizzy and nauseous, passed out, swollen tongue, hands curled into extremely tight fists, sweating profusely. This 15 minute episode is why I?m reporting (which happened about 21 hours after receiving the second shot), but I also had/have body aches, bad headache, arm is extremely sore and slightly swollen (much more than the first shot), and lethargic.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Confusion-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Complained of tingling in feet and legs

After the patient received her vaccine, she was in the observation area and alerted the RN that she was short of breath, nauseated, ears with burning sensation, cough, congestion and chest tightness. Patient moved via wheelchair to our observation bay and the Physician of the day, Dr. (Name) was called. Patient took two puffs of her Albuterol and oral benadryl given by the nurse. Patient with retching, continuous cough, increased breathing and heart rate. 911 called and vital signs taken, treated with nebulizer and completed EKG. Transported to (Name) Hospital (patient preference).

1500: pt received 2nd dose of Moderna vaccine. 1505: pt in car with caregiver in onsite observation lot, starts to feel "tightness in throat". 1515: caregiver notifies RN's in observation lot and pt assessed with worsening tightness in throat. 911 called by RN . RN's retrieve medical kit directly inside front door of building and bring to car side. Pt assessed again and continues to have increasing tightness in throat. 1518: 0.5mg Epinephrine given IM in right deltoid by RN. per written standing order for, medical director.

42 y.o. female AAO x4, CC nausea and difficulty swallowing. Pt. had first dose of Moderna COVID 19 Vaccine Lot 007C21A. Pt. was sent to 30 min lot for hx of allergies (unk. type, childhood). Post vaccination approx. 15 min pt. signaled for assistance. Pt. advised that she had some slight nausea, dizziness and slight difficulty swallowing, although she attributed difficulty with swallowing to the nausea. During interaction with pt., she advised that she felt increase of swelling swelling in her throat. Pt. had recent hx of HTN and vitals were as follows: BP 178/132 (wrist cuff), pulse 95, RR 16. Pt. administered 25 mg of Benadryl which relieved the discomfort in throat within 10 min. Pt. second set of vitals was 182/115, P 100 R 16 unlabored. Pt. talked to personal MD and advised for them to go to urgent care. Pt. refused further tx/ hospital transport and was released to go direct to urgent care with husband per MD.

Patient received first dose of Moderna COVID-19 vaccine on 3/27/2021. She complained of "thickening in her throat" and lips tingling. She was evaluated by doctor and another doctor. She was given Benadryl. EMS also gave nebulized albuterol x1. Patient observed for 30 min and sent home. Recommend patient get second dose in monitored setting

per patient NKDA or NKFA at time of 1st COVID 19 vaccine. Client did state that she shas a history of syncopal episodes during blood draw and that she fears needles. Vaccine administer via car in the syncopal area at 10:06am. Client alert and orientated about 10:08 client spouse called for help, we arrived within seconds and noticed that the client had a neurological reaction, body stiff and back arched with stridor. Epi administered and client came to and breathing well, Benadryl 10cc administered as well for possible hives. 911 called at 1008 they arrived onsite within 10 minutes from call. 1st BP 160/80 pulse 58 @ 1015 2nd BP 140/80 pulse 54 @1020. EMS took over, assessment completed, patient left via own vehicle. Alert and oriented x 4 when they left the site. VEARS form completed and reports sent via email to appropriate persons. RN

I will state that I do NOT know for sure if this was connnected! However I began having issues with my breathing in the first week of April. I went to an urgent care as I thought it was a muscular injury. Prescribe muscle relaxers actually made things worse. Next stop was an ER the next day where an abnormal D-dimmer level led to a CT and diagnosis of possible pleurisy. Sent home with pain management and antibiotics. Returned again the following day and admitted for 2 days. Pain management, antibiotics, Corticosteroids and testing followed along with administration of oxygen. Some improvement, but not great amounts. Sent home still incredibly short of breath and difficulty breathing. Managed for most of a week before an appointment with a lung doctor. No real improvement though. Administered increased amounts of cortico steroid, more pain management, and advair inhaler. Began to finally help symptoms! Then went in on 4/20 for my second dose of Covid vaccine. The question had been asked if the issue was possibly related to the vaccine, but due to the length of more than seven days between vaccine and onset was advised it was unlikely. I was advised to do the second dose. Within 24 hours the tightness in chest returned and difficulty in breathing got worse. Thankfully this time it began to relax within 48 hours without increase in medication or return to specialists.

Symptoms Started 4/28/2021 at 1010 Moderna COVID vaccine given left arm at 1005 Patient ? SOB and phlegm O2 sat 98% on RA No wheezing * Albuterol nebulizer treatment given x1 2L O2 NC O2 sat 99% No wheezing or respiratory distress Reports feeling better after treatment at 1030, O2 sat 98%RA * Encourage patient to go to ER for evaluation Explained to the patient that she might be having an asthma flare up She is followed by Primary care, follow up as soon as possible Her husband said he will take her to ER from our clinic, she is now stable Told patient to take her Albuterol Inhaler Q6H as needed for CP and SOB until seen by ER.

Stayed for 15 minutes, reaction came approximately 10 minutes after I left the pharmacy. Adverse episodes occurred twice; once approximately half hour after injection that occurred for 30 minutes, second approximately 30 minutes after first that occurred for approximately 30-40 minutes. Felt rush through my body Arms first, then across my chest up over my back and into my face White, clammy palms Tingling in arms/fingers Blood felt "itchy" Tingling in lips Trouble breathing Extreme thirst Vision impairment Throbbing feeling in neck that persisted for first day Joint pain Numb teeth Evening Fever/chills Day after Extreme fatigue Shortness of breath Feeling ?off?

PATIENT BECAME VERY ANXIOUS, RAPID BREATHING, RAPID HEART RATE, VOMITING. ADMINISTERED #2 DOSES OF EPIPEN AND PARAMEDICS WERE CALLED.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium

11 hours after injection, chills, fevers, sweat, extreme body aches, throwing up, headache, fatigue, and swelling at injection sight. I have not been that sick in 15+ years. 48 hours after, there was tightness and tenderness my throat; and swelling and pain of lymph node (right breast). Currently (2 weeks after), still swelling and soreness in lymph node (right breast).

Fifteen minutes after the 2nd Moderna injection, she felt short of breath as she was leaving the facility. She drove home. Her symptoms worsened a couple of days later, she notified her physician who saw her in his office. She was tested for covid, which was negative, and prescribed an inhaler and an antibiotic. The inhaler "did not help at all". She took 1 dose of the antibiotic, and vomited. She did not take the antibiotic after that. She continued to have worsening shortness of breath and went to the ER 2 days later. She received a breathing treatment, blood labs, chest xray, She was discharged home. A few days later she returned to Dr office and was sent for a CT scan that day. The report showed left axillary swollen nodes . She received a script for Clindamycin for congested sinuses, which she is still taking.

Patient tested positive for COVID-19 in May 2021 -- not even 4 months after the 2nd dose of Moderna vaccine was completed. Patient began experiencing symptoms on 5/5/2021 -- dry cough, loss of taste and smell, SOB with exertion, chest heaviness and tightness, body aches, headaches, fatigue, heartburn, nausea and decreased appetite. Patient had to go to Hospital ED on 5/9/2021 due to worsening chest pain -- CT pulm arteries was negative for PE. Primary care office is following patient closely - her symptoms have not resolved yet - will continue monitoring symptoms.

Severe whole body pain and weakness; muscle pain; difficulty breathing; severe headache; vertigo; vomiting; diarrhea; elevated blood pressure; heart palpitations. Symptoms lasted for 3 days and started about 10 hours after the injection.

- Felt like I had been twilighted before surgery the afternoon and evening of Apr 20th. Had also developed some ezchema on my face - Sometime after 2am while I was sleeping, cried out in my sleep a few times I was in so much pain and was also very nauseous - 10am on Apr 21st, I awoke and had shooting pain in my injection arm, knees, shoulders, stomach, and other muscles, it felt like someone was stabbing me intermittently in different places. My whole body was tensed up from the pain and I was breathing shallow (I think from the pain, unsure though). And I had an awful headache. - Got out of bed to take magnesium citrate to alleviate some of the muscle pain and almost threw up. Turned white as a ghost, felt extremel felt extremely flushed, and sunk to the kitchen floor until I could calm my stomach enough. Finally was able to get the magnesium powder into my glass of water and drink it which did take the edge off of the pain. Then took Nux Vomica homeopathic to lessen the nausea so I could eat and keep my food down. Got a bucket and carried it with me wherever I went as I was that close to throwing up. Got breakfast and took my temp which was 98.9 when my normal temp is 97.9 or lower. Had the chills and sweats that comes with a fever. Went back to bed and ended up sleeping 20hrs that day (Apr 21st) as I was extremely fatigued. Apr 22nd was better, no fever, and was still having a lot of muscle pain, bad headache, bad nausea, it hurt to digest, and tiredness. Was only awake 6 hrs that day. Apr 23rd was much of the same and I was awake 8 hrs that day. Apr 24th a lot of the muscle pain had passed, I was finally breathing normal again, and I could finally start moving around some though was still very tired and was feeling an internal shakiness in my chest. Apr 25th I had an emotional meltdown from the pain and trauma I had just experienced from the vaccine over the past four days. Apr 26th tried to go for a walk and was walking much slower than normal, my stomach hurt from the jostling of the walking, my thinking was much slower than normal, and still felt a shakiness in my chest. It took 8 days after my 2nd vaccine shot before I get through the day without anti nausea medication and the shakiness in my chest went away. Evening of May 7th I had a nosebleed and I don't get nosebleeds so this was strange. 3-4 days before May 7th, had a bit of blood occasionally when I blew my nose. It's now May 12th and my energy level still isn't where it normally is.

I was sick the next morning when I woke up. I have been sick ever since and seem to be declining. I am unable to work. I have been to the ER and urgent care several times. I have no one to take care of me and am about to lose my house. I am scared for my life. High BP hyper and hypo and heart rate High lymphocytes High monocytes (wbc was 1c high but has lowered while these have risen) Bm isssues-frequent, diarrhea, orange, mucus Body aches and pain Feel uncoordinated/unbalanced Weakness Shallow rapid breathing Headaches Drowsy Trouble texting and typing Memory Exhaustion Constant hunger Dark circles under eyes Sweating Cold sores Frequent urination Dry, sore, tired eyes Rashes Sore swollen feet at night Itching lower body Heartburn Swollen, red, hot aching joints Rashes, flushing, hives Delirium Aip elimination diet has decreased autoimmune symptoms, but muscle weakness, fatigue, mental and cognitive issues are getting worse.

Flushed, dizziness, weakness, increased heart rate, elevated blood pressure, headache, nausea, swollen lymph nodes, shortness of breath

Patient is a 41 y.o. female, reported history of asthma, obesity, polysubstance use, is transferred to the hospital via EMS in cardiac arrest. Per EMS report, the patient was found in an apartment complex by a neighbor unconscious. The initial report was that she was breathing however EMS was called back and then told that she was not breathing and not responsive. Estimated downtime was between 5 and 8 minutes before paramedics arrived and initiated CPR. Due to the patient's body habitus, it did take approximately 15 minutes to get the patient transported to the hospital. 3 rounds of epinephrine were given in the field. Her rhythm has been asystole prior to getting to the emergency department. Intraosseous access is obtained. There is an OPA in place.

Patient was admittedly anxious prior to receiving injection. Injection occurred without incidence. Once in observation area, patient reported a headache and anxiety. Blood pressure readings were 168/110 with HR of 120, O2 sat at 100% Room Air. Patient placed in reclining chair and taken to Walk-In clinic just 30 feet away in the same building. Patient was seen and observed by a provider at the Walk-In clinic. Benadryl IM was administered due to a report of tightness in her throat and lightheadedness. 975mg of acetaminophen were administered and 25mg of phenergan for nausea. Patient states she had not eaten since 11am and received injection shortly before 7pm. Patient was discharged home after two hours of observation and return of blood pressure to 128/88.

Pt started with Fatigue, nausea diarrhea, swelling of face, shortness of breath, rapid heart rate, symptoms have progressively gotten worse the soonest she can come in is on friday to see a provider.

Patient was aware she has "white ocat syndrome" and anxiety. Brought her husband for support. Shortly after administration, patient became anxious and hyper ventilating. I had her breathe deep and slower and we put an ice pack on her neck. Time course was about 10 minutes I kept her in admnistration room with me. She did shake a little took a sip of drink they had brought and after @ 10 mintes did say she felt better and was able to walk to waiting room where I had them sit for 15 more imnutes

pt says she got a soreness from the injection site down to her fingers as soon as she got the shot. She got a burning sensation in both eyes that are also watering. She was dizzy and some swelling in the throat, but did not last very long. Next day she still has watering and burning in both eyes. She has been using cool compresses on them that seems to help. Pt will reach out to the medical center where she got the vax to see if she can use eye drops.

Fatigued the night of 4/30/21. Woke up at 2:00am and had trouble breathing. Checked oxygen and it was 90. Had a fever of 102 and full body aches. 5/1/21-Chills and fever of 99 continue the following day. Oxygen went down to 87. elevated to 90-93. Heart rate was up and blood pressure was low. Light headed, nauseous. Pale and weak. This lasted about 4 days. 5/3/21- Sweating started and felt like knives poking through skin. 5/4/21- Rash developed under entire left arm. 5/6/21- Oxygen finally reach 97 and increased to normal. Nausea finally subsided. Doctor said I likely had anaphylaxis and a immunologic driven reaction.

thur 5/6 800am_ woke up feeling very shaky from head to toes legs were tight when trying to stand up and felt my heart pulsating rapidly which i had to sit down and take deep breaths to calm my heart i was out of breath when walking /blood pressure was high/front neck was a bit swollen and tight/ my left arm which i had gotton the shot on had a red bump and was painfull to touch i massaged it andthe pain was gone/i had no chest pain / i had a lymph node that appeared below my left ear the size of a dime it was painful to the touch and reduced in size and pain on tues 5/11 fri 5/7 intence shaky especially when trying to sleep only 1 hour of sleep/same symptoms continued from 5/6 wed 5/12 8:30am went to see a doctor in the morning feeling high blood pressure/intense shaking/rapid pulsating heart/ doctor took blood work /ekg test and results were normal just had a high blood count/high cholesterol which i already knew but i never had any medical issues before and doctor stated it was normal to get a lymph node swell after getting a vaccine /she recommended a diet and medication or omea 3 vitiamin for my high cholesterol thurs 5/13 7:00am starting getting new symptoms heachaches /backpain /front of neck tightness moved to back of neck pain /pain was reduced with help of massage and low dose aspirin fri 5/14 8:00am while donating plasma lying down my legs were getting tight and i started to move my feet up and down slowly to help with my cirulation and my heart rate jumped up to 180 which showed on my smart watch my so i stopped and took deep breaths to reduce my heart rate sun 5/23 still feeling shaky and has not stopped but not as intense/ heart feels pulsating rapid but decreased in intensity/ i always take deeps breath now /head /back of neck/back pain and leg tightness are still there but they feel better when massaged and i have an appointment to see a chiroprator to help with the pain and tightness on moday 5/24 and hopes of helping my shaking and see how my heart feels after /my sleep in now at 3-4 hours max with the help of low dose aspirin and melatonin

Low grade fever Body Aches Headache Eyelid swelling - Lasted almost 2 weeks intermittently Increased heart rate Breathlessness on exertion Fatigue lasting 3 days

On about 12 May, I began experiencing pain in my left calf, as if I had a pulled muscle. Since I saw no redness, swelling, nor noticed any warmth to the area, I thought I had just pulled the muscle. After 3-4 days, the pain began dissipating, but then I started having shortness of breath. On 19 May, the shortness of breath became extreme and I went to the ER where I was diagnosed with numerous pulmonary embolisms in all lobes of both lungs and also DVTs in my left calf, as well as slight enlargment of the right ventricle of my heart. I was hospitalized until 24 May. During my hospitalization, I was on a heparin IV, as well as had a catheter in my neck to administer TPA to my lungs for 24 hours. I also had a filter placed in my inferior vena cava. I was discharged on 24 May with a prescription for Xarelto and follow-ups scheduled with my family doctor and cardiologist.

On 4/16-4/18 minor soreness and fatigue that temporarily disappeared. Then on 4/21, I experienced High Fever (103.8), Body aches, headache, extreme fatigue that lasted through Monday 4/26. Through that time I went and got a Covid test on Friday 4/23 and it came back negative. On Thursday 4/29, I started having pain on the right upper side of my abdomen. Friday evening, the pain grew even more intense which I could not lay down to sleep and no pain meds were taking it away. Saturday, 4/30 at 6 am ended up in ER at Facility. They were testing me for blood clots due to the chest pain and sever right side pain and the results showed no blood clots and my heart was fine. CT scan showed pneumonia, scarring in my lungs and a nodule growth on my lung. The doctor asked me if I was in the dessert recently if I had ever had valley fever. Valley Fever came back negative, another Covid 19 test came back negative. I completed taking 2 antibiotics and now on 5/25 (day 40) I am still feeling bouts of fatigue, wheezing in my lung and pain in my lung. I was healthy prior to getting the 2nd dose of Moderna and can't help but feel the vaccine triggered something in my system. Reporting this just in case it is an adverse effect from the vaccine.

Client received vaccination around 2:15 pm and around 2:30 pm felt dizzy. Client laid back a little, drank water, and had crackers. After about 5 minutes she was feeling less dizzy, but then became upset, most likely due to anxiety as reported by client. Around 2:40 pm, client complained of chest tightness and pain. Vitals were taken. Oxygen saturations were 95%, heart rate was 97, and blood pressure was 116/70. Client stated that she had similar symptoms yesterday and laying down helped, but it was hard to lay down because she was in a wheelchair and couldn't tip very far back. The chest pain and tightness were not improving so an ambulance was requested at 2:45 pm. At 2:54, client said that the chest pain and tightness was a little worse. Client complained of a little throat tightness and feeling hot at 3:00 pm. Client complained of a headache at 3:05 pm and feeling weak at 3:07 pm. There were no visible signs of distress and client was able to take breaths whenever asked. Around 3:15 pm the ambulance arrived and took over. Client left in the ambulance around 3:22 pm. The EMTs thought it was most likely an anxiety/panic attack.

A 41-year-old female patient with a past medical history significant for ADHD, GERD, and past pulmonary embolism who reports to the hospital with shortness of breath. This started about 3 to 4 days ago and has become progressively worse to the point where she has having difficulty performing her ADLs without having to sit down and rest. She also endorses pain in her left calf has been present for about 1 week. She did develop chest pain which she describes as a sharp sensation on her right chest wall that is exacerbated with deep breaths. The patient was treated with tPA for acute PE and right heart strain. She had an IVC filter placed prior to discharge.

Around 4:45 I started getting a tension headache. Around 9:30 p.m. same night my upper chest and throat muscles tightened to the point breathing was painful and difficult. Took a muscle relaxer cyclobenzaprine 10 mg, and topical CBD. An hour later took CBD orally. Approximately 2:00 am took more oral CBD as well as two ibuprofen. Throat muscle started to relax around 3:30 a.m. making breathing easier. Following morning took more CBD orally. Still have very tight back neck and shoulder muscles. Breathing was difficult from 9:30 p.m. until 3:30 the next morning.

Days 1-3 post vaccine: extremely sore arm, low grade fever, general fatigue Days 4-5: higher temperature (100+) sore throat, chest congestion, productive cough, loss of voice Days 6-10: temperature & congestion subsided, asthmatic wheezing, cough, shortness and sudden loss of breath during normal activities Day 10: visited asthma specialists and was prescribed prednisone, nebulizer with albuterol and budesonide inhalants as a breathing aid, Days 11- present: still managing asthmatic symptoms, slightly improved with meds but not able to resume normal activities

anaphylactic reaction .. she received the 2nd dose of the vaccine today around 10 AM at clinic and started feeling throat swelling, generalized itching, and trouble breathing. Patient reports having a mild allergic reaction after the first dose but was discharged from the ED.

4/18-23 heart palpitations and shortness of breath; 4/19 high BP, 5/17-29: heart palpitations and SOB (severe and constant 5/26-27), lightheaded on 5/23,

Symptoms started 5/28. Symptoms include: Constant Severe pt received the Moderna Covid-19 vaccine on 5/27 at 1930. Pt stating that pt's symptoms started this am. Pt developed fever (current temperature at 104.7 via forehead thermometer), severe head and neck pain, lightheadedness. pt feeling like pt's hands are "on fire". pt stating that pt's hands "feel weird". Pt passed out in pt's computer chair x 2 this am. Pt has not reacted to vaccines in the past. Pt A & O x 4. Pt c/o tachypnea. Patient Has tried prescribed "headache" medication with none improvement. Pertinent negatives include: No chest pain. No diarrhea. No vomiting. No injury. No rash. Pertinent Medical History: none Patient went to ED 5/28- This is a 41-year-old female with history of migraines 12 hours post 2nd mid during the COVID immunization who presents emergency department for evaluation of myalgias, fever at home, fatigue, headache. Headache is similar to previous migraines. Patient has a benign exam with a normal neurologic exam. Initially noted to be tachycardic at triage on recheck this is normal she is not tachycardic on my evaluation. Participant should decision making the patient. Symptoms thought to be likely related to immune response to immunization. She did note feeling dizzy earlier notes she has been eating and drinking normally. Offered her screening labs, EKG, migraine cocktail and she declined each. She notes she would prefer to go home and rest as this will often alleviate her headache symptoms. Given dose of Tylenol here. Provided with work note. Normal sequela of COVID immunization discussed return precautions discussed. Patient notes she had COVID the end of March and testing today could be a remnant positive from this would not recommend repeat She and husband are comfortable plan. Patient is reassured, agreeable with plan, educated regarding return precautions, discharged in stable condition, all questions answered.

Around 7:30 in the evening at work I started having a migraine. I could hardly lift my arm and the site was immediately swollen. My whole arm became red, hot and painful. I left work. I was very tired . All night long I was up nauseous, my throat hurts, pain in my chest. For a time I felt as if I couldn?t catch my breath. The worst is every bone in my body feels broke and continues to fill like my bones keep breaking over and over. The pain is unbearable. It?s 8:45 in the evening 24 hours later and I feel worse. I literally can not move my body hurts so bad. I?m sweating and then have chills. My left arm has pins and needles down to my finger tips. I have to take another day off of work tomorrow. When I got my first shot in May, a week later to the day my arm that I received the shot was very swollen, itchy, hives, red, hot, all the way down to my elbow. My son got his second shot also the same day as me and he is also sick today. Not as bad as myself, but was sent home from work. He feels like he can not breath, body aches and tired. I?m just wondering why I?m so sick?

Migraine, chest pain, shortness of breath, dizziness, gagging, muscle and joint aches, fever 104.5, extreme exhaustion, over the course of 48 hours

Patient arrived at the covid vaccine site for first dose of moderna. Patient was instructed to wait in the observation room for 30 min due to previous allergic reaction to Tramadol and depo. Allergic reaction to Tramadol includes anaphylaxis and rash. Hives and swelling occur with depo shot. Patient reported her throat was feeling tight and itchy. rapid response called and patient was taken to ED. Vitals BP 156/121, HR 83, 100% SPO2) In ED, patient scoped with +Mild swelling to arytenoid noted though only trace. Patient received diphenhydramine and famotidine and was observed over night before being discharged. Scope introduced into nares after topical 4% lidocaine and phenylephrine were atomized intranasally. No lesions noted in the nose. Epiglottis without obvious lesions, false vocal folds normal, true vocal folds normal, mobile vocal folds bilaterally, no piriform sinus abnormalities b/l and clear supraglottis and glottis. No foreign bodies noted. Airway appears without obvious obstruction, no active bleeding. Mild swelling to arytenoid noted though only trace

Re-infected with Covid 6/8/2021 Admitted to ICU 6/12/21 for shortness of breath and hypoxia, gastroenteritis Treating with Remdesivir and solumedrol

Patient reported their throat felt closed and swollen and it was hard to swallow the night of receiving the vaccine. Patient also stated they had that same feeling the next day. No treatment reported by patient nor did patient contact their provider.

Significant higher heart rate, been monitoring heart rate daily. Average before vaccine about 70 BPM, now 2 weeks later 89 BPM daily average Chest pain, tight feeling in my throat, anxiety feeling on edge, terrible sleep Late menstrual cycle, I am always on a schedule period was 9 days late.

Patient came with husband to receive first dose Moderna at vaccine clinic. Patient was foreign speaking, LVN translated on her behalf. Patient stated that she was hot and thirsty prior to vaccine administration and was given water by Lead, RN. RN informed Team that was going to a nearby store to get more water to team and patients. Upon registering patient into vax system, patient stated she had blood drawn (not Covid related) in March where they took 8 tubes of blood in which afterwards she felt sick. Patient was given the 1st dose of Moderna and was seated in observation area for 15 minutes. While patient's husband was receiving his shot of Moderna, patient stated that she was not feeling well. Nurse, RN stood beside her in the observation area to continue to monitor her. Patient began to place both hands on her head and stated, "I no feel good." She then turned to RN with a blank stare. RN then held patient by her shoulders and asked if she was okay, while LVN translated. Patient began to close her eyes and dropped her head back. RN began to hold onto patient while LVN got water and attempted to arouse patient. Upon pouring cold water patient opened her eyes and said she was okay but then went limp against RN. RN instructed EMT to call 911 and proceeded to arouse patient again, while LVN performed a sternal chest rub on patient. RN was reported back to clinic site and was informed by team that patient is currently undergoing a reaction. RN witnessed patient's face which was ashen in color and began preforming vital signs on patient. BP: 228/106; HR: 108; O2: 73. RN continue to ask patient to state name and where patient was located, patient was able to verbalize understanding and state name and location. RN proceeded to ask patient (while LVN translated) if she had taken any medications, in which patient's husband stated yes: to Cymbalta and Hydralazine. Patient began to have minor shakes to the body while her head and eyes rolled back. RN held patient's head as we continued to pour water on her. Patient stated to LVN that she wanted to lie down and go to sleep. LVN informed patient that she will remain in current position that she is in. Patient would become unresponsive for about 5 to 10 seconds, and when she became responsive stated that she would like more water poured on her. Patient's husband informed us that patient battles with depression and anxiety. While still waiting on EMS who was now on site, but at the front of clinic gate, patient stated that she felt her throat was "closing up." While observing patient RN held patients hands and asked patient to squeeze both hands. Patient was capable of squeezing left hand, but could not fully squeeze her right. RN began to assess and observed patients right eye was drooped and right side of patient's body became flaccid. Areas of patient's body that were dry, were cool to touch, and pupils began to constrict then dilate . RNs continued to have patient talk while awaiting for EMS. RN performed another set of vitals on patient: BP: 206/137; HR: 155; O2: 76. Upon EMS arrival patient was coherent enough to ask Nurses if we could accompany her to the hospital. Team informed patient that EMS would be taking her to the nearest hospital. EMS took down patients information and placed patient on Oxygen. RN updated EMS on patients reaction and performed one last set of vitals before transporting patient to hospital. BP: 93/75; HR: 76; O2: 97. Patient remained still weak but able to get from chair to stretcher. Patient left clinic site and was transported by EMS in stable condition.

I got the shot around 10AM. Around 12:30PM I started to feel a mild flu. By 8PM that night, it was the worst flu I ever had. That lasted for about 2 days. Tuesday, the fever started to reside. I had crazy fatigue and brain fog. That lasted until about May 19th-20th. I started getting more energy. I barely had the energy to shower. I started to gradually feel better. I went back to work around June 1st. I was very tired in the mornings and the evenings. I started to feel all the way tired all day on the 14th. I got my period that day as well, so I thought it was related to my period. I have been feeling bad ever since. My neck will also just tighten up for no reason. I still have crazy fatigue. It's hard to concentrate. I'm pretty much in bed all the time. On days that I do have energy, it will take one activity and then I'm back in bed from fatigue. I have seen several doctors. I have been in for blood tests at clinic. I am just completely incapable. I get weird sensations in the nervous system. I experience what reminds me of a panic attack. It is extremely uncomfortable. The bleeding during my period was the worst it's ever been. I've had loss of appetite. The cramps during my period were extremely bad. I can't hardly be in the sun because it exhausts me. I get out of breath because I'm simply exhausted. I get random nausea. I've done a lot of emotional work with depression and anxiety. I feel like I'm fighting my own brain. The doctors are just stumped. There were a couple days where I felt like I should go to the ER, but I couldn't advocate for myself, so I just didn't go. The herbal biologist that I am seeing, her theory is that there is a virus in my system, and it took advantage of my lowered immune system while it was dealing with the vaccine. My mom had a weird thing happen when she was going through menopause that was very similar to what I'm going through now.

Patient started having trouble breathing within 15 minutes of dose. 911 was called and arrived within 5 minutes. She was awake and responsive the entire time.

Muscle and body aches that was the first evening. The next morning, I had shortness of breath and headache. I felt like I had COVID all over again. I had COVID December 18, 2020. Weakness. Those symptoms lasted about three days. The hospital where I got the shot was where I was working. So they made me go in to be seen because of shortness of breath. They checked my Oxygen and listened to my lungs .End of February for a few weeks and again towards the end of March, I had cold/sinus infection symptoms for 3 or so weeks each time. Don't know if in between that time I was actually all the way better but would feel a little better and then feel sick again. And they gave me a Z-Pack and it didn't go away and so they gave me another Z-Pack and it finally got better. Start of June, I had more cold/sinus infection symptoms. And that lasted a good 6 weeks. And by then it was my primary care doctor - Doxycycline is what they gave me for 10 days. I was on day 8 and I wasn't getting any better so they had me stop taking it and so they put me on a 10 day cycle of 1000 mg twice a day of Amoxicillin and I finally got better. In an amongst all of that - the first time I was really sick. I am feeling better right now. Note: I had the second dose of vaccine on February 10, 2021.

Patient was very nervous to receive the Moderna vaccine due to her having COVID-19 about a year ago. She was hospitalized and stated she kept delaying the injection due to PTSD from hospitalization. Patient consented to vaccine and waited her 30 minutes. No signs and symptoms of acute distress when she left the pharmacy. around 15 minutes after she left, a lady from her employer called. She stated that patient was very lethargic and barely made it back to her office that is a few miles away from our pharmacy. She stated that patient complained of feeling very warm and she was diaphoretic. Patient also stated that is was heard for her to get a good breath and she felt faint. This nurse instructed patient's Co-worker to call 911 if she felt patient was in an emergent situation. This nurse called and checked on patient at the employer. Ambulance did come to check on her. Patient refused transport to hospital. Co-worker stated that patient is sleeping and feels very tired. Her parent were driving in 1 hr and 30 minutes away to take her home.

Migraine, nausea and vomiting, low grade fever and headache. That resulted in tachycardia because I could not keep my medications down. This was similar to the reaction I had to flu vaccine. Migraine was intractable and I couldn't get rid of with medications I had on hand. It started on the 4th and I went to ER on 12th. I ended up getting dehydrated. I had a heart rate of 170's. After lab work was done, my troponin - they said it doubled while I was in the ER - but it was never out of range. But because it doubled, they admitted me to hospital to keep it from going up. I was given 2 liters of normal saline to hydrate. was given multiple medications. I had continuing saline IVs through admission. My troponins did not keep going up. The prolonged QT was due to anti-nausea meds I had been taking at home. My QT returned to normal after hydration and Oral Metoprolol 100 mg given in the ER. Myocardia ischemia - They consulted with cardiologist - he said that they would do a echo-cardiogram if the Troponin kept going higher. But since my symptoms resolved that I didn't have to have that done. Also was given in the Hospital, Ativan, Toradol; Dilatid; Benadryl and Reglan while in the hospital. Mild carditis - from COVID vaccination - I wasn't diagnosed with it - but it's a concern. Currently, I have normal Tachycardia that still happens with me. I have shortness of breath sometimes - but that correlated with low blood pressure while standing but that can go with the POTTS.

