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VAERS_ID | RECVDATE | STATE | AGE_YRS | CAGE_YR | CAGE_MO | SEX | RPT_DATE | SYMPTOM_TEXT | DIED | DATEDIED | L_THREAT | ER_VISIT | HOSPITAL | HOSPDAYS | X_STAY | DISABLE | RECOVD | VAX_DATE | ONSET_DATE | NUMDAYS | LAB_DATA | V_ADMINBY | V_FUNDBY | OTHER_MEDS | CUR_ILL | HISTORY | PRIOR_VAX | SPLTTYPE | FORM_VERS | TODAYS_DATE | BIRTH_DEFECT | OFC_VISIT | ER_ED_VISIT | ALLERGIES | Link 1 | Link 2 |
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0919378 | 01/04/2021 | WI | 30.0 | 30 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted. | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/04/2021 | gabapentin, seasonal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0923857 | 01/06/2021 | WI | 30.0 | 30 | F | At approximately 1630, patient was getting ready to leave the vaccine clinic. She advised writer that she had a strong metallic taste in her mouth. It started 10-15 minutes after the injection. Denied all other symptoms that could be considered a side effe | 01/05/2021 | 01/05/2021 | 0 | N/A | PVT | Unknown | None that writer is aware of | Neck pain Mild intermittent asthma without complication Allergic rhinitis, seasonal? Esophageal reflux ? Migraine | 2 | 01/06/2021 | Banana - Anaphylaxis, Hives, Itching Kiwi Extract - Anaphylaxis, Hives Shellfish Allerg - Anaphylaxis Shellfish-derived Products - Anaphylaxis, Hives, Itching Cat Hair Extract - Itching, Sinusitis Pollen Extract - Itching, sinusitis | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0924514 | 01/06/2021 | WI | 30.0 | 30 | F | 8am on 12/31/20 she got fever of 100.2 degrees F and body aches and dry throat. Hives at 6PM the same night on r arm and r temple. Took benadryl x1 dose and hives went away. Also took some claritin. Low grade temp, body aches and dry throat lasted | Y | 12/30/2020 | 12/31/2020 | 1 | covid test 1/4/2021 was negative | PVT | depo shot | No | no | 2 | 01/06/2021 | penicillin & bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0925567 | 01/07/2021 | WI | 30.0 | 30 | M | Malaise, fatigue, headache, muscle aches. | N | 01/06/2021 | 01/06/2021 | 0 | UNK | 2 | 01/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0925604 | 01/07/2021 | WI | 30.0 | 30 | F | Shortly after receiving the vaccine: lightheadedness lasting a few hours. The day after sore arm at the injection site. 3 days after until present: major fatigue. | Y | 12/31/2020 | 12/31/2020 | 0 | PVT | Norethindrone birth control | 2 | 01/07/2021 | Biaxin- rash, flagyl-rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0926441 | 01/07/2021 | WI | 30.0 | 30 | F | I received my vaccination at my place of work. Local pharmacy came in to administer them. In less then a minute of recieving the vaccination I experienced a tightness in my chest and difficulty breathing. I told my symptoms to the pharmacist that was th | Y | 01/04/2021 | 01/04/2021 | 0 | WRK | None | None | None | 2 | 01/07/2021 | Y | Avocado, broccoli | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0926652 | 01/07/2021 | WI | 30.0 | 30 | F | One hour after administration adverse events noticed: major headache that continued on and off for 7+ days, metallic taste with fullness of throat on and off for a few days, following day neck and upper shoulder soreness on and off for 7 + days, general fa | N | 12/31/2020 | 12/31/2020 | 0 | none | PVT | Vaginal Progesterone | None | PCOS, endometriosis | Yes chills, fatigue, body aches with flu vaccine in 2019 the night after vaccination | 2 | 01/07/2021 | Seasonal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0928787 | 01/08/2021 | WI | 30.0 | 30 | M | Patient felt very warm. Blood pressure was checked. BP @ 1055 was 240/130. Oxygen saturation 99%, heart rate 65. BP rechecked at 11:00 and was 236/138 on Left. At 11:02 blood pressure was 232/124 on right arm, oxygen saturation 100%, heart rate 64. St | U | 01/08/2021 | 01/08/2021 | 0 | none | PVT | several including blood pressure medications | none know | hypertension | 2 | 01/08/2021 | Y | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930182 | 01/08/2021 | WI | 30.0 | 30 | F | BEGAN FEELING FATIGUED AFTER RECEIVING THE COVID-19 VACCINE, FATIGUE CONTINED ALL DAY, SLEPT ALL DAY, GOT UP TO GO TO WORK, TEMP WAS 98 DEGREES PRIOR TO BEGINNING WORK, STATES BEGAN BURNING UP WHILE WORKING, FELT FEVERISH, TEMPORAL & ORAL TEMPS OVER 100 DE | U | 01/07/2021 | 01/07/2021 | 0 | COVID-19 TESTED 1/8/2021 A.M. RESULTS ARE PENDING. | WRK | FLOVENT, VYVANSE, MONONESSA | Asthma and Hydradenitis suppuritivia | 2 | 01/08/2021 | Y | Bannanas | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930449 | 01/08/2021 | WI | 30.0 | 30 | F | Pfizer-BioNTech COVID-19 Vaccine EUA Patient received vaccine and shortly after was in a chair and experienced a syncopal episode. Pt was caught by staff member, and lowered to the floor. Patient reportedly had two syncopal episodes with brief periods of | U | 12/28/2020 | 12/28/2020 | 0 | PVT | 2 | 01/08/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0932916 | 01/10/2021 | WI | 30.0 | 30 | M | 9 hours post-vaccine, developed rigors, fever to 102.7, myalgia, headache, and nausea. Everything but fever resolved within 18 hours. Fevers resolved by 48 hour mark. | Y | 01/04/2021 | 01/04/2021 | 0 | None | PVT | None | None | Vitiligo | 2 | 01/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0934424 | 01/11/2021 | WI | 30.0 | 30 | F | Severe head ache; nausea/vomiting; chills; muscle aches; injection site pain and swelling | Y | 12/28/2020 | 12/29/2020 | 1 | WRK | 2 | 01/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0943739 | 01/14/2021 | WI | 30.0 | 30 | M | right sided upper arm swelling, slight redness, firm beneath injection site, with "tightness" from elbow to the shoulder with ROM/ movement | N | 01/06/2021 | 01/13/2021 | 7 | SEN | Vitamin D, Turmeric | None | None | 2 | 01/14/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0955369 | 01/19/2021 | WI | 30.0 | 30 | M | 2021/01/16 10:00 AM - Numbness in face (lips, jaw, gums) similar to the feeling from localized anesthesia. Also numbness and tingling in left hand. Vision is blurred and spotted vision loss. 2021/01/16 10:45 AM - Numbness in face and hands diminishing. He | Y | 01/14/2021 | 01/16/2021 | 2 | OTH | None | None | None | 2 | 01/19/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0956456 | 01/19/2021 | WI | 30.0 | 30 | F | Two enlarged painful lumps above the left side of collar bone. | 01/07/2021 | 01/10/2021 | 3 | PVT | 2 | 01/19/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0964003 | 01/21/2021 | WI | 30.0 | 30 | M | I developed a moderately tender, golf-ball sized left axillary lymph node starting 48 hours after the vaccine, peaking around 72 hours, and lasting until 7 days after the vaccine. The degree of tenderness (3/10 at rest, 6/10 with manipulation) precluded ti | Y | 01/08/2021 | 01/10/2021 | 2 | None | PVT | Vitamin D supplement | None | None | 2 | 01/21/2021 | Buckwheat food allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0975622 | 01/26/2021 | WI | 30.0 | 30 | F | Approximately 12:05 patient was waiting in observation area and started reported to RN that she was feeling shaky. She was taken to private room where she could lay down and be monitored. Given 8oz of water that she consumed over the next 10 minutes. 