Moderna

Breathing difficulty-treated with nebulized medication. Received some relief after breathing treatment. I am on day 2 of having to take breathing treatments. Had fever as high as 102 degrees. I have been sweating profusely for 3 days. I had one night of hallucinating dreams and hardly slept at all. I had all of the general side effects, fatigue, headache, muscle pain, joint pain, chills. I had a rapid heartbeat.

At about 1330 on 30DEC, the patient received the 1st dose of the Moderna COVID-19 vaccine. Less than five minutes after the vaccine was administered, the patient noticed a metallic taste. About two to three minutes afterwards, the patient noticed a ?tingling? sensation mostly on the left side of the face and minimally on the right side. Almost immediately after the ?tingling? sensation, the patient felt the sensation of an increased heart rate and checked his pulse with his watch that had a pulse sensor. The watch indicated that he had a heart rate of 115 bpm. This sensation of an increased heart rate subsided after for one or two minutes and repeat pulse measurement was in the low 90s. Towards the end of the 15 minute post-vaccination observation period, the medical technician did the final check on the patient. The patient admitted to experiencing a metallic taste and a mild tingling sensation on the neck and face area. The service member was immediately brought back to the treatment room were a faint red rash and was noticed on the left side of the neck by the medical providers present. Two doses of Benadryl 25mg were given and the patient was told to continue to be observed in the observation area. After about 20 minutes, the tingling sensation resolved. The patient checked his pulse again and it was in the low 70s. The metallic taste resolved after about one and a half hours after the start of the symptom.

Dizziness, HYPERtension, flushing, tingling on one side of the body- opposite side from injection Narrative: dizziness, tingling, flushing, on left side of head down to left foot immediately after injection at 1148. BP increased to 168/104 with HR of 103 at 1211.

approximately 5 minutes post vaccine pt reported feeling tachycardia and bilateral hands tingling. HR noted to be 117 -122, BP 125/79 RR 16 NAD, Lungs CTA bilaterally no wheeze, neck: no stridor, no oral changes. Pt HR 92 after 10 minutes, and reported resolve of symptoms. Pt monitoring extended for a total of 1 hour, no recurrence or progression of symptoms. discussed use of Epi, pt has own epi pen on hand. Pt to discuss with allergist tomorrow, will use Epi if needed as discussed, and instructed go to the ED if any progression of symptoms

Lethargy 10-15 minutes after vaccination. He said he could not stay awake. He said he felt himself going to sleep (chin going to chest); someone asked if he was ok. He then woke up and put his head back and hit it ("just a bink on the wall."). Brought to ED via w/c from vaccination monitoring room. Assessed by this RN and as he explains it, he had a loss of consciousness. Ambulated to ED with steady gait; denied dizziness. He states he took a Percocet at 10AM on date of vaccination. He said he has taken Percocet in the past for sciatica and has never had this lethargy and what he reports as a loss of consciousness in the past.

PATIENT RECIEVED THE FIRST DOSE OF MODERNA VACCINE AT HOSPITAL, COVID CLINIC. RN OBSERVING NOTICE THE PATIENT STARTED GETTING ANXIOUS AND WANTED TO MOVE AROUND AND LAY ON THE FLOOR. PATIENT STARTED TO TURN PALE AND WAS COMPLAINING OF BEING WARM. RAPID RESPONSE WAS CALLED. PATIENT STARTED TO LEAN BACK IN THE CHAIR BUT WAS CONSCIOUS THE WHOLE TIME. RAPID RESPONSE TOOK THE PATIENT TO THE ER.

1414- 18min after injection Patient stated he was feeling funny. He reported feeling hot and discomfort to Left side of his neck. Upon evaluation he was mildly tachycardic HR 110. Symptoms began to worsen with redness spreading through his hands and upper torso and pt became diaphoretic. by 1420 Pt BP increased to 171/104. Pt was given IM Benadryl and Decadron per Dr. orders. by 1440 redness had completely resolved and Diaphoresis was gone, HR down to 144/82. by 1500 all Pt's symptoms resolved. Pt was able to be discharged from clinic without s/sx of distress.

Beginning at 6:30 am on 1/8, two days following vaccination, the individual was driving to work and began to experience nausea while at a traffic light. He pulled over and threw up. Once he got to work he vomited again. He drove to another facility for work and then threw up 3 or 4 more times. He began experiencing hot flashes at this time. He went to the hospital and was seen in the emergency room. He threw up several more times in the ER and stated that his heart was racing and that he had diarrhea. The emergency room gave him medications for the nausea and he stayed there for 2 or 3 hours. He began to feel better and was discharged to home.

After patient received the vaccine while waiting 15 minutes, the patients blood pressure dropped. The patient fainted and hit his head. He was conscious during the event. The EMS was called and they check the patient. The patient was offered and opportunity to go to the hospital but he declined.

Around noon, my fiance doubled over in agonising pain and clutched his right side. We treated it like a stomach ache and he went through the rest of the day, even at work, in gut wrenching pain. This morning when I woke up, I noticed he was out on the couch. When I went to check on him, he was as white as a ghost and his lips were greying around the edges. I immediately told him to call into work. I thought he would say no because he has not called in in over 10 years, but to my surprise, he did so. I put him in bed and the abdominal pain is still present and now his fever is over 103!!! I bought Tylenol and Motrin and will be alternating between the two until the fever breaks and if the pain persists by 8 pm, we will be headed to the emergency room...

About 1 minute after receiving vaccine, pt fainted while on the way to recovery area. Pt was standing in entryway when he started to fall down but was caught on the way down by a nurse. While on the floor the pt was asked his name and responded with correct answer, EMS was called and then pt was placed in wheelchair and transferred to cot after. the BP and pulse was taken (63/46, pulse 51) Glucose gel was provided orally. EMS arrived shortly after BP was take but pt refused stating that he was feeling better and he waited out the remainder of his recovery time laying in cot with no other incidents.

Beginning night of 1/13 around 9pm, felt cold chills, nausea, headache, body & muscle aches, loss of appetite and fever. Tight chest and hard to breathe. Feels like asthma attack was triggered. Has been persistent symptoms since 1/13. Have been alternating Tylenol and Motrin. Using albuterol pump and vicks vaporizer, as needed.

Shortly after the shot: - Dizziness - Weakness Later: - Sore left arm - Chest pain, left side - Fatigue - Anxiety, perhaps triggered by all of that.

Muscle spasm and tightness in shoulders, neck and back. Dizziness, Diaphoresis, elevate heart rate, nausea.

Patient lost consciousness will seated approx 10 min into the observation period post 1st Moderna vaccine injection. Medical staff immediately attended to patient by lowering him to the floor in supine position. 911 was called. He began to arouse while his breathing and vital signs were being checked. He was conscious and reclining in his chair when EMS arrived. He then stated that he "passes out" when he gets injections. EMS evaluated patient, who refused EMS transfer to a local hospital and any further treatment. Coworkers of patient agreed to drive him home and shuttle his car. Patient walked out of the clinic at approx 1500hrs. Moderna Lot 028L20A Exp 09JUL21

Patient received the vaccine on 1/18/21. He awoke early on 1/20/21 with nasal congestion. By that afternoon, he was having difficulty breathing. He was evaluated at Hospital outpatient clinic and sent to the Hospital Emergency Department. On arrival he was placed on oxygen and given a rapid COVID-19 test and COVID-19 PCA test which were both negative. He was also provided pulmonology consult. He was admitted and remained unable to maintain adequate oxygen sats without 10L oxygen until 1/22/21 late in the evening when he abruptly no longer needed oxygen. He was provided steroids initially. Ceftriaxone IV was added. Respiratory therapy provided ipratropium inhalation and vest therapy. He improved rapidly 1/23/21 and was released from the hospital on 1/24/21.

Elevated heart rate (130 at rest for 10+ hours, my normal is 70-80) Elevated blood pressure (150/89 at rest for 10 + hours, my normal is 110/70) Extreme headache, light sensitive Nausea Mild anaphylaxis itching/burning/tingling in lips, tongue and throat Feeling of intoxication, disoriented, slurred speech, dizziness Rash/redness that spread beyond injection site on to back of shoulder Agitation Itchiness Peeling of skin in mouth/cheeks Blisters on roof of mouth Chest tightness with normal breathing Jaw pain Treatment as listed below; continue with Benadryl every 6 hours and ibuprofen; return if symptoms continue or worsen

Within one minute of receiving vaccine, the patient became pale, stated that he felt dizzy and fainted. Patient regained consciousness within one minute. Upon regaining consciousness, patient reported feeling lightheaded and dizzy but was oriented to person, place and time. Skin was warm and dry but pale in color. After regaining consciousness, patient also stated that he has a history of fainting 5-6 years ago after receiving an influenza vaccination. (During screening questions, patient denied having any reactions to vaccines in the past) Patient independently moved from a chair to a laying down position on a cot and expressed an improvement in how he was feeling. Vital signs taken after event as recorded below. When asked patient stated that he does recall times when he thinks he may have been hypoglycemic in the past. Patient also states that he has been very nervous about receiving injections throughout his life. EMS called and assessed patient at the vaccination clinic site. Patient drank a 10 oz bottle of orange juice prior to EMS arriving and when EMS staff obtained his blood sugar the result was 97. EMS stated that patient was stable and all vital signs were stable. Patients skin color improved to pink. Patients wife was called by patient and she provided transportation home for patient. Prior to leaving the vaccination clinic, patient was walking around for several minutes and denied any feelings of being lightheaded or dizzy. VITALS SIGNS: 5:06pm: Heart rate: 50, Oxygen Saturation: 99% on room air 5:15 pm: Blood pressure: 100/78 ; Heart rate: 50; oxygen saturation 99% on room air. 5:20pm: Blood pressure 98/76 Heart rate:52; oxygen saturation 96% on room air. 5:34 pm: Blood pressure 92/68 Heart rate: 53 oxygen saturation 97% on room air. Vital signs taken by EMS staff were not recorded by public health nursing staff.

10:05 AFTER RECEIVING INJECTION TO L DELTIOD CLIENT C/O MOUTH AND BACK OF TONGUE SWELLING. B/P 150/112, R-18 EVEN AND UNLABORED, P-86 AND REGULAR. CLIENT ALERT AND ORIENTED. FACE AND TONGUE ASSESSED; NO SIGNS OF SWELLING NOTED. FACIAL SKIN TONE APPEAR PALE AND ASHEN. NO SWEATING OBSERVED. CLIENT REFUSED EPI INJECTION. 911 CALLED. 10:15- B/P 162/128 R- 18 EVEN AND UNLABORED, P-68 AND REGULAR. CLIENT IS SPEAKING WITHOUT DIFFICULTY. ALERT AND ORIENTED. CLIENT CONTINUES TO APPEAR PALE WITH NO SWEATING. CLIENT CONTINUES TO REPORT TONGUE FEELING "NUMB". ADVISED CLIENT TO DISCUSS 2 ND WITH PCP. 10:18-B/P 165/122 BY EMS. CLIENT ALERT AND ORIENTED. SPEAKING. RESPIRATION UNLABORED. 10:25- CLIENT LEFT FACILITY VIA EMS ALERT AND ORIENTED TIMES 5.

Uncontrollable shaking; rise in blood pressure; hives; (stomach, back, face, injection site) high heart rate; swelling in face and neck; shortness of breath.

All symptoms started 6 hours after second moderna vaccine - CC - Fatigue ++, swollen glands, body aches - back pain, fever. Fever for 5 days. Bad headache. + bleeding gums 3/4/21 with rash to hands, arms today.

Patient felt to be in distress at the close of his observation time. He was complaining of trouble with focusing his eyes, left sided chest pain, and was diaphoretic. Pt appeared to be in moderate distress and very anxious. I examined the pt through the car window and listened to his heart and lungs. Pt was not in respiratory distress and heart rate and rhythm were regular. Reassurance was provided to the pt, but he was also told that to be safe I recommended that he be evaluated in the emergency department and that he be transported via ambulance. Pt expressed understanding and agreed to going to the ED but was refusing transport via EMS. Pt was the passenger in the vehicle and he said that the driver could just take him. I expressed that transport via EMS would be the safest but we could not make him go via EMS and that if they wanted to leave via private vehicle then they could but i still recommended that he be evaluated in the ED. He expressed understanding and that he would go directly to the ED via personal car.

Medical staff was called for patient distress. Upon getting to the car that the pt was in, he reported trouble focusing, left sided chest pain, and sweating. Gen: Awake, Alert, Moderate Distress, diaphoretic Cardio: RRR w/o m/g/r Resp: LCAT in all fields, mildly increased work of breathing Skin: no rashes noted, no edema noted of the face or angioedema noted of the lips Psych: anxious Neuro: able to answer questions appropriately, able to follow instructions, CN 2-12 grossly intact Pt instructed that his symptoms were not necessarily consistent with anaphylaxis but with diaphoresis and left sided CP I recommended that he be evaluated in the Emergency Department. Pt agreed to this. Transport to ED via EMS was offered and pt declined as he had a driver. Informed pt that I could not make him go via EMS but I did recommend it. Pt expressed understanding but thought that he would be fine with it being as close as it is and him being the passenger, so he again declined transport via EMS. They were instructed to proceed directly to the ED for further Eval.

1 hour after shot, felt: Chest tightness Increased heart beat Felt warm in face Difficulty breathing Loss of taste Lasted about 1 hour. Chest tightness and difficulty breathing were mild and intermittent. Occasional chest pain. Nothing severe just felt uncomfortable. After symptoms subsided, contacted doctor who recommended I go to urgent care to be checked out.

Patient was waiting for 15 minute after injection. She felt her heart rate was high, checked her watch fitbit, heart rate read 120 bpm. Also was lightheaded. Staff was made aware. 0900 RN assessed patient, HR was 86 with regular beats palpated at the wrist, and ausculated at the heart. Respirations were 18 and regular, Oxygens saturations 96%, B/P 142/86, Patient was alert and orientated. Patient reported at 0902 she was feeling better. Rapid response was called at 0900. At 0908 HR 106, slightly lightheaded, rapid response arrived and transferred patient to ER at 0913 by wheelchair. Patient was alert and oriented.

12:14 Post vaccination reports feeling dizzy, diaphoretic, color flushed and pale; medical monitoring w/vitals assessed: BP 93/53 P55 O2 sat 96%RA, rest w/feet elevated, po hydration provided, answering questions; 12:30 BP 101/71 P77 02 sat 98% RA , status improving, remains coherent; 1240 BP 107/78 P 72 reports "feeling better", stands w/no dizziness or reports of additional symptoms, color returns to normal; Released from facility w/self.

Approx1255: Patient stated he was not feeling well, light-headed. Patient pale, sweating. He asked to lie down. Encouraged to take deep breaths. Patient asked to step outside of room, assisted to hallway chair for air. Wife at side, encouraging to take deep breaths. Patient stated he could not see us and slumped in chair with eyes open and glazed. Shallow breathing, unresponsive to sternal rub. Lips noted to turn purple-blue and then gray. Called for assistance and LVN at patient side obtaining VS, patient took deep breath and started to become responsive. VS at approx. 1303: BP104/47, HR 57, 02 Sat 95%. Patient talking, continued pale and diaphoretic. 911 called and EMS arrived at approx. 1305 Transferred to hospital.

Initial symptoms of the first shot included injection site pain, neck soreness, and severe headache that would come and go. The next day I was so exhausted I couldn't work for 2 days. I barely got out of bed until about 40 hours after the shot where I was able to get out and do some gardening. The reason I am filling this out was at right around 72 hours after the vaccine, I was laying down watching a YouTube video feeling quite relaxed. I then experienced a tachycardia event where my heart rate went up to 120 and stayed there for about an hour. I remained calm and was not experiencing anxiety, but the heart rate persisted. I have had this happen before in panic attacks, but it's quite rare and I am in acute, high level stress. Almost 2 weeks later to the day, I had another tachycardia, stronger than any I've had my entire life that only lasted about 7 seconds, but I would estimate my heart rate jumped to over 250. I thought I was going to go into cardiac arrest it was so jarring. I'm not sure if that one was related to the vaccine.

Pt was leaving after 15 minute waiting period and passed out at the check out. Pt reported feeling fine and did not remember passing out. Pt BP 113/71 hr 61. Pt BP dropped to 89/56 after 20 minutes. 1 liter of IV fluid given. Pt monitered an additional 30 minutes. Final BP 118/73 HR 69. Pt discharged home with sister.

At around 6:30 pm patient felt very dizzy, lightheaded, and nauseous. He also felt hot, had cold sweats, pale face, and blue lips. He started shaking as well. At 6:35 pm his blood pressure was 126/78, his heart rate was 69, and his oxygen saturations were 95%. We called EMS and they arrived around 6:45 pm. He was already feeling much better by the time they arrived. They checked him out and said he was good to go and he left at 6:55 pm.

10 seconds of tonic clonic seizure like activity 6 minutes after administration of the Moderna COVID-19 vaccine with associated hypotension, bradycardia, diaphoresis, and visual disturbance (spots in his vision) that self-resolved after being shaken.

Felt heavy pressure on my chest, Irregular heart beat, Light Headed, body aches, fever (100-105F), I took Tylenol 500mg every 4 hours for 36 hours and symptoms started to go away.

PATIENT PASSED OUT AND APPEARED TO BE HAVING A SIEZURE WITH EYES ROLLING BACK IN HEAD. HE WAS SLUMPED IN CHAIR. NON- RESPONSIVE. wAS ABOUT TO ADMINISTER EPINEPHRINE , WHEN HE CAME TO. HIS VOICE WAS WEAK AND SAID NO TO EPI. HE WAS DIAPHORETIC AND VERY PALE. EMS CAME ONTO SCENE AND TOOK OVER. BLOOD PRESSURE WAS 80/53 PER EMS. HE REFUSED FOR THEM TO TAKE HIM. WIFE WAS CALLED AND CAME TO GET HIM BUT HE HAD TROUBLE STANDING AND HAD TO SIT AWAHILE. IT WAS ABOUT 45MINUTES BEFORE HE EXITED WITH ASSISTANCE. ATTEMPTED TO CONTACT HIM LATER AND HAD TO LEAVE MESSAGE

Patient recieved the vaccine in the left arm and was asked to wait in the pharamcy waiting area for observation for 15 minutes (no previous hx of anaphylaxis). Upon returning to the main pharmacy floor a few minutes later one of the technicians alerted me to the patient had retrurned to the counter and was "feeling something". He was visibly struggling to maintain balance and I asked patient to take a seat to prevent any risk of falls and motioned to a chair. He took a seat on the floor next to the pharmacy counter and I rushed over to him to tend to him. I asked him if was having any other symptoms and he noted he was feeling lightheaded and having chills all over his body. His body was cold and clammy to the touch and had a difficult time locatiing a pulse on the radial artery. While talking to him his responses were shorter and he seemed like was starting to almost lose conciousness. Management had already called 911 and we offered water to the patient while we waited. Prior to the paramedics arriving I was able to get a pulse using a cuff and it was around 53bpm, the patient also seemed hypotensive.

3 days sustained fever over 102, cardiac arrest Thursday night, back & chest pain, vomiting, difficulty breathing. Went to ER, admitted to ICU, currently in ICU at hospital.

4/1/2021 1:15 PM T 98F P 72 B/P 180/130, 1:30 PM T 99F P 77 B/P 160/110, 1:45 PM T 97F P 77 B/P 170/110, c/o metallic taste, felt very anxious, lay in supine position on First Aid cot, ice packs to patient's head and neck at request of patient, requested and tolerated water, became dizzy when lifted head, lay back down for 15 minutes, taken via w/c to van for girl friend to drive home, advised to go home and rest, ambulatory without symptoms at time of discharge to home.

Pt extremely pale, diaphoretic, lightheaded. AAOx3. Respect even and unlabored. Reports extensive hx of this rection to medical procedures. With lying down began to gain color in face, less diaphoresis, and lightheadedness. Instructed to request lying down for 2nd vaccine. Left walking without s/s of distress. BP stable 132/82, spO2 97%, HR 70.

Extremely lightheaded, chills, headache, sensitive skin to the touch, dizziness, nausea, aches and pains, chest compression, sleeplessness . It was so bad that I was debating going to the hospital.

Historically i have not gotten bloody noses. But on Saturday 4/10/21 Morning when blowing my nose, my nose bleed quite a bit for a good 10-20 minutes. This happened again 4/12/2021 but for a lot less.

Patient experienced lightheadhedness, dizziness, nausea, syncope within the first 15 minutes of moderna administration. Patient left the observation area prior to the 15 minutes. Paramedics were called and evaluated patient. Determined patient was okay and needed no further medical attention and told patient to stay in the pharmacy waiting area for 15 more minutes for observation. patient left without further incidents.

Immediate vasovagal reaction to the vaccine with bradycardia to 30, pale, quickly improved without additional intervention. History of fainting reaction to any shots and blood draw. Family at his side. The patient is not driving today.

Had usual reaction on day two: chills, tired, sore, etc On day 5 I experienced very painful chest pain quite suddenly- went strait to ER, turned out to be lung pleurisy. I?ve never had this, nor have I ever had chest pain or been to the ER before this.

Stroke; Gotten very sick from vaccine; Tachycardia; Blood pressure issues; Dizziniess; Heart rate issues; This spontaneous case was reported by an other health care professional and describes the occurrence of CEREBROVASCULAR ACCIDENT (Stroke) in a 40-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. #027L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 (hospitalized for 7 days; treated with Remdesivir; long recovery) from 11-Sep-2020 to October 2020. Concurrent medical conditions included Blood pressure (ongoing issues) and Heart rate (ongoing issues). On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Stroke) (seriousness criterion hospitalization). On an unknown date, the patient experienced ILLNESS (Gotten very sick from vaccine), TACHYCARDIA (Tachycardia), BLOOD PRESSURE FLUCTUATION (Blood pressure issues), DIZZINESS (Dizziniess) and HEART RATE IRREGULAR (Heart rate issues). At the time of the report, CEREBROVASCULAR ACCIDENT (Stroke), ILLNESS (Gotten very sick from vaccine), TACHYCARDIA (Tachycardia), BLOOD PRESSURE FLUCTUATION (Blood pressure issues), DIZZINESS (Dizziniess) and HEART RATE IRREGULAR (Heart rate issues) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 25-Mar-2021, SARS-CoV-2 antibody test: 9.64 after one round of the vaccine. On an unknown date, SARS-CoV-2 antibody test: 220 natural antibodies after 2 months. 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. Patient reports that he had worked for an urgent care performing testing and contracted COVID-19 back in 11SEP2020. Patient was hospitalized for 7 days, was administered Remdesivir, and had a long recovery. Patient reports having issues regulating his blood pressure and heart rate so bad that he had almost died during that time. The recovery took up until 1st week of October and did not feel well until then. Patient reports it was advised to defer first dose of vaccination for COVID-19 for 3 months. Patient self-medicated with OTC Tylenol and Advil which did not help. Patient reports that he was hospitalized a second time around last month (03MAR2021 approximately) for experiencing a stroke. Symptoms felt like he was experiencing a mini-COVID-19 episode and was having a relapse of COVID-19. ER professional advised patient to never take the second dose of the vaccine. Patient reports taking an antibody test (after a single dose of the vaccine) for both natural and for the spike protein on 25MAR2021. Patient reports that he had gotten a 9.64 reading from just one round of the vaccine in comparison to the doctors he had worked who had received both doses of the vaccine, never gotten sick with COVID-19, and produced a 9.0 reading. Patient reports his natural antibodies after 2 months was at 220. Patient wishes to report this information to highlight that his natural antibodies were so high from the previous COVID-19 infection that when he had gotten the first round of the vaccine, he believes that his body rejected the vaccine so strongly that he presented with severe side effects from the vaccine. Patient would like to submit his information to show that he is proof that if someone previously had COVID-19, they should only need a single dose of the vaccine. In addition, patient expressed that if a patient's natural antibody is high, then a reduced dose should be provided or the vaccine should be deferred until natural antibodies reduce Most recent FOLLOW-UP information incorporated above includes: On 02-Apr-2021: Event details reported; Sender's Comments: Very limited information regarding the events has been provided at this time. Further information has been requested.

What a nightmare. Moderna shot #1 caused rapid hair loss and arm soreness for a week and low grade nausea. But shot #2, holy moly... 12 hours post shot, I developed a fever, chills, violent shaking much of the night, weight loss, nausea, kept throwing up, massive migraine, heart rate racing, every cell in my body throbbing in pain, difficulty urinating, simply staying alive was exhausting. It faded a couple days after the shot, and in its place, fatigue, difficulty getting a full breath in. And now I have tinnitus--constant ear ringing. Absolute torture. And of course significantly more hair loss. So let's add anxiety and depression to the list because of this hell. What a regret it was to get injected with this poison. Rather just keep masking and avoiding people than be stuck with these permanent, life debilitating problems. I know it wont change anything, but I figure I'd report it anyway. What a nightmare. This crap should not be given to anyone with an autoimmune disorder.

Patient had reaction to COVID-19 vaccine. Patient was monitored after COVID-19 vaccine as recommended per ACIP guidelines. The following reaction signs/symptoms were observed: syncope, vomitting Emergency response notified: EMS (911) EpiPen administered by RN as per JH standing order?: No Required VAERS reporting completed?: No Report given to EMS (911) Patient was given vaccine at 0918, immediately flagged for nurse at 0920. Nurse went to patient and obtained vitals. BP 150/80 HR 56 regular SP02 99% R 18 regular Called EMS, patient was given water and emesis bag. Vital taken again: BP 130/70 HR 60 regular EMS evaluated patient and stayed 10 mins, advised of nurse hotline on COVID packet & further medical evaluation. Patient was then release to go home.

patient has a history of passing out during blood draws, he did warn us of this. Once given the covid vaccine he passed out about 2 minutes after. He came in and out of consciousness a few times. During this time his blood pressure dropped, he turned pale and was sweating. The paramedics were called as he continued having issues staying conscious. His blood pressure started to go back up, his blood sugar was checked by the paramedics and he was taken to Hospital for evaluation. He had later informed us that he had not eaten breakfast in the morning.

Moderna COVID-19 Vaccine EUA: patient underwent L1-2 corpectomy, pedicle subtraction osteotomy, and extension of fusion from T4 to the pelvis two months after vaccination. During surgery patient became thrombocytopenic and required massive transfusion. Thirteen days after surgery found to have bilateral pulmonary embolisms and deep vein thromboses and placed on anticoagulation. Patient subsequently suffered cardiac arrest and was unable to be resuscitated.

Severe drop in blood pressure, dizziness nausea.. 48 hours after tingling in tongue, roof of mouth,gums..itching on back and legs..

Reaction to A-Fib medications Metoprolol and flecainide. Rapid heart rate, high blood pressure, body shaking, loss of apatite. extreme exhaustion.

Early in the morning 3 days after receiving the vaccine, patient awoke with chest pain that carried down his left arm. He drove himself to the emergency room at 7am because he just wasn't feeling right. After two EKG's, the Dr. at Hospital located in the area decided to air lift patient to another Hospital for an assumed fatal heart attack. Upon arrival, he was given a heart catheter and no blockages were found. They determined the had myocarditis, inflammation of his heart. However, he had not been sick or battling any illness.

Patient came in for his 2nd Moderna shot today 4/26/21. I administered the vaccine and asked him to remain in the store for a 15-minute observation period (just like the 1st dose). After 2-3 minutes he walked to the pharmacy window to let my technician know he was starting to feel dizzy. At the same time my technician was informing me about his complaint, he lost consciousness and fell, hitting the side of his head on the consultation wall. I immediately asked technician to call 911 and rushed to get EpiPen to patient. He immediately regained consciousness. I did not administer any EpiPen doses. I stayed with him and monitored him until paramedics arrived. When paramedics arrived, they asked me which vaccine I administered and started asking patient questions. They measured his blood pressure. Patient was responsive and he called his wife to let her know he was going to the ER. Paramedic informed us that his blood pressure was low. On his way to the hospital he looked at us and said thank you. I will call him tomorrow to check on him.

Husband received his second dose at work. The next morning he got up and turned on the shower and passed out. I found him in the bathroom after he regained consciousness in a cold sweat, extremely pale, saying that he thought he was going to throw up. He said it felt like food poisoning. I got him back into bed with a cool wash cloth and he slept off and on the rest of the day. He started feeling a bit better but struggled to comprehend simple questions and would just stare at me blankly as if he couldn't understand what I was saying. Even though he slept most of the day he was falling asleep in his chair by about 8pm. The paleness, waves of exhaustion, and inability to stay awake past 8:30/9pm has continued.

Husband received vaccination at work. That evening he was extremely pale and tired. The following day this continued along with significant confusion (he did not recognize the turn onto the major street to our home where we have lived for nearly 2 years, he also forgot the a pizza was still in existence even though there is one down the street for us that we have passed many times and discussed at length in the past 2 years). The week after his injection he would get home from work and be falling asleep in his chair by 7:30pm with no change to his sleep schedule. He has remained pale and still struggles with exhaustion.

Day 1- Fever, Body Chills, Headache, Lethargic, Joint Aches Day 2- Body Chills, Headache, Lethargic. Joint Ache, Loss of Conciousness

prolonged vagal episode, no LOC; BP: 116/72 HR: 62 patient rested lying down, apple juice; resolved at 10:15am

Patient reported feeling sweaty and clammy while being observed after vaccine administration. Then he reported a headache and appeared pale. Patient vomited x1 and then reported feeling better after vomiting. Continued to monitor patient until he stated he felt well enough to leave.

Patient became weak . diaphoretic and was observed to have full dilation of pupils. Patient became unresponsive, un able to obtain a pulse. Patient lowered to the floor. Patient became responsive but remained disoriented. Paramedics were called. Patient had orthostatic hypotension and became bradycardic.(NR 30 BPM) He was transported to ED of Hospital. Patient indicates that he has a fear of needles and got "woozy" after immunization. Patient had two syncopal episodes. Patient reports having similar episodes in the past with blood draws. BP in ED was 113/61 and 111/60, EKG normal

15 hours after 2nd dose I experienced the following symptoms and I thought I was going to die. I couldnt get out of bed: 1) Extreme heart palpitations, my heart rate monitor was reading an extremely high stress activity for 2 days post shot. 2) Very Hot and Very Cold body chill and temp swings 3) Sweating profusely, I soaked through my pajamas on 3 different occasions when I woke up from napping. 4) My pee was orange and hurt to pee. 5) My entire body hurt the worst I've ever felt 6) All my joints were super painful, it hurt to walk and I couldn't sleep due to the pain. 7) I had the worst headache I've ever had.

Symptoms: vomiting, shakes, fever, body aches, lethargy, weakness, loss of appetite, migraine, chest pains, difficulty breathing, wheezing, shortness of breath.

He underwent routine monitoring for his testicular cancer and had CT of his lungs on April 6. He was found to have asymptomatic Pulmonary emboli. He was started on Eliquis 5 mg bid

General malaise on evening of vaccination (29APR2021). Fatigue and malaise increase over next 3 days culminating in witnessed syncopal episode while lying supine at home on 2MAY2021. EMS contacted and SM declined transport. Reported to ED on 03MAY2021 by POV and evaluated, tested for COVID-19 which was negative. SM denies any sick contacts in weeks prior to incident

Hives with red itchy painful rash on right leg within 30 minutes of vaccination. Did not resolve with Benadryl or hydrocortisone after 72 hours. Periodic bleeding and difficulty sleeping.

#2 Moderna Vaccine given on 4/20/21 On 5/7/21 patient became SOB before syncope to cardiac arrest, event was witnessed and CPR started immediately. Patient expired 45 min later at Medical Center.

Lower left ankle became hard & red with swelling in rear calf on 18th day after first dose. PCP suspected lymphatic bacterial infection & prescribed Keflex 500mg t.id. for 10 days. After 10 days condition had not changed. I experienced no pain throughout the entire event, only felt tightness in skin on calf from swelling. Bilateral ultrasound performed & results negative for DVT in both legs. Final Dx is Superficial Thrombophlebitis. Treatment plan is to elevate affected left leg & apply warm compress when possible & wear compression stockings when standing for extended periods.

Patient was fine and was able to answer all questions before the shot. After the shot was given He said he didn't feel well and passed out. His wife said this has happened to him before. He slumped over in the chair and became incontinent. he came to and then said he felt nauseous. he asked for the garbage can and threw up. I monitored his blood pressure that went to 160 over 100 and then came down to normal over the course of a few minutes. The patient stayed seated for about 30 minutes . After the blood pressure was good for 30 minutes his wife said she was going to drive him home. I explained that they should always tell any immunizer of his previous reactions

Systemic: Dizziness / Lightheadness-Medium, Additional Details: PT BECAME DIZZY DURING THE 15 MINUTE OBSERVATION. PT WAS SEATED AND FELT DIZZY AND FELL FORWARD AND HIT HIS HEAD ON THE FLOOR. EMT WAS CALLED. ICE PACK WAS GIVEN TO PATIENT. PT WAS LOWERED TO THE FLOOR, HE SAT ON THE FLOOR UNTIL EMT CAME. EMT ASSESSED NO ISSUES WITH PT. PT REFUSED TO GO THE ER WITH EMT. PT WAS ADVISED TO DRINK GATORATE AND STAY SEATED FOR FEW MORE MINUTES. HE STATED HE FAINTS WITH BLOODWOR/NEEDLE. SPOKTO PT AT THE END OF THE SHIFT AND PT STATED HE WAS DOING WELL WITH NO ISSUES.

That evening I had chills followed by night sweats. My heart beat was racing over 130 beats per minute for over 8 hours. Headache, 104 degree fever, severe fatigue, pain at injection site, cough developed

Patient observed to become unresponsive and slumped over in chair during observation at appros 15 minutes. He remained unresponsive to verbal and physical stimuli for approx 5 minutes. Once responsive, he c/o pain all over, abdominal pain with curling up as if cramping. no muscle spasms observed. Skin with mild tenting. vitals monitored, NS IV given, ~150 cc given prior to transfer to EMS. Lorazepam 0.5mg IV given for muscle spasms. Diphenhydramine 25mg IV administered Labs drawn. Oxygen saturation 99% initially with NRB, changed to NC and remained >94% on 2 lpm. patient remained somnolent, not answering questions, though conscious.

COVID dose 1: Moderna, Lot# 042B212A, 4/17/21 @ 3:45pm, R arm COVID dose 1: Moderna, Lot# 022C21A, 5/15/21 @ 3:00 pm, R arm Sat 5/15/21 @ 1500: 2nd dose administered. 5/15/21 @ Evening: pt states light fever, took OTC Aleve, fever decreased (symptomatic, temp not measured) Sun 5/16/21 @ 5am: intense chills. Daytime: fevers, pt took Aleve, temp of 102.1 F. Evening time: pt reports having flu-like symptoms, head fog, slept most of day. Mon 5/17/21: felt fine, took morning off from work. Tues 5/18/21 0630am: woke up with chest tightness/pressure, diaphoresis. Pt presented to BI-Milton Hosptial ED, found to have an elevated troponin to 0.35. Cardiac workup for myocarditis.

PATIENT FELT LIGHT HEADED, NAUSEOUS COUPLE MINUTES AFTER VACCINATION. WE GAVE HIM SOME WATER AND WET PAPER TOWEL. CHECKED HIS FOREARM BLOOD PRESSURE, IT WAS 78/47 HEART RATE 46. PATIENT SAID HE HAS NEEDLE PHOBIA, HE HADN'T EATEN SINCE 8 IN THE MORNING. HE WAS STILL ABLE TO TALK AND KEPT SAYING HE WAS FEELING MUCH BETTER, HE DIDN'T WANT US TO CALL 911 OR GET EXTRA MEDICAL HELP. WE GAVE HIM SOME GATORADE AND FOOD TO EAT. CHECKED HIS BLOOD PRESSURE AGAIN 30 MINUTES AFTER THE FIRST CHECK IT WAS 126/75 HEART RATE 77.

Fever, chills, chest pain, shoulder pain, short breath. Recommended to see cardiologist and GI doctors. Admitted into emergency hospital and found out that my lungs and hearts inflammations. it was pericarditis and treatment given for this and still on medication and still PCR report shows the inflammation high count.

missed beats; become sensitive to light and cannot go outside without sunglasses; sweating more especially acidic and disgusting; splitting headaches; pain in the left arm at the vaccination site; arrhythmias; altered smell; heart rhythm, palpitations; tachycardia; joint pains; chills; mild fever; dizzy.; "feels like my body has been split into 1000 different microclimates; This spontaneous case was reported by a consumer and describes the occurrence of ARRHYTHMIA (arrhythmias) in a 40-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 004M20A and 025J20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Chronic fatigue syndrome, Fibromyalgia and Neurocardiogenic syncope. On 13-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 10-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 01-Feb-2021, the patient experienced DIZZINESS (dizzy.). On 10-Feb-2021, the patient experienced ARTHRALGIA (joint pains), CHILLS (chills) and PYREXIA (mild fever). In February 2021, the patient experienced FEELING ABNORMAL ("feels like my body has been split into 1000 different microclimates). On 18-Feb-2021, the patient experienced ARRHYTHMIA (arrhythmias) (seriousness criterion medically significant), PAROSMIA (altered smell), PALPITATIONS (heart rhythm, palpitations), TACHYCARDIA (tachycardia), PHOTOSENSITIVITY REACTION (become sensitive to light and cannot go outside without sunglasses), HYPERHIDROSIS (sweating more especially acidic and disgusting), HEADACHE (splitting headaches) and VACCINATION SITE PAIN (pain in the left arm at the vaccination site). On an unknown date, the patient experienced EXTRASYSTOLES (missed beats). On 14-Feb-2021, ARTHRALGIA (joint pains) and CHILLS (chills) had resolved. On 24-Feb-2021, HEADACHE (splitting headaches) had resolved. At the time of the report, ARRHYTHMIA (arrhythmias), PAROSMIA (altered smell), FEELING ABNORMAL ("feels like my body has been split into 1000 different microclimates), DIZZINESS (dizzy.), PALPITATIONS (heart rhythm, palpitations), TACHYCARDIA (tachycardia), EXTRASYSTOLES (missed beats), PHOTOSENSITIVITY REACTION (become sensitive to light and cannot go outside without sunglasses), HYPERHIDROSIS (sweating more especially acidic and disgusting), VACCINATION SITE PAIN (pain in the left arm at the vaccination site) and PYREXIA (mild fever) outcome was unknown. No concomitant medications were provided. Treatment taken were Diphenhydramine (Benadryl) , Ibuprofen (Advil), Prednisone and acupuncture to alleviate the symptoms experienced. Company comment: Limited information regarding the events has been provided at this time and a causal relationship cannot be excluded; Sender's Comments: Limited information regarding the events has been provided at this time and a causal relationship cannot be excluded

Fever, chills, insomnia, high heart rate. Treated with acetaminophen and prescription sleeping pill at midnight. Fever broke around hour later but unable to sleep for another 6 hours

I got Moderna vaccine #2 at around 11:30 am. That day, I felt tired and my arm was sore and felt really hot then really cold. That night, starting at around 11:30 pm, I woke up every hour and was unable to stay asleep, that continued through the morning. Toward the morning, around 3:30 am, I fainted in the bathroom and came to on the floor, luckily, I didnt get hurt on the way down. I felt crummy that next day and back to normal within 3 days.

Heart rate got up to 214 five hours after the vaccine. Called 911 and they came to get me. When I got there, they had me rear down and my heart rate decreased and they took me to the hospital. The hospital ran test and everything was normal. They discharged me after the IV fluid bag was done. I followed up with my cardiologist 2 weeks later and had a stress test and ekg. All tests were normal. The doctor thinks it was an adverse reactions to the vaccine.

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Patient felt faint, had increased heart rate, and a pressure at back of neck. Stated he felt some minor tightness on and off at throat area. No difficulty breathing.-Mild, Systemic: Nausea-Mild

Patient reported left chest pain since 8:30AM 5/31, onset while driving, worse with movement such as moving his arms or neck. Later around noon he began having numbness in his left pinky and hand, thus presented to the UC. Diagnosed wtih costochondritis and discharged but high-sensitivity troponin came back elevated at 94 and was asked to present to hospital. Repeat trending down. Cardiology consulted, diagnosed with pericarditis.

Received vaccine at on 5/24/2021. Patient is a 40 y/o male with no significant PMH who initially presented to the hospital after being found down at a restaurant. Was found to have ST segment changes on EKG, somnolent, and hypotensive requiring pressors. Taken to the cath lab where he had equalization of diastolic pressures and subsequently received pericardiocentesis due to concern for tamponade from pericardial effusion. 350 ccs of fluid was drained and his hemodynamics immediately improved and he came off vasopressors. Pericardial drain was placed. Over the next several days he had ongoing workup for the etiology of his pericardial effusion. His pericardial drain output dropped off, was clamped 5/31 and repeat echocardiogram 6/1 did not show significant effusion. Unfortunately, patient went into PEA arrest in the afternoon and was coded for ~40 minutes without return of ROSC. Unclear etiology at this time, no evidence of significant effusion on echocardiogram

PATIENT EXPERIENCED SYNCOPE, LOSING CONSCIOUSNESS BRIEFLY. FELL OUT OF CHAIR AND REGAINED CONSCIOUSNESS ROUGHLY 15 SECONDS LATER.

ABOUT 5 MINUTES AFTER VACCINE WAS ADMINISTERED PATIENT CAME UP TO COUNTER AND SAID HE WAS LIGHT HEADED AND FELL TO THE FLOOR. PATIENT FAINTED FOR A SPLIT SECOND. I ATTENDED TO PATIENT AND HE WAS GIVEN WATER TO DRINK. 911 WAS CALLED WHILE I WAS BY PATIENT. PATIENT STARTED TO FEEL BETTER BY THE TIME THE PARAMEDICS ARRIVED. UPON THEIR ARRIVAL THEY CHECKED THE PATIENTS VITALS AND EVERYTHING WAS OK. PATIENT RETUREND TO STORE AND CONTINUED SHOPPING

Chest pains (left side only), Shortness of breath, Increasing worse over 3-4 days. Went to the ER because I thought I was having a heart attack.

tightness, pain in chest, shortness of breath, weakness, pain and tightness in left lower neck and shoulder and upper inner bicep area. Symptoms were 5-15 min duration at a time coming and going at all times of the day both with physical exertion and without. Resting pulse was around 120 with each event, symptoms came and went over the course of a week and have since subsided on their own.

Chest pain and trouble breathing ending in ER visits on Jan 11 and 16, intermediate cardiologist visit Jan 14. Significant increase in blood pressure with any exertion (160/100 after 1 flight of stairs with "one sentence" dyspnea, my baseline ~120/80, baseline weekly exercise of 4 - 8 miles running and 1+ hours strength training). Chest pain @ 2/10, some radiation to left arm. Resolved in ER with IV Toradol. Spontaneously resolved after ~2 weeks. Subsequent persistent chostocondritis, no dyspnea.

Presented to ER with fever, chills, cough, shortness of breath and diarrhea. Suddenly became hypotensive and diaphoretic in ER, which prompted hospital admission. Had 1/2 positive blood cultures during admission of coagulase negative staph, which was thought to be contaminant. Recieved 1 dose of IV vancomycin during stay. Required supplemental oxygen during admission and received 2 doses of dexamethasone while inpatient.

I developed 3rd degree heart block or Atrioventricular block after my vaccine shot of the 2nd dose covid19 vaccine. I went to the Emergency room and was admitted for Emergency surgery on my heart. After my surgery I had developed chest pains that lingered for 1 month until the symptoms improved. My surgery was on March 16th, 2021

THE PATIENT WAS FEELING FAINT AND TRIED TO LAY DOWN AND PASSED OUT ON THE WAY TO THE FLOOR. IT WAS A VASOVAGAL RESPONSE. WE HAD HIM LAY ON THE FLOOR FOR ABOUT 10 MINUTES. BP WAS 82/71 PULSE WAS 62. WE GAVE HIM A GATORADE AND A WATER. AFTER 30 MINUTES HE WAS FEELING NORMAL AGAIN. HE REFUSED MEDICAL HELP. HIS EMERGENCY CONTACT WAS NOTIFIED. HE LEFT FEELING FINE AT 2:15PM.

