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You are viewing patients aged: 30, in state: WI

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VAERS_IDRECVDATESTATEAGE_YRSCAGE_YRCAGE_MOSEXRPT_DATESYMPTOM_TEXTDIEDDATEDIEDL_THREATER_VISITHOSPITALHOSPDAYSX_STAYDISABLERECOVDVAX_DATEONSET_DATENUMDAYSLAB_DATAV_ADMINBYV_FUNDBYOTHER_MEDSCUR_ILLHISTORYPRIOR_VAXSPLTTYPEFORM_VERSTODAYS_DATEBIRTH_DEFECTOFC_VISITER_ED_VISITALLERGIESLink 1Link 2
091937801/04/2021WI30.030FPatient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted.12/26/202012/30/20204PVT201/04/2021gabapentin, seasonal2021VAERSSYMPTOMS2021VAERSVAX
092385701/06/2021WI30.030FAt 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 effe01/05/202101/05/20210N/APVTUnknownNone that writer is aware ofNeck pain Mild intermittent asthma without complication Allergic rhinitis, seasonal? Esophageal reflux ? Migraine201/06/2021Banana - Anaphylaxis, Hives, Itching Kiwi Extract - Anaphylaxis, Hives Shellfish Allerg - Anaphylaxis Shellfish-derived Products - Anaphylaxis, Hives, Itching Cat Hair Extract - Itching, Sinusitis Pollen Extract - Itching, sinusitis2021VAERSSYMPTOMS2021VAERSVAX
092451401/06/2021WI30.030F8am 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 Y12/30/202012/31/20201covid test 1/4/2021 was negativePVTdepo shotNono201/06/2021penicillin & bactrim2021VAERSSYMPTOMS2021VAERSVAX
092556701/07/2021WI30.030MMalaise, fatigue, headache, muscle aches.N01/06/202101/06/20210UNK201/07/20212021VAERSSYMPTOMS2021VAERSVAX
092560401/07/2021WI30.030FShortly 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.Y12/31/202012/31/20200PVTNorethindrone birth control201/07/2021Biaxin- rash, flagyl-rash2021VAERSSYMPTOMS2021VAERSVAX
092644101/07/2021WI30.030FI 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 thY01/04/202101/04/20210WRKNoneNoneNone201/07/2021YAvocado, broccoli2021VAERSSYMPTOMS2021VAERSVAX
092665201/07/2021WI30.030FOne 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 faN12/31/202012/31/20200nonePVTVaginal ProgesteroneNonePCOS, endometriosisYes chills, fatigue, body aches with flu vaccine in 2019 the night after vaccination201/07/2021Seasonal2021VAERSSYMPTOMS2021VAERSVAX
092878701/08/2021WI30.030MPatient 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. StU01/08/202101/08/20210nonePVTseveral including blood pressure medicationsnone knowhypertension201/08/2021Ynone known2021VAERSSYMPTOMS2021VAERSVAX
093018201/08/2021WI30.030FBEGAN 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 DEU01/07/202101/07/20210COVID-19 TESTED 1/8/2021 A.M. RESULTS ARE PENDING.WRKFLOVENT, VYVANSE, MONONESSAAsthma and Hydradenitis suppuritivia201/08/2021YBannanas2021VAERSSYMPTOMS2021VAERSVAX
093044901/08/2021WI30.030FPfizer-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 ofU12/28/202012/28/20200PVT201/08/2021Y2021VAERSSYMPTOMS2021VAERSVAX
093291601/10/2021WI30.030M9 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.Y01/04/202101/04/20210NonePVTNoneNoneVitiligo201/10/2021None2021VAERSSYMPTOMS2021VAERSVAX
093442401/11/2021WI30.030FSevere head ache; nausea/vomiting; chills; muscle aches; injection site pain and swellingY12/28/202012/29/20201WRK201/11/20212021VAERSSYMPTOMS2021VAERSVAX
094373901/14/2021WI30.030Mright sided upper arm swelling, slight redness, firm beneath injection site, with "tightness" from elbow to the shoulder with ROM/ movementN01/06/202101/13/20217SENVitamin D, TurmericNoneNone201/14/2021Penicillin2021VAERSSYMPTOMS2021VAERSVAX
095536901/19/2021WI30.030M2021/01/16 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. HeY01/14/202101/16/20212OTHNoneNoneNone201/19/2021None2021VAERSSYMPTOMS2021VAERSVAX
095645601/19/2021WI30.030FTwo enlarged painful lumps above the left side of collar bone.01/07/202101/10/20213PVT201/19/2021Y2021VAERSSYMPTOMS2021VAERSVAX
096400301/21/2021WI30.030MI 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 tiY01/08/202101/10/20212NonePVTVitamin D supplementNoneNone201/21/2021Buckwheat food allergy2021VAERSSYMPTOMS2021VAERSVAX
097562201/26/2021WI30.030FApproximately 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 Y01/26/202101/26/20210PVT201/26/20212021VAERSSYMPTOMS2021VAERSVAX