Night of vaccine, headache. Next day, muscle and joint aches, shooting nerve pain in legs before getting out of bed some days. Low grade fever 12/30. On 12/31 felt normal. On 1/1 symptoms began to recur fever 101.3, with higher fever 101.6 1/2/2021 and 100.3 1/3/2021, on ibuprofen from morning each day. Chills and sweats daily. COVID19 rapid test 1/3/2021 is negative. Currently temp 100.3, muscle aches, dizziness and congestion continue, feels winded walking short distances.

Describes feeling 'weird". dizzy, slightly SOB, felt large lump in back of throat- felt similar to when she has experienced an allergic reaction. she did not report it to observers but later reported to me after arriving home and still not feeling 100% back to baseline. she stayed in observation area for 40 minutes post vaccine. Reports that she will consult her medical provider to decide if she should take the 2nd dose.

RECEIVED VACCINE ON 12/22; ON 12/24, STARTED FEELING WEAK AND HAVING GI ISSUES WITH DIARRHEA. ON 12/27, STARTED HAVING SHORTNESS OF BREATH AND WHEEZING MORETHAN HER NORMAL WITH HER ASTHMA ILLNESS AND CAME TO ER. WAS TESTED AND FOUND TO BE COVID POSITIVE.

axillary tenderness in left axilla--no palpable lymph node indurated, erythematous, warm, tender area on left arm at injection site that began at 5cm and expanded over 24 hours to 10 cm x 8 cm and associated with generalized body puritits, improved with 50 mg benadryl. no other skin changes, shortness of breath.

NauseaVomiting, HYPERtension, Tachycardia, throat swelling Narrative: Went home after vaccine and starting vomiting, throat swelling. HR and BP elevated Went to ER was given beta blockers, in hospital for observation.

Wheezing, shortness of breath, macular itchy rash at site and distal sites, headache, fatigue and joint pain at 7-8 pm. Benadryl improved eruption, albuterol and airduo and assisting with wheezing but symptoms return after 2-4 hours.

Headache, CoughWheeze, ErythemaMultiform, fatigue, chills, low temp, swollen glands, injection site hard, red, "itchy"

Tachycardia Chest pain; pleurisy Narrative: Employee received the vaccine approx 11:45am on 1/5/2021. Around 4am on 1/5/2021, the patient experienced stabbing chest pain which awoke her from sleep. She states she had stabbing pain like a heart attack. She stated her heart rate was 150 and it hurt to breathe. She went to her local ER. At the ER she had a cardiac work up. She was also treated with pepcid, toradol, and a GI cocktail which did not alleviate her symptoms. She states that her heart rate stayed above 100 the entire time and her blood pressure was 150/100 without any previous history. She also mentions she has a slight cough. She was diagnosed with pleurisy from the ER visit and given a prescription for ibuprofen 800mg. She stayed home from work yesterday. She states she has a history of asthma. Her symptoms are improved today. (1/7/2021)

Dizziness, Headache, Myalgia, Tachypnea, CoughWheeze, NauseaVomiting, Palpitations & Tachycardia & Narrative: Patient stated that after receiving injection on 01/06/2021, tasted metal in her mouth. No reaction noted in clinic after vaccine administered. Patient states that after returning home, she began to have chills, headache, and muscle aches. Could not sleep. On 01/07/2021. Patient continued to experience above symptoms. Approx. 13:50 on 01/07/2021. Patient presented with respiratory difficult, tachypnea stridor, and stated she felt as if her airway was closing. Patient was vomiting and was tachycardic. Epi-pen administered via left lateral thigh. Patient administered 50mg of PO Benadryl, and 2 puffs of albuterol inhaler. Continuous V/S initiated. Patient began to experience relief of symptoms. HR and blood pressure remained elevated, but this was expected side effect of epi. SpO2 stabilized around 99% on room air. Patient was monitored for 60 minutes. Transportation home was arranged and family was present to observe overnight.

patient developed flushing and throat tightness after vaccine which quickly resolved, then repeat episode 30 minutes later, given 25mg PO Benadryl, observed another 30 minutes, eyes developed swelling was given Benadryl 25mg PO and sent to ER

Patient reported itchy dry cough, slight tightness in back of throat & feeling her HR was high. Vitals taken by nursing staff x 3, 13:00-13:20 (140/89, 114/77, 120/81) 25mg of PO diphenhydramine administered 40minutes of observation complete

Complain of itching (no hives) lip numbness, and throat tighning. Given 25mg benedryl po and 25mg Benedryl IM. Transferred to ED for eval at 0938. Discharged at 1053

after vaccine felt flush with throat tightness, quickly resolved then repeat episode at 30 minutes, given Benadryl 25mg PO and observed for another 30 minutes, at 4pm eyes were swollen, given another 25mg PO and paramedics were called, sent to Hospital.

the worse asthma attack in the last 34 yrs. (that I can remember). It isnow1/14/21 ,I'm still having reactive airway issues, despite .eing prescribed Albuterol nebulizer treatment & Prednisone taper 40mg taper down over 10 days.

Vaccination given 1314 and sent to waiting room for monitoring. Began to have itching at 1325. PO benadryl administered. Then with throat swelling. Epinephrine administered by EMS/Fire at 1:32pm: 0.5mg IM right arm. 1342 improving 1350 itching/throat swelling returning while EMS/Fire on phone with medical director. 1352 second dose of epinephrine administered by De Pere EMS/Fire: 0.5mg IM left arm Medical Director on site for evaluation. Client given option to transport to hospital or stay for monitoring with EMS/Dr. Condition improving, chose to stay for monitoring. Client improved and up walking halls 1513 Client cleared to be released home via private transport

chest tightness shortness of breath throat closing 30-45 minutes after injection. Left work, drove home and used rescue inhaler and took a prednisone. states she was fine after that.

Chest pressure, anxiety, headache, shortness of breath, dizziness starting 15 minutes after vaccination. Monitored and offered ED but refused.

Pt felt constriction in back of throat ,tongue within 5 min of receiving shot. "It felt like a tight turtle neck was around my neck". She felt like she had a elevated HR. This was followed by a feeling of being flushed and her whole body was itchey. Para-medics attended her and noted Elevated heart rate, and BP. O2 sats were good. No epinephrine was given. She went home and took some Benadril.

REPORTED THAT DURING THE EVENING OF THE INJECTION SHE EXPERIENCED RAPID HEART RATE AND SHORTNESS OF BREATH. THE NEXT DAY SHE EXPERIENCED RAPID HEART RATE, SWEATS, SHORTNESS OF BREATH, FEVER, PAIN AT INJECTION SITE AND ARM, KNOT UNDER ARM, NUMB FINGERS ON SAME SIDE, AND FATIGUE.

1/10Fatigue, 1/11 facial tingling to left side and eye brow area feeling heavy, 1/12 headache, 1/15 sore throat 1/16 left rib pain, wheezing, short of breath, fatigue 1/17 fatigue, chills, short of breath, wheeze, and loss of taste and smell. 1/18 I have a Telehealth visit with my Dr. Office at 12:40

Symptoms began at 5-10 minutes after receiving vaccine: Started with lips feeling swollen and numb, no difficulty breathing, approximately 20 minutes after vaccine back of throat became itchy, Oxygen levels normal and no difficulty breathing, a little over 30 minutes after vaccine both cheeks became numb, a few minutes later on walking to the bathroom an irritating cough and throat clearing started. at 45 minutes after vaccine tongue became itchy, still stable oxygen levels and decision was made to go across the lobby to the hospital ER for treatment. On arrival to the ER there was a rash on the chest and by 4:20pm almost 2 hours after vaccine coughing fit with difficulty catching breath occurred, 18 gauge IV was placed in Right arm and IV benadryl 25mg and IV solumedrol 125mg was given with Albuterol inhaler 6 puffs delivered in a spacer. Symptoms began to resolve and almost gone within the hour of receipt of medications. Observation was continued for a total of 2 hours with Discharge by 7pm that evening. Discharge medication instructions were: Prednisone 50mg daily for 2 days starting Wednesday 1/20/21 and Benadryl 25mg every 6 hours round the clock for 5 days, Albuterol metered dose inhaler 2 puffs every 4-6 hours as needed in spacer (inhaler provided by ER) and Epic-pen to keep as needed for home in case of sudden onset reaction. By Wednesday 1/20/21 symptoms almost completely resolved except for occasional irritated cough and itchy throat and feeling flushed and tired from the Benadryl and a little jittery from the steroids..

reportedly became ill after she received her COVID-19 vaccine 4 days ago. She developed myalgia and other flu-like symptoms and was followed by SOB in the last 24 hours. She also developed some headache and palpitations with heart rate in the 130s so she went to our ER yesterday and was sent home after she was stabilized. Patient however continued feeling poorly and claims pleurisy and pleurisy further worsened associated with dry cough hence the decision to come back to our ER where she presented febrile, tachypneic and tachycardic. Workups done showed mild hypokalemia, hypoalbuminemia and hypocalcemia. respiratory symptoms found to be related to lung nodule. Pt. also noted to have redness, erythema and itching on Right arm, site of vaccination.

42 year old female who presents for evaluation of her throat. She had the first COVID-19 vaccine (Moderna) yesterday and within an hour noted a globus sensation which has not resolved. Denies hoarseness, odynophagia or otalgia. Is able to eat and drink well. pt had COVID vaccine yesterday and on her way back started to feel intermittent throat tightness, which continues till today. On exam no throat or oral swelling, wheezing or hypoxia noted. VSS. Pt has tried benadryl as recommended by MD, but the concern continues.

Got the covid 19 vaccine January 19th (Tuedsay) at 1:00pm. Started having lip and eye swelling around 6pm and by 9pm she went to the ER after her throat started swelling and she was having difficulty breathing. Says the ER MD gave her a shot benadryl. Also got a prescription of prednisone 20mg 2 tablets daily for 5 days which she has been taking. Swelling resolved but then her eye started to swell last night as well as her lips so she went to the Instacare. Said the doctor told her to stop all her medications but the metformin. reports the last dose of humira was Sunday January 17th and she gets a dose every 3 weeks. Also had covid disease in November the week of Thanksgiving. Spanish speaker. Had an official translator for this infomation.

Extremely fatigued; Tightness in sternum; Bilateral leg weakness; Difficulty in walking; Atelectasis; Anaphylactic shock; A spontaneous report was received from a consumer who was a 42-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced anaphylactic shock, extreme fatigue, tightness in sternum, atelectasis, extreme bilateral leg weakness, and difficulty walking. The patient's medical history included allergy to shellfish, bee sting, and mushrooms. No concomitant medications were reported. On 31 Dec 2020, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On 31 Dec 2020, five minutes after receiving the vaccine, the patient experienced anaphylactic shock. Some of the symptoms experienced included chest tightness, difficulty breathing, throat swelling, and weakness. The patient was transported to the hospital by the emergency medical services (EMS). Treatment for the event included epinephrine several times. On 01 Jan 2021, the patient experienced extreme fatigue, tightness in sternum, and weakness at home. She returned to the hospital where she was admitted. It was noted that a computed tomography (CT) scan revealed atelectasis. The patient also experienced extreme bilateral leg weakness and difficulty walking. The patient was advised to be placed in a nursing home/rehabilitation center. Action taken with mRNA-1273 in response to the events was not provided. The outcome for the events, anaphylactic shock, extreme fatigue, tightness in sternum, atelectasis, extreme bilateral leg weakness, and difficulty walking, was unknown.; Reporter's Comments: This case concerns a 42- year old, female patient with medical history of allergy to shellfish, bee sting and mushrooms, who experienced a serious, unexpected event of anaphylactic shock, chest discomfort, muscular weakness, gait disturbance, fatigue, and atelectasis. The event of anaphylactic shock occurred 5 minutes after first dose of the mRNA-1273. The event of chest discomfort, muscular weakness, gait disturbance, fatigue, and atelectasis occurred 2 days after first dose of the mRNA-1273. The treatment included epinephrine. Based on the current available information and temporal association between the use of the product and the start of the event, a causal relationship cannot be excluded..

The next morning after I had trouble getting up. I was achy and had a 99.7 fever. Took tylenol and rested. A few hours later the symptoms got worse and worse an my body ached so bad I could barely walk. The fever elevated as high as 103 during that time. And I had what felt like pressure on my neck which made my voice sounded really rough. I had chest pains, rapid HR and SOB and the symptoms got so bad I went to the ER where I remained for about 8hrs. While there I started getting a really bad headache which lasted from that Sun after to the end of the week on Friday. Benedryl, pepcid, tylenol was given. About 9:30pm I was released with a prescription for the headache and advised to take benedryl. Once home I noticed my arm was swollen and white in the center. I got a rash on that arm that carried to my face and was itchy and burning. I had lymph nodes that devoloped under both arm pits but the side where the injection was given hurt worse than the other. Had to wear the holter monitor for a week d/t the elevated HR which in turn made the healthcare specialist prescribe metroprol to help lower the HR but to date I am still having issues with the rapid HR.

1-21-21 0200-Widespread body aches, soreness at injection site, shortness of breath 1-21-21 0630-Fever, severe body aches, joint pain, back and neck pain, pain at injection site, shortness of breath, tiredness 1-21-21 1100-Fever, severe body aches, joint pain, back and neck pain, loss of appetite, pain at injection site, shortness of breath, tiredness 1-21-21 1700-Fever, widespread body aches, loss of appetite, pain at injection site, shortness of breath, tiredness 1-22-21 0630 Fever, body aches, shortness of breath, tiredness 1-22-21 1200 Low back pain, tiredness, shortness of breath 1-23-21 0800 Tiredness, low back pain, shortness of breath 1-24-21 0800 Tiredness, shortness of breath 1-25-21 0600 Tiredness, shortness of breath

Heart feels like it?s racing and then I get short of breath. Pain in my upper left chest and shoulder blade happen around the same times. It has been happening off and on since 8:30am this morning when I woke up.

I got the vaccine on Tues felt fine later that evening arm was sore couldn't sleep on (right side). I went work on Wed arm felt as if had fever. I informed employee health was told the symptoms was common. I took Ibuprofen before laying down Wed my throat felt as if closing up. Upon me calling my mom voice was screeching . My mom asked my sister to bring me some Benadryl. I contacted the director of employee health was informed to go ER. Then my lips was swelling, Oxygen was fine and I was given Pepcid.I stayed overnight for observation.

Premedicated with Benadryl and then had the following response tingling down left arm, right leg, lips and unusual sensation in abdomen, numbness in right hand and tightening around throat. States that she felt the Benadryl was working and symptoms were less than post 1st dose. today she reports severe arthalgia

Around 730-8 I got a really bad headache. Throughout the night my back tightened up and my hips. I got up tp get ready to go to work, I felt really light headed while I was brushing my teeth but went in to work. I started felling shortened of breathe and achy. I started feeling bad and told my Head Nurse and he took my BP and I have a fever. My heart beat was rapid. I went home, slept and had no appetite . The I ended up going to the Hospital my chest was hurting bad in my lung area, everything about me just hurt I couldn't take it anymore. They did xray on my lungs, they were clear, my BP was still high, my heart rate had calmed down. They had me sit and relax. The next day I woke up and was ready to put my scrubs on, it was like nothing has ever happened to me. I felt worse with the vaccine then I did when I got the Covid, all I had with Covid headache. Everything hit so rapid and fast after the shot.

3 hours after injection severe arm pain, very stiff on movement; progressively got worse throughout night. 13 hours later SEVERE body aches worse at hips and low back, severe headache, chills with temp at 101.7. no energy and steadily declining throughout day. no appetite. Also felt very nauseous. Some mild confusion 20 hours later chest pains 01-21-2020 body aches and headache improved. Very weak and shortness of breath.

Fever 104.2, , shortness of breath, cough-lasting 24hrs Severe body aches/cramps, rash red raised and warm to touch approximately 6"x4" (upper arm)-still experiencing at approx 48hrs

Reports within 10 minutes of receiving the vaccination felt lymph nodes throbbing under left arm . The pain traveled to the left elbow to the left wrist.. The next day 10:30 am, felt tachycardia, c/o blurred vision with a bad headache. Waited a bit for son to finish his activity and drove self to the Fire Station. HR was 258/minute can't remember diastolic BP but systolic BP 145. Received 2-doses of Adenosine on the way to the hospital. HR down to 145/minute in ER. Received Toradol for headache which was unrelieved. Received EKG, blood work, CT lungs. Resting HR on discharge in the 120's. 1/24/2021 Continued to feel poor with back pain making it difficult to breathe, body aches, headache and pain at the injection site. Was able to return to work on 1/26/2021

MODERNA Covid-19 Vaccine EUA 1/8 Pain and tightness on right side from neck to flank. 1/9 Patient went to get a Covid -19 test. She could hear "bubbles" when she breathed. She was sent to the ER and diagnosed with a right pneumothorax.

Within approximately 30 minutes of getting the vaccine my left arm started to itch, then the itching spread across my back and to my other arm. The itching was accompanied by some nausea and moderate joint pains. As time went on I started to experience nausea, stomach pain, increased salivation, rhinorrhea, post nasal drip, itching in my throat and swelling in my throat. These symptoms developed over the course of a few hours and continued to worsen. I eventually went to the ER around 8:00 pm. In the emergency room I was given Benadryl, Pepcid and prednisone, after which symptoms gradually resolved and I was able to discharged around 10:00pm

Fever, chills, sensitive skin, spasms, headache, congestion, body aches, fatigue, the sore arm that went into the breast area and all the way down to fingertips, and shortness of breath.

SEVERE HEADACHES, BODY ACHES AND PAINS, FEVER OF 103.9, CHILLS, SHORTNESS OF BREATH AND CHEST TIGHTNESS NAUSEA, VOMITING.

Became extremly light headed to the point of feeling like she was passing out. Hard to breathe, hot, flushed

LUMP IN THROAT, RED, SPLOTCHY ON NECK, TINGLING OF LIPS AND MOUTH, TROUBLE BREATHING ABOUT 2-3 MINUTES AFTER VACCINE INJECTED. BENADRYL 50MG IM GIVEN.

Within 15 minutes of recieving the shot, I got very hot and my neck, face, right and left arms turned red and my breathing was starting to feel different. Another 15 minutes past and my right hand and left side of my face went numb. The school nurse gave me two Benadryl, some water, and cold cloth. When I returned home I took Motrin and later in the evening another Benadryl. The redness and heat subsided at the school but the numbness lasted throughout the evening.

@ 40 minutes post-dose, numbness in tongue. @45 minutes, progressed to lips, then lips, then throat. Called 911, Pt bought Benadryl gelcaps, took 50mg. Rescue checked vitals, Benadryl started working so throat swelling started to recede. Pt was observed for 30 minutes post-Benadryl dose. Pt took an additional 25mg dose x 2 that evening. Completely resolved the following morning

Developed cough and throat tightness, difficulty breathing, inability to talk. Seen at local emergency department and treated for anaphylaxis

Symptoms immediately following the vaccine on Wednesday; tachycardia, shortness of breath, dizziness. Symptoms the following day on Thursday; tachycardia, shortness of breath, weakness, fatigue. Symptoms on Friday; tachycardia, shortness of breath, weakness, fatigue, diarrhea, cough, loss of control of extremities, debilitating headache, nausea, dizziness. Symptoms on Saturday; chills, tachycardia, shortness of breath, weakness, fatigue, diarrhea, cough, loss of control of extremities, debilitating headache, nausea, dizziness, blurred vision, sensitivity to lighten and sound, sore throat, stuffy nose, ringing in ears. Symptoms on Sunday to current 2/3/21 tachycardia, shortness of breath, weakness, fatigue, diarrhea, cough, loss of control of extremities, debilitating headache, nausea, dizziness, blurred vision, sensitivity to lighten and sound, sore throat, stuffy nose, ringing in ears.

a week after vaccination, patient developed fatigue and weakness, SOB, eye ptosis similar to her myasthenia flares. she was admitted for IVIG and discharged 1/31

left side tingly, sorenes on left side, rib cage very sore, when breathing lungs hurted (sore) mild headache, and left eye,cheek,lip swollen and very very sleepy could not open my eyes felt a little spacey.. sore body the third day.

13 minutes into the vaccination she developed rash on her neck and face that was itchy. She was given epinephrine and IM diphenhydramine. She was sent to the ED where upon arrival she developed throat tightness and difficulty in swallowing. She was given solumedrol in the ED and observed. She did well on therapy

12 hours after the 2nd vaccine, I experienced severe dizziness, body aches and fever. 17 hours after the vaccine I experienced a heartrate in the 150's, fever, chills, sweating and shortness of breath. 24 hours after i still had a fever, hr was 110 at rest and oxygen 99% at rest. While walking HR increased to 120's and oxgen saturation decreased to 86%. This persisted throughout the day.

Pain radiating to elbow, significant swelling with softball sized lump. Arm is hot and pulsating. Fever. Wheezing. Spoke with doctor and being prescribed Keflex and prednisone. I had a similar reaction to the first shot.

6:38pm received vaccine 6:55pm alerted observer staff to feeling of throat being tender/swollen. Given water and observed closely. 7:00pm patient became more agitated/fearful, having difficulty swallowing and speaking but not choking/gagging and was fully alert. 7:03pm attached to monitor BP 150/101 and NP alerted to situation. Patient steadily increasing hoarseness to voice. States she really has to push to swallow. Given 2 tabs Benadryl 25mg. O2sat 100% 7:10pm Husband called to be with patient. Transported patient back to private room in clinic by wheel chair. Red rash to upper chest area. Voice very faint. NP assessed patient and noted expiratory wheezing (mild) with non-obstructed posterior oropharynx and 02% sat still 100%. Patient was kept on continuous 02 sat and HR monitor with BP checks every 3 minutes. 7:13pm After moving to private room with safer surroundings, epi injection procedure explained to patient. Then Epi pen 0.3mg given to left lateral thigh per NP. O2sat 100% HR 92 BP 162/90 Hospital rapid response team called (per facility protocol) for transfer to main hospital facility ER per NP. 7:14pm Hoarseness improving. Patient states neck and swallowing feel about the same although visible swelling was receding as was the rash on her upper chest. 7:17pm O2 sat 100 HR97 feeling shakey and cold. 7:19pm BP 144/95 HR97 O2 sat 100 7:26pm Patient cold and shakey. Throat still difficult to swallow but not any worse than before. BP 151/97. HR 101, O2 sat 100% Instructed patient that she will be transported to ED by ambulance. Husband will move car and meet her in ED. 7:30pmTransported to front entrance to meet first responders. 7:36pm Transferred to ambulance. 7:38pm Called ED

Moderna Covid-10 Vaccine EUA Dizziness and weakness, chills, body aches, fatigue, rash on arm of injection site, painful arm, difficulty breathing (second night only and oxygen levels were fine), headache. I recently recovered from Covid-19 and my symptoms were more mild than from the vaccine, but I was sick for 8 days with the real virus and only 2-3 days after vaccine. I am concerned that it might have been too soon, and now I am really worried about getting the second dose. I get my flu vaccine almost every year with no side effects except a sore arm.

Moderna COVID-19 Vaccine EUA 8 days after injection, developed into hot, red, raised, rashy area around injection site. Contacted PCP and was told to use hydrocortisone and OTC allergy medication (Allegra). Prior adverse events: Immediately after injection - some shortness of breath and dizziness. continued for 24 hours. Used albuterol inhaler. Lump at injection site; painful for 4 days after injection.

2/3 AM: Started feeling sick 2/2 and run down and now feels 'horrible' States she has aches all over, has the chills, sore arm and maybe feels like she can't breathe well. She has a history of asthma, and other autoimmune disorders. She is a caregiver for a child with disabilities and attending school. 2/4 8:40 AM: Husband replied that she is 'having a hard time and getting worse. whole body hurts and head and she is coughing bad and having hard time breathing sometimes. she can barely move'. PHN responded immediately that she needs to call her doctor right away and if struggling to breathe to go in to be see immediately'. Asked if she had seen her doctor yesterday and he said

ANAPHYLASXIS/DIFFICULTY BREATHING - ER EVALUATION AND 23 HR OBSERVATION; MED ADMINISTRATION OF EPI X3; BENADRYL; FAMOTIDINE; STEROIDS.

Exteme pain on back right side of neck for several days. Hives on arms and face on days 3 and 4. Dizziness on day 4. Shortness of breath on day 5. Nausea on days 5 and 6.

Adverse event: I had anaphylaxis on 2/12/21 that required transport via ambulance to the nearest emergency room for life saving treatment. Background information. I took a 7 day course of celebrex (200mg orally once daily) on 1/25/21, prescribed by my primary physician for a flare up of low back pain. A 14 day course was prescribed; I stopped taking it after 7 days because my stomach was getting upset and I didn't want to take it close to my 2nd covid moderna booster. I got my 2nd moderna covid vaccine booster on 2/8/21. For 1-2 days, my left arm (injection site) was sore and I was mildly fatigued. I took over the counter advil (200mg twice daily) and tylenol (500mg twice daily); the day I took advil, I was sneezing and developed signs of allergic rhinitis (congestion/runny eyes and nose). I did not have any other immediate adverse reaction and by Thursday, 2/11, the arm soreness and fatigue resolved. My low back pain began to bother me again, so I took a 200mg oral dose of celebrex at 7:30a on 2/12/21. I went to work (I am a veterinary neurologist. While at work, at 9:30a on 2/12/21, I had a severe anaphylactic reaction and had to be taken via ambulance to Medical Center. I developed hives/welts/burning/itching all over my body, within 5 minutes my throat closed up, I couldn't breathe, I became hypotensive/collapsed; in the ambulance, I was given IM epinephrine; then at the ER, I was given IV steroids (solumedrol), benedryl, famotidine, zofran (due to abdominal pain/nausea) and IV fluids. This stabilized my signs within 1 hour and I improved and was going to be discharged at 2pm. However, the hives returned at that time, so I was given additional IV benedryl, famotidine, fluids and oral prednisone and kept in the hospital overnight for monitoring; I was discharged to go home on 2/13/21 on a 4 day course of oral famotidine, benedryl and prednisone; I remained itchy and continued sneezing at home on 2/13/21. Today, 2/14/21, all signs of this reaction have resolved. The ER doctors and myself believe the 2nd moderna covid booster on 2/8/21 stimulated my innate immune system, leading to this anaphylactic reaction to celebrex (a medication I had taken 2 weeks prior with no problem). The doctors feel the celebrex is what set off the anaphylactic shock, but that my immune system was primed to do so after the vaccine. In hindsight, I realized that I was having allergic rhinitis symptoms after taking oral advil on 2/9 the day after my booster (which has never happened to me before either). I am a person with no pre-existing allergies of any kind. There was nothing different at all in my routine including food or potential environmental exposures) on 2/12, the day of my anaphylactic reaction, other than my taking a 200mg dose of oral celebrex. I am not allowed to take NSAIDs until I see an allergist for testing now. I am reporting this adverse event as I believe the moderna booster caused an anaphylaxis to the celebrex medication.

Employee received the 2nd COVID-19 vaccine shot in the morning with no immediate reaction. Employee did wait the 30 minutes for observation purposes and went home. Employee went home and started to feel short of breath and called 911. Paramedics administered Epi via an Epipen. Employee recovered and was not transported to the hospital.

Severe muscle pain (whole body); hurt to breath; Fatigue yet unable to fall asleep, feeling hot and cold, headache

Moderna lot# 016M20A 0.5ml given at 1008 am. 1019 am client complained of swelling in her throat without other symptoms. Lips & tongue with minimal swelling noted. Denies respiratory distress or any other symptoms. 1021 EPI 0.3mg administered left thigh. 1022 BP 130/90 left arm with large cuff & pulse 84 & regular. Talking without difficulty & in full sentences. EMS activated stat. Ambulated to the front entrance of the building without difficulty. EMS arrived 1024am. 2 children accompany her. Denies history of anaphylactic reaction but later remembered a reaction to Iron infusion & witnessed per EMS. Refused ER visit & signed against medical advice per EMS.

Patient received in monitoring area @2:11pm, slurring speech, slightly altered, flat affect, and slow to respond to questions. Patient stated she felt like she couldn't breathe and was repeatedly scratching at her neck. Patient placed in recliner and vital signs taken 160s/80s - baseline per patient. HR 90s, o2 sats greater than 98%. Patient stated she ate lunch but did not take her metformin this am. Wet cloth applied to forehead and juice given/encouraged. After approximately 20 minutes patient began to respond to questions more appropriately but still slow to respond. Vital signs with o2 sats taken every 5 minutes and remained stable throughout event. Benadryl 50mg po given for itching. Patient began reporting mild nausea. Response team arrived and encouraged patient to go to ED for continued evaluation and testing but patient refused. Daughter called to come pick patient up and patient wheeled to lobby for pickup at 3:07pm.

Patient states that after first dose of Moderna (27JAN2021 Lot 028L20A) she developed scratchy throat and hives which she had planned for due to history of same. She pre-dosed with benadryl. Today, she pre-dosed with Benadryl 50mg at ~ 1815. She received her vaccination at 1920, at ~1940 she began to have sensation of tongue swelling, coughing, difficulty breathing and hives. VS at time were BP 170/100, HR 92, RR 24 and wheezing. She was coughing when asked to speak or take deep breaths. FF/EMT on scene evaluated and treated with epinephrine 0.3mg IM. After 2-3 minutes patient begins to breath easier and can speak in full sentences. Hives on upper extremities have receded and overall, patient states that she is feeling better. EMS was called and patient was transported to local ER for further evaluation/treatment.

anaphylaxis - throat tightness, hoarseness, coughing, trouble swallowing, nausea, dizziness, pallor, watery eyes, urinary incontinence, sense of impending doom

Whole left arm hurt Severe headache 104.5 fever Passed out 2 different times Chills Delerious Lost control of bladder twice Seizure Breathing difficulties-responded to use of inhaler

2/18/2021- Presented to ED after getting her vaccine at Walmart. Immediately she began feeling flushed all over and had urticarial lesions on her face and some trouble breathing, and nausea. She was treated and discharged home. 2/19/2021- Patient was lying in bed, at home, and she started having difficulty swallowing and lip/tongue swelling. She took 50 mg Benadryl and called EMS. EMS gave her Epi and brought her to the ED. Patient was treated and discharged home with instructions to Zyrtec daily for next 3-5 days, as well as Medrol Dosepak. 2/20/2021- Presented to ED with similar symptoms, was treated and discharged home. 2/25/2021- Presented to ED with GI symptoms, was treated and discharged home.

01/29/2021 (1st dose): A few days after the vaccination I developed some raised red spots that itched slightly: inside upper right arm, outside lower right arm, on my right hip, and right buttock. Also, I was very achy and fatigued for about 2 days after, as if I had the flu. 03/01/2021 (2nd dose): Sometime in the middle of the night on the 3rd night after the vaccination, I broke out in a much more pronounced raised blotchy red rash at the injection site on my left arm and wrapping around to the front of the same arm. It is a little bit itchy and overall my skin everywhere feels slightly itchy. Also, this second dose made me feel even more sick than the first one. I felt fine for the rest of the first day, but a little stiff at the injection site and a little tired. By midmorning the next day I became achy and increasingly fatigued. By the end of the second day and through the third day I was in a lot of pain and has the chills but without a fever. I was also congested during these two days. Today, on the fourth day after the injection, I have the rash, as stated, a headache, and am a little fatigued, though mostly back to normal.

