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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0916906 | 01/01/2021 | MD | 31.0 | 31 | F | Associate has history of asthma was planned to be observed for 30 minutes. at 12:30 patient complained of light headache which fully resolved after 30 minutes. no further intervention. | Y | 12/31/2020 | 12/31/2020 | 0 | PVT | ashtma planned | 2 | 01/01/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0917432 | 01/02/2021 | MD | 31.0 | 31 | F | Redness at injection site, painful to the touch, hot to the touch. Slight fever 99.4 | N | 12/31/2020 | 01/02/2021 | 2 | WRK | Amlodipine 5mg | Hypertension | Hypertension | 2 | 01/02/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0917875 | 01/03/2021 | MD | 31.0 | 31 | F | Febrile to 100.1 F with chills requiring Tylenol 500mg to sleep through the night after getting the vaccine . | Y | 01/02/2021 | 01/02/2021 | 0 | PVT | Zyrtec, glucosamine and chondroitin | 2 | 01/03/2021 | Rash to tetracycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0918604 | 01/04/2021 | MD | 31.0 | 31 | F | I experienced a strong metallic taste approximately 2-5 minutes after receiving the vaccine that lasted about an hour. | Y | 01/03/2021 | 01/03/2021 | 0 | None- monitored for 30 minutes after administration. | PVT | Multi-vitamin | Sinus infection one month prior to vaccination | None | 2 | 01/04/2021 | Ceclor-serum sickness. Bee venom-severe local swelling. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0919288 | 01/04/2021 | MD | 31.0 | 31 | F | I had a burning sensation on vaccine site and all over my left arm, I also developed and rash later on the day I was given the vaccine. my left arm was sore for two days but there is an aching pain that I continued to have. there is also a spot higher up | N | 12/31/2020 | 12/31/2020 | 0 | UNK | Zyrtec, Azithromycin | ear infection | 2 | 01/04/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0923914 | 01/06/2021 | MD | 31.0 | 31 | F | Around bedtime on the day of injection, developed a fever of 99.8 and a terrible headache. My left arm was very painful, even when not touching it or moving it. When I woke up in the morning, fever was higher (100.7) and I was so weak I could barely walk t | N | 01/04/2021 | 01/04/2021 | 0 | PUB | Multi vitamin Zyrtec | None | None | 2 | 01/06/2021 | Y | Pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0925028 | 01/07/2021 | MD | 31.0 | 31 | F | About 15-30 mins after injection, hives, rash, itchiness. I was given 25mg of Benadryl. Symptoms resolved. | Y | 01/05/2021 | 01/05/2021 | 0 | PVT | Lamictal, spirnolactone, buspar, probiotic, metformin, birth control, klonopin | GI disturbance | Asthma, depression, anxiety, pcos | 2 | 01/07/2021 | Chg, Wellbutrin, celexa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930506 | 01/08/2021 | MD | 31.0 | 31 | F | Started exp. central chest tightness and on site of sternum; interment; started about 5-10 min. after vaccination; last 30-60 seconds - tightness - however didn't feel short of breath or light-headed. It would come about a min. or two apart. Lasted for 30- | Y | 12/23/2020 | 12/23/2020 | 0 | EKG - clear | MIL | GiANDI - Oral Birth Control; OTC multi-vitamin - Dolavant; tr treated with Botox for dystonia | no | Cervical dystonia; migraines | vsafe | 2 | 01/08/2021 | Y | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0932626 | 01/10/2021 | MD | 31.0 | 31 | F | 8 days after vaccine- all of a sudden had itchiness at vaccine spot. Raised lump, hot, itchy and red. No other symptoms at this time. | U | 01/02/2021 | 01/10/2021 | 8 | WRK | None | None | None known | 2 | 01/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0938783 | 01/12/2021 | MD | 31.0 | 31 | F | I had a metallic taste in my mouth and slight tingling of the tongue blade with onset 10 mins following vaccination. This lasted about 3 hours. | Y | 12/22/2020 | 12/22/2020 | 0 | N/A | WRK | Buspirone 10 mg BID | N/A | N/A | metallic taste 29 years of age flu vaccine | 2 | 01/12/2021 | Penicillin and sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0938874 | 01/12/2021 | MD | 31.0 | 31 | F | Red, firm, itchy, swelling at injection site and swollen neck lymph nodes 1 week after injection | N | 01/04/2021 | 01/11/2021 | 7 | PVT | Hydroxychloroquine, estradiol, l-methylfolate | Mixed convective tissue disease | 2 | 01/12/2021 | Sulfa, keflex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0939792 | 01/13/2021 | MD | 31.0 | 31 | M | Immense headache and muscle soreness near injection site. Right foot became immensely inflamed with no history of prior injury, and cannot be used for walking or standing even 12 hours after the initial injection. Right foot feels broken, but cannot be fra | N | 01/12/2021 | 01/12/2021 | 0 | PVT | None | None | None | 2 | 01/13/2021 | Sensitivity to Novocain, lobster, and fried Brussels sprouts. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0941677 | 01/13/2021 | MD | 31.0 | 31 | M | Headache, fever, SOB, chills, dizziness. Took Tylenol for Headache and fever. Time off work for 2 days. | Y | 12/29/2020 | 12/30/2020 | 1 | WRK | 2 | 01/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0944742 | 01/14/2021 | MD | 31.0 | 31 | M | Blurred vision, lightheadedness | N | 01/14/2021 | 01/14/2021 | 0 | OTH | None | None | None | 2 | 01/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0951605 | 01/17/2021 | MD | 31.0 | 31 | F | Severe rash on hands. Target type lesions. Very itchy. Few on feet. Possibly on eye as well. | N | 01/03/2021 | 01/11/2021 | 8 | SCH | N/a | N/a | N/a | 2 | 01/17/2021 | Y | N/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0952354 | 01/18/2021 | MD | 31.0 | 31 | F | Arm soreness-started right away and resolved after 48 hours Migraine-started approximately 12 hours after vaccination and resolved 48 hours after vaccination | Y | 01/14/2021 | 01/15/2021 | 1 | PVT | Migraines Asthma | 2 | 01/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0954046 | 01/18/2021 | MD | 31.0 | 31 | F | Began with welt about one inch in diameter. Warm to touch. Has steadily grown. Now radiating arm pain and neck pain. Still warm to the touch. | U | 01/08/2021 | 01/09/2021 | 1 | PVT | Prozac 20 mg daily | None | None | 2 | 01/18/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0954970 | 01/19/2021 | MD | 31.0 | 31 | M | About 9 days after injection with no previous major symptoms, the injection site is swollen and red, very warm to the touch, feels firmer than the same location on opposite arm. Mild itching sensation. | N | 01/09/2021 | 01/18/2021 | 9 | PVT | 2 bariactric multivitamins Calcium citrate with vitamin D, 1800 mg of calcium and 1200 mg of vitamin 6 in 3 servings throughout the day | N/A | I had bariatric surgery in 2019. | 2 | 01/19/2021 | Codeine, I get hives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0955454 | 01/19/2021 | MD | 31.0 | 31 | F | After injection, had some soreness in arm and a small red rash around injection site for about 3-4 days. Then on day 7 (1/17) I noticed the redness coming back from injection site, it was also itchy. 8th day (1/18) injection site was swollen, red, hot, i | N | 01/10/2021 | 01/17/2021 | 7 | n/a | PHM | Sertraline and Drospirenone | no | no | 2 | 01/19/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0959027 | 01/20/2021 | MD | 31.0 | 31 | F | Approximately 8 hours after receiving the vaccine she began noticing itchy throat, eyes, ears, nasal congestion and sneezing. These symptoms lasted for about 48 hours. | Y | 01/09/2021 | 01/09/2021 | 0 | PVT | 2 | 01/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961091 | 01/21/2021 | MD | 31.0 | 31 | F | Raised red area on left arm underneath injection site appeared on day 10 post-vaccine. Warm to touch, no other symptoms. Dermatologist prescribed Clabetasol cream to apply 2 x per day. After first application of cream, red area appeared to be less inflamed | N | 01/07/2021 | 01/18/2021 | 11 | dermatologic exam Jan 18, 2021 | PUB | vitamin D3, calcium, B-complex, C-complex, krill oil, probiotic | 2 | 01/21/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961714 | 01/21/2021 | MD | 31.0 | 31 | F | Lymphadenopathy starting 7-8 days after | N | 01/09/2021 | 01/17/2021 | 8 | None | PHM | Multivitamin Later ibuprofen | No | No | 2 | 01/21/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0963289 | 01/21/2021 | MD | 31.0 | 31 | F | 5 mins after receiving shot pt started to experience dizziness and coldness in her hands. pt was told to lay down, brought jacket to cover up with and observed for worsening of symptoms. at 11:40 pt stated she felt better so she sat up but then felt dizzy | Y | 01/20/2021 | 01/20/2021 | 0 | bp was taken at 11:35 laying down, 140/90, ostat 100, pulse 74 bp was taken at 12pm sitting up, 122/74, ostat 100, pulse 84 bp was taken at 12pm standing up, 120/80, ostat 100, pulse 84 temp 98.4 | SEN | unknown | thyroid surgery in dec. of 2020 | ckd, alpha thalassemia trait, anxiety | 2 | 01/21/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0969231 | 01/24/2021 | MD | 31.0 | 31 | F | At 1:30 am the following day, I woke up with pain in my left arm. I felt sick. I got clammy and dizzy. I was shaking in both arms. I got really hot and passed out. When I came to, I had lost all control of bodily function and my mouth was really dry. | Y | 10/30/2020 | 10/31/2020 | 1 | I went to the ER at the Hospital on 10/31/2020 around 1 or 2 pm where they took my blood and performed several tests. Everything appeared normal. They took a CT scan because I thought I had a seizure. Again, they did not find evidence of a seizure. | PHM | Taytulla, birth control | none | two emergency brain tumor removals in 2002. movement disorder of the right side resulted from surgery. But no recurrence of brain tumor, since. it was a benign astrocytoma. | 2 | 01/24/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0972328 | 01/25/2021 | MD | 31.0 | 31 | F | axillary lymphadenopathy | N | 01/21/2021 | 01/23/2021 | 2 | OTH | 2 | 01/25/2021 | Y | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0974027 | 01/26/2021 | MD | 31.0 | 31 | F | Moderna COVID-19 Vaccine EUA Delayed redness around injection site, approximately 3" wide by 4" long. First noticed a week after vaccine was received. Has yet to go away. | U | 01/15/2021 | 01/23/2021 | 8 | MIL | N/A | N/A | N/A | 2 | 01/26/2021 | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0979026 | 01/27/2021 | MD | 31.0 | 31 | M | Moderna COVID-19 Vaccine. Tiredness and drop in blood pressure drop to 100/63 two days later on Friday 1/22/2021 approximately 54 hours after receiving first dose of Moderna vaccine. | Y | 01/20/2021 | 01/22/2021 | 2 | None | PVT | None | None | Slight hypertension | 2 | 01/27/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0981325 | 01/28/2021 | MD | 31.0 | 31 | F | 31 y.o. female with reported PMH of asthma who presents for SARS-CoV-2 vaccination Pfizer Dose #1. Ten minutes after receiving the vaccination, the patient began to experience itching and hives. The patient was brought back to the monitoring area and vital | 01/27/2021 | 01/27/2021 | 