First shot one month prior, no issues at all. Soreness at the injection site. Second shot: Next day, high fever, chills, severe muscle and joint pain. Two days after, violent vomiting. increased joint pain, fever, trouble thinking clearly. Three days after, numbness in my left hand, and loss of sensation in my entire right foot. As of 6-16, loss of feeling still continues. 1 week after, chest and lung pain, I think my heart is hurting, almost like random stabbing pains through it, random waves of muscle and joint pain. Issues sleeping. Issues with thinking clearly. I have felt run down since receiving my second shot. Loss of appetite and foggy brain.

About a week after the shot I noticed I was a experiencing some hypertension. I was having chest pains on the right side of my chest, as well as pain and numbness in my right arm around my bicep area. The chest pain is intermittent but the arm pain is pretty constant. My PCP ran a blood panel that showed high cholesterol. I also had an EKG, which was normal. He scheduled me for a stress test. I passed but was told that for a male my age and fitness level, I should have done better. I was prescribed aspirin and atorvastatin 10mg 1x/day. I had COVID in 11/2020, I was asymptomatic.

Vivid dreams and cant sleep, Insomnia, hallucinations, numbness, tingling, facial flushes, rashes, gut issues, heart racing and palpitations, high blood pressure, weight loss,

I was going to the bathroom and I got really hot. My heart started to race and I ended up passing out. I was transported to the hospital and admitted over the night for observation. Ten days later, I passed out again and was admitted to the hospital again. I've had a couple of mini episodes where I have had to lay down and elevate my legs to keep from passing out

Passing out; pain; Difficulty breathing; Dizziness; Mental issues; Physical issues; Hypomanic; "Weird"; Weakness; pain in ankle; Gout pain; Feeling ill; Feels like he almost wants to fall asleep; Vaccination site bruising; Fatigue; headache; arm sore(left arm), muscle pain; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Passing out) in a 40-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027C21A and 053621A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Hypoxia (Low oxygen), Mental disorder and Ankle operation. Concurrent medical conditions included Gout. On 12-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 09-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 12-May-2021, the patient experienced VACCINATION SITE BRUISING (Vaccination site bruising), HEADACHE (headache), MYALGIA (arm sore(left arm), muscle pain) and FATIGUE (Fatigue). On 09-Jun-2021, the patient experienced ILLNESS (Feeling ill) and SOMNOLENCE (Feels like he almost wants to fall asleep). On 13-Jun-2021, the patient experienced GOUT (Gout pain). On an unknown date, the patient experienced LOSS OF CONSCIOUSNESS (Passing out) (seriousness criterion medically significant), PAIN (pain), DYSPNOEA (Difficulty breathing), DIZZINESS (Dizziness), MENTAL DISORDER (Mental issues), PHYSICAL DISABILITY (Physical issues), HYPOMANIA (Hypomanic), FEELING ABNORMAL ("Weird"), ASTHENIA (Weakness) and ARTHRALGIA (pain in ankle). The patient was treated with INDOMETHACIN [INDOMETACIN] for Gout, at an unspecified dose and frequency and IBUPROFEN for Gout, at an unspecified dose and frequency. At the time of the report, LOSS OF CONSCIOUSNESS (Passing out), VACCINATION SITE BRUISING (Vaccination site bruising), PAIN (pain), GOUT (Gout pain), ILLNESS (Feeling ill), DYSPNOEA (Difficulty breathing), DIZZINESS (Dizziness), MENTAL DISORDER (Mental issues), PHYSICAL DISABILITY (Physical issues), HYPOMANIA (Hypomanic), SOMNOLENCE (Feels like he almost wants to fall asleep), FEELING ABNORMAL ("Weird"), ASTHENIA (Weakness), HEADACHE (headache), MYALGIA (arm sore(left arm), muscle pain), ARTHRALGIA (pain in ankle) and FATIGUE (Fatigue) outcome was unknown. mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) dosing remained unchanged. Concomitant medications include unspecified mental health medications. Treatment information was not provided. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. This case was linked to MOD-2021-215030 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 14-Jun-2021: Updated new events- Mental issues, physical issues, Loss of Consciousness, Gout, Arthralgia, Hypomania and feeling abnormal. Updated patient history and treatment medications.; 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.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: patient had some dizziness, pale color, fell out of chair and on to floor after receiving shot. patient was alert and responsive, sat down again and held on to counter for about 30 minutes. patient stated he no longer felt dizzy or strange. I took patient's BP and it was 99/58 with HR of 55 bpm, patient stated he is very fit and this was normal for him. I allowed patient to leave at that point, contacted him on 6/22, he said he was well and had experienced no additional issues after leaving.

Within 15 minutes of receiving vaccine, patient began to experience severe chest pain/tightness, elevated blood pressure and pulse and broke out in a cold sweat. EMS was called. Follow up 30 minutes after leaving facility - EMS was still monitoring the patient Follow up the next day (6/29/21) - patient was unable to be reached to get an update on status

Patient received 1st dose of Moderna, then started his 15 minute wait. 11 minutes into the wait period, patient got up and came to the pharmacy counter and said he was feeling real warm and "funny" to the pharmacy technician. The technician alerted the pharmacist and when the pharmacist looked over at the patient, he looked pail and started slouching. Pharmacist ran to patient and caught him as he started to pass out. Pharmacist laid him on the floor and by the time the pharmacist had him laying down, the patient came back awake. Patient was sweaty and very warm to touch. During this process, EMS was called. When they arrived patient was already back to normal cognition and said he felt fine other than being warm. EMS check stats and cleared him to drive home after another 15 minutes wait period. The pharmacist believes this was a vasovagal syncope reaction to this patient getting the Moderna vaccine. Patient was fully recovered within 30 minutes of the adverse reaction.

My adverse events were that I was having trouble breathing, I felt like someone was stepping on my chest consistently, I was coughing a lot, I felt depressed, I had no appetite and felt extremely fatigued. I was admitted to The Emergency room because of high blood sugar so I went back on Lantus and everything has normalized. I was admitted on 06/09/2021 and discharged 06/10/2021. I had blood work drawn and a COVID test. My COVID test came back normal and my blood work showed that my blood sugar was very high.

Had stroke; Has loss of vision in right eye; Has headaches; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (Had stroke), BLINDNESS (Has loss of vision in right eye) and HEADACHE (Has headaches) in a 40-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. Unknown) for COVID-19 vaccination. No Medical History information was reported. In June 2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 21-Jun-2021, the patient experienced CEREBROVASCULAR ACCIDENT (Had stroke) (seriousness criteria hospitalization and medically significant), BLINDNESS (Has loss of vision in right eye) (seriousness criteria hospitalization and medically significant) and HEADACHE (Has headaches) (seriousness criterion hospitalization). The patient was hospitalized on 21-Jun-2021 due to BLINDNESS, CEREBROVASCULAR ACCIDENT and HEADACHE. At the time of the report, CEREBROVASCULAR ACCIDENT (Had stroke), BLINDNESS (Has loss of vision in right eye) and HEADACHE (Has headaches) outcome was unknown. No concomitant medication information was provided by the reporter. Treatment information was unknown. It was reported that the patient experienced stroke 3 days after receiving the 2nd dose of the vaccine. He was hospitalized on 21Jun2021. Patient also had headaches and loss of vision in right eye, and both started the day of stroke. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Blood clots (thrombus) found in my left thigh's vein, hence the swollen leg. I am not 100% sure if it's related to the vaccine though.

I have Peripheral Artery disease and have had bypasses done on both legs. It has been managed fairly well with a several minor "tune ups" by angio. I was able to walk pretty well with minimal pain. About a week after my second dose I started noticing increased pain in both of my calves which has become considerably worse since then. I cannot walk 1/10 of a mile without taking a break. Also, around July 1st, my fingers went numb in my right hand, then I started getting pain in my right forearm and cramping in my hand. That pain has made it so the way up my arm. I saw my vascular surgeon and an ultrasound revealed a clot in the bend of my elbow. I was asked how I think I could have gotten the clot, the only thing I've done differently was get that vaccine. It's extremely obvious to me that the vaccine has caused a severe reaction in me. I have a surgery scheduled on Wed. July 14 to have the clot removed.

Fever and chills started 16 hours after 2nd Moderna vaccine. Syncope occurred morning after (Approximately 22 hours after vaccine).

Patient called 7/14/2021 to report that on 7/9/2021 at 11PM he experienced heaviness in chest and trouble breathing that lasted 24-25 hours and went away. Stated he did not go to the hospital or talk to his PCP.

seen patient of at this time for syncopal episodes while driving and at work; worsened Bipolar; Decreased level of consciousness; worsened Depression; Difficulty breathing/issues with breathing; worsened Anxiety; Feeling ill; felt really tired; felt really tired like he couldn't keep his eyes open / his son later woke him and he stated he hadn't realized he went to sleep/Feels like he almost wants to fall asleep; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (seen patient of at this time for syncopal episodes while driving and at work), BIPOLAR DISORDER (worsened Bipolar) and DEPRESSED LEVEL OF CONSCIOUSNESS (Decreased level of consciousness) in a 40-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 053C21A and 027C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Surgery (2 surgeries on other leg). Concurrent medical conditions included Bipolar disorder, Gout (In one leg), Penicillin allergy (reaction- nausea), Drug allergy (Revatio (reaction- nausea)), Drug allergy (Vicodin (reaction- nausea)), Seasonal allergy (reaction- congestion), Anxiety (worse with COVID mask use) and Depression (worse with COVID mask use). Concomitant products included BUPROPION HYDROCHLORIDE (WELLBUTRIN) from 19-Apr-2021 to an unknown date for Depression, INDOMETACIN (INDOCIN [INDOMETACIN]) from 07-Oct-2020 to an unknown date for Gout, NAPROXEN SODIUM (ALEVE) from 24-Sep-2019 to an unknown date for Pain. On 12-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 09-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 09-Jun-2021, the patient experienced SOMNOLENCE (felt really tired like he couldn't keep his eyes open / his son later woke him and he stated he hadn't realized he went to sleep/Feels like he almost wants to fall asleep), ILLNESS (Feeling ill) and FATIGUE (felt really tired). On 14-Jun-2021, the patient experienced ANXIETY (worsened Anxiety). On an unknown date, the patient experienced SYNCOPE (seen patient of at this time for syncopal episodes while driving and at work) (seriousness criterion medically significant), BIPOLAR DISORDER (worsened Bipolar) (seriousness criterion medically significant), DEPRESSED LEVEL OF CONSCIOUSNESS (Decreased level of consciousness) (seriousness criterion medically significant), DEPRESSION (worsened Depression) and DYSPNOEA (Difficulty breathing/issues with breathing). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) for Adverse event, at an unspecified dose and frequency and OLANZAPINE (ZYPREXA) (oral) ongoing from 07-Jul-2021 for Bipolar affective disorder aggravated, at a dose of 10 mg. At the time of the report, SYNCOPE (seen patient of at this time for syncopal episodes while driving and at work), BIPOLAR DISORDER (worsened Bipolar), DEPRESSED LEVEL OF CONSCIOUSNESS (Decreased level of consciousness), ANXIETY (worsened Anxiety), DEPRESSION (worsened Depression), SOMNOLENCE (felt really tired like he couldn't keep his eyes open / his son later woke him and he stated he hadn't realized he went to sleep/Feels like he almost wants to fall asleep), DYSPNOEA (Difficulty breathing/issues with breathing), ILLNESS (Feeling ill) and FATIGUE (felt really tired) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter considered ANXIETY (worsened Anxiety) to be possibly related. No further causality assessments were provided for SYNCOPE (seen patient of at this time for syncopal episodes while driving and at work), BIPOLAR DISORDER (worsened Bipolar), DEPRESSED LEVEL OF CONSCIOUSNESS (Decreased level of consciousness), DEPRESSION (worsened Depression), SOMNOLENCE (felt really tired like he couldn't keep his eyes open / his son later woke him and he stated he hadn't realized he went to sleep/Feels like he almost wants to fall asleep), DYSPNOEA (Difficulty breathing/issues with breathing), ILLNESS (Feeling ill) and FATIGUE (felt really tired). After getting the vaccine in the morning, the patient felt really tired. The patient went to the family doctor for a previously scheduled appointment regarding his condition. On the way there he couldn't keep the eyes open, and felt as if he didn't get enough sleep. The patient hadn't realized that he slept. The patient had assistance from his son because he felt like he could catch his train of thought. The patient told his O2 level was fine and was instructed to take Benadryl. The HCP reported that anxiety, depression and bipolar might be psychological and wondered why these had gotten worse. Company comment: Based on the current available information and temporal association between the use of the product, and the start date of the events, a causal relationship cannot be excluded. However, history of bipolar depression and anxiety may remain as risk factors. This case was linked to MOD-2021-215030, MOD-2021-214836 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 10-Jun-2021: Follow up contains New event , Medical history On 08-Jul-2021: Follow-up included: Medical history was updated, Patient weight, anatomical location of vaccine administered, Dose 1 details added On 14-Jul-2021: Case has been updated from non-serious to serious due to the addition of Serious events. New non-serious events also have been added. Patient's demographic details and reporter contact details were updated. Patient's medical history including allergies and current conditions, concomitant medications and treatment details were added.; Sender's Comments: Based on the current available information and temporal association between the use of the product, and the start date of the events, a causal relationship cannot be excluded. However, history of bipolar depression and anxiety may remain as risk factors.

I started to have numbing on my right side especially on the back of my head. After that I had dizziness and confused. I felt like I could not breath. I was finally able to catch my breath. I am still not able to catch my breath. I went to the ER. They checked my pulse and took notes. They were just trying to rule out everything. They monitored me for a while. The did do an MRI. After that I followed up with my PCP, she ran labs, and they came back normal. They did a COVID test which cam back negative. I still experience irregular heartbeat. I am going to follow-up with my cardiologist at the end of month.

DX: Pericarditis; S/S Headache, fever/chills, Acute chest pain or pressure, Chest pain made worse by lying down, deep inspiration, or cough,Chest pain relieved by sitting up or leaning forward-- onset 04/14/2021 "Progressive severe diffuse anterior chest pain radiates towards his anterior neck...describes a pleuritic component to his chest pain."

40 year old patient received second dose of Moderna lot number 026A21A. Began to complain of rapid heart beat, tingling, difficulty breathing, difficulty speaking. No physical evidence of allergic reaction. Vitals were normal except mild tachycardia. No rash or wheeze. Normal oxygen sat. Watched longer, offered food, but patient continued to state he did not feel right. At over 1 hour, asked if he would like to drive to ER, but said he could not drive. Called EMS. Gave Bendadryl IM (no po in kit).

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Additional Details: Patient had an event of syncope after the injection and fainted in the chair. I assisted the patient to the ground and had them lie flat and elevated their legs using a chair. Patient regained consciousness and was responsive within 1 min. I checked BP and heart rate (BP was 124/82 and Pulse was 76 b/m). Per store Policy EMS was called by store LOD. EMS arrived and took patient to local hospital. Pts was responsive when they left pharmacy.

Patient completed 2nd dose of Moderna 07/29/2021, first dose was given 07/01/2021. After completed dose, patient was advised to sit and wait (MINUTES). After the timed interval was completed he would be free to leave. A few minutes after vaccination, the patient started experiencing dizziness and fainting. Objectively, the patient displayed fainting and minor seizure like activities. In addition, the patient was sweating all over the body. This happened over a period of 15-30minutes before EMT arrived to provide additional support.

5 minutes post vaccine administration I started to feel palpitations, numbness on both arms and went up the nape/head, flushing, tingling in both arms dizziness, then dysphagia but able to talk. Hives at torso after 10 minutes. I was assessed by to physicians working at the site. Epi pen was given to me by a physician and taken by ambulance to hospital by EMTs who were there at the site. At the hospital I was given 40mg steroids by mouth. After observation for 4 hours I was feeling better, and was discharged home. Ordered to take 40mg of steroids for 2 more days. After one day post vaccination, I have significant pain at the site and body ache.

After receiving 1st Moderna COVID19 vaccine and while waiting during the 15min waiting period, patient saw someone else get anxious and wobbly and need to lay down, then he also got anxious and felt like his vertigo had been triggered... dizzy when turning head to the side, which he gets sometimes, but this started for him after vaccination. Laid down, rested, and felt better-- symptoms resolved and he was discharged to home. Noted to be hypertensive 143/93-- discussed with him and asked him to speak with primary care physician.

Employee received the vaccine at 0805, reported at 0812 that he was dizzy, lightheaded, nauseated and diaphoretic. Employee assisted to cot to lie down. Skin pale, continued to be diaphoretic, respirations in the 20's, BP 115/82, HR 110, O2 98% on RA, denied any difficulty breathing, no coughing or evidence of throat tightening, no sign of any swelling at vaccination site, no rash. Code called overhead, Code team arrived. No medications given at time in clinic. Near syncopal episode, No anaphylaxis. Employee taken to ED for further evaluation and observation.

Left sided pleuritic chest pain developed about 24 hours after vaccination and continued to get worse for 2 days after which it is now slowly resolving. Used ibuprofen and tylenol PRN to help with pain symptoms.

Sudden onset of a burning sensation radiating from epigastrium to substernal. Rapid heart rate. Vitals obtained and patient was observed for 30 minutes. Patient stated symptoms subsided and vitals returned to normal.

DIAPHORESIS Narrative: Felt sweaty, rapid hr which subsided after 30 min. Initial 137/81 HR 119; End 123/48 HR 92 O2 SAT 97

Reported numbness in lips and L Malar area; no angioedema Narrative: Employee was taken to facility in wheelchair, evaluated and stable. Diagnosis vasovagal due to needle anxiety vs mild allergic reaction to MODERNA vaccine. Given 50mg Benadryl and Solumedrol 125mg IM. Monitored for 30 minutes, completely asymptomatic. Release home in care of wife.

On the date of injection. My right arm was fine. Waited 15 mins. Everything was ok. Until 130 am at night. Woke up due to the heart palpitations and nausea that lasted 10-20 mins. Monitor the symptoms and it went away after 20 mins. Symptoms was mild.

About 5 hrs after receiving vaccine muscle ache in shoulder. Next day mild headache and body aches through day three. Slight sinus drainage on day 2 and 3 and tightness in chest on day 3 morning. Penis reduced in size, length, and circumference is significant since following day and pain in penal area from day 3 and day 5 most noticeable. Shape of penis has changed (noticed on day 4 due to an erection) and the skin has become loose with the size reduction (like baggy pants.)

Patient was nervous/diaphoretic upon arrival to vaccine appointment. Patient received vaccine, was brought to observation area and seated, and within one minute patient lost consciousness and fell to ground from seated position. Patient was log rolled and opened his eyes and responded to name calling immediately after fall. V/S were taken, loaded onto stretcher. MD took HR, was in 40s. Initial full set of vitals 09:10 BP 115/70, HR 66, o2sat 99%. Laid reverse trendelenburg in stretched. Physician on site and EMS was immediately called. Patient was diaphoretic and responsive/speaking. 09:13 121/55, HR 62, O2sat 98%. 09:17 120/57, HR 78, O2sat 98%, 09:25 118/68, HR 69, O2Sat 96%. At 9:31 patient left for ED with EMS. Of note, patient reported after the fact that he has history of nervousness/anxiety with needles.

Moderna COVID-19 Vaccine EUA Low grade fever (99.0-100.9) Tightness of chest Soreness in chest Fatigue Soreness in injection site

Started with flu like symptoms, chills, aches, etc. For about 12 hours. Then I rapidly spiked a 102.7 fever and became so physically weak I felt paralyzed. Oxygen saturation dropped into the low 90s and I began to have labored breathing. I made an attempt to stand up and urinate, then passed out and collapsed. Ems came to the house and checked me out. I declined their offer to go to the hospital because I broke the fever, was breathing better, and had no concussion signs from the fall.

Pt was driving down the road 18-24 hours after receiving vaccine when all of a sudden he experienced dizziness, rapid heartrate, headache, blurred vision, hives to chest and arms, edema and redness at injection site. Pt went to Hospital via EMS on 1-21-20 and was given 50mg Benadryl on ambulance. Pt states that he was diagnosed with a "reaction to the vaccine and I was given prednisone, pepcid and Tylenol in ED." Pt was called on 1-22-21 by Public Health nurse and states that he was feeling much better today but still had the redness and swelling at injection site.

Muscle aches, malaise, chills, 120 to 140 bpm heart rate and perfuse sweating which lasted from dinner, allnight until early morning. Drank a lot of water and stretched to help relax and tried to call back asleep. Heart rate did eventually go back down to 80 to 90 bpm. Still felt clamy and fatigued. Went to work with little energy.

12 hrs after vaccine experienced typical adverse side effects of arm pain, fatigue, headache, myalgias and arthralgias. 24hrs after vaccination the initial symptoms persisted and also developed urticarial macular exanthem from scalp to waist along with decreased urine output, joint swelling, edema, Had intermittent tachycardia. Symptoms lasted for 72 hours.

vasovagal episode with him turning pale, hypotension, bradycardia, dizziness, nausea. Watched for 45 min and he was still feeling the same way, so sent to hospital

Stroke two days after vaccination, CVA hemorrhage, aneurysm (hospitalized ICU 08 January 2021, currently requires daily physical therapy and has walker to ambulate).

Cold sore inside part of lip, single angiodema type rash/hive on outside part of lip directly opposite cold sore, elevated resting heart rate at 95-105 (normal 71-80

Mild symptoms - cold chills, achy on the night of vaccine. At about 24 hrs after vaccine administration, developed high fever(102), rapid heart rate, low o2 sat, eventually passed out and EMS had to be called. Was not transported to hospital per pt request.

Day 1- pain and lack of range of motion at deltoid left arm , existed for about 5 days. Burning in chest, possibly lung. Shortness of breath, scanty urination/dark urine, problems with bowel movements. Days 2-4: dizziness, disorientation, gait changes, delay thinking, headaches, shortness of breath chest burning, whole body joint pain, neuropathy like sensations in arms, blood pressure spikes/ pulse rates dropped to 42.

Patient is a 41 y.o. male on no AC/AP with no pmhx reported presents 1/31 PM initially to Hospital for acute onset 10/10 headache refractory to 800mg motrin which started in occipital region then spread to whole head and neck, nausea and vomiting x 3. Symptoms started around 5pm when he was on a conference call and reports he got bad news so was stressed out. Denies any recent trauma. Pt received toradol 30mg, dexamethasone 10mg, benadryl 25mg and reglan 10mg at hospital prior to transfer. CT showed diffuse SAH and CTA showed no signs of obvious aneurysms. He then received 1g IV keppra and was started on Cardene for BP goal <140. He was transferred to NICU for further monitoring. While in the NICU, his exam and imaging remained stable. He underwent CTA which was unrevealing, and DSA which showed evidence of vasculopathy. BPs came down to <160 and he came off of cardene, did not require additional meds. He was transferred to the floor. Upon transfer, he had another thunderclap HA, accompanied by HTN to the 200s systolic, tachycardia to the 120s, diaphoresis, and blotchy macular rash over the anterior shoulders. Imaging was negative for vasospasm or recurrent bleed, and it was felt that patient's presentation was most c/w RCVS. Trigger felt either 2/2 caffeine intake (patient reported drinking 60 oz coffee daily) vs. Sympathetic discharge syndrome such as pheochromocytoma or carcinoid syndrome. LP was performed, which revealed no nucleated cells and protein elevated in proportion to blood, which confirmed the diagnosis of RCVS. Studies were sent off to diagnose carcinoid syndrome and pheo. Patient was started on nimodipine/gabapentin with standing tylenol and PRN oxycodone for breakthrough pain. Within days, the HAs had markedly decreased in intensity. He was taken off of keppra after 1 week with stable exam and no e/o seizures. He was briefly switched from nimodipine to verapamil but switched back prior to discharge. He was discharged with outpatient followup.

Woke up to use the restroom. Passed out and fell multiple (~5) times while trying to return to bed. I have never experienced that before.

shortness of breath, tightness in chest feeling for about 12 hours. Started 36 hours after second dose.

Patient received first dose of Moderna covid-19 vaccine and went to the 15 minute monitoring area. Per the ED notes patient felt dizzy and developed tunnel vision prior to the patient passing out 15 minutes after getting the vaccine. Similar episodes in the past due to fear of needles. Patient was on floor and rapid response called, patient taken to the ED for evaluation and was discharged in stable condition with vasovagal syncope.

Walking away from vaccination table offender became dizzy. Sat down. BG checked and 107, normal for patient. Maintained consciousness but became increasingly unsteady. VS checked, P 34, unable to obtain BP, R 20 and shallow, O2 94%. LCTAB. Patient became pale and lips became cyanotic. Unable to obtain P and O2 at this time. Epinephrin 0.3cc administered, P increased to 54, O2 93, transferred to trauma room and IV fluids administered. Patient fully recovered within an hour.

2 minutes after received 1st dose of Moderna COVID vaccine, patient stated unilateral headache, advised to drink water. 3 minutes after receiving vaccine, patient stated " I feel funny, I can't breathe" and lost consciousness x 5-10 seconds. Patient airway clear and breathing monitored. Patient regained consciousness, diaphoretic, oriented. Patient A&O x 4 after sternal rub. HR: 52, SPO2: 97% RA. Provided breath coaching, held patient in upright position, monitored breathing, had patient orally drink water. Manual B/P: 95/60, HR: 64. Patient became more coherent and stated prior to loss of consciousness he felt chest pain, denied any current chest pain, SOB, dizziness, headache, confusion, itching, rash, swelling. Consulted with MD on site who advised EMS called and to monitor patient vitals. Patient declined EMS. Patient placed in wheelchair and taken to private room to lay supine and orally drink fluids. 15 minutes later supine vitals: B/P: 117/77 HR: 68, SPO2: 99% RA. Patient rested for additional 15 minutes, sat upright for 5 minutes. Vitals sitting: B/P 117/79, HR: 69, SPO2: 99% RA. Per MD, patient approved to return home but advised not to drive. Patient stated had not eaten or been drinking water and driven 2 hours prior to vaccination. Patient stated all symptoms resolved except feeling fatigued. Advised patient's wife to drive, to eat/drink prior to leaving, if develops chest pain, SOB, facial swelling, hives, loss of consciousness, lethargy, confusion to go to ER or call 911. Patient and wife verbalized understanding. Patient monitored for 1 hour after loss of consciousness. Telephone call to patient 4 hours after vaccination. Patient stated "feeling much better," ate and drank water after leaving clinic, and resting. Patient denied SOB, chest pain, loss of consciousness, confusion, lethargy, HA, dizziness, lightheadedness. Patient advised to inform PCP of symptoms/reaction and discuss plan for when/if 2nd dose. Explained may have been vasovagal response. Patient stated several years ago having similar episode at ER when seeing blood, stated at vaccine clinic today, watched wife receive vaccine, then saw small drop of blood on his arm before loss of consciousness. Patient stated he will discuss with his PCP.

Flair up of tendentious and upper arm pain in my right arm (the opposite arm from the one I had the shot in). This is still ongoing. (I have had a few limited periods where I have had tendentious/bursitis in the past, but it as not been an issue in over a year and reoccurred immediately after the shot.) Significant fatigue the day after injection with ongoing fatigue following. Elevated heart rate for at least the day following the injection. Pain at injection site for 3 days

It was the Moderna Vaccine. I had a prescheduled meeting to get some tests done on the Monday, following my vaccine (02/22/2021). The results of those labs showed a severe inflammatory response. My blood platelet levels were at 27, and my CRP was at 15. I started bruising easily, which I have never done before, and I had serious body aches and fatigue. I met with Dr. on Tuesday, March 16, 2021 to do some follow up tests. At this point, my platelet levels were up to 96, much improved, but still low. He said that it could very likely be connected to the vaccine. I had the first dose on January 23, 2021, and the second dose on February 20, 2021. I now have to get additional tests to see if these levels improve.

Pt recieved dose one of Moderna COVID19 Vaccine about 1255pm LOT 046A21A, Exp.9/3/21. Within about 3 min of entering waiting room, pt felt faint/ passed out, hit his head on end table, tried to get up into a seat and lost consciousness again for 1-2 SEC. Assissted byt wife and NP to the floor. 911 called by PCT, BP 90/52, HR 65, o2 99%. After evaluation per EMS team, pt chooses not to go with EMS to ED for further care, recommended by NP and EMS. Pt chose to go with wife and will go to ED if worsening symptoms. AMA signed for EMS and clinic

41yo male with history of HLD, LBP, and tobacco use who presented to care initially at the with chest pain. He received the second dose of the Moderna vaccine on 18MAR21 at clinic and within 14 hours developed chills and myalgias. He denies any immediate onset of symptoms after receiving the vaccine. The following day he reports experiencing chest pain 24 hours after the vaccine was administered that progressively worsened over the subsequent 36 hours that finally prompted him to seek care. He describes the pain as a central non-radiating squeezing pain that worsened with movement and breathing. He waited to seek care because he reports several of the soldiers in his unit have experienced similar chest pain that eventually resolved. He reports being at his baseline health prior to receiving the vaccine and denies any fever, cough, rhinorrhea, congestion, malaise, vomiting, diarrhea, or rash. Upon initial presentation to care at clinic he was noted to have a Tropnon I of 0.9, WBC of 14, elevated CRP (7.3), and temp to 101.4. Patient was given ASA, Plavix, Lovenox, Tylenol, and Ceftriaxone. Since arriving to clinic and EKG was obtained showing ST elevation in lead 1 and avF concerning for ischemia and underwent a left heart catheterization which was clear of obstruction. Serial high sensitivity Tropnonin levels have been trended to peak of 465. Respiratory viral panel to include SARS COV-2 was negative. Cardiac MRI was consistent with myopericarditis, and show mildly reduced EF for 46%. Blood cultures have not grown any organism. His chest pain has resolved since starting Aspirin and Colchicine.

Patient stated that he started to feel itchy, dizzy, and fainted when he bent over. Fell asleep and said he was dreaming when we woke him up a few seconds later. It started happening around 5 minutes after he received the vaccine. He stated that he felt fine and back to normal after he was woken up. Had him stay until paramedics came to check him out. Was cleared to go home.

blood pressure was 200/120; felt like it was hard to breathe; felt dread; felt a strange cold rush over his system; A spontaneous report was received from consumer concerning a 41 years old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and felt a strange cold rush over his system/ feeling cold, felt like it was hard to breathe/dyspnoea, felt dread/fear, blood pressure was 200/120/hypertension. The patient's medical history was not reported by the reporter. Concomitant medications taken by the patient were not provided. On 8 Feb 2021, prior to the onset of the event, the patient received their first of two planned doses of mRNA-1273 (Lot number: 013L20A) through intramuscular route at left arm for prophylaxis of COVID-19 infection. On 8 Feb 2021, less than a minute after receiving vaccine, patient felt a strange cold rush over hissystem felt like it was hard to breathe, he felt dread. Patient reported that the facility had checked and his blood pressure was 200/120. Patient was not sure if it was a panic attack, but he took antianxiety medicine. Treatment activities for event was done with antianxiety medicine. The seriousness criteria for the event hypertension was assessed as medically significant. The seriousness criteria for other event was not reported. Action taken with mRNA-1273 in response to the events was unknown. The outcome of events, and felt a strange cold rush over his system, felt like it was hard to breathe, felt dread, blood pressure was 200/120 were unknown.; Reporter's Comments: Based on the information provided which includes a STRONG temporal association between the reported events, administration of mRNA-1273 vaccine and excluded all other etiologies, a causal association cannot be excluded

Patient complained of headache, nausea and difficulty expressing self with periods of confusion. vital sighs obtained and stable. patient continues to be monitored for any worsening symptoms. patients skin color pale. patient administered tylenol that he brought with him, with water and orange juice. patient stated that symptoms have subsided and less headache comparing to initial incident.

Blurred vision; Complete loss vision; Hearing impairment Whoosh; spike in blood sugar; Fatigue; A spontaneous report was received from a consumer who was a 41-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced complete loss of vision (blindness), fatigue, blurred vision, spike in blood sugar (blood sugar increased), and hearing impairment "whoosh" (hearing impaired). The patient's medical history, as provided by the reporter, included diabetes. Concomitant medications were insulin glargine and insulin lispro. The patient said he was compliant with his insulin injections. On 29 Dec 2020 , prior to the onset of events, the patient received their first of two planned doses of mRNA-1273 (Lot number: unknown) intramuscularly for prophylaxis of COVID-19 infection. On 29 Dec 2020, the patient experienced a spike in blood sugar. He tested his blood sugar immediately following the vaccination and it was in the 280-380 range. Prior to the vaccine, it was 100 to 150. On an unspecified date, his hemoglobin A1C was below 7. On 05 Jan 2021, he experienced hearing impairment "whoosh". On 09 Jan 2021, the patient experienced complete vision loss. On 11 Jan 2021, he experienced blurred vision. Action taken with mRNA-1273 in response to the events was not reported. The event of complete vision loss resolved on 11 Jan 2021. The outcomes of the events of fatigue, blurred vision, hearing impairment "whoosh", and blood sugar spike were unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. The patient's medical history of diabetes remains a confounding factor. Further information has been requested.

2/5/2021--Patient came to Center for 2nd dose Moderna COVID-19 vaccine but reports that after his 1st dose he had reaction (chills, headache which are common reported side effects) but he also had his resting HR elevated for about 12 hours to 102 bpm and his normal HR is usually 60. 2/9/2021 1635--Called to f/u with patient regarding his 2nd dose of Moderna COVID-19 vaccine, no answer, left message. 2/11/2021 0924--Patient called back, he reports he is feeling well now after 2nd dose but did have a similar reaction but feels like it wasn't quite as bad. He received his 2nd dose on Fri 2/5/21 around 1600 and reports the next morning his HR was elevated to about 104 for about 4 hours, he also had chills for

About 1 hour after injection I started feeling mild tingling in my face and throat. I then lost my voice for approximately 5 minutes. As the next few days started to progress I started noticing mild muscle spasms all over my body, mostly in my legs; waking up in the middle of the night, dry mouth, night sweat (1 occurrence), sudden onset of rapid and irregular heart beat (1 occurrence); kidney pain (right and left), upper abdominal pain (right and left). Prior to vaccine I did not experience any of these events.

Patient c/o dizziness after vaccine was given. The same happened on his first dose. He was diaphoretic and passed out for few second. He was medically cleared to receive vaccine. He declined to be taken to the hospital.

Approximately 6 hours after vaccination, experienced high fever (tmax 103.0), took tylenol with decrease of fever, also felt palpitations described as his heart was racing all night. Woke up this morning with low grade fever 99.4 and some intermittent palpations which are improving.

Shortly after receiving his second dose of Covid 19 vaccine, he reported feeling throat and chest tightness, SOB and palpitations.

Patient received vaccine and went in the waiting area for the 15 minute observation. He passed out and fell on the floor. He was sweating but was conscious. We put a bag of frozen blueberries on his neck and wiped his face with a damp towel while waiting for EMS to arrive. He did not require CPR.

He had second dose of Moderna COVID vaccine on March 13th. He was admitted with progressive SOB and acute right leg limb ischemia 4/7/21. He was found to have massive Bilateral PE and right common femoral artery and right external iliac atery occlusion. He was unstable and required embolectomy, tPA and EKOS for PE and embolectomy for right leg arterial occlusions. He remains sedated in ICU now.

Patient experienced a non-itching, non-blanching petechial rash across bilateral arms, trunk, and back beginning 5 days after vaccination. Biopsy revealed underlying vasculitis with eosinophils. The rash clears up with use of oral prednisone. Patient has also experienced edema and ulcers of the lower extremities believed to be caused by microeboli associated with vasculitis.

Site: Redness at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: patient reported not having eaten since previous day in the afternoon, briefly experienced syncope and fell out of chair that he was seated in while waiting 15 min after given first dose of covid shot, patient waited full amount of time and felt fine after 15 min

Patient was sweating profusely and dizzy. His blood pressure dropped to the 70's. After some hydration with Gatorade, patient got up and left on his own. He refused when offered to call for more help. After the vaccination, patient said he remembered he had the same reaction in the hospital when he received an anesthesia injection.

Went to ED 3/30/21 Immediately after receiving the second vaccine 2/25 he developed chest tightness and joint pain. The chest tightness resolved within a few hours. He then had severe fatigue x36 hours-sleeping most of that time?followed by fever, chills, myalgias x2d. Those resolved but the arthralgias have persisted since then. Within 1 week he developed worsened joint hypermobility and has had multiple subluxations (fingers, ankles, knee, elbow) that has persisted. Within 1 week he developed joint swelling. He had diffuse pain and hyperalgesia with pain to minimal pressure. At 2 weeks he developed a pruritic popular rash on LE. Due to joint swelling and rash he was placed on a 5d prednisone burst that decreased the pain, swelling, and rash, but recurred when prednisone d/c?d. He was restarted on a 2 week taper which helped partially with pain and swelling but did not resolve them and the rash continued to spread. He still has the rash present now diffuse on legs and torso but it seems to have stopped spreading as of this week. The joint swelling has also seemed to plateau but has not resolved. The joint pain and worsened hypermobility is slowly improving but not resolved. 2 weeks ago (4 weeks after vaccine) he developed new neuropathic symptoms?tingling in his extremities with intermittent shock-like pain, followed by itching and burning along S2-S3 dermatomes (into groin) and back pain. The sacral sxs resolved w/in 1 week but the tingling in extremities has persisted.

20 minutes after shot, I went from feeling fairly normal to very suddenly had very severe problems including dizziness, confusion , significant difficulty breathing, significant difficulty staying conscious, tingling all over, loss of control of some body movements, inability to sit or stand, pulse dropped to 51 according to medic,. I believed I was dying. Medic indicated I turned "white". The symptoms peaked within 1-2 minutes after onset and stayed bad for several minutes. After a few minutes My pulse started to increase and all symptoms started improving. Within 10 minutes I was feeling well enough to sit, and within 30 minutes I was able to drive home.

I suffered a stroke on March 19, 2021 that effected my Occipital and Temporal Lobes on the right side of my brain. The primary symptom was almost total and complete blindness. Taken to emergency room, made a stroke alert, tPA cleared clot, spent 5 days at the hospital.

Fainting - never lost consciousness Shot given 10:10am. Was in waiting room and reported feeling light headed at 10:25am. 10:25am. Faint/dizzy/supine BP 124/77 Pulse 74. Respiration. 16 10:30am Supine BP 135/73. Pulse 63 10:35am. Supine BP. 134/80. Pulse 66 10:40am. Sitting BP 135/72. Pulse 62 ***follow-up call made 12:27pm had to leave message

I?ve been vaccinated for 2 months now. My new symptoms just started to really ramp up 3 weeks ago. Of course I had the initial symptoms of being sick for 2 and 1/2 days after my second shot?.but recently it started with leg aches and then it matriculated up into my upper body. My legs have since become less achy per say. Now it?s my upper body and mostly in my shoulders (more in the one I received the shots in), back pain, and general fatigue. Currently still dealing with the upper body ache discomfort, cold hands and feet but I noticed that I have a slight headache always and my vision has became a little blurry in one eye. The headache severity is day to day but what?s interesting now is I?m having ear ringing and sensitivity to sound. Headache seems to emulate from the back of my skull and the crown of my head. The other lingering piece is the fatigue after doing activities. I?m an active guy and recently my body gets really achy after I do anything super strenuous and I get tired. Also feeling a little shaky, some rapid heart rate, and some circulation issues in my legs and arms. Note; never experienced these issues before the Vaccine aside from the normal wear and tear of an active lifestyle.

5-10min after 2nd dose, pt fainted while sitting in waiting room chair. pt fell forward tipping chair and fell into blood pressure machine. head was scraped between the eyes--slight bleed. pt leg was bruised and pant leg torn from falling into machine. i told technician to call 911 while i went to pt and attempted to sit him up. pt was unresponsive for 20-30 seconds. as he came to, he was able to speak. moved to chair and gave him water as paramedics arrived. they did full assessment x 20-30min. pt did not want to be transported to hospital so they asked him to stay for additional 30min. he then said he was ok to go home.

Patient was observed post Covid-19 immunization for 15 minutes . During the observation period, he experienced an adverse reaction with the following symptoms: nausea and vomiting. Assessment : Time of assessment 1005. Alert and oriented, Anxious, Tachycardia, Nausea, Emesis and left hand tingling. As soon as patient received vaccine and was getting ready to sit for his 15 minute observation, he started vomiting x 1 in the floor. He says he felt nauseated, lightheaded, and his left hand was tingling. He was assisted in the wheelchair and taken to the triage area. 1012: BP 148/100, P 110, denies nausea, lightheaded, but still has the tingling to the left hand. 1017: BP 138/100, P 102, denies hand tingling or any other symptoms. 1026 standing BP 120/88, P 108. Actions taken: Vitals sign taken VAERS form obtained and completed by RN. Ambulated prior to discharge home without symptoms. There were no vitals filed for this visit. Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 20 minutes. Discharged home. Instructed to call 911 for trouble breathing, rapid heart rate, dizziness, swelling of tongue or throat. The Patient was provided with Vaccine Information Sheet and instruction to access the V-Safe system.

Pt developed dizziness and near syncope shortly after injection. He reports a history of vasovagal reactions with injections in the past. BP 78/60 and then improved to 102/68. HR improved from 40-58 after several minutes. Over the course of 15-20 minutes, symptoms resolved and pt fully recovered.

patient reported he has previously fainted immediately following vaccine. His wife brought an ice pack and water. Aftervaccination i sat with pt a few minutes to make sure he was feeling well and ready to move to a chair in front of the pharmacy to sit for 30 minutes and make sure he is feeling well. I notified my manager that pt in front has fainted before and he kept a close eye on him. I was administering shot to the next pt and heard a sound. I left vaccination booth and saw pt on the ground. I placed his legs/feet in front of him and his wife held his head and ice pack. Our pt reported that he did not hit or hurt his head and did not need other assistance. we monitored the patient an additional 20 minutes and he was feeling well, vital signs good and accompanied by his wife.

CHILLS, FEVER,SHARP/PIERCING CHEST PAIN, ENTIRE BODY WEAKNESS, ENTIRE BODY ACHES, HEADACHE, DRY THROAT.

head spinning; dizzy; tired; pain at injection site; nauseas; cold sweats; really weak; could barely stand up; sick to his stomach; Passed out to sleep at 745 pm; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Passed out to sleep at 745 pm) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 037B21A and 044A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Asthma and Hyperthyroidism. Concomitant products included FLUTICASONE PROPIONATE (FLOVENT) for an unknown indication. On 22-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 19-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 19-Apr-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced LOSS OF CONSCIOUSNESS (Passed out to sleep at 745 pm) (seriousness criterion medically significant). On 19-Apr-2021 at 11:30 PM, the patient experienced COLD SWEAT (cold sweats), ASTHENIA (really weak), DYSSTASIA (could barely stand up) and ILLNESS (sick to his stomach). On 20-Apr-2021, the patient experienced VERTIGO (head spinning), DIZZINESS (dizzy), FATIGUE (tired), VACCINATION SITE PAIN (pain at injection site) and NAUSEA (nauseas). At the time of the report, LOSS OF CONSCIOUSNESS (Passed out to sleep at 745 pm), COLD SWEAT (cold sweats), ASTHENIA (really weak), DYSSTASIA (could barely stand up), ILLNESS (sick to his stomach), VERTIGO (head spinning), DIZZINESS (dizzy), FATIGUE (tired), VACCINATION SITE PAIN (pain at injection site) and NAUSEA (nauseas) had not resolved. Not Provided Products known to have been used by the patient, within two weeks prior to the event, included thyroid medication. Treatment information was not provided. The patient received both scheduled doses of mRNA-1273 prior to the event; therefore, action taken with the drug in response to the event is not applicable. Based on the information provided which includes a temporal association between the use of mRNA-1273 vaccine and onset of the reported events, a causal relationship cannot be excluded. Nausea, fatigue, and vaccination site pain are consistent with the known safety profile of the vaccine. This case was linked to US-MODERNATX, INC.-MOD-2021-081679 (E2B Linked Report).; Sender's Comments: Based on the information provided which includes a temporal association between the use of mRNA-1273 vaccine and onset of the reported events, a causal relationship cannot be excluded. Nausea, fatigue, and vaccination site pain are consistent with the known safety profile of the vaccine, US-MODERNATX, INC.-MOD-2021-081679:cross link Dose 1

Day 1 and 2, injection site soreness/tenderness. Day 4 to present, heart palpitations. Deep heart pump-up through my neck and into ears sometimes. Day 10, injection site redness/rash.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Additional Details: patient fainted after administration of vaccine. patient was checked for responsiveness and flipped to the side. paramedics were called. patient regained conciousness upon tapping on shoulder. patient fell and hit the ground and had a few abrasions to the left head. paramedics arrived and patient was alert and oriented and declined ambulance. patient rested and left with cousin without any further issues.