Guillain Barre Syndrome that lasted for 4 weeks. Prickling, pins and needles sensations in arm, fingers, leg, feet numbness/loss of feeling in arm and hand for weeks Difficulty with facial movements, including speaking, chewing or swallowing Severe pain, achy, shooting or cramplike Rapid heart rate Difficulty breathing

On 2/26/2021 shaky. shortness of breath, pressure in chest, felt like something was squeezing my throat, and cold chills off and on all day and night. On 2/27/2021 previous symptoms, exhaustion, and achy body. On 2/28/2021 previous symptoms, nausea, light-headed and dizziness. On 3/1/2021 previous symptoms, vomiting, headache, weakness to stand or walk, faintness--felt like I was going to pass out, eyes dilated, I don't remember a lot that happened that morning, taken by ambulance to the hospital, treated for dehydration and sent home later that day to rest--followed up with family physician on 3/4/2021 still feeling the above symptoms. I've been feeling exhausted, and the previous symptoms.

Client has a previous history of severe allergic reactions and carries an epi pen. At 1148 am, she reported her vision was changing and her voice was changing. She could feel her throat closing. 0.3ml of epinephrine given in the left deltoid at 1150 am. Within 2 minutes, her voice returned and she felt relief of the throat closing symptoms. Vital signs improved over 30 minutes. Took 50 mg of benadryl orally. She left the vaccine clinic with her epi pen in her purse with instructions to call her provider. We had a retired physician and two registered nurses at the clinic during this time.

I had known side effects beginning 6 hours after injection and lasting until about 36 hours after injection including fatigue, nausea, chills, low fever, and muscle soreness. 4 days after injection I began experiencing shortness of breath and dizziness similar to when I had COVID-19 in March and April of 2020.

Patient described initial symptoms began next day after receiving the Moderna Vaccine, she described her symptoms as severe itching to upper body with concentration to chest area for 4 days then symptoms progressed to RASH, HIVES facial angioedema, and shortness of breath on the 5th day post vaccination.

At the time of vaccination, Lot # 040A21A at 10 minutes after the vaccine was given to me, my the glands in my throat started to swell. I went back to the pharmacy and they gave me an epi pen injection and then called 911 to get me to the emergency room. I had to take Benadryl, steroids and Pepcid AC through an IV. They also prescribed those three medications and an epi pen to my pharmacy for an additional 4 days. It is day two and there is a slight improvement, but the swelling is still there. I had no issue with the first shot, Lot #013M20A.

Soreness throughout the entire body, headache, some trouble with regulating breathing-throat felt like it was closing up, fever, nausea, vomiting bile, fatigue

I had Tightening of throat and Wheezing I did not consider it significant enough for ambulance so pharmacist recommended I call my family dr. who prescribed an epipen just in case. I never had to use the epipen, but I took 50mg of Benedryl at 3:30 and again at 7:30, which helped lessen the symptoms. Symptoms subsided overnight.

EDC: 25 APR 2021 AE1: Superficial Venous Thrombosis: On 10 Feb 2021, patient presents with RLL pain and swelling. Dopplers with non-occlusive Superficial Venous Thrombosis. Started on 40 Lovenox qd. On 23 Feb, had worsening pain and repeat doppler showed occlusive SVT. Her Lovenox was increased to 40 mg BID and referred to Hematology. Her hematologist increased her lovenox to 80 mg bid. SAE: Pulmonary Embolism: On 3/9 patient developed Shortness of breath and chest pain and went to ED where she was diagnosed with Bilateral pulmonary emboli. She was admitted to the hospital and started on an heparin drip. AE2: SVT: Patient developed a second SVT after discharge from hospital on 17 Mar 2021 that is located away from original SVT site.

THIS WAS MY FIRST DOSE OF THE MODERNA VACCINE: 5 minutes after I had the vaccine, I started feeling off. I felt completely out of it, I went pale, shaking. The EMT's were with me and checked my pressure. It was through the roof. I'm otherwise a healthy person with BP regularly of 120/80. My BP at 3:20 PM -- 148/96 3:35 pm - took one 25 mg of Benadryl. 3.45 - BP 139/92 3.52 - BP 122/88 3.55 - Took a SECOND benadryl pill 25 mg. (throat felt heavy when swallowing) 4.20 - BP 120/82 EMT stated that it was an ALLERGIC REACTION cause VASO VAGAL SYMPTOMS. My throat felt swollen (I have NEVER experienced this before). I was sitting in the car for almost 2 hours before I felt somewhat comfortable to go home. My husband drove me home.

Inability to move within 24 hours - lasting 48+ hours Vomiting Pain in left (shot) arm radiating to left breast Rash Headache on the first day Chest pain/tightness, consistent shortness of breath, worse with exertion Brain fog Fatigue Inability to concentrate Very acute depression in the first 3-4 days after the 2nd shot

felt facial flushing later that day, felt unstable on legs, felt like would buckle, pains in legs--sx has improved but still feeling it for next 3 days, felt very tired then head to toe, felt tightness in muscles--sx has improved then having hard beating of heart; also beating fast; also fluttering, feeling dizzy--worse with exertion feeling SOB

Within one hour of injection - numb lips, tongue; swollen throat; labored breathing; heavy arm; headache, nausea, dizzyness

Mild swelling of tongue and throat. Very mild difficulty breathing. Waited and monitored. Symptoms started to lessen approximately 2 hours after received vaccine.

Reported to ER within one hour with sensation of airway constriction in throat. Monitored for two hours, administered prednisone and Benadryl, released and told not to work for 2 days.

Patient received vaccine at 11:10, Ten minutes later, at 11:20, patient presented to the First Aid Room. She had the following symptoms: fatigue, headache, neck and shoulder pain. dizziness. Lips and tongue partially swollen, "having a hard time getting air down into my lungs." Relates that she has had a headache, "migraine for the past 4 days. Patient tells me there's a gun in his pants.

Flushed, swollen tongue, swollen throat - minor swelling, could breath and swallow. Took Benadryl 1 hour (25 mg) after injection.

Severe fatigue (unable to get out of bed for 15 hours), myalgia (ongoing pain in chest, shoulder blades, arms), brain fog/confusion, dizziness, shortness of breath, injection site swelling/tenderness

skin under my mask turned red, splotchy, got very hot and slightly swollen. Eye sockets slightly swollen. Left side of face more severe in reaction than the right side. Throat slightly swollen. Left ear became plugged feeling. Scalp slightly numb, again more intense on the left side of head than right side. Even after I took my mask off symptoms continued and got slightly worse, not life threatening, but surprising. Pharmacist gave me 2 benadryl pills which I took with a 12 oz of water and symptoms began to lessen within a few hours. Came back the next day with moderate exercise. They were not nearly as pronounced but my face did turn red, get hot and my ear plugged up again. No medicine needed, I just rested and it went away. Same thing happened the third day but even less severe reaction and went away quickly when I stopped walking around and just rested. The shot was injected at the very top of my shoulder near the clavicle bone, it should have been administered lower in the deltoid and I think I might not have had such severe reactions. Perhaps nerves were interfered with due to the proximity of the injection.

Shortness of breath, fever, weakness, headache 24 hours after injection. Continued weakness and shortness of breath for 8 days after injection. Injection site welt 4 inches in diameter and warm, itchy sore for 8 days and still going.

Approx 15 mins after my shot I experienced a dry cough and tickle in my upper chest. Approx 45 mins after my shot the cough had grown more consistent and my lungs were getting tight. My breathing became shallow. About an hour after I started to have pain in my upper back and breathing became more difficult. Approx 90 mins after I had difficulty talking and continual dry cough with shortness of breath. Started to get dizzy and fatigued. Over two hours to shot my oxygen was reading around 90%, was very fatigued and winded to even walk small distance. Had to rest (two 30 min naps) and lots of water. Oxygen levels returned to normal 97% and up around 4 hours after shot. Body was fatigued and weak for a period of time longer. Arm started to ache (gradually) and is still aching and stuff the next day.

Difficulty Breathing, labored breathing , patient was monitored for 30 min with no improvement and Ambulance was called. V/S were with in normal limits but breathing was labored. ambulance arrived and patient was given 50 mg of Benadryl pt stated she was feeling much better. pt went home of her own accord.

Cough and heavy ness in breathing . I got the vaccine on Saturday 3rd April and today is 6th April 11pm central time and my throat feels sore , dry cough and heavy breathing

Immediately upon receiving the vaccine I felt weird. Lightheadedness and tightening of jaw. Clenching of my teeth, even though I was not trying to do so. At times, I almost had to remind myself to breath. It was very odd. I checked my 02 when I got home and it was normal. These symptoms lingered for at least 3 hours. It then turned to stomach pain and nausea, which lasted 24 hours. Have had diarrhea off and on since vaccine. On Monday (3 days post vaccine) I started having severe heart pain, which resolved the following day. That same day (4 days post vaccine) my most serious symptom appeared which would be swollen lymph node in my left armpit (injection arm). That lingers now a week after onset, is painful, and impairs mobility in my arm. My glands in my throat/neck area became swollen around this time as well, and continue to swell off and on. I am now at post-vaccine Day 11.

Burning/stinging upon injection. Instant arm pain. Tingling/ Pins and needles sensation in both feet upon standing. About 2 minutes later - burning sensation in ears which subsided within a minutes. 7 minutes after shot - Rapid heartbeat and brief shortness of breath which subsided after a couple minutes. 45 minutes after shot - more shortness of breath and dizziness which subsided after a few minutes. "Brain fog" for the remainder of the day. Arm pain and occasional shortness of breath during the following 5 days.

Pt had vaccination in right arm at 1:30 pm on 04/07/2021, started having pain in arm immediately but otherwise felt fine. At 8-9PM pt started feeling short of breath and having chest pain/ palpitations that would not relieve with rest or medications. Pt also stating she had a fever and chills

C/O chest pressure, throat irritation, feeling like she "couldn't breathe". Pt expressed no difficulty speaking. No flushed skin, no perspiration, no swelling of lips or tongue. Vital Signs: 1045: 100% RA, PR 138 1052: 99% RA, PR 101 1057: 100% RA, PR 99 1131: 98% RA, PR 87, BP 135/64 Client stated she was feeling better and remained in observation area. Client was advised to have friend or family pick her up, but declined, and exited the facility to her own vehicle.

First two to three days shortness of breathe, body aches, headache , exhausted and nauseous. Swelling in left arm, dark red patches and bumps, burning sensation for 5 days at injection site. Iced area twice a day, did arm exercises to elevate the tension and now my arm has a large black patch with scaly skin were shot was given.

Dizzy, neck sore and stiffness, itchy tongue , throat and inner ears. felt rapid heart beat and heavy breathing

The patient began to feel a tightness travel up her arm and into her neck of the arm she received the vaccination. She began to feel a tightness in her throat too. The patient's blood pressure was checked and it was high 165/80. She reports her blood pressure is normally low. The patient continued to feel a tightness in her throat and reported it being very difficult to swallow. After more than 15 minutes of feeling this way, the patient allowed us to call ems.

Itchy throat, excessive coughing, sweating, trembling of the whole body, little difficulty in breathing, a feeling of swelling in the neck and headache. I already feel better and only my left arm hurts and I feel very tired with a little strong palpitations, a sore throat when swallowing food or drinks and hoarseness when speaking.

Felt tightening in left arm from wrist to shoulder in the first five minutes. Lost sensation in first three fingers of left hand within ten minutes, however I?ve experienced this with previous vaccinations (usually the next day) and did not consider it to be an immediate concern. Waited the required fifteen minutes and then proceeded to leave the vaccination area to do some shopping. As I was looking for an item, I began to notice a tightening in my chest and in my throat. I waited several minutes to confirm that it tightening in my throat still was a problem and proceeded back to the front of the store to let the pharmacist know. We then took my blood pressure - it was 163/85. I typically have low blood pressure in the low 90s over high 50s (asymptomatic), so this caused immediate concern. Even in more stressful scenarios in which I?ve felt extremely anxious (rushing to doctor?s appts with young children in tow, having a ruptured ovarian cyst and experiencing high levels of pain), my blood pressure has never exceeded 128/70. This reading was the exception and not the norm. EMTs confirmed that I was not in anaphylaxis, but I was picked up in an ambulance and taken to the ER. After my blood pressure decreased, my initial symptoms resolved. The next day I experienced more typical vaccine reactions - aching, fatigue, soreness, tingly of hand/fingers, headache - but those are what I experience with many other vaccines and they raised no cause for concern. The high blood pressure and immediate tightness in arm, chest, and throat from Covid vaccine was new.

Within 2 minutes of getting the vaccine I got the cold chill, light headed and dizziness,some trouble breathing, chest felt little tight and some chest pains not too bad, throat felt little constricted but not severe, cold chills lasted 2-3 days and head dizziness and chest for like 3-4 days

Pleural effusion of left lung. Symptoms started two weeks after the final dose of Moderna. Went to ER on 4-11-2021

Post covid vaccine, patient is feeling like her throat is "tight." Denies any tongue swelling or difficulty breathing. Has allergies to RUM. Vitals: 04/14/21 0936 Resp: 16 SpO2: 98% Anterior and posterior lung fields clear without any respiratory distress. Benadryl 25 mg po given. monitored longer than over 1 hour.

Lip and nose itching, progressed to L facial numbness and "felt like her throat was closing". Administered 1MG of Epi and 50MG of Benadryl intramuscularly. Called EMT. Pt reported some relief. 5 minutes after injections, pt reported SX returning. Vials were stable. EMT arrived and transported pt to hospital for observation.

I woke up in the middle of night with chest pain and trouble breathing. I had a pulmonary embolism. The pain and difficulty breathing lasted several days. Since then, I have experience a flare of the antiphospholipid syndrome - low platelets (blood work), splinter hemorrhages, clots, and the like. Whether from the embolism or other, the pulmonary hypertension has gotten drastically worse - with increased shortness of breath, irregular heart beats, dropping pulse ox.

patient was fine at first and her throat started itching and she had trouble breathing. She usually takes benadryl liquid. When that did not help we gave her an epi shot.

Moderna COVID-19 Vaccine EUA swelling in left hand 45 minutes after injection. Fever of 101, chills, body aches, fatigue and vomiting 4/15 & 4/16 labored breathing and discomfort in lungs when inhaling, fatigue, chills and headache on 4/17 extreme fatigue and diarrhea 4/18 & 4/19 extreme headache, nausea, dizziness and fatigue 4/20 dull droning headache and fatigue 4/21 - 4/23 *pain in lymph nodes (both sides) 4/22

OS 42 Y.o. Female AAox4, anaphylactic reaction. translator was used. Pt complained of extreme difficulty breathing, swollen tongue, difficulty swallowing. Pt was out side of vehicle pacing back and forth in distress. Prior to epi admin pt. Was having near syncope also. Pt. Appeared pale in color and distressed, pacing back and forth with anxious look on her face. Pt pulse rate also was approx 110 prior to administration, and strong. RR was approximately 20. Bp 186/92 post administration. Tx. Pt was examined and verbal interview conducted through interpreter. EMS summonsed. Pt advised tongue was starting to swell significantly, and increase in SOB, nausea and. Near syncope. Pt administered 0.3 mg epinephrine through autoinjector to r thigh @ 1128. Pt advised after approx 6 min post injection that tongue swelling was decreasing and she was able to breath again and was not having near syncopal episodes. Pt care transfers to hospital with a non-emergent transfer to hospital.

Vomiting, Fever, Diarrhea, Nausea, Vertigo, Convulsions, Extreme Fatigue, Disorientation, Extreme Blurred Vision, Problems With Night vision, Extreme Chest Pain, Short of Breath, Extra Sleeping, Decreased Productivity, Confusion, Getting Lost Abnormally, Decreased to NO appetite

My main adverse reaction is elevated heart rate. I noticed this about 12 hours after the shot before I was falling asleep, but I seemed fine when I woke up the next day (20 hours post shot). Then this morning (maybe 40 hours post shot) it was back. My heart rate is notably elevated with a little shortness so breath (I find myself needing to purposefully take a deep inhale and exhale now and then .) It has lessened as the day has gone on and now my pulse seems less elevated but I am notable lightheaded/weak. I had very similar symptoms the Monday following my first dose. My period started 2 days after my first dose, so wasn?t sure how much of my systems were from that vs the vaccine. But now, having the same reaction at essentially the same time (2nd day after shot), I?m pretty certain this is a reaction to the vaccine. (I?ll probably not have my period for another week as my usual cycle is 5 weeks.). With the first shot the problems (elevated heart rate, light headedness) lessened over the subsequent week. The reaction seems neither worse nor better then after the first shot. They are very similar in severity. So my anticipation is this reaction will likely subside over the next week.

I received my second dose of Moderna on April 9, 2021. Because of my health conditions, they observed me on-site for 30 minutes. I am very glad they did. Immediately upon my second shot, I experienced: -severe headache behind left eye; -swollen and numb tongue -numb throat -itchy and tight lips -felt winded after speaking simple sentences, but I could still breathe without obstruction. For the next 5 days, I had fevers and chills, and felt fatigue, and felt the 'pine and needles' sensation throughout different parts of my body at random times. The scariest thing was that the right side of my face, including part of my tongue, went numb. I could still control my face though. The numbness lasted two weeks. 14 days after I received my second, my skin all over my arms, legs, and face has become tight, dry, and extremely sensitive. Many things seem to cause me to feel itchy or get a rash. I feel like the covid vaccine has put my immune system in some sort of active high alert. I am doing or eating things as normal, but find I am now allergic to some things. For example, we put Tajin seasoning on our tropical fruits. I just touched the Tajin and ate some on one slice of watermelon. My hand, mouth, tongue, and throat became itchy. My throat felt a little tight too. I immediately stopped eating, washed my hands, and took benadryl. I was better within hours, and the next day I ate watermelon by itself. On Day 17, I decided to eat a Hannah sweet potato for lunch. My brother even made a yellow curry with them. Immediately - my lips, tongue, and throat became itchy. My tongue felt swollen. Again, I stopped, washed, and took benadryl. Later I played it safe and ate chicken with rice. Since the second dose, I have noticed this pattern of having an immediate allergic reaction to things that normally didn't make me allergic. I have informed my health care provider. I am continuing to keep track of all my experiences.

My husband and I sat down at the same time to get the shot. I got the shot stood up waited for my husband to get his. We then went to the chairs to wait. Right as we sat down I started having to clear my throat. They gave me water and I couldn?t swallow it. I started struggling to breath. They had me lay down and I was still having a hard time breathing. They took my oxygen and it was extremely low. I started having convulsions. They used an Epi pen on my right leg and then called 911. I started convulsing and couldn?t breath or control my body. I lost consciousness right after the ambulance got there. Last thing I remember was somebody picking me up and putting me on the stretcher and then I woke up in the emergency room with them hooking me up to an EEG.

30 Seconds post vaccine, the patient appears to grow unresponsive. Pulse (96) and respiration (20) rates remained unchanged. Patient name called and she opened her eyes. She was able to follow simple commands such as "open your mouth and stick out your tongue". She c/o SOB. EMS on site and immediately summonsed. Upon arrival to the patient's vehicle (vaccine drive through event), they immediately recognized the patient as they are summonsed to her home on a weekly basis for panic attacks. The patient was assessed and begin to respond to questions by nodding her head. She was loaded into the EMS ambulance and he family notified. She was not transferred to the local hospital as her sister arrived and calmed the patient. No further complications.

4/2 - Had a physical where doctor mentioned some small bumps on my upper back. I'd never noticed this visually, nor had they itched or ever been otherwise noticeable/bothersome. This first week was 'hypersensitive' to things I typically wouldn't be. 4/5 - Received my first vaccine. Slight/mild arm tenderness at injection site (left arm) on and off starting a few hrs later. 4/6 - Continued mild arm tenderness. Upper back (where previously noted bumps were) was very hot. Upper lip was minorly swollen (not visibly, by touch only) 4/7 - Was very sensitive to some smells - flowers in my house were very intense which also resulted in minor headache. I don't typically have this type of reaction and the same flowers the days prior and after didn't elicit this response. Went to chiro for an adjustment that evening. 4/8 - Upper back and neck stiffness. Occasionally after an adjustment I'll be tight but never like this. At some point this first week or possibly the week after, there were electric like 'pops' throughout my left side lower leg. 4/11 - Started Vitamin and Supplement regiment from doctor 4/12 - Started detox diet to remove all 'sensitive' foods. Had acupuncture. 4/13 or 14 - The injection site started minor itching and looked like a small bug bite (raised and rounded). Can't recall if this lasted 1 or 2 days. At some point during the 2nd week and continuing through the 3rd week my sinus started acting up - this is not unusual and I don't attribute to the vaccine, but I do think that the vaccine contributed to the sinus issue making me feel more drained of energy and 'hot' all over (but not a full out fever) than 'normal' for when it (my left sinus) acts up. 4/19 - Upper back was hot and quite itchy (very small eczema like bumps) during the afternoon; in the evening arm also was itchy. 4/20 - Work up with rash on injection (left) arm - small area where injection was and larger area slightly below that. Rash was more hot, as opposed to itchy. Mild brain fog / lack of energy (though also didn't get a ton of sleep and my sinus was acting up too - don't think the sinus was likely related to the shot). Felt all over hot, but short of feverish. 4/22 - By end of day the rash was gone. Heart palpitations and could feel my heart beating against my chest all day long. Leg "throbbing pulse" in lower left leg - comes and goes. At some point around here it became harder to breathe in the sense that I was breathing fine, but felt like I wasn't getting enough oxygen, i.e. needing to breathe deeper than normal and was getting tension in my temples. 4/23 - Minor heart "flutters" in the am and evening, but not during the day/as intense as the day before. 4/24 & 4/25 - leg "pulses" less noticeable, but still occurring. Alternating around the lower leg and upper leg - a few even up in buttocks area. 4/26 - leg "pulses" more noticeable - at times more of a sustained throb rather than quicker 'pulse'. Mostly in the lower leg and the upper leg right above the knee toward the interior of the thigh. Acupuncture in the evening specifically addressing my 'fire points' which were 'acting up' - felt overall more relaxed, leg pulses less noticeable and could more easily breathe. 4/27 to 4/29- leg 'pulses' still continue but 90-95% better than previously - not as frequent or severe. Starting to occur some in the right leg now. Began taking Xiao Chai Hu Tang herbs from acupuncturist to get ahead of potential side-effects from the 2nd vaccine.

I felt the worst kidney pain I've ever experienced in my left kidney. Nausea and suddenly heavy limbs brought me to the bathroom floor. I experienced tremors. I struggled to breathe/hyperventilated. Both of my hands seized up, with the thumbs curling inward and fingers in a strange position. I could not straighten them out for several minutes. Then the pain traveled down to my legs. This entire episode lasted about 45 minutes. Afterward, I felt dehydrated and fatigued, even though I never actually vomited.

Patient received the Moderna vaccine at 520pm. At 538pm she complained of throat closing. She felt like someone kept pushing her throat closed tighter and tighter. Pharmacist administered Epipen and patient was feeling better by 540pm.

Immediate elevated heart rate and tingling arm. Repeated episodes of elevated heart rate for 24 hours post injection. Shortness of breath 48 hours post injection

On the injection day Tue 04/27/21, the left arm is hard to lift and a little fatigue; on the next day Wed, only the injection area pain and still sleepy early night; but since the morning Thu 04/29/21, I felt headache, chills, sore throat and fatigue. The situation got worse at the night, headache, chills, sore throat all more severe, the temperature rose from 37.3C to 37.7C, a little dizzy, congestion and runny nose at the same time. Occasionally shortness and sneeze. All together made me almost no sleep. On Fri 04/30/21 I went to an urgent care and the provider did a few tests. He is affirming I have no COVID-19 but the test result comes out in 5 days. He didn't prescribe anything. But I am already much better after much sweating in the early morning: temperature dropped, headache almost gone, sore throat not so severe, shortness of breath also released after changing the mask, congestion in nose gone, but still a little runny nose.

Immediately had drop in blood pressure, increased heart rate to 150 from 65, throat constriction and hard to breathe for 5mins. 2 hours post vaccine headache, fatigue which peaked 12 hours post vaccine. 12 hours post vaccine high fever, chills, strong body aches, pain, nausea for 6 hours. Progressively got better over 48 hours.

After 2nd moderna covid shot: Aches, Fatigue, nausea, headache, foggy head- this was for 24 hrs After above- 2days later- foggy head, headache, exhaustion and trouble breathing 2nd day at night- exhausted, and developed red rash ?covid arm?- itchy, red, swollen, painful 3rd day- today- covid arm more pronounced

She got her vaccine, she started tasting the medicine first, and then her mouth got watery and started having little chest pains. She waited the 15 minutes and left, and did tell the pharmacy lady her symptoms. Her arm was red, and had a headache, but didn't think anything of it. After 2 weeks she had a red arm, hot, shiny and swollen. She went back to the store, and had the pharmacy lady look at it who told her she had an allergic reaction, take some Benadryl and go to her doctor. She took that and went to her doctor as the symptoms did not go away. She sent her to an allergy specialist. She did blood work and went to the specialist and still taking the Benadryl. It was kind of going away, but the rash was warm and he did allergy testing and told her that she had allergies to trees, grasses, etc. During the time of waiting for the test results of the allergy testing she continued to have the headaches and her mouth started getting dizzy. She thought maybe it was just allergies. She was at work cutting hair and almost cut a child as she felt dizzy and fatigued and it gradually came on her. She had to sit down for a while and that feeling did not go away. Her boss told her to finish and she was about to cut a child and went to her car, and laid in the car all day as she could not drive home. She was feeling that it was just some allergies. Called her husband and went to a store within walking distance, and she was holding onto the basket and feeling dizzy and fatigued and was facetiming her husband and then she felt lost, did not know why she was in the store. She didn't remember where the car was, and walked around for an hour not knowing what to do or why she was there. She then sat down to try and get her senses and took something for her headache. She got to the car and zoned out and tried to drive home and was not able to due to the dizziness and fatigue, but could not remember to drive and telling herself to push the gas and was only going about 5 miles an hour. She called her husband and told him that she could not drive home, and stayed in the parking lot a little bit longer. It took her 3 hours to get home, which was normally at 20 minute commute. She went back to her PCP and told her what happened and told her that she did not feel safe, confused, watery mouth and headache. She then ordered an MRI to see what was going on. She then tried to get home again and had another episode and was not able to make it home. She went to the ER and they ran a lot of tests, CT scan, x-rays and told her that all tests were normal. He then looked at her and did a neurologic test and told her hat he could not send her home and told her that she did not look fine. She told him that she did not feel safe, and was not able to function. She gave him a description of how she felt, and told him that she has short term memory problems, and that if she is driving she does not realize that she is. She was then admitted to the hospital and did 2 more CT scans, an MRI, blood work and ended up having a neurologist see her, and told her that all her tests were negative. It was even hard for her to walk and she had to see a therapist for that, and they put her on some medicine for the dizziness and fatigue. She was in the hospital for 3 days. She went back to the doctor on Monday and still having the symptoms, but the medicine did help some. The doctor saw that she could not walk and fell over. She called the neurologist again and did another blood tests to see if she had COVID prior to the vaccine and doubled up on the medicine for the dizziness which did help with that but the other symptoms were still there, but she was able to walk but not drive. She had her go to another neurologist to do an MRI of the brain with contrast of the ear part, and she is to go to the doctor today for those results. From 2/26/21 until now 5/3/21 she has been taking the medicine to function and be able to walk. She tried to wean herself off the medicine but she is not able to walk and the fatigue comes back. She still is not able to drive as the short term memory hits her and she forgets where she is and not able to keep up with the speed of the freeway and driving only 10 miles an hour. She then called the doctor again as she was still having the episodes, she has not been able to work and was told that she probably had to see a neuropsychologist. She also was filing out paperwork at one point and got a headache and was not able to fill out the paperwork correctly, and did not remember her 16 year olds information. She is not able to return to work as the company she was working sold the company and she is not able to cut 2 haircuts a day without breathing hard and used to be able to cut 30 a day. Her body hurts so bad that it feels like if you touch her skin it?s like she had a full work up. Her doctor told her that she did not have COVID but her body is reacting as if she did. She is also used to taking care of special needs and autism kids cutting their hair and is upset that she cannot provide for her family and used to work 7 days a week, 7 hours a day. She is supposed to go to the neurologist today for the results of her MRI (while talking to me she could not remember why she was supposed to go to that doctor). She was also having an episode and not able to speak to me, starting babbling. I told her to take a deep breath and she did collect herself. They are still trying to determine what is going on and why she is having these side effects which she did not have prior to the vaccine. The tests results are showing that she is okay, but the doctors know that she is not.

I got a severe sore throat that started right away and my throat is swollen bad enough that it is hard to swallow

THE PHARMACIST ADMINISTER THE VACCINE TO THE PATIENT , AFTER 10 MINUTESTHE PATIENT BECOME DIZZINES, SWETY AND WITH SHOTNESS OF BREATH. SEHE RECOVERED IN 5 MINUTES ANT THE PHARMACIST GO TO LUNCH AND TELL ME (RPH) THET THETE WERE 2 MINUTES LEFT TO COMPLETE THE 15 MINUTES WAIT. SHE BECAME SICK AGAIN WITH THE SAME SYMPTOMS. (IMZ TECH) CALL 911 AND ALERT STORE MANAGER WITH CODE WHITE. I CHECK THE PATIENT, (IMZ TECH GAVE HER AN ALCOHOL PAD TO BREATH AND I ASK IF SHE CAN MOVE AND SHE SAID SHE DIDNT, I PROCEDEED TO APPLY A COLD COMPRES S TO HER WRIST. THE AMBULANCE CAME AND TOOK HER TO THE EMERGENCY ROOM (1:10pm) HER BROTHER CALLED 5:03PM TO INDICATE THAT SHE IS FINE WITHOUT SYMPTOMS.

Had neasea on April 24 & 25th. Morning of the 25th I started to feel my throat swell6some and tongue. Not enough to go to ER but had to take a couple of doses of benadryl. Also had a cough linger for a week and horse voice with scratchy throat.

Patient history: Lyme disease and pork allergy. Vaccine given at 0912. At 0925 patient experiencing throat tightness, scratchy throat, cough, and chest tightness. Initial oxygen at 98% pulse 70. Patient denied shortness of breath, dizziness, or feeling lightheaded. Patient escorted to the back area for further assessment. At 0931, 25 mg (10 ml) of benadryl administered orally; no difficulty swallowing. VS: BP 160/98, pulse 75, respiration 18, temp 97.2, oxygen 99%. At 0937, patient verbalizes "throat feels better, scratch still there but no chest tightness. I can breath better." At 0939, patient reports symptoms of throat tightness. Patient auscultated, negative wheezing. Bilateral lungs clear. Benadryl 25 mg (10 ml) po administered without difficulty. 0941 VS: BP 180/114, pulse 74, respiration 18, temp 96.2, and oxygen 98%. Patient continues with symptoms but negative for labored breathing, tachypnea, cyanosis, or swelling. At 0952, BP 170/119, pulse 82, respiration 20, temp 95.9, oxygen 96%. At 0955, symptoms continue of throat tightness and hoarse voice; EMS (911) notified and en route. At 0959, 0.3 mg epinephrine (auto-injector) administered IM via left thigh. At 1006, EMS arrived and patient evaluated. Per patient, "still feel scratchy throat". At 1011, patient transported via stretcher with EMS to hospital for evaluation. At 0957, Medical director made aware and in agreement with transport to hospital for further evaluation.