098175901/28/2021WI30.030FChills and fever starting around 7:00 PM, lightheadedness, near-syncope around 2:00 AMY01/18/202101/18/20210NonePVTNoneNoneEczema201/28/2021None2021VAERSSYMPTOMS2021VAERSVAX
098704701/29/2021WI30.030FPt 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 hY01/28/202101/28/20210PUBPt states she takes several anti seizure medicationsEpilepsy201/29/20212021VAERSSYMPTOMS2021VAERSVAX
098745101/29/2021WI30.030FFast 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 .N01/28/202101/29/20211PVTLantus, levothyroxine, Humalog, atrovasatin, esmoperzoleType 1.5 diabetic, hashimotos, high cholesterol201/29/2021Sulfa, penicillin2021VAERSSYMPTOMS2021VAERSVAX
099426602/02/2021WI30.030MDeveloped 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, U02/01/202102/01/20210PVTN/AN/AN/A202/02/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
099797102/03/2021WI30.030FPatient 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 waterY01/26/202101/26/20210NoneWRKNoneNoneNone202/03/2021YBanana Kiwi Shellfish Cat Hair Pollen2021VAERSSYMPTOMS2021VAERSVAX
101723902/09/2021WI30.030FLight headed / vertigoU02/09/202102/09/20210Performed patient assessment via staff on site. No transport needed.OTH202/09/20212021VAERSSYMPTOMS2021VAERSVAX
101725702/09/2021WI30.030FCovid 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 r01/14/202101/14/20210WRK202/09/20212021VAERSSYMPTOMS2021VAERSVAX
101812302/09/2021WI30.030FThe 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 breathingU02/09/202102/09/20210SENShe had drank a tea with cinnamon in it 20 minutes prior to the Moderna vaccination. She has a known allergy to cinnamon.unknownunknown202/09/2021Ylatex, cinnamon and sulfa2021VAERSSYMPTOMS2021VAERSVAX
102389702/11/2021WI30.030FDELAYED REACTION-ON 2/4 RECEIVED VACCINE, DEVELOPED SORE, RED, HARD ITCHY PATCH NEAR INJECTIONS SITE ON 2/9/21U02/04/202102/09/20215NAPVTNANANA202/11/2021NA2021VAERSSYMPTOMS2021VAERSVAX
102428302/11/2021WI30.030FFever, Headache, Body Ache, Tiredness, Injection Site PainN02/10/202102/11/20211N/APVTSertraline. Probiotic.N/AAnxiety202/11/2021amoxicillin2021VAERSSYMPTOMS2021VAERSVAX
103351102/16/2021WI30.030FPer 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; itY01/08/202101/08/20210NonePVTNoneNoneNone202/16/2021YYPenicillin's, Penicillamine, Gluten meal, Bovis2021VAERSSYMPTOMS2021VAERSVAX
104967902/23/2021WI30.030FIntense 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 N02/16/202102/17/20211UNKSertralineAsthma202/23/2021YApples Peaches Raw nuts2021VAERSSYMPTOMS2021VAERSVAX
106143902/28/2021WI30.030FRedness, hard and warm at injection site plus 2 spots near injection siteN02/16/202102/26/202110UNKSertraline- 50mg 2x daily Leviteracitam(Keppra)- 1500mg 2x daily Vitamin CNoneEpilepsy202/28/2021Lamictal2021VAERSSYMPTOMS2021VAERSVAX
106162202/28/2021WI30.030FStarting 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 anN02/26/202102/27/20211NonePHMNoneNoneNone202/28/2021None2021VAERSSYMPTOMS2021VAERSVAX
108878103/10/2021WI30.030FInjection site swelling and rash, Body aches, chills, fatigue, nausea, and headacheN03/09/202103/10/20211PHMTizanidine203/10/20212021VAERSSYMPTOMS2021VAERSVAX
109638903/13/2021WI30.030FPain at injection site, headache, body aches, fatigue, nauseaY03/10/202103/10/20210NonePUBNoneNoneAnxietyFlu vaccine causing aches and fatigue203/13/2021Milk and corn2021VAERSSYMPTOMS2021VAERSVAX
109681603/13/2021WI30.030MAfter 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 assessY03/12/202103/12/20210Vitals: BP 130/64, Pulse 77, SpO2 99% (room air) Physical assessment: No injury noted. Patient denied any pain/tendernessOTHNone reportedNone reportedNone reported203/13/2021No food or drug allergies reported2021VAERSSYMPTOMS2021VAERSVAX
110100103/15/2021WI30.030FFever, chills, aches, headache, fatigue, soreness in arm, nausea, weakness, lightheadedN03/13/202103/13/20210UNKBirth control (syronx)203/15/2021Hydrocodone2021VAERSSYMPTOMS2021VAERSVAX
110812503/17/2021WI30.030FI developed an itchy rash/hives on both arms, both legs, and my abdomen.Y03/13/202103/16/20213PHMBuspirone, Wellbutrin, Lexapro203/17/2021Codeine2021VAERSSYMPTOMS2021VAERSVAX