1210 | Y | 01/26/2021 | 01/26/2021 | 0 | PVT | 2 | 01/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0981759 | 01/28/2021 | WI | 30.0 | 30 | F | Chills and fever starting around 7:00 PM, lightheadedness, near-syncope around 2:00 AM | Y | 01/18/2021 | 01/18/2021 | 0 | None | PVT | None | None | Eczema | 2 | 01/28/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0987047 | 01/29/2021 | WI | 30.0 | 30 | F | Pt has hx of epilepsy but did not inform staff of this. Pt received vaccine. Approximately 12 minutes in to 15 minute observation period, pt expressed she began to feel an aura. RN tended to pt. Pt was safely lowered to the ground where she was placed on h | Y | 01/28/2021 | 01/28/2021 | 0 | PUB | Pt states she takes several anti seizure medications | Epilepsy | 2 | 01/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0987451 | 01/29/2021 | WI | 30.0 | 30 | F | Fast heart rate, anexity, shortness of breath, sore arm, vomiting, chills, fever, muscle aches, migraine, shaking. 8:00AM to current but getting less severe 8:00PM . | N | 01/28/2021 | 01/29/2021 | 1 | PVT | Lantus, levothyroxine, Humalog, atrovasatin, esmoperzole | Type 1.5 diabetic, hashimotos, high cholesterol | 2 | 01/29/2021 | Sulfa, penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0994266 | 02/02/2021 | WI | 30.0 | 30 | M | Developed rash on various locations on my upper body. The largest areas being the right flank, covering about 50% of the area. The rash on the other areas of the upper body were diffuse in small patches, including the left flank and upper back, shoulders, | U | 02/01/2021 | 02/01/2021 | 0 | PVT | N/A | N/A | N/A | 2 | 02/02/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0997971 | 02/03/2021 | WI | 30.0 | 30 | F | Patient received 0.3mL second dose of Pfizer COVID-19 vaccine. Lot number above. 11:55 immunization 12:00 patient states she feels "shaky". take to observation room where rescue meds available. 12:05 patient reports lightheadedness. Given 8 oz of water | Y | 01/26/2021 | 01/26/2021 | 0 | None | WRK | None | None | None | 2 | 02/03/2021 | Y | Banana Kiwi Shellfish Cat Hair Pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1017239 | 02/09/2021 | WI | 30.0 | 30 | F | Light headed / vertigo | U | 02/09/2021 | 02/09/2021 | 0 | Performed patient assessment via staff on site. No transport needed. | OTH | 2 | 02/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1017257 | 02/09/2021 | WI | 30.0 | 30 | F | Covid vaccine #2 administered at hospital. During 15 minute observation time post vaccine, 13:12, become pale and lightheaded, 12 minutes after vaccine. Improved with laying down and juice 13:15. Sat up, feeling improved, color continued to improve. Left r | 01/14/2021 | 01/14/2021 | 0 | WRK | 2 | 02/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1018123 | 02/09/2021 | WI | 30.0 | 30 | F | The pt drank a tea with cinnamon in it which she has a known allergy to. Once she realized this she took two 25mg Benadryl. She did not inform us of this until after the shot was given and she was under observation. As her signs of difficulty breathing | U | 02/09/2021 | 02/09/2021 | 0 | SEN | She had drank a tea with cinnamon in it 20 minutes prior to the Moderna vaccination. She has a known allergy to cinnamon. | unknown | unknown | 2 | 02/09/2021 | Y | latex, cinnamon and sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1023897 | 02/11/2021 | WI | 30.0 | 30 | F | DELAYED REACTION-ON 2/4 RECEIVED VACCINE, DEVELOPED SORE, RED, HARD ITCHY PATCH NEAR INJECTIONS SITE ON 2/9/21 | U | 02/04/2021 | 02/09/2021 | 5 | NA | PVT | NA | NA | NA | 2 | 02/11/2021 | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1024283 | 02/11/2021 | WI | 30.0 | 30 | F | Fever, Headache, Body Ache, Tiredness, Injection Site Pain | N | 02/10/2021 | 02/11/2021 | 1 | N/A | PVT | Sertraline. Probiotic. | N/A | Anxiety | 2 | 02/11/2021 | amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033511 | 02/16/2021 | WI | 30.0 | 30 | F | Per patient/employee: 5-6 minutes after her dose was administered, she felt her throat tightened, she was monitored in the clinic initially then taken to the ED. Treatment was fluids via IV. Patient/employee then followed up with her PCP & allergist; it | Y | 01/08/2021 | 01/08/2021 | 0 | None | PVT | None | None | None | 2 | 02/16/2021 | Y | Y | Penicillin's, Penicillamine, Gluten meal, Bovis | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1049679 | 02/23/2021 | WI | 30.0 | 30 | F | Intense dizziness and vertigo. First two days- nearly constant and accompanied by nausea and headache. Dizziness lasting for more than 1 week. Vertigo still present after 7 days if laying in certain positions. Taking meclizine as needed for dizziness and | N | 02/16/2021 | 02/17/2021 | 1 | UNK | Sertraline | Asthma | 2 | 02/23/2021 | Y | Apples Peaches Raw nuts | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1061439 | 02/28/2021 | WI | 30.0 | 30 | F | Redness, hard and warm at injection site plus 2 spots near injection site | N | 02/16/2021 | 02/26/2021 | 10 | UNK | Sertraline- 50mg 2x daily Leviteracitam(Keppra)- 1500mg 2x daily Vitamin C | None | Epilepsy | 2 | 02/28/2021 | Lamictal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1061622 | 02/28/2021 | WI | 30.0 | 30 | F | Starting at noon on February 27th I became very nauseous and it continued through now. Starting at 9am February 28th I began to have frequent bouts of diarrhea that have continued through now, including 12 trips to the bathroom with diarrhea between 9am an | N | 02/26/2021 | 02/27/2021 | 1 | None | PHM | None | None | None | 2 | 02/28/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1088781 | 03/10/2021 | WI | 30.0 | 30 | F | Injection site swelling and rash, Body aches, chills, fatigue, nausea, and headache | N | 03/09/2021 | 03/10/2021 | 1 | PHM | Tizanidine | 2 | 03/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096389 | 03/13/2021 | WI | 30.0 | 30 | F | Pain at injection site, headache, body aches, fatigue, nausea | Y | 03/10/2021 | 03/10/2021 | 0 | None | PUB | None | None | Anxiety | Flu vaccine causing aches and fatigue | 2 | 03/13/2021 | Milk and corn | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096816 | 03/13/2021 | WI | 30.0 | 30 | M | After receiving the initial dose, patient checked with observation staff. Patient had a syncopal episode after walking 12-15 feet away from the check in desk. Patient reported "blacking out." Patient stated that he does not like needles. Patient was assess | Y | 03/12/2021 | 03/12/2021 | 0 | Vitals: BP 130/64, Pulse 77, SpO2 99% (room air) Physical assessment: No injury noted. Patient denied any pain/tenderness | OTH | None reported | None reported | None reported | 2 | 03/13/2021 | No food or drug allergies reported | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1101001 | 03/15/2021 | WI | 30.0 | 30 | F | Fever, chills, aches, headache, fatigue, soreness in arm, nausea, weakness, lightheaded | N | 03/13/2021 | 03/13/2021 | 0 | UNK | Birth control (syronx) | 2 | 03/15/2021 | Hydrocodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108125 | 03/17/2021 | WI | 30.0 | 30 | F | I developed an itchy rash/hives on both arms, both legs, and my abdomen. | Y | 03/13/2021 | 03/16/2021 | 3 | PHM | Buspirone, Wellbutrin, Lexapro | 2 | 03/17/2021 | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108558 | 03/17/2021 | WI | 30.0 | 30 | F | rash 3 days after. | 03/13/2021 | 03/16/2021 | 3 | PVT | 2 | 03/17/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1117499 | 03/19/2021 | WI | 30.0 | 30 | F | Widespread hives all over body, under hair, raised bumps--especially on the back. Over 2.5 