Patient developed itching 10 mins post-vaccination. Itching moved from upper body to head and inside mouth. Felt slight soreness in throat 45 mins in. Took diphenhydramine 25mg. Symptoms slowly dissipated. Stayed under observation a total of 1.5 hours. No feeling of obstruction in throat, no shortness of breath or wheezing, no rash or swelling. VS normal, physical exam normal. Slight increase in heart rtate which may have been due to Adderall.

Fever, chills, headache, and tiredness (2nd day of receiving the 2nd dose) Feeling good on the 3rd day Headache, stomach burn, throwing up, and heart attack (4th day of receiving the 2nd dose) Passed away on April 2, 2021

At 11:41 am client said that he thought he blacked out. He looked pale and was sweating. At 11:43 he had crackers and water. At 11:47 his oxygen saturations were 97% and his heart rate was 69. At 11:49 his blood pressure was 122/78. He felt better and left around 12:00 pm.

Passed out; Sweaty; Slightly feverish; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSNESS (Passed out) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 045B21A and 045A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 21-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 21-Apr-2021, the patient experienced LOSS OF CONSCIOUSNESS (Passed out) (seriousness criterion medically significant), HYPERHIDROSIS (Sweaty) and PYREXIA (Slightly feverish). At the time of the report, LOSS OF CONSCIOUSNESS (Passed out), HYPERHIDROSIS (Sweaty) and PYREXIA (Slightly feverish) had resolved. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medications were not reported. Description: The patient felt sweaty and slightly feverish all night on 21 April 2021. When he got up to urinate he actually passed out (medically significant) and was on the floor for a few seconds. Later last night, on the same day, he went to drink some water, and passed out again for a few seconds. The patient did not seek any medical attention, and stated that he felt fine now. No treatment information provided. The patient received both scheduled doses of mRNA-1273 prior to the event, therefore action taken with the drug in response to the event is not applicable. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Patient felt light headed. Put his head down on table. Responded to his name after repeating name once. Patient stated he was dizzy, light headed. Gave him a bottle of water and M & M's. Patient had forehead sweating and was pale. Patient drank the water, had a few M &M's, got cold. Patient finished M& M's and his color. Offered to call 911 or someone for patient. Patient refused. Patient remained seated for approximately 12 more minutes and left on his own accord. Patient stated before leaving he felt fine now and refused medical treatment or an offer to call someone again.

Approximately 3 weeks after Moderna Covid-19 vaccine administration, patient began to experience dizziness, transferred to Hospital, diagnosed with ischemic stroke, discharged, returned within days with worsening, diagnosed with new ischemic stroke (contralateral side), transferred to Medical Center, patient's condition worsened, presumably additional new ischemic stroke, patient ultimately died on 3/5/2021. Diagnosis was acute infarction of the brainstem/pons as well as acute bilateral cerebellar/occipital infarctions.

Patient experienced symptoms consistent with vaso-vagal syncope approximately 5 minutes after injection: palor, diaphoresis, dizziness. Patient recovered within 30 minutes with rest and water.

patient fainted and had a vasovagal response ... very clammy and sweaty but ended up being fine after several minutes

Per PCP visit note 4/28/2021: Patient reports has had some malaise, labile sugars, insulin resistance for past 2 weeks which he notes began about 2-3 weeks after initial Covid Moderna vaccine. He then reports over past 4-5 days has felt dehydrated, dark urine, and now with some abdominal distension, nausea, and fatigue. Normal bowel movements. Able to eat, no Tylenol or alcohol use. All meds stopped by Endo due to lab results except his insulin. Did find a note that states he received 2nd Moderna vaccine but also noted that his Endo suggested he should not get the 2nd dose. Our Immunization system did not pull in a 2nd dose. Also was some confusion as to whether he got Pfizer or Moderna, but the system did show Moderna given 3/30. Plan: CT scan, stay off all meds except insulin, PharmD review of meds and report to VAERs, schedule f/u with GI (will see in ~ 2months) CT Scan of abdomen/pelvis: no acute findings Will continue to f/u with PCP and watch lab to be sure numbers are improving.

covid arm yes, expected that, dizzyness lasting 3 days, tired, flu like symptoms. chills, anxiety, that was no big deal but last night I had severe stomach pain and rushed to the bathroom , then had severe nautious, I had diarrhea, at the same time. I nearly blacked out. I got very hot and had to take off all my clothes, then when I got up to the toilet to diarrhea again I needed to vomit, I blacked out on my bathroom floor. when I woke up I went back to bed. at the time of the occurence I was too delusional to call for help. I barely ate that day because I felt so bad. I did notice the second day I felt worse after drinking 1,000 mg of vitamin C from one of those Emercencey Packets with lots of water. and the next day I took twice as much to (knock out) what ever I was feeling.

First Shot April 20th of Moderna after facility cancelled my JJ, Second shot J&J in facility after facility cancelled my second appointment of Moderna. Could not make 2nd shot appointment. Going away for work in state and could not get second shot for three months so just got JJ. 102 fever, chills, chest pains, spasams, joint inflammation, no appetite, no bathroom. full body pain and some altered mental state. weakness. Going on 18 hrs now fever continues to rise.

On April 27th, I went to local ER with acute shortness of breath. X-ray and CT scan showed possible fluid build up in lungs. I was admitted to hospital on April 28. Echocardiogram diagnosed heart failure, ejection fraction was 25%. Pulse was also quite high (120-135), and blood oxygen was low (88-90%). Cardiac catheterization showed no blockages in coronary arteries. Echocardiogram, EKG, and bloodwork were negative for heart attack. Ultimate diagnosis from doctor was idiopathic cardiomyopathy. Currently taking several medications and under care from primary care physician and cardiologist. At follow up appointment with primary care following discharge, she suggested I report the incident out of an abundance of caution.

I was standing at the toilet when I became dizzy and nearly collapsed. I called for help and my son assisted me to my bed where I collapsed and could hardly move while I broke out in cold sweats and my wife monitored my heart rate and placed an oxygen monitor on my finger. she said my pulse held steady and slow. The event lasted about 10 minutes and I felt I must return to the toilet for a bowl movement. I began having diarrhea and then began to throw up. After that i took a cool shower and laid in bed. I stayed in bed for about 48 hours.

Pt fainted after telling wife he feels unwell, then passed out in wheelchair & didn't recall event. BP 99/60. Pt reported feeling nauseous & eye twitching. Given 8oz apple juice & graham crackers & 8oz water. After 25 min pt reported feeling better but tired. 1.5hrs after vaccine given pt was escorted to car with family and informed to follow up with PCP. Per pt's wife, pt had flushing with first dose

Sweating, paleness beginning <10 mins after giving shot, no loss of consciousness, unclear if patient was dizzy/lightheaded. Patient asked to sit in waiting area until symptoms subsided. Blood pressure checked and WNL. Patient given cold pack.

My resting heart rate was very low for about 20 minutes. This happened almost immediately after my second dose and I couldn't find anything about low heart rate. I felt better soon and did not tell a pharmacist.

member complained of dizziness and headache after vaccine administration. Patient brought to lay down on a gurney. Headache resolved after patient in supine position. Vitals stable with noted hypertension: 194/129 that remained elevated for 30 minutes. Dizziness and headache resolved. Dr encouraged member ED assessment of continued hypertension. Member agreed to have wife (at bedside) drive him immediately to the ED. Per EMR, member went to emergency and was admitted 5/4- 5/6/2021 and placed on antihypertensives and hypothyroid meds.

After headaches and fatigue following the shot (within 24 hours) I began to notice slight shortness of breath 3-5 days following. I didn't give it much thought, but, roughly two weeks after my dose I began to experience severe intercostal pain and sharp pain in the lower lobe of my right lung upon inhalation. I thought this was musculoskeletal at first but after it didn't abate within days, I went to the hospital and was diagnosed with several distal pulmonary emboli. Luckily I survived and am currently on blood thinners while trying to determine the cause of this, having no history of blood clots personally or in extended family.

Patient had no previous issues with vaccines in the past. Patient went to the post-vaccination chairs and about 2 minutes after giving the Moderna COVID-19 vaccine, patient's wife informed me he was not feeling well. Patient was sweating profusely, shaking, light headedness, and difficulty breathing. Site of injection looked normal. I brought him back to the immunizing booth, laid him down, gave him something soft to lay his head on and cover- up with. His sweating and shaking seemed to get worse. He wanted to sit in the chair since the floor was cold. We sat him up, gave him an ice pack, and gave him some orange juice. We called 911 and instructed EMS where to find us and the patient's symptoms. While waiting on EMS, his symptoms improved slightly. They arrived quickly and assessed the patient's blood pressure, heart rate, and blood sugar. He did not feel as if he needed to go to the hospital. I had the patient wait in the immunization booth a bit longer. He felt better, and color came back into his face. He went home with his wife. I gave them the V-Safe info, so he can report any issues while at home.

Patient reported difficulty breathing, dizziness/weakness, numbness/tingling and a fast heartbeat - and suicidal ideation - went to ED. CHIEF COMPLAINT: SUICIDAL IDEATION (pt. reports suicidal thoughts) and FEVER (pt. received 2nd Moderna vaccine approx 1100 yesterday approx 3-4 hours ago developed chills/fever/anxiety/visual hallucinations/generalized body aches) HISTORY OF PRESENT ILLNESS: HPI: Patient is a 41-year-old male who presents to the emergency department from home with his wife for chief complaint of suicidal ideation, anxiety. Nursing noted him to be hyperventilating in triage. Patient states these thoughts started about 4 hours ago after he started feeling unwell. Patient states that he got his 2nd moderna COVID vaccine at 11:00 a.m. yesterday. This evening after trying to go to bed he started getting fevers body aches and myalgias. He took Advil around 8:00 p.m.. After this, he started having increased thoughts of wanting to harm himself. He states he is having "hallucinations of himself cutting his arms and legs off". He called telemedicine who told him he needs to go to the emergency department. Patient originally did not want to wake his wife up and did not want to go in but he eventually woke his wife and she brought him here. Patient does have a history of PTSD and depression. He is on Cymbalta which apparently he has been taking. He has not been able to see a counselor since the beginning of the year because of his insurance. He does see physicians through the hospital. he has never had to be inpatient but has had to come to the ER a few years ago for suicidal ideation. He also tells me that he quit his job yesterday because he doesn't like seeing people be mean to other people. ED Course as of May 19 0613 Wed May 19, 2021 0339 Patient is a 41-year-old male who presents to the emergency department with suicidal thoughts. Patient has PTSD. Suicidal thoughts started about 4 hours ago. He did get his 2nd moderna COVID vaccine at 11:00 a.m. yesterday and now has a fever and generalized body aches and fatigue. I do believe this is a normal immune response to the COVID vaccine. We will give him Toradol. Patient is very tearful and anxious. I will give him some Ativan while we are waiting for lab work to return. Medical social worker will have to evaluate the patient. 0521 MSW is currently talking to the patient. 0611 Medical social worker and wife felt that patient could be discharged home with the safety plan. He will follow up with the hospital for mental health counseling services. Patient feels much better after fever subsided. He will continue to rotate between Motrin and Tylenol. ED Course User Index DO

Chest pain for about 60 minutes until I took Advil. It was extremely uncomfortable as I would rate it at 8/10 on a pain scale for about 20 minutes. Also mild body aches and headache.

Approximately 14 days after first injection I went to ER with Atrial Fibrilation symptoms. Had been feeling weak and tired for about a week before but ignored symptoms. Awoken early March 21st with NEW Apple watch alerting to high heart rate while sleeping over 150 bpm. Ran ECG and stated Atrial Fibrilation was occuring.

Friday after the shot was good, just a sore arm. On Saturday I developed a fever of 101 and chills and was very tired. I felt a little better on Saturday night and Sunday morning after some Tylenol 500 mg. My fever would break then come back for a bit By Sunday afternoon my back began to really hurt. I have some chronic back pain so didn't think too much of it just tried to massage it and stretch it out. However it just kept getting worse and the pain radiated into my chest around 9:00 PM Sunday night. It continued to get worse until about midnight, and I ultimately decided to go to the ER. The tylenol helped reduce the pain by the time I got into the ER but I went in anyway because I was concerned about the intensity of the chest pain I'd had earlier. I was tested for heart enzymes and they were slightly elevated, at .12. On this result, I was admitted to the hospital on suspicion of having suffered a heart attack. I was put on a heparin drip and my troponin levels were tested every 3 hours. They continued to rise to a high of .67. More testing was done, and the cardiology department concluded that I had not suffered a heart attack due to the low troponin levels but that instead I was dealing with heart inflammation. Every doctor and nurse there commented that there had been other patients coming in with cardiac inflammation from vaccines as well. Due to my family history of heart issues and my own existing risks, I was moved to the hospital where I was examined in the cath lab via angiogram. This found no blockages in my arteries, further confirming the cardiology suspicion of cardiac inflammation, and I was given a diagnosis of pericarditis and prescribed colchicine to treat the inflammation.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Pt recovered in less than 1/2 hr. Checked his BP and pulse- normal. Pt and his cousin said he fainted after getting the first dose on 4/24/2021. He promised he'll see his PCP.

Blood Clots noted all over lungs; Abdominal pain radiating from right side to left side then to collar bone; Abdominal pain-right side; This spontaneous case was reported by a patient and describes the occurrence of PULMONARY EMBOLISM (Blood Clots noted all over lungs) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037421B) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Gallbladder pain. On 23-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Mar-2021, the patient experienced ABDOMINAL PAIN (Abdominal pain-right side). On 30-Apr-2021, the patient experienced PAIN (Abdominal pain radiating from right side to left side then to collar bone). On 04-May-2021, the patient experienced PULMONARY EMBOLISM (Blood Clots noted all over lungs) (seriousness criteria hospitalization and medically significant). On 30-Mar-2021, ABDOMINAL PAIN (Abdominal pain-right side) had resolved. At the time of the report, PULMONARY EMBOLISM (Blood Clots noted all over lungs) and PAIN (Abdominal pain radiating from right side to left side then to collar bone) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 04-May-2021, Computerised tomogram: Blood clot noted on lungs (all over). The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Patient was given IV and oral blood thinner medication as a treatment. Company comment: Very limited information regarding this event has been provided at this time. It is not clear if abdominal pain was gallbladder pain and surgery was prior to onset of pulmonary embolism. Details of the events and discharge summary is required for further evaluation.; Sender's Comments: Very limited information regarding this event has been provided at this time. It is not clear if abdominal pain was gallbladder pain and surgery was prior to onset of pulmonary embolism. Details of the events and discharge summary is required for further evaluation.

Patient started to ?feel his heartbeat more rapidly?, felt lightheaded, and felt some dizziness. Patient was given ice to apply to himself and laid down on the ground with limbs in the air to increase circulation to core. Patient was then brought to a room for provider review and given juice. After a short time patient felt normal and was discharged home.

had another heart attack¨; ¨Had 2 heart attacks¨; ¨Swollen feet¨; ¨Was very fatigued with little walking¨; ¨A lot of pain in the arm of the injection ¨( left arm); This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (¨Had 2 heart attacks¨) and MYOCARDIAL INFARCTION (had another heart attack¨) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 014C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Automated external defibrillator user (HOSPITALISED (07-MAY-2021 - 13-MAY-2021)), Coronary artery bypass graft (HOSPITALISED (07-MAY-2021 - 13-MAY-2021)) and Catheterization cardiac (HOSPITALISED (07-MAY-2021 - 13-MAY-2021)). Concurrent medical conditions included Diabetes, Blood pressure high and Hypertension (not adequately controlled "has high blood pressure levels but it is not constant so he doesn´t take medication for that".). Concomitant products included METFORMIN for an unknown indication. On 28-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 28-Apr-2021, the patient experienced VACCINATION SITE PAIN (¨A lot of pain in the arm of the injection ¨( left arm)). On 07-May-2021, the patient experienced MYOCARDIAL INFARCTION (¨Had 2 heart attacks¨) (seriousness criteria hospitalization and medically significant). On 13-May-2021, the patient experienced PERIPHERAL SWELLING (¨Swollen feet¨) and FATIGUE (¨Was very fatigued with little walking¨). On 20-May-2021, the patient experienced MYOCARDIAL INFARCTION (had another heart attack¨) (seriousness criteria hospitalization and medically significant). The patient was hospitalized from 07-May-2021 to 13-May-2021 due to MYOCARDIAL INFARCTIONThe patient was hospitalized from 07-May-2021 to 13-May-2021 due to MYOCARDIAL INFARCTION The patient was treated with TICAGRELOR (BRILINTA) from 07-May-2021 to 13-May-2021 at an unspecified dose and frequency; ATORVASTATIN CALCIUM (LIPITOL) from 07-May-2021 to 13-May-2021 at an unspecified dose and frequency; BROMAZEPAM (LAXYL [BROMAZEPAM]) from 13-May-2021 to 20-May-2021 at an unspecified dose and frequency; CARVEDILOL from 13-May-2021 to 20-May-2021 at an unspecified dose and frequency; CLOPIDOGREL from 13-May-2021 to 20-May-2021 at an unspecified dose and frequency; ACETYLSALICYLIC ACID (ASPRIN) from 13-May-2021 to 20-May-2021 at an unspecified dose and frequency; VALSARTAN from 13-May-2021 to 20-May-2021 at an unspecified dose and frequency and SPIRONOLACTONE from 13-May-2021 to 20-May-2021 at an unspecified dose and frequency. On 07-May-2021, VACCINATION SITE PAIN (¨A lot of pain in the arm of the injection ¨( left arm)) had resolved. On 20-May-2021, FATIGUE (¨Was very fatigued with little walking¨) had resolved. At the time of the report, MYOCARDIAL INFARCTION (¨Had 2 heart attacks¨) and MYOCARDIAL INFARCTION (had another heart attack¨) had resolved and PERIPHERAL SWELLING (¨Swollen feet¨) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient took the 1st dose of the vaccine on 28apr2021 and referred a lot of pain in the arm of the injection. On 07may2021 he was diagnosed with myocardial infarction and was hospitalized. On 13may2021 the patient got discharged to home with oral medication and an external defibrillator. During this period he had swollen feet and extreme fatigue. On 20may2021 the patient had another myocardial infarction, is currently hospitalized receiving Tridil as treatment and is requires a heart transplant. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. However the patient's comorbidities (diabetes and hypertension) are risk factors for myocardial infarction and pose as confounders of this event. Since the most recent event of myocardial infarction is life-threatening further information was requested regarding the event outcome.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. However the patient's comorbidities (diabetes and hypertension) are risk factors for myocardial infarction and pose as confounders of this event. Since the most recent event of myocardial infarction is life-threatening further information was requested regarding the event outcome.

He received a second dose of Moderna covid vaccine on 5/27 and progressed to develop some lethargy and decreased oral intake over the following days. When he arrived in the ED on 5/31 his temperature was 30.0?C rectally and bradycardic (HR51), BP 115/81, mentally altered. No evidence of infection or worsening of existing chronic conditions. he was admitted to ICU for hypothermia.

A few days after the second vaccination, patient started feeling poorly. Shortness of breath, tiredness and could not shake it. Ended up at hospital and after multiple tests he was flown to another hospital with a pulmonary embolism. He is currently in hospital being treated for PE and multiple clots in his legs.

Heart attack like symptoms. Severe chest pain, shortness of breath, Heart rate elevated around 10 bpm from normal, tired, thumping heart beat, occasional murmur. Symptoms start about a week after first vaccine shot.

Elevated heart rate, led to arrhythmias on Sunday 5/16 - 48 hours after my 2nd dose. Apple Watch indicated AFib several times that day. Went to sleep and heart arrhythmia woke me out of my sleep at 4am on Monday 5/17/21, so I went to the ER to get checked out. In the hospital, I was diagnosed with myocarditis, was held there for 4 nights for monitoring and am still taking medication to keep it under control.

The morning after I received the vaccine, I woke with a fever, severe headache and heart palpitations. I previously had COVID before and it felt very similar with my symptoms, but not as bad. I experienced these symptoms for 2 days. I did have a medication, that I was previously taking, replaced with a different medication.

Shortness of breath, with low grade chest pain, and then the onset of symptomatic atrial fibrillation requiring cardioversion.

Slur; Bell's Palsy; Thought he was having a stroke; Face was tensed; Ear infection; Ear pain; Jaw pain; Was a little off; This spontaneous case was reported by a consumer and describes the occurrence of BELL'S PALSY (Bell's Palsy) and CEREBROVASCULAR ACCIDENT (Thought he was having a stroke) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history was reported by the reporter. No treatment information was provided. Concomitant products included HYDROCHLOROTHIAZIDE (HYDROCHLOROTHIAZIDE 1A PHARMA) for Blood pressure. In April 2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In May 2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In May 2021, the patient experienced FATIGUE (Was a little off). On 08-Jun-2021, the patient experienced BELL'S PALSY (Bell's Palsy) (seriousness criterion medically significant), CEREBROVASCULAR ACCIDENT (Thought he was having a stroke) (seriousness criterion medically significant) and REDUCED FACIAL EXPRESSION (Face was tensed). In June 2021, the patient experienced EAR INFECTION (Ear infection), EAR PAIN (Ear pain) and PAIN IN JAW (Jaw pain). On an unknown date, the patient experienced DYSARTHRIA (Slur). The patient was treated with PREDNISONE ongoing since an unknown date at a dose of 1 dosage form. In May 2021, FATIGUE (Was a little off) outcome was unknown. At the time of the report, BELL'S PALSY (Bell's Palsy), CEREBROVASCULAR ACCIDENT (Thought he was having a stroke), DYSARTHRIA (Slur), REDUCED FACIAL EXPRESSION (Face was tensed), EAR INFECTION (Ear infection), EAR PAIN (Ear pain) and PAIN IN JAW (Jaw pain) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: normal (normal) normal. On an unknown date, Computerised tomogram: normal (normal) normal. On an unknown date, Lyme disease: normal (normal) normal. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. Patient face was tensed and his face was seized. The left side of his face was drooping he had trouble closing his left eye. Water was dripping out of his mouth when he tried to drank he felt that something was not right and his eye was watering that morning constantly. Action taken with mRNA-1273 in response to the events was not applicable. This case was linked to MOD-2021-229259 (Patient Link).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded

Congestive HF diagnosis 6/30/2021. Symptoms of SOB beginning 4/15, issues with sleep except when sitting upright and anxiety. No history of medical conditions.

ABOUT 12 HOURS POST VACCINATION THE PATIENT PASSED OUT AT HOME. PATIENT HAD NO FEELINGS IN ARMS OR LEGS AND THOUGHT HE WAS HAVING A STROKE. THE PATIENT WAS TAKEN TO THE HOSPITAL AND HAD TO BE PUT ON VENTILATOR AND REMAINED IN THE HOSPITAL FOR 3 DAYS. PT HAS MOSTLY RECOVERED BUT HAD SLOWER USE OF ARMS AND LEGS FOR 1-2 WEEKS

heart failure; had heart attack; heart palpitation; anxiety; heart was beating like crazy; had a burning sensation in the chest; very difficult for him to perform even a simple task; This spontaneous case was reported by a consumer and describes the occurrence of CARDIAC FAILURE (heart failure) and MYOCARDIAL INFARCTION (had heart attack) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 036B21A and 007B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 29-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 27-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient experienced CARDIAC FAILURE (heart failure) (seriousness criterion medically significant), MYOCARDIAL INFARCTION (had heart attack) (seriousness criterion medically significant), PALPITATIONS (heart palpitation), ANXIETY (anxiety), HEART RATE IRREGULAR (heart was beating like crazy), CHEST PAIN (had a burning sensation in the chest) and LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (very difficult for him to perform even a simple task). At the time of the report, CARDIAC FAILURE (heart failure), MYOCARDIAL INFARCTION (had heart attack), PALPITATIONS (heart palpitation), ANXIETY (anxiety), HEART RATE IRREGULAR (heart was beating like crazy), CHEST PAIN (had a burning sensation in the chest) and LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (very difficult for him to perform even a simple task) outcome was unknown. Concomitant product use was not provided by the reporter. ? No treatment information was provided. Patient reported that he is a healthy person who exercises regularly, never used alcohol and never had a health issue. Patient also insisted that he had been to the emergency Room 3 times in the past two weeks. Very limited information regarding the events has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding the events has been provided at this time. Further information has been requested.

Guillain-Barré syndrome; orthostatic light headedness; Difficulty in walking; didnot feel great; Itching; short term memory; chest tightness; Brain fog; Numbness; Tingling; Pain; swelling of hands; joint pain; fatigue; swelling at injection site; Injection site pain; headache; Nausea; rash; Chills; This spontaneous case was reported by a consumer and describes the occurrence of GUILLAIN-BARRE SYNDROME (Guillain-Barré syndrome) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No medical history information was provided by the reporter. Concurrent medical conditions included Fruit allergy (Strawberries :Anaphylaxis + Angioedema), Seafood allergy (Shrimp) since 2012, Allergy to nuts (Walnuts[unsure]:Oral itching and jaw tightening.), Food allergy (Mushrooms[ nausea and vomiting]) since 1995, Anaphylaxis since 2012, Hay fever, Urticaria, Migraine, Diverticulosis since 2017, Connective tissue disorder NOS (Suspected), Eczema and Allergic rhinitis. Concomitant products included PLANTAGO OVATA (METAMUCIL [PLANTAGO OVATA]) for Diverticulosis, SUMATRIPTAN for Migraine, TRAMADOL for Pain, CETIRIZINE HYDROCHLORIDE (CETRIZINE) for an unknown indication. On 28-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced DIZZINESS POSTURAL (orthostatic light headedness), GAIT DISTURBANCE (Difficulty in walking), GUILLAIN-BARRE SYNDROME (Guillain-Barré syndrome) (seriousness criterion medically significant), FEELING ABNORMAL (didnot feel great), PRURITUS (Itching), AMNESIA (short term memory), CHEST DISCOMFORT (chest tightness), FEELING ABNORMAL (Brain fog), HYPOAESTHESIA (Numbness), PARAESTHESIA (Tingling), ARTHRALGIA (joint pain), FATIGUE (fatigue), VACCINATION SITE SWELLING (swelling at injection site), VACCINATION SITE PAIN (Injection site pain), HEADACHE (headache), NAUSEA (Nausea) and RASH (rash). At the time of the report, DIZZINESS POSTURAL (orthostatic light headedness), GAIT DISTURBANCE (Difficulty in walking), GUILLAIN-BARRE SYNDROME (Guillain-Barré syndrome), FEELING ABNORMAL (didnot feel great), PRURITUS (Itching), AMNESIA (short term memory), CHEST DISCOMFORT (chest tightness), FEELING ABNORMAL (Brain fog), PARAESTHESIA (Tingling), ARTHRALGIA (joint pain), FATIGUE (fatigue), VACCINATION SITE SWELLING (swelling at injection site), VACCINATION SITE PAIN (Injection site pain), HEADACHE (headache), NAUSEA (Nausea) and RASH (rash) outcome was unknown and HYPOAESTHESIA (Numbness) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Lab test include: Cardiovascular evaluation include tilt table test, Rheum workup, Ultrasound were known to cause Rheum. No treatment information was provided. This case was linked to MOD-2021-058060 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 11-May-2021: Follow-up Information received contains No New Information. On 14-Jul-2021: Updated Reporter address. Updated Patient demographics[Height, Weight, Race, Ethinicity ] .Added medical history include Allergies, current medical conditions. Added concomitant medications. Added Vaccine facility information. Added new Events.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

a month and a half after receiving the vaccine, I developed blood clots in legs; I was diagnosed with DVT; it travelled to the lungs; This spontaneous case was reported by a consumer and describes the occurrence of THROMBOSIS (a month and a half after receiving the vaccine, I developed blood clots in legs), DEEP VEIN THROMBOSIS (I was diagnosed with DVT) and PULMONARY EMBOLISM (it travelled to the lungs) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031L20A and 026L20A) for COVID-19 vaccination. No Medical History information was reported. On 09-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 06-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. In March 2021, the patient experienced THROMBOSIS (a month and a half after receiving the vaccine, I developed blood clots in legs) (seriousness criteria hospitalization and medically significant), DEEP VEIN THROMBOSIS (I was diagnosed with DVT) (seriousness criteria hospitalization and medically significant) and PULMONARY EMBOLISM (it travelled to the lungs) (seriousness criteria hospitalization and medically significant). The patient was treated with APIXABAN (ELIQUIS) in March 2021 for Deep vein thrombosis, at a dose of UNK dosage form. At the time of the report, THROMBOSIS (a month and a half after receiving the vaccine, I developed blood clots in legs), DEEP VEIN THROMBOSIS (I was diagnosed with DVT) and PULMONARY EMBOLISM (it travelled to the lungs) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In 2021, Computerised tomogram: he was diagnosed as having deep vein thrombosis (abnormal) CT scan of his lungs. He was diagnosed as having Deep Vein Thrombosis (DVT). In 2021, Ultrasound Doppler: he was diagnosed as having deep vein thrombosis (abnormal) An ultrasound of his heart and legs. He was diagnosed as having Deep Vein Thrombosis (DVT). Patient reports having to be hospitalized overnight, one month after vaccination. He stated that he was previously a healthy male with no underlying health conditions. Concomitant medications were not provided. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Palpitations increased drastically, I started increasing at 01:00 1/1/2021 and at it worse by 07:00 1/1/21 I was having about 1 very 3-5 seconds. I normally take metoprolol ER 50 to control them but I increased the dose to 75 mg and it helped where I was getting one per min or so. I did have a caffeinated drink at approximately 1800 12/31/20 but that?s not new for me.

Lightheaded with low heart rate 50-60 bpm for 60 minutes post vaccination. Even with hydration and food, took 60 min to clear. No syncopal episode. Blood pressure measured normal (120-140 systolic).

Heart palpitations and shortness of breath starting around 11 this morning. Received vaccine yesterday at 4:30.

Vasovagal syncope about 5 minutes after shot. Symptoms lasted about 5-7 minutes. Hypothensive. Diapharetic, Nausea,

Client reports covid19 symptoms: fever/ chills /headache/elevated Blood glucose/weakness/confusion/itching/shortness of breath

Two hours after vaccine, I had pain in the neck at my thyroid gland and what seems to be the lymph glands behind it on the right hand side. It was tender. I took tylenol to deal with it. That pain persisted all the next day on Friday and again took tylenol and ibuprofen to deal with it. Then Saturday AM I was awaked early with severe throbbing pain in same thyroid/lymph area, it hurt to swallow, turn my head, and the pain was radiating up to my right ear. I was also having cold sweats. I managed to get the pain down again with tylenol and ibuprofen. On Sunday I spiked a temp of 100.8 and was having flu like symptoms, like body aches and more chills. I got the temp down but my heart rate remained elevated and I found it difficult to catch my breath. This went on for hours. I eventually had to go to the ER, where my pulse eventually came down. Nothing like this has ever happened before. The ER staff could not explain what had happened to me. At the time of writing this on Tuesday, 5 days after vaccine, I again had a lot of cold sweats this morning and there is still some tenderness in the lymph gland area near above the right side of my thyroid gland, but I am feeling better overall.

Sudden fast heart/pounding rate about 30 min after vaccination. Followed by immediate warm feeling, light headedness (similar to feeling of passing out). Every 10-15 min after that for the next 90 minutes a similar but less intense increase in heart rate would occur. During this next 90 minutes my hands were very tingly and clammy, my adrenaline seemed high, and my throat was suddenly very dry requiring several cups of water. Overall intensity of the heart pounding sensation decreased with each episode and overall my heart felt normal about 2 hrs past vaccination. A headache then developed along with fogginess and persisted the rest of the day.

Approximately 45 minutes after vaccination felt sensation of mouth becoming completely dry, felt as though regular swallowing process interrupted. Had a glass of water and resolved. Evaluated by doctor and had pulse of 92 (high for patient) and elevated blood pressure 148/92. Rest of vitals normal. Felt anxious. Ate lunch, had about 6 more episodes of mouth drying out, last one about 10 hours after vaccine. Resolved with water. Took benedryl 50mg. Next felt fatigue and right arm soreness. Felt normal within 48 hours.

Approximately 5 minutes after vaccination, while pt was in our waiting area in front of pharmacy, he started to feel light headed/dizzy. He stated he was tachycardic. I had pt sit down immediately. We called 911. I took his blood pressure which was considerably elevated (235/107). Pt had no other signs of an allergic rxn. Paramedics arrived and took pt to the nearest hospital.

States about an hour after the shot went back to work-was sitting there-felt warm & fuzzy-the next thing he woke up-was on the floor-staff called 911-was taken to ER-states had coughing & couldn't catch his breath & apparently passed out.

Approximately 12 hours after vaccination, the patient realized he had a heaviness in his chest and just didn?t feel ?right?. His Apple Watch told him he was in afib. So the patient was taken to the ER by his wife where this was confirmed with an EKG. He was cardioverted back to normal sinus rhythm and he was prescribed Eliquis. Patient has no prior heart arrhythmias or medical concerns. Patient is slightly overweight, but has not had any arrhythmia or history of a fib in the past. Patient was discharged to follow up with his family physician. All of his blood work was normal.

At approximately 5 minutes after the injection, I experiences a short period of Rapid Heart Rate and a feeling of "Flush"\Warm. This lasted about 1-2 minutes. I did not receive any treatment for this. There was no further outcome to report. After 2 minutes it passed, I remained in the waiting area for an extra 5 minutes following my initial 15 minute observation period and left without incident.

I have existing peptic ulcer and acid reflux I have been dealing with for years. I also have elevated cholesterol level for which I am being treated. Within 24 hours of receiving the first dose of the Moderna vaccine, the pain from my peptic ulcer went from 2 to 10 on a scale of 10. It became so severe that I could not sit at work. I had to leave work and went back home. Then on January 13, 2021, I started noticing a back pain that radiates throughout my left back side. On January 15, 2021, I went to the ER because the pain was so severe that I could not not lie down, sit, or breath. I was diagnosed with pleurisy (inflammation of the lung linings). The X-ray also showed enlarged heart but the ER doctor said my heart is fine. They also performed EKG on me. I did not mention receiving the vaccine to the ER doctor because I never thought the vaccine could result in such side effects. I did not mention it to my PCP also because I believe the vaccine is safe. But recently I went through the sequence of events myself and the only thing that happened regarding my health was the vaccine. Nothing else. After vaccination, I went to ER on Jan 15, 2021 at around 11:30PM due to severe back pain and was diagnosed with pleurisy through X-ray. My X-ray also showed an enlarged heart but I suspect that was due to the fact that I could not breath properly when the x-ray was taken. I will repeat the X-ray in a couple of weeks. Never experienced pleurisy or heart enlargement in my life prior to the vaccine. Not sure the vaccine was responsible but the coincidence is suspicious.

Arrhythmia; Heart palpitations; A spontaneous report was received from a 42 year-old, male, patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced heart palpitations and arrhythmia. The patient's medical history was not provided. No relevant concomitant medications were reported. On 07 Jan 2021 at 14:30, approximately 2 days prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 09 Jan 2021, the patient went to the emergency room (ER) because he had heart palpitations and an arrhythmia for about 5 hours. Blood tests, electrocardiogram (EKG) and a chest x-ray were normal. On 10 Jan 2021, the patient's heart palpitations came back again. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome for the events, heart palpitations and arrhythmia, was not reported.; Reporter's Comments: This case concerns a 42-year old male patient. The medical history is not provided. The patient experienced a medically significant and unexpected event of Arrhythmia and an unexpected non-serious event of Heart palpitations approximately two days after receiving their first of two planned doses of mRNA-1273 (Lot unknown). Based on the current available information and temporal association between the use of the product and the onset of the events, a causal relationship cannot be excluded and the events are considered possibly related to the vaccine.

Received vaccine on 1/26/2021. 1/27/21 at 7:30 pm developed diarrhea. GI symptoms continued on 1/28/21 in the morning. At approximately 1:20pm on thursday. employee had a syncopal episode. Pale and diaphoretic. Then had episode of vomiting. Treated for dehydration with IV fluids. Given script for zofran. Treated as outpatient.

Within 2 min of injection, I walked out to waiting room felt tachycardic and dizzy. I immediately informed pharmacist who took my BP. BP first reading in left arm was 235/130 with a HR around 130. Second reading was 205/120 with HR in 120's about 4 min later. I requested an ambulance due to the feeling of being very unwell and dizzy. Trouble concentrating. Ambulance ride was 190/112 ish EKG and BP monitoring at hospital. No anaphalaxis diagnosed but unknown cause. ER discharge after benadryl. BP and HR would continue to cycle up and down for the next 18 hours. Red spot formed about 2 inches away from where I was injected. PCP and allergist thin it was an intravascular injection.

3 minutes after vaccination the patient began to feel a tingling and pain in his arm where the vaccine was placed. Within minutes the patient began to feel faint and proceeded to faint as he was gently laid to the ground by the healthcare provider to initiate an emergency response. The patient was alert and oriented at 5:30 but felt nausea and a tingling sensation in the tongue. The patient stated that he had been fasting for 2 days and we determined low blood sugar likely played into his response to the vaccine. Glucose gel was placed in mouth and patient felt better within 15 minutes.

Idiopathic Thrombocytopenic Purpura, on 1 February 2021, I noticed significant bruising on my body and Petechiae under my eyes. I call the nurse line and requested a CBC. On 2 February, the Emergency Department called me back and stated my platelets were at 6K (over the last 10 years with CLL, they consistently are at 110K-120K). The emergency department directed me to come in and began treatment with Prednisone and platelet transfusion. I was transferred to Hospital where they started IVIG and 40mg of Dexamethasone for four days. I was discharged on 7 February with stable platelets at 42K

4 hours after administration of noticed his face had become numb and his lip was not "moving as it should." Rt side of face was affected, His blood pressure was elevated at 160/110 at noon. Only other symptom was his arm hurt "alittle." States symptoms are improving and minimal over the weekend. He has noticed them getting worse when he needs to talk alot or with his mask rubbing on his face. Does report his BP has remained elevated and he continues to check each day. Today was 120/95. Does report drinking alot of coffee.

Immediate reaction - "not feeling well", dizzy to the point that he was not safe to walk Blood pressure had been a little above normal prior to vaccination and remained high during the half hour of observation, but had started to come down a few points by the time he was taken in a wheelchair to family to go home and rest.

Resident became pale with c/o chest pain followed by emesis. Heart rate Tachy at 142/min. Resident indicates pain to mid-sternum radiating to right shoulder. States right arm has been sore since #2 COVID vaccine on 2/16/2021. BP 120/88, Pusle 142, Resp 20, Oxygen saturation 99% on room air, Aspirin 325mg given and supplemental Oxygen applied. Resident was subsequently transferred to the local ER.

2/21/21 had slight chest pressure radiating to shoulder blades. Rested for half hour. Didn?t go away. Went to Hospital. Normal ekg. Normal bp. E.R. Determined elevated Troponin level of .10, admitted inpatient for observation, Troponin level went up to 6.3 within hours and 10.9 a day later. Was given heparin iv drip. Cardiac cath w dye done. No blockages found. Several more normal ekg?s done. Normal echocardiogram. Level of heart damage unknown because cardiac mri was not available for use (fully booked). Discharged home.

Approximately 30 minutes after the administration of the dose I began feeling flush. I had intended to go back to work but instead my supervisor insisted on me being evaluated. It was determined that I was hypertensive. I felt a bit off and a bit strange. Even after lying on a bed in a dark room hypertension continued. I was transported by ambulance to the local emergency department where my BP continued to run high. The next day I was in bed the whole day feeling as if I had Covid all over again. I did previously had Covid but waited over 30 days to receive the vaccination.

Patient was given vaccine Moderna vaccine at 09:45 and sent to the observation area. As patient was filling out information on sheet and information area he suffered a syncopal episode at 09:50 in which he collapsed and hit his head on the floor. He suffered a small contusion on the left rear of his head with some bleeding. Patient was unconscious for approximately 15 seconds. When he came too, he complained of nausea. Patient was pale anxious and had fixed dilated pupils. Patient reports that he is a stage four cancer survivor and is taking Xarelto. 911 was called and patient was transported to Emergency Department.

Feels like my asthma got worse. My chest feels much tighter and I'm short of breath. When I woke up today, it felt worse.

THIS PATIENT IS A 42 YO MALE WHO STARTED TO COMPLAIN OF LIGHTHEADEDNESS/DIZZINESS/FEELING FLUSHED ABOUT 30 MINUTES AFTER RECIEVING VACCINE. PATIENT WAS INITIALLYVISUALLY MONITORED FOR 15 MINUTES WITH NO SIDE EFFECTS. PATIENT LEAFT THE CLINIC SITE, AND RETURNED ABOUT 15 MINUTES LATER REPORTING SYMPTOMS ABOVE. PATIENT A&OX4, GCS 15, NOMAL SKINS. PATIENT DENIES HEADACHE, CHEST PAIN, SHORTNESS OF BREATH. EKG COMPLETED, NO STEMI OBSERVED. PATIENT LED INTO QUIET/DARK ROOM TO REST AND FOR CONTINUED MONITORING OF BLOOD PRESSURE. DUE TO NO CHANGE IN ELEVASTED BP, RECOMMENDATION WAS MADE TO TRANSPORT PATIENT TO CLOSEST ED. PATIENT VERBALLY AGREED. PATIENT WAS ABLE TO WALK WITH ASSISTANCE TO AMR UNIT AND PATIENT CARE WAS HANDED OVER TO UNIT PARAMEDIC. PATIENT TRANSFERRED WITHOUT INCIDENT. LAST NOTED BP ON SITE WAS 176/132 IN A SUPINE POSITION.

Brief seizure, patient came to consciouness within 30 seconds and was coherent and denied ambulance or any further care . Sat in chair for 30 minutes and said he was fine and apologized for event as he said he had seizures before but did not volunteer the information before shot.

Patient fainted at pharmacy approximately 7 minutes after receiving vaccine. Went to Emergency Room by ambulance. On follow up phone call patient stated he is doing fine. He received iv fluids at Emergency Room.

Diagnosed with a DVT of the left Axillary Vein. had received the Moderna vaccine in the same arm 10 days prior. Being evaluated for a PE at present.

Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient indicated a severe phobia of needles, has had history of fainting when exposed to needles. RN on staff monitored bp, (was wnl) gave water, cool towels, and apple juice and was monitored for extra time before being taken home by family member

Female with patient received vaccine and waiting in post vaccine waiting room for 15 minutes. Got to the car and started to complain of not feeling well. Called back to POD, staff went to talk with patient. Patient stated he had low blood pressure, not feeling well, no other complaints. Female with patient was going to take patient to seek medical attention due to the heart condition.

Patient's wife exited from car screaming for help reporting patient passed out. Upon arrival of RN, patient had regained consciousness and was A&O x 3. He was sweating, pale, with active pilomotor reflex. VS: BP 80/55, temp unable to obtain, HR 67, RR 24 EMS called and repeat vitals at their arrival BP 152/121, HR 67-70, T 96.5, RR 24. Patient's brother is MD and spoke with EMS reporting extensive hx of vasovagal syncopal events at dentist in past as well as with high stress events. Patient decline transport to ER and wife elected to drive home. Patient remained at cognitive baseline without complaints at time of departure from site.