110855803/17/2021WI30.030Frash 3 days after.03/13/202103/16/20213PVT203/17/2021Y2021VAERSSYMPTOMS2021VAERSVAX
111749903/19/2021WI30.030FWidespread hives all over body, under hair, raised bumps--especially on the back. Over 2.5 days, hives remain.N03/17/202103/17/20210Lab tests will be run next week to meet with allergist.PHMHydrocodone Hydromorphone Meloxicam Omeprazole Mexilitene Movantik Ibuprofen TizanidineEhlers-Danlos Syndrome Hypophotasia Complex Regional Pain Syndrome Scoliosis203/19/2021Y2021VAERSSYMPTOMS2021VAERSVAX
111851203/20/2021WI30.030FPfizer-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.N03/19/202103/19/20210OTHCetirizine hcl 10 mg Tablets; vitamin D3 50mcg softgel203/20/2021Mango2021VAERSSYMPTOMS2021VAERSVAX
112593503/23/2021WI30.030FFever (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)N03/19/202103/20/20211SCHMigraine meds- AimovigNoneChronic migraine203/23/2021None2021VAERSSYMPTOMS2021VAERSVAX
113132303/24/2021WI30.030FHead 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 prN03/05/202103/06/20211PHMMetoprolol tartrate, copper gluconateMuscle 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 hypotensionFailure to thrive/unintended weight loss, ovarian cancer, neuromuscular weakness, sinus tachycardia203/24/2021YYNone2021VAERSSYMPTOMS2021VAERSVAX
113140403/24/2021WI30.030FAfter 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. EmerY03/24/202103/24/20210PVTExcedrin, vitamins, vit D, Magnesium, Lamotrigine(last dose 3/22,) LorazepamPsych disease203/24/2021Amoxicillin, Penicillin2021VAERSSYMPTOMS2021VAERSVAX
113972003/27/2021WI30.030FMigraine attack lasting 37 days resulting in steirod treatment (prednisone) for 15 days (currently undergoing)N02/18/202102/18/20210WRKEmgality injectionN/AMigraines203/27/2021YN/A2021VAERSSYMPTOMS2021VAERSVAX
114596403/29/2021WI30.030FLower back and hip pain Shingles outbreak in L inguinal crease, L lateral kneeY01/21/202101/23/20212Diagnosed by a licensed dermatologistOTHPrenatal vitamin, calcium + vitamin d, magnesium oxide, riboflavin, famotidineSlight sore throat and fatigueN/A203/29/2021YContact allergy to adhesive after long term exposure2021VAERSSYMPTOMS2021VAERSVAX
114802203/30/2021WI30.030FWent 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 nigY03/26/202103/26/20210PVTPrenatal's for breastfeedingNoneNone203/30/2021Ceclore2021VAERSSYMPTOMS2021VAERSVAX
114818603/30/2021WI30.030MInitial 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 (fN03/29/202103/30/20211NonePUBArbonne protein powderNoneNone203/30/2021Lactose intolerance2021VAERSSYMPTOMS2021VAERSVAX
115334903/31/2021WI30.030FUncontrollable 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.Y03/29/202103/30/20211PUBCyterzine, Women's Multivitamin, Calcium Citrate, Psyllium husk, Fish Oil, Vitamin D3NoneObesity, PCOS203/31/2021None known. Seasonal Hayfever2021VAERSSYMPTOMS2021VAERSVAX
115486903/31/2021WI30.030FMy 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 thN03/31/202103/31/20210PHMClonidine, Zyrtec, Allegra, multivitaminHyperadrenergic POTS, Erythromelalgia, Raynaud?s Syndrome, connective tissue disease, joint hypermobility syndromeFirst Pfizer dose around 3/15/2021203/31/2021Penicillin family, Vicodin, oxycodone, medical adhesives2021VAERSSYMPTOMS2021VAERSVAX
115428304/01/2021WI30.030MThe 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.Y03/29/202103/30/20211PUBOne-A-Day Men's Multivitamin, Allegra AllergyN/AN/A204/01/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
115698504/01/2021WI30.030MClient 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 antN04/01/202104/01/20210PUBAdderallNoneNOne204/01/2021Hives on hand when he had Mono2021VAERSSYMPTOMS2021VAERSVAX
116440404/03/2021WI30.030FSevere body aches, chills and sweating. Dizziness, nausea, dehydration and stomach pain. Headache and passed out!U04/02/202104/02/20210PHMTylenol and birth controlAsthmaSevere swelling of lymph nodes204/03/20212021VAERSSYMPTOMS2021VAERSVAX
117125004/06/2021WI30.030MSyncopal 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.Y04/06/202104/06/20210OTHClaritin- but did not take today.Denies.Denies.204/06/2021YSeasonal allergies.2021VAERSSYMPTOMS2021VAERSVAX