days, hives remain. | N | 03/17/2021 | 03/17/2021 | 0 | Lab tests will be run next week to meet with allergist. | PHM | Hydrocodone Hydromorphone Meloxicam Omeprazole Mexilitene Movantik Ibuprofen Tizanidine | Ehlers-Danlos Syndrome Hypophotasia Complex Regional Pain Syndrome Scoliosis | 2 | 03/19/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1118512 | 03/20/2021 | WI | 30.0 | 30 | F | Pfizer-BioNTech COVID-19 Vaccine EUA: Injection site pain, woke me up whenever I tried to move my left arm for the whole night. I didn't sleep well because of that. | N | 03/19/2021 | 03/19/2021 | 0 | OTH | Cetirizine hcl 10 mg Tablets; vitamin D3 50mcg softgel | 2 | 03/20/2021 | Mango | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1125935 | 03/23/2021 | WI | 30.0 | 30 | F | Fever (4+ days), sweating (4+ days), chills (4+ days), nausea (2 days), headache (2 days), sore joints (4+ days), skin hurt (3 days), fatigue (4+ days), stuffy nose (2 days), sneezing (1 day) | N | 03/19/2021 | 03/20/2021 | 1 | SCH | Migraine meds- Aimovig | None | Chronic migraine | 2 | 03/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1131323 | 03/24/2021 | WI | 30.0 | 30 | F | Head and ear pain on left side began on 3/6/2021. I took Tylenol and OTC ear drops but pain continued to get worse. 3/10- pain worsened, ear itched, hyperacusis began. 3/11- 8am Finally made an appointment in clinic due to the worsening ear pain and was pr | N | 03/05/2021 | 03/06/2021 | 1 | PHM | Metoprolol tartrate, copper gluconate | Muscle biopsy in thigh morning of vaccine, PEG tube surgery on 2/22- brief site infection on 2/26 treated with 1 week of bactrim, orthostatic hypotension | Failure to thrive/unintended weight loss, ovarian cancer, neuromuscular weakness, sinus tachycardia | 2 | 03/24/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1131404 | 03/24/2021 | WI | 30.0 | 30 | F | After the first 10 minutes, vision blurry and anxious, felt like she was going to pass out. Pt unaware if she lost consciousness. then had emesis. Appears pale and dry in oral mucosa. 1910. Now with complaints of stomach cramps. Drinking water. Emer | Y | 03/24/2021 | 03/24/2021 | 0 | PVT | Excedrin, vitamins, vit D, Magnesium, Lamotrigine(last dose 3/22,) Lorazepam | Psych disease | 2 | 03/24/2021 | Amoxicillin, Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139720 | 03/27/2021 | WI | 30.0 | 30 | F | Migraine attack lasting 37 days resulting in steirod treatment (prednisone) for 15 days (currently undergoing) | N | 02/18/2021 | 02/18/2021 | 0 | WRK | Emgality injection | N/A | Migraines | 2 | 03/27/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1145964 | 03/29/2021 | WI | 30.0 | 30 | F | Lower back and hip pain Shingles outbreak in L inguinal crease, L lateral knee | Y | 01/21/2021 | 01/23/2021 | 2 | Diagnosed by a licensed dermatologist | OTH | Prenatal vitamin, calcium + vitamin d, magnesium oxide, riboflavin, famotidine | Slight sore throat and fatigue | N/A | 2 | 03/29/2021 | Y | Contact allergy to adhesive after long term exposure | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1148022 | 03/30/2021 | WI | 30.0 | 30 | F | Went into intense cold and hot events. Chilled to the bone with many layers on to combat coldness. Then extreme heat and dripping sweat. All over body aches, headache, brain fog, extreme fatigue, haziness, sore arm, feeing very out of it. It lasted all nig | Y | 03/26/2021 | 03/26/2021 | 0 | PVT | Prenatal's for breastfeeding | None | None | 2 | 03/30/2021 | Ceclore | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1148186 | 03/30/2021 | WI | 30.0 | 30 | M | Initial soreness at injection site in right arm, which largely faded within four hours of vaccination; Ongoing as of this writing since 11:30 a.m. on 03/30/2021: mild stomach nausea (started at 11:30 a.m. and still going at 02:00 p.m.; vague chest pain (f | N | 03/29/2021 | 03/30/2021 | 1 | None | PUB | Arbonne protein powder | None | None | 2 | 03/30/2021 | Lactose intolerance | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1153349 | 03/31/2021 | WI | 30.0 | 30 | F | Uncontrollable shivering in the middle of the night about 11 hours after receiving the vaccination. The patient used several layers of blankets to warm up, which helped calm down the shivering, eventually allowing her to sleep. | Y | 03/29/2021 | 03/30/2021 | 1 | PUB | Cyterzine, Women's Multivitamin, Calcium Citrate, Psyllium husk, Fish Oil, Vitamin D3 | None | Obesity, PCOS | 2 | 03/31/2021 | None known. Seasonal Hayfever | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1154869 | 03/31/2021 | WI | 30.0 | 30 | F | My injection site swelled within ten minutes of the shot, and it?s caused my Erythromelalgia to flare badly. Erythromelalgia is a rare neurovascular condition that makes my skin turn red and get so warm that it can blister, and I?ve been stuck in one of th | N | 03/31/2021 | 03/31/2021 | 0 | PHM | Clonidine, Zyrtec, Allegra, multivitamin | Hyperadrenergic POTS, Erythromelalgia, Raynaud?s Syndrome, connective tissue disease, joint hypermobility syndrome | First Pfizer dose around 3/15/2021 | 2 | 03/31/2021 | Penicillin family, Vicodin, oxycodone, medical adhesives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1154283 | 04/01/2021 | WI | 30.0 | 30 | M | The day following the first shot, I began having chills. With the chills, came a low-grade fever. After about an hour or so, I had immense body aches. My bones felt like glass. This lasted for three and a half days. | Y | 03/29/2021 | 03/30/2021 | 1 | PUB | One-A-Day Men's Multivitamin, Allegra Allergy | N/A | N/A | 2 | 04/01/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1156985 | 04/01/2021 | WI | 30.0 | 30 | M | Client received first COVID dose 04/01/21 at 1030 am, noticed adverse reaction at 3 or 3:30 pm. Reaction is a rash, possibly hives on chest, was kind of red but is now pink in color. Client report no pain or itching at rash site. Client has taken an ant | N | 04/01/2021 | 04/01/2021 | 0 | PUB | Adderall | None | NOne | 2 | 04/01/2021 | Hives on hand when he had Mono | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1164404 | 04/03/2021 | WI | 30.0 | 30 | F | Severe body aches, chills and sweating. Dizziness, nausea, dehydration and stomach pain. Headache and passed out! | U | 04/02/2021 | 04/02/2021 | 0 | PHM | Tylenol and birth control | Asthma | Severe swelling of lymph nodes | 2 | 04/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1171250 | 04/06/2021 | WI | 30.0 | 30 | M | Syncopal event approx 10 min after vaccine administration. LOC for a few seconds. Diaphoretic initially but quickly resolved. Pt admits to no breakfast and no water this AM. Did have coffee. | Y | 04/06/2021 | 04/06/2021 | 0 | OTH | Claritin- but did not take today. | Denies. | Denies. | 2 | 04/06/2021 | Y | Seasonal allergies. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1172269 | 04/06/2021 | WI | 30.0 | 30 | F | BAG OF COVID-19 VIALS HAD A VIAL OF SHINGRIX IN IT. I ADMINISTERED 0.3ML SHINGRIX IN LEFT ARM AND COVID-19 IN RIGHT ARM | 04/06/2021 | 04/06/2021 | 0 | PHM | 2 | 04/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177221 | 04/07/2021 | WI | 30.0 | 30 | F | Patient reported that she had a red, itchy rash on her face and arms. She also reported mild tightness in her throat. | U | 04/07/2021 | 04/07/2021 | 0 | PHM | asthma | 2 | 04/07/2021 | Patient did not list any allergies on immunization form. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1180773 | 04/08/2021 | WI | 30.0 | 30 | M | Woke up at 3 am with severe headache, chills and then sweating, extreme fatigue, arm soreness. Headache has continued throughout today | N | 04/07/2021 | 04/08/2021 | 1 | PHM | Escitolopram | None | None | 2 | 04/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1182730 | 04/08/2021 | WI | 30.0 | 30 | M | 1:22 AM: chest pain, abdominal cramps, chills, difficulty breathing, hyperpnea, bilateral upper extremity trembling VS: pulse 112, respirations 22, temperature 37.0 Celsius, BP 156/103, O2 sat 99% on room air has history of deep vein thrombosis, pulmonary | Y | 04/07/2021 | 04/08/2021 | 1 | 04/08/2021 at emergency room: INR 2.0, PT 21.3, PTT 31 Blood culture x 2 = negative Urinalysis normal lactic acid, comprehensive metabolic panel, CBC with differential, NT proBNP, troponin I ultra sensitive, D-dimer, - all normal chest x-ray unremarkable | OTH | acetaminophen 500 mg TID PRN pain; albuterol 90 mcg/inhalation 2 puffs QID PRN chlorhexidine topical 4% BID PRN folliculitis fluticasone-salmeterol 500 mcg-50 mcg inhalation 1 puff BID lisinopril 10 mg daily warfarin 5 mg daily warfarin 2 m | none | Factor V Leiden mutation asthma obstructive sleep apnea hypertension morbid obesity folliculitis | 2 | 04/08/2021 | Y | Y | soy products | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1188451 | 04/10/2021 | WI | 30.0 | 30 | M | Red rash on left arm at the location where the vaccine was delivered. Noticed it about a week after receiving my first vaccine. | 04/01/2021 | 04/09/2021 | 8 | PHM | 2 | 04/10/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1189715 | 04/10/2021 | WI | 30.0 | 30 | M | Systemic: Fainting / Unresponsive-Mild, Additional Details: patient was given J and J \r\nCOVID vaccine. patient was seated when patient fainted. patient came to right away and was instructed to lay flat and elevate feet. patient started fo feel better. bp | Y | 04/09/2021 | 04/09/2021 | 0 | PHM | 2 | 04/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1192450 | 04/10/2021 | WI | 30.0 | 30 | M | As a person who has never had any kind of allergies--including seasonal allergies--as of the week I received the vaccine, I appear to have developed a new allergy to dust mites. When resting my head against a pillow (especially near the open end of the pil | Y | N | 03/15/2021 | 03/18/2021 | 3 | WRK | Clindamycin 1% gel | None | None | 2 | 04/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1193195 | 04/11/2021 | WI | 30.0 | 30 | M | Chest pain, highly elevated troponin, no ACS; likely Myocarditis | Y | 1 | Y | 04/06/2021 | 04/09/2021 | 3 | Significantly elevated troponin; likely Myocarditis | PHM | Multivitamin | none | None | 2 | 04/11/2021 | Y | allergic to most fish but NOT allergic to shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1193209 | 04/11/2021 | WI | 30.0 | 30 | M | I developed extreme body aches and chills along with an extreme fever, and it progressed throughout the night until I was delirious. I fainted once trying to take medication (ibeprofen) in the bathroom. I never measured the fever because I was delirious an | Y | 04/10/2021 | 04/10/2021 | 0 | PVT | Penicillin | None | None | 2 | 04/11/2021 | Wasp venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1193498 | 04/11/2021 | WI | 30.0 | 30 | F | Rash on arm around injection site - red patch | N | 04/03/2021 | 04/04/2021 | 1 | UNK | Viviscal | None | Migraines | 2 | 04/11/2021 | Gluten, all penicillins, cephalosporins, Vicodin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1195788 | 04/12/2021 | WI | 30.0 | 30 | F | Sore arm, headache, loopy feeling-day 1 fatigue, lethargic, cysts on neck -day 2 Sore by groin (did not have these prior) severe muscle spasms in legs, nightmares, bed wetting days 5-6 | N | 04/06/2021 | 04/06/2021 | 0 | PHM | B-12 turmeric, magnesium, ashwangda root | Hidradenitis Supprativa | 2 | 04/12/2021 | Zoloft, Bactrim DS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1208341 | 04/14/2021 | WI | 30.0 | 30 | F | I was about 5 weeks at time of vaccine. After vaccine tongue started getting tingly I was give a banana about 5 minutes it did go away. I dint exp this symptom with the tongue after Dose 2. My (estimated date of delivery 10/1). | Y | 01/27/2021 | 01/27/2021 | 0 | No | PVT | Prenatal Vit, Vit D, Vit B12, Allergy (Claritin) | No | Asthma | vsafe | 2 | 04/14/2021 | Amoxicillin, Penicillin, Shellfish, Hydrocodone, Cefuroxime, Azithromycin, Cescrozil | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209342 | 04/14/2021 | WI | 30.0 | 30 | F | Six minutes after administration of the clients second dose of BioNTech Pfizer vaccine she began to have difficulty breathing and audible wheezing. She reported GI upset, headache, feeling dizzy, and impending doom. She self-administered puffs from her a | U | 04/14/2021 | 04/14/2021 | 0 | PUB | Asthma | Asthma | While client was supine on floor, she stated that she did not tell the truth about feeling ill after her first dose of the Pfize | 2 | 04/14/2021 | Y | Imitrex, aspirin, & mushrooms Patient reported liver and kidney failure with large amounts of aspirin consumption. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1210736 | 04/14/2021 | WI | 30.0 | 30 | F | Muscle and body aches began the evening I got the shot. At bed time I was shivering and woozy. I slept for many hours, until 5 pm the next day. Body/muscle aches and wooziness continued the next day but shivering was gone. Aches are still ongoing as of tod | N | 04/09/2021 | 04/09/2021 | 0 | UNK | Accutane, lexapro, spironolactone, adderall, mono-linyah | Anxiety, ADHD, acne | Anxiety, ADHD, acne, depression | 2 | 04/14/2021 | Wellbutrin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222476 | 04/17/2021 | WI | 30.0 | 30 | F | Weakness, muscle aches, splotchy and Welty rash over entire body lashing 24 hours, beginning 8 days after vaccine dose | Y | 04/07/2021 | 04/15/2021 | 8 | None | PUB | Daily prenatal vitamin | None | None | 2 | 04/17/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1225271 | 04/18/2021 | WI | 30.0 | 30 | M | First dose: sinus congestion, headache, lethargy, mild fever Second dose: Muscle/joint pain, dizziness, mild fever, headache, excessive sweating while sleeping, fatigue/lethargy | Y | 04/16/2021 | 04/17/2021 | 1 | PVT | Vyvanse, ventolin inhaler, fluticasone | Sinus Infection | Asthma | 2 | 04/18/2021 | Medication: Seroquel | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1228741 | 04/19/2021 | WI | 30.0 | 30 | F | Woke up at 11 pm the same night after dose with a 102.5 fever, chills, severe headache, fatigue, body aches, vomiting, dizziness, and pain at injection site. These symptoms including the fever lasted for 2 days. | Y | 03/16/2021 | 03/16/2021 | 0 | N/A | OTH | Vienva Birth Control, Women One Daily Multivitamin | N/A | N/A | 2 | 04/19/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1229093 | 04/19/2021 | WI | 30.0 | 30 | M | On april 5th i had my first dose. From 1-2 days i had few symptoms like headach, tireness & injection site pain. Since it's been 2 weeks i still have few symptoms like mild headach, tiredness(full body pains), but those are not often (is there anything i | 04/05/2021 | 04/05/2021 | 0 | PUB | No | After vaccination, i do have some mild headach and body pains (even it happens now) | No | 2 | 04/19/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1231146 | 04/19/2021 | WI | 30.0 | 30 | F | Bitter, metallic taste in mouth since morning after the vaccine. Has lasted 2 days so far and