1st vaccine: Within 2 weeks of 1st vaccination, my menstrual cycle began 2 weeks early and lasted for 7 full days (VERY HEAVY), which is very abnormal for me. I also had a rash on my left arm after first vaccination for a couple days. The 2 days following the first vaccine, I had no taste or smell (except sweet). 2nd vaccination: In the first 12 hours, arm started to hurt than whole body hurt intensely. Within one day, I was confined to bed. I could not see or hear. I experieinced cold sweats with hot and cold flashes. My face swelled and I had broken capillaries on my face as well as 22 pimples. (I've never had that before). It felt like I had a migraine in every joint and vertebrae in my body. My breathing became labored within 36 hours of getting vaccine. Today, almost 2 weeks later, I still experieince consistent fatigue and intermittent heat and cold waves,

I administered patient's second Moderna vaccine and after about 5 minutes in my vaccine observation area she stated that she felt dizzy. She did feel dizzy after the first shot as well but at the time she was fasting for religious reasons and her dizzy spell resolved after she broke her fast and drank orange soda. The patient was concerned that would happen again and I made sure that she had eaten today. Her breathing became rapid and she was sweaty. I gave her a wet washcloth to put on her head and neck. I monitored her vital signs and encouraged her to try to take deep breaths and put her head in between her knees. After a little while she said she was cold and was shivering I gave her her jacket. She asked my staff to call 9-1-1 and was panicked. I kept encouraging her to try to take deep breaths and slow down her breathing including meditation techniques and breathing techniques as I thought it was a panic attack as she had no other signs of allergic reaction. No hives no difficulty breathing other than rapid rate. The paramedics came and surmised the same that the patient was having a panic attack and asked if she wanted to be transported to the hospital in which she responded "yes". She was then taken in the ambulance to the hospital.

The day after the 2nd dose of Moderna COVID vaccine developed severe shortness of breath. Shortness of breath has improved some over the past 3 months, but still is present. For example, when doing laundry or carrying bucket of water, or sometimes just talking to my patients at work, I get shortness of breath.

Had 1st dose of Moderna vaccine on 5/2. Had mild arm soreness and developed a round erythematous macule on arm about 5 days after vaccine. Otherwise tolerated well. Had salpingectomy 5/13. Took Miralax the next day. Had an anaphylactic reaction (full body itching, throat tightness), abd cramping, dizziness. Was taken to ER via ambulance. Given epi, steroid, benadryl. Returned to ER the next day for hand swelling. Feeling better now, just run down. Has taken oral PEG in the past without incident (colonoscopy prep a few years ago).

Severe chills, spliting headaches and upset stomach about 48 hr after 2nd dose. Lasted 1 full day then a heaviness in chest set in and I am still short of breath now on day 7.

Client received 2nd COVID vaccine of Moderna (Lot# 021C21A expiration 05/26/21). Client has already completed 30 minutes of observation. At 1800, Client reported to EMT a tightness in her throat and vitals are blood pressure 159/99, heart rate 88, oxygen saturation 97%. At 1801, RN responded to this event. After taking the first set of viral signs, Client states the tightness in her throat has passed and is no longer there. Client reports that her heart was racing when her throat felt tight. Client reports a history of anxiety, takes Xanax as needed, with no known allergies. At 1810, vital signs are blood pressure 169/97, heart rate 88, oxygen saturation 99%. Client reports no chest pain, no tightness in the throat, no headache, no blurred vision, no nausea. RN educated Client about ED precautions and common adverse effects of COVID vaccine. Client was offered supplemental nutrition and fluids. Client accepted fluids, but denied nutrition. At 1818, vital signs are blood pressure 166/90, heart rate 92, oxygen saturation 98%. Blood pressure was taken with an automatic cuff, after this point a manual cuff was used. At 1820, blood pressure is 138/88. Client reports no changes to her symptoms. At 1827, vital signs are blood pressure 122/82, heart rate 97, oxygen saturation 99%. Client reports light headache and reports that she saw white spots when initially entering the observation area but has since subsided. At 1828, left facility with resolved symptoms and with a steady gait. Upon walking out of facility, Client had concerns about adverse effect, PHN reviewed ED precautions, educated about common adverse effects and clarified any questions.

Patient received 2nd dose at 10:50am. At 10:52am patient stated that she was felling hot and started flushing, unable to speak, unable to swallow, had weakness, and unable to breath. Code Blue was called by nurse and provider responded along with medical assistant. O2 started at 3L via NC. IM Benadryl administered at 10:56am. Patient noted to be cold and diaphoretic. IM Benadryl received patient started returning to baseline. patient was able to speak and stated that the tingling sensation improved in her face. she was able to swallow without difficulty. repeated vital signs every 5 mins for the next 10 mins. she was observed for a total of 45mins and discharged home with ER precautions and stable. Patient was picked up by sister who was driving her home.

-15 minutes after shot: Shortness of breath, Shooting pains down left arm. Warmth at injection site. Slight adrenaline response. Swelling in hands, had to remove my rings. -2 hours after shot: I felt really light headed and tired. Broke out in chills and excessive sweating. Went to bed. -4 hours after shot: I woke up to body aches and an extreme headache. Still excessively sweating. Took Tylenol as recommended by staff . Went back to bed. - woke up next day. Extremely fatigued, still having chills. Whole left arm is hot to touch and I feel nauseous. Body still aches. I take more Tylenol and go back to bed. -Wake up later afternoon. I feel much better.

Patient stated that throat sore initially and 25 mg of Benadryl was administered; checked on patient a few minutes later and stated her throat was tightening and 25 mg Benadryl was given again; 911 was called and patient was taken by EMS

5 minutes later, subjective throat tightness and headache. Lasted a few minutes. Tolerated second dose.

The pt came back to the pharmacy after receiving the Moderna vaccine. The pt was flushed, skin was really red and she complained that the throat was tightening. I immediately gave her Benadryl and a bottle of water and after about 20 minutes the pt's face was no longer red and she said her throat didn't feel like it was tightening. The pt was fine when she left and I informed her that the pharmacist on duty would contact her on Thursday.

The pt received the Moderna vaccine and later came back to the pharmacy and she was flushed and she communicated that there was tightening in her throat, I immediately gave her Benadryl and I also gave her a bottle of water . Pt felt much better after about 20 minutes no tightening in her throat and the flushing was gone. The rph on duty tomorrow will call and check on the patient.

Within 6 hours ? headache Within 12 hours ? extreme nausea, chills, fatigue, body aches, mild arm soreness, mild shortness of breath 12-24 hours ? mild nausea, chills, fatigue, body aches, slight cough, more intense arm soreness at injection site

45 minutes after receiving the second dose of the Moderna Covid vaccine, I began suffering with tachycardia, nausea, dizziness, and shaking throughout my body. I went to the ER, was told it was side effects and anxiety, and sent home. The symptoms continued throughout the evening. I then began to have sharp pains in my extremities, shortness of breath, heaviness in my chest, numbness in my hands. I went back to the ER on Sunday 5/16 as my condition was worsening. They did a chest X-ray and bloodwork to rule out pulmonary embolism, gave Benadryl, Pepcid, and Ativan via IV which did not eliminate symptoms, and sent me home. I contacted my primary care doctor on Monday 5/17, he increased dosages on steroids and Benadryl etc. Symptoms continued, I met with my primary care doctor three additional times in the following two weeks as well as a cardiologist to address my rapid heartbeat, palpitations, and heart fluttering. I wore a heart monitor for 7 days, from Monday 5/24-Monday 5/31. I am awaiting results. I am still experiencing all of the same symptoms wIth no relief nearly three weeks later.

Three days after my Moderna vaccine, I experienced tiredness and felt very exhausted. I also had SOB with chest pain and I thought it was due to anxiety. I also had body aches and when I would inhale my chest would hurt and felt a pressure sensation in my chest. I took Ibuprofen and Tylenol for pain medication. I went to health care but they did not do anything and just kept me waiting. I then went to Medical Clinic where a doctor examined me. I told him I was having SOB with pressure sensation to my chest and exams were ordered. He told me that my muscles in my chest and lungs were inflamed. He game me an injection, gave me medications and told me to relax and to take two days off of work. When I went home, I was in bed for three days due to my SOB and weakness to my body. I know for a fact this was not an anxiety attack or my anxiety and this was I feel was related to the Moderna vaccine. To this day I still have SOB that comes and goes and I continue to feel agitated when taking walks, bending down and performing my daily activities.

pt started having chest pains and SOB. On 5/12/2021 pt went toShe had chest x-ray, EKG, lab work. Everything came back normal. She was prescribed some medicine. She was discharged and told to FU w PCP. Pt has not followed up w/ PCP and no longer has these symptoms.

Starting the following it started with a really big hive that looked like a welt on my right arm, it was about half the size of my arm, Day 8 I left work early because I didnt feel right, My throat was closing up. Was treated at the ER for anaphylaxis. It persisted for a few days, was sent home with a epi-pens, I had to take meds for about a week,

3 days after vaccine, I got really rapid heart rate, high heart rate, muscle spasms, fatigue, chest pain, shortness of breath. Over the next 4 days it increased dramatically. I visited my PCP and I had blood work done and that is when I was diagnosed with graves disease. I was back in normal range and got my second dose and then it raised my labs, about April 22nd, 2021 2 weeks after my second vaccine, my labs showed my levels to have increased again. May 11th and June 4th I visited Endocrinologist. On Jan 13th diagnosed with Graves Disease.

According to patient: Approximately 24 hours after receiving the first dose of the Moderna COVID vaccine this patient reported difficulty breathing, swelling of the wrists, ankles and tongue. She was treated at the ED for anaphylactic adverse reaction with good effect.

A few weeks after my 2nd dose, on 5/22/21, early in the morning I began to feel immense lower back and side pain and pressure. Within 10 minutes or so, the pain and pressure began to spread to my stomach and then my heart/chest. I tried to lay down to rest, but felt worse. About 30 minutes later, the pain and pressure was concentrated in my heart/chest area and became intense. The pressure was squeezing the center of my chest but also radiating to my shoulders, arms, and fingers. My arms and fingers went slightly numb. I was light-headed and dizzy. I had trouble catching my breath and breathing deeply. Leaning forward helped slightly. After about 1 hour and 15-30 minutes total (the severity of it for roughly 30 minutes), I was going to go to the Emergency Room but decided to try a hot shower first. Within 5 minutes in a hot shower, the pain/pressure began to slightly ease. After 10 minutes in the shower, I was feeling better enough that I didn't think I needed to go to the ER at that time. I was able to lay down and rest and breathe normally. I experienced some chest soreness and mild-moderate fatigue right after and sporadically since then. I don't know for sure if this was due to the vaccine, but this type of pain is not normal for me. I haven't seen a doctor for this yet, but plan to if the chest soreness continues. I did also experience other symptoms within 3 days of the vaccine's 2nd dose. The same night of the 2nd dose, I had soreness at vaccine site, slight muscle aches, chills, low-grade fever. The following day, I had low-grade fever, muscle aches, slight nausea, fatigue, and general discomfort. The third day, I experienced those same symptoms but more mild.

Patient experienced tingling, numbness, with pain and redness on both of the legs, more so above the knees. She also feel tingling on her arms, from elbow to fingers. She was concerning about the interaction between Moderna and her Invega sus t 234 mg that she inject once monthly shot We advised her to go to ER to check for blood clots. She called and ETM team came to check on her. According to patient, they did not screen her. They just checked on her and confirmed she did not have any blood clots and left. Today, 6/14/21, patient experienced shortness of breath and symptoms described above did not relieve. We asked to speak to her mom. Her mom tried to talk to her yesterday and today to go to ER but she refused. We advised her mom to try to persuade her to go to ER to check. That is our recommendation because blood clots is very serious. We explained to her mom and let her know that they can contact us anytime with anyquestions they might have.

Felt fine first few hours 9pm Fri felt headache went to bed early Felt fine 12:10 midnight Monday sharp pains in chest took over counter advil and then took sleep aide- still had sharp pains 4:00am really hard to breathe- started to drive self to ER- could not make it - half way called for ambulance Oxygen level 61 when EMS arrived In ER Chest xrays and mouth xrays show double clot in lungs In hospital with IV and breathing treatments til Wed.

Extreme exhaustion, fatigue, nausea 1pm 6/14 Swelling of extremities, severe itching in arm pits, crotch and under breasts 4pm 6/14 Rash, hives over entire body, severe itching, trouble breathing, swollen throat and tongue 5pm 6/14 Emergency room 5:30pm 6/14

Patient developed hives about 2 hours after receiving the vaccine. She also reported dry throat and some difficulty in breathing. She later checked herself into an Urgent Care clinic for medical help. The hives on her whole body persisted for some 2-3 weeks before going away.

I woke up feeling just really crappy. My back and my sides were hurting. I was very sick to my stomach and did not get off the couch for a whole day. I went to the Dr and they found blood in my urine. I had a fever. I think it was 101. They prescribed me some medicines and I started feeling a little better. I started using my inhaler because I felt like I couldn't breathe. I had a lot of tightness in my chest. It felt like it was coming over me in a way. It felt like something was pressing on my sternum. When I would try to take a deep breath, everything hurt. I would get these waves of funk. My muscles would randomly contract in my leg. My entire leg was having spasms where I couldn't walk. Then the next day it happened with my other leg. It was like giant Charlie horses in both of my legs. I was thinking maybe I was magnesium and potassium deficient. I started taking vitamins for that. I was still not feeling great. I was sitting on the couch and my husband noticed that on the bottom of my foot there was a target lesion. It was white in the middle. It looked like a blister with a circle of black around it. I thought maybe I just hurt it on my own. Then he noticed more lesions all over my foot. It was all over both feet. He suggested I get it looked at so I went to the dermatologist. The dermatologist said that it was a target lesion and it was part of my immune response to the vaccine. He gave me some steroid cream and told me to apply it for 2 weeks. I then noticed on my arm that target lesions began forming where my surgery scar is. I also developed a UTI. I felt like my bladder was not emptying all the way and my back was hurting. They are starting to kind of go away, but they are still visible. I called Dr. and he asked me some questions. He wrote me a prescription for the next week. He said my immune response basically started at my feet and worked its way up. I am still having drainage and shortness of breath. I feel so sick I just want to lay on the couch. My mother had the same reaction. I also developed a rash on my chest.

Patient reported back to the pharmacy saying having trouble breathing. Didn't show any other signs of anaphylaxis. Patient had a conversation with me and felt better when sat down and removed mask.

This is my 3rd time filing this form because their is an error. Hopefully it takes this time Severe SOB, numbness and tingling of hands, legs, and feet. Cramping of thumbs where they are claw like and cannot move. This lasted for 4hours Severe dizziness/vertigo with intractable nausea and vomiting Took 2 meclizine and zofran at home ER gave 1L NS, zofran, toradol, and valium

I had Covid in December 2020. I also experienced after my vaccine, SOB and was not able to full breaths. I also experienced body aches, fatigue, soreness to my left arm. On 01-15-2021 I went to urgent care where an x-ray of the chest was performed. I do not have any of my symptoms today. I do not have lot# to provide.

Noticeable heart palpations that I have never experienced before after first vaccine on 1/5/21. Physicians assured me that it wasn't related. Said it was probably age despite my very excellent health. Gradually worsening with light headedness and breathlessness. peaked after 2nd vaccine (2/3/21). ER visit on 2/7 due to nearly passing out and sitting on the floor at the grocery store. Increase in frequency and intensity of palpations. Cardiology visit on 3/8/21. Symptoms were improving. Cardiologist said it was age related normal. Symptoms gradually improved through March to now barely ever noticing any palpations.

2nd dose COVID Moderna vaccine given 5/4/21 (1st dose on 4/6/21), admitted on 6/28/21 w/ DKA and E.coli bacteremia, found to also be COVID+ via PCR. CXR showed infiltrates, but patient only with minimal respiratory impairment (up to 2L NC for a couple of days). Patient was admitted to ICU, but due to other illnesses (not respiratory infection).

Epileptic volts; Weakness; Numbness; Unable to stand; shortness of breath /severe shortness of breath/; felt as if someone was sitting on her chest; High fever; Alot of neurologic symptoms; This spontaneous case was reported by a consumer and describes the occurrence of EPILEPSY (Epileptic volts) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030C20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 21-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021, the patient experienced EPILEPSY (Epileptic volts) (seriousness criterion medically significant), ASTHENIA (Weakness), HYPOAESTHESIA (Numbness), DYSSTASIA (Unable to stand), DYSPNOEA (shortness of breath /severe shortness of breath/), CHEST DISCOMFORT (felt as if someone was sitting on her chest), PYREXIA (High fever ) and NEUROLOGICAL SYMPTOM (Alot of neurologic symptoms). On 03-Feb-2021, EPILEPSY (Epileptic volts), ASTHENIA (Weakness), HYPOAESTHESIA (Numbness), DYSSTASIA (Unable to stand), DYSPNOEA (shortness of breath /severe shortness of breath/), CHEST DISCOMFORT (felt as if someone was sitting on her chest), PYREXIA (High fever ) and NEUROLOGICAL SYMPTOM (Alot of neurologic symptoms) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Jan-2021, Body temperature: 103.7f (High) increased For the first 13 days Patient had a high fever that went up to 103.7F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant product was not provided by the reporter.Treatment information was not provided Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded This case was linked to MOD-2021-231098 (Patient Link).

hives breaking all over her body; rash; About one and half hour later she started to have symptoms of anaphylactic reactions; some trouble breathing; complained of dry throat; This spontaneous case was reported by a pharmacist and describes the occurrence of ANAPHYLACTIC REACTION (About one and half hour later she started to have symptoms of anaphylactic reactions) in a 42-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Latex allergy, Penicillin allergy, Drug hypersensitivity (Morphine), Drug hypersensitivity (Vicodin), Drug hypersensitivity (Oxycodone), Drug hypersensitivity (Azithromycin) and Drug hypersensitivity (Anaphylactic reaction to IV Benadryl). On 21-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-May-2021, the patient experienced ANAPHYLACTIC REACTION (About one and half hour later she started to have symptoms of anaphylactic reactions) (seriousness criterion medically significant), DYSPNOEA (some trouble breathing) and DRY THROAT (complained of dry throat). On an unknown date, the patient experienced URTICARIA (hives breaking all over her body) and RASH (rash). The patient was treated with ACRIVASTINE (BENADRYL ALLERGY RELIEF) (oral) on 21-May-2021 for Anaphylactic reaction, at a dose of 1 dosage form. At the time of the report, ANAPHYLACTIC REACTION (About one and half hour later she started to have symptoms of anaphylactic reactions), DYSPNOEA (some trouble breathing), DRY THROAT (complained of dry throat) and URTICARIA (hives breaking all over her body) outcome was unknown and RASH (rash) had resolved. mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was withdrawn on an unknown date. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant products were not provided/unknown. Patient was issued a box of Epipen used as needed. Rash on her body took three weeks to clear. Company Comment : This case concerns a 42-year-old female with a serious unexpected event of anaphylactic reaction, and nonserious dyspnea, dry throat, urticaria, and rash. Event latency 1.5 hours after first dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender's Comments: This case concerns a 42-year-old female with a serious unexpected event of anaphylactic reaction, and nonserious dyspnea, dry throat, urticaria, and rash. Event latency 1.5 hours after first dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

So right after the second vaccine, I had problems, my kidneys were hurting and I had difficulty breathing. I had scheduled to get bloodwork done and after that work it showed that my kidneys were not functioning like they were supposed to. I told my DR that I felt like I had mono. My DR said tests results show that the results are similar to mono. I also lost like 8 pounds and had basically no strength. I was so tired and had to continue working, wearing two face masks and a shield because I work at a school. I was also dizzy and fatigued and would just sit down on the floor because I was getting so dizzy. I am also sleeping a lot. When school ended I was able to really just sleep a lot. Usually I would wake up on my own before 5AM but now I sleep in several hours past then. After medical tests the DR put me on two allergy medications and an antibiotic. The antibiotic was Azithromycin 500MG for five days 1x daily. The medications I am still having problems with my lungs/breathing and the tiredness. I also had a cough which seems to be getting better but I am still not recovered. I did not take the inhaler from the DR because I didn't want to take the antibiotic at the same time due to a worry about thrush.

It exacerbated my breathing issues. I had trouble breathing for a week straight, had to use my rescue inhaler more often than usual after getting my 1st dose of Moderna vaccine.

Nearly immediate Heart palpitations and high blood pressure at time of shot, as well as arm numbness, and nearly fainted within first few minutes of vaccine. Palpitations continued on/off for 24 hours. In days following, out of breath symptom appeared on day 4 post vaccine, and continued palpitations (though not as frequent) , as well as increased general heartrate and feeling of heart beating out of chest presented as well. Symptoms continue nearly daily until present day- July 12, 2021.

Within 1-2 minutes of receiving the vaccine, patient stated feeling hot with stomach discomfort, itchiness, heavy sensation on the chest causing a difficulty in breathing, and seeing stars.

Dizzy, lightheaded, hard to breathe, both arms turned bright red Lasted 2 min or so and symptoms started to dwindle on their own

About 2 weeks after my second dose of Moderna, I experienced sudden supraventricular tachycardia while I was at work on 02/12/2021. I was taken to the ER where I was cardioverted with Adenosine. I was sent home from the ER, however, I developed chest pain, heart palpitation, shortness of breath on exertion, and elevated heart rate that persisted for about 2 more weeks. I had multiple visits with my doctor and a series of blood tests, EKGs s and an echocardiogram.

Headache every single day since the second dose of the covid vaccine in April, 2021. Cough and/or shortness of breath every day since second dose in April, 2021

March 17: 9am Covid vaccine: not immediate reaction. Got home, got a rash. Took Allegra to control reaction. got very tired, slept all day. No fever, no coughing, pain in arm where shot was given. Started on Torprol XL, and aspirin, as palpitations got stronger and hard to control heartrate. Gastro Issues, stated on baking soda for abdominal pains. March 23: Gastro issues with intense abdominal pains (visited Dr., but never associated to Covid shot). Started gastro meds. March 29: Dr./Gastro. Clinic, ultrasound. April 6th: asthma attack; visited walking in emergency clinic, started prednisone. April 15: fatigue, dizziness, lack of concentration, easily tired, lack of energy, 'drunk feeling started'. visited general physician: Orthopedic Doctor (Dr.), ENT (Dr.), Eye doctor, dentist and waiting on appointment with neurologist late September. Still fighting dizziness on and off,, memory loss, facial pains, intense headaches, exhaustion for no reason.

I had muscle soreness and a lot of joint pain. I also had a rash on my left arm. I had trouble breathing 8 hours after the vaccine. I feel like I'm breathing out of straws. It varies in intensity. I'll wake up and not be able to breathe well. I've been on 2 different antibiotics. Once in March and one recently. The antibiotics helped to get rid of the infection. I also have black and blue marks all over my legs that are unaccounted for. I did a ropes course and did not experience any trauma, but I have at least 40 black and blue marks all over my legs, hips, arms but not my trunk which is where I would've expected it. I thought my breathing was due to allergies, but I do not experience runny nose, itchy eyes or anything common with allergies. I am using arnica for the bruises. They seem to be healing faster than a normal bruise. I use a nebulizer when I can't breathe. This just eases the coughing symptoms. The nebulizer just puts of the infection. I am not coughing up mucus or anything, but my breathing is just constricted. It takes effort for me to breathe.

3:45 PM heart started to race with a rate of 160, throat felt tight, arms heavy bilateral with numbness and tingling, elevated blood pressure 180/110. I felt like I could run a race, but not move my arms and was nauseated. I also ended up getting the shingles on 06/01/2021 after the Covid vaccine.

SYMPTOMS: SWELLING IN THE LINING OF HEART, NAUSEA, CANT BREATH REALLY BAD FATIGUE FOR A WEEEK, MASSIVE HEADACHE. CURRENTLY TAKING ANTI ANFLAMMATORY FOR PAIN AND SWELLING. PATIENT DIAGNOSED WITH PERICARDITIS AND COSTOCHONDRITIS

I felt weak, my heart rate went up to 120's, my SBP went up to 150's, I had SOB and felt I was thirsty and I need air and I had severe headache few minutes about 5 -20 minutes after I had shots. I took Ibuprofen for severe headache and sore on my Left upper arm at the injection site. Yesterday 1/2/21 I observed at the injection site has some redness in circular area, warmth to the touch and slightly sore. I met my PCP last 1/28/20 and had my physical exam.

Patient felt tingling and vibrating in all extremities right after the vaccine. She was hyperventilating. Had o2 sats between 98-100. HR ranged from 100-117. She was clammy with no chills. Rapid COVID test performed and it was negative. Because the patient complained of trouble breathing and was about to use her AuviQ, paramedics were called. The patient did go with the paramedics.

about 2 minutes after receiving the shot I felt like I was having an allergic reaction in my chest area. My lower esophagus got extremely tight and then it worked its way up to the back of my throat. It felt like there was a lump in the back of my throat, along with burning in my throat. This same reaction also occurs when I eat certain foods I'm intolerant to. I felt very dizzy right after as well. After exactly one hour my throat symptoms went away but suffered from residual effects for the next few days. The next day I couldn't lift my left arm(which went away 2 days later), I was out of breath with everything I did, dizzy, muscle cramps, chills, body aches(as though I had the flu) and had extreme fatigue. All of theses symptoms lasted for the next week almost two.

Exactly 1 week after receiving dose, my left arm became swollen and itchy about 2 inches below the vaccine site. The area affected was about 3 in x 1 in. The redness and swelling proceeded to get larger over the next 24 hours, and now is about 5 in x 6 in. I have started oral doses of Benadryl. Today, my throat is a little sore and feels swollen.

(R) lung region- Persistent dull pain, with sharp pain present when taking deep breaths, yawning, coughing, sneezing. Occasional mild chest tightness on (R) side upon exertion. No shortness of breath, no respiratory labor. No dizziness / headaches noted. No sided weakness, general fatigue noted. V/S= 115/68; 97.5; 68; 19; 8/10 (to affected areas mentioned); O2= 99% in room air.

Dry throat progressed to cough that continued to severe cough, difficulty breathing, while driving. Pulled over and contacted paramedics. Outcome unknown at time of report

The patient had a previous reaction to a flu vaccine. She was treated for Bell's Palsy related to the flu vaccine 3 years ago. The patient with the moderna vaccine started feeling left arm weakness and the arm felt heavy. She was unable to lift arm. She had a lump in her throat but minimal difficulty breathing and swallowing. She then reported right arm weakness and being unable to move either arm. She was having episodic type reactions. Every few minutes she would lose color and appear to be having difficulty breathing and swallowing but would come back to normal within a minute or two. After the 4th episode in which she stated she was going to pass out and could not move her legs, we had EMS called to come monitor the patient. EMS took vitals and monitored for and additional 20-30 minutes. The patient refused to leave with EMS and I continued to monitor for a short time longer for the duration of about 1.5 hours.

Pt stated feeling light headed, difficulty breathing, dry mouth possible related to anxiety. Symptoms lasted about 8 min.

Extreme pain, swelling, redness, and heat around injection site started approximately 6 hours post injection. Pain and swelling moved down into armpit and below followed by extreme itching. Swelling and pain then moved down to left elbow. Then I developed throat itching, difficulty swallowing and wheezing. I also developed joint pain in opposite shoulder. I immediately took 600 mg Ibuprofen and 50 mg Benadryl . Itching, redness, and wheezing, and difficulty swallowing resolved about 30 minutes after taking the medication. Next morning (today) I still have pain and swelling around injection site. Pain in left elbow and right shoulder joints. I still have moderate pain and edema below left armpit.

Difficulties breathing within 5 minutes of getting the vaccine, Lightheaded, fast heartbeat, pain on the arm of injection. Within 1 hour: headache, tiredness, swelling on the site of the injection.

AT 28 MINUTES PATIENT BECAME ITCHY, BENADRYL 25MG GIVEN, T-98, 125/81, 85, MONITORED ADDITIONAL 15 MINUTES. 0851- CONTINUES C/O ITCHING, ESPECIALLY FACE, NO OTHER SYMPTOMS REPORTED. T- 98.3, 130/88, 80. 0900 25MG BENADRYL 0909 CONTNIUED C/O ITCHING. 0926 REDDENED SKIN AREAS ON HANDS AND FOREARMS, OCCASIONAL SOB WHEN TAKING A DEEP BREATH.

within 10' of injection , developed Wheezing, flushing and lip/ facial swelling. Transferred to ED and treated with epinephrine, Benadryl and albuterol. Po Benadryl and Pepcid. Sx resolved and remined in ED for 6 hrs observation. D/c'd to home

Called to see pt in drive up lane 7 min post vaccination. She immediately felt after the vaccination, numbness and tingling in L face on the buccal side and her L arm. She felt like her L side of the face and eyelids were swelling. She was agitated and worried. Past medical history of breast cancer and axillary swelling. Initial examination lungs CTA, regular tachycardia. Pt moved to observation area. Initial vitals: BP: 154/82, HR 129, 97% O2 Benadryl 25 mg po given at 10:25am EMS notified and first injection 3mg Epi pen injection given at 10:41am; 911 called. BP 154/82, 136, RR 20, O2 sat 99% 10:43am. Second epinephrine 3mg injection given at 10:44am. BP 162/84, HR 131, RR 22, O2 sat 100% at 10:49am. At 10:49am, she suddenly was short of breath, general mailais, delayed ear swelling, and was put on a stretcher and 10L non rebreather. She was brought to Medical Ctr at 10:54.

Moderna COVID-19 Vaccine EUA Around 4pm on January 14th, left upper arm began to swell and feel sore, becoming very painful, radiating down left arm and up left shoulder and had pins and needles in my left hand and could not really lift my left arm. Around 5pm I began developing a headache. At 6:30pm I developed a 101 degree fever, and took ibuprofen 600mg, my headache was more severe, I had chills, body aches and my left clavicle became swollen. My heart was pounding and I felt short of breath. The racing heart and breathing resolved by 8pm. By 1am on January 15th my fever was 101.8, I had significant swelling in my left arm, left shoulder, back of my neck, upper back, and back of my head. I had a severe headache. I took ibuprofen 600mg at that time. The swelling improved by 3am. By 8:30 am my fever was 100.7. I took 600mg of ibuprofen again and by 9:30am my temperature was 99.8 degrees. I continue to have a mild headache and fatigue.

Tight chest, shortness of breath, welts, red rash, swollen tongue, swollen bottom lip, itchy body, itchy mouth and throat, fatigue, tingling on legs, arms and hands

1530:This RN to car pt reports hives to chest and swelling to mouth.Urticaria noted to anterior chest.Pt's husband states her cheeks appear swollen.HR100,BP 100/70. EMS called immediately.Pt removed from car 1537 and transported to medical tent, laid flat.Upon arrival to tent pt states "I feel like my throat is closing." Pt did bring her own epi pens. This RN verified epi pen dosage 0.3mg and administered to left thigh 1539.EMS arrived 1542, report given to paramedic.Pt reports feeling better after epi pen administration, hives are improving to neck. EMS team transported pt to back of ambulance and to Hospital. Pt's husband updated.

received vaccine at 1140, by 1630 I felt flushed, and light headed, and slightly hypotensive at 98/56, over night I spiked a fever rangeing from 99.8-100.8, with chills, dizziness, generalized fatigue and body aches, some sob w/ activity, and speech, some tachycardia w/ a hr 115-125, I was unable to report to work 01/15/2021, sxs did not improve until late afternoon 01/17/2021, was able to return to work 1/18/21 with continued sob w/ exertion, generalized body aches, and fatigue

On 01/08/2021 I received the 1st Covid-19 Moderna vaccine at 1:45pm. At 2pm felt a warm feeling go through my body. At 2:10pm My heartrate went up and felt pain go from right arm into my neck. At 2:15pm I stood up and Heart rate went faster and felt it in my head Pulse was 138. At 2:25pm Pulse went to 152 and bounced between 115-140's. At 2:35pm Blood Pressure was 157/110 and my chest felt tight. I was feeling dizzy. 2:45pm was put in another room, Still I didn't feel well. At 3:15pm moved to another room they did an EKG it showed sinus tachycardia. 3:45pm went home. 4:pm discovered hives. I also got flu like symptoms for 3 days and a lot of pain and swelling of arm. I also got SOB and chest tightness, Which I

Noted hive area day 11 s/p vaccine, some mild asthma wheezing, but I have allergies so it?s hard to tell if this is related. This is the only area where I currently have hives. Still have them now day 13, spread a bit today on day 13.