117226904/06/2021WI30.030FBAG OF COVID-19 VIALS HAD A VIAL OF SHINGRIX IN IT. I ADMINISTERED 0.3ML SHINGRIX IN LEFT ARM AND COVID-19 IN RIGHT ARM04/06/202104/06/20210PHM204/06/20212021VAERSSYMPTOMS2021VAERSVAX
117722104/07/2021WI30.030FPatient reported that she had a red, itchy rash on her face and arms. She also reported mild tightness in her throat.U04/07/202104/07/20210PHMasthma204/07/2021Patient did not list any allergies on immunization form.2021VAERSSYMPTOMS2021VAERSVAX
118077304/08/2021WI30.030MWoke up at 3 am with severe headache, chills and then sweating, extreme fatigue, arm soreness. Headache has continued throughout todayN04/07/202104/08/20211PHMEscitolopramNoneNone204/08/2021None2021VAERSSYMPTOMS2021VAERSVAX
118273004/08/2021WI30.030M1:22 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, pulmonaryY04/07/202104/08/2021104/08/2021 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 OTHacetaminophen 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 mnoneFactor V Leiden mutation asthma obstructive sleep apnea hypertension morbid obesity folliculitis204/08/2021YYsoy products2021VAERSSYMPTOMS2021VAERSVAX
118845104/10/2021WI30.030MRed rash on left arm at the location where the vaccine was delivered. Noticed it about a week after receiving my first vaccine.04/01/202104/09/20218PHM204/10/2021Penicillin2021VAERSSYMPTOMS2021VAERSVAX
118971504/10/2021WI30.030MSystemic: 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. bpY04/09/202104/09/20210PHM204/10/20212021VAERSSYMPTOMS2021VAERSVAX
119245004/10/2021WI30.030MAs 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 pilYN03/15/202103/18/20213WRKClindamycin 1% gelNoneNone204/10/2021None2021VAERSSYMPTOMS2021VAERSVAX
119319504/11/2021WI30.030MChest pain, highly elevated troponin, no ACS; likely MyocarditisY1Y04/06/202104/09/20213Significantly elevated troponin; likely MyocarditisPHMMultivitaminnoneNone204/11/2021Yallergic to most fish but NOT allergic to shellfish2021VAERSSYMPTOMS2021VAERSVAX
119320904/11/2021WI30.030MI 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 anY04/10/202104/10/20210PVTPenicillinNoneNone204/11/2021Wasp venom2021VAERSSYMPTOMS2021VAERSVAX
119349804/11/2021WI30.030FRash on arm around injection site - red patchN04/03/202104/04/20211UNKViviscalNoneMigraines204/11/2021Gluten, all penicillins, cephalosporins, Vicodin2021VAERSSYMPTOMS2021VAERSVAX
119578804/12/2021WI30.030FSore 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 5-6N04/06/202104/06/20210PHMB-12 turmeric, magnesium, ashwangda rootHidradenitis Supprativa204/12/2021Zoloft, Bactrim DS2021VAERSSYMPTOMS2021VAERSVAX
120834104/14/2021WI30.030FI 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).Y01/27/202101/27/20210NoPVTPrenatal Vit, Vit D, Vit B12, Allergy (Claritin)NoAsthmavsafe204/14/2021Amoxicillin, Penicillin, Shellfish, Hydrocodone, Cefuroxime, Azithromycin, Cescrozil2021VAERSSYMPTOMS2021VAERSVAX
120934204/14/2021WI30.030FSix 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 aU04/14/202104/14/20210PUBAsthmaAsthmaWhile client was supine on floor, she stated that she did not tell the truth about feeling ill after her first dose of the Pfize204/14/2021YImitrex, aspirin, & mushrooms Patient reported liver and kidney failure with large amounts of aspirin consumption.2021VAERSSYMPTOMS2021VAERSVAX
121073604/14/2021WI30.030FMuscle 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 todN04/09/202104/09/20210UNKAccutane, lexapro, spironolactone, adderall, mono-linyahAnxiety, ADHD, acneAnxiety, ADHD, acne, depression204/14/2021Wellbutrin2021VAERSSYMPTOMS2021VAERSVAX
122247604/17/2021WI30.030FWeakness, muscle aches, splotchy and Welty rash over entire body lashing 24 hours, beginning 8 days after vaccine doseY04/07/202104/15/20218NonePUBDaily prenatal vitaminNoneNone204/17/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
122527104/18/2021WI30.030MFirst dose: sinus congestion, headache, lethargy, mild fever Second dose: Muscle/joint pain, dizziness, mild fever, headache, excessive sweating while sleeping, fatigue/lethargyY04/16/202104/17/20211PVTVyvanse, ventolin inhaler, fluticasoneSinus InfectionAsthma204/18/2021Medication: Seroquel2021VAERSSYMPTOMS2021VAERSVAX