still persists. | N | 04/17/2021 | 04/18/2021 | 1 | UNK | Lamictal Sertraline Clonazepam Cranberry Supplement | None | None | 2 | 04/19/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1242943 | 04/22/2021 | WI | 30.0 | 30 | F | While administering a 2nd dose of Moderna vaccine, there was a malfunction with the sharps device, which resulted in an indeterminate portion of the vaccine being administered to the patient (i.e. a portion of the dose sprayed out of the sharps device). We | Y | 04/21/2021 | 04/21/2021 | 0 | N/A | PUB | unknown | None reported | unknown | 2 | 04/22/2021 | unknown; none reported | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246902 | 04/23/2021 | WI | 30.0 | 30 | F | Event: Tongue is slightly swollen and very raw. The event was noticed approx 8 hours after the vaccination and persists into day 3. No treatment was needed, however it has impacted the ability to consume foods normally. I have resorted to eating soft foods | N | 04/21/2021 | 04/21/2021 | 0 | PVT | Prenatal vitamin; Omega-3 | None | None | 2 | 04/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1247029 | 04/23/2021 | WI | 30.0 | 30 | F | This individual began coughing up blood / clots 25 days post second dose of Moderna. The coughing experience lasts 1 to 11/2 hours. Then this coughing of blood goes away. It returns 28 days later and has done this now for three months on the 28th day. | Y | 02/02/2021 | 02/25/2021 | 23 | Individual did not have all specific tests and dates at the time of the call. | SEN | None | No | Hx of a hysterectomy | 2 | 04/23/2021 | Y | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1253209 | 04/24/2021 | WI | 30.0 | 30 | F | Fatigue and chills since the day after vaccination. Tight chest and shortness of breath by on and off since 4/9, about 3x/week. Ringing and echo in ears started occurring 4/18 or so, about 2x/ day | N | 04/01/2021 | 04/02/2021 | 1 | PHM | None | None | Narcolepsy | 2 | 04/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1258115 | 04/26/2021 | WI | 30.0 | 30 | F | Body aches, migraine, and fever. Fever started off low grade in the morning, escalated to 104-105 by 2:00pm. Tylenol helped reduce fever, fever broke around 7:30 pm. Next day residual headache but was able to return to work. | Y | 04/14/2021 | 04/15/2021 | 1 | None. | PHM | 28 day birth control pill. | None. | None. | 2 | 04/26/2021 | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1259781 | 04/26/2021 | WI | 30.0 | 30 | F | Swollen eye lid on left eye. | N | 04/21/2021 | 04/24/2021 | 3 | UNK | None | None | None | 2 | 04/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1263189 | 04/27/2021 | WI | 30.0 | 30 | F | Pt received both doses of Pfizer COVID-19 vaccine, on 1/9/2021 and 1/31/2021. Pt had symptoms of COVID and was tested through employee health on 4/23/2021. She came back positive. No hospitalization. | Y | 01/31/2021 | 04/23/2021 | 82 | SARS-CoV-2 via NP-PCR on 4/23/2021, positive | OTH | Nuvaring, ferrous sulfate, hydroxychloroquine, metformin, prednisone, prenatal vitamins, vitamin D | Lupus, fatty liver, diabetes, recurrent bronchitis, hx abnormal pap smear, acute idiopathic/immune thrombocytopenic purpura, | 2 | 04/27/2021 | Y | compazine, oxycodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271436 | 04/29/2021 | WI | 30.0 | 30 | M | Approximately 3-5 minutes post-vaccination, patient was seated, texting a message on cell phone, and fainted. Slumped out of chair face down. Witnessed by several volunteer employees. Not witnessed by pharmacist who had administered the vaccine. Volunteers | Y | 04/29/2021 | 04/29/2021 | 0 | WRK | Unknown | Unknown, no history of seizure disorder | History of light-headedness when exposed to blood or needles. | 2 | 04/29/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1282015 | 05/03/2021 | WI | 30.0 | 30 | F | -Gallbladder inflammation I visited my Doctor for, first experience with Gallbladder issues in my life -Skipped period | U | 04/16/2021 | 04/17/2021 | 1 | Dr. Visit 4/20/2021 | UNK | -- | -- | -- | 2 | 05/03/2021 | Y | -- | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1292687 | 05/06/2021 | WI | 30.0 | 30 | F | hives from 4/28 to 5/1 - from morning, sporadic, all over body (elbows, legs, arms, stomach, butt) - would go away once I took benedryl or zyrtec or claritin; followed by a sore throat 5/3 to present | Y | 04/13/2021 | 04/28/2021 | 15 | I did not go to the doctor for this issue, I thought about it but I have no known allergies so would go to allergist first maybe? unsure | UNK | none | none | none | 2 | 05/06/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1311680 | 05/12/2021 | WI | 30.0 | 30 | F | Premature birth at 35 weeks | Y | 04/01/2021 | 04/21/2021 | 20 | UNK | Prenatal vitamin, iron supplement, low dose aspirin | 2 | 05/12/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1330002 | 05/19/2021 | WI | 30.0 | 30 | F | estimated to be due December 7, 2021. I didn't have any symptoms, I didn't feel like I lost the pregnancy, until we had ultrasound on May 14, 2021 | N | 04/03/2021 | 04/20/2021 | 17 | ultra sound results miscarriage | PHM | prenatal vitamin | vsafe | 2 | 05/19/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1333182 | 05/20/2021 | WI | 30.0 | 30 | F | Breakthrough infection | 04/12/2021 | 05/15/2021 | 33 | UNK | 2 | 05/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1334727 | 05/20/2021 | WI | 30.0 | 30 | F | Breakthrough infection | 02/10/2021 | 05/17/2021 | 96 | UNK | 2 | 05/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1336739 | 05/21/2021 | WI | 30.0 | 30 | F | Menorrhagia causing weakness and inability to work. Hgb and TSH completed and normal. Pelvic ultrasound completed and was seen to be normal besides small ovarian cyst which per MD report was of inconsequential size. If heavy periods continue, treatment wil | N | 02/08/2021 | 05/07/2021 | 88 | TSH and Hgb on 5/10/2021. Pelvic ultrasound 5/20/21 | PVT | Prenatal vitamin | None | Asthma | 2 | 05/21/2021 | Y | Egg, penicillin, ciprofloxicin, sulfa, cefazolin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1336782 | 05/21/2021 | WI | 30.0 | 30 | F | Painless intermittent acrocyanosis of both hands starting day following vaccine. | N | 05/13/2021 | 05/14/2021 | 1 | PVT | No meds | None | Healthy | 2 | 05/21/2021 | Y | Lactose intolerant | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1351316 | 05/26/2021 | WI | 30.0 | 30 | F | NONE - REPORTING ERROR: PATIENT RECEIVED A 0.3ML DOSE OF PFIZER VACCINE THAT WAS MIXED WITH 0.8ML OF SALINE RATHER THAN 1.8ML OF SALINE, HUMAN ERROR ON PHARMACY PART OF PERSONNEL RECONSTITUTING VACCINE; PATIENT INFORMED ON 05/26/21 2:17PM OF VACCINE ERROR | Y | 05/26/2021 | 05/26/2021 | 0 | N/A | PHM | N/A | N/A | N/A | 2 | 05/26/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1365116 | 06/01/2021 | WI | 30.0 | 30 | F | Patient hospitalized for delivery of a healthy baby girl. The baby weighed 7 pounds 2.5 ounces. Per doctor's notes: Her postpartum course was complicated by delayed postpartum hemorrhage requiring Methergine, Cytotec, and Hemabate, which controlled bleedin | Y | 2 | 04/14/2021 | 04/20/2021 | 6 | OTH | 2 | 06/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1378453 | 06/07/2021 | WI | 30.0 | 30 | F | after receiving vaccine on Wednesday 4/21, got positive pregnancy test on Saturday 4/24, 1 day after missed period. Estimated due date was 12/31/21. Began spotting on May 1 - approx 5 weeks pregnant. Spotted brown/pink with some