Reports red rashes to bilateral upper extremities within developing 3 minutes post vaccination. Felt lump to throat developing, dizziness, warm flashes, felt like fainting, and shortness of breath. She was taken immediately to ED and was provided medications in the ED- IV benadryl and sodium medrol. Lump to throat relieved after medication IV administration. Was prescribed diphenhydramine and prednisone on discharge.

Approximately 15 minutes after injection I became itchy; the itchiness covered my body from the top of my head to just above my knees. About 5 minutes after that my face became tingly and my breathing became shallow. At this time my blood pressure, pulse ox and pulse were taken. They were all normal, however my breathing was still labored. I used my rescue inhaler, was given a double dose of allergy medicine and 800mg of ibuprofen. Within a couple of minutes my breathing had returned to normal. Approximately 20 hours after injection I suffered from a headache that lasted around 6 hours. I also became very tired; the day of the injection I slept 10 hours and the following day I slept 12 hours. On both occasions I woke up to an alarm, so I have no idea how long I would have slept on my own accord. Final thing to note which may not be related, but merely a coincidence: since receiving the vaccine, I have been unusually thirsty.

Sore arm at injection site on 01-14-21 Arm pain worsened, fatigue, sore back, muscle pain in back 01-15-21 Developed small rash on right side of stomach 01-17-21 Rash was inflamed, and noticed two more patches of rash 01-18-21 8:30am MST Made a virtual health visit with Presbyterian Health Services 01-18-21 10:00 am MST Diagnosed with Shingles 01-18-21 10:30 am MST Noticed some pain when taking deep breathes at the site of the rash. Prescribed Acyclovir 800MG 5 times/day for 7 days (Took three pills) Noticed more rash appear along the side of the stomach towards the back. Rash is itchy and hot. 01-18-21 7:00pm MST Using Hydrocortisone for the itchiness as needed.

Burning/ Scratchy throat that progressed to a feeling of throat swelling, rash on throat, tongue edema, ears "clogged". She was taken via ambulance to hospital. Received epi/ benadryl/ steroids and was released a short time later.

Patient received second dose of Moderna vaccine and a few minutes later stated she "can't swallow" and her throat felt tight. Patient received benadryl 25 mg IM and was able to swallow. A second medical first response was called shortly after for continued difficulty swallowing, and the patient was given epinephrine IM. The patient was then transferred to the ED, where she received dexamethasone 10 mg IV and a liter bolus of NS. Patient was discharged from the ED at 11 am.

Day of the shot 1/13/21 my arm got very sore by the evening I felt the soreness move under my arm into my armpit down the side of my breast, which lasted several days- 1/14/21- extreme Fatigue and body aches- and chills worse than when I had Covid- 1/15/21-shortness of breath, very dizzy with pain in arm and side was still very painful- 1/16/21 I decided to go to the Walk in clinic to make sure what I was experiencing was normal, they recommended I go straight to the ER- I went to park west ER and was checked out and released- my injection site was getting bigger each day, and felt hard and hot; 1/17/21 - arm was still sore headache and dizzy nauseous with some diarrhea , 18th 19th about the same 1-20/21 Headache, very dizzy felt like I was going to pass out, diarrhea in the evening- arm is looking a lot better 1/21/21 arm was numb and tingling all day - tried to get back in with a dr and was not able to! Starting to feel back to normal after having 10 days of symptoms- injection site still slightly tender but looks better

Moderna COVID-19 Vaccine EUA - 3 Days post administration developed severe headache/ nausea - lasted 7 days , then onset of extreme fatigue and shortness of breathe lasted 7 days. 15 days post administration symptoms subsided

EXTREMLY SLEEPY FOR ABOUT 36 HRS. TROUBLE BREATHING. HAD AN ASTHMA ATTACK. IT WAS LIKE FLU SYMPTOMS. ONLY ISSUES I HAD PRE-SHOT WAS A COUGH. THE SHOT HOWEVER STOPPED MY COUGH.

Immediately afterward throat swelled and had burning sensation Also had extreme muscle aches Mild fatigue Headache Site injection pain

At 08:15, first response was called to tend to a hospital employee at the vaccine clinic as she was unable to swallow and disclosed that she self-medicated using Benadryl 2 hours after her first COVID vaccine d/t symptoms of "scratchy throat" She did not say "yes" to any of the consent questions prior to administration of 2nd vaccine dose to indicate any concerns. Symptoms progressed to difficulty breathing within a few min. and 25 mg of Benadryl IM and Epi 1mg SQ was given on-site. The employee was subsequently transferred to ED at 08:40 am. She was given Decadron 10 mg IV and Famotidine discharged home. Today 1/26, her wheezing/stridor persist and she has schedule to f/u w/ her PCP.

Pt with known history of severe asthma, tolerated first vaccine well. Second shot given this am, stable after 30 min observation period. Returned ten minutes later with chest tightness and sob c/w asthma exacerbation, taken to ED

Several minutes after receiving Moderna COVID-19 vaccine, patient's face started to become flushed, swollen, and she had trouble breathing. This anaphylaxis reaction started at 3:40 PM . First dose of epi was given at 3:43 PM. After first dose of epi was given, patient's breathing normalized and swelling was reduced. EMS was called during this time period. At 3:49 PM, patients lips and mouth started to swell and patient couldn't breathe. At 3:50 PM, a second epi pen was given and patient could breathe easier. EMS arrived shortly after and was taken to emergency room.

Pt with known history of severe asthma. Tolerated first vaccine well, observed for 30 mins after vaccine, doing well, returned to area 15 mins later with chest tightness and shortness of breath consistent with asthma prior - taken to ED for evaluation given history.

Woke up at 345 on day three with a swollen left side of face, neck, throat, left arm. Also developed a rash on face and neck and day four developed an abscess on neck which became infected. Also still have swollen lymph nodes in neck on both sides

Loss of taste, scratchy throat, skin burning, and rash approximately 4.5 hours following vaccine administration. Approximately 5 hours following vaccine administration patient appeared out of breath and disclosed that her throat felt as if it was getting tight. Patient was directed to call 911 and presented to the ER.

Employee states she had low grade temp after the vaccine. The day after vaccination (1/27/21) her heart rate was between 140-150 and she described feeling she was short of breath. She was seen at an urgent care where an EKG was done and she was given 1 Liter of fluid. Employee feels better today and is resting at home. She says her HR was around 110 while resting in bed at home. She states she no longer has a fever.

43 y/o F w/ pmhx of asthma requiring intubation x2 (most recently in 2017) c/b PE s/p AC presents with acute onset SOB s/p 2nd dose of COVID vaccine 30 minutes PTA to ED. Pt initially presented to express care and sent to ED. Pt w/ increased work of breathing. Pt c/o chest tightness. Denies fever/chills, URI sx, cough, CP, palpitations, N/V/abd pain, urinary sx, LE swelling, numb/tingling. Denies throat closure, itchiness, rash. Pt on prednisone 30mg daily for a recent asthma exacerbation that has been improving. Denis prior allergic reactions. 43yr female pmhx previous hx of pe, asthma on chronic steroids comes in with shortness of breath s/p covid vaccine. Patient on steroids for asthma exacerbation currently. Vitals show that he is tachycardic, other vitals wnl. On exam patient talking full sentences, no accessory muscle, no wheezing, saturating 100% on room air, no rash, no stridor. ddx allergic reaction, less likely asthma exacerbation vs anxiety, less likely pe. Plan for benadryl, steroids, pepcid, labs, chest xray, covid-19, reassess.

Headache, chills, generalized muscle aches, arm pain, fatigue, nausea, stomach pain, congestion, rapid heart rate and breathing.

Extreme stabbing lower right quadrant pain. Extreme pain in arm, neck, shoulder and back, also lower back. Severe vomiting. High fever, chills, body pain, extreme lethargy, shortness of breath.

Had analphylaxis reaction 5 minutes after recieving COVID vaccine at 0916. She was having wheezing, tightness of throat, and difficulty breathing, nausea. She was treated with Albuterol inhaler followed by self injecting epipen at 0925 with improvement subsequent respiratory distress She was given supplememental oxygen and code team was called and arrived within 3 minutes. IVs started and given IV benadryl 50 mg and IV solumedrol 125mg @0941. She continue to be in respiratory distress and 2nd dose of epipen at 0946 was administered. She continue to revert back to anaphylaxsis, She was adminstered 3rd epi injection at 0958 am administered by the paramedics and transported to Hospital.

She received her first dose of Moderna COVID-19 vaccine at 7:30 AM on 1-22-21. At 9:15 AM, she felt lightheaded, her heart was racing, and vertigo. She had a nurse check her blood pressure and it was 101/65 and her heart rate was 138 bpm. She felt presyncopal so she went to the ED for evaluation. By the time she got to the ED, she felt her throat was scratchy, and when she would lie down flat she felt her throat was occluding. She notes that she is s/p tonsillectomy in 12-2020, and considered whether that was playing a role in her symptoms, but she had not had any of those throat symptoms for 1 week prior to getting her COVID-19 vaccine. In the ED, she was given IV medications and IV fluids. ENT was consulted. Her symptoms got better with medications, she is still experiencing some throat dryness but otherwise is feeling back to her usual self. She never had any rash, flushing, itching. She had a little tenderness at the injection site only. She never had any difficulty breathing, lip/eye/tongue swelling, wheezing, coughing, shortness of breath, vomiting/diarrhea/abdominal pain. She did have nausea when she felt vertigo.

A few minutes after receiving the vaccine I began to feel light headed, dizzy and my heart rate was climbing. I wear an Apple Watch and notice my heart rate was steadily climbing. I asked the exit secretaries to be seen by a nurse and as they were getting a nurse my heart rate reached 169 and I was feeling faint and beginning to shake. When the nurse came she noticed how white my hands were and my breathing was becoming labored. The nurse called a code white and an ICU nurse and respiratory specialist arrived to assess me. I thought I would pass out and they had me lay on my back with legs up. They tested my blood sugar and were assessing my vitals. My breathing was fast but I was still able to breathe. My heart rate started to slow down but remained somewhat high. they helped me into a wheelchair and escorted me to the emergency department. I was assessed for cardiac concerns and labs were taken. After a couple of hours in the ED the dizziness started to subside but I had excessive thirst and dry mouth and slightly swollen tongue. I had feeling of butterflies in my stomach off an on. My heart rate stabilized and I was cleared to go home after four hours.

Took vaccine on 1/21/21. Symptoms on 1/23/21 included widespread rash, lips swelling, hives, dizziness, trouble breathing. Received epinephrine, steroids, benadryl. Diagnosed with acute anaphylaxis due to possible allergy to Polyethylene Glycol

Anaphylaxis. 2 minutes after injection I developed tingling of lips and tongue. 5 minutes after I couldn't speak well and developed a cough. 10 minutes after ER doc gave me pepcid 20mg and zyrtec 10mg. Cough and shortness of breath started and tongue swelling. I was then taken back to an area with team including ER doc and 2 nurses. Given benadryl liquid and ultimately epi injection. Called Ambulance and taken to Hospital where I was given more benadryl IVP, ativan, and monitoried for 8 hours. Pruritic, congestion, and difficulty talking since day of shot. this is day 2 after injection

1/25/21 received vaccine; mins after paramedics called pt was experiencing blackout, blood pressure high, high heart rate, heart flip flops, weak, tingling hands/feet, difficulty breathing, cough to be able to breath, chest pains, splotchy skin areas, brain fog, hot/cold, happens every morning since besides 1/28/21 takes two hours to shake, symptoms returned 1/29/21 morning.

Palpitations Fast heart rate Fatigue Moderate body aches Moderate chills Headache Nausea Sob- may be anxiety related

about 30 minutes post vaccination, pt began having tightness in her throat and itchy, raised, red rash. her vital signs were stable, lungs were clear. she was given oral Benadryl, inhaled albuterol (MDI and nebulizer) symptoms improved, vitals remained stable. she felt hot and flushed, improved after wet towel to skin. she was released at about 6pm (1.5 hrs after vaccination).

On 1/25/2021 I became itchy and trouble breathing and broke out in a red bumpy rash all over my body within 10 mins. Went to ER and was given 60 mg steroid and 50mg Benadryl the a Methylpresnisone taper back 4mg for 6 days plus Benadryl PRN and inhaler.

Dose 1: Light headed, asthmatic light breathing after 10 mins. mild headache within 1 hour. Extreme Headache lasted 4 days intensified after first full day, arm tenderness 5 days Dose 2: Light headed, extreme nausea, heat flush, redness in face within 5-15 mins of shot. Continuous nausea, no appetite for 18 hours; first evening sever fatigue full body aches, low mobility in legs, serve chills and extreme headache; second day nausea improved, fatigue, body aches, chest tightening, intermittent headache - treated with Advil. Evening fatigue, chest tightening, chills

Fever of 106, extreme swelling of arm at injection site, tinnitis, shortness of breath, tachycardia, headache.

After 4 days of my first dose of moderna vaccine i felt tightening on my throat. I took benadryl, after like 15mins i started to feel relieved. That?s why I?m not taking the second dose. And the. 14 days later after that first dose i woke up in the middle of the night feeling like my chest gonna pop out, i counted my pulae they were normal but i was so weak to even get up and get water on the table which was 6 steps from where i sleep.

itchy throat, nausea, vomiting, SOB, coughing, gave oral benadryl, pt vomited it up, throat swelling. Benadryl IM 50mg given in right deltoid and epi injection, EMS called, pt went to ER.

Seconds after the injection I had severe dizziness and was sore on the vaccine sight. Within 12 hrs of that I experienced stomach flu-like symptoms, next it was body aches and difficulties breathing. My chest began hurting by my heart. My symptoms worsened by the hour

2/6/21 - Began with injection site soreness, then progressed to full body/muscle soreness throughout the night. Fever and chills began the first night (didn't take temperature). Short of breath on the evening of 2/6/21 with moderate activity. 2/17/21 - Fatigue throughout day. Slightly (less than 2/6) short of breath with mild- moderate activity on 2/7. Fever, chills, and body/muscle aches continued throughout 2/7/21 and were moderate (muscle/body aches severe) until about an hour after taking 1 pill of over the counter ibuprofen at 2 p.m. on 2/7/21. Symptoms returned as the ibuprofen wore off, and I took another 1 pill of ibuprofen at about 9:30 p.m. on 2/7/21. Symptoms then diminished except for some mild back pain. 2/8/21 - the only symptoms are some fatigue and mild back pain (could be unrelated and just due to activity). No medications taken on 2/8/21.

Patient was given vaccine at 1051AM and was monitored in parking lot for 15 minutes. Patient was near the 15 minute when a lot attendant came to me saying the patient had an itchy throat. I went to patients car to assess the patient. Patient c/o itchy throat. At approximately 1112AM patient stated that her throat felt like it was closing O.3mg EPI was given in left thigh and 911 was called simultaneously by another person. Approximately 8 minutes later patient stated her throat was closing again. A 2nd dose of 0.3mg of EPI was administered in left thigh while awaiting EMS. arrived, EMS started IV patient transported to ER for observation

2/5 0200 woke with significant joint pain in elbows/hips/knees and slight headache, this lasted on an off throughout the day 2/5 1300 fever/chill/fatigue, significant headache 6/10, arm pain at injection site - could not lift arm over head, fever/chills abated within 3-4 hours, all other symptoms lasted throughout the night, wheezing 2/6 - symptoms worsened, migraine headache 8/10, muscle pain, joint pain in knees/hips/hands, became "foggy" and clumsy - bumping into things, cutting my hands 3x with knives while attempting to fix food, then decreased appetite, very fatigued, fever/chills that last a few hours through the night, wheezing 2/7 - migraine headache 7/10, join pain ongoing, still foggy and clumsy - confused at times, very fatigued, muscle pain gone, still trying to lay down, no appetite, wheezing is gone 2/8 - called off work, still foggy (but no longer clumsy), headache 6/10, joint pain stopped mid-afternoon, still tired most of the day (likely my body trying to recover), appetite returned 2/9 - able to return to work and feeling almost back to normal

I got the Vaccine at about 1:45 PM. About ten min later my heart started racing and it was getting harder to breathe. We called over someone in the waiting lot and they accessed me and gave me benadryl. After another 5-10 min I couldn't get a good breathe, hard time swallowing, couch and itch in throat and got an epi-pen and transported to ER. I was put on steroids and beta blocker and stopped the reaction. While in the ER my O2 went down to 92 but I was better than before. I went home after hours of observation with prednisone and Beta blockers. I followed up with my Dr. When the 5 day steroid was stopped I almost immediately started struggling to breathe again and hard time swallowing. Dr. put me on a longer dose of prednisone. I'm starting to taper off the prednisone and my throat is hurting, itching and a little swell. I follow up again today.

Became extremely sick, including dizziness, shortness of breath, wracking cough and congestion on top of all listed normal reactions, of aches chills, fever, tiredness, muscle aches and pains, injection site itself developed into cellulitis, hence the urgent care vist

Started feeling mild throat tightness around 5 minutes after vaccination, then 10-15 minutes after vaccination lips felt numb. Client was able to swallow and there was no swelling. Client was monitored for worsening symptoms which did not present, and client refused transport to ER. Client's partner agreed to transport to nearby urgent care for further evaluation, outcome unknown.

My throat became swollen, developed an ulcer-type rash that extended down the backside of both my arms to my elbows, left hand and on my right knee. I was given an EPI shot in the right leg and a shot of Benadryl.

The morning after the vaccination, I awaked to chills, later I experienced fatigue and fever, shortness of breath with exertion for 2 1/2 days, loss of appetite and nausea for 5 days, all resulting 1 missed day from work. and I am still after nausea after eating at the time of this report.

?Moderna COVID-19 Vaccine EUA? Symptoms started at roughly 9:30 AM, 5 minutes after receiving the Moderna Covid vaccine. She first experienced mild throat tightness that has persisted since onset. After about 20 minutes she additionally began to experience perioral numbness. Symptoms were consistent with prior anaphylactic reactions during which she did not develop hives and shortness of breath until 4-5 hours later. Currently she reports vague heaviness with breathing though denies feeling short of breath. Associated symptoms include lightheadedness and fatigue. She denies fevers, chills, recent illness, chest pain, abdominal pain, or hives. She was initially treated with diphenhydramine 25 mg and was observed for a couple hours. Symptoms did not significantly improve and she began to develop nausea so she was given a second dose of diphenhydramine and 1 L LR bolus. Roughly 45 minutes later she continued to be anxious and began to report mild chest pain and abdominal pain. She was given Epinephrine 0.3 mg and prednisone 60 mg at that time given concern for developing anaphylaxis. Symptoms did not progress further over the next 2 hours of observation in the ED. Discussed with the patient that symptoms were likely not a result of anaphylaxis and she was comfortable with discharge at this time.

shortness of breath, wheezing; Medications given at ER on Feb 17, 2021; albuterol HFA (4 puffs), last given at 2:47pm; Diphenhydramine (Benadryl) (50mgs) , last given at 2:47pm; famotidine (Pepcid) (1 tab), last given at 2:47pm; I was discharged after 1 hour of observation, with my breathing back to normal. I have a history of cold-induced asthma and since the pandemic, I rarely venture outside of my house so this could also have been a reaction to the cold.

Patient started to complain of chest tightness and coughing at 1545, was hot with mask on, used her albuterol rescue inhaler because thought it was asthma acting up. No relief after 2-3 minutes, Doctor notified to evaluate. Epinephrine recommended, EMS called. Epinephrine administered at 1558. Respiratory relief with epinephrine, patient started itching chest, back and arms. EMS arrived at 1620.

Developed excruciating pain in back, unable to take deep breaths, severe headache, and legs weak. Instructed to report to ER or Urgent care. She went to an ER, but did not stay due to long wait. Symptoms subsided on their own.

2/4/21; up all night with chills & muscle aches and headache-no fever! The next day, muscle aches & chills continued, and were joined by exhaustion, fatigue, sore throat, swollen lymph nodes, migraines, chest congestion (for one day). The symptoms continued to worsen each day, and on 2/09, I vomited and went to the clinic. I tested negative for Covid-19, (both the rapid and 3 day tests), negative for the flu, negative for strep. I started taking Excedrin for the migraines, and it helped, but prior to that, no medicine was working. I continued to rest and take Excedrin. Daily symptoms continued to include: migraine, fatigue, chills & aches, swollen lymph nodes, sore throat, could only warm drinks & bland food. Also nausea, short of breath. These symptoms continued to slowly improve, but I had them through 2/19.

Symptoms of anxiety, hand and face skin tingling, and mild SOB began at 2:50 PM. Patient stated she had a history of anxiety. BP 132/94, Pulse 124, O2: 98% (measured with finger pulse oximeter). At 3:12 symptoms progressed to blue lips, cramping of hands, complaint of "weight on the chest", EMS was called. Pulse was 112, O2 was 98%. No rashes, swelling, or nausea noted. Had patient lie down on a yoga mat and helped her with anxiety reduction strategies, gave her sips of water. Transferred to EMS at 3:26 PM. Patient was evaluated, recovered, and released on-site.

Felt like a panic attack. Short of breath, heart racing, tunnel vision, dizzy tingling face/lip. Worst of it lasted about 2-3 hours. Very fatigued afterward.

On my way back to home I looked at the clock it is 10:38AM when I saw my face really flushed in the mirror and started feeling that I could not feel tongue, inside the mouth was also numb and tingling, my gums and tongue and cheeks and lips. Got home and went to bed around 11AM and woke up at 2PM feeling worse the numbness now was going down my throat, like it was swelling. Took 25 mg of Benadryl and called my PCP who advise to go to the ER. At the ER they did a CBC and a CMC or a CMB not sure. They also gave me 15mg of IV Benadryl and 8 mg of IV Decadron. About 15 min after receiving the IV meds at the ER I started feeling relief. Around 8PM I was released to go home. No symptoms next day.

11:20 Post vaccination reports headache, feeling anxious, tightness of throat for a few seconds; medical monitoring x 30 min, rest, po hydration provided; BP 140/80 P 105 02 sat 98% 11:43 BP 132/80 P 81; no complaints offered, feeling better, released to home from facility w/ self.

Weird Taste in my mouth within 2 minutes and Accelerated heart rate. From the time of injection until current, chills, intermittent low grade fever, headache and body aches different from my normal aches. Worse GI issues, memory issues worse than normal, feeling of disorientation at times, little difficulty catching my breath (only used rescue inhaler once). I felt a bit better about a week and a half post injection. But, then, started to feel worse, including vaccinated arm feeling heavy and sore again - February 27, 2021 - noticed reddish/ pink abnormal circle around injection site this is new, delayed, overall worse malaise, I felt a general feeling of yuck. I know it?s not a great descriptor, but, it kind of fits. Basically, lupusy, but worse.

I exp shortness of breath and sore arm (right). The shortness of breath lasted couple hours and soreness of right arm few days.

Symptoms began at 14:50. Tingling and shortness of breath progressed to dizziness and hand cramping, bilaterally. BP 132/94; O2 saturation: 98%, blue lips, anxiety. Had patient lay down, monitored VS x 5, called EMS at 15:12pm. Transferred to EMS at 15: 26pm. No rashes, swelling on nausea. Patient assessed by EMS and declined transfer to hospital.

Nausea, Vomiting, Headache, Left arm pain, unable to lift arm, lymph node swelling under left arm, All over joint pain, All over muscle pain, Double vision, Left side abdominal pain, Left sided lower rib pain, Pain option inhalation, Jaw pain, Ear pain, Throat pain, Neck pain, Left breast pain, Facial pain

10 am on 02/25 moderna vaccine was administered and patient waited the 15 minutes without incident. She later called the the clinic at approx. 1300 and was complaining of feeling like her throat was swollen and she was having tingling in her throat. She denied any shortness of breath or difficulty breathing. Instructed patient to go to the ER immediately or call 911. Patient states that she will go to the ER. Spoke with the patient on 2/26 and she states that she did go to the ER and waited for 2 hours and symptoms started to resolve and she left the ER without being seen. Patient states that she did not take any medication for the symptoms. She was feeling fine on this day.

This was my 1st dose. Within 3-5 minutes after the injection, I felt nausea; difficulty swallowing; swelling in the back of my throat; heart beating faster; body shaking. The swelling in my throat interfered with swallowing but did not affect my breathing. It wasn't big enough to close airways.

5-15 minutes after injection: Tasting metallic Difficulty swallowing Throat tightness Chest tightness Coughing Red chest 27 hours later: Flushed and warm to touch face and chest

Chest pain & rapid palpitations, shortness of breath , headache , swollen at the left side of my armpit & pain in sore in the area of administration

All the severe complications such as Fever, shortness of breath, headache, body ache, chest pains, heart palpitations.

About 15 minutes after the shot my tongue was swelling and my throat. I was taken to the ER where they gave me an IV of Prednisone, Benadryl and after 2 hours I was discharged home. I have not received the second dose of the vaccine .

Swelling, joint pain, violent vomiting, fever, chills, head aches, difficulty breathing, cough has developed

Pt reported diffuse hives and hoarse voice approx. 10 minutes after injection. Pt also reported rapid heart rate and difficulty breathing. Pt appeared to wax and wane symptomatic to asymptomatic over about 15 minutes. At 15 minutes EMS was called to further assess and transport to ER. Total time from onset to EMS transport was approx. 30 minutes.

s/p 1st moderna vaccine on day 11 c/o sensation throat closing, all over body itchiness, rash and bumps on arms and legs. She called her PCP who informed her to take prednisone 40 mg and her symptoms resolved. Patient referred to allergy MD for consult

I received the Moderna Covid-19 vaccine at 3:45pm. Approximately 5-10 minutes later I felt flushed (warm chest/face), ear congestion and anxious. After another 5 minutes, I felt an asthma attack start. I could still breath through my nose but it was difficult to swallow. I used my albuterol inhaler and took Benadryl (2 tablets) and felt much better after 15-20 minutes. I am taking daily antihistimes and still feel congested but no further asthma attacks have occurred. I developed hot flashes and chills the night of taking the vaccine but that has resolved. I also have upper abdominal pain that has not resolved.

I am emailing you about filing a petition for the Moderna COVID-19 vaccination that I received on Wednesday February 17, 2021, at the Department. I went to my primary care providers for my annual physical and to address my concerns with the vaccination. I gave blood work. Later into my afternoon, I notice that I began to itch across my sternum and I thought it was an allergic reaction to some of my common allergies. I took some Benadryl to calm the itching to get rest. I was out of work from Wednesday February 17, 2021, @ 1300 to Friday February 19, 2021, without pay, returning on Monday February 22, 2021. On Monday February 22, 2021, I came into work and felt fatigue, light headed, headache, blurred vision, and some great deal of body pain. Approximately 2145, I notice that I was having trouble breathing and began itching profusely. I grabbed my epi pen and gave myself an injection. I laid back on the bed and I fell asleep. The following day Tuesday February 23, 2021, I barely had energy to get up and get ready for work. I prevailed because there is nothing set in place for people who experience an delayed allergic reaction to these vaccinations. I have literally been pushing myself through my workdays because I can not afford to be off. On Sunday February 28, 2021, I notice that the rash began to spread across my body parts. My arms, neck, shoulder, upper back, behind my ears, legs, and again I figured it related to my allergies. The condition continued to get worst throughout the next week. It was several occasions I almost lost control of my vehicle because the itching sensation had hit me instantly while driving. Once I was able to pull over, I just began to scratch every area of my body. Therefore, Friday March 5, 2021, I drove myself to Hospital too seek help. I explained my situation, I was checked in, and I showed how the rash had spread all over my body. It was nothing they could do but give me IV fluid, did some blood work and Prednisone 10mg (5 tablets) and send me home without relief. I continue to suffer from this vaccination and no one has any answers to give me. My scar-less skin now looks unattractive and dark spots where there was a rash that came and went but left awareness that I once had a rash in that spot. I am scheduled to see my dermatologist today, Thursday, March 11, 2021. My appointment time is 1615. I went my employer to file a notice of the outbreak and to see what if anything that they could do. It was just a standard report and they are submitting all information to the CDC. I am a health care professional and my job requires me to stand, sit, bend, lift, push, pull and assist in all aspects of an operating room that has caused me some issues and concerns that I can not perform my duties as required due to the severely of the itching.

within 13-14 minutes had my arm feel strange all the way to my finger tips. Then I started having fast heartbeat , heart pounding outside of chest. Also couldn't catch my breath. As of 6 hours later I still don't feel well

Patient received Moderna Covid 19 vaccine lot# 031A21A expiration 08/28/2021 0.5ml to right deltoid at 09:45 a.m. on 03/10/2021. Patient verbalized No known drug allergies. Patient was asked to wait in parking lot area for monitoring of adverse reaction. At approximately 09:49 a.m monitoring officer called to RN that patient needed assistance. RN, LPN, EMT-P, LPN and , LPN went to assess patient at her vehicle. Patient reports "she feels like her throat is tingling, itching, and closing up and just weird." Patient also reported that "she could feel her throat swelling." RN assessed for any rash or swelling and patient only with chest redness but no rash. RN assessed vitals. BP 138/90, HR 92, Respirations 14. Patient educated on epi injection and possible side effects and patient verbalized understanding. EMS contacted to come assess. At 09:51 a.m. Epinephrine Injection (Auto Injector) 0.3mg given to right thigh w/o difficulty. Lot# 0FM534, Exp 09/2022. Patient monitored. Patient stated at 09:55 "I can already feel my throat getting better and it doesn't seem to be swelling anymore." EMS arrived at approximately 09:57 to assess patient. Vitals taken by EMT at 10a.m. BP 184/129, HR 88, O2 sat 100%, Respirations 16. EKG performed by EMT . Results were normal. EMT assessed patients throat and patient continues to report "the swelling and tingling is getting better and I do not feel short of breath." EMT recommended ER visit since epi was administered for eval. Patient declined and states "she feels better and knows what to do if reaction starts again." EMT recommended patient to take Benadryl when she gets home and to go to ER with any additional problems. RN checked vitals again at 1012 a.m. BP 172/120, HR 80, Respirations 16. and asked patient to continue to wait for 20 more minutes for additional monitoring. Vitals at 1031 a.m BP 168/110, HR 78, Respirations 16. Patient continues to report "she is feeling much better and ready to go home. Patient left at 10:33 a.m.. Spouse driving. RN contacted patient same day at home at 1353. Patient stated she took 50mg of Benadryl at home and is resting and feeling much better and questioned if she could still get her second dose of moderna vaccine. RN educated she should talk with her Primary Care physician regarding any additional vaccines. Patient verbalized understanding.

about 1 hour after vaccine-weakness "couldn't stand up"-dizzy/nauseous, "chest felt heavy", throat felt swollen, choking on spit states she fell asleep and was "out cold" her daughter had a hard time waking her up. She states she didn't feel anything during her half hour wait at clinic and then at the end of her drive home started feeling sick and had to have her daughter help her out of the car.

Difficulty swallowing, difficulty breathing, tongue swelling, rash to neck and arms-symptoms appeared 13 minutes after the vaccine given during the 15 minute observation.