122874104/19/2021WI30.030FWoke 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.Y03/16/202103/16/20210N/AOTHVienva Birth Control, Women One Daily MultivitaminN/AN/A204/19/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
122909304/19/2021WI30.030MOn 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 04/05/202104/05/20210PUBNoAfter vaccination, i do have some mild headach and body pains (even it happens now)No204/19/2021No2021VAERSSYMPTOMS2021VAERSVAX
123114604/19/2021WI30.030FBitter, metallic taste in mouth since morning after the vaccine. Has lasted 2 days so far and still persists.N04/17/202104/18/20211UNKLamictal Sertraline Clonazepam Cranberry SupplementNoneNone204/19/2021None2021VAERSSYMPTOMS2021VAERSVAX
124294304/22/2021WI30.030FWhile 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). WeY04/21/202104/21/20210N/APUBunknownNone reportedunknown204/22/2021unknown; none reported2021VAERSSYMPTOMS2021VAERSVAX
124690204/23/2021WI30.030FEvent: 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 foodsN04/21/202104/21/20210PVTPrenatal vitamin; Omega-3NoneNone204/23/2021None2021VAERSSYMPTOMS2021VAERSVAX
124702904/23/2021WI30.030FThis 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. Y02/02/202102/25/202123Individual did not have all specific tests and dates at the time of the call.SENNoneNoHx of a hysterectomy204/23/2021YYNKA2021VAERSSYMPTOMS2021VAERSVAX
125320904/24/2021WI30.030FFatigue 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/ dayN04/01/202104/02/20211PHMNoneNoneNarcolepsy204/24/2021None2021VAERSSYMPTOMS2021VAERSVAX
125811504/26/2021WI30.030FBody 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.Y04/14/202104/15/20211None.PHM28 day birth control pill.None.None.204/26/2021None.2021VAERSSYMPTOMS2021VAERSVAX
125978104/26/2021WI30.030FSwollen eye lid on left eye.N04/21/202104/24/20213UNKNoneNoneNone204/26/2021None2021VAERSSYMPTOMS2021VAERSVAX
126318904/27/2021WI30.030FPt 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.Y01/31/202104/23/202182SARS-CoV-2 via NP-PCR on 4/23/2021, positiveOTHNuvaring, ferrous sulfate, hydroxychloroquine, metformin, prednisone, prenatal vitamins, vitamin DLupus, fatty liver, diabetes, recurrent bronchitis, hx abnormal pap smear, acute idiopathic/immune thrombocytopenic purpura,204/27/2021Ycompazine, oxycodone2021VAERSSYMPTOMS2021VAERSVAX
127143604/29/2021WI30.030MApproximately 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. VolunteersY04/29/202104/29/20210WRKUnknownUnknown, no history of seizure disorderHistory of light-headedness when exposed to blood or needles.204/29/2021Unknown2021VAERSSYMPTOMS2021VAERSVAX
128201505/03/2021WI30.030F-Gallbladder inflammation I visited my Doctor for, first experience with Gallbladder issues in my life -Skipped periodU04/16/202104/17/20211Dr. Visit 4/20/2021UNK------205/03/2021Y--2021VAERSSYMPTOMS2021VAERSVAX
129268705/06/2021WI30.030Fhives 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 presentY04/13/202104/28/202115I 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? unsureUNKnonenonenone205/06/2021none2021VAERSSYMPTOMS2021VAERSVAX
131168005/12/2021WI30.030FPremature birth at 35 weeksY04/01/202104/21/202120UNKPrenatal vitamin, iron supplement, low dose aspirin205/12/2021Y2021VAERSSYMPTOMS2021VAERSVAX
133000205/19/2021WI30.030Festimated 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, 2021N04/03/202104/20/202117ultra sound results miscarriagePHMprenatal vitaminvsafe205/19/2021Y2021VAERSSYMPTOMS2021VAERSVAX
133318205/20/2021WI30.030FBreakthrough infection04/12/202105/15/202133UNK205/20/20212021VAERSSYMPTOMS2021VAERSVAX
133472705/20/2021WI30.030FBreakthrough infection02/10/202105/17/202196UNK205/20/20212021VAERSSYMPTOMS2021VAERSVAX
133673905/21/2021WI30.030FMenorrhagia 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 wilN02/08/202105/07/202188TSH and Hgb on 5/10/2021. Pelvic ultrasound 5/20/21PVTPrenatal vitaminNoneAsthma205/21/2021YEgg, penicillin, ciprofloxicin, sulfa, cefazolin2021VAERSSYMPTOMS2021VAERSVAX
133678205/21/2021WI30.030FPainless intermittent acrocyanosis of both hands starting day following vaccine.N05/13/202105/14/20211PVTNo medsNoneHealthy205/21/2021YLactose intolerant2021VAERSSYMPTOMS2021VAERSVAX