0 | UNK | 2 | 01/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0981641 | 01/28/2021 | MD | 31.0 | 31 | F | Some fatigue and arm pain the day after the vaccine. Starting 1/17/21 she had intermittent burning in her scalp. The following day she also started having a weird taste in her mouth. These symptoms continued and a few days after she also started having int | N | 01/15/2021 | 01/17/2021 | 2 | PVT | History of breast augmentation on 10/15/20, chronic migraines treated with excedrin migraine | 2 | 01/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0982879 | 01/28/2021 | MD | 31.0 | 31 | F | Five days after injection she developed a supraclavicular lymph node on the right side, about 2cm in diameter | N | 01/09/2021 | 01/14/2021 | 5 | PVT | 2 | 01/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0985255 | 01/29/2021 | MD | 31.0 | 31 | F | Fever, chill, difficulty sleeping, fatigue, flu like symptoms, injection site soreness, severe muscle soreness | Y | 01/12/2021 | 01/13/2021 | 1 | WRK | Vitamin D3, Calcium Magnesium Zinc | N/A | Anemia | 2 | 01/29/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0986513 | 01/29/2021 | MD | 31.0 | 31 | F | On Friday night 1/22 ( one week post vaccine) I developed hives and a rash on my neck, by Saturday the hives and rash spread to my arms and back and by Sunday I was covered in hives to my toes. I took Benadryl but nothing seemed to help so I contacted my | N | 01/15/2021 | 01/22/2021 | 7 | PUB | Larissa (Birth control), levothyroxine, albuterol (as needed), beclamethasone, and Flonase. | Hypothyroidism, asthma, chronic sinusitis, and sleep apnea | 2 | 01/29/2021 | Gold, mold, dust, and certain trees. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0986657 | 01/29/2021 | MD | 31.0 | 31 | F | Fatigue, chills, headache, nausea | N | 01/28/2021 | 01/29/2021 | 1 | None | WRK | Aurovela FE | None | None | 2 | 01/29/2021 | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1003633 | 02/04/2021 | MD | 31.0 | 31 | F | fatigue occurred shortly after the injection headache presented a few hours after the injection and lasted 2 days about 12 hours after the injection I started having chills and did not sleep well due to "fever dreams;" I do not know if I had a fever for su | Y | 01/28/2021 | 01/28/2021 | 0 | none | OTH | Nuvaring, levothyroxine | none | hypothyroidism | 2 | 02/04/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1007546 | 02/06/2021 | MD | 31.0 | 31 | F | I received the 2nd moderna vaccine last Friday 1/29 and around Saturday 1/30 night / Sunday morning I started getting this HORRIBLY ITCHY RASH!! All over my stomach, side of stomach, back, shoulders, mid butt, arms only to about my elbow. Sunday and monda | N | 01/29/2021 | 01/30/2021 | 1 | N/A | WRK | Vyvanse 60mg Noreth-estrad-FE1-0.02 | N/A | N/A | 2 | 02/06/2021 | Seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1008321 | 02/06/2021 | MD | 31.0 | 31 | F | Around 5pm on 1/26/2021 I started to have muscle pains. I woke up with chills around midnight. Finally got warmed up and then felt extremely hot, but no fevers. Mild nausea and muscle pains as well. Woke up in the morning with headache, fatigue, muscle pa | Y | 01/26/2021 | 01/26/2021 | 0 | None. | WRK | Zoloft 200mg, Ambien 10mg, Seroquel 25-50mg, hydroxycine 50mg, omega3 | None | Depression, mild anxiety, insomnia | 2 | 02/06/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1009404 | 02/07/2021 | MD | 31.0 | 31 | F | On the day of injection I started with pain, but I on the second day a rash started on injection site, by the third day the rash area grew. | N | 02/05/2021 | 02/06/2021 | 1 | SEN | Ibuprofen and loratadine | N/A | N/A | 2 | 02/07/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1011562 | 02/08/2021 | MD | 31.0 | 31 | F | Fever and chills started around 11 PM. About 12 hours after receiving the dose. I took 2 tablets of Tylenol 500 mg. I still woke up with a fever and had to take another dose. Every time a fever would break, I would get another fever. I took about 4 do | Y | 02/06/2021 | 02/06/2021 | 0 | PHM | 10,000 mg biotin; 1,000 mg Fish Oil | High cholesterol | 2 | 02/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1012005 | 02/08/2021 | MD | 31.0 | 31 | F | Fevers > 101 for > 24 hours Chills Headache Eye pain Chest heaviness Fatigue | N | 02/07/2021 | 02/07/2021 | 0 | None | PVT | Metoprolol 25mg | None | Hypertension | 2 | 02/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1026610 | 02/12/2021 | MD | 31.0 | 31 | F | Right eye was swollen shut approximately 28hrs after the second dose was given. Primary care doctor said to take 50mg of Benadryl every four hours and use a cold compress. The swelling lasted about 16 hours and then subsided. | Y | 02/03/2021 | 02/04/2021 | 1 | PVT | Gabapentin 300mg once daily Zoloft 250mg once daily | No | Depression and Anxiety | 2 | 02/12/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1027645 | 02/13/2021 | MD | 31.0 | 31 | F | I had a mild reaction of rash after my first vaccine 1/14/21 but it went way after taking 25mgs of Benadryl. The second shot I was instructed to pre medicate with Benadryl before hand. After my second shot 2/11/21, within about 5-10 minutes I started with | N | 02/11/2021 | 02/11/2021 | 0 | WRK | Non hormonal IUD, 25mgs of Benadryl to pre medicate as instructed after first vaccine on January 14, 2021 | None. | Bronchial spasms | 2 | 02/13/2021 | Y | Erythromycin, Tussin 12, Macrobid, Doxycycline, amoxicillin, sulfa based drugs, Augmentin, Triple antibiotic ointment, yellow #5, red #40. I have a latex sensitivity and adhesive sensitivity too. Lactose intolerance and any kind of fake sugar. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1027907 | 02/13/2021 | MD | 31.0 | 31 | F | Fatigue - slept for 7 hours directly after. Chills. Fever of 102 not relieved with Tylenol. Body aches. Nausea. | Y | 02/07/2021 | 02/07/2021 | 0 | None | PVT | Spirnolactone. Lampeigene. Buspar. Syeda. Metformin. | No | Asthma. Depression. Anxiety. Pcos | Already reported. Adverse event for moderna #1 | 2 | 02/13/2021 | Chg. Cymbalta. Environmental | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1035649 | 02/17/2021 | MD | 31.0 | 31 | F | Chills (shaking so hard I could barely walk), mild fever (99.9 to 101.7), body ache, headache. Lasted from 2:00 am on 1/29 til roughly 6:00 pm 1/29. | Y | 01/28/2021 | 01/29/2021 | 1 | n/a | UNK | Xulane (generic Ortho Evra). | n/a | n/a | 2 | 02/17/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1035718 | 02/17/2021 | MD | 31.0 | 31 | F | Immediate soreness around the injection site and mild pain radiating down right arm. Slowly over time, pain began to worsen and expand down into fingertips, down side and up my neck. By 5pm, experienced severe shooting pain up and down right side, left arm | N | 02/16/2021 | 02/16/2021 | 0 | Awaiting doctors orders. | PUB | None | None | Asthma | 1st Moderna injection January 2021, age 31, shooting pain down right arm and leg. | 2 | 02/17/2021 | Y | Y | Ciprofloxin, animal dander, dust mites, pollen, hydrangeas, perfume, certain animal saliva, cat litter, dogs, cats, horses | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1043077 | 02/20/2021 | MD | 31.0 | 31 | F | I had heavy menstrual bleeding (2-3 pads/day) when I supposed to not have a menstrual period as I am on birth control pills taking it to prevent recurrence of Endometrial Cyst. I am taking birth control pills all the 3 rows continuously and start a new pac | N | 01/29/2021 | 02/02/2021 | 4 | none | OTH | Vitamin C, Multivitamins, Probiotics, Vitamin B Complex, Vitamin E and Ibuprofen. | none | none | 2 | 02/20/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1049177 | 02/23/2021 | MD | 31.0 | 31 | F | Tingling to face | Y | 02/23/2021 | 02/23/2021 | 0 | OTH | Prenatal Vitamins | None | 2 | 02/23/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1059430 | 02/27/2021 | MD | 30.0 | 31 | F | Vomiting, very fatigued and dizziness | N | 04/26/2021 | 02/26/2021 | OTH | Lorazepamm 2mg | 2 | 02/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1059765 | 02/27/2021 | MD | 31.0 | 31 | F | On the 3rd night after the vaccine, I was sleeping and started feeling numbness in one arm. It slowly moved to both arms and legs. 4 weeks after, I am having numbness in my toes. It comes and goes. I am not sure if it is related or not. | N | 01/30/2021 | 02/03/2021 | 4 | UNK | Symbicort, Flonase, Allegra, D3, Vitamin C. | None | None | 2 | 02/27/2021 | Fruit, nuts, lentils. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1060985 | 02/28/2021 | MD | 31.0 | 31 | F | 2 days after getting the shot, I lost my smell. 3 days after getting the shot, I lost my taste. My taste was gone for 5 days, and my smell was gone for 7 days. | Y | 02/03/2021 | 02/05/2021 | 2 | UNK | Diagnosed with migraines | 2 | 02/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1064079 | 03/01/2021 | MD | 31.0 | 31 | F | Body aches, congestion | N | 02/01/2021 | 02/28/2021 | 27 | PHM | None | None | 2 | 03/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1080280 | 03/08/2021 | MD | 31.0 | 31 | F | Chills hit me suddenly 6hrs after getting the shot. I was freezing. Two hours later, extremely tired and sore. I feel groggy. 3hrs later, I cannot sleep although I am so tired. Chugged water and took a hot bath but was so tired had to get out of bath. Zero | N | 03/07/2021 | 03/07/2021 | 0 | PUB | Adderall XR 15mg | None | None | 2 | 03/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1103491 | 03/15/2021 | MD | 31.0 | 31 | F | Currently pregnant (due date: 09/03/2021). 5:30 pm felt tingling. 6:15 pm felt chills. 8:30 pm fever (fluctuated, up to 100.0, as of 9:30 pm) | N | 03/15/2021 | 03/15/2021 | 0 | PVT | Prenatal vitamins, Vitamin D | Cold symptoms (sore throat and congestion/runny nose) 2 weeks before (with negative Covid test) | Prothrombin gene mutation (no incident- was only tested due to incident in family) | 2 | 03/15/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1103936 | 03/16/2021 | MD | 31.0 | 31 | F | About 6 hours after vaccination on 3/8, flu-like symptoms: chills, weakness, fatigue, headache. That lasted into the following ~1.5 days and was relieved with Tylenol and bed rest. Mild nausea on 3/9-3/10. The most concerning possible adverse event started | Y | 03/08/2021 | 03/12/2021 | 4 | None | OTH | Magnesium glycinate 200 mg - KAL brand Pure Encapsulations PureGenomics B-Complex | Diagnosed with Raynaud's Disease about 1 month prior to vaccination | Hashimoto's Disease | Flu vaccine in 2019(?) - chills, fever, weakness, GI upset (flu-like symptoms), 29 years old, do not know brand name or exact da | 2 | 03/16/2021 | Y | Vitamin D supplements - fatigue, joint pain and muscle cramps, thyroid pain Not allergic to any foods, but have many intolerances (gluten, dairy, corn, cassava, etc.) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1111703 | 03/18/2021 | MD | 31.0 | 31 | F | Immediate arm pain and tingling, seen 1 month later with left shoulder tendinopathy | N | 02/12/2021 | 03/12/2021 | 28 | PVT | junel 1/20 | none | 2 | 03/18/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1114551 | 03/19/2021 | MD | 31.0 | 31 | F | Joint pain 3-11-2021 9:00pm - 3-13-2021 10:00pm Fever 3-12-2021 6:00pm - 9:00pm (Ibuprofen resolved the issue) Feeling hot but no fever 3-12-2021 12:00am - 3-13-2021 10:00pm Fatigue 3-12-2021 8:00am - 3-13-2021 10:00pm Injection site pain 3-11-201 7:00pm - | Y | 03/11/2021 | 03/11/2021 | 0 | None | PHM | Ashlyna, Ibuprophen, Benedryl, Ubrelvy | None | Migraines | 2 | 03/19/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1117184 | 03/19/2021 | MD | 31.0 | 31 | F | Severe body aches, fever, chills, nausea | N | 03/18/2021 | 03/18/2021 | 0 | PHM | Vitamin c | Depression | No | 2 | 03/19/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1133636 | 03/25/2021 | MD | 31.0 | 31 | F | Severe headaches with blurred vision and headaches for several days. No over the counter meds have helped | N | 03/11/2021 | 03/13/2021 | 2 | PVT | - Tramadol -meloxicam - Tri-srintec - lexapro - iron supplement | NONE | -degenerative disc disease -endometriosis | 2 | 03/25/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1138094 | 03/26/2021 | MD | 31.0 | 31 | F | Stiff shoulder and neck on the side of the injection, light headache when standing, feels nauseous and warm on the face and neck the next day. | Y | 03/25/2021 | 03/26/2021 | 1 | NA | PHM | Ibuprofen 800mg | NA | NA | 2 | 03/26/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1140167 | 03/27/2021 | MD | 31.0 | 31 | F | Pt reported nasal and throat congestion. Benadryl was given and pt was observed in the medical tent | Y | 03/27/2021 | 03/27/2021 | 0 | OTH | Motrin Claritin D | Hamstring strain | Seasonal Allergies | 2 | 03/27/2021 | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1156385 | 04/01/2021 | MD | 31.0 | 31 | F | patient felt lump in the back of throat and plaques formed in the mouth. She reported that after the first dose , about 30 minutes after the vaccination, she had numbness in the lip while eating blueberries. she did not report this because she thought it w | N | 03/30/2021 | 03/30/2021 | 0 | doctor diagnosed her with thrush | PHM | 2 | 04/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1156681 | 04/01/2021 | MD | 31.0 | 31 | F | Large circular red rash around injection site, very itchy, and the skin was markedly hotter in that area than in other areas of the arm. Faded and become less itchy and hot after about three days. | Y | 03/20/2021 | 03/26/2021 | 6 | PHM | Obesity | 2 | 04/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1162594 | 04/02/2021 | MD | 31.0 | 31 | F | ~20 minutes after shot onset of runny nose, itching Followed by hives, reddness/ mild swelling in throat, wheezing/cough, nausea, GI/intestinal cramping and uterine cramping Return of hives, GI upset and uterine cramps ~30 minutes after Epi. Dissipated on | N | 04/02/2021 | 04/02/2021 | 0 | Hospital ED for observation, BP/Breathing monitoring 4/2/2021 | PHM | Pfizer mRna Vaccine dose 2 | COVID presumed Positive February 22 | Asthma; food allergies | 2 | 04/02/2021 | Y | Y | Peanut Tree nut Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163031 | 04/03/2021 | MD | 31.0 | 31 | F | At 7:00 PM, experienced the following side effects: Headache Nausea Fever (103?F) Chills Tiredness Muscle pain Joint pain Light sensitivity Loss of appetite Cramping | N | 04/02/2021 | 04/02/2021 | 0 | None | PHM | None | None | None | 2 | 04/03/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163264 | 04/03/2021 | MD | 31.0 | 31 | F | Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)- | Y | 04/02/2021 | 04/02/2021 | 0 | PHM | 2 | 04/03/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1173754 | 04/06/2021 | MD | 31.0 | 31 | F | Itching in left arm which spread to torso and other arm. No rash, no SOB, no chest pain. No swelling or hives. EMT started IV and administered 50mg IV Benadryl. Itching resolved but PT became dizzy and lightheaded without resolution. Taken to ED for observ | U | 04/06/2021 | 04/06/2021 | 0 | None | PUB | Albuterol | None | Asthma, history of gastric ulcer | 2 | 04/06/2021 | Y | Red and yellow food dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1174945 | 04/07/2021 | MD | 31.0 | 31 | F | Site: Redness at Injection Site-Medium, Systemic: Chills-Severe, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Flushed / Sweating-Severe, Additional Details: Patient felt the above sysmtoms after her 1st dose, after the | Y | 04/06/2021 | 04/06/2021 | 0 | PHM | 2 | 04/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177570 | 04/07/2021 | MD | 31.0 | 31 | F | urticaria, nausea, pelvic cramping, racing heart beat, wheezing, responsive at first to pt's supply of 40 mg prednisone orally, but then recurred within 2 hours and she gave herself an epipen injection as these are her typical prodromal anaphylactic sympto | Y | 04/02/2021 | 04/02/2021 | 0 | UNK | melatonin 3 mg OTC, sertraline 50 mg | Anaphylaxis to presumed plantain on 3/24/21 | hx of recurrent anaphylaxis due to foods and/or unknown triggers | 2 | 04/07/2021 | Y | Y | Anaphylaxis to peanuts, banana and latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179836 | 04/08/2021 | MD | 31.0 | 31 | M | Brief vasovagal episode lasting a few seconds. Patient reports faints with all vaccines and needles. Immediate return to baseline consciousness. | Y | 04/08/2021 | 04/08/2021 | 0 | Water and crackers given | OTH | denies | denies | denies | reports faints will ALL vaccines | 2 | 04/08/2021 | Ceclor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1181999 | 04/08/2021 | MD | 31.0 | 31 | F | "fuzzy" tongue, funny feeling in throat, whelts on neck | Y | 04/08/2021 | 04/08/2021 | 0 | in progress in ER-not known | PVT | albuterol, symmetrel, B12, Mirena | see below | MS, SLE, Chronic Fatigue, IBS, Asthma | 2 | 04/08/2021 | Y | gabapentin, lyrica, isoniazid, Cymbalta, singulair, prednisone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1184065 | 04/09/2021 | MD | 31.0 | 31 | F | Both a tiny yellow bruise on the injection site and a dime-sized oval swollen lump about three inches below injection site appeared almost a week after the injection. Swelling flattened to rash but enlarged to two inch red area over next couple if days. Re | U | 03/11/2021 | 03/17/2021 | 6 | PHM | Birth control | Voice hoarseness | 2 | 04/09/2021 | Sulfa-drugs, food dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1186162 | 04/09/2021 | MD | 31.0 | 31 | F | Cold chills, migraine, lightheaded, stomach cramping, back pain, body aches | N | 04/08/2021 | 04/09/2021 | 1 | PHM | Metoprolol Succinate, Metoprolol Tartrate, Claritin, Tylenol, Montelukast, Epi Pen, Vitamin D3, prenatal | Childbirth | Ehlers-Danlos Syndrome, chronic pain, mitral/pulmonic/aortic valve prolapses and regurgitation, SVTs, and IRBBB | 2 | 04/09/2021 | Penicillin, Bees, Maple, Pineapple | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1186773 | 04/09/2021 | MD | 31.0 | 31 | F | Fever (100.7) Chills Headache Body ache Fatigue Started a little less than 24hrs after vaccine, gone by the next morning | Y | 04/01/2021 | 04/02/2021 | 1 | OTH | Trazodone Sertraline Pantropazole Probiotics Miralax 5-HTP Neuromag Multivitamin | PCOS Depression Anxiety | Soreness at site - flu shot | 2 | 04/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1187826 | 04/09/2021 | MD | 31.0 | 31 | M | About 30 seconds after the shot, became faint, dizzy, and ears started to lose hearing and became fuzzy. Sat down and drank some water, vitals showed lowered BP. Recovered after 15-30 minutes and some water. | Y | 04/08/2021 | 04/08/2021 | 0 | MIL | 2 | 04/09/2021 | Y | Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1193821 | 04/11/2021 | MD | 31.0 | 31 | M | Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium | Y | 04/10/2021 | 04/10/2021 | 0 | PHM | 2 | 04/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1195297 | 04/11/2021 | MD | 31.0 | 31 | M | 0800 - Experienced very mild common symptoms (tiredness, headache, muscle pains, and chills) while sitting at a desk. 0830 - Previous symptoms worsened. New symptom, nausea, appeared while still sitting at the same desk. 0840 - Fainted after standing up t | Y | 04/08/2021 | 04/09/2021 | 1 | n/a | PHM | None | None | None | 2 | 04/11/2021 | Possible amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196631 | 04/12/2021 | MD | 31.0 | 31 | M | On 4/11/2021, I noticed a rash like symptom appear on my left lower abdominal area. On 4/12/2021, I went to Patient First to see about the rash like symptom after waking up the next morning and it was red in color and having some discomfort in the area. Th | N | 04/01/2021 | 04/11/2021 | 10 | N/A | UNK | Vitamin D3; 50,000 Unit Capsules; | N/A | N/A | 2 | 04/12/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1199509 | 04/12/2021 | MD | 31.0 | 31 | F | Ongoing swelling of lower extremities for 5 days (lower legs and ankles) | N | 03/31/2021 | 04/07/2021 | 7 | PHM | Buprenorphine 8mg | Chronic bronchitis, seasonal allergies, ADD | 2 | 04/12/2021 | Cephalosporins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1202692 | 04/13/2021 | MD | 31.0 | 31 | F | Pt reports that she began to feel dizzy during the observation period, however, did not report immediately. While leaving vaccination area, reported that she was feeling dizzy, light-headed, and a little nauseous, but only while sitting. (Preferred to sta | Y | 04/12/2021 | 04/12/2021 | 0 | None | PVT | None | None | IUD; Chemical Burn Left Conjunctival Sac | 2 | 04/13/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1205294 | 04/13/2021 | MD | 31.0 | 31 | F | The day after receiving the vaccination I had chills, severe headache and body aches | Y | 04/09/2021 | 04/10/2021 | 1 | OTH | Vitamin C, Vitamin D | Asthma | 2 | 04/13/2021 | Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1206041 | 04/13/2021 | MD | 31.0 | 31 | M | Patient was in attendance at the JANSSEN vaccination clinic on 4/9/21. After vaccination while he was in the observation area, PT experienced a syncopal episode and hit his head on the window sill next to where he was sitting. Staff responded and assesse | Y | 2 | Y | 04/09/2021 | 04/09/2021 | 0 | PVT | 2 | 04/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1206072 | 04/13/2021 | MD | 31.0 | 31 | M | Redness (size of a quarter), swelling , and pain at the injection site | U | 04/12/2021 | 04/13/2021 | 1 | PHM | 2 | 04/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1206102 | 04/13/2021 | MD | 31.0 | 31 | M | Head ache, tiredness, always sleepy | U | 04/01/2021 | 04/11/2021 | 10 | UNK | 2 | 04/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1220305 | 04/16/2021 | MD | 31.0 | 31 | M | After patient received this vaccine dose, it was discovered that the vial had been stored outside of the recommended temperature range calling into question its efficacy After conferring with immunization experts it was determined that this dose needs to | 04/07/2021 | 04/07/2021 | 0 | OTH | 2 | 04/16/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222656 | 04/17/2021 | MD | 31.0 | 31 | M | pt felt very dizzy and was sweating after receiving the vaccination. Pt was