11:34. Sudden onset of rapid pulse, anxiety, feeling cold all over. 11:36 - evaluated onsite by NP and EMS. EKG showed SVT with rate of 152; BP 183/117 - Vagal manuevers provided some decrease in rate but no appreciable change. EMS called and transported patient to Hospital. 11:45

pt states that 6 hours after recieveing the moderna vaccine he developed blisters on his right arm and right torso that were itchy. Blisters bled. Fever of 103. Pt states he took benedryl and blisters resolved with in 15mins. Pt states he has some labored breathing, howver, states it could have been from anxiety. ot denied any swelling of the throat or difficulty swallowing. Pt also stated that the area of the injection site turned black and that it has sinced resolved. Pt went to see his PCP who advised him not to receive the 2nd dose of Moderna, however; to get the J&J vaccine insteasd.

Dizziness, heart rate up and down between 62-118 while doing nothing physical. Had to sit down numerous times because I almost passed out. Heart rate would rave then drop and I'd break out in cold clammy sweat. Did not seek treatment tried to rest and had friends and kids keep an eye on me. Day 2 better but still times heart would race.

Adverse effects 12 hours after 2nd dose: Body pain Fever Skin Rash Eyes irritation Joints pain Headache Arrhythmia These Symptoms lasted for 12 hours

Woke up at 4am with extreme rapid heartbeat. This subsided after I drank some water. At 6am, I had teeth chattering chills. As the day progressed I had extremely painful body aches and the worst headache of my life! After 4 advils and sleeping all afternoon, I finally felt a little better, but still sluggish. Per CDC, not recommended to have 2nd dose due to bad reaction, and most probably allergic reaction.

THE PATIENT SLID OUT OF HIS CHAIR TO A SITTING POSITION. HE BLACKED OUT FOR A SECOND, BUT CAUGHT HIMSELF BEFORE FALLING OVER. HE FELT LIGHT HEADED. HIS BLOOD PRESURE WAS 140/86 AND A HEART RATE OF 73. AFTER 20 MINUTES HE WAS FEELING FINE AND WAS BACK TO NORMAL. HE REFUSED A CALL TO 911 STATING HE WAS FINE AND WAS RELEASED.

Participant fell off chair on his right side at 11:04 AM. He hit his right temple area. He fainted without warning. He has an abrasion on his right temple and left knee. Syncope episode lasted between 15 seconds. He responded to voice. Vital signs were taken immediately and were stable 118/60 pulse 80 respirations 18 chest clear temperature 97, O2 sat was 98% at 11:04 AM. Participant was accompanied by his partner. He denies blurry vision headache or nausea vomiting his skin was clammy and cool pale in color he has a history of fainting. He denied other health conditions. His blood pressure at 11:24 was 120/90 pulse 71 respirations 16 breast sounds clear temperature 97.3 and O2 sat was 99% His vital signs at 11:39 were 119/75 pulse 72 respirations 16 breath sounds clear 97.5 temperature. he was alert and oriented once he recovered from his fainting. We placed a participant flat on the ground allowed him to rest until he felt able to sit up. We dressed his abrasions in right temple and left knee, monitored his vital signs which were stable. participant drank water and Powerade. he declined a snack he rested in cot when able to be moved. we informed to notify his primary care doctor of the fall and inform to tell vaccinator he has a history of fainting when he comes back for vaccine number two. he was accompanied By his partner off the premises once he felt better was able to ambulate safely his partner will drive him home his vital signs were stable

Several hours after vaccine was given, had arm pain/numbness, intermittent dizziness. Chest pain, shortness of breath, anxiety.

vaccine adm at 2:33, , 2:40pm pt had fainting episode vs:129/67, P44-54, T96.2, R18, O2 sat 98%, EMS called R/T syncope and bradycardia. 2:44 vs:116/72, T96.2, R18, O2 97%, in and out of consciousness. lowered to ground by clinical staff, turned on side. 2:50 vs: P70, 112/64, R18. 2:53 EMS onsite, 126/79, P66, R18 3pm EMS cleared pt, declined to go to hospital. 3:10 VS 126/79, P66, R 18, A/O x 4, friend present. Medical director informed, ok to leave. Left in no acute distress.

42 y/o F with a history of uterine prolapse, GERD who is presenting with low back pain x4-5 days, about 2 weeks after receiving the Moderna vaccine on 3/28; she also developed a raised patchy erythematous rash on her L deltoid (site of vaccine injection) a few days prior to onset of the pain. Symptoms began Saturday, 4/10; pt was helping her mother around her house; was not straining excessively; however, later that day had a sudden burning sensation in her lower-mid back, which has since been recurring in paroxysms. At times it spreads into the posterior thighs but not into the feet; sometimes also spreads upward into the upper back and just below the chin. In between attacks, there is no pain or numbness. There has never been weakness. No urinary/bowel incontinence or saddle anesthesia; sphincter tone was normal. NIF/FVC normal -60, 2.3L. Paroxysmal pain controlled w/ 600mg gabapentin q8h since being hospitalized. There has been no development or progression or symptoms, still only pain and normal neurologic and physical exam.

patient was nervous about getting vaccine. Asked him to wait in out waiting area to be checked on. after couple minutes he came upto register and said feeling dizzy. I brought him in consultation room,he sat on chair ,gave him water to drink. then I let him lay down on floor,he passed out,but was talking to me,answering my question,called 911,EMT came in few minutes,checked everything. They said he might got anxious about getting vaccine,checked BP everthing was fine

Patient had a vasovagal response after the COVID vaccine. He was seated, saw his own blood and warned me. He began to start blacking out. He had full conciousness, only loss of sight and difficulty hearing for about 5 minutes. I took his BP while he was seated, 104/54 (he reports a normal BP around ~110/60). He sat until he regained sight and drank a full bottle of water. I continued to watch him for an additional 15 minutes and retook his BP= 116/58. Patient informed to call the pharmacy at any time for questions, follow up, etc. Full recovery, patient reports being fine and went about his day.

patient had a Moderna vaccine at 11:00 am then at 11:05 am while in the observation area the patient had a syncopal episode and then he was arousable approximately 2 min later. was able to transferred to a stretcher and feet elevate . patient was observed for 30 min. patient was able to exit facility without assistance.

Low Grade Fever, Severe aching, violent shivering for hours on end, Lethargic body and cloudy head. Cranial pressure that felt around entire circumference of head. Lasting over 36 hours each time that forced bed-ridden behavior, forced time off of work, and loss of appetite. Spiked heart rate on numerous occasion throughout the following 36+ hours with heart rates spiking as great as 136 bpm. I should of reported it and visited my physician, but there was nothing more they could do besides for me to hydrate, suppress with Tylenol, & ride it out. Anyone with previous decent COVID cases should be advised against receiving the vaccine. But entities are still forcing us to have it for our jobs. I couldn?t endure a third round. It was a violent illness following the vaccine, which was equivalent to one of my first ?bad? days of actual COVID.

Symptoms started around a week after COVID-19 vaccine, when patient started having shortness of breath cough and nasal congestion. He was having yellow sputum production and he had chills. Upon arrival to the hospital on 4/18 the patient was tachycardic and chest x-ray that showed cardiomegaly with fluid overload. Progressively became severely hypoxemic and had to be emergently intubated and placed on mechanical ventilation. Patient developed cardiogenic shock which may be acute myocarditis and was placed on an Impella device and norepinephrine drip. The patient continued to worsen and developed acute kidney injury and hyperkalemia and was placed on CRRT. LFTs were also elevated. Patient also went into atrial fibrillation and was started on amiodarone drip. All of the above mentioned occurred within a 12 hour period.

This is a 42-year-old male patient with past medical history of hypertension presented to the emergency department today with complaints of nausea, vomiting, diarrhea over the last 5 days. Patient also noted having a nonproductive cough. Denies any fever, chills, chest pain, shortness of breath. Patient notes he got his 2nd CoVID vaccination on the 9th. Imaging done in the emergency department showed Left midlung infiltrates and probably also in the middle lobe. Patient's labs sodium 136, potassium 4.2, BUN 21, creatinine 2.87, glucose 154. Patient was started on IV antibiotics in the emergency department.

Patient developed chest pain after injection no clear fever and pain persisted until arrival at hospital ED Work up included elevated CPK CKMB and TNT blood work EKG revealed early repolirazation pattern He underwent cardiac catheterization revealing normal angiography and Left ventriculagram and Normal Echocardiogram.

Fever > 100 F Chills Tachycardia (130 bpm at rest) O2sat 93% at rest Hallucinations Extreme fatigue X 2 days

Patient received first dose of Moderna COVID-19 vaccine on 1/4 and second dose on 2/1. Pt called the vaccine line the day after his second dose and reported symptoms of fatigue, body aches, low grade fever, dizziness, and elevated heart rate. He was subsequently advised to visit the ED due to his dizziness and tachycardia. Patient had treated himself with acetaminophen 2 hours prior to arrival to the ED and was given ibuprofen 600 mg in the ED. HR and temperature improved in the ED and was advised to use ibuprofen and acetaminophen for further treatment.

The patient fainted (syncope) minutes after receiving the vaccine while waiting in the post-vaccine waiting area. He regained consciousness almost instantly. 911 was called and paramedics checked him out. He previously stated he had no history of syncope, but after the event he admitted he sometimes passes out from getting his blood drawn.

As a citizen I took the Moderna vaccine on 15 APR 20201. Four days after taking the vaccine I developed a blood clot in my heart. On the morning of 19 APR 2021 at 0730 I began having chest pain, I thought I had pulled a muscle while exercising the night before. Throughout the morning the pain in my chest got worse until I called emergency services. The EMTs told me I had a blood clot in my heart and rushed me to the hospital. Once at the hospital I had an angioplasty . No stint was inserted. After the surgery the doctors told me I had very large veins and a strong heart after the clot was removed flow returned and no stint was needed. The doctors also told me that they could not rule out the COVID vaccine as the cause of my blood clot as the rest of me heart looked good with no visible plaques or build up. Official Diagnosis Anterior STEMI- POBA ot LAD Integrillin infusion Fit and Well Moderna vaccine 1 week ago Diagnostic Findings -Left Main Stem - Normal LMS Left Anterior Descending- LAD 100 % stenosis restored flow Conclusion -Aspirin 75 mg od for life - prasugrel 10mg of for 1 year - ECHo Sec prevention, Integrillin infusion 24 hrs - Card rehab I work out every day- prior to the blood clot Blood clot left in heart chamber- taking blood thinners to dissolve.

Patient complained of swelling in his neck. Patient stated that this happens when he takes the flu shot also. Problem: swelling. A 24 /o patient complained of swelling around the neck. Nurse observed patients neck. no redness noted. patient had no distressed. Patient stated that he has swelling in his neck when he takes the flu shot. 1020 am vitals was taken BP 146/102, HR 85, RR 16 Temp - 97.2 02 Sat 98%, no sign of distress. Nurse observed patient for 30 mins. 1040 am vitals sign BP 147/95, HR 80, RR 16, 02 Sat 98% Patient stated that he felt better 1055 am patient was discharged with family. 03/17/21

On 4/22/21, approximately 1 hr after the Moderna COVID-19 first vaccination injection, I started to encounter allergic reactions that I used to suffer about 20 years ago. My air intake decreased, and my skin began to become irritated. I formerly had environmental allergies that would reduce my air intake, and the first place I noticed the effects were on my skin and I would become irritable. Physicians told me that when my oxygen levels were low, the body would channel the air to where it was most needed, which is generally not the skin, so my skin would become irritated. When this used to occur, I would respond involuntarily with facial twitches and pulling at my face and hair. Physicians explained that these twitches and pulling actions would draw air to the surface of my skin where I was air depleted. When I took the Moderna injection, this happened again -- I found myself with low air, my face was twitching, and I was pulling on my face to draw air to the area. The result when I was 19 and dealing with allergies is that I would remove small patches of hair from my head or eyebrows or eyelashes, and this would happen almost unconsciously as I tried to stimulate the areas and draw air to the surface of my skin. I did the same thing on 4/22/21, and found later, when looking into a mirror, that I had removed a section of my eyebrow unconsciously. It all comes back to oxygen depletion. A different and more intense event occurred in the night of Friday, 4/23/21, and the early morning of Saturday, 4/24/21. I went to bed at about 11 p.m. or 11:30 p.m. Between that time and approximately 1:30 a.m., I had difficulty sleeping, and I dreamed of pain in my chest. I finally woke up about 1:30 a.m. and found the pain in my chest was real. I was having difficulty breathing deeply. It felt as if the lower part of my lungs (at least on one side) was solidifying or inaccessible. What I did was begin forcing myself to breathe as deeply as possible. Over a period of 30 minutes or longer, I was able to gradually reclaim the use of the deepest part of my longs. With every forced deep breath, I was able to chip away at the area that felt like it was freezing up. Finally, I felt that I could access the deepest part of my longs and breath normally. The pain and lack of use in my lower lungs were very concerning.

Per Patient report: Headache started within 1 hour of vaccination. the following day, Blood sugar and Blood Pressure rose to dangerous levels. Nausea and vomiting. Blood pressure 2??/185, Blood sugar so high unreadable >600?; Unresponsive, breathing labored O2 Stat was low and on oxygen, went by EMS to Medical Center. At ER Blood pressure and HR decreased to dangerous levels for approximately 6 hours. Patient stayed in the hospital for 7 days while he was monitored for continued changes in blood sugar and blood pressure as well as severe nausea and vomiting.

The customer just got his first Moderna covid 19 doe #1 around 2:30 pm. About 5 minutes later called me to inform me that he felt dizzy. When I came out he looked at me with his lazy eye and sweat. He did not say anything then his eyes rolled back then fainted. He did not remember the event . I pat him on his shoulder and he was awake right a way. I called 911 but he felt better before the emergency people arrived and they checked him out. He refused to go to the hospital.

Systemic: Fainting / Unresponsive-Medium, Systemic: fainted but recovered right away, hit back of head on the floor, ice applied-Medium, Additional Details: waited 45 minutes before leaving, wife picked him up so he would not drive, patient stated he had a history of fainting after vaccines or giving blood, his head felt better after applying ice, temp 94.6 before leaving and felt his breathing normalize after incident

had chest pain - was admitted to hospital with elevated troponin and was ultimately diagnosed with acute myocarditis. Was admitted on 4/25 and discharged on 4/27 - symptoms resolved within a week.

Acute Vasculitis of lower extremities (foot/ankle/shin/calf), steroids and antibiotics, outcome uncertain.

Drowsy, AMS, difficulty breathing, clutching at throat, was not moving air Benadryl 12.5 mg IM, patient lost consciousness, given EPI Pen x 2 Oxygen 5L Foaming at the mouth, suction provided Patient sent to ER

Patient fainted about 3-5 minutes after vaccination. He recovered consciousness in less than a minute.

Mild fever Extreme weakness and body ache Pounding head ache Mouth ulcer Breathlessness Increased heart rate (85bpm instead of normal 65bpm resting) Symptoms started about 12 hours after vaccination (this was the second dose) an persisted till 48 hours after vaccination gradually getting better Taking crocin alleviated symptoms

Patient received his first dose of COVID vaccine on 4/24/21. Around 4/30/21 (~ 1 week prior to admission), pt developed cough, runny nose, lack of appetite, loss of smell, and shortness of breath. Pt's symptoms became progressively worse, and he presented to the ED on 5/7/21, where he tested positive for COVID. Pt was found to be hypoxic (89% SpO2) and was started on supplemental O2. He was also admitted to the hospital for COVID treatment .

The night I got the vaccine, I had severe heart palpitations that continued for a couple of weeks but very severe the first night. Since the second night I have had severe insomnia. Tried trazodone, ambien then clonazepam in that order. Clonazepam helped but I weaned myself off after 3 weeks, did not want to get addicted to them and I also started having tinnitus in right year. Not sure if it is from vaccine, lack of sleep or clonazpeam. 9 weeks out since 1st dose and I continue to suffer from severe insomnia. Only get about 4-5 hours of sleep that is fractured. Takes hours to fall asleep. Skipped 2nd dose due to side effect after 1st dose. Never had sleep issues ever.

I am a pharmacist with 17 years of clinical experience and so medically literate. The night of the vaccine I had severe heart palpitations that woke me every 2 hours, but I managed to get some sleep. The 2nd night I could not fall asleep at all. I stayed up all night. 2nd night tried melatonin and benadryl, and only manged to sleep 2 hours very late in the night. This went on for a week. I saw a doctor and was given trazodone. It helped fall asleep but kept waking up every hour or 2 and then trouble falling asleep afterwards. So only managed 3-4 hours of sleep each night. I had side effects from Trazodone with mood changes so had to stop taking it. I saw another doctor based on a friend's recommendation who was going through the same issue. I was prescribed clonazepam 1mg. I was finally able to sleep a full night. I took it for 7-10 days and tried to taper back since I did not want to be dependent on it and wanted to go back to sleeping without any sleeping aids. Klonopin 0.5mg seemed to be helping so on a follow-up appointment, I was given a months supply of clonazepam 0.5mg. I took that for a week and tried to taper that further and that did not help with sleep. Amidst of this I started having tinnitus in the right ear and I never had tinnitus before. I don' t know if it was triggered by sleep deprivation, the vaccine or the clonazepam. But I stopped taking clonazepam altogether after 3 weeks. 9 weeks out since the 1st dose and I can sleep a little on alternate nights only. And that sleep is fractured. So one night of almost no sleep and one night of 3-4 of hours of sleep if lucky. I tried benadryl and it helps a little but the trouble falling asleep is just as severe and continue to wake up every 2-3 hours. 8 hours in bed and only manage 3-4 hours of sleep. I skipped the 2nd dose due to continued issues with sleep. Looking for answers and guidance on how best to treat this and if/when this will be over for me.

Chest pain, left arm pain, numbness. Pt transported to ED with ST changes. ST changes subsequently thought to be early repolarization variant and not MI.

Nose bleeds, body aches, hair falling off of the exterior part of my lower legs, headaches. All of the adverse events described started after the second Moderna dose, which was administered on 13 April 2021.

Unable to get out bed for ~18 hours, had 2 incidents where my heart was pounding and I felt like my blood pressure was very high, attempted to take my own blood pressure, wife brought the tester in but it wouldn?t work. Felt fine the next morning but I think I would take my chances with Covid than do that again.

Patient was warm and having a racing heart. Tried relaxation and fan. Ended up receiving one dose of diphenhydramine 25mg and bottled water extended observation to 30 minutes. At the end of 30mins patient was feeling much better, no more racing heart.

Patient states that he felt fine for 30 mins after shot, then blacked out on his ride home and forgot the whole ride which was a bizarre experience. Then he had a horrific cough which he felt may have cracked a rib.

- sleeplessness, headache and night sweats - 5/17/21 8PM - 6AM - passed out - 5/18/21 6:30AM - light headed and headache - 5/18/21 7AM - 10PM - shortness of breath when talking - 5/19/21 10AM - 6PM - headache has dissipated - 5/19/21 12PM

Syncopal episode about 15 minutes post vaccination. BP was 76/44. IV fluids started and patient transported to ER by EMS.

Woke up at 600am w/ onset of epigastric discomfort. Patient states discomfort radiated to L flank, intra-scapular region. Final diagnoses Pericarditis. 3 months of colchicine

No more than an hour after receiving the first dose, I began to have chest pain, middle of the chest and maybe angled a bit to the right side. More usual symptoms began to appear later that same day.. fatigue about 3 hours after shot, headaches about 5 hours after shot. After the ?usual? symptoms subsided, the chest pain continued. May10, I went to immediate care, had a ekg which showed healthy results. May22, I was feeling much better, but had pressure applied to my chest by my partner? she inadvertently did this twice in a row. Over the next 1-2 hours, chest pain came rushing back and I began coughing a lot. Now May24, I am still having elevated chest pain and have been having a lot of heart palpitations over the past two days. I was scheduled to have the 2nd dose today, but am worried about what it will do to me.

Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Weakness-Mild, Additional Details: pt experienced fatigue diziness minor tingling of the tounge and minor tightness of chest. paramedics were called to the store however after examantion paitent decided he was fine and decided to leave

Patient had a vasovagal event approximately 2 minutes after receiving his 1st dose of Moderna at the vaccination table. Charge Nurse was immediately called over and patient was opening his eyes and looked a little confused. Patient was able to communicate and alert and oriented X4. Patient was sweating and said he still felt a "little dizzy". Vitals were taken at 9:24 am B/P 190/131 HR 45 O2 99% Resp. 14. Cot was brought over to patient and patient was able to transer from chair to cot without assistance. After laying down for about 5 minutes vitals were repeated 9:30 AM B/P 114/66 HR 61 O2 100% Resp. 16. Patient then was able to walk to observation area and sat on a chair for the remainder of his observation time. He left without requiring any further treatment.

Pericarditis or pleurisy. Was better after three days. Had myocarditits in 2019 and the infection timeline was identical. That one took 6 days to heal.

Lightheaded, brain fog, spacing out on normal daily stuff. Heart palpitations. I scheduled to see my doctor the next day. She suggested to see my cardiologist to follow up.

Fever - 3-4 days, 102.7 degrees when measured a couple of times Chills - 2-3 days Pounding headache - 2-3 days Pounding heartrate Fatigue - 5 days

Patient experienced facial numness/tingling, chest tightness, possible throat swelling, and shortness of breath about 10 minutes after administering Moderna Covid vaccine dose 1. Instructed patient to stay in consultation room for observation. I stayed with the patient and called 911. EMS arrived on scene about 5-10 minutes later. Took vitals, oxygen saturation within normal limits, elevated bp, normal heart rate. EMS monitored patient for about 15 minutes after which patient was still conscious and alert. EMS advised patient to go to hospital for further evaluation and patient accepted. EMS took patient to hospital. Patient generally seemed fine when he left the pharmacy which was about 30 minutes after receiving the vaccine.

Left leg weakness and numbness when woke up at 9 am 5/24. Had venous saggital sinus thrombosis on venous mri with contrast . Had bilateral lacunar infarcts acute on mri. Symptoms gradually subsided with lovenox snd warfarin. Residual weakness left leg but milder than initial presentation Bp very high in ED 5/24/2021 controlled with IV cardene

mild/moderate stabbing pain at sternal notch when swallowing starting approx. 3 hours after vaccination, lasted approx. 3 weeks, resolved spontaneously. Did not seek eval/care when symptomatic. no dysphagia to liquid/solid. No airway compromise.

Male Patient oriented in space and time at 6 minutes after the moderna vaccine second dose, report to feel dizziness, sweating and pale skin. At this moment we take the vitals; SO2% 98, 81 HR. After evaluation patient report to feel better and take water.

As per wife's account, patient died approximately 9 days after receiving vaccine on 4/21 of massive, unknown (suspected cardiac) event. Wife explained that patient was diagnosed with Wolff-Parkinson-White (WPW) syndrome prior to being vaccinated. PCP unaware of diagnosis, and patient did not disclose that on vaccine consent form. Patient reported to his wife that he was feeling unwell after receiving vaccine including unable to move legs well. Patient later diagnosed with thrush and supposedly treated by physician. Patient did not discuss concerns regarding vaccine or WPW with physician. Patient called his wife the day of death and asked her to bring him to the doctor the following day. Wife reported that patient experienced seizures but not concerned as it was similar to childhood seizure. Wife was done at work and drove home after phone call, arriving at house approximately 10-15 minutes after call. Patient supposedly dead when wife arrived. Wife performed CPR for ~15 minutes until EMS arrived, and EMS attempted for another 40 minutes for any electrical activity. Wife declined full autopsy from ME, suspecting that it was massive MI or clot. Wife and patient unaware that WCW could place patient at risk of clots and wondering if the vaccine was partially responsible.

Died due to heart attack; Lot of blood was on the floor; He fell on bathroom tiles; Feeling weakness/Could not coming out of bed; Fever; Chills; This spontaneous case was reported by a consumer and describes the occurrence of MYOCARDIAL INFARCTION (Died due to heart attack) and HAEMORRHAGE (Lot of blood was on the floor) in a 42-year-old male 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 Diabetes (was on anti-diabetic medicine.). On 20-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Mar-2021, the patient experienced ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills). On 23-Mar-2021, the patient experienced MYOCARDIAL INFARCTION (Died due to heart attack) (seriousness criteria death and medically significant), HAEMORRHAGE (Lot of blood was on the floor) (seriousness criterion medically significant) and FALL (He fell on bathroom tiles). The patient died on 23-Mar-2021. The reported cause of death was Heart attack. It is unknown if an autopsy was performed. At the time of death, HAEMORRHAGE (Lot of blood was on the floor), FALL (He fell on bathroom tiles), ASTHENIA (Feeling weakness/Could not coming out of bed), PYREXIA (Fever) and CHILLS (Chills) outcome was unknown. Concomitant medication included was anti-diabetic medicine. The treatment information was not provided. Very limited information regarding this events has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding this events has been provided at this time. Further information has been requested.; Reported Cause(s) of Death: heart attack

Patient got bruising and red spots on over his body about 7 days after receiving first dose of Moderna Covid vaccine. He also had bleeding gum and bloody nose. His platelet count dropped significantly to 5000. Patient was diagnosed with immune thrombocytopenia and was admitted to hospital for treatment over 2 days. He got 2 bags of IVIG over 2 days and given Dexamethasone daily for 4 days.

Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium

patient states that the day after the vaccine he developed chest pains feeling like his heart was going to explode. He went to the nearby hospital er and they advised him to seek treatment from a cardiologist

Patient felt cold and HR was elevating. Appeared clammy with an obtunded look. Head dropped to chest, diaphoretic. When name called - patient responded. No SOB or throat swelling. HR 105-124, BP 150-160's / 60-70s. Transferred to the ED. ED diagnosed with vasovagal syncope. discharged without complications.

APPROXIMATELY 10 MINUTES AFTER RECEIVING VACCINATION THE PATIENT FELT LIGHT HEADED AND PASSED OUT-HE WAS OUT ABOUT 5-6 SECONDS--WE RESPONDED AS HE CAME TO--HE WAS DISORIENTED --WE CALLED AN AMBULANCE--IN ABOUT 10-15 SECONDS HE WAS FULLY ALERT AND DID NOT WANT THE AMBULANCE WHICH WE CANCELED--HE STARTED SWEATING PROFUSELY AND WE HAD HIM REST ON THE FLOOR--WE GAVE HIM A BOTTLE OF WATER WHICH HE DRANK AND IN ABOUT 5 MINUTES HE FELT COMPLETELY BETTER--WE HAD HIM SIT IN A CHAIR FOR A FEW MINUTES THEN HE GOT UP WALKED AND SAID HE WAS COMPLETELY FINE. IT SHOULD BE NOTED THAT HE HAD A DREAD FEAR OF NEEDLES. WE ARE NOT SURE IF THIS PLAYED ANY ROLE IN THIS REACTION

Patient reported that within 7-10 days he could barely move arms and legs, severe pains, extreme chest pain and stomach pain

Severe chest and abdominal pain never felt before in life. Pain caused difficulty breathing lasting 4-6 hours, fading and remaining uncomfortable for 12-24 hours.

I received the vaccine at 6:30pm on 12/27. I worked atb7pm and took lunch at 2:00am. After lunch, I immediately felt sick to my stomache and threw up. I went home after my shift and went to bed. After 5 hours, I woke up and went to the couch to lay down while kids watched TV. Next, I woke to several people in my house. I had a seizure and my son had called 911. I was taken to emergency department. I was admitted and stayed 2 nights in the hospital.

Employee received the Moderna vaccine in the left arm and noted numbness in the left finger tips approximately 20 minutes later. RN assessed patient and patient requested additional assessment by our Medical Assistance Team (MAT). The MAT team transferred the patient to the Emergency Department for further care. Patient released from ED. Contacted the following day and stated he had an elevated heart rate in the ED and when it returned to normal, they released him with instructions to follow up with his PCP if the arm pain and tingling did not subside in 1-2 days. He states his left shoulder is painful today (1/6/21 10:00 am) and his left fingers are still tingling. Patient instructed to call Occupational Health for further guidance.

Tachypnea, Angina, Tachycardia, Sore Muscles Narrative: Started feeling ill on the 28th. Drove himself to get checked out at the hospital. Hospital sent him home. Called EMS at 12/30/2020 @ 0200 and was hospitalized for 1 day. He is more stable now but still has these symptoms at a moderate level.

Beginning at 11pm - chills, headache, nausea, muscle aches, sleeplessness, anxiety, high blood pressure, pulse 100+ . Syptoms lasted until 3pm the following day. Seemed to improve after taking benadryl. Aleve did not help.

Significant fever for about 48hrs (first fever of my adult life). Aches, pains, chest pains, increased secretions and coughing, fatigue. It was like my body thought I was sick with COVID again. But in some ways it was worse. I was afebrile with the real virus.

Approximately 30 minutes after the vaccination, I felt a sensation (pressure in my ears and tingling throughout my body), then I could feel my heart start to race. My best estimate as the fast heartbeat last for between 60-120 seconds. I experienced the tingling feeling one more time, about 15 minutes later.

Minor itching on face, lower back, arms, legs, and belly. Elevated heart rate ranging from 80-95bpm. I took a Zyrtec to help with symptoms at 2:00pm. It did help reduce some of the symptoms. It is presently 3:23pm and some of the itching has subsided but my heart rate is still in the 80s.

1/15/21 vaccine 10:00am 5:00 pm hives itching, chills, diarrhea, chest tightness "took Childs allergy medicine - had no Benadryl in house" 1/20/21 still has hives and itching

Chills (followed by heavy sweating), Aches, Head aches, sore throat, indigestion, fitful sleep/ dreams, increased heart rate. The big change from dose 1 to 2 is muscle twitching. The twitches coincide with the more extreme joint aches. Sore arm All started about 9 hours after vaccine. Sore arm was mitigated with movement and stretching (as compared to the first dose). Other symptoms have lessened since 7am (19 hours after shot), but linger. Ibuprofen seems to lessen, but not end eymptoms.

Patient (DOB 09/20/77) had a reaction to the Moderna Covid-19 vaccine given on 1/29/2021. On the screening form, patient indicated she had allergies. She verbally said she had multiple allergies and had an anaphylactic reaction previously to allergy shots received in a doctor?s office. She said she does carry an Epipen. RPh counseled on the cases of anaphylaxis with the Pfizer vaccine and recommended a 30 minute monitoring period following the vaccine in accordance with CDC guidelines. Patient agreed and received the vaccine at approximately 11:30am with instructions to check back in with RPh at 12:00pm. A few minutes later (at least 5 minutes), a friend of Patient alerted RPh that patient had fainted. The friend was able to catch patient before she fell off the chair and lower her to the ground. Patient was awake and answering questions but appeared to be having trouble maintaining consciousness. She denied shortness of breath, itching, swelling, and no rash or wheezing was evident. An Epipen was available and present but not administered due to lack of respiratory symptoms. 911 was called at 11:39am with the patient?s permission. Her symptoms remained the same until EMS arrived and she left in the ambulance at 11:57am.

was vaccinated with Moderna lot#025L20A. At 1355, shortly after arriving to observation area, he reported nausea, light headedness, and "feeling like he was going to pass out". First vitals were BP 91/53 (65), 36.7, 95% and HR-74 and noted to be pale. Denies allergies or past history of issues with vaccines however does report not liking needles. After laying down for 15mins he was noted to be less pale and better able to have conversations. Repeat vitals while siting up 123/80 (93), 97%, HR-85. Pt able to eat crackers and juice. Stayed in room until 1450 then walked around for 10mins and decided to leave. Last vitals 124/90 (102). Education given to call 911 if symptoms return or anything new happens. He was also educated to let staff know about this before getting second dose.

Telehealth phone call on 2/2/21 with provider. Patient described having mild palpitations and exertional dyspnea that is new onset without airway involvement, did not require current treatment, advised to continue to monitor, if progressing airway involvement advised to see ER care. No history of personal prior MI or CAD, not a current tobacco user.

Vaccine received 1229hrs, Symptoms occurred 1247hrs Complained of upper chest tightness. and stated "feeling something in throat, upper chest tightness, flustered feeling in the head." Symptoms occurred during 15 minute post-vaccination period. EMS on-site and alerted. Per EMS, normal EKG results. Chest tightness subsided and flustered feeling subsided by 1320hrs. VSS, lungs clear, all symptoms subsided by 1333hrs - patient released.

tennis ball sized swollen area on left side of the chest very close to the arm pit. There is a general constant pain which increases with movement and/or palpation. Tylenol PRN has reduced the pain but temporarily and not significantly.

chills,flu like symptoms. PT presents with burning sensation in chest with tightness and SOB x Saturday denies cough. Reports receiving 2nd moderna vaccine Tuesday prior to onset with hx of covid 10/2020. 43 yo m c/o acute atraumatic onset of substernal cp 'burning' sensation and difficulty breathing w/dry cough x24hrs states sx's feel similar to when he had COVID19 back in Oct2020; Pt states that then he was successfully tx'd w/hydroxychloriquine+azithromycin+zinc by civilian provider; initially dx'd w/covid and went in for tx after he woke up 'feeling like I was drowning' 48hrs s/p dx; Pt states burning sensation 'somewhat' similar to that episode; Pt recently received covid19 vaccine w/2nd dos

On Wednesday 1/27 the day after my second dose I felt a minor pinch/discomfort on my lower leg. I did not think much of that is reason I did not report it right away. Day by day the discomfort and pain got worse. Exactly one week after my second dose I was not able to sleep due to the pain. On Wednesday 2/3 I decided to go urgent care. From there I was referred for an ultra sound a few hours after. After the ultra sound I was contacted by my doctor, letting me know that the results showed I had a blood clot on my left leg. I was put on Eliquis medicine right away. On 2/5 I was able to physically see my doctor who told me that this was caused by the second dose of the moderne vaccine that I took on 1/26.

Within 30 minutes after vaccine administration, patient become sweaty, felt like his heart rate and BP were elevated. He was brought to Urgent Care where he was monitored Rested and remained stable for 20 minutes.

Patient 43 YO Asian male reported adverse reaction with the first dose of COVID Vaccine. He stated that he had heart palpitation for days, then specified x 2 days after the first COVID vaccine. He reported that, he was seen by his provider for the palpitation incident. Denied palpitation at this time at time for presenting for 2nd dose. He also was subsequently Dx with new onset hypertension as well.

Baseball sized diameter swelling around injection site, red (like a rash) in color, itchy, painful to touch and warm to touch. Rash looked yellow to black and blue around the edges as it progressed down the arm. Over the course of 5 days spread from injection site, around the elbow and into the forearm. Hip, knee, foot, shoulder and elbow pain on left side only, Body aches, nausea, visual impairment and loss of balance. Difficulty concentrating and relative "brain fog". Severe drowsiness in the sense of falling asleep while talking to someone and then no memory of it. Chest pressure and constant feeling of being out of breath. Cannot catch breath walking across the house from one room to the next. Severity of symptoms subsided within 24 hours, but some linger up to the time of this report. They are shortness of breath, rash with warmth and pain, lack of concentration and brain fog. Elbow still tender to touch.

Severe Muscle and joint paint started at around 2am, on 2/18. Followed by severe fatigue and trouble standing. Fever of 101.2 noted at 6pm, 2/18. Additional a high heart rate ha been noted since about 4pm, 2/18.

Around 60 seconds after injection my left arm became heavy and tingly/numb, this then occurred in my right thumb as well. I had a heavy sensation on my chest and my heart rate increased rapidly to over 120. This would then resolve slowly and then the tachycardia would recur with the odd sensation over my whole body every ten-15 minutes. EMS was called to take vitals and monitor me. Very odd feeling. I was monitored over the course of 2 hours and when I finally stood up my legs felt heavy and weak as well. After going home and resting things seemed to resolve and I was even able to go out to dinner that evening. The following week I didn't notice much of anything but new symptoms arose around 6 days later on Friday. I would feel strange feeling in my legs and a heaviness. I had a strange dizziness but not vertigo. I felt like I was in slow motion at times. This worsened and I had weakness/fatigue that reached its peak on 1/20/21 and 1/21/21. I was unable to operate on Wednesday as an orthopedic surgeon and had to cancel cases due to this weakness. I saw my doctor that day and had a battery of tests run. CMP, TSH, T4, T3, COVID, COVID IgG, Epstein Barr, Brain MRI, Neruo Consult, ANA, CK, Flu A/B, Vit B12 level, ESR, CRP, Vit D level, EKG, CXR. The following day when I awoke in the morning I felt extremely lethargic and had to cancel clinic. Over the following weeks things have gradually improved but I occasionally get some dizzy/lightheaded moments.

Patient states he had a typical reaction the day of the vaccine (low fever, chills, aches, injection site pain) and when to bed earlier than usual because he was tired. He didn't sleep well, and this morning his sleep app indicated his heart rate during the night was between 100-110. After noticing his heart rate was between 130-140, he called the clinic and was told to go to the ER. Hospital ER administered several tests and did blood work. The MD's determined his heart was fine and it is likely vaccine related. He is home again and is feeling better (no chills, etc.) and his resting heart rate is now in the low-90's.

Week after 1st dose 1/2021, Rapid/intense heart beat, severe rise in blood pressure, which continued thru 2nd dose 2/2021 but along with new frequent fatigue/aches that seem to only go away by constantly drinking LARGE amounts of bottled waters, approx. 2 20oz every hour

Chills @ T+12 to 13 hrs. (from time of injection). Severe nausea and resultant dehydration/dizziness/Low BP @ T+20 hrs. (lasted about 5 hrs.) Fever and body ache in the 102-103*F range throughout March 1. Overall lethargy throughout March 1. Night sweats night of 3/1 into 3/2. Laryngeal tissue damage from stomach fluids due to extremity of nausea/vomiting.

6-7 hours post injection an abnormal feeling, with chest discomfort/tightening, general malaise, fatigue, and pain at injection site. Took Tylenol twice throughout night and woke up feeling slightly better, but some chest discomfort persists.

Patient became pale, started sweating, got dizzy, blood pressure dropped to 106/68, but patient stated (after getting vaccinated) this happens to him every time he gets a vaccine. He laid down on the ground, legs were raised. He refused to let me check the BP again stating this will only drop it more. When fire rescue arrived he refused to go to the ER

Patient went very pale and limp for about 30 seconds after receiving vaccine 10 minutes prior. patient came to after alcohol prep pads waved under his nose, ice pack placed behind head. patient then ate and drank after coming back, vital signs were normal, B/P was 94/50, pulse 72, respirations 18, @ 850, B/P 104/56, Pulse 71, respirations 18, B/P 110-60. pulse 72 @ 913, patient's significant other called to come drive him home as patient was feeling better but not well enough to drive home. last set of vitals were @ 930 - B/P was 90/58, pulse 72, pulse ox 99%. Patient continued to be perspiring and stated he only felt weird when he looked to the right. S/O did an assessment on patient when he arrived on scene and felt ok to take him home and patient was not critical. patient was advised to go home and rest, go to ER if not feeling better or if he got worse.

I experienced two separate adverse reactions. First adverse reaction occurred on 2/11/21 at 5:00 am (after receiving my second shot of the Moderna Covid-19 vaccine). I experienced tachycardia with an approximate heart rate of 175 bp for approximately 30 minutes. I was able to lower my heart rate down with 25 mg of quick release metoprolol. Second adverse reaction started on 2/21/21. I developed shingles on my lower left side. It appears the shingles originated from my L1 dermatome. At the current time 2/10/21 I am still recovering from my shingles.

Patient complained of dizziness approximately 5 minutes after receiving vaccine. Experienced transient loss of consciousness 2 minutes later while seated. Transferred to the floor and laid flat immediately after episode. Regained consciousness upon laying flat. Allowed to lay flat for about 10 minutes. Nurse practitioner took blood pressure after having patient sit up. Recorded as 120/80. Patient appeared pale. Encouraged to drink water. EMS arrived approx. 15min after episode. Took blood pressure and checked pulse. BP recorded as 118/84. Patient indicated that he has similar episodes prior after receiving a flu shot and having blood taken. Refused to be transported to hospital facility. Allowed to continue to rest for an additional 30 min after which he was picked up by spouse.

Prior to receiving vaccine, patient was nervous and diaphoretic temperature and o2 was within normal limits. Tolerated the administration of vaccine well. With in the 15 minutes of waiting after vaccine, became tachycardiac, SOB , and developed tremors. Sent to ED for further evaluation

Client observed kneeling by chair as diaphoretic. immediately post vaccine. I asked client if he would lie down to be assessed. Client fainted and fell to the floor and hit the back of his head on the floor. Called code team with immediate assistance. Supported head and neck. Vital signs consistent with fainting episode and stabilized within fifteen minutes. Transferred by EMS to hospital for evaluation of head injury. Initial assessment showed no immediate neurological deficits and no superficial bleeding at head impact location.

Client lightheaded post vaccination, brief vasovagal syncope, lasting about 10 seconds. No fall or injuries, vitals stable, fully recovered in about 10 minutes time.

1) Started severe palpitation within minutes 2) It followed by severe dizziness and visual haziness 3) After doctors made me lying down on the bed, started feeling better

Sore arm; Heart fluttering; Discomfort; More extreme exhaustion; A spontaneous report was received from a consumer, concerning a 39-year old, male patient who received Moderna's COVID-19 vaccine(mRNA-1273) and experienced extreme exhaustion, sore arm, discomfort, and heart fluttering. The patient's medical history was not provided. Concomitant was not provided. On 12 Feb 2021, the patient received their first of two planned doses of mRNA-1273 (Batch Number 015M20A) intramuscularly on left arm for prophylaxis of COVID-19 infection. On 12 Feb 2021, the patient began to experience extreme exhaustion, sore arm, discomfort and heart fluttering. There was no change planned to the dosing schedule of mRNA-1273 in response to the events. The patient received their second dose on 12 Mar 2021. The outcome of the events, extreme exhaustion, sore arm, discomfort, and heart fluttering, were unknown/not reported.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

No issues immediately following vaccine. About 11am, mild symptoms like 99.4 degree fever, muscle aches, joint pain, very mild nausea, fatigue began. Severe nausea began about 7:15pm. At 7:45pm, severe dizziness resulting in loss of consciousness and fall. Seizure Syncope event lasted 2 1/2 to 4minutes. Slow to wake. Trembling/shaking in extremities, cold sweat. Delayed speech. Paramedics were called. Went to ER at approximately 8:30pm.

About an hour after the shot I felt like I was getting the Flu. body aches, fever, fatigue, cold chills. I woke up the next day to go to my job and as I was standing at my closet to grab a shirt I felt like I was going to pass out. everything went black. The next thing I knew I was laying on the floor with a shirt in my hand but don't remember how I got on the floor or if I even fell. I asked my Girlfriend if she had heard me fall, She said no. I walked into the bedroom and layed back down on the bed still feeling "out of it". after what felt like a few minutes, I began Heaving like I was going to throw up but I felt like it was a dream and was very slow to react until my girlfriend told me to run to the bathroom. the whole time I was coughing up a foam.

Fainted. Denies SOB, chest pain. refused to ER. states he feels much better after 5min. History of same symptom in the past with needle stick. Seen and cleared by EMS

I received a shot around 9:20. About 9:25 I fainted while in the 15 minute waiting period. I was "out" long enough for 911 to be called. I "woke" up a little later, in enough time to cancel the 911 call, and regained my composer. I waited another 10 minutes and felt much better. I have had no other side effects since. I want to add that I was not nervous about the vaccination. I did not have any fear or anxiety about the shot.