135131605/26/2021WI30.030FNONE - 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 Y05/26/202105/26/20210N/APHMN/AN/AN/A205/26/2021NONE2021VAERSSYMPTOMS2021VAERSVAX
136511606/01/2021WI30.030FPatient 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 bleedinY204/14/202104/20/20216OTH206/01/20212021VAERSSYMPTOMS2021VAERSVAX
137845306/07/2021WI30.030Fafter 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 sY04/21/202105/01/202110beta 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 normalPHMlexapro 10mgnoneanxiety206/07/2021Y2021VAERSSYMPTOMS2021VAERSVAX
138517706/09/2021WI30.030MEmergency 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 recommendedY01/15/202101/22/20217COVID-19 PANEL: SENDOUT: COVID-19 (not detected) - FINAL Report Released Date: Jan 28, 2021@07:55OTHamphetamine/dextroamphet 20MG SA CAP; VENLAFAXINE HCL 75MG, AMAMPHETAMINE/DEXTROAMPHETAMINE 20MG TABcataplexy and narcolepsy, mood disorder206/09/2021Yno known drug allergies; seasonal allergies; pollen2021VAERSSYMPTOMS2021VAERSVAX
139138106/11/2021WI30.030FError: Wrong Vaccine Formulation (ex. different manufact. initial and booster)U06/10/202106/10/20210PHM206/11/20212021VAERSSYMPTOMS2021VAERSVAX
142071406/23/2021WI30.030FExtreme 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 effecY04/05/202104/30/202125Multiple blood, urine, stool tests, ultrasound, EGD (see above)WRKOlanzapine, Mirena IUDNoneAnxiety, depression, Endometriosis206/23/2021YYNone2021VAERSSYMPTOMS2021VAERSVAX
142961106/26/2021WI30.030M~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 agN04/20/202104/29/20219I 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 PHMNone at the timeNoneRaynauds Disease, otherwise none206/26/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
143349806/29/2021WI30.030FEstimated 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 asymptomaY2U05/04/202106/28/202155N/APVTUnknownNo.Diagnosed with Gestational diabetes206/29/2021Hydrocodone (itching, noted as an intolerance/side effect).2021VAERSSYMPTOMS2021VAERSVAX
143367806/29/2021WI30.030Mnone06/28/202106/28/20210noneOTHprn Hydrocortisone creamnoneeczema206/29/2021NKA2021VAERSSYMPTOMS2021VAERSVAX
144077607/01/2021WI30.030FClient 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 rY06/19/202106/19/20210None knownPUBNone knownNone knownNone known207/01/2021None known2021VAERSSYMPTOMS2021VAERSVAX
144614307/03/2021WI30.030MInjection 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 8dN06/11/202106/18/20217omponent 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 GaPVTVitamins, Lutein, Type II Collagen, Boron and HANoN/A207/03/2021YN/A2021VAERSSYMPTOMS2021VAERSVAX
146042707/09/2021WI30.030MAs 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 tU07/09/202107/09/20210None.PHMUnknown.No known illnesses.None.207/09/2021No known allergies2021VAERSSYMPTOMS2021VAERSVAX
146209907/10/2021WI30.030FMuscular/Joint Pain, 3/10, Tylenol, 24 hours 101.7 Fever, Tylenol, 36 hoursY06/14/202106/14/20210MILLexapro 20mg daily Tamoxifen 20mg daily Lithium 600mg dailyDepressionFever & joint pain, 28 years, 2019, Tetanus.207/10/20212021VAERSSYMPTOMS2021VAERSVAX
146680207/13/2021WI30.030MAbout 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'Y07/13/202107/13/20210PHMNoneNoneNone207/13/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
147778207/16/2021WI30.030FBullous 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 7/16/2021N05/23/202106/02/202110Skin biopsy (6/14/2021): H&E consistent with linear IgA or neutrophilic dermatosis but DIF negativePVTNoneNoneNone207/16/2021YYNone2021VAERSSYMPTOMS2021VAERSVAX
150604107/27/2021WI30.030MSx 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 7/22.04/19/202107/22/202194Specimen Collection Date: 7/25/2021 Specimen Source: swab of internal nose Test Performed: COVID-19 rapid diagnostic test (nucleic acid amplification test NAAT) Result: PositivePUB207/27/2021Y2021VAERSSYMPTOMS2021VAERSVAX
150604607/27/2021WI30.030MSx 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.05/17/202107/22/202166Specimen Collection Date: 7/25/2021 Specimen Source: swab of internal nose Test Performed: COVID-19 rapid diagnostic test (nucleic acid amplification test NAAT) Result: PositivePUB207/27/2021Y2021VAERSSYMPTOMS2021VAERSVAX