2/27/21: Covid Vaccine- immediate reaction- racing heart and pulse 150. Given oral 25 mg Benadryl. Would not come down. Called 911. Continued to rise and fall- given 25mg Benadryl via IV on transport to facility. @ facility gave 100 mg IV Benadryl and 25 mg Pepcid- sent home. Symptoms: Racing heart; feeling of doom. Overall horrible. 3/1/21: Symptoms returned- rapid heart rate. Pulse erratic on meter. Went to ER. They treated with Pepcid, Fluids and Benadryl (iv). Sent on steroid taper and Rx Pepcid. Symptoms: Pressure in chest and sharp rises and falls in pulse. Lightheaded. Raised Rash. 3/2/21: Started taper. No Benadryl. Still on Pepcid. Rash returned. Very itchy. Called neuro on call (1:30am). He said to stop steroid and take more Benadryl. Went to sleep. Symptoms: Itch across face, chest and ears. Pressure in heart area. 3/3/21: Woke up- still red and itchy. Called Neuro. She said that I am prob not allergic to steroids. I expressed my concern b/c i was so itchy the day before. She said I should just do Benadryl and if it doesn?t improve- go back to ER In 2 hours. It did not improve, so I just took steroid. Immediately heart rate accelerated. BP went to 220/100 at fire station. Light headed; red and irritable. Chest pressure. Transported to facility. Waited 3 hours- no fluids or Benadryl. Symptoms returned. THey said it seemed like ?classic panic? because there is an anxiety element from what?s been happening. THey said they don?t know what is causing it. Treated there with IV Benadryl and Pepcid. Things calmed down. Went home. Still itchy and pressure in chest. Prescribed Hydroxyzine. Flushed rash vs. raised. Feels like I went running in the cold. Treated with IV Benadryl and Pepcid and 25 mg Hydroxyzine. 3/4/21: Woke at 1:00 am hot and itchy. Took more Hydroxyzine 25 MG. Woke up at 8:00- hot and itchy. Feels like sunburn. Took more Hydroxyzine 25 MG. Appt with cardio at 11:00am. Calling for PCP. - Intermittent "attacks" in the inerim- heart rate up to 135 resting. 3/8/21Allergist appt at 2:00 on Monday. Testing for PCP Symptoms: Winded, red cheeks, flushed, feels like something is in my chest. 3/11/21: Around 12:30 started to have rapid pulse. Went to PCP at 1:30. She administered steroid injection. Heart rate jumped to 155 and remained; 911 called. Returned to ER via ambulance. Symptoms since 3/11- rapid heart rate- shortness of breath; extremely weak; left flank numbness (typical of MS flare). Facility discharged me with follow ups to endocrinology, allergy and cardiology.

Asthma symptoms - tight chest, shallow breathing - felt better after using albuterol rescue inhaler twice

1 day after vaccine: hives on upper body, mostly left and right arm, severely itchy, new hives showed up over the course of 4 hours, throat felt a tiny bit constricted but no overall trouble getting air in - Benadryl at 4 hour mark of hives cleared them up; 4 days after vaccine: another round of hives, this time on feet and legs, severely itchy -Benadryl this time at 1 hour mark cleared them up

Rash down left arm, throat closure , trouble breathing, hypotension- seen by emt on side. Symptoms resolved in 1/2 hour was able to drive home

Moderna COVID- 19 Vaccine EUA Pt with history of allergies and asthma and prior reaction to first dose of COVID vaccine presents to ED with numb lips and "throat tightness" after receiving 2nd dose at 1005 AM on 3/17/21. About 20 minutes following her vaccination, patient began to develop perioral numbness and mild throat tightness. She states it was similar to prior vaccine reaction, but less severe. She pre-medicated with famotidine 40mg, prednisone 30mg, and cetirizine 20mg last night and this morning, per plan from her allergist. Following development of symptoms, she was given 0.3 mg epinephrine IM in the field. Currently she denies difficulty breathing, chest pain, dizziness, fevers, chills, N/V. In ED, Given 60 mg solumedrol and 25 mg IV benadryl. Follow up evaluation with minimal improvement in symptoms at 1300. Subsequent evaluation at 1415 with new diffuse itchiness throughout body, similar throat tightness, with report of mildly more labored breathing. No rashes or increased work of breathing on exam, vitals remain reassuring. Given development of itchiness, ordered additional dose of epinephrine 0.3 mg and will continue to monitor. On re-evaluation, patient with persistent pruritus however no new or worsening throat swelling, difficulty breathing, shortness of breath. Patient did not have abdominal pain, nausea or vomiting. Patient given additional dose of Benadryl, discharged home with clear return precautions. Patient has EpiPen at home, will continue to take prednisone as an outpatient Of note, after patient received first dose of COVID vaccine on 2/17/21, patient developed similar throat tightness and perioral numbness

Within the first hour I broke out into hives all over my body and my throat, tongue and lips swelled. Went back to pharmacy took 50 mg of Benadryl orally and applied topical Benadryl.

Pt developed shortness of breath after vaccine, diphenhydramine was administered orally with no improvement, EpiPen 0.3mg given and pt went to hospital. Pt was seen in ER and given 5 day course of prednisone and advised to continue to take diphenhydramine ever 6 hours

Lightheadedness,dizziness,fatigue,heart palpitations,hives immediately after the vaccine was administered. I was laid on a hospital gurney for over an hour and observed by nurses and they gave me fluids and had me do some breathing exercises to slow down my breathing&placed a cool towel on my forehead. Once I arrived at home I parked and began to walk towards my became dizzy and fell and hurt my right arm,knees&hands. I went to urgent care,my vitals were normal and I was screened for Covid and my results came back negative for Covid and influenza. The urgent care doctor ordered lab work in which I had done the next day and the results came back normal.

Short of breath Body/muscle pain Dizzy Lightheaded Loss of appetite Nausea Diarrhea All of which lasted for 4 days, flowed by 10 hours of feeling fine then unable to move without assistance.

Client stated she felt light headed and slight throat swelling and itching on left wrist and arm Calming measures, vital signs monitored, Benadryl 50mg @ 1219 pm

Rigidity and spasming of muscles at injection site and in chest wall, abdomen and thoracic spine resulting in restricted labored breathing, pulse ox down to 85. Inflammation in soft tissue around muscles. Loss of mobility requiring intervention and assistance from physical therapy

about an hour after the vaccine I was feeling little dizzy and extreme fatigue. the following day i felt extreme tiredness and fell asleep after lunch. I had dreams that were very short and back to back for only about a 20 min. period and this was on 3/26/2021 around 1:00 pm. I then woke in a panic gasping for air and quickly snapped out of it. I have had a Lingering headache since then.

Tightness in upper chest and throat. Difficulty breathing, not completely blocked just shallow and lead to dizziness

About 12 hours after the vaccine , headache and super tired; joint pain and body aches and a little nausea. And that kept going for a few days. Chest started getting tight - hard to breathe and fatigue got worse and worse. The weekend after the injection - the tiredness increased and I went to go get COVID tested - negative result . February 6th - Went to Immediate Care for fatigue and breathing issues. They put me on prednisone for the breathing issues - three week course and held off on getting second dose. I have been having problems with the breathing - it was inflamed though by the vaccine - could still be a Sarcoidosis issue. Had follow up visit with Primary Care doctor. Had the 2nd vaccine of Feb 6 - this did not have any AE for me. Maybe because I was on Prednisone prior.

high blood pressure, chest pain, shortness of air - intermittent after getting the dose. Patient experienced this 2x on different occasions, the first time was 3/7/21-3/8/21 and again 3/20/21-3/22/21. EKG, stress test, and ECHO were completed after second concerning episode and no urgent cardiac issues were found. Follow-up with PCP scheduled 4/7/21.

Patient received Moderna Vaccine at 6:44pm in left deltoid. Patient c/o rash under chin and SOB while in monitoring area. Patient given Diphenhydramine HCL 25 mg 1 tab orally. Ambulance called and O2 applied at 7:09pm. Patient alert and speaking with staff. Patient transported to Hospital.

Immediately after receiving the injection she became dizzy and lightheaded. She decided to drive home and on her way her face began to tingle and her nose became stuffy. She drove the rest of the way home and after 30-60 minutes her throat became thick and it started to become difficult to breathe. She called 911 and administered an epi pen that she had at home due to anaphylaxis in 2015. She was treated by the paramedics and declined going to the ER. She has more tingling in her face when she was getting ready for bed but this subsided on it's own.

patient reported chest pain, lightheadedness and difficulty breathing 15 minutes after vaccine was given. chest pain was like pressure rated 9/10. she said she had a history of asthma and that she hadn't needed to use an inhaler in years. resp 26, pulse 113 and O2 98%

Patient received her second dose of Moderna vaccine around 12:50pm. Around 1:54pm she presented to the pharmacy stating she was feeling short of breath. She had waited the initial 15 minutes and went shopping around the store. I gave her 50mg of benadryl (liquid) and had her sit down. She started feeling better. I asked if her throat or tongue felt like they were swelling shut and she told me 'not anymore, it did before but not anymore'. I continued to check on her and she continued to improve. I asked her to call someone to pick her up and her husband arrived around 2:30pm to pick her up. She walked out with her husband and said she was ok. Upon retrieving her paperwork to start this form I saw that she indicated she was pregnant/considering becoming pregnant in the next month/breastfeeding and my coworker (pharmacist) confirmed that she is pregnant. He had screened her before her shot and she did confirm she is pregnant and was also pregnant for her first dose. He had asked her at screening if she had any issues with the first dose to which she said 'no', however when I asked if she had any issues with the first dose after giving her Benadryl she stated that she did 'get red' for a little bit and at that time we had asked her to stay an extra 15 minutes.

Complained of throat discomfort and swelling. Speech became slurred and slow responsiveness to questions. Anaphylactic reaction: throat swelling. Benadryl 50 mg given IM. Epipen given. Symptoms improved with Benadryl and Epinephrine. Patient became more responsive and alert. She was transported to ER via ambulance for further evaluation and monitoring.

Have had tiredness since 2nd vaccine in February and noticed shortness of breath when walking or going up stairs in mid March. Around 4/1, I started having left rib pain preventing me from sleeping on my left side and then could not breath during a massage on 4/8. On April 9th, I was diagnosed with multiple pulmonary embolisms (clots) in both lungs, reducing my lung capacity to only 30% of normal. This could be due to Loestrin birth control but I have taken hormones in the past for IVF and when younger for birth control. The reaction may be due to a combination of vaccine, Loestrin and iron but triggered by vaccine. I am currently on Eliquis to treat pulmonary embolisms.

about 45 minutes after her injection she started having facial tingling including in the lips. throat felt tight, no trouble breathing or difficulty swallowing. skin felt flushed and rash developed later.

Multiple cold sore outbreaks starting one week after first dose vaccination. In conjunction with facial swelling, redness, and heat after first vaccine. Three outbreaks as of 4/13/2021 (under 2 months). Historically have had less than 3 outbreaks in one year. Most recent outbreak (2 weeks after second dose vaccine) is so severe that entire upper lip is affected, accompanied by extremely swollen glands, fever, and shortness of breath.

Pt's symptoms started 01/01/2021. Started with LUQ pain. Her symptoms progressed 01/04/2021. Developed SOB,. fatigue, aches. She went to the LMH ER that day. Imaging showed pneumonia and PE. Started on Elliquis, referred to Hematology.

Client complained of tightness in her throat around 9 minutes after receiving the second dose of the Moderna vaccine. She stated that she had the same reaction after her first dose of the same vaccine. The EMTs were called. Guest took 25mg of Benadryl soon after the symptoms began. Stated that this was upon the advice of her PMD. Soon after taking the Benadryl she noted that she felt better. EMT took vital signs and all was WNL. EMTs released her once she completed her 30 minutes. Client denied feeling dizzy and confirmed that she was well enough to drive herself home.

oropharyngeal pain; chest soreness; coughing; gagging; Gastrointestinal upset; oedema; shortness of breath; fatigue; joints hurt; nausea; headaches; pneumonia; Occasional shortness of breath at rest; Occasional palpitations; Weight increased, weight was up approximately 10 pounds; Dizziness; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA (pneumonia) and DYSPNOEA AT REST (Occasional shortness of breath at rest) in a 44-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Co-suspect products included non-company products TREPROSTINIL DIOLAMIN for Secondary pulmonary arterial hypertension, TREPROSTINIL DIOLAMIN (ORENITRAM) for Secondary pulmonary arterial hypertension and RIOCIGUAT (ADEMPAS) for an unknown indication. Concurrent medical conditions included Pulmonary arterial hypertension. Concomitant products included APIXABAN (ELIQUIS). On 21-May-2020, the patient started TREPROSTINIL DIOLAMIN (Oral) 4 mg every eight hours. On 21-May-2020, TREPROSTINIL DIOLAMIN (Oral) dosage was changed to 1 mg. On 19-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient started TREPROSTINIL DIOLAMIN (ORENITRAM) (Oral) at an unspecified dose On an unknown date, TREPROSTINIL DIOLAMIN (ORENITRAM) (Oral) dosage was changed to at an unspecified dose. and RIOCIGUAT (ADEMPAS) (unknown route) 1.5 mg. On 08-Feb-2021, the patient experienced PNEUMONIA (pneumonia) (seriousness criterion medically significant). In February 2021, the patient experienced DYSPNOEA AT REST (Occasional shortness of breath at rest) (seriousness criterion medically significant), WEIGHT INCREASED (Weight increased, weight was up approximately 10 pounds), DIZZINESS (Dizziness) and PALPITATIONS (Occasional palpitations). On an unknown date, the patient experienced OROPHARYNGEAL PAIN (oropharyngeal pain), CHEST PAIN (chest soreness), COUGH (coughing), RETCHING (gagging), ABDOMINAL DISCOMFORT (Gastrointestinal upset ), OEDEMA (oedema), DYSPNOEA (shortness of breath), FATIGUE (fatigue), ARTHRALGIA (joints hurt), NAUSEA (nausea) and HEADACHE (headaches). At the time of the report, PNEUMONIA (pneumonia), DYSPNOEA AT REST (Occasional shortness of breath at rest), WEIGHT INCREASED (Weight increased, weight was up approximately 10 pounds), DIZZINESS (Dizziness), ABDOMINAL DISCOMFORT (Gastrointestinal upset ), DYSPNOEA (shortness of breath) and HEADACHE (headaches) was resolving, OROPHARYNGEAL PAIN (oropharyngeal pain), CHEST PAIN (chest soreness), RETCHING (gagging), PALPITATIONS (Occasional palpitations), FATIGUE (fatigue), ARTHRALGIA (joints hurt) and NAUSEA (nausea) outcome was unknown and COUGH (coughing) and OEDEMA (oedema) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In February 2021, Weight: 170 lb (High) Weight gain of 7 pounds. In March 2021, Weight: 164 lb High. In 2021, Weight: up approximately 10 lbs High. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Prescribed levofloxacin antibiotic for 7 days for pneumonia. The patient did not need to use oxygen as often. Reporter did not allow further contact; Sender's Comments: This case concerns a 44-year-old female with serious unexpected events of pneumonia and dyspnea at rest, and nonserious unexpected dyspnea, chest pain, cough, oropharyngeal pain, retching, abdominal discomfort, palpitations, dizziness, edema, weight increased and expected fatigue, headache, nausea, arthralgia. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Janiana received a Moderna Covid-19 vaccination in our clinic on April 5th, 2021. After the vaccine she experienced dizziness and was having a hard time breathing. The medical staff helped her to normal functioning. Two days later, she had the same symptoms and went to the ER. She is still experiencing loss of lung capacity.

tightness in throat, short of air, pt was given Benadryl and epinephrine and took to the emergency room for further evaluation

Patient is a 43 y.o. female who presents with complaints of tachycardia shortness of breath and feeling as though she had difficulty swallowing after receiving her second COVID-19 vaccination. Patient denies any definite swelling to her tongue lips or face she denies any rash vomiting or diarrhea. She did she does have history of anxiety as well and sometimes this can occur. Also symptoms that she has anxiety puts her into a sickle cell crisis. She currently does not have any pain at initial evaluation. She has no fevers and no difficulty breathing at this point time. Patient received Zofran for some nausea after the vaccination, and nausea is now resolved. She did not receive any Benadryl or epinephrine

Tingling of tongue and roof of mouth. The back of throat felt swollen. Did not have difficulty breathing but felt a couple of wheezing breaths. Lasted about 30 minutes. No symptoms after 30 minutes except for the sore site of injection.

Clinic nurse reports that at about 11:40 pt reported she was dizzy, couldn't feel her hands and feet, pt reported her "throat felt numb"; tachypneic, tachycardic; BP was 140/90 Clinic nurse had patient lie down, continued monitoring while EMS was called. Pt never had respiratory distress or difficulty breathing- but breathing was faster than normal. EMS arrived; pt remained stable and transported to Hospital. Per Hospital ER visit notes: Upon arrival to ER, pt reported she began to feel short of breath after the vaccine was given; states she started to cough; felt as if she could not move her arms; she was dizzy and wheezing. EMS started a Duoneb. No fevers or chills Progress Notes: There does appear to be a cough. There is some rapid breathing. The Duoneb was stopped. She was tachycardic. We will give oral Benadryl. Benadryl 50mg capsule given. Re-evaluation at 12:50pm she states she feels much improved. She does continue to have bilateral upper extremity tremors. She continues to have a mild scratchy voice. At 1:45 the patient states she is back to her baseline; states she is no loner shaking, her cough has stopped; states that she still feels mild soreness to her throat that she believes is from a cough. Eager for discharge. Diagnosis per Hospital: Moderna vaccine allergic reaction

Shot administered at about 10am, felt fine until about 2:30. Started to feel tired. By 3:30 I had an increasingly painful headache. I had a sore left arm. I went to lay down and took temp. It was around 99F. I rested the rest of the day and fever increased to about 102F in the night. Severe painful headache, body aches, joint pains, fever and chills, and slight wheezing all night long. I didn't take any meds. In the morning the fever still there but lower 99F. Headache and achy body remained all day, even after taking ibuprofen in the morning. Fever was reduced from meds. That afternoon, 4/11, the fever broke in the late afternoon and I sweated a lot. After the fever broke, the headache and body aches were reduced and I felt a little weak and tired. By morning of 4/12 I felt fine, except a little dizziness when bending over. Only a sore arm remained for one more day.

WEEK 1 = 4/7 - 4/13/21 1 day - tired 6pm, sore arm at injection site 2-5 day - very tired, shortness of breath, very sore arm, hurt to move arm laterally or vertically 5-6 day - extremely tired, no amount of sleep makes me feel awake, shortness of breath WEEK 2 = 4/14 - 4/21/20 7- 9 day - shortness of breath, extremely tired, no amount of sleep makes me feel awake, dizzy, brain fog, headache that aspirin/Excedrin fixes, chills/hot flashes, muscle cramps, period came 2 weeks early

Patient received vaccine at 10AM and waited 15 min then exited the site without any complaints or stated rxn. Per the patient, after she had left the site, she began to feel short of breath and instructed her husband to drive her back for evaluation. Patient complained of intermittent tightness in her upper chest and brief periods of difficult breathing. Report below per physician on-site. 4/19/2020 11:48am This morning, I attended a 43 year old accompanied by her significant other. They returned to the Center after she received her 1st Moderna Covid-19 vaccination here about 40 mins prior. She complained of an intermittent tightness in her upper chest and felt she was having brief periods of trouble breathing. She denied tongue swelling, wheezing, pruritis, or rash. She did not take any medications after her vaccination. She noted a distant (20+ years ago) of a food allergy to ?seeds? that required transport to a hospital and what sounds to me that she had epinephrine administered at that time. She has not had another severe allergic reaction since but notes seasonal allergies and takes Allegra and uses an inhaler PRN. She does not have these medicines with her. On exam, she is sitting on the cot in the EMS tent. She is in no acute distress and is speaking in full sentences. There is no urticaria, no tongue swelling, no stridor, and no voice changes. She is not tripoding and there is no increased work of breathing. Her left radial pulse is strong, steady, and not tachycardic nor bradycardic. Her pulse oximetry was 95-98%. I informed her that at the time, I feel that close observation in warranted and she and her significant other agreed to stay to be observed. Shortly after this, she was observed to sit up, hold her upper chest and cough with slight stridor. This only lasted a few seconds and then resolved. Several minutes later, this happened again. I informed her that I felt that caution was advised with her history of a severe allergic reaction and intermittent upper airway signs. I recommended that she be observed in a hospital setting for her safety. She agreed and the Fire Department was contacted through 911. When the paramedics arrived, she stated she was feeling much better. There were no longer any upper airway signs/symptoms. She declined transportation by ambulance to the hospital. I observed her for an additional ~10 mins and she continued to be asymptomatic. She was again offered transport to the hospital by ambulance and again declined. She sated she would like to go home with her significant other who would be with her to watch for any worsening signs//symptoms. I strongly recommended that if developed any upper airway signs such as feeling her throat is closing, tongue swelling, difficulty breathing, or any other concerning symptoms she should immediately call 911 as these may indicate a life-threatening emergency. She and her significant other indicated that they understood my instructions and agreed to abide by these recommendations. I asked her to discuss her reaction with her primary provider before receiving another dose of a Covid-19 vaccine. Medical Director

Weakness, shortness of breath, itchy throat, cough, poor range of motion in shoulder where vaccin administered. Symptoms bad for 3 days 24h after vaccination and lingered for 3 weeks.

Patient received Moderna vaccine, approximately 5 minutes later she stated her throat was closing up and could not breathe. An epi-pen dose was given and gave her relief, about 5 min later she was having trouble breathing again a second dose of epi pen was given. Ambulance was called immediately when she stated she was having trouble breathing, she was ok before she left but taken to hospital by ambulance.

left neck spasm; felt uneasy; slight pain under sternum; fatigue; pain in her left knee; trembling in her upper body; face became a bright red; heat in her body; weakness in arms and hands; bed bound; pain in her lower back over kidney area; her body would be drenched in sweat mostly around heart and sternum area, she could splash; injection site started having pain; her injection site started having pain, it swelled up; Had skin eruptions like a boil on her right uper buttock; the boil was thought to be cellulitis and she was given a topical antibiotic; vomiting; racing heart; facial numbness and tingling; nausea; hard time breathing; shortness of breath; hives were on her upper back and under hips; she was covered in hives from, they covered her chest in a "Vshape; cough; burning sensation in her mouth; mouth was dry, tongue was thick and full, no salivation; Disoriented; began to feel very very thirsty; drinking 1 liter of water; felt pins and needles down her arms; numbness like pins and needles on injection site and neck; and while laying in bed, she felt like she was driving a race card; could not sleep; was going to pass out; high blood pressure; "She had a spot appear on her right leg and a ultrasound of her leg was performed to verify if a blood clot had developed (clot was not diagnosed)"; twitches in her abdomen, where her abdomen would cramp up; fallen down a short flight of stairs; felt like she could not move her limbs (elbow to fingers, knees to toes),limbs felt like they were frozen and paralyzed; dizzy; vertigo; migraine, lightheadedness, ringing ears, cloudy vision and headache; felt like as if someone was sitting on her chest; had a crawling sensation; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PRESYNCOPE (was going to pass out), CELLULITIS (Had skin eruptions like a boil on her right uper buttock; the boil was thought to be cellulitis and she was given a topical antibiotic), PERIPHERAL PARALYSIS (felt like she could not move her limbs (elbow to fingers, knees to toes),limbs felt like they were frozen and paralyzed) and DYSPNOEA (hard time breathing; shortness of breath) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 025A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Bradycardia and Hives (Patient recalls 20 years ago; she had hives.) in 2001. Concurrent medical conditions included Migraine. Concomitant products included RIZATRIPTAN for Migraine. On 27-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-Feb-2021, the patient experienced PERIPHERAL PARALYSIS (felt like she could not move her limbs (elbow to fingers, knees to toes),limbs felt like they were frozen and paralyzed) (seriousness criterion disability), DIZZINESS (dizzy), VERTIGO (vertigo), MIGRAINE (migraine, lightheadedness, ringing ears, cloudy vision and headache) and CHEST DISCOMFORT (felt like as if someone was sitting on her chest; had a crawling sensation). On 01-Mar-2021, the patient experienced ABDOMINAL PAIN (twitches in her abdomen, where her abdomen would cramp up) and FALL (fallen down a short flight of stairs). On 02-Mar-2021, the patient experienced PRESYNCOPE (was going to pass out) (seriousness criterion medically significant), RASH MACULAR ("She had a spot appear on her right leg and a ultrasound of her leg was performed to verify if a blood clot had developed (clot was not diagnosed)"), HYPERTENSION (high blood pressure), INSOMNIA (could not sleep), PARAESTHESIA (felt pins and needles down her arms; numbness like pins and needles on injection site and neck) and RESTLESSNESS (and while laying in bed, she felt like she was driving a race card). On 03-Mar-2021, the patient experienced DISORIENTATION (Disoriented) and THIRST (began to feel very very thirsty; drinking 1 liter of water). On 04-Mar-2021, the patient experienced ORAL DISCOMFORT (burning sensation in her mouth; mouth was dry, tongue was thick and full, no salivation). On 05-Mar-2021, the patient experienced DYSPNOEA (hard time breathing; shortness of breath) (seriousness criterion medically significant), URTICARIA (hives were on her upper back and under hips; she was covered in hives from, they covered her chest in a "Vshape), COUGH (cough), HYPOAESTHESIA (facial numbness and tingling) and NAUSEA (nausea). On 07-Mar-2021, the patient experienced PALPITATIONS (racing heart). On 10-Mar-2021, the patient experienced VOMITING (vomiting). On 11-Mar-2021, the patient experienced CELLULITIS (Had skin eruptions like a boil on her right uper buttock; the boil was thought to be cellulitis and she was given a topical antibiotic) (seriousness criterion medically significant). On 12-Mar-2021, the patient experienced HYPERHIDROSIS (her body would be drenched in sweat mostly around heart and sternum area, she could splash), VACCINATION SITE PAIN (injection site started having pain) and VACCINATION SITE SWELLING (her injection site started having pain, it swelled up). On 13-Mar-2021, the patient experienced BACK PAIN (pain in her lower back over kidney area) and BEDRIDDEN (bed bound). On 15-Mar-2021, the patient experienced MUSCULAR WEAKNESS (weakness in arms and hands). On 17-Mar-2021, the patient experienced PYREXIA (heat in her body). On 21-Mar-2021, the patient experienced ERYTHEMA (face became a bright red) and TREMOR (trembling in her upper body). On 30-Mar-2021, the patient experienced FATIGUE (fatigue) and ARTHRALGIA (pain in her left knee). On 01-Apr-2021, the patient experienced CHEST PAIN (slight pain under sternum). On 02-Apr-2021, the patient experienced MUSCLE SPASMS (left neck spasm) and MALAISE (felt uneasy). At the time of the report, PRESYNCOPE (was going to pass out), CELLULITIS (Had skin eruptions like a boil on her right uper buttock; the boil was thought to be cellulitis and she was given a topical antibiotic), PERIPHERAL PARALYSIS (felt like she could not move her limbs (elbow to fingers, knees to toes),limbs felt like they were frozen and paralyzed), DYSPNOEA (hard time breathing; shortness of breath), RASH MACULAR ("She had a spot appear on her right leg and a ultrasound of her leg was performed to verify if a blood clot had developed (clot was not diagnosed)"), DIZZINESS (dizzy), VERTIGO (vertigo), MIGRAINE (migraine, lightheadedness, ringing ears, cloudy vision and headache), CHEST DISCOMFORT (felt like as if someone was sitting on her chest; had a crawling sensation), ABDOMINAL PAIN (twitches in her abdomen, where her abdomen would cramp up), FALL (fallen down a short flight of stairs), HYPERTENSION (high blood pressure), DISORIENTATION (Disoriented), ORAL DISCOMFORT (burning sensation in her mouth; mouth was dry, tongue was thick and full, no salivation), URTICARIA (hives were on her upper back and under hips; she was covered in hives from, they covered her chest in a "Vshape), COUGH (cough), HYPERHIDROSIS (her body would be drenched in sweat mostly around heart and sternum area, she could splash), BACK PAIN (pain in her lower back over kidney area), MUSCULAR WEAKNESS (weakness in arms and hands), ERYTHEMA (face became a bright red), MUSCLE SPASMS (left neck spasm), INSOMNIA (could not sleep), BEDRIDDEN (bed bound), PARAESTHESIA (felt pins and needles down her arms; numbness like pins and needles on injection site and neck), RESTLESSNESS (and while laying in bed, she felt like she was driving a race card), THIRST (began to feel very very thirsty; drinking 1 liter of water), PALPITATIONS (racing heart), TREMOR (trembling in her upper body), CHEST PAIN (slight pain under sternum), MALAISE (felt uneasy), VACCINATION SITE PAIN (injection site started having pain), VACCINATION SITE SWELLING (her injection site started having pain, it swelled up), FATIGUE (fatigue), VOMITING (vomiting), PYREXIA (heat in her body), ARTHRALGIA (pain in her left knee) and NAUSEA (nausea) outcome was unknown and HYPOAESTHESIA (facial numbness and tingling) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 02-Mar-2021, Blood pressure measurement: increased (High) increased. On 02-Mar-2021, Electrocardiogram: unknown (Inconclusive) unknown. On 02-Mar-2021, Heart rate: increased (High) increased. On 02-Mar-2021, Ultrasound Doppler: unknown (Inconclusive) result unknown. On 06-Mar-2021, Blood pressure measurement: increased (High) increased. On 06-Mar-2021, Electrocardiogram: normal (normal) Tests came back fine. On 06-Mar-2021, Heart rate: 110 (High) increased. On 06-Mar-2021, Oxygen saturation: 90 (Low) decreased. On 06-Mar-2021, Ultrasound scan: normal (normal) The tests came back fine. On 07-Mar-2021, SARS-CoV-2 test: negative (Negative) negative. On 18-Mar-2021, Blood pressure measurement: normal (normal) normal. On 18-Mar-2021, Electrocardiogram: unknown (Inconclusive) unknown. On 18-Mar-2021, Heart rate: 85 (High) Pulse was a bit higher than her normal.. On 01-Apr-2021, Fibrin D dimer: unknown (Inconclusive) result unknown. On 01-Apr-2021, Ultrasound Doppler: unknown (Inconclusive) result unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Per report, the patient had a skin eruption which was thought to be cellulitis at the clinic. Treatment included intravenous infusion with epinephrine, naltrexone, diphenhydramine, rizatriptan, naproxen sodium, TEA, a nerve supplement, and topical antibiotics. She was discharged home with EpiPen, prednisone, and famotidine. On 01 April 2021, the patient felt like she had a blood clot and received an EKG, D-dimer test, and ultrasound of the heart and lower limbs. On 07 April 2021, the patient reported feeling energetic. 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.

Fever, chills, minimal nausea, increased shortness of breath, increased body aches and pain, increased fatigue, injection site pain and slight swelling (including numbness in back of arm).

Started with itchy eyes and runny nose 4/13/21. 4/14/21 developed conjunctivitis, fever, body aches, shortness of breath and cough, fatigue. Symptoms improving.

Woke from a deep at 3am gasping for breath. I have very labored breathing and racing heart. Feels like a heavy weight on my chest making it hard to breathe. I have had very labored breathing for 75 minutes now and if gets any worse I will seek medical attention. I am allergic to Tetanus and had respiratory distress similar to this. I am a very fit, healthy woman at 5?1? and 115 lbs with no medical conditions.

Temperature 94.7°F for 14 hours after 2nd dose. Blurred vision. Swollen fingers every morning since 2/19/2021. March 2021 extremely heavy period causing me to miss a day of normal activity. Low iron levels now anemic. Night sweats cause me to wake up, change sheets and pjs every night. Anxiety and mood swings. Confusion and at times I cannot recall words. Temperature remains under 97°F. Chills, aches, joint paint, pale and dry skin despite drinking water. Recently a large hemorrhoid has appeared requiring me to see doctor. My finger and toes are painful and red and it feels as if my vascular system is ?off?. Hence, the hemorrhoid. I have been out of work for 5 days and cannot stop sleeping. I have almost gone to the ER just to get peace of mind with what is wrong with me. I get out of breath quickly. I?m starting to feel very frustrated with physical pain and am becoming very weepy.