given Benadryl because he said he was having a reaction. Less than 5 minutes later the pt vomited into a trash can. Once he finished vomiting he said he felt much better. pt also | Y | 04/16/2021 | 04/16/2021 | 0 | none | PHM | none | none | 2 | 04/17/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1225229 | 04/18/2021 | MD | 31.0 | 31 | F | near syncope, dizziness | Y | 04/18/2021 | 04/18/2021 | 0 | BP 137/84 HR 102 O299% ra | PUB | birth control | none | none | 2 | 04/18/2021 | Y | wasps | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1227178 | 04/18/2021 | MD | 31.0 | 31 | M | Shaking chills | N | 04/17/2021 | 04/18/2021 | 1 | PUB | 0 | 0 | 0 | 2 | 04/18/2021 | 0 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1229721 | 04/19/2021 | MD | 31.0 | 31 | F | Fatigue, slight fever | Y | 04/15/2021 | 04/15/2021 | 0 | PUB | sertraline, allegra | seasonal allergies | depression, migrianes | 2 | 04/19/2021 | nickel | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1237734 | 04/21/2021 | MD | 31.0 | 31 | M | BH, syncope, patient fell to ground from chair. Patient states that this situation occurs often with getting needles. Pt. states not eating prior to vaccine. Temporarily altered mental status. EMTs to observation area to assess patient. B/P 135/55 HR:7 | U | 04/21/2021 | 04/21/2021 | 0 | OTH | 2 | 04/21/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1244280 | 04/22/2021 | MD | 31.0 | 31 | M | The BNT 162 B2 vaccine was administered on the morning of Monday January 4th 2021 at approximately 11:08am, via intramuscular route. Within the next 24 hours, I started having myalgia and Paresthesia to my right leg and foot on 1/5/21, this progressively w | Y | N | 01/04/2021 | 01/05/2021 | 1 | CBC- Normal BMP- Normal Viral studies -Normal B12- Normal Chest XRAY- Normal MRI L-S Spine done on Jan 8th 2021 revealed: -Normal height lumbo-sacral vertebrae. No spondylolisthesis. -Increased medullary change. -L4 to L5 Broad based disc bulge -L5 to S1 | PVT | NONE | NONE | NONE | 2 | 04/22/2021 | Y | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1247203 | 04/23/2021 | MD | 31.0 | 31 | F | I've been having really painful menstrual cramps and heavier than normal flow and spotting. | 03/31/2021 | 04/14/2021 | 14 | PVT | IUD - Mirena, levothyroxine 88 mcg | 2 | 04/23/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1257258 | 04/25/2021 | MD | 31.0 | 31 | F | Firm, red, hot, itchy patch of skin developed in arm about 40+ hours after injection. Patch grew larger throughout the day, 57 hours after injection it was 3 inch by 1.5 inch. | N | 04/23/2021 | 04/25/2021 | 2 | PHM | Nexplanon, victoza | Asthma, controlled diabetes | 2 | 04/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271034 | 04/29/2021 | MD | 31.0 | 31 | F | I started with chills/fever the night of my 2nd shot. All night, I had body aches, joint pain, migraine, unable to sleep and SEVERE stiff neck pain. The most concerning side affect for me was I felt as though my central nervous system was affected. I had d | Y | 03/04/2021 | 03/05/2021 | 1 | n/a | OTH | Wellbutrin, protriptyline | n/a | n/a | 2 | 04/29/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271666 | 04/29/2021 | MD | 31.0 | 31 | F | Cc :Chills ,weakness, sweating, anxiousness, low blood pressure and pulse rate intervention: patient was taken to medical tent for observation, and vital signs are as follow: BP86/40 PR62 TEMP 98.7 OXG SAT 96% Patient was offered water and vital signs | Y | 04/29/2021 | 04/29/2021 | 0 | na | PUB | 2 | 04/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1274738 | 04/30/2021 | MD | 31.0 | 31 | M | Had normal sickness and headache, but also developed tinnitus that has not since gone away. | N | 04/05/2021 | 04/05/2021 | 0 | COVID19 Pfizer vaccine | OTH | Allegra | None | None | 2 | 04/30/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1275005 | 04/30/2021 | MD | 31.0 | 31 | F | CDC recommended use of this form to report potential vaccination administration error regarding uncertainty whether vaccine was administered subcutaneously or intramuscularly. Patient was supposed to receive second dose Moderna vaccine via intramuscular in | U | 04/29/2021 | 04/29/2021 | 0 | OTH | 2 | 04/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1279942 | 05/02/2021 | MD | 31.0 | 31 | M | Day of vaccination: High fever ranging from 102 to 104 F reducing to a light fever around 99 F by the evening. Persistent head pain, feelings of fatigue, and nausea. Day following vaccination: Reduced fever around 99 F and improvements in other side effec | Y | 04/25/2021 | 04/25/2021 | 0 | None | OTH | Zyrtec for seasonal allergies | Light feeling of fatigue the morning of the vaccination. | None | 2 | 05/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1281639 | 05/03/2021 | MD | 31.0 | 31 | M | High pulse rate. Heart palpitation. Headache. | U | 04/12/2021 | 04/29/2021 | 17 | PHM | N/A | N/A | 2 | 05/03/2021 | Penicillins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1282423 | 05/03/2021 | MD | 31.0 | 31 | F | At 12:00am on the 20th I began to have chills. I felt very cold and couldn't warm up despite having multiple blankets. I was very fatigued and felt "out of myself". I awoke around 4am with a terrible headache and sweats. I took Advil and laid back down. T | Y | 02/19/2021 | 02/20/2021 | 1 | UNK | Aleve, Probiotic | n/a | smoker, bmi 32 | 2 | 05/03/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289459 | 05/05/2021 | MD | 31.0 | 31 | F | Severe neck/shoulder blade muscular tightness and severe shooting pain with