152587508/04/2021WI30.030MUpon 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 N01/14/202101/28/202114I 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 PVTnonenonenone208/04/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
153590008/09/2021WI30.030M1755 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 tY08/05/202108/05/20210PVT208/09/2021NKA2021VAERSSYMPTOMS2021VAERSVAX
156613208/15/2021WI30.030Fdiarrhea; 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-1273U03/11/202103/11/20210UNKUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
156906608/15/2021WI30.030FFirst dose: No soreness or any other symptoms experienced. Second Dose: Sore arm, back pain, dizziness, nauseaY08/14/202108/14/20210PHM208/15/2021Penicillin2021VAERSSYMPTOMS2021VAERSVAX
157853808/17/2021WI30.030M1755 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 Y08/05/202108/05/20210PVTNoneNoneNone208/17/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
158231608/18/2021WI30.030FAfter 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 myY04/16/202104/18/20212N/AWRKN/AN/AN/A208/18/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
158729008/19/2021WI30.030FPatient contracted COVID after being fully vaccinated02/04/202108/18/2021195PVTTri-Sprintec Dailynone documentedNone Documented208/19/2021Penicillin - Had as a child - Uncertain of reaction2021VAERSSYMPTOMS2021VAERSVAX
159453308/21/2021WI30.030FPatient 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 thY01/06/202101/06/20210Test Date: 20201016; Test Name: pregnancy test; Test Result: Positive ; Result Unstructured Data: positiveUNKPRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]Drug allergy (to augmentin); Shellfish allergyMedical History/Concurrent Conditions: Delivery (Live full-term birth); Spontaneous abortionUSMODERNATX, INC.MOD20210208/19/20212021VAERSSYMPTOMS2021VAERSVAX
159779508/21/2021WI30.030FHeadache 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 PREGNAY02/11/202102/11/20210Test Date: 20201011; Test Name: Pregnancy Test; Test Result: Positive ; Result Unstructured Data: PositiveUNKUSMODERNATX, INC.MOD20210208/17/20212021VAERSSYMPTOMS2021VAERSVAX
160403608/21/2021WI30.030FRedness 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), VACCINAY03/06/202104/04/202129UNKUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
161002408/22/2021WI30.030Ffeeling 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 iU03/24/202104/21/202128UNKUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
163173008/25/2021WI30.030FHeadache; 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),Y03/12/202103/12/20210Test Date: 20201011; Test Name: pregnancy test; Test Result: Positive ; Result Unstructured Data: positiveUNKUSMODERNATX, INC.MOD20210208/23/20212021VAERSSYMPTOMS2021VAERSVAX
163650908/26/2021WI30.030FNoticed 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.N08/23/202108/24/20211No treatment at this time. Advised to call HCP for more direction.PHM2 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.None208/26/2021Insect stings nickel sensitivity2021VAERSSYMPTOMS2021VAERSVAX
164099808/27/2021WI30.030Fparesthesia 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 whicY08/26/202108/26/20210Unknown to pharmacyPHM- amlodipine - lisinopril - metformin -vyvanse -oxcarbazepine - montelukastn/a- bipolar - ADHDTDAP allergic reaction, date unknown, age unknown208/27/2021YTDAP2021VAERSSYMPTOMS2021VAERSVAX
166301109/01/2021WI30.030MClient 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, iN08/19/202108/27/20218NoneWRKNoneNoneNone209/01/2021Non2021VAERSSYMPTOMS2021VAERSVAX
167856409/07/2021WI30.030F9/2/21: 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 havinY4YN08/31/202109/02/20212PVTAmphetamine/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 mN/AAnxiety, Palpitations, Depression, GERD209/07/2021YYYContrast (anaphylaxis), Penicillin unknown, Sulfamethoxazole (rash)2021VAERSSYMPTOMS2021VAERSVAX
168336609/08/2021WI30.030FCOVID 19-Pfizer was mixed with only 0.8ml of saline instead of 1.8ml. Pt was given 0.3ml of mixed vaccineU09/08/202109/08/20210nonePVTno known medicationschronic intraepithelial lesion on cervix209/08/2021Midol2021VAERSSYMPTOMS2021VAERSVAX