Patient received Moderna vaccine #2 Left Deltoid at 1 PM. Notified First medical team at 1:05 PM reported left middle finger, left ring finger and left pinky numbness with digits flexed and numbness to left hand at 1:45. Grips = and strong. Has history of a 4 inch screw in the left arm that typically gets numb when the weather is cold. Had Hx Covid-19 positive in December. Had Moderna vaccine number #1 at 1 PM reports he had [pain, fever, numbness in left middle finger, left ring and left pinky when he awoke 4AM and lasted 12 hrs and resolved at 4 PM. Denies neck or shoulder medical problems. DTRs 2+ and = upper extremities. Pain 5/10. FROM neck/shoulders, wrist. Tenderness to olecranon. Arm easily irritated at ulnar groove and radial nerve. BP elevated 148/104 pulse 102. Pulse ox 97. Sensation decreased to light touch left hand and fingers, intact sensation right hand. Motor strength 5/5 b/l UE. He was instructed to take NSAID prn and report if symptoms do not resolve. Discussed Ulnar nerve irritation w/o possibly due to surgery post since he has had some symptoms of nerve irritation s/p 16 yr elbow surgery. Denies Headache, nausea, vomiting, throat swelling or other symptoms. Seen by Dr. and examined patient also with same findings.

Patient developed syncope approx. 10 min after receiving the vaccine and felt like he could vomit. EMS was called and he refused to go to hospital.

Heart fluttering; more extreme exhaustion; Discomfort; sore arm; Heart fluttering; Fever; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 18-Mar-2021 and was forwarded to Moderna on 18-Mar-2021. This spontaneous case was reported by a consumer and describes the occurrence of the first episode of CARDIAC FLUTTER (Heart fluttering) and the second episode of CARDIAC FLUTTER (Heart fluttering) in a 43-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 038A21A and 015M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event (No medical history). On 12-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 13-Mar-2020, the patient experienced PYREXIA (Fever). On 12-Feb-2021, the patient experienced the first episode of CARDIAC FLUTTER (Heart fluttering) (seriousness criterion medically significant), FATIGUE (more extreme exhaustion), DISCOMFORT (Discomfort) and VACCINATION SITE PAIN (sore arm). On 13-Mar-2021, the patient experienced the second episode of CARDIAC FLUTTER (Heart fluttering) (seriousness criterion medically significant). At the time of the report, last episode of CARDIAC FLUTTER (Heart fluttering) outcome was unknown, FATIGUE (more extreme exhaustion) had resolved, DISCOMFORT (Discomfort) and VACCINATION SITE PAIN (sore arm) was resolving and PYREXIA (Fever) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Mar-2021, Body temperature: 103.3 (High) Fever for 103.3 degree. This case concerns a 43 Y/O M with a serious unexpected event of cardiac flutter and non-serious expected pyrexia. Event onset on Day 2 after second dose mRNA-1273. Events ongoing. 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. Treatment medications included ibuprofen and acetaminophen.; Sender's Comments: This case concerns a 43 Y/O M with a serious unexpected event of cardiac flutter and nonserious expected pyrexia. Event onset on Day 2 after second dose mRNA-1273. Events ongoing. 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.

Patient complained of dizziness about 15 minutes after vaccine was administered. After another 5 minutes symptoms progressed to include shortness of breath and chest pains. Was sent to the Emergency Room immediately.

Strong pain in left arm and left upper chest. Rapid heartbeat. Mild pain 10 minutes after shot then increasing intensity. At 10-12 hours after shot unable to lift arm. At 24 hours post shot pain only present in arm. Difficulty lifting even a cell phone. At 32 hours post shot arm still tender but can lift objects. Heartbeat still elevated but not as fast as day 1. Another side effect is tiredness which began 24 hours after shot.

On my first dose vaccine, 01-22-2021, I went to bed at 9:00pm. On 01-23-2021 in the next morning I woke up with heart racing with chest pressure, felt dizzy with SOB. I called an ambulance and they performed an EKG which was normal. I went to the hospital and they did triponine values, EKG and I was released after 24 hours of monitoring. About five days later I went to see my PCP for a physical I had scheduled. He performed another EKG and this time it looked abnormal, showed I had gone into cardiac arrest and other tests, such as stress test, reactive blockages test and heart test were also performed. I had no blockage nor heart attack. I then drove home and since then I have been going to doctor's appointments. I have also scheduled a second dose of Moderna vaccine in three to four weeks.

Two nights in a row, 04/07 and 04/08, woke up with rapid heart rate (fluctuating from 85-110 bpm) and felt dizzy, fatigued, feverish, sweaty, shaky and about to pass out. Could have been hyperventilating in sleep because of rapid heart rate. Required about 2 hours of attention to reading, yoga and relaxation to get to sleep. On morning of 04/08, heart rate was still high (78-95) for resting, which is usually in the 50s or 60s. GI disturbance led to frequent bowel movements and the whole condition resulted in malaise and feeling of impending doom. A feedback from acute anxiety as a result of symptoms could be involved. Also involved is the diphenhydramine I took at 9 pm on 04/07 to treat hay fever and acute insomnia. Night if 04/08 was more manageable. But it interrupted sleep with strong disturbances that felt like spasms in prefrontal cortex coming out of sleep. More likely it was movement in sinus congestion that triggered a startle response while exhausted from work. It was bad timing to have the shot during a very busy work week.

Client received the COVID vaccine (Moderna, 1st dose, lot #041AB21A, exp. 5/6/2021) at 1527. EMT observed the client to be pale and diaphoretic; he and RN responded at 1532. The client complained of dizziness, feeling clammy, and ringing in his ears, as well as spotty vision. His vital signs were as follows: blood pressure 96/78, heart rate 50, respiratory rate 20, and O2 99%. The client stated that he has hypertension and he takes losartan. He takes no other medications, has no other medical conditions, and has no allergies that he is aware of. The client was alert and oriented, and his pupils were equal and reactive to light. He stated that he ate breakfast and a snack at 11 am, but nothing for lunch. The client was offered water. At 1536, the client complained of tingling in his arms and numbness in his tongue. His color had returned to normal. No difficulty breathing, no swelling observed around his mouth or tongue, no complaint of metallic taste. Repeat vital signs were as follows: blood pressure 110/80, heart rate 87, O2 99%. He refused benadryl. At 1541, the client stated that his tongue was no longer numb but his arms were still tingling. He was less diaphoretic. His vital signs were as follows: blood pressure of 116/82, heart rate of 92, respiratory rate 14, and O2 97%. At 1545, the client stated he was no longer dizzy and his symptoms had resolved. Education provided regarding, emergency response and AMR activation, and primary care follow up. At 1550, the client was able to stand up and walk without any dizziness or feeling lightheaded. At 1558, the client's repeat vital signs were as follows: blood pressure 140/99, heart rate 99, respiratory rate 16, and O2 97%. The client was escorted outside by the EMT, and stated he was walking across the parking lot to get some food to eat before returning home. The client left the facility ambulating with a steady gate.

On the evening of Friday 4/2/2021 around 9:30 PM, I was experiencing what felt like heartburn. It got better before I went to bed. At around 9:00 AM on Saturday 4/3/2021, I was awakened by intense pain and pressure that felt like the worst heartburn I'd ever experienced. After OTC heartburn treatments didn't help, at around 11:00 AM I went to the local ER where I was initially diagnosed as having a heart attack. After being given some baby aspirin and a nitro tablet, I started feeling better and was airlifted immediately to a nearby cardiology unit at another hospital. A heart catheterization and EKGs determined that I had not had a heart attack, but instead had takotsubo cardiomyopathy. I was admitted into the cardiac ICU overnight for observation, transferred to a non-critical room the next day (4/4/2021), and released on Monday 4/5/2021.

without warning and approximatly 5 minutes after patient recieved vaccine patient passed out and fell face first onto floor. patient was approached lying face down on floor bleeding and sounds of gurgling coming from patient patient was unreponsive. When patient was brought around and returned to conciousness patient did not know where he was or what had happened. Patients pulse was very low at 58 and dropping to as low as 39. Patient pulse did not stabilize the entire time patient was under our care. Patient had about a inch and a half laceration about eye and possible facial fracture. It was noticed that patients face was swollen when leaving with ambulance to be transported to er.

Vasovagal event, change in level of consciousness, reports feeling tired. Pt transferred to WC to gurney. Pt reported feeling better after laying down for some time.

Fainting for about 30 seconds to a minute in the bathroom; Feeling dizzy; Could not stand for a while when fell; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (Fainting for about 30 seconds to a minute in the bathroom) in a 43-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026B21A and 003A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included No adverse event. On 09-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 2 dosage form. On 06-Apr-2021 at 5:00 PM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 2 dosage form. On 07-Apr-2021, the patient experienced DIZZINESS (Feeling dizzy) and DYSSTASIA (Could not stand for a while when fell). On 07-Apr-2021 at 4:00 AM, the patient experienced SYNCOPE (Fainting for about 30 seconds to a minute in the bathroom) (seriousness criterion medically significant). On 07-Apr-2021, DIZZINESS (Feeling dizzy) and DYSSTASIA (Could not stand for a while when fell) had resolved. On 07-Apr-2021 at 4:01 AM, SYNCOPE (Fainting for about 30 seconds to a minute in the bathroom) had resolved. No concomitant medications were reported. Treatment included for the events was acetaminophen. Patient reported that he felt dizzy and fainted for about 30 seconds to 1 minute in his bathroom at around 4:00 am this morning after receiving his second dose of the vaccine yesterday on 6 April 2021.Also, he could not stand for a while when fell. The patient took energy drink. Patient confirmed that the symptom was one time and it has not come back.; 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.

Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypertension-Medium, Systemic: Hyperventilation-Medium, Systemic: Tachycardia-Medium, Additional Details: OSat: 92 Respiratory Rate: 22 Temperature: 97.5 F Blood Pressure: 135/93 Pulse 117

Patient began experiencing pain in his right leg on 4/5, sought treatment at walk-in clinic on 4/12. Healthcare provider he saw sent him to ultrasound at a medical center, who then referred him to the emergency deptartment. Patient was diagnosed with a DVT and prescribed Eliquis 10 mg BID x7 days then 5 mg BID for 6 months.

SORE THROAT RININGING IN EARS HEADACHE HYPERTENSION PATIENT SELF TRANSPORTED TO EMERGENCY ROOM REFUSED EMS TRANSPORT

symptoms: dizziness, diarrhea, mid epigastric pressure vitals : tachycardia, leukocytosis admitted for monitoring and IVF

Had first COVID-19 shot on 03/18/2021. 04/06/2021 started to have right lower leg pain. Was seen at urgent care were and xray was done that was negative. Urgent care doctor sent him for ultrasound right lower leg on 04/10/2021 which was negative. He was started on antibiotics and Prednisone. Was seen by PCP whom felt he needed to be seen by vascular. He was seen by Dr. on 04/16/2021 who felt it was a pulled muscle, but he want a repeat ultrasound of right lower leg done. 04/19/2021 ultrasound of right lower leg was done and showed a DVT. He was started on low does baby aspirin 81mg. A follow up ultrasound was ordered for 04/26/2021 to check status of DVT.

SWELLING, PAIN, GRADUALLY WORSENING. DEVELOPED AN ABSCESS OVER LEFT UPPER BACK IN SCAPULAR AREA. CT SCAN, ABSCESS INCISION & DRAINAGE & PACKING, STARTED ON ANTIBIOTICS. DIAGNOSED WITH SEPSIS ALSO. ALSO BLOOD SUGAR FOUND TO BE 400 WITH NO PRIOR HISTORY OF DIABETES

Initial reaction after the injection: Sore left shoulder, stiffness that continued for 2 days 04/12/2021 The patient went to the ER for left chest pain 04/15/2021 Chest CT obtained with pleuritic chest pain diagnosis CTA report: several pulmonary emboli in the left lower lung with lingular infiltrates; 04/15/2021 - 04/16/2021 admission to Hospital ER for pulmonary embolism and infarction 04/15/2021 admitted to hospital for observation for pulmonary emboli with hemoptysis He was started on Eliquis which he has tolerated. There was hemoptysis during this time and after admission. He experienced an increase in left-sided pleuritic pain followed by improvement after being on the Eliquis for several days. He continues to have discomfort with deep inspiration however asymptomatic with regular breathing and has been able to return to many of his routine activities. Started Eliquis 10mg twice daily x7 days, followed by 5 mg twice daily

Client had a loss of consciousness for 2-3 seconds while waiting in observation area after receiving vaccine. Reported feeling "tightness in jaw" just prior to LOC. Moved via wheelchair to EMS care on clinic site, placed in supine position on cot. 0940-BP-118/71. Reported h/o "passing out after vaccines". Felt fine within a few minutes and departed clinic accompanied by his wife after 30minutes.

Patient stated feeling dizzy after getting vaccination. than patient felt hot and ice pack and fan stated. Patient BP taken 104/68, 55 Pulse, 20 R at 10:08 am. Shortly afterwards patient black out and Nurse to get safely guide patient to floor, raised feet on chair and secured head up and continue to supply ice pack and fanning. Patient stated seizure activity and Nurse administered Epi injection to control seizure that last only 30-45 seconds and stop. BP taken after seizure and EPI injection 171/93, 65 pulse, 20 R, 98% sat. Patient stated talking and color stated coming back and 911 was called and patient remain on floor talking as we fan continue ice packs on him. Pulse ox 98%, R 18 and

Day of shot slight dizziness and weakness, second day minimal adverse reactions; slight chills, 3rd day (early morning) total body aches and pains, nausea and major dizziness; full body chills, extreme loss of strength; site of shot internal and external pain leading up to the back of neck, 4th day complete incapacitation uncontrollable shacking from chills; bones ached; constipation; nausea without ability to vomit; 5th day same effects if not worse; still unable to vomit but feeling of endless need to stuck in upper chest, 6th day chills begin to break and body pain subsiding; still weak and dizzy with major headaches, 7th day chills are almost completely gone, body (muscles, tendons, etc) ridiculously tight and aching from the constant shaking from chills and restless sleep over 7 days. Lots and lots of liquids from day 1; day 4 started taking minimal acetaminophen to ease pain and feelings of fever. Temperature never went above 96degrees. Small portioned meals to get nutrients, and constant liquids to stay hydrated. This did not relieve any symptoms, until night 7 when pain started to subside. Constant stretching now to release the constricting of all my muscles and tendons over the course of side effects. Still constipated and slight nausea, still weak in strength.

Vital signs 108/61 pulse 71 pulse ox 100%,; ED Note: 43 y.o. male otherwise healthy presents to the ED with syncope s/p second Moderna Vaccine, onset 1530 this afternoon. Patient reports after receiving the shot, he felt a burning sensation to the injection site on his left arm. He then explains that he began losing his peripheral and ended up losing his vision. Patient then initially felt better but notes he got bad real fast. He mentions he ended up losing consciousness but is unsure for how long. He reports a history of syncope following blood draws but never before with vaccinations. Patient states when he woke up, he felt sweaty, clammy, and nauseous. He notes he currently feels fine otherwise and denies any chest pain, shortness of breath, or palpitations. He denies having any symptoms following administration of the first dose of the Moderna Vaccine. evaluated the patient at bedside and the patient has verbalized agreement and understanding to the plan at this time of discharge without further questions. The patient is comfortable with further observation of his symptoms at home. I discussed our workup, answered all questions and made sure there were no other concerns. I provided counseling about standard home and self-care measures and advised on standard return precautions including new, persistent, or worsening / concerning symptoms.

Rapid heart beat fluttering feeling. Tiredness. Emergency room ECG tested negative. Addition ECG and stress testing at a cardiologist revealed an otherwise health heart. ECG and 24 hour heart minor revealed an ?extra heat beat? development never previously experienced.

Patient reported fevers, chills and myalgia after 1st dose of Moderna COVID vaccine 4/22. Poor PO intake and had syncopal episode on 4/24 when standing from the recliner. Initially admitted at hospital, and developed fever, leukocytosis, AKI. Transferred to other hospital for further evaluation and eventually developed acute hypoxic respiratory failure requiring intubation and mechanical ventilation, found to have new onsert heart failure with reduced ejection fraction. He is currently being evaluated for auto-immune and underlying infectious causes, with concern for glumerunephritis, cardiomyopathy and coronary artery disease. Patient extubated to NC as of today but remains in the ICU.

Patient developed shortness of breath/chest tightness ~15 minutes after receiving second shot. Called paramedics who assessed the patient and referred to urgent care. Patient's blood pressure measured ~15 minutes post vaccination was 134/86 and HR 91.

Patient works third shift, so he sleeps during the day and went to bed after his first dose. He woke up about 4 hours after his first dose with a "chest spasm". He said it lasted about 30-40 minutes before it subsided. (He also experienced chills and sweating around the same time, which subsided after ~8-10 hours.)

Patient by 5/8/21 was experiencing fever to 103, lower back pain, palpitaitons, headache, nausea, left arm and neck pain and dizziness. He was taking Advil and Tylenol to assist with symptom managment. Left arm and neck pain persisted. On the morning of 5/11/21 he awoke with central chest tightness, left arm/shoulder/neck achiness, nausea and headache. During ride to hospital, he had palpitations for 30 minutes. He arrived at Medical Center where he was found to have a positive troponin I of 4.2 (ULN of <0.045). Echo done at that time showed EF of 59% with basal inferior, anterolateral hyokinesia, basal inferolateral hyokinesia, mid inferolateral hyokinesia, diastolic LV function normal function for age and trace mitral regurgitation. ECG showed non diagnostic ST elevations in leads II, III, AVF. The patient was transferred to another Medical Center for urgent cardiac cath based on resting chest, arm and neck pain, positive troponin and wall motion abnormalities seen on echo. Cardiac cath found normal coronary arteries that were free of disease. Troponin I at this medical center was positive 0.31 and 0.39. Further testing ordered is a cardiac MRI to assess for possible acute myocarditis.

Hospitalization kidney failure heart failure respiratory failure had to be ventilated. Six days in Medical Center and 10 days in Medical Center

Pt admitted to facility on 5/18 with shortness of breath, chest tightness and was found to have bilateral pulmonary embolism and mild patchy scattered groundglass opacities . Pt reportedly received 1st dose of Moderna COVID vaccine '2 weeks ago' (not vaccinated at this facility). Pt reportedly tested positive for COVID 1 week later (also not at this facility) and was also COVID positive on presentation here on 5/18. Admitted to ICU and currently being treated with Remdesivir, dexamethasone and enoxaparin for anticoagulation. Pt reportedly does have history of DVT/PE in past in 2012.

Vasovagal event 5 minutes after administration. Chart note: pt was siting in waiting room and states he started to feel like he was going to pass out, he stood up to talk to receptionist at window and had vagal response and fell back against wall and slid to floor. He was sitting up, diaphoretic but responsive when provider arrived to waiting room. 911 was called; had him sit for a couple minutes then moved him to wheelchair and had him lay down on table with assistance, ice packs applied to neck and head and manual BP taken and was 96/54, pulse of 50, pulse ox 92% placed oxygen 4 L NC and pulse ox raised to 100%, pt felt better, pulse still running 46-52 on pulse ox, EKG machine attached and pt repeat BP 102/62. ekg done and reviewed no acute cardiac concerns.Paramedics came and pt feeling better, they did orthostatic testing and pt BP was consistently over 106/60's, heart rate up to 68 they then walked pt and his wife outside to discuss transportation to ER for evaluation. Patient refused transport to ED and opted to go home.

PATIENT WAS UNRESPONSIVE ABOUT 5 MINUTES AFTER VACCINATION... PATIENT RED FACED AND NOT RESPONDING TO QUESTIONS... PATIENT THRUST BOTH ARMS DOWN TO HIS SIDE AND TRIED TO GASP IN A BREATH OF AIR... 911 CALLED AND 1 EPIPEN INTRAMUSCULAR INJECTION GIVEN INTO LEFT THIGH. PATIENT WAS TALKING AND ABLE TO DRINK WATER WHEN PARAMEDICS ARRIVED. HE DIDN'T REALIZE THAT HE HAD "PASSED OUT"... AS PARAMEDICS WERE LIFTING PATIENT TO GURNEY, PATIENT LOST CONSCIOUSNESS AGAIN... WHEN HE CAME TO, HE DID NOT KNOW WHERE HE WAS.

Patient fainted after receiving first dose of moderna, patient came to immediately with no confusion, he was able to answer all questions

Syncope, Dizziness. Pt reported symptoms of dizziness after vaccination that did not improve in observation. Pt taken to private observation room. BP 133/76, HR 77, RR 16 -- > 133/75, 76, RR 16. Pt laying on bed communicating and resting. Pt symptoms resolved and pt was released from the vaccination site.

"Moderna COVID-19 Vaccine. Vaccine on 2/25. Took him to an urgent care on 3-7 because of swollen ankle, foot and lower leg. Had xray but nothing was broken. thought he had sprained ankle. Given prednisone. Ankle continued to be swollen for following days so we followed up with family dr. on 3-22 who sent him for ultrasound which showed an extensive blood clot - DVT. Sent to emergency room. Put on blood thinner shots for a week and sent to doctor on 3-24. He did many blood tests. He started eliquis on 3-30. Saw doctor again on 4-13. His blood tests had shown he has Factor 5--Leiden. On May 11 we saw doctor again. Remain on Eliquis. Another ultrasound and more bloodtests show clot is chronic, but blood thinner is doing its job. No active clotting.

Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient passed out a few minutes after receiving the shot, and hit his head when falling over. He quickly came about. First aid was provided. No sign of confusion.

Syncope; Fall; Head injury; Hyperhidrosis; This regulatory authority case was reported by an other health care professional and describes the occurrence of SYNCOPE (Syncope) in a 43-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 17-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 17-Mar-2021, the patient experienced SYNCOPE (Syncope) (seriousness criterion medically significant), FALL (Fall), HEAD INJURY (Head injury) and HYPERHIDROSIS (Hyperhidrosis). At the time of the report, SYNCOPE (Syncope), FALL (Fall), HEAD INJURY (Head injury) and HYPERHIDROSIS (Hyperhidrosis) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 17-Mar-2021, Vital signs measurement: consistent with fainting episode (abnormal) Vital signs consistent with fainting episode and stabilized within fifteen minutes.. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No concomitant medication use was reported. Treatment information was not reported. On 17Mar02021, it was noted by the reporter that the patient was observed kneeling by a chair as diaphoretic immediately post vaccine. The reporter asked the patient if he would lie down to be assessed. The patient then fainted and fell to the floor, hitting the back of his head on the floor. The code team was called for immediate assistance. The patient's head and neck were supported. The patient's vital signs were consistent with fainting episode and stabilized within fifteen minutes. The patient was transferred by EMS to the hospital for evaluation of head injury. It was noted by the reporter that the initial assessment showed no immediate neurological deficits and no superficial bleeding at head impact location on the patient. Further clinical course is unknown/not reported at this time.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Patient was sent out to the hospital on Wednesday night (June 2) due to a decrease in oxygen saturation levels. He was admitted into the ER with a diagnosis for recurrent seizures. Patient has a history of seizures, but a facility worker mentioned that the seizures did not look like the ones he would have.

Blood clots in both lungs; Feels really tired all the time; Joints hurt; This spontaneous case was reported by a patient and describes the occurrence of PULMONARY EMBOLISM (Blood clots in both lungs) in a 43-year-old male 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 Acid reflux (esophageal) and Retinal migraine. Concomitant products included RABEPRAZOLE SODIUM for Acid reflux (esophageal), METOPROLOL for Retinal migraine. On 03-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 03-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 03-Mar-2021, the patient experienced FATIGUE (Feels really tired all the time) and ARTHRALGIA (Joints hurt). On an unknown date, the patient experienced PULMONARY EMBOLISM (Blood clots in both lungs) (seriousness criteria hospitalization and medically significant). The patient was hospitalized from 10-Apr-2021 to 15-Apr-2021 due to PULMONARY EMBOLISM. At the time of the report, PULMONARY EMBOLISM (Blood clots in both lungs) and ARTHRALGIA (Joints hurt) outcome was unknown and FATIGUE (Feels really tired all the time) had not resolved. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not Applicable. Company Comment: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. Most recent FOLLOW-UP information incorporated above includes: On 25-May-2021: Follow up received on 25 May 2021 contains no new information.; 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.

Serve flu like symptoms made myself feel very fatigued, tired, didn't want to do anything, had pulsation in the arteries ( left upper chest ) right lower calve and on right arm ) was seen and chest x-rays were order and a venous doppler was order.

I received the first shot on 04/20/2021 Moderna 047B21A in the left arm around 04/23/2021 I had serve side effects. So much like the flu, I was very tired, nausea, fatigue, In my upper left chest the "vein" or "arteria" was in pain ( sending shocker's like electrodes ) it almost felt like having a stroke or heart attack ( never experienced one before though ) didn't want to move do anything I didn't continue working at restaurant hired part time there as a prep-cook. I didn't even show up. The second shot Moderna 024C21A I received 05/18/2021 it had the same effect and I also had the "veins" and "arteries" on my right arm and right leg calve same effect shockers and electrodes like I was having a heart attack.

ANAPHYLAXIS: Pt received his second Moderna COVID19 shot on 12Apr2021 at approximately 2:30pm. He waited the required 20 minutes to check for any adverse reaction and then left the facility to drive home. On his drive home, at approximately 3:30pm, he started feeling light headed and lost consciousness, striking a telephone pole. He was gasping and struggling to breathe, so the ambulance treated him with oxygen. When he arrived at the ER , the doctor assessed his condition and confirmed that he was experiencing an anaphylactic reaction related to the COVID vaccine and treated him with an epinephrine injection, steroids, benadryl, and nebulized albuterol.to open his airways. He remained at the ER for ~ 6 hours for observation until his blood oxygen levels increased and he was stable to be released. The car accident resulted in PT suffering a fractured sternum as confirmed via Chest CT Scan by his primary doctor. PT has no history of any allergic reaction to any medication or vaccine. Although he does have well-regulated asthma, this incident was not characteristic of any asthma-related reaction he has ever experienced.

About 45 mins after getting the shot. I experienced a tightening of the face with hives. It felt like the last time I got a bee sting and found out I was allergic to bees. My neck musscles where tight but it was not enough for me to take my epi pen I slepped until 5-19. only awake for about 6 hours a day. When I normally sleep that much. Then on 5-19. Around noon time I woke up and was able to stay awake. I was experiencing fast heart rates from time to time. Still very tired. I was drinking about 32 ounces of water an hour. Then on friday 5-21. The heart issues where very severe and I went to the Emergency room. They gave me an iv bag of fluid and I felt better but still had minnor heart fast rates from time to time. I still felt off. and had a follow up with my primary dr. During the visit he observed high blood preasure of around 144/90. Currently i am observation phase and purchased a blood pressure monitor. According to the over the counter blood pressure monitor . I have been as high as 152/106 and slowly over time it has gone down to as low as 79/58. With more of an average currently holding around 122/80. The monitor has detected two irregular hearbeats with bp stat(138/82, 82bp anb 79/58, and bp 76. I will continue to monitor and report these self monitoring finding to my primary DR on 7-6. I left a message today about updates.

PATIENT PASSED OUT AFTER RECEIVING VACCINATION. EMS WAS CALLED AND TOOK PATIENT TO HOSPITAL VIA AMBULANCE.

About 2 weeks after getting my second vaccination, I started to have mild but then severe heart palpitations. I thought it was the anxiety meds I was on, and adjusted the dosage but it wasn't helping. I stopped taking them. After about a month I started gradually feeling better. Palpitations would worsen if I worked out and or stood up too fast. Today my PCP and I scheduled for me to see a Cardiologist at the end of June. My PCP did some tests that included an EKG after first 6 weeks which was normal. She also did a troponin test, which was also normal. A CRP and Sed rate which were also normal. I still struggle with heart palpitations to this day.

Pain in leg presented several weeks after second shot. Symptom was dismissed until loss of consciousness/fainting occurred. Onlookers called 911 and after being transported to hospital CT scan revealed bilateral pulmonary embolisms and DVT blood clots were present. D-dimer blood test revealed a range 400 times the appropriate range. Number exceeded the scale. The number of clots on imaging were so numerous, the doctor that read the report said they would not even count them. Was treated on heparin IV and placed in cardiac ICU, prescribed Eliquis to thin blood allowing the body to not create additional clots. In process of establishing a medical team to treat.

Nausea, vomiting, strong headache, muscle pain, fever, chills, high blood pressure (154/87), no high blood pressure history

Felt lethargic (aprox. 1 hour after shot) went home fell asleep for about 2 hours and woke up severe pain in chest and tightening of chest and airway and could only get about half at most of a full breath of air every breath. Could only get sufficient O2 it seemed when lying on back and laying down on my side. Was every bit of all my energy to just take a shower and nearly blacked out with heart racing as I tried to breath in the shower but steam in air was too much to breathe. Lasted for 4 days that way. I still feel like I am constantly winded and I as of today have only regained about half the lung capacity I had prior to incident, and that is just over 1 month mark. I also now have been getting these bad facial breakouts particularly on and around my nose and forehead /;eyes area. I never ever had any acne issues to speak of prior, even as a teen and during puberty. Never had any acne ever and now its bad breakouts some appear to may even leave ling term scarring in certain spots. My day to day diet and normal habits have not been added to or altered in any way either. My heart feels like it beats twice as fast and twice as hard now and I am always short of breath now too. I do not have a family doctor to go and see and I was afraid to call for an e.m.t. or go to the e.r. at the early onset of it all. I truly hought I was a gonner a couple of times though throughout the first 4 days.

I woke up at approx. 3AM to urinate. I began to black out as I was standing and caught myself before I fell. I then attempted to walk about 40 feet to get water and food and i proceeded to completely lose consciousness about 5-7 times. I fell from fully standing and hit my face on the ground. for about two or three hours I ran a fever, though I don't know how high seeing as every time I tried to stand I'd lose consciousness. I we

Patient was seen once in my office complaining of persistent shortness of breath and chest tightness of sudden onset that happened few days after receiving second dose of covid vaccine. A CT angiogram ordered showing pulmonary embolism. Diagnosis made more than 10 weeks after vaccination. symptoms appeared in less than one week.

Chest pain/ shortness of breath caused patient to go to the ER and was admitted with elevated troponin levels, had cardiac cath that was normal, diagnosis was myocarditis. Started on metoprolol and full aspirin with cardiology follow up. Colchicine added and symptoms resolved but then he developed drug reaction rash and it has to be stopped

Patient developed a DVT in left calf that resulted in multiple pulmonary embolisms; patient complained of shortness of breath x 2 weeks and presented with a swollen and discolored lower leg. X-rays and scans confirmed DVT and PE's. Patient underwent thrombectomy and was on Heparin drip followed by Eliquis at home. Patient discharged from ICU after 3 days.

Notified on 6/16 /2021 patient died. Death by PE 1 month after prime dose of Moderna-since unexpected- reported to VAERS

MODERNA COVID-19 VACCINE EUA Rapid Heart, Dizziness, Unbalance, Wheezing, Lower Intestinal Bleeding, Constipation, Irritability

Patient experience sharp jabbing pain in left lower chest below the nipple line after vaccination. Patient reported that pain was coming and going

Day after pain in the area of my lung scar and under arm , skin rashes as well in chest, they come back and then it was fine for a while but recently in June with Heatwave 1 and currently heatwave2- I felt horrible pressure and pain in my chest and could not breath and the nebulizer wasnt helping. I got an xray and the doctor at the City Md refused to believe me that this was related to vaccine and my lung wound from a previous surgery that increases inflammation as I am now experiencing. I am asking to please help me get a cooling airc conditioner in my kitchen/ bathroom area as it is also where I will be teaching virtually hybrid schedule and only feel relieved in cool air. My school that I teach at is in some rooms adding daily heat exhaustion and I would greatly like if possible any help or treatment and or rehabiliation phyical therapy and also reexamining the area where my origial surgery was and how this can be dangerous for people taking the vaccine.

Mild intermittent chest pain, left and right sides at different times. Started within a day or so of receiving vaccine, lasted approximately 3 weeks. Advised by clinic to go to ER. EKG, X-ray and blood draw results were all normal.

Rapid Heart Beat Blurry Vision High Fever - Approaching 2 weeks Strong Dizziness/Vertigo Rashes Week long Headaches Hard to breath Ringing in ears Deep ache/pain in leg & arm with leg swelling

Numbness in extremities. Primarily in legs and fee. Also rapid heart rate. Lasted for a few weeks. Some periodic numbness still

Approximately after one week of my second dose I began having heart palpitations. Over the course of the next month the palpitations increased from 1-2 a day to 4-5 in a day. I recently visited my primary care physician and refered myself to a cardiologist which I am waiting at this point to see. (July 16 2021 today). As of the last week I have actually been feeling better and have only had minor episodes but will still see the cardiologist. But there is no doubt that this was brought on by the second shot.

Nonsustained ventricular tachycardia; Chest discomfort; Rash; S.O.B; Palpitations; This spontaneous case was reported by a consumer and describes the occurrence of VENTRICULAR TACHYCARDIA (Nonsustained ventricular tachycardia), DYSPNOEA (S.O.B), PALPITATIONS (Palpitations), CHEST DISCOMFORT (Chest discomfort) and RASH (Rash) in a 43-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 030C20A and 011J20A) for COVID-19 vaccination. Concurrent medical conditions included COPD (Frequent exacerbation), Hypertension, Diabetes, Shellfish allergy and Allergy to antibiotic (Cipro allergy). Concomitant products included METOPROLOL for Arrhythmia, SALBUTAMOL SULFATE (ALBUTEROL [SALBUTAMOL SULFATE]) for COPD, ATORVASTATIN for Hyperchloremia, HYDROCHLOROTHIAZIDE, LISINOPRIL (LISINOPRIL HCTZ) and AMLODIPINE for Hypertension. On 05-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 04-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 25-Feb-2021, the patient experienced DYSPNOEA (S.O.B) (seriousness criterion hospitalization), PALPITATIONS (Palpitations) (seriousness criterion hospitalization) and RASH (Rash) (seriousness criterion hospitalization). On 27-Mar-2021 at 12:06 PM, the patient experienced CHEST DISCOMFORT (Chest discomfort) (seriousness criterion hospitalization). On 26-May-2021, the patient experienced VENTRICULAR TACHYCARDIA (Nonsustained ventricular tachycardia) (seriousness criteria hospitalization and medically significant). The patient was hospitalized on 25-Feb-2021 due to DYSPNOEA and PALPITATIONS, then on 27-Mar-2021 due to CHEST DISCOMFORT, then on 25-May-2021 due to RASH, and then on 26-May-2021 due to VENTRICULAR TACHYCARDIA. At the time of the report, VENTRICULAR TACHYCARDIA (Nonsustained ventricular tachycardia), DYSPNOEA (S.O.B), PALPITATIONS (Palpitations), CHEST DISCOMFORT (Chest discomfort) and RASH (Rash) had not resolved. Patient reported that he visited cardiologist, primary care, emergency room multiple more times. He experienced unknown rash from beginning and continues. One of the emergency room visit on 27-May-2021 and went for palpitation, shortness breath and non sustained ventricular tachycardia was present. He admitted to hospital. He experienced rash on arm, then face, torso and now mid section and thighs have rah. Experiencing palpitation/ arrhythmias daily as well shortness of breath. Treatment information was not provided. Based on the current available information and temporal association between the use of mRNA-1273 and the onset of the events, a causal relationship cannot be excluded. However, the cardiac related disorders are confounded by the patient's underlying cardiac conditions) hypertension, arrhythmia, hypercholesterolemia) and diabetes; Sender's Comments: Based on the current available information and temporal association between the use of mRNA-1273 and the onset of the events, a causal relationship cannot be excluded. However, the cardiac related disorders are confounded by the patient's underlying cardiac conditions) hypertension, arrhythmia, hypercholesterolemia) and diabetes

Patient began experiencing extreme fatigue, increased frequency of urination, numbness and tingling in fingers and toes. He went to a nearby Urgent Care. Labs were drawn on 5/29/2021. When patient returned to that clinic for follow-up on 6/16/2021, he was given his results of glucose level of 300 and hemoglobin A1c of 12.0%. He was started on metformin 500mg twice a day. He was also started on empagliflozin 10mg daily and dose was tapered up to 25mg daily two weeks later. Patient had repeat labs done at our facility on 6/30/2021: glucose 94, A1c 10.2%. Patient purchased a diabetes monitor. His glucose levels from 6/30 to 7/13/2021 showed his average daily glucose was now only 89 and patient had 10 episodes of low glucose (<70). His highest glucose level was 147 and he did not have any levels above 180. Patient was taken of empagliflozin, kept only on metformin, and will be followed up in 2 weeks. Prior to vaccination, patient had no hospitalizations, illnesses, or any steroid treatments. He is a very healthy, patient with a BMI of 26 who works out 6 days per week.

After the first dose heart palpitations worsened, muscle pain, fatigue, chest pain (sharp pains), shortness of breath, pain and numbness in legs.

Fever, chills, body aches, pain on site, bruise on site after 2nd day. slight dizziness , flushing and increased Heart rhythm on day log administration for about a minute and resolved. Have been having mild to moderate pain on right kidney area.

Patient reported stroke-like symptoms as he was driving to work: started "feeling funny" with dizziness; progressed to feeling weakness in left side of face with facial drooping; tingling in left hand progressed to numbness and weakness in left arm and leg; difficultly coordinating motor movement in right arm; difficulty/ diminished speech "tongue felt fat." Symptoms resolved within appx 1+ hour from onset. Per patient, he was given an injection at the hospital (unsure for what?) and was discharged with a prescription for chlorthalidone 25mg daily, blood pressure was elevated.

1/6/21 Vaccine. 1/7/21 fever, severe migraine, aches everywhere, chills, vomiting, sore throat, tightness in chest

Was perfectly normal until I laid down for bed. Got very dizzy and took blood pressure with a cuff and it reported 95/47. Hypotension, shakiness and mild nausea. I've never had this symptom in my life and have taken 3mg melatonin before bed for years. (3mg, not 4mg as reported on the previous page). I was back to normal after ~10 minutes and woke up perfectly normal. Also, minor shoulder pain.

10 minutes after vaccination, I was waiting in my car per instructions and began to feel extremely light headed and dizzy/faint. I began to sweat a little and have minor tachycardia. I never went back into the clinic but instead leaned the seat of my car back and those symptoms went away after about 30 minutes. I never experienced any symptoms after that.

Felt light headed after vaccine and has continued to have "dizzy spells" and vertigo up to several times a day, especially on arising. Gives a history of "low blood pressure," but unsure of what the numbers typically are. Has had two events of nausea and headache on other days in the past two weeks since vaccine but doesn't believe it's related to the vaccine. States that events have gotten better over time. Encouraged to see his PCP.

pt had brief palpations 20 minutes after vaccine, pain in left arm spreading across the chest to right side 5 hrs later. Felt like someone had punched him repeatedly in the chest the next day and that night he was profoundly fatigued and couldn't take a deep breath, was winded with simple physical tasks ie walking across the room. The next day 1/24/21 the pain resolved but was easily winded. Improving since then

Employee complained of feeling hot flashes, sudden body chill and numbness tingling sensation to his arm where the injection was given. Blood pressure was elevated and employee says he has hypertension but its not usually that high. Employee takes Lisinopril.

Moderna COVID-19 Vaccine EUA 22 min after vax, pt complained of itching, chest tightness, diphenhydramine 25 mg capsule administered. BP 141/91, HR 93, O2 100% 27 min after vax, BP 136/97, HR 83, O2 100% 33 min after vax, BP 143/90, HR 83, O2 100%, pt reported less itching, less chest tightness, but symptoms remain 34 min after vax, RAPID RESPONSE called 40 min after vax, RAPID RESPONSE team arrived 43 min after vax, report given to ER, pt moved to ER by charge RN 90 min after ER, pt discharged

Five minutes after COVID-19 Moderna injection I started to feel chest pains, tingling/numbness on my left hand (injection site limp) my blood pressure was higher than my normal range, pulse ox was 93%. I was observed in ED for over an hour. After wards at approximately 11:AM on Feb 1st 2021 I broke in fever 104.1, chills, severe joint pain relieved only with high dose Advil 800mg around the clock. Unable to get up from bed due to weakness. I was given a doctors note to be off work for 4-days.

at 30 a.m. patient got sweaty and passed out. As a result he injured himself. Hospital said all labs were good, full work up and no foreseen reason for passing out. Said possible reaction to vaccine.

Checked sugar when I got home at 5:30pm, sugar was 570. More insulin was used as my sugar is never that high. Experienced blurry vision, and not completely oriented

Patient reported right sided facial drooping on 2/1/2021 stating that it began three days prior to him reporting it. MD documentation: Pt unable to blink right eye, lift right brow and right side of mouth is drooping. PERLA. Pt denied right sided weakness/headache. Pt has demonstrated elevated blood pressures since receiving Covid 19 Vaccine not previously demonstrated.

Near vasovagal syncope 5 days after 2nd dose. 5 days after my second COVID vaccine, I was outside in snowy, cold weather about a mile from my car. I had stopped moving to rearrange some items. While stopped, I started to feel lightheaded, develop tunnel vision, and feel faint, almost to the point of blacking out. I put my head down and legs up and felt somewhat better. I then attempted to return to my car. I could go 100-200 yards at a stretch, before having to purposefully fall down and elevate my legs. I traveled the mile back to my car like this (slowly). I could not check my pulse because my hands were too cold; my respiration rate was elevated. At the car, I drank fluids and warmed up and began to recover enough to get home.

Reported palpitations which is a feeling of a single strong heart beat w/ associated catching of his breath and feeling of startle and mild anxiety which started w/ other post COVID vaccine symptoms of f/c, fatigue, and body aches. Other symptoms resolved but not startle symptoms and pt now also having cough and nasal congestion. Normal exam other than congestion. EKG NSR w/ no feeling of the startle while here and no CP or SOB. CXR normal. Full lab eval also normal including neg CRP, Trop, BNP, and D dimer. CBC and CMP also normal. TSH mildly elevated but normal T4 so likely c/w pt's prior minor thyroid abn but unlikely to be source of current symptoms. Given normal exam and w/u do not feel myocarditis, pericarditis, or clots or other significant process associated w/ current symptoms. Pt retested for COVID since not fully immune prior to symptom onset.

Low body temp on 2/20 followed by elevated temp on 2/21. Normal temp by 2/22. Soreness and lump at injection site evening of 2/22, with local burning pain. Left arm muscle soreness on 2/23 with red skin patch approx 3cm x 6cm at injection site.

Fever, fatigue, low grade fever, swollen lymph node in arm pit and neck. Heart SVT, rapid heart beat 48 hours later

Patient experienced tachycardia after both the first and second dose about 30-45 minutes after the vaccine. The initial episode lasted about 20 minutes before resolving on its own. Today's reaction lasted about 30-40 minutes before resolving on its own but then returned at 1720 this evening. Patient's symptoms improving on their own and without intervention. HR currently 107

Patient developed significant chest pain It did not require additional medical care or impede breathing However, pain was significant and unusual

Chest tightness, lightheaded & nervousness; denies chest pain, SOB or difficulty breathing Vitals: 120/65, HR-80, pulse ox- 97% Client reports history of anxiety, PTSD; takes trazadone 50mg & Abilify 1.25mg nightly 0952- client reports feeling better, cleared by site lead

Patient's wife texted school nurse as he is an employee of school district. She reported after patient left the school from receiving his vaccine, he began feeling lightheaded, low pulse in the 50's, dizzy, and shortness of breath. Patient has a history of bilateral PE and takes blood thinner. Patient was taken to the Emergency Department by his wife.

5 min after vaccination, patient complained of increase in heart rate to 133 BPM and feeling like his arm was tingling and numb. We propped his feet up and gave supportive care such as blanket and ice packs. Patients heart rate went back to normal (75-80 bpm) after 10 minutes. However, 35 minutes post vaccination, pt started having chills and shakes. Gave blanket and monitored patient for 45 min after vaccination. Pt declined 911. Wife took patient home 50 min past vaccination stating she felt he was stable and they would monitor at home.

Ive always had a resting heart rate in the upper 70?s innthe past years until the vaccine. I have noticed that its been staying in upper 90?s to 103 most of the time especially when I stand up or simply walk across the room. I didn?t realize what was going on for sure for two or three days. This on top of being winded easily.