clots until May 5, when I s | Y | 04/21/2021 | 05/01/2021 | 10 | beta HCG tests - May 5 and May 7 Viability ultrasound - both abdominal and vaginal on May 10 pathology on gestational sac performed on May 12 - came back normal | PHM | lexapro 10mg | none | anxiety | 2 | 06/07/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1385177 | 06/09/2021 | WI | 30.0 | 30 | M | Emergency Dept. Walk-in: 01/26/2021: Chief Complaint: sinus drainage, sinus tenderness, denied cough, denied fever, denied sore throat. Symptoms of URI/nasal drainage x 4 days. Diagnosis and Plan: Sinusitis, sinus infection, or URI; Treatment recommended | Y | 01/15/2021 | 01/22/2021 | 7 | COVID-19 PANEL: SENDOUT: COVID-19 (not detected) - FINAL Report Released Date: Jan 28, 2021@07:55 | OTH | amphetamine/dextroamphet 20MG SA CAP; VENLAFAXINE HCL 75MG, AMAMPHETAMINE/DEXTROAMPHETAMINE 20MG TAB | cataplexy and narcolepsy, mood disorder | 2 | 06/09/2021 | Y | no known drug allergies; seasonal allergies; pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1391381 | 06/11/2021 | WI | 30.0 | 30 | F | Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster) | U | 06/10/2021 | 06/10/2021 | 0 | PHM | 2 | 06/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1420714 | 06/23/2021 | WI | 30.0 | 30 | F | Extreme nausea and headaches, mostly unable to eat, trouble getting water down Given Zofran, ibuprofen, and fluids on 5/3/21 (did not help symptoms) Multiple blood, urine, stool tests were run (all normal) Prescribed Reglan, then Prochlorper (neither effec | Y | 04/05/2021 | 04/30/2021 | 25 | Multiple blood, urine, stool tests, ultrasound, EGD (see above) | WRK | Olanzapine, Mirena IUD | None | Anxiety, depression, Endometriosis | 2 | 06/23/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1429611 | 06/26/2021 | WI | 30.0 | 30 | M | ~a week and a half after Vaccine, I experienced 'room spinning' vertigo and dizziness at around 1am. I was sick for the next few hours, vomited for around the first hour after. Symptoms of dizziness for the next two days, then Vertigo/dizziness/vomiting ag | N | 04/20/2021 | 04/29/2021 | 9 | I was given directions to perform the Epley Maneuver, which doesn't seem to have much effect. I was given Ondansetron and Meclizine, of which I've only needed to consume one pill of each during the second vertigo phase. I vomited 10 minutes after, so that | PHM | None at the time | None | Raynauds Disease, otherwise none | 2 | 06/26/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1433498 | 06/29/2021 | WI | 30.0 | 30 | F | Estimated date of delivery is 8/23/21. Patient was admitted on 6/28/2021 for painful contractions and increased pelvic pressure. She was diagnosed with pre-term delivery. Patient was tested following the hospital's admission protocol. Patient was asymptoma | Y | 2 | U | 05/04/2021 | 06/28/2021 | 55 | N/A | PVT | Unknown | No. | Diagnosed with Gestational diabetes | 2 | 06/29/2021 | Hydrocodone (itching, noted as an intolerance/side effect). | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1433678 | 06/29/2021 | WI | 30.0 | 30 | M | none | 06/28/2021 | 06/28/2021 | 0 | none | OTH | prn Hydrocortisone cream | none | eczema | 2 | 06/29/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1440776 | 07/01/2021 | WI | 30.0 | 30 | F | Client arrived at 9:00 a.m. for her first dose of Moderna vaccine. Client reported that she ?was being forced into the vaccine for work,? and that she ?wasn?t good with needles.? However, she was pleasant, compliant, and cooperative with the vaccine. She r | Y | 06/19/2021 | 06/19/2021 | 0 | None known | PUB | None known | None known | None known | 2 | 07/01/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1446143 | 07/03/2021 | WI | 30.0 | 30 | M | Injection Site Mild discomfort on 0d . Arthritis Flare up on 7d. Arthralgia, right hand joints swollen, numbness, stiffness. Nerve pain on right arm, left hand joint pain at 8d | N | 06/11/2021 | 06/18/2021 | 7 | omponent Results Component Your Value Standard Range Flag Fasting Status 14 Hours Hours Sodium 141 mmol/L 135 - 145 mmol/L Potassium 4.2 mmol/L 3.4 - 5.1 mmol/L Chloride 108 mmol/L 98 - 107 mmol/L H Carbon Dioxide 29 mmol/L 21 - 32 mmol/L Anion Ga | PVT | Vitamins, Lutein, Type II Collagen, Boron and HA | No | N/A | 2 | 07/03/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1460427 | 07/09/2021 | WI | 30.0 | 30 | M | As an intern was administering the vaccine (into the left arm) the needle separated from the syringe, therefore a large portion of the vaccine did not make it into the patient's arm. Per CDC recommendations (Appendix A), a full dose was administered into t | U | 07/09/2021 | 07/09/2021 | 0 | None. | PHM | Unknown. | No known illnesses. | None. | 2 | 07/09/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1462099 | 07/10/2021 | WI | 30.0 | 30 | F | Muscular/Joint Pain, 3/10, Tylenol, 24 hours 101.7 Fever, Tylenol, 36 hours | Y | 06/14/2021 | 06/14/2021 | 0 | MIL | Lexapro 20mg daily Tamoxifen 20mg daily Lithium 600mg daily | Depression | Fever & joint pain, 28 years, 2019, Tetanus. | 2 | 07/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1466802 | 07/13/2021 | WI | 30.0 | 30 | M | About 30 seconds after injection was administered, the patient's face went blank and their head fell back. I took their mask off and they were snoring. I tried to get the patient to the ground and they started seizing and clutching at me. When the patient' | Y | 07/13/2021 | 07/13/2021 | 0 | PHM | None | None | None | 2 | 07/13/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1477782 | 07/16/2021 | WI | 30.0 | 30 | F | Bullous skin disease (clinically consistent with Linear IgA, however DIF negative), began 10 days after vaccination (no new medications or recent illness otherwise). Stabilized with prednisone but has not resolved as of 7/16/2021 | N | 05/23/2021 | 06/02/2021 | 10 | Skin biopsy (6/14/2021): H&E consistent with linear IgA or neutrophilic dermatosis but DIF negative | PVT | None | None | None | 2 | 07/16/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1506041 | 07/27/2021 | WI | 30.0 | 30 | M | Sx onset 7/22/21 with cough, runny nose, sore throat, nasal congestion, fever, chills, headache, loss of smell & loss of taste. Tested on 7/25/21 which resulted as positive. Traveled to another state via airplane 7/20 to 7/22. | 04/19/2021 | 07/22/2021 | 94 | Specimen Collection Date: 7/25/2021 Specimen Source: swab of internal nose Test Performed: COVID-19 rapid diagnostic test (nucleic acid amplification test NAAT) Result: Positive | PUB | 2 | 07/27/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1506046 | 07/27/2021 | WI | 30.0 | 30 | M | Sx onset 7/22/21 with cough, runny nose, sore throat, nasal congestion, fever, chills, headache, loss of smell & loss of taste. Traveled 7/20 to 7/22 Tested on 7/25 which resulted as positive. | 05/17/2021 | 07/22/2021 | 66 | Specimen Collection Date: 7/25/2021 Specimen Source: swab of internal nose Test Performed: COVID-19 rapid diagnostic test (nucleic acid amplification test NAAT) Result: Positive | PUB | 2 | 07/27/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1525875 | 08/04/2021 | WI | 30.0 | 30 | M | Upon having the vaccination (2nd dose) I woke up with a fever of 101 deg. I had a headache and swollen glands (most notably in my L armpit and L side of my neck). These swollen glands, headache, and malaise persisted for 2-3 days. Approximately 2-3 weeks | N | 01/14/2021 | 01/28/2021 | 14 | I had a screening with my new