0855 PATIENT STATES SHE FEELS WARM ON HER LEFT ARM. PATIENT ALSO COMPLAINS THAT HER THROAT FEELS SWOLLEN AND SHE FEELS THAT SHE HAS SOMETHING IN HER THROAT WHN SHE SWALLOWS SALIVA. NO COMPLAINTS OF PAIN 0857 BP 121/76 O2 SAT 98% PULSE 83 0915 PATIENT ADVISED OF POSSIBLE ADVERSE REACTIONS; DIFFICULTY BREATHIN G, SHORTNESS OF BREATH, SWOLLEN TONGUE OR LIPS, DIFFICULTY SWALLOWING. PATIENT ADVISED TO CALL 911 OR REPORT TO NEAREST EMERGENCY ROOM . PATIENT AWARE OF MILD SYMPTOMS OF INJECTIN: PAIN AT INJECTION SITE, BODY ACHES, HEADACHE, WARMTH AT INJECTION SITE, BODY ACHES, HEADACHE, WARMTH AT INJECTION SITE. PATIENT ADVISED TO TAKE TYLENOL OR IBUPROFEN AS NEDED FOR APIN OR FEVER. PATIENT VERBALIZED UNDERSTANDING ANS DISCHARGED ANT 0915.

Sore arm Chills Low grade fever Exhausted Extremely winded, with very little walking I have an IUD and NEVER get my Period. If i do, it is very light spotting for one day. On 4/14/2021, 5 days after my second vaccine shot. I had my period (light, but continuous ) for four days.

Headache, extreme fatigue, nausea, diarrhea, severe muscle aches, shortness of breath, continued pain at injection site, sleeplessness, chills, sweating

Pt received vaccine and was at post vac for monitoring. she started complaining of nausea initially at 0940. Skilled Nurse (SN) tried checking BP but it was to low to register result. Pt became dizzy and had difficulty breathing - Epipen was administered by the nurse on left thigh, 02 placed on pt & she was laid on the floor. 0950 - BP registered as 86/60, 72, 19, 98D, 0954 - 110/67, 65, 19, 97D, 0958 - 115/57, 67, 18. 911 initiated & at the building at 0959. EMS assessed pt, PT was stable before they left, SN educated pt to follow up with primary physical - she verberlize understanding.

CC: arm swelling, flushing, skin redness; HPi: this is a 43 y/o female who presents to the UC with right arm swelling in area of injection site from COVID vaccination from 4/18/21. She had a faint shortness of breath but did not take albuterol. She has a history of multiple allergies and has been followed by an allergist. Husband noticed face was flushed this morning. Also general abdominal upset with diarrhea. No vomiting. No fever or chills. She reports often a delayed reaction to allergens. Gastrointestinal: Positive for abdominal distention and diarrhea. Skin: Positive for rash. All other systems reviewed and are negative. Medications, albuterol inhaler 4 puff (4 puffs Inhalation Given 4/26/21 1234), methylPREDNISolone sodium succcinate (PF) (SOLU-MEDROL) injectable 125 mg (125 mg Intravenous Given 4/26/21 1230), diphenhydrAMINE (BENADRYL) injectable 25 mg (25 mg Intravenous Given 4/26/21 1231), famotidine (PEPCID) 20 mg in NS 50 mL IV infusion (0 mg Intravenous Stopped 4/26/21 1251); Medical Decision Making: This is a 43 y/o female with history of multiple significant allergic reactions. Here with delayed allergic reaction to COVID vaccine. She was treated with Solumedrol 125mg IV benadryl 25mg IV and pepcid 20mg IV. The erythema of face and nec/shoulders resolved. She was also given albuterol inhaler. We discussed postponing the next covid vaccine until she confers with her allergist. Will treat with prednisone 50mg daily for 5 days, pepcid and benadryl.- Return precautions for recurrence of allergy or any other concerns. After careful consideration of patients presentation and clinical course, at this time there does not appear to be an indication for further emergent evaluation or intervention, nor is there an indication for admission to the hospital. At the time of discharge I do not think, to the best of my medical judgment, that an emergent medical condition exists and patient is discharged home well-appearing in stable and satisfactory condition. Discharge diagnosis, instructions and plan were discussed and understood. Signs and symptoms that should prompt return to the Urgent Care were discussed and understood. Both verbal and written discharge instructions were provided. At the time of discharge patient appeared comfortable, was in no apparent distress and vital signs were within normal expected limits.

4/7/21 around 630pm began to feel ill and had sore arm. By about 1030pm, had significant body aches, headache, clammy skin, vomiting, diarrhea, near passing out, fast heart beat, with fever. These symptoms lasted about 48 hours. The next 48 hours just had ill feeling with extreme fatigue. Come 4/12/21, I had nausea, headache, fever of about 100.4 and body aches. By 4/14/21, I ended up going to the ER for shortness of breath, chest tightness, extreme fatigue and voice hoarseness. Those doctors performed several labs to include Chest CT which showed elevated D-Dimer levels. An EKG was performed which was baseline. Ultrasound of my veins was performed. They also did a COVID test which was negative. They sent me home and told me to rest and drink lots of fluid. On 4/16/21, I had a video call with my doctor who didn't like the sound of my voice and straining to catch my breath and I was sent to urgent care/ER. They admitted me as an ER visit due to my continued shortness of breath, cough, sore throat, night sweats, dizziness, chest tightness along with my voice being hoarse. Another COVID test was performed and was negative. During their exam, my oxygen levels were dropping into the low 80s and my heart rate was in the 120s and 130s. Their CT scan was down so they sent me to another ER where another CT scan was performed. Another COVID test was performed and was negative. My D-Dimer was elevated, liver enzymes was slightly elevated and again my oxygen levels were lower than would like to see and elevated heart rate. I ended up being admitted into the hospital for an overnight stay to monitor my symptoms. They treated me for suspected blood clot, shortness of breath, chest tightness. I was given 2 shots of heparin in the stomach, IV fluids, multiple vitamins in attempt to boost my immune system, along with ADVAIR and Albuteral. My discharge diagnose from the hosptial was Acute Bronchitis, Anxiety disorder, Recent Moderna 2nd dose COVID vaccine with significant side effects in the form of fever, generalized weakness and dizziness.

Dizziness Shaking chills Fever Strong headache) Body pain A lot of pain in the arm from the injection. (redness) Asthma

Butterfly rash, wheezing, dry and itchy throat. BPs 185/90 (pulse 68), 167/91 (pulse 60). Given Benadryl 25 mg PO.

COVID clinic - Moderna Patient feeling lightheaded, slight tightness in throat, heart feels like racing 0755 BP 104/62 Pulse 90 0815 unchanged 0830 Dizzy - in Recliner chair 0835 122/72 Pulse 106 Throat still tight able to swallow, some tightness in chest, short of breath 0840 Emergency called Report given to ER and house supervisor transferred via wh/chair to ED No epi given (patient history of allergic reaction to allergy shots as well as pertussis shot).

Rash, hives, lips puffy, tounge thick feeling, tight chest(felt like heart-sank, but with palpitations) , became more difficult to breathe (used albuterol)& took Benadryl. Respiratory, palpitations,& hives/ lips went down. Rash still slight. Continued to take Benadryl following 2 days.

Pulmonary Embolism. I saw her in clinic 6 days after her second dose. She had started feeling increasingly short of breath starting day 1 post 2nd dose. Vitals were stable, CXR and labs done. D-dimer 2020, sent to ER, CTA done and dx made. Started on outpatient Eliquis and was DC'd from ER hemodynamically stable.

Patient reports experiencing shortness of breath that started within the week after her first dose of COVID vaccination and continues to this day. (She also reports experiencing fever and chills that started the evening after vaccination and was gone within 24 hr, which was expected.) Pt has hx of COVID (June 2020). Pt talked to Dr. about her SOB and completed a steroid and antibiotic course from prescriber. She was advised to follow up w/ her Dr. concerning her continued SOB.

3 am woke to shortness of breath, and back felt hot as if blisters were on back, and right arm painful. Treatment: cold compresses to affected area and took inhaler (symbacort 2 puffs x 1), took a xanax in case it was a panic attack. felt relief after 3 hours (6 am approximately) Inhaler did not help observed symptoms for about 1-2 hours and felt things were starting to subside.

Patient complained of trouble breathing, flushed and nausea. Patient also stated she feels like she's about to faint. Patient's face was red and very warm. Oxygen saturation was 99%. B/P was 140/100. Adrenaline 0.3ml was administered in the left quad at 3:38pm. EMS arrived shortly after and administered oxygen. Patient was taking to the hospital.

Became flushed approximately 30 seconds after vaccine was administered. Shortly after, approximately 2-3 minutes after vaccine, I started having heart palpitations. I felt warm, slightly out of breath and "faint-like" while walking to my vehicle after the vaccine. The palpitations were off & on for 30 minutes after the vaccine was administered. That evening, I checked my pulse with my pulse oximeter just to see how my heart rate was. At the time it was in the high 40's to low 50's. The lowest my heart rate went was 44 bpm. My primary doctor was made aware.

Pt presented for an initial dose of her COVID-19 vaccine. I administered the 0.5 mL dose in her left arm at 1551. I recommended that the pt stay in our seating area for observation after administration. She said she was going to walk around the store with her son. She returned at about 1611 stating that she was having difficulty breathing and just felt like she was having a reaction. She also mentioned that she had a metal taste in her mouth. I immediately had her sit in a chair located in front of the pharmacy and informed my pharmacy manager. I went out to her with my immunization cart in hand. She was seeming flustered or overwhelmed, face was flushed, eyes were glossy. I got the BP cuff and checked her blood pressure which was elevated at 155/108 with a heart rate of 95. I gave her a water and asked her to stay and sit for bit, at least 5 mins to recheck her BP. She kept saying she was feeling better, however I insisted she continue to sit. Moments later, she told me her tongue was swelling and had the metal taste in her mouth again. D/t the tongue swelling, I administered 50 mg of Benadryl at 1623 and relocated her to the observation area for additional privacy. She said she was feeling nauseous, so I gave her the garbage bin, just in case. I grabbed her another water to sip from. After about 10 mins or so, I checked her BP again, which still remained elevated at 155/108 with a HR of 90. I checked her tongue and it appeared normal, no visible swelling. Her son who was with her said it looked normal too. After a few mins, she said she was feeling much better and was ready to go home. At this point, it was almost 1 hour, post vaccine administration. Pt left with her son who is an EMT and said he would keep a close eye on her. They have benadryl at home. Pt also stated she would not be getting the booster dose of the vaccine after I recommended speaking with her PCP about getting it in a facility better equipped to handle anaphylaxis.

administered vaccine and patient reported slight shortness of breath and heaviness in her chest. after 20 minutes of observation, patient stated she felt better and patient was stable before leaving...Benadryl 25 mg given po

Shingles (small rash; tiny red pimples; spread throughout the entire left arm; pain was excruciating); Vaccinated arm became itchy and painful; Vaccinated arm became itchy and painful; Nausea; Fatigue; Difficulty breathing; Felt as though one half of my body was being weighed down and dragging; Tightness in chest; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of HERPES ZOSTER (Shingles (small rash; tiny red pimples; spread throughout the entire left arm; pain was excruciating)) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 036A21A and 030M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Chickenpox (aged 4) and Arm fracture (23 years ago) in 1998. Previously administered products included for Arm fracture: Morphine (23 years ago; reportedly had rash and was treated with diphenydramine (BENADRYL).) in 1998. Past adverse reactions to the above products included Rash with Morphine. Concurrent medical conditions included Drug allergy (morphine-rash), Alcohol use (occasional) and Non-smoker. On 08-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 08-Mar-2021, the patient experienced DYSPNOEA (Difficulty breathing), DISCOMFORT (Felt as though one half of my body was being weighed down and dragging), CHEST DISCOMFORT (Tightness in chest), NAUSEA (Nausea) and FATIGUE (Fatigue). On 15-Mar-2021, the patient experienced VACCINATION SITE PRURITUS (Vaccinated arm became itchy and painful) and VACCINATION SITE PAIN (Vaccinated arm became itchy and painful). On 16-Mar-2021, the patient experienced HERPES ZOSTER (Shingles (small rash; tiny red pimples; spread throughout the entire left arm; pain was excruciating)) (seriousness criterion medically significant). At the time of the report, HERPES ZOSTER (Shingles (small rash; tiny red pimples; spread throughout the entire left arm; pain was excruciating)) was resolving, DYSPNOEA (Difficulty breathing), DISCOMFORT (Felt as though one half of my body was being weighed down and dragging), CHEST DISCOMFORT (Tightness in chest), VACCINATION SITE PRURITUS (Vaccinated arm became itchy and painful) and VACCINATION SITE PAIN (Vaccinated arm became itchy and painful) outcome was unknown and NAUSEA (Nausea) and FATIGUE (Fatigue) had resolved. The patient reported no significant medical history. She reported immediately having difficulty breathing (also reported as 3 hours later). She noted a tightness in her chest and had to take her mask off. She rested at home but felt as though one half of her body was being weighed down and dragging with no other symptoms suggestive of a transient ischemic attack (TIA). On 15-MAR-2021, the vaccinated arm became extremely itchy and painful. On 16-MAR-2021, a small rash developed on her left arm. By the night of 17-MAR-2021, the patient realized that there was absolutely nothing normal about it and the rash had spread throughout the entire left arm, and the pain was excruciating and unbearable. There were tiny red pimples over the arm. The doctor said it followed "the nerve." No biopsy or specimen was obtained. The next morning, it was more intense. The inner forearm had pruritus which seemed like a bug bite. She saw a rash and went to the school nurse and was told it was in the vaccination spot. She covered it with a sock to apply pressure. On 18-MAR-2021, the patient went to the doctor and was diagnosed with shingles. Treatment medication included: valacyclovir started on 18-MAR-2021, naproxyn started on 18-MAR-2021, ondansetron for nausea prn, and nortriptyline until the rash resolved. Four days later, she was beginning to feel better with some rash resolution. Company comment: This case concerns a 43-year-old female with a serious unexpected event of herpes zoster, and nonserious unexpected dyspnea, discomfort, chest discomfort, and expected nausea, fatigue, vaccination site pruritus, vaccination site pain. Latency within 3 hours after first dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. This case was linked to MOD-2021-111460 (E2B Linked Report). This case was linked to MOD-2021-110352 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 24-Mar-2021: Events added; treatment details added; product dosage updated; medical history updated; Sender's Comments: This case concerns a 43-year-old female with a serious unexpected event of herpes zoster, and nonserious unexpected dyspnea, discomfort, chest discomfort, and expected nausea, fatigue, vaccination site pruritus, vaccination site pain. Latency within 3 hours after first dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. MOD-2021-111460:Same reporter/different patient

Within 15 minutes of receiving Moderna second dose vaccine patient began experiencing facial flushing, hives, difficulty swallowing, sensation of throat closing, and chest tightness. Blood pressure: 138/88. SpO2 on room air: 97%. Heart rate: 104. NP administered Benadryl 50 mg via intramuscular to right deltoid. EMS arrived and assumed care of patient.

Per pt, experienced weakness, fatigue, rash at injection sight, SOB, lightheaded, elevated HR and BP. Pt received vaccine doses at Hospital.

After getting my second vaccine, I instantly became tired and sore. I woke up in the middle of the night sick. I started with vomiting and diarrhea. My left arm was swelled and hurt. My body was achy and I could hardly walk. Swelling ended up going into my arm pit and left chest. That afternoon I had some trouble breathing along with chest pains. The pains lasted all day and then my throat became sore. I slept most of that evening. The next morning I woke up and my chest pain became a little worse, along w/a severe sore throat. My arms, legs, feet, and hands were very achy. I ended up going to the emergency room because I didn?t feel right. Returned home after they said that was normal symptoms after the shot. Within two hours, my face started swelling, throat hurt worse and I couldn?t swallow, and my lips were swelling. I also had a rash in various places that itched pretty bad. I ended up being covered in hives that were raised up like knots everywhere. I returned to the ER and finally they said I was having an allergic reaction to the vaccine. I was hooked up to IV meds, then returned home. The next day (Sunday) my legs were swelling and it was very hard to walk. The rash became worse and was popping up all over. Didn?t feel like moving because my hand and feet hurt so bad. On Monday my leg was swelled double the size, hot and red. I was told they were worried about a blood clot, so I had blood work done. All of my levels were elevated, d-dimer was 2500. I was sent to Chillicothe Er to have testing done. They suspected blood clots in my lungs, however that came back ok. I was put on more meds and watched for awhile. After a CT scan and getting new meds, I left, but had to return to have a Doppler completed on my leg. It came back negative for blood clot, however the swelling still comes and goes. I ended up taking two kinds of steroids and a couple other meds to help the reaction. To this day, I am still tired easy, have some shortness of breath, my legs, feet and hands still swell and they ache pretty bad.

Patient got vaccinated, left facility, and then returned because her blood pressure dropped and she began having difficulty breathing. She was loaded into an ambulance and administered oxygen for 2-3 minutes on the way to Hospital. Her blood glucose and EKG results came back normal, and she was discharged the same day. Patient mentioned during a follow-up call with Hospital staff on 5/13/21 that she had 3 similar but less severe breathing episodes between vaccination and 5/4. She did not visit a care facility and reports feeling fine since. Hospital staff referred her to a private provider and advised her to visit an ER or urgent care facility if she experiences another episode.

Patient reports feeling dizzy, heart racing, slight shortness of breath. had an egg for breakfast today.

11:04 C/O nausea, lightheaded, throat dry, difficulty swallowing. BP: 170/101 (auto) and 150/98 (manual) P: 86. R: 16. O2Sat: 99%. 1 11:21 C/O Difficulty breathing. No facial swelling or edema noted. R: 16 No stridor noted.EMS activated. BP: 110/76. P:79. O2Sat: 99%. Feeling flushed. Redness on Rt arm due to band-aid, not injection. EMS activated. 11:30 difficutly breathing subsiding. Arm burning decreased. EMS transport offered and declined. 11:40 EMS vitals: BP: 152/10;3. P: 80. O2Sat: 98%. nauseated. Lump in throat subsiding. Possibly pregnant per vaccine consent. Discharge instructions given by EMS. Standing vitals: BP: 175/ 92. P: 80. O2 Sat: 100%. Husband contacted; picked up client at 12:15.

The following symptoms began 1 day after the second dose of the COVID Moderna vaccine: high fever of 104F, tinnitus, dizziness, nausea, headache, body aches, chest pain, shortness of breath and fatigue. The chest pain and shortness of breath increased over the course of 4 days. On day 6, post vaccine, I went to the ER due to the severity of my symptoms. My cardiac work-up came back normal, although no echocardiogram was completed. I was diagnosed with pleural inflammation and treated with IV anti-inflammatory medications. I was released from the ER the same day. My symptoms persisted for several more days. The chest pain and SOB resolved after 10 days, post vaccine, but the fatigue has continued and not yet resolved.

Patient presented with 3-4 days of increasing shortness of breath/chest pain. Was found to have a pulmonary embolism. started on Heparin drip, transitioned to apixaban after 24 hrs and DCed home

Instant sharp pain right away, couldnt breath,, had to remove my mask right away put hands in the air, the I got very HOT and lightheaded,, then within 5 minutes or less passed out hit the ground, was passed out over 10 minutes. Having extreme headaches, pain in my shoulder arm, numbness in my hands and feet. I could feel the shot go in it was cold. I am feeling tired and like my right ear is plugged.

I started feeling nausea, extreme flushing of skin, heat radiating throughout body, vomiting, and swelling in throat within 3 minutes of injection. I started to actively throw up and shortness of breath I could feel my throat closing off and was struggling to breath. Within the first 10-15 minutes, I could not breath, swallow, and my body started to contract. I was given epinephrine, steroids, and other medications and emergency services dispatched. I was in Anaphylaxis

Severe anaphylaxis with SOB, angioedema requiring 3 doses of Epipen, 1 dose of Benadryl 25 mg, Solumedrol. Transported to ER and was on Epinephrine drip for 10 hours.

Around 8 PM STARTED WITH A massive headache and then overnight I started to swell when I woke up the next morning 03/30/2021 I had angioedema and severe whelps, and my eyes closed shut, my lips were twice their size, and my throat was really tight. Within 24 Hours I looked and felt horrible. The reaction continued for 2 weeks (around 04/09/2021)and then my doctor put me on a heavy dose of prednisone and other drugs to stop the reaction. I still have hives every night and facial swelling. My doctor advised me to not get the second shot of the vaccine until she can. It has impacted my work severely. This also happened to my brother who received the vaccine.

Sudden, pouring nosebleed, both nostrils. 20 minutes of pressure stemmed most of the bleeding. Major difficulty breathing through nose after clotting occurred. 1 hr after initial nosebleed/partial clotting, pressure on back right nostril was relieved when I snorted and coughed up a dollar coin amount of mucus and blood. Left nostril still "stuffy and till some spotty bleeding 2 hours later. No prev history of nosebleeds.

Passed out on ground almost immediately after 2nd dose; Pain from arm all the way up to shoulder after 2nd dose; Heat flashes; Couldn't breathe after 2nd dose; Pain in left arm from elbow to neck after 2nd dose; Feels like she has swollen throat after 2nd dose; Feels like food's not going down after 2nd dose; Dizziness and Lightheaded after 2nd dose; Pain in left arm from elbow to neck after 2nd dose; All the signs of a severe allergic reaction except for rash after 2nd dose; Red after 2nd dose; Heat flashes throughout the night after 2nd dose; Cold then hot after 2nd dose; Hands and feet felt numb after 2nd dose; Lingering tingling feeling after 2nd dose; she wasnt feeing well; She almost threwup; Headache after 2nd dose; Fatigue after 2nd dose; Fever up to 101.6 degrees F after 2nd dose; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Passed out on ground almost immediately after 2nd dose) in a 43-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 007c21a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 25-May-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced LOSS OF CONSCIOUSNESS (Passed out on ground almost immediately after 2nd dose) (seriousness criterion medically significant), PAIN (Pain from arm all the way up to shoulder after 2nd dose), FEELING HOT (Heat flashes), DYSPNOEA (Couldn't breathe after 2nd dose), PAIN IN EXTREMITY (Pain in left arm from elbow to neck after 2nd dose), PHARYNGEAL SWELLING (Feels like she has swollen throat after 2nd dose), OROPHARYNGEAL DISCOMFORT (Feels like food's not going down after 2nd dose), DIZZINESS (Dizziness and Lightheaded after 2nd dose), NECK PAIN (Pain in left arm from elbow to neck after 2nd dose), HYPERSENSITIVITY (All the signs of a severe allergic reaction except for rash after 2nd dose), ERYTHEMA (Red after 2nd dose), HOT FLUSH (Heat flashes throughout the night after 2nd dose), NASOPHARYNGITIS (Cold then hot after 2nd dose), HYPOAESTHESIA (Hands and feet felt numb after 2nd dose), PARAESTHESIA (Lingering tingling feeling after 2nd dose), MALAISE (she wasnt feeing well), VOMITING (She almost threwup), HEADACHE (Headache after 2nd dose), FATIGUE (Fatigue after 2nd dose) and PYREXIA (Fever up to 101.6 degrees F after 2nd dose). At the time of the report, LOSS OF CONSCIOUSNESS (Passed out on ground almost immediately after 2nd dose), PAIN (Pain from arm all the way up to shoulder after 2nd dose), FEELING HOT (Heat flashes), DYSPNOEA (Couldn't breathe after 2nd dose), PAIN IN EXTREMITY (Pain in left arm from elbow to neck after 2nd dose), PHARYNGEAL SWELLING (Feels like she has swollen throat after 2nd dose), OROPHARYNGEAL DISCOMFORT (Feels like food's not going down after 2nd dose), DIZZINESS (Dizziness and Lightheaded after 2nd dose), NECK PAIN (Pain in left arm from elbow to neck after 2nd dose), HYPERSENSITIVITY (All the signs of a severe allergic reaction except for rash after 2nd dose), ERYTHEMA (Red after 2nd dose), HOT FLUSH (Heat flashes throughout the night after 2nd dose), NASOPHARYNGITIS (Cold then hot after 2nd dose), HYPOAESTHESIA (Hands and feet felt numb after 2nd dose), PARAESTHESIA (Lingering tingling feeling after 2nd dose), MALAISE (she wasnt feeing well), VOMITING (She almost threwup), HEADACHE (Headache after 2nd dose), FATIGUE (Fatigue after 2nd dose) and PYREXIA (Fever up to 101.6 degrees F after 2nd dose) outcome was unknown. No concomitant medication information was provided No treatment product information was provided Action taken with mRNA-1273 (Moderna COVID-19 Vaccine) was not applicable. Company 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 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 report developing mild body aches the evening that she received the vaccine. The following day she developed worsening body aches, headache, and chest tightness. In the early morning of 6/15/2021, she developed sensation of something in her throat making it difficulty to breath and chest tightness with a pain in her chest. Body aches mostly resolved except pain in her upper back. patient reported feeling the need to sit up to be able to breathe.

"Moderna COVID-19 Vaccine EUA" Initial mild pain in lower left calf lasting 3 days. Described as "pulled muscle feeling." Dissipated after 3 days. Then, mild, left sided middle back pain that progressively worsened over 3-4 days. Pain eventually felt across entire front and back of chest. Shortness of breath worsened. Difficulty pulling air into lungs and pushing it out. After a total of 5 days from onset of back pain, emergency room visit required.

I was vaccinated 5/12/2021 at about 9 AM. At about noon, my arm felt like it was at the bottom of a boulder it couldn't pick up, and when I did lift it up, it hurt really bad. My whole left side of the body was sore. It felt as if I had done exercises just on that side of the body. I felt dizzy and nauseous after taking a shower, and I passed out. I was out for almost 3 hours. I started coughing more, and my asthma progressed. I didn't have the cough before the vaccine, but I still have it over a month after receiving the vaccine. My eczema has also worsened. My back feels like it's on fire all the time, and it constantly itches. Since receiving the vaccine, I have had asthma attacks about every other night; before the vaccine, I normally had attacks only every few months if I used the nebulizer. I'm now concerned about the frequency with which I use my nebulizer. Am I using it too much? If I don't use my nebulizer or have it available, I end up using my inhaler. Last, but not least, my left arm still frequently itches and hurts.

Within 8 hours I began running a fever. Within 14 hours my body hurt so bad I couldn't get out of bed without help. This continued for 3 days. Day 4 I was mentally foggy. Day 5 I was normal. 39 days after my second dose I developed severe chest pains and had to go to the emergency room where I was diagnosed with pericarditis and pleurisy.

I began itching at the injection site around 10 am. It then began to spread down my arm and into both sides of my rib cage. It kept spreading up my throat, across my chest and neck and down to my legs. I could not stop scratching. About the time my neck started itching, my throat started feeling weird and tight. I could not swallow easily. I was given Benadryl, famotidine, Solu-Medrol, Zyrtec and epinephrine. My symptoms would slow for a moment and then continue. I was sent to Holy Family Emergency room from urgent care due to my severe allergic reaction to the vaccine. I was given some of the same medications but they also eventually added Vistaril. I was eventually discharged late that night. I did have a rebound reaction between 2-3 am the next morning with new hives developing and a feeling of tightness/inability to swallow returning. I have had the itching and hives return several times this past week and still have visible hives. I feel weak and tire easily. I have missed some work because of this. With times being hard as it is, that isn't good. I was trying to be a good citizen.

About two days after the vaccine, started to feel shortness of breath, heart palpitations and elevated pulse.

Left sided weakness and heaviness in left upper and lower extremities. Fever 103.4, nausea, headache, low back pain, chest pain, left lung pain, dizziness, shortness of breath.

Vaccine recipient reported that after receiving the vaccine they developed headache and discomfort going down the right side of their neck. Vaccine recipient declined treatment. The day after the vaccine recipient experienced body aches, shortness of breath, and a low grade fever. They took Advil. They did mention that they do have lymph node swelling. During a follow-up phone call on 1/6/2021, vaccine recipient reported that symptoms have resolved. Moderna COVID- 19 Vaccine EUA.

1 hour from the time of administration, my throat began to tighten/narrow and became numb - no loss of airway. Administered self Benadryl for 24 hours following. Symptoms relieved within 24 hours.

At 3pm, I started to have a small allergic reaction. Symptoms started with sweaty palms, my tongue felt strange, my body felt weird particularly from my knees to my toes and I was easily winded moving around. Symptoms slowly progressed until I went to the dr and was prescribed prednisone and benedryl.

very fatigue and sore arm, headache, the night of the shot. 01/06/2021, Very fatigue, chills, fever, body aches, red spot where shot was given, slight headache, 01/07/2021 cough, sob, asthma like symptoms, headache, body aches, slight fever. 99.9, loose stools, 01/08/2021

Chills, headaches, extreme fatigue, muscle soreness, ongoing redness below the injection site, elevated heart rate, mild shortness of breath. I slept 11.5 hours the next night after receiving the vaccine, which seemed to help with symptoms. *I had a Covid infection in August 2020.

Initially the recipient felt tightness in her throat, which she relates is similar to past episodes of anaphylaxis .

Patient called and stated that left side of her face turned red and had a small rash. She has some sort of difficulty breathing and felt her tongue somewhat swell up. I informed her to take benadryl 50mg right away and seek medical emergency at urgent care or ER.

I had throat & tongue swelling in the 15 mins after 1st covid vaccine/moderna..... EMS walking me out of school to ambulance & I passed out on sidewalk. And even I could not talk due to throat and tongue swelling and was getting weak. I was checked BP , it was over 150. I was transported to LG Alleghany - I received 1 epipen at the ambulance and another epipen in the ER. total got 2 Epipens. --- heart racing & shaking all over -- At the ER, took x-ray on lung and thorat , did EKG, and got Benadrly then slept for 40 mins or 1 hour.

She received her Covid vaccine on 12/24/2020 denies any s/s of illness on day of the injection. On 12/25/2020 she reports after 1200 pm noting feeling of fatigue, sl. cough with SOB noted, and fever of 100.4. On 12/26/2020 she reports having sorethroat, fevers around the 100 range, but denies cough. On 12/28/2020 she got tested for Covid due to having s/s mentioned above. She was found to be Covid positive on 12/28/2020. She was seen in the ER with s/s of some loose stools, mild pleuritic cough, mild fever and pulse oximetry in the 80 range. She was placed on an Albuterol inhaler and 6 days of Dexamethasone 6 mg with instructions to not to return to work at least until 01/11/2021. Our local Health Department felt a VAERS form should be completed since she became Covid positive and required medical treatment even though she could have had the exposure prior to receiving the vaccine.

Headache, RespDepression, NauseaVomiting, Injection site bruising and pain, headache, insomnia, nausea, shortness of air with exertion Narrative:

high temperature of 108, chills, sore arm, headache, both feet felt uncomfortable with shoes on, pain in left chest area, around 11:45 pm breathing was difficult

Fever, Rash, Urticariapruritus, rash on arms & legs, fever, seating , fatigue, hard to breathe Narrative: employee reports: around 7 pm on the day of vaccination, patient noticed hives on arms and legs which were red and itchy. Additionally difficult to breath and chest pain. She states she took OTC diphenhydramine which resolved the rash but then she experienced fever and sweating and fatigue which she is currently experiencing. She did not know if the fatigue was a side effect of the vaccine or of the diphenhydramine.

Brought to her attention the sucrose in the vaccine information. She stated she would be fine. Gave vaccination and instructed employee to stay in hospital for at least 15- 30 minutes. Employee walked back into vaccine clinic at 1109 and states she isn't feeling well, slight rash noted at injection site and slight rash on chest. Employee is anxious do to previous issue mentioned above. Took employee to EHS. BP 215/107 P 122, shaking feels like right side of her throat is slightly swollen no SOB, Pulse ox 98% P 133. BRRT called at 1112. Employee states she took Benadryl 25 mg before coming to get vaccine. States she was walking in hall and started not feeling well so took Benadryl 25mg. 1116 BP 198/106 P135. BRRT staff here and assessing employee. T98.2 at 1119. 1121 BP 186/ 91 P 107. Employee reports she is feeling better now bumps in her mouth or swelling in her throat, less shaking redness in chest and right arm decreased. Employee refused to go to ED signed refusal form. 1126 BP 189/96 P92 BRRT team still here. Employee will continue to be monitored in EHS. BP 177/87 P87 feeling much better ready to leave EHS.