12/23/20 (Moderna #1) - Malaise, cough on 12/24, went to walk-in on 12/25 c/o cough, malaise, rx'd Augmentin x14d, Rapid covid negative (and PCR resulted negative). 12/27 slept all day, 12/28 back to work. 1/12/21 metallic taste in mouth, severe GI sx, malaise, aches, headache. 1/14 seen at walk-in and covid swabbed Negative. 1/21/21 exposed to parents who found out they were covid + on 1/22/21. 1/25/21 (Moderna #2) - Continued with persistent cough and GI sx. Then also developed urinary frequency and urgency. Seen at urgent care 2/1 c/o cough, dx URI, rx'd augmenting. Woke up morning of 2/2/21 abruptly, stood up, said something was wrong, and collapsed. CPR attempted immediately, EMS brought him to ER where he was pronounced dead.

Five minutes after injection heart rate began increasing and felt like it was racing. Left arm started feeling numb and tingling, then overall felt weak and dizzy. Got flushed/red in the face. Remained seated and propped up feet, applied ice packs. Heart rate was elevated again at 30 minutes after injection. Developed chills/shaking. Remained at pharmacy under observation another 30 minutes. Symptoms mainly resolved and felt generally better over the course of 2-3 hours.

Patient experienced immediate vomiting; throat tightness. Medical Doctor - was on scene and administered IM Epinephrine 0.3ml Time line and Vital Signs 14:20 - BP 148/82 HR: 110 Epi administered 14:32 - BP 140/80 14:34 - O2 sat: 99% HR: 110 BP: 155/82 EMS Called 14:39 14:48 BP 146/78 Patient was alert and was able to ambulate.

Patient states began having "racing heartbeat, feeling of anxiety, sweating from scalp, cold feet, temperature of 100.1" at 4:30pm on 3/10/21, patient states took Ibuprofen 800mg and began to feel better. Patient states on 3/11/21 at about 4:30pm began having "racing heartbeat, feelings of anxiety" again, denies having temperature at that time, patient states "went away on its own", did not take medication. Patient states had "rapid heartbeat and feeling anxious" at 5am, no fever, no medication taken.

Sudden onset of severe dizziness (causing nausea), balance/standing/ walking issues. Complete weakness. Total loss of color/hue in complexion. Difficulty communicating. Feeling of things shutting down or not continuing to ?work.? Got to bed and passed out for over 10 hours. Woke up feeling mostly better.

3/12/2021: Fever 100.1F; lasting from 2:30pm through 3:30pm; elevated temp of 99.2-99.6 until 3/15/2021 3/12/2021: Chills ~8pm until ~2am on 3/13/2021 nasal congestion 3/13/2021 7:30am-11:00am elevated pulse ~115bpm sporadically from 3/13/2021-3/15/2021 swollen neck glands/throat tightness 3/14/2021 8pm-11pm numb lips & tongue 3/15/2021 2pm-3pm

I experienced what I would describe as a cardiac event. My heart started racing out of no where. I have an activity tracking device and it was pacing me at 184 bbm for thirty minutes then a subsidence to 120 bbm for the next couple hours. By the evening my heart rate had decreased to the 70 - 80 ish range. Sleep time and the following morning it was what I would consider normal. This event made me dizzy and my skin paled. I was also very tired. It was as if I had done an intense cardio workout with no warm up. 0 to max. I didn't seek medical attention but did consider it.

Patient developed elevated heart rate and became lightheaded about 25 minutes after receiving vaccine.

Pt experienced faintness and dizziness within 15 minute observation time after vaccination. Pt denied c/o difficulty breathing, swelling of tongue or throat, or other symptoms. No localized swelling or redness. Pulse was 92 and blood pressure initially was 152/98. Pt seated and elevated feet. Provided with 2 bottles of water and monitored for 45 minutes. Dizziness resolved after 15 minutes. Blood pressure lowered to 138/98. Patient called girlfriend for ride home. Pt was complaining of back and chest pain during the event, which patient claimed was normal for him since surgery.

Patient experienced very low blood pressure and fainted. He came to quickly, but was transported to hospital by ambulance as a precaution

Patient came to immunization clinic for first dose of vaccine. Directly after receiving vaccination patient became dizzy, pale, and diaphoretic. Rapid Response called. Vitals obtained. Patient hypotensive and bradycardic. Patient moved to gurney, placed in trendelenburg position. Vitals obtained. Patient moved to observation treatment area. Orthostatic vitals obtained as patient recovered. Patient observed for extended period of time after recovering. Patient went home with instructions to seek medical care if symptoms worsen.

I passed out driving 60mph on the highway. I awoke stopped in the middle lane not really understanding what was going on. Sweat was gushing down my head. Luckily nobody was injured. I start to feel better around 4:30pm

12 hrs post vaccination on 3/17/21-Pt c/o onset of chest and arm pains, numbness to left arm, sever fatigue and headache. Went to the Hospital. Remained in ER for 10 hrs before released. Dx-cardio-vessel spasms. c/o continued migraines every 3 hrs for 10 days. Presented to ER again on 3/23/21 for the migraines.

Systemic: Fainting / Unresponsive-Mild, Additional Details: After awakening patient said he felt like he couldn't breathe but was. EMS came to take him to the hospital. His parents who were with him said he does have anxiety around needles and may have a hystory of fainting with shots.

Experience chest pain on right side of chest near armpit which spread across chest one week after the first vaccine shot given on January 25, 2021. Pain was going away before the second shot. Received second shot on February 22, 2021 and had the chest pain return, extreme fatigue, headaches, rash at injection site and all over back, achy muscles mainly in upper body, dizzy spells, nausea, and abdominal pain. All these symptoms (minus nausea) continued for three weeks and some are still present (fatigue, chest pain and periodic headaches) after six weeks. I was tested for antibodies and the results came back greater than 400, which is the max limit for the test. The doctor has never seen results that high and we have no idea how high my antibodies actually are. Since my symptoms seem to be slightly improving, the doctor did not recommend further treatment. However, I am concerned as to any possible danger of antibody levels this high.

Patient complained of night sweats, crazy dreams with persistent palpitations, sweating when awaken from bad dreams from vaccine administration through 4/2/21 at doctor's appointment

Left there after 15 minutes and started driving. About 5 minutes down the road started having stabbing back pain shooting from the middle of the back up and down the spine. Chest feels like someone bear hugging hard from the back. Chest tingle and neck pain. This has been for the day. I turned around and went home crying because I was and am scared. Still hurts now and it's 9pm. No insurance and the hospital already has me in collections so I can't go.

Blurred vision, "heavy" feeling in the throat, nose became mostly numb, lips had some numbness, extreme paleness. No issues with breathing (even while wearing a mask). Reaction started with blurred vision while reading (during the waiting period at the vaccination clinic). Started within 10 minutes of receiving vaccine. Then the throat heaviness started, nose became numb, and lips were somewhat numb. It occurred in waves, with a few minutes of symptoms, then a mild relief of symptoms (but not total relief), then symptoms returned. This continued for 30-45 minutes. Received water and 2 Benadryl at the vaccination clinic from RN. Benadryl didn't seem to have any impact on symptoms.

Pt c/o of chest pain. Works out a lot. Point tenderness, very anxious. Vital signs at 10:45am 160/98, HR 133, RR 22. Rechecked at 11:00am, BP 140/92, HR 90. Refused to allow calling his wife. Pt transported to hosptial. Follow up call made but no answer.

patient got his 2nd covid vaccine and was waiting in the post vaccine waiting area and after about 5 minutes fainted. He regained consciousness in about 20 seconds. We had paramedics come out and checked all vitals and released him

Pain and burning both arms for last 8 hours. Fatigue and muscle pain. Pain at injection. Tachycardia

Patient in observation. Patient complaining of cottonmouth, tongue numbness, difficulty swallowing, numb lips, and throat swelling. Vital signs BP-153/97, HR-88, RR-18. Benadryl 50mg give orally by EMT. Patient AOx4, lung sounds clear bilaterally, no hives notes, no injuries noted. Patient monitored. Patient reports feeling better after receiving Benadryl. Vital signs BP-164/45, HR-82, RR-16. Patient reports no more symptoms. Patient educated about adverse reactions and when to seek medical attention. Patient verbalizes understanding.

PT EXP SHORTNESS OF BREATH AND CHEST PAIN; SELF REFERRED TO ER. D-DIMER ELEVATED. CHEST CTA SHOWS SOLITARY RIGHT UPPER LOBE PULMONARY ARTERY PULMONARY EMBOLISM. BILATERAL LOWER EXTREMITY ULTRA SOUND SHOWS THROMBOSIS FEMURAL ARTERY NO PERSONAL OR FAMILY HISTORY OF BLOOD CLOTS AND NO HISTORY OF BLEEDING EPISODES OR LONG TRAVEL OR SEDENTARYNESS.

FINAL DIAGNOSIS: o Acute pulmonary embolism and DVT SECONDARY DIAGNOSIS: Principal Problem: Pulmonary embolism and infarction (CMS/HCC) POA: Yes Active Problems: Tobacco abuse POA: Yes Opioid dependence (CMS/HCC) POA: Yes Pulmonary embolism (CMS/HCC) POA: Unknown DVT (deep venous thrombosis) (CMS/HCC) POA: Unknown Chest pain POA: Unknown Hemoptysis POA: Unknown Resolved Problems: * No resolved hospital problems. * PDMP Query Date: 03/24/21 PDMP Comments: 03/22/21 suboxone 8mg/2mg #14/14 days multiple fills ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- BRIEF HOSPITAL COURSE: a 44 year old male with h/o of anxiety, depression, substance use on Suboxone, history of alcohol abuse, admitted 3/24/2021 with pleuritic chest pain and shortness of breath. Evaluation was positive for bilateral DVT and pulmonary embolism Bilateral PE, infarction, bilateral DVTs -No obvious precipitating factors -patient underwent first COVID 19 vaccine injection, is actually due for second shot. Unclear if this is contributed, recommended to hold on getting second dose and discuss this with PCP. -Also follow-up with PCP for appropriate cancer screening -patient was treated with therapeutic subcutaneous Lovenox, remained hemodynamically stable and is feeling better today. Upon discharge we'll prescribe Elocon is 10 mg b.i.d. for another 5 days followed by 5 mg b.i.d. maintenance dose. He will be provided with coupon for 1 month supply, he was recommended to follow-up with PCP for further recommendations. He will probably need anticoagulation for at least 6 months or longer depending on further course. -Echocardiogram showed ejection fraction 50-55%, Mild mitral valve prolapse no evidence of RV strain. Hemoptysis -Most likely was related to PE and infarction -resolved. Pleuritic chest pain, h/o Afib -Most likely pain was secondary to PE, improved -Continue Cardizem as prior to admission -Stop aspirin since patient will be on anticoagulation therapy History of opioid dependence, alcohol abuse Continue suboxone Ongoing smoking smoking cessation was advised Disposition: Routine Discharge Home CONSULTS: Consults Ordered during this Encounter Procedures ? Ancillary Service Request - IV Team New IV Start (multiple sticks for labs) ? Ancillary Service Request - Social Services PROCEDURES: Procedures Ordered during this Encounter Procedures ? Patient is currently on therapeutic anticoagulation (warfarin, Pradaxa, IV heparin, Rivaroxaban) - no reassessment RADIOLOGY TESTS: CT CTA Chest Final Result 1. Segmental and subsegmental pulmonary emboli throughout the right lung, most prominent in the right lower lobe. Segmental and subsegmental pulmonary artery the left pleural effusion. 2. Wedge-shaped opacities at both lung bases concerning for small pulmonary infarcts. 3. No findings of right heart strain or pulmonary hypertension. Impression discussed with Dr of the ER at 20:44 on 03/24/2021 by phone. Electronically signed by: MD 3/24/2021 8:46 PM US Legs Bil Venous DVT Final Result Bilateral posterior tibial vein thrombosis. This critical result was called to the clinical team, including by telephone, at 6:00 PM by the sonographer, according to internal Department documentation. Electronically signed by: MD 3/24/2021 6:16 PM XR Chest PA and Lateral Final Result Small bilateral pleural effusions. Streaky left basilar opacity may reflect atelectasis or infiltrate. Small right basilar opacity of uncertain significance. All opacities are new since 2016. No pneumothorax. 4 week follow-up is recommended. If the abnormalities have not resolved by then, chest CT is recommended. Electronically signed by: MD 3/24/2021 5:36 PM ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- PROPOSED MANAGEMENT PLAN: Risk for readmission within 30 days: o Low Pending results: Unresulted Labs . . . Comprehensive Metabolic Panel [124639904] Collected: 03/24/21 1818 Updated: 03/24/21 1823 Specimen Source: Blood, Venous Morphology [124639439] Collected: 03/24/21 1700 Updated: 03/24/21 1715 Specimen Source: Blood, Venous Comprehensive Metabolic Panel [124637329] Collected: 03/24/21 1700 Updated: 03/24/21 1705 Specimen Source: Blood, Venous Troponin, HS [124637342] Collected: 03/24/21 1700 Updated: 03/24/21 1705 Specimen Source: Blood, Venous Recommended Testing: o Refer to Hospital Course DISCHARGE MEDICATIONS: Medication List STOP taking these medications aspirin 81 MG Chew TAKE these medications Dose Ordering Provider Morning Afternoon Evening Bedtime apixaban 5 MG Tabs Commonly known as: ELIQUIS Instructions: Take 2 Tabs (10 mg total) by mouth TWICE A DAY for 5 days, THEN 1 Tab (5 mg total) TWICE A DAY. Start taking on: March 26, 2021 Signed by: MD buprenorphine-naloxone 8-2 MG Film Commonly known as: SUBOXONE Instructions: Dissolve 1 Film under the tongue DAILY for 14 days. Instructions: NADEAN: xe2109242 Dose: 1 Film Signed by: MD diltiazem CR 240 MG Cp24 Commonly known as: DILACOR XR Instructions: Take 240 mg by mouth DAILY. Dose: 240 mg Where to Get Your Medication apixaban 5 MG Tabs High-risk Medication Changes: o Refer to Hospital Course PTA Medication Changes: o Refer to Hospital Course

developed chest discomfort presented to hospital ER. ekg w diffuse st elevations, elevated troponin. taken for coronary angiogram negative for cad. normal echo. diagnosed w myocarditis. no evident viral prodrome or other inciting cause.

Patient felt dizzyness, cold sweats, nausea, and paleness post vaccination while awaiting the 15 minute monitoring period. Pharmacy staff stayed with patient while ambulance arrived and took patients vitals. All was normal and patient began to feel better 10 minutes later. Patient went home. Followed up with patient later in the day and patient feeling much better/no pain in arm/no redness/etc.

Noticed significant decrease in insulin sensitivity resulting in high blood sugars. Had to manipulate boluses to try and find the right correction bolus. Lasted for approx. 1.5-2 weeks post injection.

Approx 15mins after having the shot administered I sat in my car and felt the medication coming on by it clouding my vision then causing me to faint (and by description from my fiancé) I had what appeared to be a mild seizure. I was out for a minute or two and when I was conscious again my vision was blurry and I felt very drunk for the next 45mins - hour. I also felt like I could taste the chemicals from the vaccine when I became conscious again. The drunk/vertigo feeling subsided slowly over time but I was given a Benadryl from the pharmacist so I?m not sure when the dizziness stopped but I definitely could not drive home. My fainting was not due to any anxiety due to having a shot or anything, I was perfectly fine for approx 10-15 mins after the vaccine then I felt a cold feeling coming on from my right shoulder then up my neck then I got foggy and dizzy and passed out

PT RECEIVED A FIRST DOSE OF THE MODERNA VACCINE IN THE LATE MORNING OF 04/17/2021. PT'S DAUGHTER CALLED ON THE MORNING OF 04/19/2021 AND SAID SHE WAS CONCERNED ABOUT HER DAD AS HE HAD BEEN COMPLAINING OF A "VERY BAD FEVER, HEADACHE AND CHEST PAIN." PT'S DAUGHTER WAS ASKED IF HER DAD HAD TROUBLE BREATHING AND SHE SAID YES. WHEN ASKED ABOUT HOW LONG IT HAD BEEN GOING ON, SHE SAID SINCE LAST NIGHT. SHE ALSO SAID THE FEVER HAD REACHED 102 DEGREES. PT'S DAUGHTER SAID HER DAD HAD NOT TRIED TAKING ANYTHING TO HELP TREAT THE FEVER OR HEADACHE. SHE ASKED ABOUT IF SHE SHOULD HAVE HIM TAKE TYLENOL, BUT DUE TO THE COMPLAINT OF "SEVERE CHEST PAIN" AND "DIFFICULTY BREATHING," IT WAS RECOMMENDED THE PT SEEK IMMEDIATE MEDICAL ATTENTION AND GO TO THE ER. PT'S DAUGHTER CONFIRMED THAT SHE WOULD.

Lost consciousness, Either a siesure or passed out. Cadiac events - Varied and Rapid Heart rate, Low Potassium and Low Magnesium

Sharp pain in the left chest. Pt. given 12 Lead EKG (-) result Pt. refused any further treatment. Language line utilized. Pt. monitored for 30 minutes post vaccination. HR-75 SPO2: 99 RESP: 18 BP: 141/80 Seen by EMT on site. D/C'd at 10:10 am

44 yo male pt c/o a rash post vaccination. The rash is localized to the vaccination site in patients right deltoid region. It is approximately one inch in size, non pruritus, erythematous, and circular with a symmetric border. Patient states that this reaction has never occurred with any previous vaccine. Pt denies SOB, CP, or headache. Pt was given 25mg Benadryl and water. Vitals were stable for patient to leave the observation site. Patient was advised to f/u with PCP. BP- Machine error (pt BP usually low normal) HR- 93 (considering anxiety from vaccination experience) SpO2 96%

Patient is a 45 year old male A & O x4 complaining of anxiety approximately 5 minutes after receiving the injection. Patient stated that he became very anxious with slight blurred vision. Patient stated that he has had similar events in the past when he is in a medical environment. Patient was placed in a sitting position in the medical evaluation area with vital signs obtained. Initial blood pressure was low but improved to normal limits quickly once in the sitting position and patient stated that his symptoms completely resolved. Patient has a history of anxiety, and allergy to an unknown antibiotic and takes no medications. Negative chest pain, shortness of breath, weakness, dizziness, blurred vision, anxiety and there were no signs of allergic reaction or stroke. Patient was able to stand with no symptoms and continued to deny any complaint. Patient denied any further care and stated that his wife would drive him home. Patient was advised of risks, consequences and when to seek medical care. Patient was accompanied to his vehicle by (EMT) and left with his wife via private vehicle.

In early AM hours of Apr 23 I began to feel very weak. At around 3:15am when I got up to use the bathroom, my eyes clouded over and I passed out on the bat Herron floor. I regained consciousness after almost 10 minutes. Luckily I was not injured. But I was practically bedridden all day Apr 23.

Patient is 44-year-old Male, to the emergency department for evaluation of left sided chest/rib pain. Onset: Last night. Aggravated with movement and deep inspiration. No other associated symptoms. Saw primary doctor today in which she had a chest x-ray notable for trace left pleural effusion. In addition had blood work notable for nonelevated dimer

After 5 minutes of the shot, patient fainted & hit his head on the ground. we called 911 afterwards, then the paramedics took him around 1:15 pm

After the vaccination, the patient was asked to wait at the Waiting Area for at least a few minutes. He was with his father that time and they were seated at the Waiting Area. After a few minutes, the father saw the patient looking somewhat pale and he asked if he is doing okay and he seemed to become unconscious for a brief moment then he started shaking for a few seconds. While this happened, pharmacy called 911 and attended to the patient. His color came back after maybe 5 to 10 minutes, but still had sweats on his forehead. His palms were warm the whole time, no clamminess. 911 came and they attended to the patient and took him.

Found on floor in office at approx 0900. Was responsive and assisted to chair, minimally responsive. SM did not appear to have fallen, but to have laid down on purpose while feeling weak. Paramedics were notified and arrived at approx 0950. He complained of dizziness and tingling hands. CBG was checked on arrival and pt's blood glucose was 40, then 30 and 29 on rechecks. Was given sugary snack/drinks and iv fluids. Medics reported weak pulse and low BP. After initial treatment, pt was able to stand with minimal assist and transfer to stretcher for transport to ER at Hospital. Upon arrival to hospital CBG was still under 50, but was alert and conversational. However hand tingling

Severe to moderate epistaxis for 6 days. Rhino rocket at onset of bleed and removed 36 hours later. Various other packings attempted for approximately 60 hours all of which failed to stop recurring bleeding. Rhino rocket inserted and will remain inserted for four days. Scheduled to be removed by an Ear, Nose and Throat specialist at the end of four day period. Continuing treatment unknown at this time.

sharp pain left chest. chest x-ray revealed pulmonary effusion in left lung. CT with radioactive dye ruled out Pulmonary Embolism. Swollen lymph nodes also noted in left armpit

Patient received his first dose of COVID vaccine on 4/8 and developed GI symptoms ~ 4/16. Patient tested positive for COVID on 4/25 when he presented to the ED. However, he was sent home at that time since he was stable to go home and was not hypoxic. Pt presented to the ED again on 5/4 due to dyspnea on exertion and pain in the back of his knee. Patient was found to be positive for DVT and PE and was started on therapeutic Lovenox. Patient doesn't have a history of VTE, but he does have a family history of VTE. Since patient wasn't found to be hypoxic, COVID treatment wasn't started in the hospital.

I felt decent; just some sore muscles and where I was injected up until about 2 pm the day after the 2nd vaccine. Then all of my muscles began to ache badly & by 4 pm I was suffering from on and off chills/ sweating ; this lasted all evening. I checked my temperature & only once was the temperature above 100F. I did have some chest pain at times as well. I drank mint tea, took tylenol at regular intervals & used icy hot on the sore back and neck. Following morning I'm feeling a little better but still quite a bit of soreness but as of 7 am , the chills/hots have subsided. I did pee a lot over night; at one point I went to the bathroom about 5-6 times within an hour to 90 minutes.

Received vaccine at medical center. 5 minutes after initial vaccination felt dizzy. After a few minutes he was feeling better so left for car at 15 minutes post vaccination. Once getting to car developed lightheadedness, tachycardia, shortness of breath. Brought back into facility given IM epi 0.3 mg with improvement and send via ambulance to our emergency department. No urticarial lesions or angioedema. Observed for approximately 2 hours. No recurrence. Discharged home. No additional meds after epi given in the field.

1 or 2 minutes after shot started feeling dizzy. Heart rate felt like it dropped and blood pressure felt very low. Vision was dark and I spent most of the time concentrating on breathing. I did not lose consciousness or pass out at any time. I was with my wife and children so they were able to give me the timeline. My wife noted I started sweating after about 5 minutes. The symptoms peaked at about 10 minutes and faded slowly after that. Because I felt like the worst of the event had passed we did not report the event at the time. When we got home I laid down for about an hour. My shoulder started hurting about this time as well. I feel I was recovered from the initial symptoms within 2 days. My shoulder was in pain for about 3 days, with the first two days being much worse than the third.

Syncopal episode less than 15 minutes postvaccination; BP as low as 86/60. Patient recovered within 30 minutes and was released to home.

Pt had syncopal episode while walking to seat following vaccination. Heart rate between 25-40 beats per minute with low blood pressure. IV fluids given and atropine administered to increase heart rate

Pt experienced syncopal episode approx 15 seconds after receiving IM injection. After syncope occurred nurse maintained pt in tripod position, and continued attempting to arouse pt which was successful after 20 seconds. Pt was moved via wheelchair to observation area, where vomiting x2 occurred. Diphenhydramine 50 mg PO was administered. EMS was called when pt being diaphoretic and pallor of the forehead and upper extremities was observed. Pt declined transport to hospital for further evaluation. Pt was observed for 30 minutes and left the clinic ambulatory.

Pt experienced syncopal episode after injection. He fell out of his chair to the floor approx 2 min after injection. He was disoriented upon first assessment for 15 seconds and then awake, alert, oriented. Pt reported he worked out hard and did not eat prior to injection and that he has a history of fainting. Pt vital signs were monitored. VSS. Pt denies pain or injury. No injury noted upon assessment.

Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Additional Details: Patient fainted while seated after receiving vaccine. Fell on floor and hit head. Potential seizure may have occurred, patient mouth observed to be slouched and words slurred afterward. 911 called and full assessment performed by EMT.

The patient presented to the emergency department with chest and back pain. Admitted the hospital and diagnosed with myopericarditis.

Within 8 1/2 hrs. after vaccination (2nd COVID-19 Moderna vaccination): moderate to severe headache, fever 100.3 , body aches and chills, cough, sinus drainage, slight tightness in chest, eyes watering, and sore at injection site (left arm).

5/1/21: Patient woke with chest pain, elevated respiratory rate, nausea, and sweating. Recognizing symptoms of a heart attack, the patient presented to the emergency room at 5:30am. ECG normal, Troponin at 2.1 at presentation, continued to increase to 4.6 prior to being taken to Cath Lab. Coronary angiography showed no occlusion; patient admitted to telemetry unit for continued monitoring; discharged following day with order for cardiac MRI. Outpatient cardiac MRI conducted 5/5/21 revealed myocarditis. Treatment with beta blockers (Metopolol Succinate 25MG QID) and anti-inflamatory (indomethacin 25MG TID) with direction to avoid exercise. Light yardwork on 5/22 resulted in patient feeling "racing heart".

Shortness of breath and chest tightness. Hospitalized for fluid volume overload after a couple weeks of having symptoms. Responded well to iv Lasix and was discharged on PO lasix. Has not had any heart issues since transplant 2009

Initially, the patient had dizziness, lightheadedness and a syncopal episode within 5 minutes of the vaccine. He returned to normal fairly quickly and went home by report. He presented to the ER shortly after with palpitations and shortness of breath and required a dose of IM epinephrine. Patient since had intermittent fatigue, dizziness, blurred and vision changes as well as tinnitus. On May 31, 2021, patient presented to the ER with headache, lethargy, weakness, diaphoresis and dizziness. Additionally, noted to have slurred speech by his wife. MRI of the brain done at 4 am on 5/31/21 showed the following "1. Acute bilateral cerebellar infarcts are seen with a right posterior 4.3 mm focus a left middle cerebellar peduncle 3.2 mm focus and a left superior cerebellar 7.9 mm linear focus. 2. Occlusion of the left vertebral artery extending into the basilar artery with reconstitution of the basilar artery via bilateral posterior communicating arteries. Findings are concerning for acute dissection occlusion. Consider further evaluation with MRA head and neck. 3. Question subtle area of restricted diffusion seen within the left dorsal medulla better appreciated on the maps measuring approximately 4.9 mm. Left lateral pontine 7.3 mm focus of restricted diffusion versus artifact. These infarcts are not definite and could be artifactual asymmetry.'. He required admission, heparin drip and neurology consult at that time, as well as permissive hypertension. shortly after 1 pm on May 31, he developed chest pain with ischemic changes on EKG requiring cardiology consult with possible intervention, though this was being coordinated with interventional neurology, as he also required basilar angiogram for his MRI findings. as cardiology and interventional neurology were coordinating taking patient for intervention, he became further unresponsive, though maintained his pulse, and required intubation and transfer to ICU, as well as repeat CT of the head to evaluate for continued thrombosis of his basilar system. Work up is still on going

Pt presented to the hospital with abdominal pain and shortness of breath May 28, 2021 Noted to be thrombocytopenic - had normal platelet 20 days prior Had bruising, melena

Patient developed episode of diarrhea shortly after 1st shot in series, this was followed by lower extremity swelling and mild dyspnea on exertion, that quickly exacerbated after the 2nd shot on 5/15/2021, that resulted in severe dyspnea on exertion, severe lower extremity swelling with approximately 25 lb weight gain, orthopnea and hemoptysis. Patient reported temperatures of 99.2 F to 99.8 F. Outside CT chest abdomen pelvis angiogram showed moderate to large acute segmental/subsegmental pulmonary emboli with trace right heart strain and right lower lobe pulmonary infarction, moderate right pleural effusion, acute splenic vein thrombosis with extension to the proximal portal vein and associated splenic infarcts, bilateral renal infarcts, and evidence of portal hypertension. He was transferred to the Hospital for further management. Upon presentation here he was tachycardic but with stable blood pressures and requiring up to 5 L by nasal cannula. Initial laboratory studies were notable for WBC 21.0, INR 1.8, D-dimer 11653, NT pro-BNP 17684, troponins 603 to 579 to 574, CRP 127. He was started on a heparin infusion. He was admitted to the MICU for further management. Bedside ultrasound demonstrated reduced biventricular contractility. He was given two doses of 40 mg intravenous furosemide with about 3.5 L of urine output since admission (net negative 3.1 L). His oxygen was weaned to 1 L by nasal cannula. Lower extremity venous and arterial Dopplers were negative. Subsequent imaging demonstrated a transperineal inferior infarct with akinesis of the inferior septum, inferior and inferior lateral walls with apical and mid ventricle akinesis secondary to a complete occluded RCA. moderate pericardial effusion without tamponade noted. Upper extremity ultrasound demonstrated acute DVT in the lower right IJ, innominate, subclavian and proximal axillary veins. MRI venogram was negative for clots, but multiple acute and subacute enhancing infarcts within all 3 vasculature distributions consistent with embolic etiology were noted. TTE showed of mural thrombus along the septal and inferior walls of the LV apex, severely enlarged left ventricle with EF of 20%, severe hypokinesis. Patient was aggressively IV diuresis, with improvement in respiratory status. Maintained on high-intensity heparin for pulmonary emboli, DVT, and diffuse arterial and venous thrombosis. He was bridged to warfarin. Patient was prescribed LifeVest for primary prevention. Started on beta-blocker and ACE-inhibitor given EF. Patient planning on discharge 6/5-6/07, outcome pending.

A fast heartbeat Dizziness and weakness Injection site pain Tiredness Helada che Muscle pain Chilla Joint pain Náusea Feeling unwell SEOLLEIM lymph nodes

The day after getting the vaccine he began to feel like he had the flu. He progressed each day to become weak and dyspneic. He became hypoxic with a pulse ox of 80%.

On June 3rd, 2021 I was admitted to the hospital with multiple pulmonary embolisms in both lungs in multiple spots. No family history or any other medical history that would cause this.

Patient stated loss of feeling in left traveling up arm to wrist and EMS was called. BP- 150/100 and oxygen sat 97% and Pulse 86

anterior STEMI admitted on 5/11/21 with left chest and arm pain. Underwent stent to LAD pt stated he developed chest discomfort and SOB a few days after his 1st moderna vaccine in Mid April

worst asthma attack he had ever had; unable to breathe; passed out/unconscious; cannot walk; lost weight; has no muscle left; teeth chattering; shaking; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ASTHMA (worst asthma attack he had ever had), DYSPNOEA (unable to breathe) and LOSS OF CONSCIOUSNESS (passed out/unconscious) in a 44-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Intubation (The doctor told him that he would have died if they had not intubated him.) from 14-May-2021 to 21-May-2021. Concurrent medical conditions included Asthma (The patient had asthma since childhood.). Concomitant products included FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR) and ALBUTEROL [SALBUTAMOL] for Asthma. On 14-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) .5 milliliter. On 14-May-2021, the patient experienced ASTHMA (worst asthma attack he had ever had) (seriousness criteria hospitalization prolonged and life threatening), DYSPNOEA (unable to breathe) (seriousness criteria hospitalization prolonged and life threatening), LOSS OF CONSCIOUSNESS (passed out/unconscious) (seriousness criteria hospitalization prolonged, medically significant and life threatening), TREMOR (shaking) and CHILLS (teeth chattering). On an unknown date, the patient experienced GAIT DISTURBANCE (cannot walk), WEIGHT DECREASED (lost weight) and MUSCULAR WEAKNESS (has no muscle left). The patient was hospitalized from 14-May-2021 to 31-May-2021 due to ASTHMA, DYSPNOEA and LOSS OF CONSCIOUSNESS. The patient was treated with Physical therapy for Gait disturbance. On 21-May-2021, LOSS OF CONSCIOUSNESS (passed out/unconscious) had resolved. At the time of the report, ASTHMA (worst asthma attack he had ever had), DYSPNOEA (unable to breathe), GAIT DISTURBANCE (cannot walk), TREMOR (shaking), WEIGHT DECREASED (lost weight), MUSCULAR WEAKNESS (has no muscle left) and CHILLS (teeth chattering) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The treatment information included many medications and physical therapy. Company Comment Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded

I felt my body ache initially then fever sometimes. Headache. I was developing Rashes on my body I went to urgent care and they took a blood sample. At 8:30 PM I got a call from Dr the I have to visit urgent care immediately for a few more tests. Skin: Positive for rash (noticed rash on the trunk and abdomen yesterday. papular rash ). Neurological: Positive for weakness (feels tired and fatigued for last 2-3 days.). Negative for dizziness, tingling, numbness and loss of balance. Psychiatric/Behavioral: The patient does not have insomnia.

Pt w/ no known drug allergies and no known medications. Pt has a hx of getting lightheaded w/ shots or blood draw. Pt was tingly, pale, and lightheaded immediately after vaccination. @ 13:20 BP 90/49, HR 66, RR 14 -- > @ 13:34 109/72, 61, 16 -- > @13:37 (sitting) 109/75, 60 & (standing) 126/85, 64. Pt stable and released from the vaccination site.

Went to bed with the chills, never checked temperature. Woke up in the middle of the night with chest feeling heavy , was hard to breath, Sat up on edge of bed and then passed out and fell backwards in bed. Came to and passed out again. Came to again and took temperature and had 101.3 temp. Ran a fever and had chills for most of the day. Fever was gone by the following day and felt back to normal, just a little fatigued.

Pt states heart fluttering, rush, feeling terrible run down. Still continuing, feels as though heart skips a beat ever so often, refuses medical care.

Wound up in the ER with High Blood Pressure/Back in the ER with the same; Collapsed; Lupus in his kidneys; Kidney Malfunction/ hospitalized for 3 weeks now with kidney failure and is on dialysis; Stomach Issues after second dose; Headache; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (Collapsed), LUPUS NEPHRITIS (Lupus in his kidneys), RENAL DISORDER (Kidney Malfunction/ hospitalized for 3 weeks now with kidney failure and is on dialysis), ABDOMINAL DISCOMFORT (Stomach Issues after second dose), HYPERTENSION (Wound up in the ER with High Blood Pressure/Back in the ER with the same) and HEADACHE (Headache) in a 44-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 011A21A. and M20A) for COVID-19 vaccination. The patient's past medical history included Autoimmune disorder. On 19-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 18-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 21-Feb-2021, the patient experienced ABDOMINAL DISCOMFORT (Stomach Issues after second dose) (seriousness criterion hospitalization) and HEADACHE (Headache) (seriousness criterion hospitalization). On 06-Jun-2021, the patient experienced SYNCOPE (Collapsed) (seriousness criteria hospitalization and medically significant), LUPUS NEPHRITIS (Lupus in his kidneys) (seriousness criteria hospitalization and medically significant) and RENAL DISORDER (Kidney Malfunction/ hospitalized for 3 weeks now with kidney failure and is on dialysis) (seriousness criterion hospitalization). On an unknown date, the patient experienced HYPERTENSION (Wound up in the ER with High Blood Pressure/Back in the ER with the same) (seriousness criterion hospitalization). At the time of the report, SYNCOPE (Collapsed), LUPUS NEPHRITIS (Lupus in his kidneys) and RENAL DISORDER (Kidney Malfunction/ hospitalized for 3 weeks now with kidney failure and is on dialysis) outcome was unknown and ABDOMINAL DISCOMFORT (Stomach Issues after second dose), HYPERTENSION (Wound up in the ER with High Blood Pressure/Back in the ER with the same) and HEADACHE (Headache) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood pressure measurement: increased (High) Increased. On an unknown date, Blood test: abnormal (abnormal) Diagnosed kidney malfunction. Concomitant product use was not provided by the reporter. Patient reported that he had hospitalized for 3 weeks with kidney failure and he was on dialysis. he also reported that his son diagnosed with lupus in his kidney. Treatment information was not provided. The patient received both scheduled doses of mRNA-1273 prior to the events therefore, action taken with the drug in response to the event is not applicable. Company comment: Very limited information regarding these events has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding these events has been provided at this time. Further information has been requested.

It was an hemorrhage with broken veins; He had his right feet hot, swelling and purple; He had his right feet hot, swelling and purple; He had his right feet hot, swelling and purple; This spontaneous case was reported by a consumer and describes the occurrence of HAEMORRHAGE (It was an hemorrhage with broken veins), FEELING HOT (He had his right feet hot, swelling and purple), PERIPHERAL SWELLING (He had his right feet hot, swelling and purple) and SKIN DISCOLOURATION (He had his right feet hot, swelling and purple) in a 44-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No medical history was reported. In April 2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced HAEMORRHAGE (It was an hemorrhage with broken veins) (seriousness criteria hospitalization and medically significant), FEELING HOT (He had his right feet hot, swelling and purple) (seriousness criterion hospitalization), PERIPHERAL SWELLING (He had his right feet hot, swelling and purple) (seriousness criterion hospitalization) and SKIN DISCOLOURATION (He had his right feet hot, swelling and purple) (seriousness criterion hospitalization). At the time of the report, HAEMORRHAGE (It was an hemorrhage with broken veins), FEELING HOT (He had his right feet hot, swelling and purple), PERIPHERAL SWELLING (He had his right feet hot, swelling and purple) and SKIN DISCOLOURATION (He had his right feet hot, swelling and purple) outcome was unknown. Concomitant product use was not provided by the reporter. The patient went to the hospital and was told that it was an hemorrhage due to broken veins and did not have clots. Based on the current available information and temporal association between the use of the product and the events, a causal relationship cannot be excluded. No treatment information was provided. The patient received both scheduled doses of mRNA-1273 prior to the events therefore, action taken with the drug in response to the events was not applicable. Based on the current available information and temporal association between the use of the product and 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 events, a causal relationship cannot be excluded.

I developed a DVT in my lower left leg, which I noticed from the swelling, warmth and pain. Then, a few days later, on a Sunday so my Dr's office was closed, I started having extreme difficulty in my breathing. I went to the ER and, after having multiple testing, was diagnosed with the DVT and a PE in each lung (almost to the point of full blockage). I was kept in the hospital overnight so they could monitor my breathing to be sure I wasn't stopping breathing throughout the night. I'm now on blood thinners for life.

to receive the second is to far out from his first dose since he got it on 03Mar2021; chills; Fever; headache; Light headed; Collapsed; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (Collapsed) in a 45-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 012A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19 (COVID -19 in December of 2020 but was not hospitalized.) in December 2020. Concomitant products included VALSARTAN for an unknown indication. On 03-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 03-Mar-2021, the patient experienced SYNCOPE (Collapsed) (seriousness criterion medically significant). On 04-Mar-2021, the patient experienced DIZZINESS (Light headed) and HEADACHE (headache). On 05-Mar-2021, the patient experienced CHILLS (chills) and PYREXIA (Fever). On an unknown date, the patient experienced PRODUCT DOSE OMISSION ISSUE (to receive the second is to far out from his first dose since he got it on 03Mar2021). The patient was treated with PARACETAMOL (TYLENOL) for Fever, at an unspecified dose and frequency. At the time of the report, SYNCOPE (Collapsed), DIZZINESS (Light headed), PRODUCT DOSE OMISSION ISSUE (to receive the second is to far out from his first dose since he got it on 03Mar2021), HEADACHE (headache), CHILLS (chills) and PYREXIA (Fever) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 05-Mar-2021, Body temperature: 102-103 (High) fever around 102-103 degrees. In 2021, Blood pressure measurement: low (Low) Low. In 2021, Heart rate: low (Low) Low. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. It was reported that the patient collapsed in a restaurant booth around 6:50pm and had to go to ER and it was found that his pulse and Blodd pressure was low. But the ER could not come to a conclusion of what caused him to collapsed. His primary care doctor referred him to a cardiologist to make sure everything was okay but he determined that his medication needed to be changed. On 04Mar2021 he felt light headed and on 05Mar2021 her had a fever around 102-103 degrees, chills and used Tylenol to break the fever. The patient could only work half a day both days. On Saturday the patient felt fine and the next week would have spells of lightheadedness that would cause him to have to sit down. Company Comment: This report refers to a case of Product dose omission issue with adverse events of syncope, dizziness, pyrexia, headache and chills in a 45-year-old male patient. Reportedly, the patient experienced syncope, dizziness, pyrexia, headache and chills after the administration of the first dose of Moderna COVID-19 Vaccine, and based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. The causality for the product dose omssion issue is not applicable.; Sender's Comments: This report refers to a case of Product dose omission issue with adverse events of syncope, dizziness, pyrexia, headache and chills in a 45-year-old male patient. Reportedly, the patient experienced syncope, dizziness, pyrexia, headache and chills after the administration of the first dose of Moderna COVID-19 Vaccine, and based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. The causality for the product dose omssion issue is not applicable.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Additional Details: Pt received first shot setting down. When advised to move to obseration area and pharmacist walked back to pharmacy, pt fainted. Pt was hot, sweaty, and has low BP. EMT was called and pt was resolved and alert after several minutes. Pt was evaluated by EMT and cleared and left on his own.

I had an EKG done on Monday, 26 July and when I saw my primary care physician today, July 28 for pre-op for a shoulder surgery scheduled for August 10th, the doctor told me my EKG was abnormal and it shows signs of myocarditis (enlargement of heart)

Recipient reported chest tightness on one side then the other. Blood pressure was checked- 162/103. The recipient was escorted to our facility's outpatient clinic. He reports receiving medication for the blood pressure and being monitor for a few hours but his blood pressure did not decrease. He was encouraged to visit his PCP.

After my shot Inhad a lot of energy and felt fine during the day. At night I was shaking uncontrollably. drank water and took tylenol. Fell asleep and woke up soaking wet. Next day I still had a fever. Had chills and my body got warm. This went off and on throughout the day. I was exhausted. At night I had a bloody nose. Went to bed and woke up wet again but not as bad as the first night. Morning time I felt fine. Went to the gym and the sauna. Started to exercise and felt lighted headed and cloudy. Went home laid down. I still feel weird on and off. Went to the bathroom and had black stool. My right arm is still sore.

Onset of symptoms: 01/04/2021@12:00PM Temperature: 102F Fatigue, muscle ache, diarrhea, nausea, "heaviness in the chest" Individual was tested yesterday to rule out COIVD19 with PCR (molecular test) and the antigen test. Both test came back today: negative.

Shortness of breath, coughing, some deep chest soreness. Worse when laying down in any position. Began using Albuterol this morning (approx 3 hours ago) with no change in symptoms.

SkinRash, Rash, NauseaVomiting, Palpitations, Feeling "hot" and "clammy" Narrative: Employee received vaccine around 10:30am. At around 10:45 employee reported palpitations, nausea, headache, and feeling "hot" and "clammy". BP 193/119 with a HR of 95. After 15 mins of rest, employee continued to feel poorly reporting a slight worsening of symptoms. Face appeared very flushed. BP on recheck 193/112 with a HR of 105. Employee escorted to ED for evaluation at this time. In ED, employee developed full body rash. Was given 50mg IVP benadryl and 125mg IVP methylprenisolone in addition to 1L of Lactated Ringers- all with symptom improvement. Allergy/Immunology consulted. Recommend serum tryptase level. If elevated, advised that employee should not receive second vaccine dose. Employee discharged home with RX for epi-pen, prednisone, and cetirizine. Of note, employee reports a history of Thalassemia. Has a hx of hives with PCN and a rash with cipro.

Confusion, Headache, Myalgia, Arthralgia, Swelling and pain at the injection site, fatigue, tingling, feeling of heat in feet, chest tightness, eye pain Narrative:

Pt received Covid-19 vaccine at 1300. After no reportable symptoms for approximately 2 hours, reported back to immunizations for additional vaccine. After administration of last vaccine, pt leaned head back (pt was seated), eyes rolled in back of head, and appeared pale and diaphoretic. After a few seconds, pt regained consciousness. Pt continued to rest with legs propped up and cold compress on neck. VS were taken following event: BP 115/80. SPO2 93%, T 96.8, R 16. Pt reports hx of "passing out" with blood draws and previous vaccinations. Provider visited with pt and was okay to leave facility.