primary on Feb 24th, where she took a multitude of labs (WNL). March 10th I had an EMG of hands, feet and spine (WNL) April 7th I had a visit with neurologist who ordered brain MRI I had brain MRI with and without contrast on | PVT | none | none | none | 2 | 08/04/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1535900 | 08/09/2021 | WI | 30.0 | 30 | M | 1755 Approx 10 minutes after receiving the J&J covid vaccine. Patient leaned back in his chair and fainted. Began to shake, eyes open and became diaphoretic. Easily arroused but still diaphoretic and weak. 1805 Transferred to patient room on a exam t | Y | 08/05/2021 | 08/05/2021 | 0 | PVT | 2 | 08/09/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1566132 | 08/15/2021 | WI | 30.0 | 30 | F | diarrhea; Nausea; Vomiting; Headache; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (diarrhea), NAUSEA (Nausea), VOMITING (Vomiting) and HEADACHE (Headache) in a 30-year-old female patient who received mRNA-1273 | U | 03/11/2021 | 03/11/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1569066 | 08/15/2021 | WI | 30.0 | 30 | F | First dose: No soreness or any other symptoms experienced. Second Dose: Sore arm, back pain, dizziness, nausea | Y | 08/14/2021 | 08/14/2021 | 0 | PHM | 2 | 08/15/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1578538 | 08/17/2021 | WI | 30.0 | 30 | M | 1755 Approx 10 minutes after receiving the J&J covid vaccine. Patient leaned back in his chair and fainted. Began to shake, eyes open and became diaphoretic. Easily arroused but still diaphoretic and weak. 1805 Transferred to patient room on a exam | Y | 08/05/2021 | 08/05/2021 | 0 | PVT | None | None | None | 2 | 08/17/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1582316 | 08/18/2021 | WI | 30.0 | 30 | F | After both rounds of the COVID vaccine I had heavy menstrual bleeding about 2 to 3 days post vaccine. I have an IUD and do not get periods (for several years). About 2 weeks after the second dose of the vaccine I also had water retention/swelling in my | Y | 04/16/2021 | 04/18/2021 | 2 | N/A | WRK | N/A | N/A | N/A | 2 | 08/18/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1587290 | 08/19/2021 | WI | 30.0 | 30 | F | Patient contracted COVID after being fully vaccinated | 02/04/2021 | 08/18/2021 | 195 | PVT | Tri-Sprintec Daily | none documented | None Documented | 2 | 08/19/2021 | Penicillin - Had as a child - Uncertain of reaction | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1594533 | 08/21/2021 | WI | 30.0 | 30 | F | Patient is pregnant and received the 1st dose of Moderna vaccine; This spontaneous prospective pregnancy case was reported by a health care professional and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Patient is pregnant and received th | Y | 01/06/2021 | 01/06/2021 | 0 | Test Date: 20201016; Test Name: pregnancy test; Test Result: Positive ; Result Unstructured Data: positive | UNK | PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS] | Drug allergy (to augmentin); Shellfish allergy | Medical History/Concurrent Conditions: Delivery (Live full-term birth); Spontaneous abortion | USMODERNATX, INC.MOD20210 | 2 | 08/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1597795 | 08/21/2021 | WI | 30.0 | 30 | F | Headache after first dose; Slight fatigue after first dose; Vaccine exposure during pregnancy; Sore arm after first dose; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNA | Y | 02/11/2021 | 02/11/2021 | 0 | Test Date: 20201011; Test Name: Pregnancy Test; Test Result: Positive ; Result Unstructured Data: Positive | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1604036 | 08/21/2021 | WI | 30.0 | 30 | F | Redness at injection site; Swelling at injection site; Chills; Fever; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Chills), PYREXIA (Fever), VACCINATION SITE ERYTHEMA (Redness at injection site), VACCINA | Y | 03/06/2021 | 04/04/2021 | 29 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1610024 | 08/22/2021 | WI | 30.0 | 30 | F | feeling shaky about an hour after vaccination; Sore arm at injection site; This spontaneous case was reported by a consumer and describes the occurrence of NERVOUSNESS (feeling shaky about an hour after vaccination) and VACCINATION SITE PAIN (Sore arm at i | U | 03/24/2021 | 04/21/2021 | 28 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1631730 | 08/25/2021 | WI | 30.0 | 30 | F | Headache; fatigue; vaccine exposure during pregnancy; Sore arm after second dose; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (vaccine exposure during pregnancy), | Y | 03/12/2021 | 03/12/2021 | 0 | Test Date: 20201011; Test Name: pregnancy test; Test Result: Positive ; Result Unstructured Data: positive | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1636509 | 08/26/2021 | WI | 30.0 | 30 | F | Noticed a rash on her arm beginning Tuesday, 8/24 at injection site. Rash began to spread to elbow and thighs by Wednesday. Thursday am, rash on other elbow and face (7:30AM). Denies any swelling of the mouth or tongue, no difficulty breathing. | N | 08/23/2021 | 08/24/2021 | 1 | No treatment at this time. Advised to call HCP for more direction. | PHM | 2 pills of Famotidine -took last evening and one the day before (8/24) Cetirizine took 2 weeks ago for bee sting--took again last evening (8/25) | GI issues, diarrhea about a month ago, over the weekend of 8/6/2021, Subsided spontaneously. | None | 2 | 08/26/2021 | Insect stings nickel sensitivity | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1640998 | 08/27/2021 | WI | 30.0 | 30 | F | paresthesia of the left arm, tachycardia, fatigue and confusion. Patient was discharged from urgent care/ER day of. Advised to rest and call pharmacy with any questions or concerns. Patient states she has recovered, just feeling tired after discharge whic | Y | 08/26/2021 | 08/26/2021 | 0 | Unknown to pharmacy | PHM | - amlodipine - lisinopril - metformin -vyvanse -oxcarbazepine - montelukast | n/a | - bipolar - ADHD | TDAP allergic reaction, date unknown, age unknown | 2 | 08/27/2021 | Y | TDAP | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1663011 | 09/01/2021 | WI | 30.0 | 30 | M | Client report receiving first COVID vaccine on 08/19/21, adverse reaction began on 08/27/21. Symptom of chills began that night. The next day (08/28/21) began to feel like he had a fever, temp checked showed a low grade temp. Started to have diarrhea, i | N | 08/19/2021 | 08/27/2021 | 8 | None | WRK | None | None | None | 2 | 09/01/2021 | Non | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1678564 | 09/07/2021 | WI | 30.0 | 30 | F | 9/2/21: The patient is a 30 year old female who presents to the ED for evaluation of strokelike symptoms. At approximately 11 PM tonight the patient reports having sudden onset of confusion and difficulty speaking. Patient and family explain she is havin | Y | 4 | Y | N | 08/31/2021 | 09/02/2021 | 2 | PVT | Amphetamine/Dextroamphetamine 30 mg once daily, Cholecalciferol 5,000 units daily, clonazepam 0.5 mg twice daily as needed, cyclobenzaprine 5 mg nightly as needed, doxycycline 100 mg daily, famotidine 20 mg daily, metoprolol tartrate 12.5 m | N/A | Anxiety, Palpitations, Depression, GERD | 2 | 09/07/2021 | Y | Y | Y | Contrast (anaphylaxis), Penicillin unknown, Sulfamethoxazole (rash) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1683366 | 09/08/2021 | WI | 30.0 | 30 | F | COVID 19-Pfizer was mixed with only 0.8ml of saline instead of 1.8ml. Pt was given 0.3ml of mixed vaccine | U | 