Received dose at 1059, at 1105 I had right sided throat swelling, bumps to roof of mouth, hives to chest and also right arm, heart rate of 140, blood pressure 219/110. I had taken Tylenol and 25 mg of Benadryl 50 min prior to vaccination and immediately took another 25 mg of Benadryl when I noticed my throat getting tight. No further treatment was needed as the benadryl began working. 1 hour 10 min post injection I developed a migraine.

Myalgia chills, fatigue, syncope vs seizure 43 yo employee falt fatigue on 12/24 and again on 12/25/20. The patients husband reports she was walking down the stairs, seemed "off" and missed the step/slid on step injuring both feet/ankles. Pt got up and was able to stand for a few minutes. Husband reports that he than sat her on the steps-few minutes later she had syncope with convulsions vs seizure. Per his report this lasted over a minute, she stopped breathing and was unresponsive. He reports she was confused while he was on the phone with 911 operator (3 minutes). Patient was taken to Health Center for work up. The head CT, labs, X-rays, EKG were unremarkable. Followed up her physician Dr. and was referred to neurologist. She had a MRI without contrast which was unremarkable and is scheduled to undergo a sleep deprived EEG. She is undergoing physical therapy at this time for injury to bilateral feet/ankles.

reported chest heaviness SOB , believed it was an asthma attack.12/28 was seen by cardiologist and sent home on 12/29 was seen by cardiologist , had an echo and sent home on steroid

Five minutes after injection, experienced a sense of doom, shortness of breath, and blood pressure/heart rate significantly above baseline. I was monitored with vital signs for the next 45 minutes and the symptoms resolved. For the next several days, experienced injection site pain and fatigue.

DAY AFTER RECEIVING VACCINE DEVELOPED RAPID HEART RATE, FLUSHING AND NEEDED BREATHING TREATMENT FOR HER ASTHMA. SHE STATED HER SISTER HAD TO RECEIVE MEDICAL CARE AS WELL, BUT SISTER DID NOT RECEIVE VACCINE AS SAME CLINIC. STATED THAT SHE HAS AN EGG ALLERGY AND DOSE USE INHALER FOR HER ASTHMA. PATIENT CALLED PHARMACY ON 1/18/21, SIX DAYS AFTER RECEIVING 1ST VACCINE AND WANTED TO KNOW IF SHE SHOULD RECEIVE 2ND DOSE.

Started out with heart burn that made you want to die. Every inch of body hurts really bad with no relief, Having a hard time breathing, feels like someone is sitting on my chest. feels like I have been beat up, pain medication is not touching the pain. Still experiencing the heart burn two days later.

12/31/20 body ached, chills, fever, fatigue, sore throat 1/1/21 reported tongue/throat swelling- relieved with Benadryl and Allegra

At 0915 she reported arm and finger tingling, chest and throat tightness, and heart racing. Took sips of water. Able to talk and hold conversation with nurses. At 0925 she reported that she had another "wave" of these symptoms which would quickly resolve. EMS called at 0930 because she had a third "wave" of these symptoms and stated that the tingling extended down into legs. Went to Medical Center at 0940 with EMS.

1537 spoke with provider concerning her medical history, history of anaphylaxis to 3 different medications 1545 vaccinated 1620 Code 1 called on radio and provider proceeded to evaluate 1622 Pt evaluated and had slightly thickened tongue, feeling of throat fullness, Mallampati 3, no stridor, vital normal 1627 EMS arrives 1630 loaded into ambulance and transported to Hospital

Tingling of palate. started 5-7 min. after receiving the vaccine Difficulty breathing, tachicardia, hypertension lasted about an hour- hour and half but hard to say until benadryl kicked in. TReated in ED with IV benadryl and pepcid . I left the hospital 5 hours later with normal vitals of heart rate in the 60's and b.p. 112/62

Tenderness and 3.5 to 4 cm round moderate erythema with pain present. Looks indicative a localized hypersensitivity reaction that has last for 11 days. Shortness of breath and Headache is also reported and still persist 11 days after vaccine administration.

Per summary of primary hospitalist. Pt admitted for acute hypoxic respiratory failure requiring mechanical ventilation secondary to angioedema from Moderna COVID-19 vaccination. Pt presented with a chief complaint of tongue and facial swelling approximately 10 minutes after receiving first dose of the vaccination. She did not respond to Benadryl or IM epinephrine. She was admitted to ICU and intubated. She was started on IVsteroids, famotidine and diphenhydramine. Swelling gradually improved and she was successfully extubated. Her hospital course was complicated by steroid-induced hyperglycemia requiring insulin.

Symptoms: facial and chest rash, itching, chest tightness, tachypnea Treatment: Pepcid, Benadryl, Solumedrol Outcome: Discharged home

Fine for 15 minutes during wait time. During drive home, about 30 minutes after, I felt a sort of ripple of energy across the right side of my face. My throat did not close, but it clenched or got tight and my tongue seemed to tense. Before I had time to think about that, I had a surge of adrenaline which left me a bit startled. The tongue and throat tightening happened without an adrenaline surge approximately 4 more times. I lost feeling in my left arm and felt lightheaded. This lasted about 30 minutes, after which I felt fine. I experienced sharp stabbing pains in hands, feet, pelvis and fingers, which are still present 48 hours later. At 24 hours post-vaccine, I felt chills and developed muscle aches and a low fever, which are still present at 48 hours post-vaccine.

Chills, shivering, sensation of swelling in throat and beginning of hives (patchy red area on arm), some shortness of breath, palpitations and elevated blood pressure. Went to emergency room for observation. Diphenydramine administered at ER.

female presents to ED with complaint of Allergic reaction (Hives, swollen throat, SOB s/p 1st dose moderna COVID-19 vaccine. Given 0.6 IM epi @ site, 50mg IV benadryl + 500mL IVF. Janitor@ clinic) Patient is an employee at the clinic works as a janitor. Received her first dose of covid vaccine, then the moderna vaccine. Received this at 11 AM. At 2 PM started having shortness of breath and hives. At 2:30 she was treated at the clinic with epinephrine and Benadryl. Patient was transported to ER an hour and a half later. Patient get did get some IV fluids in route. Patient states that the hives are better no longer short of breath. Initially stated that her throat felt swollen and swallow now. No cough. No chest pain no abdominal pain. Patient has no prior history of allergic reactions. Patient discharged with prescriptions for Benadryl 25mg and Epipen JR 2-PAK.

1 week after injection I woke up with severely swollen lymph nodes in neck, swollen throat and could barely swallow. Right arm at site of injection 1 week prior was acutely hard, elevated, red, warm and tender to touch. I immediately took a benadryl and 5 mg predniosne tablet, water, elevated position to rest. Swelling of lymph nodes in neck improved and gradually resolved 3-4 days later. Right arm redness and size of affected area doubled over the next two days, but then started improving. Resolved in about 8 days.

At first I was feeling dizzy, then the back of my throat felt itchy. EMS came over, and took my temperature, which was 98 degrees. Then I started to feel compression and pain in my ribs on both sides, and the middle of my chest - like an elephant was sitting on it, or I had a corset wrapped too tightly around my diaphragm. Then I started having uncontrollable coughing fits, followed by wheezing. EMS got me some ice packs for my ribs and the middle of my chest, but I had to get up and use the bathroom. When I get anaphylaxis, I usually take two aspirin, a benadryl, a cetirizine, a CBD capsule, a famotidine, a 20 mg steroid pill, and a hydroxyzine pill - all at once. EMS agreed I should take it, and they gave me a shot of epinephrine in the arm. then they loaded me on to the ambulance, where I got a shot of steroid, and we went to the hospital in. EMS also started an IV for me. At the hospital, they gave me another shot of EpiPen, over 20 minutes after the first one, and a shot of Benadryl. by the end of 2 hours, my breathing was back to normal, and I was able to go home. Today I still feel a little bit dizzy, but mostly my arm is sore where I got the vaccination. I also still have a headache.

Anaphylaxis: hives all over her body, lightheadedness, throat closing. Hypotension about 2 hours after the moderna was administered.. She received 2 doses of epipen before paramedics took her to the ER.

Left arm became extremely sore and achy around 6pm on 1/26/2021. I my head and body started feeling achy around 7:30 pm on 1/26/2021 so I went to bed. I woke up around 2am on 1/27/2021 with sore throat, severe head and body aches, stiff neck, chills, and took my temp it was 102.8. I had a fever off and on through 1/28/2021. In addition to those symptoms, on 1/28/2021 my teeth started hurting and 1 lymphnode in my right neck next to my jaw starting swelling and getting very hard. It was very painful. On Friday 1/29/2021 I felt a lot better and resumed normal activity. On Saturday 1/30/2021 at around 3pm my lymphnode started swelling off and on again, my body felt achy with it, I also, developed slight shortness of breath, a dry cough, and a slight headache. I took my temp and it was 99.9. This is still continuing today 2/2/2021.

Pre-medicated with Zyrtec per recommendation of immunologist/PCP. Reported difficulty breathing within 10 minutes, transported where Epi and Benadryl were administered and was then transferred to ER where Solumedrol and Famotidine was given and then patient was kept for observation for 5 hours. Intermittent shortness of breath continued through day 3. The vaccine clinic Employee Health Nurse said I should let you know. Incidentally, when I was walking out of the ED, I was short of breath. If I sat quietly, I was fine, but I continued to be SOB with walking and talking for 24 hours. Today I am not short of breath, but I am dizzy.

Urticara over left shoulder, N/V/D, itchy throat, SOB about 8 min after the shot. S/p EpiPen, diphenhydramine, cetirizine in clinic. Given additional diphenhydramine in ED. Discharged from ED with EpiPen

Approximately 20 minutes after patient received vaccine she complained of swelling in her throat. Had similar reaction after first vaccine for about 6 hours. Described is as having a "thick neck in the back of the throat." Second dose was cleared by her doctor. Vitals at 0813 122/74 hr 72, 100% on room air. Denies any difficulty breathing or any respiratory issues. Benadryl 25mp PO was given at 0813. Pt transported to ED by RN at 0819 via wheelchair. Pt talking normally and no signs of distress noted.

Swollen arm Itchy arm Chills Uncontrollable shivering Fever Sweating Extreme fatigue Bad dreams Remained at hospital for 30 minutes after injection for observation due to history of asthma and ibuprofen allergy. No reactions that that time. Symptoms started approximately 12 hours after injection. Gradually went away and almost gone after 72 hours.

Anaphylaxis reaction; Angioedema; Shortness of breath; Wheezing; Fast heart rate; A spontaneous report was received from a physician concerning a 44-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced an anaphylaxis reaction, angioedema, shortness of breath, wheezing, and increased heart rate. The patient's medical history was not provided. No relevant concomitant medications were reported. On 20 Jan 2021 at 18:00, approximately 10 minutes prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 041L20A) intramuscularly for prophylaxis of COVID-19 infection. On 20 Jan 2021, approximately 10 minutes after receiving her injection, the patient began to have tongue swelling. She was given diphenhydramine and epinephrine by epi pen. She went to the emergency room where she displayed symptoms including a fast heart rate, wheezing, and shortness of breath with an angioedema or anaphylaxis like appearance. She was given more epinephrine, famotidine, scheduled diphenhydramine at 50 QAs intravenously (IV), IV steroids, was intubated and placed on a ventilator. She was on the ventilator for approximately 18-20 hours following admission. She eventually responded to a high dose of dexamethasone. She was also given duonebs for her shortness of breath, regular sedation for the ventilator, and a dose of ketorolac. Consent was given for Safety to follow up. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events were unknown at the time of this report.; Reporter's Comments: This case concerns a 44 year old female patient who experienced a serious unexpected event of Anaphylactic reaction. The event occurred approximately 10 minutes after first dose of the study medication administration. She was treated with epinephrine, famotidine, diphenhydramine, IV steroids, intubated and placed on a ventilator. 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.

Burning entire body, headache, body aches, fever, chills, head cold, swollen glands, severe body fatigue, couldn?t move right arm all day and night when shot was given, rash on face and chest, day two of shot I can now move arm but body is still burning and site of injection feels like it?s on fire. Body aches are relieving after day two and it?s 9:39 in the morning. Headache is still there but able to function, throat still swollen and hard to swallow, still low grade fever. Have been taking aleve for pain and fever. Rash is now gone.

1/28- Moderna vaccine to left deltoid approximately 1000 AM. Felt fine the rest of the day. Very tired in the evening and went to sleep early. Took PM medications- Xyzal 1 tab PO HS, Xanax 0.5 mg PO HS. 1/29-Woke to Left arm was sore, felt like I had received TDap injection, like I was punched in the arm- localized to Deltoid. Took AM medications as normal- Wellbutrin XL 150 mg QD, Effexor 75 mg QD, B12 SL, Multivitamins QD As the day progressed, left arm soreness and discomfort became more pronounced and then went from localized to circumferential to left arm. Also noted discomfort and soreness to left axilla and soreness to left lateral/posterior cervical neck area. Became increasingly tired, weak, left arm was weaker than right arm with grip. Headache was pounding and predominantly bilateral temporally. Decreased appetite. Non productive cough. Mid day, started to have freezing bilateral upper and lower extremities. Applied wool socks and clothing layers to accommodate. Temperature to forehead was 99.0, Right ear 101.4 and Left ear 102.0. Pulse ox 97% on room air. Took 1 gram APAP prophylactically, also took Zicam SL. Tolerated as much PO fluids as possible, water. Increased flu like signs and symptoms for the rest of the day, no actual fever recorded. Literally had on thermals, top and bottoms. 2 pair of wool socks, gloves, and a hoodie. Wrapped in bed with 2 blankets. Through the night, had discarded all clothing and remained in shirt and had sheet covering. Difficult night sleeping with the soreness to left arm and left axilla, was not able to get comfortable. 1/30- Woke, still, felt signs and symptoms of flu, body aches, pains, weak, tired, and decreased appetite. A noticeable audible wheeze, shortness of breath with minimal exertion, and persistent dry cough. Cough remained non-productive. All other signs and symptoms from the day before remained and the soreness to the left upper arm, left axilla, and left neck. Flu like signs and symptoms were just as intense as day before. Chills were consistently inconsistent with start and end, noticeable bilateral hands and feet were freezing. Afebrile, pulse ox 97% room air . Continued to treat prophylactically with APAP and Zicam, po fluids, rest. 1/31- Difficult night sleeping again related to discomfort to left side of upper torso. Felt a little better concerning weakness and being tired. Headache subsided some from it?s intensity. Started to have stomach discomfort, diarrhea, and remained short of breath with minimal exertion. Felt as if I was not able to expand my lungs to their full capacity, thus yawned a lot and had to continue to try to expand lungs. Continued to have flu signs and symptoms (not as intense as past 2 days), diarrhea STARTED, and feeling tired continued. Shortness of breath decreased in severity and lungs continued to feel a decline in expansion with inhalation. Continued to treat prophylactically and rest. Pulse ox 99% room air. Afebrile. 2/1- Difficult night sleeping related to left upper torso soreness and discomfort. Diarrhea continued into this day. No nausea. Tolerating PO fluids; however, feeling weak and tired. Left upper arm soreness and discomfort less than initial onset. Left axilla remained sore and left side of neck. Pulse ox 99% room air. Afebrile. 2/2- Diarrhea subsided, flu signs and symptoms continued to decrease in initial intensity. Shortness of breath not as extreme; however, continued to feel as if not able to expand lungs to full capacity. Left upper arm soreness and discomfort almost resolved, left axilla beginning to decrease in soreness along with left side of neck. Only prominent s/s is feeling tired and inability to expand lungs to full capacity. Pulse ox 99% room air. Afebrile. 2/3- Feeling 95% better, closer to baseline. Worst days were the first 2 after the injection; however, still remain unable to expand lung capacity to full expansion with inhaling, thus requiring multiple attempts and yawning. Pulse ox 99% room air. Afebrile 2/4- 99% to baseline and feeling better, continue to have decreased expansion of lung capacity. Pulse ox 99% room air. Afebrile

Thursday, 2/21 - started feeling, overall, exhausted, and having lots of aches and pains. My chest and back (near area where I have costochondritis (xiphoid process) was in a great deal of pain. My heart rate also kept jumping around between 65 and 105 without exertion. Tuesday, 1/26/2021 - I was feeling exhausted and got out of breath with minimal exertion. Heart rate jumped up with minimal exertion (e.g. just standing, heart rate climbed about 110). I also started feeling dizzy and , ultimately, fainted, which put me in the emergency room, where they ruled out a PE and all cardiac emergencies. My blood pressure spiked with a systolic around 165 (my usual is 90-95). Labs indicated everything was fine. The only thing different than usual was the vaccine. This was also the day I realized I developed extreme cold feet and also cold fingers, ears, and nose. My cold feet is still an issue - they get so cold, it?s actually painful. I now have to have a heating pad around my feet at home. This has never happened to me before the vaccine in my, now, 45 years alive. I?m still a bit fatigued, have sporadic aches and pains, sometimes get a little dizzy, and have extremely cold feet...two and a half weeks later.

face rash, itchy skin, inflamed skin, itchy eyes, itchy eye lids Spreading down my neck onto my chest some shortness of breath I have an allergy to colophony. At the time of the injection my diagnosis is contact allergy, so the nurses continued with the injection. It wasn't until 12-14 days later that this reaction started. It is intensifying. I have reviewed everything I eat and products I use, and nothing has changed other than having the first shot. I have some skin irritation and itchy if I do come in contact with an allergen or eat something, but it subsides after a day or two. This continues to get worse and it is going on 5 days.

Received 2nd dose of vaccine at 3:30pm. The following morning woke up with a migraine and low grade fever. By 3:30 (24 hours later), had 102 fever, body aches, chills, painful to breathe deeply and nausea throughout the night. Slept as much as possible. Following day temp was in 99-100 range all day. Body aches and bad headache continued. Today, normal temp, but body aches, headache, and total exhaustion continue.

Approximately 30 minutes after receiving vaccine dose #1 patient described tight feeling in throat and appeard to have slight red area to chest. No difficulty breathing- EMS at location and performed a full assessment.

Patient complained of feeling dizzy, felt hot, tightness in throat and nauseous. Vitals taken twice, patient sat down on edge of cot. Both times vitals were stable. Stated five minutes later that she felt fine, retook vitals, no concerns, patient was discharged by self to home.

Tight , itchy throat, trouble swallowing, elevated blood pressure, hives, face red, fingers white with dusky tips

Waited for 15 minutes after the 15 minutes and felt fine. Left and approximately 25 minutes after leaving, patient started to have tightness all down her left side of her body (chest, jaw, face and throat). Took 50mg of Benadryl and waited in the ER parking lot for 1 hour until she felt okay to go home. Patient was still having tightness in her chest when seen on 3/16 with a slight wheeze (non-asthmatic). Felt very winded x3 days. Dr. recommended not getting 2nd dose and consider booster of J & J vaccine when available.

Rapid heartbeat, shortness of breath from 11:30pm-1:45AM on 2/20. Very sore arm for 2 days and headache, chills. No fever. Stiff joints/ tired. Felt much better the following morning.

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient started intense coughing about 10 minutes after the injection. At first pt thought it to be due to post-nasal drip which she has experienced before. She became concerned when she felt a lump in her throat and became sweaty. She was unsure if this was from coughing or a potential adverse effect from the vaccine. The patient took Benadryl 25 mg and was closely monitored for over an hour. Symptoms went away. After 4 hours called to check on patient who was feeling well, no symptoms noted.

within 10 minutes of vqccine patient felt throat tightness and tongue swelling up; given epi pen with some relief

Chills fever fatigue sore arm still feeling awful 4 days post injection- weakness and shortness of breath

Sudden headache, followed by racing pulse, feeling of fatigue, could not breathe well. The temperature of my face rose and I felt dizzy and collapsing. Cold, sweaty hands.

Left leg began hurting one hour after shot. Throat started to swell causing increased clearing of throat, swollen glands, with difficulty swallowing. Throat, esophagus was swollen 5 hours later. Went to emergency room and was given Benedryl, Epinephrine, Pepcid, and Solumedrol. Kept in ER for 8 hours, Throat still swollen, but better, provided second doses of Benedryl and Epinephrine, then admitted for observation for 24 hours. Throat and swallowing difficulties continued for approximately 3 days after discharge. Hoarseness, difficulty swallowing, having to push liquids and food into diaphram was uncomfortable.

0911: 20 minutes post-vaccination patient reported feeling "short of breath" , "throat starting to swell" and "chest heaviness". Upon assessment patient is pale, tachypneic, wheezes noted in bilateral upper lobes, alert and oriented x3, No visual rash or angioedema. BP 160/100, O2 98% RA, HR 91. Patient reported history of anaphylaxis to "allergy shot at age 17" but has since had vaccines with no reactions. 0912: 911 called for ambulance/medical transport 0915: 50 mg Benadryl administered IM left deltoid 9:20: 0.5mg Epinephrine administered IM left deltoid 9:22: patient transported via ambulance to St.Marys Healthcare Emergency Department Amsterdam NY.

Patient received Moderna covid-19 vaccine in her left upper arm IM. She started experiencing nausea/throat tightness about 5 minutes after the vaccine was administered. Patient was continually monitored. Throat tightness continued to progress. A capsule of diphenhydramine 25 mg was administered approximately 3 minutes after initial complaints. Patient reported the capsule felt like it "got stuck in her throat" because the throat tightness was continuing to progress. At this time, another pharmacist was on the phone with 911 working on getting an ambulance to the pharmacy. I continued to stay with the patient as breathing got progressively worse, she began wheezing and had very labored breathing. An epipen was obtained from the pharmacy and I administered in the left upper thigh. Shortly after administration, the patient reported starting to feel slightly better and being able to breathe more easily. About 5 minutes after administering the epipen, the ambulance arrived. I briefed the medics on what occurred and what was given to the patient. The patient reported breathing better but still had nausea, felt dizzy, and did not feel well all around. The patient was transported to a local hospital for treatment.

Terrible headache until 18JAN2021; Blood pressure was still high pulse was high 120; Ringing in ears; Sometimes dizzy; Fatigue; SOB; Could be a Tetany or dystonic reaction to the vaccine due to timing of everything; Whole body hurt; Headache; Left side of face cured up; Couldn't move left side; Fainted when she got the shot; Blood pressure was 196/148; Hyperventilation syndrome; Muscless tightened all over body; the hospital said it was Hyperventilation syndrome which can cause hypocalcemia; Blood pressure was still high pulse was high 120; Could be a Tetany or dystonic reaction to the vaccine due to timing of everything; A spontaneous report (United States) was received from a consumer concerning a 44-year-old female patient, who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced fainted when she got the shot, blood pressure was 196/148, left arm started to curl up like a claw, pulled her arm in, pulse was high 120, right hand cured into a claw and muscles all over body tightened, hyperventilation syndrome, left side of face, blood pressure was still high, terrible headache until 18 Jan 2021, whole body hurt, feet and calf's, neck, left side of face cured up, left side of face was dropping, couldn't move left side, fatigue, sob, ringing in ears, sometimes dizzy and tetany or dystonic reaction. The patient's medical history included a history of fainting, COVID-19 diagnosis in September 2020, lasting 5 weeks, followed by a diagnosis of pneumonia. Concomitant medications were not provided. On 16 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Batch/Lot#: unknown) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 16 Jan 2021, the patient fainted after receiving the vaccine and experienced elevated BP of 196/148, left arm started to curl up like a claw, pulled her arm in and high pulse of 120. Right hand cured into a claw and muscles all over body tightened. Hospital said it was Hyperventilation syndrome which can cause hypocalcemia which can cause tetany. On 17 Jan 2021, the patient was hospitalized and got IV of 100mg of Benadryl- body calmed down except for left side of face, blood pressure was still high 190/140-had terrible headache until 18 Jan 2021 a severe headache, continued elevated BP of 190/140 and 192/144, whole body pain, more muscular pain and muscular tightness in feet, legs, experienced drooping on the left side of the face and inability to move on the left side. Went to the Emergency Department prior to being admitted. On 18 Jan 2021, the patient was admitted to the hospital for tests to determine if the patient had a stroke. The test results were negative for a stroke. Ongoing fatigue, shortness of breath, headache, ringing in ears, sometimes dizzy. Symptoms are getting better but still lingering Treatments received were reported as Benadryl via an IV, Ibuprofen daily as needed and a shot of Toradol. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the event headache was reported as resolved. The outcome of the events fainted, blood pressure was 196/148, left arm started to curl up like a claw, pulled her arm in, pulse was high 120, right hand cured into a claw and muscles all over body tightened, hyperventilation syndrome, left side of face, blood pressure was still high, terrible headache until 18 Jan 2021, whole body hurt, feet and calf's, neck, left side of face cured up, left side of face was dropping, couldn't move left side, fatigue, sob, ringing in ears, sometimes dizzy and tetany or dystonic reaction, fatigue, shortness of breath, ringing in ears, sometimes dizzy was not reported.; Reporter's Comments: This case concerns a 44 year old, female patient, with history of fainting, COVID-19 (September 2020), who experienced a serious unexpected event of syncope, hemiplegia, facial paralysis and dystonia among others, 2 day after receiving 1st dose of mRNA- 1273 (Lot# Unknown). Very limited information regarding this event has been provided at this time. Further information has been requested.

Pale, clammy, diaphoretic associated with vomiting and near syncope 12 hours status post vaccine. Then within 24 hours post vaccine developed burning in chest. 36 hours post vaccine severe chest pain. Described as elephant on chest radiating down left arm to left jaw associated with paleness and diaphoretic. Hurt to take in deep breath and pain worsened upon lying down. Relieved with motrin 800 mg. I continued motrin every 6 hours until I could follow up with cardiologist on Friday 01/29/21. EKG showed ST elevation in all leads. Stat echo was performed at facility. Diagnosed per doctor with acute Pericarditis. Started on Colchicine 0.6mg twice daily X 10 days. Other doctor followed up and continued Colchicine 0.6 mg x 90 days.

First I got a headache, then I felt extra mucus in my throat. Then I started feeling compression, pressure, and pain in my diaphragm; and then the middle of my chest. Finally, I started coughing, and I wasn't able to breathe. I had told all of the nursing staff that I had anaphylaxis to the first shot, but they acted like they didn't believe me. Also, there was no EMS staff on hand this time, unlike the first time, where they were on site. I think that made the difference in my medical care, because my husband heard the nurses at the facility say they were treating me for anxiety, not anaphylaxis, despite the fact that I was getting worse. The nurses on staff didn't seem to understand or believe that a person could have anaphylaxis from the Covid injection, even though it's on record at the hospital that that's what happened the first time. It wasn't the same staff as last time, which also contributed to the problem. Once the ambulance staff got there, he took me seriously, and finally administered an EpiPen, and also put me on oxygen, which helped a little bit. that was the most comprehensive care I got that day, from someone who was actually listening to me he also took an EKG, which which was normal. When I got to Facility, the treatment wasn't as good as last time, either. Apparently they've been really busy the day before, and all of the staff seemed fatigued because of it. Nobody really checked on me, offered me even ice chips to moisten my mouth, and didn't offer me any assistance in getting to the bathroom, either. a respiratory therapist came in to give me a couple puffs on an albuterol inhaler, and I got a Benadryl shot, but nothing else. I think if I had not taken my coterie of prescriptions to stave off anaphylaxis, it would have been worse. 20 minutes before the shot I took: two aspirin, a CBD capsule, and one each of the following pills -cetirizine, benadryl, famotidine, 20 mg of prednisone, hydroxyzine. I think that's what enabled me to recover with only one EpiPen, instead of two, like last time. if there's a third Moderna shot for the varients, or a booster, I'll try to take all those pills an hour beforehand, and see if having them in my system for a longer period of time we'll make the difference. It will be nice to have *no* anaphylaxis, and skip the hospital trip . Since then, it's taken me about a week to recover fully, the same as after the first shot. I've had problems breathing, fatigue, muscle aches and pains, flushing, fever/chills, and in general just felt like I had the flu.

WITHIN 15 MINUTES, PATIENT EXPERIENCED SWELLING/NUMBNESS TO LIPS, FEELS SWELLING IN THROAT, SHORTNESS OF BREATH

Vomiting, fatigue, headache, dizziness, chills, low grade temp, loss of taste, difficulty breathing, rapid heart beat. The vomiting stopped yesterday. Rapid heartbeat and dizziness started within 10 mins of having the vaccine.

Pt. reported a "lump" in her throat after the 1st Covid vaccine 4 weeks ago. 5minutes after second dose pt. reported pressure in throat, 10 minutes later had minor hoarseness and cough, 25 mg of Benadryl given. VS stable. Monitored for an additional 30 minutes, reported pressure in throat minimal and cough gone.

3 to 5 minutes after the vaccine was given my tounge started to tingle and swell. Then the swelling progressed to my throat, cheeks. I advised th pharmacist about 5 min into the reaction and was told to buy benadryl and take "some". I took 50mg oral benadryl. By this time I was having trouble swallowing. I waited 10 more minutes of observation at the pharmacy. By then my lips had become numb and no effect was had from the benadryl. The pharmacist advised I go to ER or urgent care. I went to ER. I was evaluated. BP, HR, SPo2, within normal range. Respirations 25/min. By this time my neck and chest was itching and heavy feeling and I felt my breathing effort was increased mildly. I was given IV decadon and IV pepcid. After about an hour and a half my symptoms slowly resolved. The last symptom to resolve was difficulty swallowing. I was told to continue oral benadryl and or pepcid. I was discharged home after 4 hours under my own care.

Ongoing- Fatigue, Chills, Itchiness all over upper body, pain at injection site, chest pressure, shortness of breath, lowered SpO2 (89-92%) and heartrate (down to mid 50's from baseline mid 70's) and blood pressure (down to 110/60 from baseline 125/75), headache after verbal conversations

fever of 101, 102.5, and 103.5 chills body aches mild headache difficulty taking a deep breath (not painful) run down feeling sore arm normal temp is 97.6 and since the shot my temp is consistently in the 99 range

Began having noticeable muscle pain in my chest in the first part of 2/2021. I continued to think it was just muscle pain. Symptoms worsened with severe sharp/stabbing pain with movement and breathing that radiated to my back. Went to the emergency room 3/7/2021. Dx of multiple small pulmonary artery webs that may represent sequela of pulmonary thromboembolism. There is also a 2 mm nodule in lower R lobe of lung. Eliquis dose increased to 10 mg BID x 7 days then decrease to 5 mg BID.

Immediately I had a severe headache and body aches. I went home and took Benadryl and went to sleep. Next morning, itching skin and burning skin like it was on fire. Asthmatic symptoms and I had hives all over my neck and back ( and still had headache and body aches). That night - all the same symptoms but just increased. I also started having weird neurological speech problems - could think of a word but couldn't get the word out. I went to ER - They treated me with a breathing treatment - six rounds of Provental and gave me an epi-pen and told me to take Zyrtec for next 15 days. Told me to go to allergist/immunologist - that appt was two days later - Private practice. He diagnosed that I was allergic Polyethylene Glycol that was in the vaccine. He put me on Prednizone for a week. That with the Zyrtec and the inhaler pretty much cleared up everything.

Patient was fine at 15 min and left the facility, after about an hour she was having trouble breathing and went to an emergency room. They gave her prednisone, epinephrine, and benadryl.