All symptoms occurred at the 12-24hr mark: metallic taste, chest tightness, limb (needle like) itching, cold sweats, body ache/pain, chills, nausea. All symptoms resided except for malaise after the 24hr mark. Malaise current through today(11JAN21)

8JAN21- 1630 - 1730 - light headed, sporadically saw stars every 2 seconds, in wave pattern. 2000-2400- Did not sleep well. Felt dizzy, light headed. Loud ringing in ears. Buzzing of head. 9JAN2021 -Cold sweat, nauseous, prickly pin and needles come and go in hands, arms, legs, and feet. Sharp 2 second knife pains in chest and sides come and go. Strong metallic taste in mouth, even water taste metallic. slight numbness feeling in arms and legs. Very fast heart beat when standing up (120). Immediately drops (to 80) when I lay down. Very loud ringing in ears and buzzing in head. Extreme weakness in muscles. Very fatigued. 10JAN2021 Feeling a little better. Still light headed and slight ringing in ears and buzzing in head. 11JAN2021 Even better but still slight buzzing in head. Very tired and fatigued. Injection site on arm was normally sore (like flu shots). NO headache. NO fever.

Patient received vaccine in afternoon of 12/28. She works in ER as housekeeper 7pm-7am. The day she received the vaccine she became ill with fever chills and nausea and left work at 2am. On 12/31 she developed hemianopia. She went to ER and they did CT scan. She was told it was complex migraine. She left and came Home. On 1/1/21 her vision was back to normal. On 1/3 she suffered bilateral cerebellum ischemic stroke. She is currently in medical center. In Trauma.

Within 1 minute of receiving vaccination, heart rate increase to over 145 bpm. Blood pressure increased significantly. Began sweating profusely. Developed a very dry mouth and high rate of breathing. Lasted for about 20-30 minutes and then returned to normal.

Patient complained of lightheadedness and elevated heart rate. Vital signs taken. No further complaint of headache after 10 minutes, heart rate had slowed. Increased wait time and patient left on own accord.

I experienced tachycardia, almost lost consciousness in the early morning of 1/13/21. I had to call 911. When EMT's arrived about 10 minutes, my heart rate went down to 100bpm. I decided not to go to hospital and just continue observation. I still have a feeling of increased nervousness and palpitation in my chest today.

Client complained of dizziness. He reported to have eaten an apple pie before getting vaccinated. He stated that he forgot to take his Xanax this morning. BP at 2:40p 144/106 pulse 108, encouraged to rest. BP repeated at 03:05 136/99 pulse 103 . Client felt better. Encouraged to rest at home and contact PCP in case of adverse reactions.

Vaccine was administered to patient in his room at 12:50pm. After the patient finished his lunch in his room he was wheeled out to the nursing station for observation. at 1:30pm the nurse wheeled patient into our working/set up area and stated that patient is having a vaccine reaction. I observed that his lips were noticeably swollen. I asked patient to stick out his tongue, it also was noticeably swollen. Only the tip of his tongue extended about 1/2 inch past his lips. I administered 0.3mg of Epinephrine via and epi-pen into his right thigh and instructed the nursing staff to call 911. Patient improved markedly over the next 10 minutes when Fire Department EMT's arrived. Nursing staff monitored his blood pressure, heart rate and pulse and oxygen sat. heart rate was elevated somewhat likely due to epi , BP was 121/73, pulse steady and ox sat good. Fire Department transported patient to a nearby ER for further evaluation and treatment if necessary.

I became very clammy in the hands and started to black out just 10 minutes after having the vaccination shot. I was in the waiting room. The staff member monitoring saw me going to the floor and called the head doctor over to help. They called EMT's. I was laid onto the floor on my back and legs up onto a chair. The staff took my blood pressure which was low. Approximately, 2 minutes later, they took my blood pressure and it went back up to a more normal level. The EMT's helped me up and took my blood sugar levels and pulse oxygen levels which seemed normal. I was able to feel better, but the color of my skin was yellowish and pale. The EMT's suggested that I talk with my doctor before getting another vaccine and talk about my symptoms.

At 12:30 i was lying in bed and started getting more and more restless. I could feel something happening with my body on the inside like a storm. I got up to use the bathroom and had a syncopal episode about halfway to bathroom. Fell and i came to immediately when my name was called. I got back into bed. My lips were white. I still felt lightheaded but could breathe freely and easily. There was no noticeable swelling impairing my breathing. Initially i could not get a reading on my pulse oximeter. After a few minutes it worked and by then i was at 95%. I suspect the oxygen was quite low prior to that. For the next day i had a fever and farigue. The day after that I had some lingering fatigue but no fever. Right now I am not planning to get the second shot in the series.

During the 15 minute post vaccination observation period patient developed a significant headache and did not feel well. His blood pressure was taken - 190/130 - and he was placed on a gurney in the vaccination area for observation. His blood pressure continued to remain elevated with a persistent headache. He was taken to the emergency department for further workup - triaged there at 1317 with a BP of 190/114. Medications given: APAP 1000mg p.o at 1335. Hydralazine 10mg IV at 1335. Hydralazine 25mg p.o. at 1350. Hydralazine 25mg p.o. at 1530. Discharged in stable condition to home at 1553 with a new prescription for Hydralazine 50mg TID (double his previous dose). Dx included non-compliance and anxiety.

Fever 101.8, Tachycardia, dizziness, Severe malaise, Severe Right sided abdominal pain with peritoneal signs and tenderness in right upper and lower quadrant. Symptoms started approx 12 hrs after the injection and persisted till 50 hrs post injection. Symptoms were so intense that I had to take 3 days off from work

On 1/28/2021 at 0545 hours as I was on my way into work when I started to have severe right side chest pain, so much so that I had to pull over. Shortly thereafter ambulance arrived on scene at which time it was determined that I would be transported to the hospital. Once there, a series of tests were conducted, one of which was a D-Dimer blood test to rule out blood clots. That resulted in an elevated count to which a CT scan was ordered. The result of the CT scan revealed that I had 2 Pulmonary Embolisms, one in the upper lobe of my right lung and one in the middle lobe of my right lung. Due to me being what the doctors said was a healthy 45 year old with no underlying conditions or signs of DVT (deep vein thrombosis) they deemed me low risk at that time and advised I was at low risk of dying in the next 30days. However, they advised that at any time, the clot could possibly become dislodged and cause worse problems, possibly death if time is not given to the body to dissolve the clots. Ultimately it was determined that I be discharged and prescribed blood thinning medications to help thin the blood to prevent further clotting should I have a clotting issue (undetermined at this time).

Muscle pain in both legs, joint pain in both legs, chills, tight chest (used my inhaler 2x with 2 shots each time (albuterol sulfate, 90mcg)) Took first dose of 2 Ibuprofen (200mg each) at 1am then second dose of 2 Ibuprofen (200mg each) at 5am. All symptoms subsided accept for the chest tightness by 730 am on 2/3/2021. Chest tightness is fine and not of concern currently and treated with inhaler.

Pain from injection went to chest, headache, now has cough with runny nose, itchy throat, no temperature.

Approximately 12 hours after my 2nd injection of the Moderna COVID19 vaccine, I experienced severe nausea and ended up having an episode of syncope where I passed out on the stairs in my home.

I had muscle aches to the point where it felt like the chest and back were caving in at the same time. I had fast heart palpitations. I got dizzy and felt weak at points. I went to the Doctor and it was also determined that I was wheezing when he checked my lungs. He prescribed me a 30 day usage of the Albuterol Sulfate pump to help with the wheezing 3x a day.I saw the doctor January 23rd.3 days after receiving the Moderna Covid-19 Vaccine EUA.

Patient was in observation post vaccine and pharmacist saw patient looking different and began to call out SIr Sir as pharmacist was making way to chair when patient fell forward onto floor and hit his head on a display of cold medicines. Pharmacist and another associate helped patient up who was conscious. He asked what happened and if he were standing. He shared that everything went pitch black. He was placed on chair; pharmacist asked if he wouldl like to lie down and he declined. He stated he had felt nervous and scared about imz before his appointment. Patient did cut his lip in fall and was given napkins for bleeding and a cold compress for face and neck. Patient waited with us for 2 hours. His BP was 154-74 and pulse of 54 ; patient stated he was a runner with low pulse. Patient arranged for a ride from family member since he lived far and was not sure about driving. I recommend that he place a call in with his provider.

Noticed increase in heart flutter while lying down but patient unsure if he felt flutters before vaccine

Patient reports squeezing kidney pain x 12 hours, red itchy flat rash on trunk, tachycardia, headache and warm red injection site.

complaint of chest pain, patient sent to ER and hospital admission 2/10/21 to 2/11/21. advanced cardiac imaging found old arterial occlusion with collateral perfusion,no stent ,no surgical intervention.

Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted for a brief moment after he received the COVID vaccine. Called 911 to have him checked out.

I have had a low grade fever (99.5) for a week now. I have had insomnia since the night of the injection. EVERY night I wake up hot 3 hours after I went to sleep. I have never gotten the chills, only hot. I usually need to take a sleep aid to get back to sleep which is NOT normal for me. Many times I wake up again 3 hours later even after the sleep aid hot. My lack of sleep has really been hard on my daytime working and living at this point. When I wake at night hot my temperature is usually 99.5, but has been a bit lower at times too. I also feel that I have rapid heart rate at this time (when I try to fall back asleep) and it seems as if my heart is beating harder than normal. I also feel a buzzing in my head like I drank too much coffee type of feeling. The first couple of days I felt tired and weak and a bit achy throughout the day. The next few days after that I felt dizzy and light headed with a headache. The first few days I also noticed slight muscle spasms throughout my arms and torso particularly when I laid down at night to go to bed and was still and relaxed. I have been taking over the counter pain/fever pills usually for the headache. I contacted my doctor and he said to give it a week. It has been a week yesterday, but Dr is closed for weekends and Fridays. I went to urgent care on Friday and they were not helpful (virtually). They said give it 5 more days!!!!! I am extremely tired of this and worried at how long it has been. NOBODY I know with the first shot has had this reaction. My wife is nervous as well and we would really like to hear something that may ease our minds at this point. Some explanation as to why my body may be reacting this way, or if any others have had this same situation.

After receiving my shot, I waited the half an hour. I felt a pinch in my head and tightness in shoulders and neck. Once I reached the parking lot I was belching ridiculously and started feeling like vomiting. Than my chest hurt. Went back to the clinic and said I don't feel right. They had me stand in line and wait to be re-admitted. The nurse starting taking blood pressure and offered me water I could not swallow the tiniest amount. My neck felt like I was being chocked. My fingers on my left arm started tingling and arm was getting slightly red and arm felt heavy. The nurse said my symptoms were happening internally. The doctor had me remove my mask and looked at the back of my mouth. Than used a stethoscope on my chest and the back. Asked if I had asthma , said no. He Than requested epinephrine shot and a steroid. With in a few seconds I started feeling like I could breathe. He prescribed an epinephrine pen incase I had another episode. Two day later I had another visit online with doctor from about redness on left and right arm. Having another allergic reaction and possible site infection. Now I'm taking 10 days antibiotics and allergy medicine.

Starting around 8pm on the day of the injection, I had the chills and was excessively tired. By the time I went to bed, I developed a fast heartbeat (similar to anxiety spells), front temple head ache, body aches, lethargic feeling.

Irregular heartbeat for 1-2 days beginning the morning after the vaccine. I also ran 15 strenuous miles that morning but I run almost every day.

SUBJECT BECAME FAINT, DIAPHORETIC AND NAUSEATED ABOUT 5 MINUTES AFTER RECEIVING THE 2ND DOSE OF THE VACCINE.

High fever/ chills to increased 104.6 on 2nd day , not controlled by 400 g of ibuprofen and 500 mf of Tylenol. Finally additional 500.mg was taken in 4 hrs span to break the fever. Severe body aches and inability to sleep. Next day was better qith fever only raging to 100 deg. 4rh day, Monday went to work feeling very weak. Passed out suddenly an hour into work, luckily passed out sitting in chair. 911 was called, all things normal , except weakness, aching, dizziness, Declined er transfer.

Felt extremely warm, started feeling lightheaded, started sweating profusely, vision started blacking out, got very close to blacking out and fainting. I was seated at the time, waiting the 15 minutes for observation after the shot, symptoms happened about 10 minutes into the waiting period. I was given some cold water right away, over the next 10 minutes my vision started coming back and I stopped sweating. Was told I looked flush when they first came over but was looking much better after another 10 mins. I stayed an additional 30 minutes for observation after the event and had friends come take me home and get my car. I'm still feeling very slightly light headed and somewhat tired 2 days later, but otherwise feeling great.

I blacked out after awaking, brushing teeth, and urinating. I had been standing for 3-4 min before passing out. Conclusion presumed from symptoms the following day. I also had a welt and abrasion on head, and split upper lip.

I had a nosebleed about 1 hour after the shot. I just had an unexpected another nosebleed on 3/19 at 12:00.

Fast heart rate; rash/ redness - chest, neck, face; feeling hot; feeling dizzy; feeling lump in throat; feeling stomach nausea

Body aches in left shoulder, overnight nausea. These adverse reactions are not so concerning because I have heard how commonly these are experienced. What is most concerning is that I woke up at 3:30 AM feeling nauseous and made my way to the bathroom as a result. At some point, once entering the bathroom, I lost consciousness and when regaining consciousness saw that I had pulled the entire toilet off the floor, cracking the large reservoir and breaking the lid into several pieces. Water was spraying and leaking. Fortunately, I did not suffer a bruise or cut. I am, however, concerned whether I should expect to lose consciousness again.

A spontaneous report was received from a Consumer concerning himself, a 45-years-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced uncontrollable extreme abdominal pain/abdominal pain, cold sweats/cold sweat and passed out/loss of consciousness. The patient's medical history was not provided. No relevant concomitant medications were reported. On 14 Jan 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot batch: 013L20A) in his left upper arm for prophylaxis of COVID-19 infection. On 15 Jan 2021, the patient experienced uncontrollable extreme abdominal pain, and passed out. He also had cold sweats. Lab data was not provided. No treatment was taken, just rehydrated. Action taken with mRNA-1273 in response to the events was unknown. The outcome of events -uncontrollable extreme abdominal pain, cold sweat and passed out so badly was considered resolved within 24 hours on 16 Jan 2021.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the reported events, a causal relationship cannot be excluded.

10 min after vaccination became diaphoretic, decreased level of consciousness, decreased BP EMS called to site, client stabilized and refused transport to hospital.

2.5 days post vaccination, patient had a seizure due to extremely low blood pressure. This was most likely due to an adverse reaction to the prescriptions that were prescribed to him post surgery. He was taken to the ER and admitted to the hospital for 2 days. All tests - other than blood pressure of 80/38 on a man with high blood pressure, were normal.

Approximately 5 minutes after vaccination, complained of dizziness, without other symptoms. He then lost consciousness for approximately 30 seconds. EMS was called. At the time, his pulse oximeter reading was 98 %, his pulse was 55 and his blood pressure was 150/80. Once he became responsive, he was oriented to person, place and time. Once EMS arrived two minutes later, consented to enter ambulance for evaluation. With confirmation of stable vital signs, and his evaluation complete, refused further care and left the parking lot on his own accord.

Patient waiting his 15 minutes after receiving 1st dose. Became limp in chair, face pale. He responded to his name and other simple questions within 30 seconds of onset but continue to appear pale and reported feeling light headed. Stated that he has fainted before after giving blood, etc; His blood pressure then was 110/60 and pulse 68-72. @nd blood pressure a few minutes was 82/40. He continued to feel light headed with nausea. Decision was made to take him to the Emergency department as vaccine clinic was in hospital. Patient was admitted then to the Emergency room.

I started coughing up specs of blood out of the blue. Called doctor and they said to watch it. Later that night I started coughing up Tablespoons of fresh blood that wouldn't go away. Took ambulance to ER. CAT Scan showed an inflammation in lung and showed source of bleeding. They diagnosed me with pneumonia though I had no other symptoms (no fever or elevated white count, cough, or anything). Gave me IV antibiotics and sent me home with more antibiotics. Following up with a GP next week and asking to see a pulmonary specialist.

The patient is a 45 y/o male prisoner who presented 4/3/2021 with 3 days of headache, neck pain and stiffness, sensitivity to light, and nausea. He was found to have extensive dural venous sinus thrombosis causing the symptoms. He has hypothyroidism was taking levothyroxine 150 mcg daily at time of vaccination. On admission on 4/3/2021 his TSH was found to be 12 and levothyroxine dose was increased to 175 mcg on 4/4/2021. He has no prior history of thrombosis and the only family member with thrombosis is his mother who had DVTs associated with lung cancer. He has a history of prior COVID-19 infection in April of 2020 and at that time reported 3-4 days of mild symptoms and was not hospitalized or given anticoagulation. He has not had fevers, chills, or other symptoms of infection. He received his first dose of the Moderna COVID-19 vaccine at the prison on 3/23/2021 which was 9 days prior to symptom on set 12 days prior to presentation at the hospital. He reports 2-3 days of arm soreness at the injection site in his right arm, mild neck soreness, and fatigue after the injection which had resolved prior to his current symptoms starting. He currently remains hospitalized and is being treated with anticoagulation.

Moderna COVID-19 Vaccine EUA first dose given at 6pm. Mild pain at injection site within a few hours. 3am (9 hours after injection) I went to the bathroom, and while standing got dizzy and lightheaded tried to sit down. Collapsed while trying to sit down and hit head on bathroom floor. Cut right eyebrow on floor. Tried to get back to bed and was in and out of consciousness for 30-60 seconds per spouse. Vasovagal response symptoms. Cold sweats. I was very thirsty and drank a tall glass of water. 5 minutes later I stood up and went back to bed feeling fine. I slept the rest of the night and felt fine the next day, and for the rest of the weekend with no other symptoms.

I had an extensive oral surgery about 36 hours after getting the vaccination. I had non profuse bleeding after the surgery. I experience a condition called Liver Clot (currant jelly clot). This condition and the bleeding continued for over 5 days following the surgery or 6.5 days after the vaccine dose 1.

After first dose I experienced severe L shoulder pain for 2 days. Couldn't move it well, could not sleep on it. Pain started 4h after injection. After second dose I started experiencing L shoulder pain after 40 minutes. Pain was so severe I could not put my hand into the packet. In the evening the same day I started running temperature 101F that last 3 days non stop. I started experiencing severe chills, could not stop at times shaking! I was hot and cold every so often. I started experiencing same evening severe body ache which was constant and felt like I was squeezed by some machine. I could not sleep, I felt just terrible, couldn't find comfortable position. My heart beat resting was 110 per minute and it stayed like that first night. My normal resting pulse is 60-70 bps. I did not have headaches or nausea. At night everything felt worse. After 3 nights temperature subsided but I was exhausted and my temperature dropped 95.9F my normal temperature is 97.88F. ( 36.6C) . Since April 2nd I have been tired and I want to sleep all the time.

Nose bleeds commenced daily in the mornings and evenings 2 days after. Headaches are frequent. Constant tiredness and fatigue. Second shot if booked for April 20th - need to know if this will be safe No temp, no fever, no loss of taste

Soon after injection I developed soreness at injection site, and about an hour later it travelled down my arm and to my hand, with also arm stiffness. On Monday, 4/12/2021 at 12:15am (about 6 hours after injection) I developed chills and body aches. Throughout the night I also developed a headache, muscle aches, nausea and started sweating. At 9am (4/12/2021) when I woke up, all the symptoms continued (chills, body aches, muscle aches, arm soreness and stiffness, headache, nausea) and also felt extreme tiredness. My temperature at 9:15am was 100.4 degrees F. I basically stayed in bed and slept most of the day. I got up at 2:30pm to get something to eat and had a temperature of 101 degrees F. After eating, which made me feel even more nauseous, I went back to bed and continued to sleep. I woke up at 7:30pm to feed the cats. I felt the same as I did at 2:30pm--listed above--and was up and about for 20 minutes. I started to prepare a quick meal and fainted twice (around 8pm) within a minute from each other. The first time I fell to my knees and the second time I felt onto my back. I was unconscious for only a few seconds each time. I went into bed after and placed an ice pack on my forehead. I took my temperature after the ice pack at 8:15am and my temperature was 101.4 degrees F. I ate soup around 8:45am and took Tylenol (1000mg) at 9:30am. I went back to bed and slept all through the night. This morning (4/13/2021--2 days after injection) I feel much better--only have some slight chills and arm soreness. My temperature at 9:15am (4/13/21) was 95.7 degrees F.

Patient has a history of anxiety. Patient complained of feeling a fast heart rate, stated heart was "racing". Heart rate 110 initially. After 5 minutes of rest, heart rate was 81. Blood pressure was elevated (150/100, 5 minutes later 144/91), with no history of hypertension. Denies any other symptoms. Patient felt better and left the clinic.

Patient reports feeling dizzy, lightheaded, passed out 3 times, clammy, anxious. EMS assessed patient, BP:84/63, pulse 41, spo2 97-99%, BS 154, second set of v/s; BP: 99/66, pulse: 52, third set of v/s; BP: 105/68, pulse: 63-75. Patient reports he has history of passing out with needles , he reports feeling better, symptoms improved, refused transport to ER, he was cleared by EMS.

Patient experienced vasovagal syncope x4. Blood pressure 90/60, skin clammy and pale. Patient was laid down with feet elevated and provided a cool compress. Patient's blood pressure reached 118/72 and reported feeling better. Patient was transported via ambulance to the Hospital for further evaluation. Patient required no treatment at the hospital and was discharged home to care of self.

1 minutes post inoculation: Tachycardia with HR 160BPM & left arm swelling. Pt states feeling "generally unwell." Anxious mood. Meds administered during ED visit: Sodium Chloride 0.9% bolus 1L IV; famotidine 20mg IV; diphenhydramine 50mg IV During ED visit VS: BP 123/76, Temp 98.2F oral, HR 84, RR 16, SpO2 100% on RA.

All side effect experienced and severe. Extreme headache starting 12 hours after injection, fever, chill, sore body, sore arm. Heartbeat start racing once fever started and sustain at 145 beat per minute for over a day, and over 110 over the next day. Heartbeat has not returned to normal after 3 days. Other reactions subsided after 60 hours, with lightheadedness still lingers after 60 hours.

On 4/21/2021, 45-year-old male presents to urgent care for complaint of constant left lower extremity pain centralized in the calf area radiating to left posterior thigh area since April 12, 2021. He denies fevers, chills, chest pain, shortness of breath, palpitations, orthopnea, peripheral edema, claudication, nausea, vomiting or diarrhea. He reports that symptoms started after receiving the 1st dose of the Moderna Covid vaccine. Ultrasound of LLE completed 4/21/2021 results Acute deep vein thrombosis. Patient directed Hospital ED. Patient prescribed Eliquis 5mg.

10:10am - pt stated he felt like he was going to pass out, appears diaphoretic and pale. Pt laid on floor and raised his legs, then stated he needed to use the restroom. Pt got up and attempted to ambulate towards restroom, but began to fall forward. Pt placed in chair, increased diaphoresis and gasping respirations with "seizure like" activity and moaning. 10:12am - On site EMS assessed and attended pt. HR 45, O2 100%RA, unable to assess BP as pt removed cuff. 10:15am - 911 called, pt informed staff of his history of syncopal episodes and bradycardia 10:25am - EMS arrived 10:32am - Pt transported via Ambulance.

10:10am - pt stated he felt like he was going to pass out, appears diaphoretic and pale. Pt laid on floor and raised his legs, then stated he needed to use the restroom. Pt got up and attempted to ambulate towards restroom, but began to fall forward. Pt placed in chair, increased diaphoresis and gasping respirations with "seizure like" activity and moaning. 10:12am - On site EMS assessed and attended pt. HR 45, O2 100%RA, unable to assess BP as pt removed cuff. 10:15am - 911 called, pt informed staff of his history of syncopal episodes and bradycardia 10:25am - EMS arrived 10:32am - Pt transported to Hospital via Ambulance.

Patient appeared to have fainted. He fell as he was leaving the building after being observed for 15 minutes following his vaccination. He sustained a laceration to the back of his head on the left-side and also to his left elbow. Pressure was applied using sterile gauze to both lacerations. EMS was called, arrived about 10-15 minutes following the incident, loaded him onto a cart and transported him to the ambulance for further evaluation.

Previously healthy 46 yoM received moderna dose 1 on 4/9. On 4/13 starts noticing a petechial rash on bilateral feet. This spreads up the legs with some involvement in the torso. On 4/15 notices mucosal bleeding with gums while brushing teeth, increasing spontaneous nose bleeds overnight. On 4/21 has a telehealth PCP visit, sent for lab work which shows thrombocytopenia with a platelet count of 2k as well as a hemoglobin of 12.9. Is sent to the ED with repeat platelet count of 1k. Previously platelets were 143k in 2019. Pt admitted for further work-up

massive blood clot in the right lung; painful knot under the skin on his arm; threw up about 20 times in 6 hours, and kept vomiting all the next day; massive blood clot in the lung ended up in different parts of the lung causing extreme amount or pain\ Left lung is beginning to hurt again and his chest is killing him; next day when he got up and could barely walk; This spontaneous case was reported by a consumer and describes the occurrence of PULMONARY EMBOLISM (massive blood clot in the right lung), PULMONARY PAIN (massive blood clot in the lung ended up in different parts of the lung causing extreme amount or pain\ Left lung is beginning to hurt again and his chest is killing him) and THROMBOSIS (painful knot under the skin on his arm) in a 45-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 027A21A and 007B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Autoimmune disorder NOS in September 2020 and Broken bones. On 18-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 19-Mar-2021, the patient experienced GAIT DISTURBANCE (next day when he got up and could barely walk). On 26-Mar-2021, the patient experienced PULMONARY EMBOLISM (massive blood clot in the right lung) (seriousness criteria hospitalization, medically significant and life threatening). On 04-Apr-2021, the patient experienced PULMONARY PAIN (massive blood clot in the lung ended up in different parts of the lung causing extreme amount or pain\ Left lung is beginning to hurt again and his chest is killing him) (seriousness criterion medically significant). On an unknown date, the patient experienced THROMBOSIS (painful knot under the skin on his arm) (seriousness criterion medically significant) and VOMITING (threw up about 20 times in 6 hours, and kept vomiting all the next day). On 19-Mar-2021, GAIT DISTURBANCE (next day when he got up and could barely walk) outcome was unknown. On 28-Mar-2021, PULMONARY EMBOLISM (massive blood clot in the right lung) had not resolved. On 04-Apr-2021, PULMONARY PAIN (massive blood clot in the lung ended up in different parts of the lung causing extreme amount or pain\ Left lung is beginning to hurt again and his chest is killing him) had not resolved. At the time of the report, THROMBOSIS (painful knot under the skin on his arm) and VOMITING (threw up about 20 times in 6 hours, and kept vomiting all the next day) outcome was unknown. Not Provided Treatment information provided as blood thinners (IV heparin) and antibiotics were used to treat the events. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. This case was linked to US-MODERNATX, INC.-MOD-2021-081632 (E2B Linked Report).; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. US-MODERNATX, INC.-MOD-2021-081632:2nd dose

This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of PULMONARY EMBOLISM (Developed a pulmonary embolism) in a 45-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 06-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Apr-2021, the patient experienced PULMONARY EMBOLISM (Developed a pulmonary embolism) (seriousness criterion medically significant). At the time of the report, PULMONARY EMBOLISM (Developed a pulmonary embolism) outcome was unknown. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. The concomitant medications and treatment details were not provided. Company comment: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

severe pain at injection site, horrible headache, dizzy, blurry vision, sensitivity to light, congestion, difficulty breathing, cough, heavy chest, abdomen swollen and tender to touch, nausea, bloating, loose stool, moaning, fever, sweats, chills, severe joint pain full body, restless, unable to sleep, unable to eat or get out of bed or work

Rapid pulse, complete weakness on the right side of my body, unable to stand, difficulty gripping objects, chest pains

at ER patient was diagnosed with a stroke and now remains hospitalized; fever; bodyache; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of CEREBROVASCULAR ACCIDENT (at ER patient was diagnosed with a stroke and now remains hospitalized) in a 45-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 037B21A and 030A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 19-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 16-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 16-Apr-2021, the patient experienced PYREXIA (fever) and MYALGIA (bodyache). On 27-Apr-2021, the patient experienced CEREBROVASCULAR ACCIDENT (at ER patient was diagnosed with a stroke and now remains hospitalized) (seriousness criteria hospitalization and medically significant). On 18-Apr-2021, PYREXIA (fever) and MYALGIA (bodyache) had resolved. At the time of the report, CEREBROVASCULAR ACCIDENT (at ER patient was diagnosed with a stroke and now remains hospitalized) had not resolved. Not Provided No concomitant medication was provided. Treatment included hospitalization. The patient received both scheduled doses of mRNA-1273 prior to the event; therefore, action taken with the drug in response to the event is not applicable. 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, a causal relationship cannot be excluded. Fever and myalgia are consistent with the product 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, a causal relationship cannot be excluded. Fever and myalgia are consistent with the product safety profile.

Moderna COVID-19 Vaccine EUA: 2nd dose Please see continuation page ... Inside arm and armpit itching after 5 minutes Diarrhea after 3 hrs which stopped in an hr Transient Shortness of breath after 15 hrs ( last about half an hr): oxygen level 95-100 Chills starting after 15 hr Slight fever ~99f Hearth beat: 95 (normal rate ~60) Extreme Nausea w/o vomiting for 3 to 4 hrs Extremely sensitive to smells (pleasant or unpleasant) triggering nausea Stomach and esophagus intense cramps for 4 hrs so intense that I had to call 911 (they didn't prescribe anything other than Tylenol or NyQuil which I couldn't take due to nausea) Passed out multiple times Hallucinations and talking gibberish Lack of concentration

Patient expressed he was nervous about the vaccine and did not like needles. He decided to look away when he was administered the vaccine. Approximately 10 minutes after receiving the vaccine the patient notified pharmacy staff that he felt dizzy and nauseous. The patient was given cold compresses for his neck and wrists. After a few minutes the patient said the dizziness went away but he still felt nauseous. He sat on the floor with his feet elevated for 10 minutes then said he felt better and wanted to go to the bathroom. Upon return from the bathroom he said he vomited a small amount and felt better. We had the patient wait another 10 minutes in the pharmacy area before the patient left to go home.

Shortness of breath, fatigue, chilis and sweats, headache, weight loss, sore arm injection site, racing heart, nausea, achiness.

On 5/7 patient (self) had fever of 101.2 and violent chills as side effects. These subsided 5/8. Adverse event on 5/10 was an intermittent cough and deep chest pain that continued to worsen, preventing sleep. Patient took Ibuprofen 800mg. Event in progress. Will evaluate on 5/11 and decided if doctor visit is needed.

Fainted approximately 24 hours after receiving vaccine. Prior to fainting felt nauseous and light headed. Fainting lasted very short period of time (minutes or less), felt better afterwards.

Pt developed a spontaneous superior sagittal venous thrombosis with resultant subarachnoid hemorrhage and Frontal IPH and seizure. Pt had a sudden seizure at home and CTA/MRI showed Superior sagittal sinus thrombosis. Pt required intubation secondary to altered mental status. Pt underwent diagnostic cerebral angiogram which confirmed cerebral sagittal sinus thrombosis. Pt tolerated extubation on 5/11.

Several hours after Covid vaccine pt developed his classic sickle cell crisis symptoms of severe pain and was hospitalized 3/ 27 to 3/ 31 with sickle cell crisis. No clinical evidence of thrombosis, treated with IV hydration and oxygen and improved in several days. Had a previous h/o sickle cell crisis and hospitalization while taking oral typhoid vaccine in 2017. After discharge, 5 days later had onset of chest pain, returned to ER, Chest CT negative for embolus, D- Dimer > 18,000. No clinical evidence of clot. pt hydrated again / O2 but was able to go home. Covid negative by PCR during both episodes.

After 15 minutes of administration, pt is saying that he has "tightness around his heart" but no difficulty breathing. After 5 more minutes, but then, he said he feels chest tightness on his right side. He got his shot on his right arm. I told him it is probably not an allergic rxn since he has no swelling/rash, no problem with breathing. Most likely he is feeling something on his right side because he got the shot on his right arm.

Diagnosed with Myocarditis. Severe chest pain began at 2:30am. Went to hospital ER at 4am. Was given an ekg and blood test which showed a potential heart attack and was treated with Nitroglycerin at 4:30 am. Was given a cardiac catheterization at 6am that showed no heart attack and no arterial obstructions but showed one wall of the heart was not functioning properly. Heart issue was confirmed later in the day by an echocardiogram study. Was admitted to the hospital. Had an additional attack of chest pains at approximately 2:30pm the next day which was treated with 3 tablets of Nitroglycerin. Blood tests showed markers for inflammation.

Still having soreness in both upper arms, feel tired and yawning a lot, high or increased heart beat that comes and goes without physical exertion, some chest tightness, left leg cramping, occasional pale face that comes and goes as well.

Acute coronary syndrome with normal coronary arteries on coronary angiogram. Clinical presentation suggestive of myocarditis.

Recipient c/o tingling sensation on injection arm and that side of face, increased heart rate. Water was provided. At 11:30AM, BP decreased. Recipient denied s/s of allergic reaction, hypertension, or other discomfort.

Patient left the pharmacy area following the vaccination and headed to the employee breakroom to wait the required 15 minutes for observation. He reached the breakroom and sat down. He then became pale and passed out for a few seconds.

Patient presented to the ED with difficulty breathing and was diagnosed with pulmonary embolism prior to this visit. He then presented to the ED on 4/19/21 with similar sx and was subsequently hospitalized. These visits are within 6 weeks of receiving COVID vaccination.

Heart attack; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of MYOCARDIAL INFARCTION (Heart attack) in a 45-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017B21A) for COVID-19 vaccination. No Medical History information was reported. On 10-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 14-Apr-2021, the patient experienced MYOCARDIAL INFARCTION (Heart attack) (seriousness criteria hospitalization, disability, medically significant and life threatening). The patient was hospitalized on 14-Apr-2021 due to MYOCARDIAL INFARCTION. At the time of the report, MYOCARDIAL INFARCTION (Heart attack) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No concomitant products were reported. No treatment information provided. It was reported that three days after vaccination the patient had a heart attack. He was admitted to the ICU for three days, starting on 14-Apr-2021. He had seen his primary care doctor and his cardiologist multiple times since that incident and he was unsure of whether he should get the second vaccine dose or not.. Company comment: Very limited information regarding the event has been provided at this time. Further information has been requested.; Sender's Comments: Very limited information regarding the event has been provided at this time. Further information has been requested.

Patient presented on May 15, 2021 with sudden right lateral inferior chest pain that awoke him. He noted a feeling of heaviness and mild dyspnea for two days prior. Worse when flat. Hypoxic. Right upper quadrant guarding and tenderness. Treated with anticoagulation as an outpatient.

Pericarditis - Hospitalization from May 17-21, 2021, symptoms: shoulder and back pain, rapid heart rate, fever, shortness of breath, body aches, chest pain, chills. Treatment 2 weeks round of colchicine and lasix, antibiotics. Re-occurring pericarditis symptoms starting on June 9, 2021

Patient reports on and off "heart pain" that started after receiving the vaccine. He states, "feels like it's inflammed". Advised to talk to physician/be seen by physician.

February 15, 2021 started around 10:00am short runs of SVT. Intermitten throughout the day. Worsening in the evening - feeling nauseated, chest pain, palipations and anxiety. Presented to the ER around 9pm.

The evening of the 2nd dose, I had a fever of 100.4, the next day both my sciatic nerves felt like they were on fire. I couldn't even type an email, my hands and fingers hurt so bad. Strong fatigue, nauseous, headaches. On the Feb of 17th, my lymph nodes got swollen and they are still swollen. My head was light headed. Lymph nodes were so swollen in my arm pits that I had to lift my arms above my head to breathe. Experienced high blood pressure

16 days after receiving my first Covid vaccine shot (The 1st of the 2 shots required) Around 7pm on May 5th I started having a hard time breathing & slight chest pains. I decided to lay down & that seemed to make it worse. I've never had any issues like this before so I figured it would eventually go away on its own & continued to try and lay down on my bed but as each hour passed it continued to get harder and harder to breath & each breath I took became increasingly strained & felt as though my lungs weren't letting me take in large breaths, only short gasps. By 2am May 6th, 2021, I knew something was obviously veryyy wrong! I drove myself to the closest ER (that being Hospital approx 5 minutes away) & was admitted. After running several tests, I was presented with the news that I had ACUTE RESPIRATORY FAILURE, PNEUMONIA, HYPOXIA, PLEURAL EFFUSION & ACUTE SYSTOLIC CONGESTIVE HEART FAILURE...

A few minutes after pt received vaccine pt fell down was unconscious and started seizing for approx. 15 to 20 seconds. He remained uncounsious for an additional 30 seconds and woke up 30 seconds later. He awoke very disoriented and tired. He remained lying down until ems was able to come. He was then taken to the ER.

For my 2nd dose vaccine, the first night I experienced seizures and was trembling a lot; also developed headaches and fatigue. I also displayed symptoms of dizziness and blacked out. I have trouble breathing and I am now diabetic. I have congestive heart failure. I cannot go outside to the heat because I black out. I am on an albuterol treatment due to coughing spasms. My arms also get stiff, and I feel when I black out, I am out for a couple of minutes. They performed lab work, EKG, stress test and I am following up with a cardiologist. My blood pressure went up to 210/178. I have to follow up with my cardiologist in two months to monitor my heart. For my 1st dose vaccine, I had two seizures the same night. I could not breathe and gurgled. I went to see my PCP who placed me on high blood pressure medications. I lost 67 pounds of fluid in my chest. I swelled up so bad that I could not put on my shoes. I did not have these problems before receiving the MODERNA vaccine, dose 1 and dose 2. I also got lab work down and found out I had type II diabetes.

Patient started having intermittent worsening chest pain and shortness of breath starting 5 days after 1st shot.

Feeling of fluttering in the heart for several days... felt like heart beats are going out of sync... I did not seek medical help and this feeling went away after about a week or so. At that time I didnt know that this could be related to the 2nd shot of Moderna vaccine that I took.. I have no heart relates issues..

Having a slight pain in chest didn't thing anything of it , it went away until a few days later on June 4th the pain didn't go, went into the bathroom and almost passed out go the ambulance rushed to the hospital where they had to put a stint in the leg and stayed 4 days in the ICU before being able to come home. Has to take medicine everyday now for heart.

Patient started feeling ill the evening of the vaccination and called the pharmacy the next day to report symptoms of light-headedness, dizziness, weak legs, shaking, shortness of breath, chills, and chest pain. I called patient back a few hours later and patient said he felt better and the chest pain went away. He later noted that it could have been his anxiety causing the pain. Patient had been taking ibuprofen, acetaminophen, and drink a lot of water for treatment. Patient did not feel is was necessary to see the doctor or emergency department.

50 days after the 2nd dose of the Moderna Vaccination, I started having panic attacks. With the panic attacks, I also experience extreme dizziness, tingling throughout my body and significant spikes in blood pressure. It is now 71 days after my 2nd dose of the Moderna vaccination and I am still experiencing panic attacks, dizziness, rapid heart rate, and body tingling. The episodes are intermittent. Some days I am completely incapacitated and can't leave my bed which means I am out of work on those days. Some days, I am completely fine and can make it through the day. I am being treated by my doctor with Celexa which is an anxiety medication. So far, the medication isn't working. I had no indication of anxiety or panic attacks prior to getting the vaccination.

Within three to four hours of receiving the Moderna vaccine my stomach started to become uneasy. I thought it might have been what I ate for lunch after the shot but I started to have diarrhea and vomiting. While I was in the bathroom experiencing both I passed out and hit my head on the floor. My wife called 911 and was checked by the responding paramedics; my vitals were good and I did not feel the need to be transported to the hospital. Throughout the night I had chills and continued to throw up and experience diarrhea.

Within days PT complained of headaches that become severe in intensity. No history of migraines or other health issues . Just had a full workup prior for insurance purposes. Pt went to ER as pain would not subside and was sleeping a lot. Was diagnosed with a infarction in the brain x2. Headaches have never really improved and now is currently admitted into hospital with two more blood clots in brain.

Jan 15 – Moderna Shot #1 – no side effects. Feb 12 –Moderna Shot #2 – Side effects: fever, malaise, fatigue, site injection pain. Feb 13 - Side effects: fevers 99.2-100.4, body aches, lethargy Feb 14 – Side Effects: morning fevers, midday and afternoon felt like all nerves were on fire specifically the sciatic. Pain radiating down arms and it hurt to type email to (professors at ) Feb 14-17 – Side effects: nausea, mental fog, headache, fatigue Feb 18 – Side effects: (added to already listed above) lymphedema and swelling in ankles and feet. Feb 28 – side effects were still persistent, and breathing had worsened, so I sought out medical help.

030B21A - the Lot number could also be this; The acute symptoms: I had severe chest pain and it hurt quite badly (Thursday). I have suffered from heart problems in the past and the pain did not diminish throughout the entire day. I called my endocrinologist at the time. He said it wasn't related to anything he was doing. On the previous Friday, (the 11th) I moved my dosage of .25. to .5 - - Ozempic - Friday previous to the symptoms starting. It seemed related to lesser pain I had been experiencing after the change of the dosage to the increase on that of the severe chest pain - Thursday, then it was my second my dose of the increased Ozempic that I took and I ended up going in to the hospital ER. They assumed it was a heart attack. They had to put me on two different massive pain killers because I couldn't take morphine. I had a follow up with my primary. I have an appt with a gastroenterologist soon.

Patient reported chest discomfort after initial COVID-19 infection in 12/2020 - mild, lasting for 2 weeks - did not seek medical attention Received first dose of Moderna vaccine in 2/2021 - chest pain occurred and self resolved after 2 days. Received 2nd dose of Moderna vaccine on 3/19/2021 - chest pain start about 48 hours after wards and was constant prompting him to come to ER on 3/23/2021. Troponin-I was borderline elevated but flat (0.065, 0.054, 0.050, 0.045 ng/mL); echocardiogram did not show any regional wall motion abnormalities or pericardial effusion and preserved left ventricular ejection fraction. With no reported events of myocarditis related to the vaccine at the time and lack of cardiac MR imaging at the facility, patient was briefly treated for presumed NSTEMI with dual antiplatelet, high-intensity statin therapy and initiation of beta-blocker and ACE-inhibitor. On 4/19/2021, with inability to arrange for a local cardiac MR, and rule out underlying ischemic heart disease, a treadmill nuclear stress test was performed showing a moderate-sized fixed anterior and mid to apical anterolateral defect (sparing apex) with no evidence of ischemia on myocardial perfusion imaging or stress ECG. With ambiguity regarding the diagnosis and patient's reluctance to take empiric high-dose NSAIDs with colchicine for presumed myopericarditis, he eventually underwent cardiac MRI at a tertiary care facility on 5/5/2021 showing preserved biventricular size and function with myocardial edema and subtle left ventricular mid wall enhancement involving inferoseptal/inferior wall at the inferior RV insertion point consistent with myocarditis. Patient's aspirin and clopidogrel was subsequently discontinued. He was initiated on high-dose ibuprofen for 2 weeks followed by 3 months of colchicine therapy with interval resolution of symptoms.