09/08/2021 | 09/08/2021 | 0 | none | PVT | no known medications | chronic intraepithelial lesion on cervix | 2 | 09/08/2021 | Midol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1685411 | 09/09/2021 | WI | 30.0 | 30 | F | 9/9/2021 REDNESS IS STILL THERE. WHEN IT WAS FIRST GIVEN COUPLE HOURS LATER FELT FATIGUED, SORE ARM, LUMP AT INJECTION SITE. ARM STILL FEELS SORE AND LUMP WENT AWAYS 1 WEEK LATER. | 08/26/2021 | 08/26/2021 | 0 | PHM | none | none | none | 2 | 09/09/2021 | valium. Hydrocodone-Acetaminophen, Zofran, Fentanyl, Versed, Diazepam, Escitalopram, Midazolam | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1689092 | 09/10/2021 | WI | 30.0 | 30 | F | Second dose administered less than 24 days from initial dose. | Y | 09/02/2021 | 09/02/2021 | 0 | PUB | 2 | 09/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696803 | 09/14/2021 | WI | 30.0 | 30 | M | Splitting headache, nausea, fatigue - all lasting for two weeks | N | 08/24/2021 | 09/01/2021 | 8 | UNK | One a day vitamin | 2 | 09/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1705674 | 09/16/2021 | WI | 30.0 | 30 | F | The injection was initially just sitting in my left arm upper muscle, swelled occurred. A friend of mines massaged my arm and my left arm with numb and then pain, fever, and body aches started. I experienced side effects for 3-4 days, and I was told I woul | Y | 09/09/2021 | 09/13/2021 | 4 | PHM | Aleve, Vitamin C tablet, Super B Complex tablet | Seasonal allergies | Asthma, Anxiety, Severe Depression | 2 | 09/16/2021 | Y | Environmental, Latex, Fish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1713242 | 09/18/2021 | WI | 30.0 | 30 | M | two days breathing problems, then boom - dead | Y | 09/18/2021 | N | 09/10/2021 | 09/15/2021 | 5 | UNK | 2 | 09/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1714081 | 09/19/2021 | WI | 30.0 | 30 | M | Headache and fever | Y | 09/13/2021 | 09/14/2021 | 1 | PVT | Omeprazole alaporozam | Ulcerative colitis | 2 | 09/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1719162 | 09/21/2021 | WI | 30.0 | 30 | F | She reports symptoms of Other: Immediately after injection patient reports feeling dizzy and "hotflashes". Denies nausea, heart racing, shortness of breath or throat swelling. I have observed: Patient shaking arms. Eyes closed. Complains of tongue an | U | 09/21/2021 | 09/21/2021 | 0 | NA. Vitals checked. | PVT | 2 | 09/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1745550 | 09/29/2021 | WI | 30.0 | 30 | F | body aches, fatigue, headaches, sore arm | Y | 09/24/2021 | 09/25/2021 | 1 | PVT | 2 | 09/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1757465 | 10/03/2021 | WI | 30.0 | 30 | F | Same night of vaccination (9/30) I had fever, chills, heart pounding, muscle aches, joints aching, extreme fatigue. Next day (10/1) I had muscle aches, joints aching, extreme fatigue, heart pounding, feeling of depression and anxiety. I also had very vivi | N | 09/30/2021 | 09/30/2021 | 0 | PHM | bupropion | 2 | 10/03/2021 | sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1758883 | 10/04/2021 | WI | 30.0 | 30 | F | She got her vaccine, she didn't have any problems until about 2 days later. She has tingling, pins and needles usually in her left hand and lasts for up to 2 hours at a time. It usually subsides as the day goes on, but then sometimes it happens in her ri | N | 08/24/2021 | 08/26/2021 | 2 | None. | WRK | None. | None. | None. | 2 | 10/04/2021 | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1758888 | 10/04/2021 | WI | 30.0 | 30 | F | Received my Pfizer booster at 2pm on Thursday, started having intense intermittent chills and hot flashes around midnight through the morning. When I woke up, I felt as though taking a shower would help and when I was in the shower, I felt as though I was | N | 09/30/2021 | 09/30/2021 | 0 | WRK | Ortho tri-cyclen (birth control), multi vitamin, elderberry. | No | No | 2 | 10/04/2021 | Penicillin, Azithromycin, Ceclor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1771416 | 10/08/2021 | WI | 30.0 | 30 | F | 50min after vaccine was administered she became tachycardiac, dizzy, numbness face and hands, hands became cold, throat felt like it was swollen, Benadryl given but s/s did not improve, was taken to Hospital ED, said it was a mild reaction to the flu vacc | Y | 10/06/2021 | 10/06/2021 | 0 | None | OTH | None | No | No | 2 | 10/08/2021 | Y | Seasonal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1771894 | 10/08/2021 | WI | 30.0 | 30 | F | got covid 19 | N | 01/27/2021 | 10/07/2021 | 253 | positive covid test | PVT | insulin lantus, jardiance, glipizide, gemfibrozil, lisinopril, metformin, simvastatin, | none | diabetes, hypertension, hyperlipidemia | 2 | 10/08/2021 | Y | sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1775297 | 10/09/2021 | WI | 30.0 | 30 | F | Endocarditis on CT and high blood pressure | U | 03/30/2021 | 09/01/2021 | 155 | CT scan | PUB | Gabapentin, protonix | 2 | 10/09/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1776475 | 10/11/2021 | WI | 30.0 | 30 | F | Patient experienced chills, body aches, and headache for the first 48 hours after vaccination. Lump developed over left clavicle and plans to see provider for evaluation. | U | 09/17/2021 | 10/01/2021 | 14 | PVT | 2 | 10/11/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1776484 | 10/11/2021 | WI | 30.0 | 30 | M | Patient experienced extreme pain in lower extremities prompting him seeking emergency room care. | U | 10/02/2021 | 10/02/2021 | 0 | PVT | 2 | 10/11/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1779274 | 10/12/2021 | WI | 30.0 | 30 | F | Migraine, nausea, diarrhea lasting 3 days. rest, fluids. | Y | 10/06/2021 | 10/07/2021 | 1 | none | SEN | tylenol | none | none | 2 | 10/12/2021 | codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1827207 | 10/29/2021 | WI | 30.0 | 30 | F | short term memory; don't remember anything it; hit her head; syncope, it shuts down her organ; vasovagal response; blacked out; Fell to the floor; leg pain; This spontaneous case was reported by a consumer and describes the occurrence of LOSS OF CONSCIOUSN | U | 03/11/2021 | 10/01/2021 | 204 | UNK | USMODERNATX, INC.MOD20213 | 2 | 10/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1842373 | 11/04/2021 | WI | 30.0 | 30 | F | Full body aches, chills, shivering, fever, stiffness/cramping | N | 11/02/2021 | 11/03/2021 | 1 | N/A | WRK | Metoprolol, tramadol | None | Hypertension | 2 | 11/04/2021 | Pyridium, lisinopril | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1850864 | 11/08/2021 | WI | 30.0 | 30 | F | Received Moderna booster in the afternoon on 11/5/21, that evening had an itchy petechial rash down both arms, across chest and palms as well as a large hive at the injection site. I took a benadryl and the rash subsided, hive at injection site is slowly i | Y | 11/05/2021 | 11/05/2021 | 0 | PVT | Zoloft, Welbutrin, Omeprazole, Zyrtec, Singulair, Doxycycline | none | IBS, Depression, Anxiety, Reactive Airway Disease, Rosacea | 2 | 11/08/2021 | Sulfa antibiotics, Latex, Adhesive Tape | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1857557 | 11/10/2021 | WI | 30.0 | 30 | M | Experienced sharp pain around area of heart about 3 hours after receiving vaccine. This lasted for about 2 days. I took Tylenol to try and help relieve the pain. | U | 11/03/2021 | 11/03/2021 | 0 | None | PUB | None | None | None | 2 | 11/10/2021 | None that are known of | 2021VAERSSYMPTOMS | 2021VAERSVAX |