168541109/09/2021WI30.030F9/9/2021 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.08/26/202108/26/20210PHMnonenonenone209/09/2021valium. Hydrocodone-Acetaminophen, Zofran, Fentanyl, Versed, Diazepam, Escitalopram, Midazolam2021VAERSSYMPTOMS2021VAERSVAX
168909209/10/2021WI30.030FSecond dose administered less than 24 days from initial dose.Y09/02/202109/02/20210PUB209/10/20212021VAERSSYMPTOMS2021VAERSVAX
169680309/14/2021WI30.030MSplitting headache, nausea, fatigue - all lasting for two weeksN08/24/202109/01/20218UNKOne a day vitamin209/14/20212021VAERSSYMPTOMS2021VAERSVAX
170567409/16/2021WI30.030FThe 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 woulY09/09/202109/13/20214PHMAleve, Vitamin C tablet, Super B Complex tabletSeasonal allergiesAsthma, Anxiety, Severe Depression209/16/2021YEnvironmental, Latex, Fish2021VAERSSYMPTOMS2021VAERSVAX
171324209/18/2021WI30.030Mtwo days breathing problems, then boom - deadY09/18/2021N09/10/202109/15/20215UNK209/18/20212021VAERSSYMPTOMS2021VAERSVAX
171408109/19/2021WI30.030MHeadache and feverY09/13/202109/14/20211PVTOmeprazole alaporozamUlcerative colitis209/19/20212021VAERSSYMPTOMS2021VAERSVAX
171916209/21/2021WI30.030FShe 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 anU09/21/202109/21/20210NA. Vitals checked.PVT209/21/20212021VAERSSYMPTOMS2021VAERSVAX
174555009/29/2021WI30.030Fbody aches, fatigue, headaches, sore armY09/24/202109/25/20211PVT209/29/20212021VAERSSYMPTOMS2021VAERSVAX
175746510/03/2021WI30.030FSame 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 viviN09/30/202109/30/20210PHMbupropion210/03/2021sulfa2021VAERSSYMPTOMS2021VAERSVAX
175888310/04/2021WI30.030FShe 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 riN08/24/202108/26/20212None.WRKNone.None.None.210/04/2021None.2021VAERSSYMPTOMS2021VAERSVAX
175888810/04/2021WI30.030FReceived 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 N09/30/202109/30/20210WRKOrtho tri-cyclen (birth control), multi vitamin, elderberry.NoNo210/04/2021Penicillin, Azithromycin, Ceclor2021VAERSSYMPTOMS2021VAERSVAX
177141610/08/2021WI30.030F50min 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 vaccY10/06/202110/06/20210NoneOTHNoneNoNo210/08/2021YSeasonal2021VAERSSYMPTOMS2021VAERSVAX
177189410/08/2021WI30.030Fgot covid 19N01/27/202110/07/2021253positive covid testPVTinsulin lantus, jardiance, glipizide, gemfibrozil, lisinopril, metformin, simvastatin,nonediabetes, hypertension, hyperlipidemia210/08/2021Ysulfa drugs2021VAERSSYMPTOMS2021VAERSVAX
177529710/09/2021WI30.030FEndocarditis on CT and high blood pressureU03/30/202109/01/2021155CT scanPUBGabapentin, protonix210/09/2021Y2021VAERSSYMPTOMS2021VAERSVAX
177647510/11/2021WI30.030FPatient 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.U09/17/202110/01/202114PVT210/11/2021Y2021VAERSSYMPTOMS2021VAERSVAX
177648410/11/2021WI30.030MPatient experienced extreme pain in lower extremities prompting him seeking emergency room care.U10/02/202110/02/20210PVT210/11/2021Y2021VAERSSYMPTOMS2021VAERSVAX
177927410/12/2021WI30.030FMigraine, nausea, diarrhea lasting 3 days. rest, fluids.Y10/06/202110/07/20211noneSENtylenolnonenone210/12/2021codeine2021VAERSSYMPTOMS2021VAERSVAX
182720710/29/2021WI30.030Fshort 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 CONSCIOUSNU03/11/202110/01/2021204UNKUSMODERNATX, INC.MOD20213210/28/2021Y2021VAERSSYMPTOMS2021VAERSVAX
184237311/04/2021WI30.030FFull body aches, chills, shivering, fever, stiffness/crampingN11/02/202111/03/20211N/AWRKMetoprolol, tramadolNoneHypertension211/04/2021Pyridium, lisinopril2021VAERSSYMPTOMS2021VAERSVAX
185086411/08/2021WI30.030FReceived 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 iY11/05/202111/05/20210PVTZoloft, Welbutrin, Omeprazole, Zyrtec, Singulair, DoxycyclinenoneIBS, Depression, Anxiety, Reactive Airway Disease, Rosacea211/08/2021Sulfa antibiotics, Latex, Adhesive Tape2021VAERSSYMPTOMS2021VAERSVAX
185755711/10/2021WI30.030MExperienced 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.U11/03/202111/03/20210NonePUBNoneNoneNone211/10/2021None that are known of2021VAERSSYMPTOMS2021VAERSVAX