Pt had L Upper chest pleuriti pain and DOE did not seek med attention 6 weeks later sought attention for R pleuriti pain and DOE - had pul infarct and LLE DVT

Dizziness, Palpitations, erythema 3 cm area at injection site l arm Narrative: Palpitations intermittently today, hemodynamically stable on exam, and ekg nsr. Advised to hydrate rest and avoid caffiene alcohol stress rtc or seek er care if persist/worse. denies chest pain. Consulted with attending physician, employee plans to work today

1.) Redness, pain, and swelling of arm several inches *below* the needle-puncture site (starting within hours of injection) 2.) Transient tachycardia with heart rate to the 130s. Lasted a few minutes. Spontaneously resolved (occurred 31 hours after injection)

Fever, Flu like symptoms., chills/sweating for 72 hrs, Body aches and severe joint pain, disorientation, severe anxiety and jittery, rapid heart rate, Resting heart rate was between 130-140 beats per minute. Severe fatigue and weakness. Stayed in bed for 48+ hrs after adverse symptoms began with little relief.

rapid heart rate and headache upon falling asleep, woke 30 minutes later with drenching sweat and feelings of doom. Jumped out of bed due to anxiety and rapid breathing from feelings of doom. paced the halls of house, attempted to go back to bed but feelings of doom would not go away. finally after an hour my breathing settled down, heart rate returned to normal and sweating dissipated. symptoms did not return but did wake with severe headache and nausea.

Patient report sudden onset of weakness, dizziness, and feeling like he was going to pass out about twenty minutes after receiving his vaccine. Paramedic on-duty observed patient to pale and diaphoretic and immediately brought all equipment to patient's side and began care. Patient was placed on cardiac monitor and was observed to be markedly hypotensive and bradycardic. Peripheral IV established and atropine administered followed by fluid bolus. A transport unit was requested and arrived within minutes. Patient was assisted to EMS stretcher and transported emergently to the hospital for futher treatment and evaluation.

headaches , sometime so severe that wake me up from sleep. happening every night for last three nights, it started after 30 hours of getting the vaccine. Headache is so severe that I feel like i will collapse. during the day feels like weight on head and eyes feel heavy.

I received the first dose of Moderna vaccination on 01/13/21. On 01/15/21 in the morning, I felt chest compression, chill, bad headaches, muscle pains, shortness of breath and cough. I went to test for Covid 19 and the result came back on 01/16/21 as positive of Covid 19. My initial symptoms were mild without fever, but it is hard to compare my symptoms since no prior reference. The symptoms are getting better, but I noticed my back (between T8 to T6) has pain. I have consulted medical doctors and health care professionals regarding of being tested as positive after vaccination. No one can answer if I should take the second dose of Moderna vaccine in 4 weeks as scheduled, or I should wait for 90 days and start

pt after injection had pain in injection site with tingling down to the fingertips. Pt stated next day he felt nauseas w/ swelling of the right lymph nodes and hot/cold flashes with vomiting. pt also experienced body aches and fatigue w/ rapid heart beat and sore throat, cough and lost his voice.

Itchy mouth, difficulty swallowing, sweating, feeling that tongue was swelling, light chest tightness. Given 50mg Benadryl. Symptoms subsided. Was required to wait additional 30minutes for observation.

Intolerable full-body pain, severe headache, nausea, fatigue, rapid heartbeat sitting and increased when I stood/walked, chest pressure

Vaccine recipient experienced a bit of headache, nausea and vomiting after vaccination on 1/19/2021. On 1/22/2021, he started having palpitations and also mentioned that his blood pressure was really high.

*vaccine lot # same as prior lot number on same individual. Resident seen in medical clinic in follow up to ED visit this weekend, dx with vaccine reaction, likely due to prior COVID-19 infection. He reports that he developed myalgias, chills, nausea, abdominal cramping, and chest discomfort onset about 12 hours after receiving his Moderna COVID-19 vaccination on 1/29/2021. Due to the severity of his s/s that did not resolve with intervention here and chest discomfort, he was transported to the local emergency department per on-call provider. Per record review, CBC and comp met in the ED 1/30/2021 unremarkable with the the exception of t. bili 1.3. Mg. 1.7. CBC: WBC 11.0, platelets 135, abs neut 9.9, abs lymph 0.5. CKnormal 106. unremarkable. No other diagnostic testing was ordered. Resident reports that his symptoms persisted on and off to some degree through the weekend and now have completely resolved. He has noticed a red rash where adhesive tape was at his IV site. No other rashes. At no time did he report oropharyngeal edema, hives, or SOB. He was treated with ketorolac and IVF in the ED. ROS: otherwise neg. PE: Const: NAD. Neck: supple. Resp: CTAB, no increased WOB. Cardiac: HRRR, no murmur. Integumentary: erythematous patches to R AC area. No drainage or bullous lesions. A/P: vaccination reaction, resolved. Resident has been advised that this was not an allergic reaction and that he is still able to take the second dose in the series, though he may have a similar reaction. Report in VAERS. He understands he has the right to refuse the second dose. Contact dermatitis: short course topical hydrocortisone. Routine labs and f/u in clinic. He has been advised to promptly report any new or worsening symptoms.

I received my 2nd dose of the moderna vaccine on 1/24/21. On 1/25/21 at approx 2am I had tremmors, feeling of intense cold, headache, body pain, fatigue. That lasted until approx 0300am 1/26/21. I slept most of the day 1/25 except for taking kid to school and monitoring another at home. I had read the side effects and I felt as though things were subsiding on 1/26 but I was still weak with body pain. I was not 100%. I was home alone with 2 kids (wife out of town). 1/25 I had a cough and was short of breath but didn't think much of it. The cough persisted. On 1/27/21 I was still short of breath. I went to a nearby fire station and had them put me on a lifepack. I was in atrial fibrillation. I could not do anything because my wife wasn't due back until 3pm. At 3PM she walked in and I walked out and drove myself to Hospital. I was diagnosed with A-Fib w/ RVR. I was in A-fib until I was cardioverted on 2/1/21 and was given a cryo-ablation.

Moderna COVID-19 Nose bleed 1/28/21 at 0140 am Nose bleed 1/28/21 at 0430 am Nose bleed 1/30/21 at 0330 am Nose bleed only on left side of nose

8 days after my first dose, 01/20/2021, around 9am, my eyes started to turn red, and teary and difficulty to look on computer screens and TV. Thinking it might be a Conjunctivitis, assuming it was a windy week in my area, I did do some yard work. That night it started to build pressure, pain and headache. I asked my spouse to buy me eyedrops., did used with no relief. I've putting cold packs at the beginning, but it gives me more headache, I changed to warm compress, and had some relief. For 4 days I suffered the same symptoms and discomfort, not until the 4th day (Friday) I can't take it anymore, I went to an urgent care, they check my V/S, BP is elevated, ranging from 140's/92's. They check my eye pressure, it was elevated. The PA prescribed Tobramycin eyedrop(Tobrex) and recommend me to see an Ophthalmologist to do further evaluation. The next day 5th day (Saturday) went to Dr., get evaluated both of my eyes had high pressure,

Note: I had a PCR confirmed SARS-CoV-2 infection in March, 2020. Approximately 12 hours after the second vaccine dose, I experienced intense soreness at the vaccination site (significantly greater than the first dose). In the middle of the night I awoke with flu-like symptoms. At 9am I took acetominophen for fever, rigors, muscle aches. This brought mild relief from approx. 9:45am to 11:15 am. My condition continued to worsen through the early afternoon with rigors and significant generalized muscle aches. I experienced tachycardia (90-105 bpm vs normal of ~70bpm), SOB, and starting measuring pulse oximetry which read from 89%-94% (my usual does not go below 97%). This persisted until approximately 8pm with no improvement. I took 40 mg prednisone, 600 mg ibuprofen and within 3 hours was starting to have symptom resolution. I am a physician and up to date on all my vaccinations. I have never had anything approaching this type of response. I don't know if prior SARS-CoV-2 infection creates a situation were the very potent mRNA vaccine triggers a large immunologic recall response. I wanted to get this noted as there may be some reason to alter the vaccine schedule for prior SARS-CoV-2 infections

Per patient, woke up on the morning after the day following his vaccination (2/9/21) with chest pain, shortness of breath, and feeling light-headed. He tried to sit up, saw red dots, and "passed out" momentarily. He had severe headache upon awakening, ringing in ears, and blurry vision. Went back to bed and slept all day. Symptoms worsened every time he tried to get up. Woke up this AM, with symptoms persisting. Came in for OV, BP noted to be elevated at 150/106. Patient was sent to hospital via ambulance for further work-up and management.

HEADACHE, LETHARGY, SYMPTOMS CONSISTENT WITH HIGH BLOOD PRESSURE, JOINT ACHES, PAIN AT INJECTION SITE, SWELLING AT INJECTION SITE, BLOODY NOSE IN THE MORNING, NOTICED BLOOD IN SEMEN - NEVER NOTICED THAT BEFORE IN MY LIFE

Within a few minutes while sitting on the chair after injection, felt my heart suddenly race, a flushing sensation occurred, and I tasted something in my mouth (chemical or metallic taste). I started to get dizzy and was sweating. Called over the Fire Dept personnel who were administering the injections and they helped me (fluids, ECG, etc.). During this time they stated that my blood pressure dropped to the low 40's (not sure the exact number) and my heart rate as well. My complexion was pale to them and sweating a lot. After administering IV fluids a few minutes later my BP and HR started to rise. My SpO2 was good. Transported to ER for evaluation and labwork.

After 14 minutes in observation patient reported itching on the right arm, there was no visible rashes on the arm or the body at the time or any time later. Took patient to a stretcher for further observation and about 5 minutes later he said felt dizzy, his pulse was 84 and chest was clear but he then complained of chest pain and headache for which I called EMS at 2:31 PM. During the entire time in observation patient appeared well, not pale, no sweating, talking clearly and no visible rashes. Denies itchy throat and did not complained of pruritus again

On 2/7/2021 approx 8 PM noticed some tightness of the right arm at the injection site. On 2/8/2021 in the afternoon some swelling and continued "tight skin" of the right bicep was noted. On 2/8/2021 approx 9:30 PM noticed some "flu-like" symptoms and "poor dexterity" of right arm. Flu-like symptoms lasted until 2/9/2021 but "poor dexterity" and pain of right arm continued through 2/10/2021. On 2/9/2021 noticed swelling of the lymph nodes in the right armpit area, described by individual as "golf ball" size. Swelling increased on 2/10/2021 to include right side of chest. Pain was noted in the pectoralis and right side of back. Individual self-treated with motrin and ice for a few days. Individual did not seek medical care. Individual did not require hospitalization or doctor visit. Individual denied that swelling/pain interfered greatly with quality of life or activities of daily living. Individual did not report symptoms to Medical Clinic until >10 days after symptoms began. At the time of report individual states that flu like symptoms and pain have completely resolved. However, individual still reports some mild swelling (reports improvement of 80-90%).

blood sugar uncontrollable, 300-400ish range taking over 100 units of fast acting insllin and no real effect on levels

10:05am Post 2nd vaccination, c/o of increased dizziness w/ expressed sweaty feeling, noted as well; then witnessed 2-4 second LOC, thereafter, O2 via FM applied, becomes alert w/ cohesive verbal response to stimuli; 10:10 EMS activated; BP138/78 P79. 10:24am Ox3, transported to hospital via EMS for further evaluation / treatment.

On 3/3/21, experienced severe headache since morning which got even worse by night accompanied by multiple times vomiting and nausea. Elevated blood pressure with the reading fluctuating between 147/85 - 129/87. (Normal blood pressure range for me below 120/75). BP monitored daily since 3/4/21 shows increased BP with ongoing headache affecting activities of daily life. PCP notified.

within 5 minutes of receiving the vaccine patient became light headed, cold clammy skin with cold sweats, blurry vision, dizzy, pale/gray skin, and short of breath. Pulse was 60 and BP 90/60- epinephrine 0.5 mg given, pt BP 80/60 returned to 129/88. EMS evaluated patient- patient declined to go with EMS to ER or to go to the ER- pt stated 1 hour after onset that he felt fine and declined to go to ER eventhough he was advised to but states that he will go if he feels he needs to but that he feels normal now.

Patient went to Emergency Room d/t UTI, C-diff colitis, PE/DVT admitted treated with IV heparin, Vancomycin/flagyl, antibiotics for UTI

symptoms left lower leg pain one day after receiving 2nd COVID vaccine, diagnosed with left leg DVT 13 March

12 Feb 2021 at 17:00 patient report electrical shoot pain felt from left foot to left knee. Pain lasted for approximately 10 sec. Pain repeated twice during the night, waking from rest. 13 Feb 2021 painful episode repeated at 7:30 am. Painful episode repeated at 7:00 pm and continued for every 20 minutes. Pt reported to ER on 13 Feb 2021 at 10:30 pm. Facility conducted ultrasound on 14 Feb 2021 and identified left popliteal near occlusive blood clot. Prescribed Eliquis 5 mg and discharged home; f/u with PCP and Hematology. Continued course of treatment: Continue Eliquis as prescribed for 6-8 wks, f/u with PCP and Hematology.

1. I was completely normal the day of the second dose. 2. The next day, I had quite significant chills, body aches, fatigue, and some nausea. I also had a metallic taste. 3. Fortunately, the chills, body aches, and fatigue went away the second day. However, I continued to have the metallic taste for days. 4. Also, starting the third day and I still have a cough and tightness in my lungs. I went into a doctor at urgent care four days after the second dose (due to a concern about the cough and tightness in my lungs). All of my vitals were normal and they attributed to side effects from the vaccine. Also, they gave me an inhaler. 5. The inhaler has been somewhat helpful, but I had a consistent cough as well as some tightness in my lungs for two weeks after the second dose. On unusually stressful days, it was even worse. 6. The cough has improved, but I still have it occasionally throughout the day as well as the tightness in my lungs. 7. Finally, I continue to have the metallic taste.

Woke up by epigastric pain, radiating to chest. Associated with nausea. Went to ER with persistent chest pain. Ruled out cardiac cause. Nausea persisted after discharge from ER leading to another ER visit for hydration. Pain and nausea improved 24 hours later.

About 30 min after Moderna vaccine dose #1, the patient complained of nausea and pounding pressure above his left eye. He had not taken his 3 HTN meds that day. Prior history of EMS transport to ER due to severe high BP. Initial BP at time of symptoms was 250/140 left arm. EMS called. Patient advised to relax. No other treatment at vaccine clinic. At time of transport, BP 190/140.

Client received vaccine at 12:40 and waited the required 15 minutes for observation. After leaving the building, he felt unwell and starting coming back inside where he had multiple episodes of syncope. EMS was called. The client wasn't able to make it to sitting without syncope so he was transported to the hospital via ambulance.

Severe body aches, fever, tachycardia, leukocytosis resulting in admission for observation on 4/3/2021. Patient just admitted inpatient at the time of report.

PT became dizzy and had a seizure like response with LOC and tonic/clonic activity only lasting 2-3 seconds. PT spontaneously woke up and was mildly confused. BP 143/93 other vitals stable

Injection site soreness (+3 hrs), High fever (+12 hrs), Headache (+12 hrs), AFIB (+22 hrs), Tachycardia (+22 hrs)

Found on floor by EMS nausea, vomiting, diaphoretic. Felt need to have a BM. Patient considered hypovolemic and unable to increase bp with position. Patient transferred by EMS to nearest hospital

lightheaded increased blood pressure nausea clammy hands sweating a little and tingling in legs and a little in arms

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Hyperventilation-Medium, Systemic: Shakiness-Medium, Additional Details: Patient had a vasovagal reaction. He was \"not a big fan of shots\". Hadn't eaten well the day before nor breakfast. Didn't sleep well. Called 911. They did EKG and it was fine. Spoke with patient the next morning and he was good.

On 4/10/21 around 2:30 pm I gave the patient his first Moderna COVID vaccine and had him sit in the observation area for the standard 15 minutes. Around 2:35 he and his family notified me that he was feeling lightheaded/faint and nauseous; he also appeared pale and diaphoretic. It seemed to be a vasovagal reaction until he said he was starting to have trouble breathing so I called 911 and got the Epipen/emergency kit ready, and monitored vitals. Then his breathing trouble resolved without needing to administer medication. EMS arrived at 2:39 pm and confirmed his HR/BP/O2 sat were normal. EMS cleared the patient to go home with his family. The patient had never had a vaccine reaction or vasovagal reaction before.

Patient began to feel real week and sweating just a few minutes in to vaccine. Became very pale. Called 911. Took his BP before they arrived. It was 105/60. He claimed that was low for him. He said he feels that way when blood sugar gets low. Paramedics arrived and took BP again had come up to 130/90. We were in the process of taking his sugar when they came and did it. It was 139. Patient felt better on his own really with some candy and water. He decided not to go with paramedics. I called and checked on him this evening and he was fine.

Patient c/o SOB, pale and diaphoretic. Administered 02 2L/NC, NS 0.9 200 ml given, Benadryl 50mg IVP and Solu Medrol 125mg IVP given. called 911. Pt verbalized he feels better after medication administered but still want to go ER. Patient send to hospital via ambulance. Doctor notified.

After 5 mins of getting the 1st shot I felt an allergic reaction little bit hard to breathe and hot flash. I told the pharmacist and was advised to stay an extra 10 minutes. I left the Pharmacy and proceeded to the store and then home. Over the next 1.5 days I felt a sort of brain fog, my arm puffed up red about the size of a half dollar. The brain fog went away and then for the next 2-3 days my body felt like I was coming down with a cold. I seemed to feel better after that initial period until 3/24 when while driving a hot flash came over me and the next day I was again in a type of brain fog. For the next two days I tried to just deal with the brain fog but started to notice on the right side of my neck a feeling of constriction, with abnormally high blood pressure. I went to the hospital ER and the completed a CAT scan of my brain and neck, blood work and urine work up with no evidence of why my neck was feeling constricted and high blood pressure. The symptoms continued and on 4/1 my blood pressure spike to 168/93 and I again went back to the hospital ER and spent the night. I was having heart palpitations, anxiety and very high blood pressure. The hospital this time completed more bloodwork, MRI of my brain and neck and an Eco-cardiogram. I am now on 3 blood pressure and heart medications and have no diagnoses of why my blood pressure and heart rate are so abnormal. I am very healthy and exercise daily and have never encountered this and my BP has always been extremely good.

Pt had chest pain and high blood pressure. Blood pressure did not go down medics were called. Pt care was turned over to FD. PT was transported to the hospital

On March 20th had headache and dizziness. Had problem walking. On the 21st he turned pale and felt ill. On the 22nd he couldn?t walk or speak. Lost control of his bladder. Had extreme dizziness and headache. Sobbed uncontrollably. Took patient to primary for evaluation. They sent him bu ambulance to Emergency.

patient developed DVT shortly after recieving the vaccination. diagnosed on 4/15/2021 symptoms started about one week prior to this.

About 6 minutes after a got first shot of moderna, I had felt fin. Then within 20-30 seconds I realized that my chest was heavy/pressure on my sternum, arms and torso went warm and sweaty, a bit light headed and had fast heart rate. I asked medical team for assistance. They took blood pressure/O2 levels and listen to my heart and lungs. Had epi pen ready, but never administered. Watched me like this for about hour and a half until my bp came back down to normal levels.

Started having heart pvc and pac second day after first shot. Then on april 11 went in to er for chect pain turned out to be panic attack. On april 12 developed bumps on left front shoulder. On april 18 read article about vaccine causing shingles. Went to er and they confirmed shingles. At this time still have shingles on front and back left shoulder.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild

Patient reported feeling feverish and reported passing out in the evening after receiving the 2nd dose of vaccine in the morning. He cut his face when he passed out and went to hospital for treatment.

3 days after the vaccine patient presented with headache, body ache and chest pain. Found to have elevated troponin, and abnormal EKG

Chills, headache, cold hands, shoulder and chest soreness, muscle ache, joint pain, fatigue, climbing temperature.

The day after receiving the moderna Covid vaccine, i came with extreme tightening of the chest, wheezing, and a heavy cough. I received the shout in 4/23 and on 4/26, which is today, I still have tightness of my he shear and wheezing.

"Client awaiting his wife who was was being observed for 30 mins 12:17 Dizziness and 12:18 syncope few secs rescue called regained consciousness diaphoretic, Bp 87/50, Hr 63 reg, Sats 95%, resp 15. Placed on stretcher, place on Ekg monitor sinus rhyth"

Noticed slight pressure on chest, causing laboured breathing. Noticed a decreased oxygen level for about 1 hours. After that time, I napped and all issues were over. Also slight headache but nothing disturbing just noticeable.

lot: 026A21A NDC 80777-273-99.he started with symptoms after vaccine which progressed. SOBOE, N/V, fever & fatigue x 1 week in setting of recent COVID vaccine. admitted to hospital via ED with pleural effusion, AKI, Labs notable for +ANA, +smith/RNP, SSA/SSB,+Scl-70, dsDNA, low complements, lymphopenia, leucopenia, thrombocytopenia, rhabdo,worseing renal failure (now on dialysis) with PU, kidney biopsy largely unrevealing. Bone marrow biopsy concerning or HLH. DDx HLH 2/2 to new onset SLE with overlap syndrome/MCTD.patient needed to be transferred to a tertiary center, now at another facility in critical condition with encephalopathy.

The patient complained about his eyes being blurry, being light headed, and having shortness of breath. His vitals were taken every few minutes with the following results until Fire department EMTs came on site and monitored his vitals and recommended him to be taken to the hospital. He agreed and they took him to one of the near hospitals. 10:00 am 159/108, Pulse 63 10:07 am 164/110, Pulse 61 10:12 am 148/104, Pulse 61 10:16 am 142/103, Pulse 61 10:22 am 150/108, Pulse 60 10:28 am 157/111, Pulse 61 Oxygen when taken by EMT personnel: 97/60 He said he couldn't understand our talks. He said he couldn't make the words to talk.

Heart palpitations, pounding heart that feels irregular, at times. Felt nausea a couple of morning along with heart symptoms and a sensation of difficulty breathing. However, I am able to take a deep breath when feeling this way and am able to work out with no difficulty. The symptoms continue intermittently, but do not happen constantly. A Kardia Mobile device purchased and I was unable to detect irregular heart rhythms with it. I considered going to the doctor and possibly the emergency room to get it checked out, but decided against as the symptoms would stop. They still continue off and on to this day.

Patient had a syncopal event from chair to floor. He fell off the chair prone. Patient had no signs of distress prior to event. Medical emergency was called and patient was transported to ED for further evaluation and observation.

The day after the shot I began having severe abdominal pain, muscle and nerve pain, and shortness of breath. The abdominal, muscle, and nerve pain began at around 10:00am. The shortness of breath began around 2:00-3:00 in the afternoon and lasted for 30-45 mins (longer than the 20mins listed in the attending ER physician's report), at which point my wife called for an ambulance and I was taken to the emergency room of Hospital. I was prescribed diphenhydrAMINE injection 25 mg, droperidoL injection 1.25 mg, ketorolac injection 15 mg, and another pain killer by the paramedics that I do not see listed in the record. Although not to the same degree, I have continued to have gastrointestinal cramping since the second vaccination. This is a worsening of a condition (IBS) that I had previously, but which had mostly been in remission since beginning Mirtazapine in Fall 2019 subsequent to a heart attack on 8/7/19. I am meeting with my primary physician, Droctor, on 5/10/21 and contacted, my gastroenterologist, on 5/5/21.

Developed L chest pain and headache late in evening 5-4-21 and diagnosed with pulmonary embolis 5-4-21. He was treated initially with high-intensity heparin nomogram and converted on 5-5-21 to oral apixaban. He has done well with this therapy. His risk factors for PE include immobility; however, the risk of a thrombotic event in quadriplegic patients should be that of the general population after the first year of disability, and he has been immobile for around 2.5 years. He has no known underlying malignancy, and his recent imaging of his chest and head are reassuring in this regard. The patient received his Moderna COVID-19 vaccine 12-23-20 and 2-2-21 with vascular events having been reported as being more common following this immunization. Without a clear cause for his PE, this will be reported on VAERS.

The patient received the vaccine and within a few minutes, he got sweaty, pale, passed out for a short period and was unresponsive briefly but still breathing. We took off his long sleeve shirt and put a cold compress on his head till EMS arrived. They took is blood pressure and EKG. He refused to get in ambulance.

Moderna COVID-19 Vaccine EUA: immediately upon receiving injection, heart began racing, and what had been a relatively quite ringing in my ears for the past year or two, also immediately became 2-3x louder (maybe even more?), where it has remained ever since (nearly 2 months). The heart rate settled down within a few second, but the ringing persisted, and has continued. Before the vaccine, the ringing was a very high pitched, constant tone, like the high pitched tone I used to hear on an airplane sometimes, but it was so quiet that I only noticed when I would wake up in the morning or at other random times when everything around me was very quiet. Since the vaccine, however, it has become loud enough that it's impossible not to notice it constantly; not so loud that I can't hear other things around me or people talking, but definitely loud enough that it's unmistakably there and can at times be a real distraction to focus and even conversation.

FOLLOWING THE INJECTION THE PATIENT FAINTED MOMENTARILY. UPON AWAKENING HE WAS DIAPHORETIC AND BREATHING RAPIDLY. HE THEN VOMITED. PHARMACIST CHECKED BP AND IT WAS WITHIN RANGE,. 911 WAS CALLED AND UPON ARRIVING THE PARAMEDICS CHECKED VITALS AND CONCLUDED PATIENT WAS OKAY. PATIENT WAS NOT TRANSPORTED.

Presented to hospital with headache, found to have a large left-sided intracranial hemorrhage and bilateral occipital intracranial infarcts

Patient presented to the ED on 4/4/21 with viral illness and left sided chest pain. Patient presented to the ED on 4/14/21 with chest pain and was subsequently hospitalized for NSTEMI. These visits are within 6 weeks of receiving first COVID vaccination dose.

After 8 days I started feeling a headache I took ibuprofen then I felt numbness of my mouth and my right eye would not fully close only half way, my mouth started drooping sideways when I ate and swallowed food, my throat felt strange the liquid like water would come out a little. My eyes burned, predominately my right eye.

Moderna COVID-19 Vaccine EUA I had pain in shoulder at first, then the whole left arm sore then to the point I could not use it. The day after shot at 8:30 pm I was feeling fine. Then all of a sudden my face which is usually red turned pale white. My stomach got chills and started to sweat a lot. I could not keep my head up and was very close to passing out. My wife was scared to the point she almost called 911 for me.

Evaluation on Day of Discharge: Stable for discharge Hospital Course: Patient was evaluated for sharp reproducible chest pain and shortness of breath. He was evaluated by cardiology who suggested MSK in nature. He started lifting weights earlier this week. His cardiac work up included EKG with NSR, CXR no acute process, troponin neg x3, inflammatory markers negative. He did have significant dyslipidemia and was counseled on importantance of healthy lifestyle, diet modification and importance of taking statin. Patient was treated with OMT with moderate improvement of symptoms and was rx'd muscle relaxer for a few days to help with muscle spasm. He is to follow up with cardiology and get a repeat lipid panel in 3 months as well as follow up with PCP for stress echo and EGD if sx persist.

Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was elevated troponin, bilateral pleural effusion, hypertensive urgency.

initial soreness at injection site (Left Shoulder) A couple days after the shot that soreness subsided but started experiencing tightness in left chest/heart area. Will experience the tightness for a period of time then it will go away. More prevalent with activity, and is accompanied with shortness of breath as well.

Patient stated he felt like he was going to faint. Nurse placed cold bottles of water on both corroded arteries. Client did pass out, pale and a little disoriented when woke up. Client was given a bottle of cold water to drink, which he did. Laid client on a cot to rest until felt better and able to drive home. After approximately 45 minutes, client stated he was ready to do go home and had someone there to drive him.

vasovagal episode following vaccination. Spostaneous resolution when put in supine position. Paramedics on site. No treatment required.

Vasovagal episode following the administration of vaccine. Paramedics onsite. Spontanious resolution with supine position. Paramedics onsite. No treatment required.

Sickness bedridden for 3-4 days. Symptoms I never had during my actual bout with real covid. heart palpitations, chest wheeze making breathing more labored. I had the real covid in March 2020 where I never had respiratory symptoms, tested positive for antibodies May 2020

Condition aggravated; Palpitations; Tinnitus; This case was received on 01-Jun-2021 and was forwarded to Moderna on 01-Jun-2021. This regulatory authority case was reported by an other health care professional and describes the occurrence of CONDITION AGGRAVATED (Condition aggravated), PALPITATIONS (Palpitations) and TINNITUS (Tinnitus) in a 46-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 039A21A) for COVID-19 vaccination. Concurrent medical conditions included Blood pressure high, Asthma and Allergy NOS. Concomitant products included FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR) and LOSARTAN for an unknown indication. On 25-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Mar-2021, the patient experienced CONDITION AGGRAVATED (Condition aggravated) (seriousness criterion disability), PALPITATIONS (Palpitations) (seriousness criterion disability) and TINNITUS (Tinnitus) (seriousness criterion disability). At the time of the report, CONDITION AGGRAVATED (Condition aggravated), PALPITATIONS (Palpitations) and TINNITUS (Tinnitus) had not resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Immediately upon receiving injection, the patient's heart began racing, and what had been a relatively quite ringing in his ears for the past year or two, also immediately became 2-3x louder (maybe even more), where it had remained ever since (nearly 2 months). The heart rate settled down within a few second, but the ringing persisted, and continued. Before the vaccine, the ringing was a very high pitched, constant tone, like the high pitched tone he used to hear on an airplane sometimes, but it was so quiet that he only noticed when he would wake up in the morning or at other random times when everything around him was very quiet. Since the vaccine, however, it became loud enough that it was impossible not to notice it constantly; not so loud that he could not hear other things around him or people talking, but definitely loud enough that it was unmistakably there and could at times be a real distraction to focus and even conversation. Treatment medications were not reported. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Within 24 hours, I began experiencing the usual symptoms associated with 2nd dose, including chills, fever, body aches, etc. Within 72 hours, I began experiencing serious chest pain, radiating pain into back and shoulders, and numbness in left arm--all symptoms associated with a heart attack. I was immediately taken to the emergency department where I was treated with pain killer for chest pain and given a blood thinner and IV fluids. EKG and chest X-ray were normal. Blood work indicated highly elevated troponin levels thereby indicating significant stress to heart muscle. Treatment included prescribing medications including Lopressor, Lipitor, and aspirin. Following stay in the hospital, I was released with no signs of heart complications. I'm continuing the medications for general maintenance and prevention. Prognosis is good with no further complications and no further threat of a future heart attack based on current medical conditions.

3:31 PM. Client complained of increased hear rate within one minute after receiving Covid 19 vaccine. Client reports "felt his heart was racing". Client alert and talking without difficulty. Denies difficulty breathing and denies tightness in throat. BP 183/105 and Pulse 100. Client complained of heart racing. Approximately 3:50 PM BP 147/101 and Pulse 92. Discussed calling 911 with client and he stated was not sure he wanted us to call. Client reports "I just feel weird". RN consulted with Nursing Supervisor and Dr. with decision to call 911. RN called 911. Informed client he can decline transport to emergency room if needed. Client reports he does not have insurance. EMT arrived. BP by EMT at 4:10 pm 162/92 Pulse 95. Client declined transport to emergency room for evaluation. Client referred to local Health Department and insurance application started. At 4:36 pm client reports he's feeling better and requests to return home. BP 170/85 Pulse 85. client reports he feel he can drive home without problems. Application for insurance pending at health department. Client released. Addendum: Initially client denied feeling anxious after vaccination but later admitted he was nervous about getting a shot.

Patient experienced syncope while he was sitting for his 15 minute post vaccination wait time. Staff member had conversation with patient in vaccine booth and patient mentioned syncope often happens at the MD office when he gives blood/has blood drawn- usually does not occur following vaccinations. Staff member noticed patient was starting to nod off while sitting upright in chair. she went to check on him to see if he felt okay and patient starting falling out of chair and was unconscious with his eyes open. Staff member was able to catch patient from hitting head on the ground. checked blood pressure and heart rate frequently and helped cool patient off due to excessive sweating. patient had readings 58/44 55 bpm, 126/80 83 bpm, 145/93 89 bpm, and 152/95 91 bpm. patient reports last reading is more like his normal readings. patient experienced 2 dizzy spells so he lied down on the ground, flat on his back with his feet propped. patient's father was waiting in parking lot and patient was able to call father priorto event occurring. according to patient and his father, patient's mother experiences same when she has blood drawn and at every MD appointment, he will immediately lay down prior to having blood drawn. 911 was called and EMTs arrived. patient was back to normal and feeling fine. he was able to stand up on own. patient left with father. will call patient before leaving today to check and make sure he is okay.

I have underlying Afib which has been controlled on Sotolol for the last five years with occasional episodes of arrhythmia but my heart rate stayed controlled. After the vaccine my heart rate shot up to nearly 300 while I was driving home and it eventually came down but I stayed in Afib for nearly 2 months afterwards. I upped my dose to 400 mg daily from 320 mg of sotolol and eventually got some control of the Afib but now goes out of rhythm more frequently and when it goes out I am not rate controlled.

Pt received moderna vaccine 4/7/21 and 5/5/21, and developed nausea and vomitting about four hours after the second shot. These symptoms plus epigastric and RUQ pain and decreased po intake persisted until evaluation on 6/15/21 to medical center when pt was diagnosed with biventricular systolic congestive heart failure complicated by an RV thrombus and subsequent subsegmental LLL pulmonary embolus. FYI - lot number above for 2nd covid shot is either 025B21A or 025821A (the 4th digit is either a 'B'or '8'). shot #1 given at clinic and #2 given at clinic(both VA clinical areas)

I had injection site pain . I woke up the next day with chills, body aches and pain, chest pains, heart palpitations, shortness of breath, arm soreness and swelling, fatigue, nausea and I could not get out of bed. I called the hospital and left a message. The doctor called me back and advised me to go to the ER. By the time the doctor called me back, my chest pains and heart palpitations had resolved. The other symptoms still persisted- extreme fatigue and headache which lasted another 4 days. I started to feel better and it took about 6 days for all symptoms to resolve. I did not go to the ER since the cardiac symptoms have resolved. I am still having SOB.

3 days after receiving vaccine, developed a severe cold which was diagnosed as pneumonia which lasted 3 weeks. Then when back to the doctor for follow up and was then diagnosed with bronchitis, Consistent trouble breathing , chest pain, left arm pain for 3 months and has been prescribed multiple inhalers, steroids, antibiotics, chest xrays, ultrasounds, stress tests. Has developed allergic reaction to peanut butter and bee stings. Patient was previously a vigorous healthy man with no serious health conditions.

Chest pain/shortness of breath/fatigue Myocharditis Ejection Fraction of left ventricle 30% Hospitalization, Nitro patch/morphine, angiogram, ultrasound, MRI, Heart Failure Clinic Still in recovery

Shortness of breath started a few days after second shot of vaccine. However it took 2-3 minutes maximum. But on 18th June and later 24 june, I was completely out of breathe. I had been hospitalized on mentioned dates. Test result turned out normal including Heart health. But the problem persiste. High palpitation and breathe shortness start around 8 to 9 pm and continue trough night. I go to sleep with sleep pills each night after walking around for hours.

Hypertension stage 3 for one week (used a good pressure cuff to monitor). Dizzy, fuzzy/foggy thinking. Forgetful. Headache. I couldn't think at all. When walking it felt like I was floating above my body. Anxiousness. Tired. Out of breathe. Irregular heartbeat. Lasted about a week. Then one morning it was gone. Almost like a fever breaking but instead it was my blood pressure.

Pt received the 1st dose of Moderna and developed severe onset of vertigo 3 days later along with chest pain and shortness of breath. Shortness of breath and chest pain resolved but vertigo persisted until improved 7/21/21. Follow up visit 7/21/21 with his PCP. Vertigo has gradually improved.

Symptoms after and until now are injection site pain, tiredness, headache, shortness of breath when I move around and I have a habit of running every morning. Since the vaccine I lack of more air. I have dizziness and before I didn't have any, also I have slight chest pains and tiredness which previously I didn't have.

hyperhydrosis and palpitations that started about 3 days after the last dose of covid vaccine and symptoms still ongoing.

Dizziness, HYPERtension & Tachycardia Narrative: within 5 minutes after vaccine experienced chest tightness, lightheadedness. On examination BP 190/110, pulse 112. Ear flushing. A&O x 3. No cardiac or respiratory distress. 25mg of Benadryl orally was given. Escorted to the ER in wheelchair. Discharged from the ER diagnosed as HTN and Anxiety. Discharged home in stable condition.

Tingling/burning down L arm, similar sensation down L leg; urticaria noted on back of neck extending slightly to L side of neck. Tachycardia and hypertension upon exam.

2-3 min after vaccination he started feeling tingling in the right side of his face. About one minute later he felt like he could not get a full breath and he felt the need to run away. We connected a heart monitor, did serial vital signs, listen to lung sounds. He symptoms seem to worsen. He did not have hives, his lungs were clear. His HR was normal but his B/P was elevated. We started and IV and gave him 25 mg mg of IV Benadryl. We contacted Dr. via phone. He talked to the patient and he agreed with our assessment and treatment. He began feeling better about 10 min after the Benadryl and he symptoms cleared by 30 min after Benadryl. We kept him on the heart monitor for 1 hour. He reported he felt fine and back to normal when he left to go home. He refused ambulance transport to the hospital. All reports will be filled out by me.

Dizziness, heart racing, nausea, severe body aches, fever, chills, difficulty breathing, extreme gas, cramps. Was transported the Hospital and received zofran, atavan, morphine and tested negative for COVID 19 and flu and pneumonia. released after four and a half hours but continued to experience pain in muscles and fever even today (01/14/2021).

My blood pressure went up to 170/106 and my heart was beating over 100 about 45 minutes or one hour after I was vaccinated, and I also felt nausea. Nurse called 911, and I was transported to emergency. About 1.5 hour later, my heart was even beating more quickly, and I could hardly talked and difficult to breathe. This happened when I walked to the restroom by myself and came back. After they did some medical tests, gave me medication for allergy (the doctor gave me this since he was not sure if it was my allergy reaction to the vaccines), injected 2 IV bags and rest for few hours, my blood pressure went down to about 140/9x and heart beat back to normal. I was released from ER on the next day at 4:00am.

Initially I felt fine and had no pain. After about 5 minutes I had tachycardia and sweating, which resolved and seemed to be a vaso vagal reaction. About 30 minutes after the vaccine I developed ipsilateral facial numbness which lasted about 24 hours. I would like guidance on whether to proceed with the second dose.

Pt started having dizziness, increased HR, extremities became pale, BP increased to 170/94, HR 144 30 mins after injection. Pt tolerated first vaccine s difficulty, sxs continued and BP and HR fluctuated off and on for 1hr. Pt was given an EPI pen, Solumedrol 125mg, Zyrtec (refused benadryl) , and Pepcid 20mg during the episode. HR and BP continued to increase - EMS was called and pt was take to the ED and released ~10pm at night to home.

01/18/2021-Patient became short of breath with c/o throat tightness and difficulty speaking 30min post vaccine. Given epi 0.3mg subcutaneous, Benadryl 50mg by mouth, placed on cardiac monitor for 4 hours with mild tachycardia post epi. Solu medrol 125mg given IV. Sent home and then returned 38 hours later with c/o epigastric pain, nausea, vomiting and weakness. Sent to Medical Center

Patient c/o Numbness of the peri-oral numbness within 5 minutes of getting the vaccaine, strange taste in the mouth soon after the vaccine. Patient had taken Benadryl , pressure in the eyes and tightness in the chest. Patient continues to have mild episodic vertigo since then.

Arm swelling , Soreness, pain. the following day(s) nausea, labored breathing, funny feeling like a heavy chest. dizziness ( still happens occasionally seven days after vaccination) fatigue still happening to date.

Patient received 2nd dose of vaccine. He had dizziness upon sitting up, flushing all over, and hypotensive. Patient was observed 1801-1830 in vaccination observation area. He was placed in the given water and then placed recumbent position. There was no change. He did improve with juice PO. DR was notified and does not think this is an anaphylactic reaction, but should be transferred to the ED for further evaluation. Patient was transferred to the ED.

48 hours post vaccine, patient developed low grade fever and respiratory complaints including shortness of breath. chest x ray showed RUL consolidation. when patient wosened over the next 48 hours from respiratory standpoint including new oxygen requirement and hypotension, decision was made to perform chest ct which confirmed presence of RUL pneumonia. the following day, the patient was bronched and the resultant bronchial alveolar lavage that was performed has thus far been completely negative. repeat chest xray four days later showed resolution of RUL consolidation and patient was no longer symptomatic.

TO ED ON 02/12 WITH KIDNEY STONE. ON LABWORK, PLATELETS NOTED TO BE LOW AT 85,000. I WAS NOTIFIED ON 02/16 BY THE UROLOGIST OF LOW PLATELETS WITH NO KNOWN CAUSE AND PATIENT/EMPLOYEE S/P COVID VACCINATION. ADMITTED TO HOSPITAL--DISCHARGED ON 02/14 AND PLATELETS 74,000 AT DISCHARGE. TO FOLLOW-UP OUTPT WITH PROVIDER TO RECHECK LABS.

Appears that ITP has come back. I have significant bruising on my left triceps, right triceps, and left hand. I have not sustained any significant trauma that would have caused this type of bruising. In addition, my right foot is very sore around the metatarsals.

Vaccination @ 10:28 am, pre-syncopal, parasthesias episode @ 10:43am. Patient's vitals were monitored for an hour, ice packs on chest. Blood pressure monitored and blood sugar check. Patient was alert and stable prior to discharge.

About 3-5 minutes after getting the vaccine began experiencing a light headedness feeling. Took my blood pressure and it was a little high (140/95), I attributed this to anxiety but got home and my BP at home was down to about 120/76 about 1 hr. after. I laid down to sleep it off but could not sleep as about 1 hr. after trying to go to sleep I started to get a headache. After about 2 hours of battling it I decided to take a Extra Strength Tylenol which helped with the headache about 2 hrs later is was almost gone but the feeling of lightheadedness/dizziness was still there a bit worse than at the beginning. I slept it off and the next morning it was about 50 % better and by about noon it seemed to be 99% better. Today is Thursday ( on my 3rd day) and still feel a slight dizziness but I also have seasonal allergies which sometimes give me the same symptoms. I expect to be better soon.

On 2/23/21, about 12 days after the vaccine was received, I felt chest pains in the late afternoon. At midnight, I woke up with uncontrollable chills and shakes, with a low-grade fever that hovered in the 99.5 -100 range. I attempted to get up and struggled to breathe,; it was as if my abdominal and lower back muscles were seizing. I had to crawl to a kneeling position to urinate. I took several Tylenol then went back to lie down; after a few hours, the fever subsided, and I was able to briefly fall back asleep. At 4:00 a.m. the fever and major chills subsided, with no fevers reported since then, and only occasional chills. However, the muscle fatigue, pain and stiffness have become frighteningly debilitating. On Wednesday - Friday, the three days after I first experienced symptoms, each day it took me between 1.5 - 2 hours to get out of bed and finally get to a standing position. During the day on each day following my first symptoms, I have been able to gradually walk around, go up and down stairs, use the bathroom, and perform basic tasks. However, when the evening comes, it is a different story. 12 midnight - 10 a.m. are the worst hours, as any extended period lying down results in my muscles seizing, freezing and stiffening up. After falling asleep for an hour, it takes 10-20 minutes to mobilize enough (using a crutch and assistance) to get to the bathroom. After falling asleep for 2-3 hours, it takes 30-40 minutes to do the same. And, if I fall asleep for 3+ hours (which is about as long as I've been able to sleep since the adverse reactions began), it will take 1.5 - 2 hours to get completely mobile. This is when I finally wake for the day, and it takes about 10 minutes to raise my head and turn my torso, then another 10-15 minutes to get my legs off the bed and assume a crouching position, then 30-60 minutes to stand on my own.

1:54 pm Post vaccination, reports feeling episode of chest tightness w/ no additional or associated symptoms; Monitor x 30 min w/ po hydration; BP 149/95 P123 RR 19 2:05pm BP 112/ 90 P90, reports "feels better and no longer anxious" ;post monitoring released from facility to home w/self