slight movements | N | 04/30/2021 | 05/01/2021 | 1 | PUB | Women?s multivitamin | No | No | 2 | 05/05/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1300856 | 05/09/2021 | MD | 31.0 | 31 | M | Client stated migraine post vaccine. | Y | 03/05/2021 | 03/05/2021 | 0 | Unknown | OTH | None provided | None advised | None advised prior to vaccination | 2 | 05/09/2021 | None provided | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1301004 | 05/09/2021 | MD | 31.0 | 31 | M | "Patient who had recently been vaccinated approached me and stated that he did not feel well." "Complaining of weakness and dizziness after COVID Vaccine." "Pale and notably diaphoretic" "Vital signs assessed and found to be bradycardia and hypotensive in | U | 04/08/2021 | 04/08/2021 | 0 | Only as indicated above, prior to transport. | OTH | None indicated | None indicated | None indicated | 2 | 05/09/2021 | None indicated | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1301241 | 05/09/2021 | MD | 31.0 | 31 | M | After few minutes of getting the vaccine, patient fainted for couple of seconds while sitting on the chair. Patient regained consciousness right away and was place on the floor lying down with legs raised. Paramedics were called to check on the patient. Wh | Y | 04/26/2021 | 04/26/2021 | 0 | none | PHM | Do not know. | None | None | 2 | 05/09/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1310249 | 05/12/2021 | MD | 31.0 | 31 | F | left underarm lymph nodes swollen, fever, sweats, chills, extreme headache, extreme body aches, excessive tiredness, vaginal bleeding out of cycle | Y | 04/20/2021 | 04/21/2021 | 1 | 4/22/2021: Rapid & Antigen COVID Test (Negative), Influenza A & B- (Negative); Complete Blood Panel All normal except: CBC/Diff-f-RBC 4.20 4.5-5.1 M/mm3 abnormal CBC/Diff-f-Hgb 12.0 12.3-15.3 g/dL abnormal CBC/Diff-f-MCHC 32.0 33.4-35.5 g/dL abnormal | MIL | 2 | 05/12/2021 | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1330325 | 05/19/2021 | MD | 31.0 | 31 | F | Upper arm pain and weakness began less than an hour after injection. Two days after receiving the vaccine, this has persisted, but seems to be lessening. It seems identical to the pain received after the first dose. Chills began about 12-13 hours after inj | Y | 05/17/2021 | 05/17/2021 | 0 | None. | PHM | None | None | None | Arm pain after first dose of COVID-19; arm pain after flu vaccine in 2018; no known previous side effects to vaccines. | 2 | 05/19/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1344621 | 05/24/2021 | MD | 31.0 | 31 | M | Janssen COVID-19 Vaccine EUA Between 6-7 hours after receiving the vaccination I started to feel increasingly cold. After putting on a sweater and trying to stay warm I also started to get sore. Around 8-9 hours after vaccination I decided to go to sleep | Y | 05/17/2021 | 05/17/2021 | 0 | PHM | None | None | None | 2 | 05/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361678 | 05/30/2021 | MD | 31.0 | 31 | F | Vomiting, upset stomach, weird pains in stomach, back pain, joint pain, muscle pain, odd headaches, foul smelling urine, body aches, light numbness in a extremities, fatigue, slight burning sensation in back, pain in lower left back that's tender to the to | U | 05/29/2021 | 05/30/2021 | 1 | None | PHM | Women's complete multivitamin, and vitamin D | None | Headaches, sinus and ear issues, congestion, migraines, ADD, anxiety, depression, nausea, stomach aches. | 2 | 05/30/2021 | Mild reactions to dairy, hypersensitivity (react to medical tape and adhesives) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361689 | 05/30/2021 | MD | 31.0 | 31 | F | Vomiting, headache, dizziness | U | 05/30/2021 | 05/30/2021 | 0 | Vitals signs stable | PUB | None | None | None | 2 | 05/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1368224 | 06/02/2021 | MD | 31.0 | 31 | F | Medication Error: Syringe and needle was not well tighened. Patient was injected but vaccine spilled out . Both vaccinator and patient were certain patient did not receive full dose (0.3 ) of vaccine. Clinical head was informed. A second shot was given i | 06/02/2021 | 06/02/2021 | 0 | OTH | 2 | 06/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1374010 | 06/04/2021 | MD | 31.0 | 31 | F | Injection site: sharp pain, swelling, stiffness Left arm: (injection site symptoms), shooting muscle pain from fingertips to occipital, very limited mobility in arm, wrist, shoulder, neck, sleeplessness, fatigue, dizziness, Overall joint, muscle, tissue r | N | 06/03/2021 | 06/04/2021 | 1 | PHM | Anti-depressant, adderall, flexerol, seroquil, Xanax, multi-vitamin, beauty supplement(hair skin nails), collagen multi supplement, turmeric supplement, iron supplement, folic acid supplement | None | Rheumatoid Arthritis, raynauds, anemia (thought to be connective tissue disease) folliculitis (chronic staph) | Flu, associated flu symptoms | 2 | 06/04/2021 | Slightly lactose intolerant | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1375032 | 06/04/2021 | MD | 31.0 | 31 | F | I now have chronic hives. I have changed nothing in my diet or beauty products or laundry, | N | 04/29/2021 | 05/06/2021 | 7 | PUB | N/A | N/A | N/A | 2 | 06/04/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1381701 | 06/08/2021 | MD | 31.0 | 31 | M | After my vaccine I had a rapid heartbeat that lasted about 5-6 days. The physician prescribed me betablocker and a EKG After a few days everything stopped and went back to normal. I also had all the other normal side effects. | Y | 04/19/2021 | 04/21/2021 | 2 | EKG | PHM | vsafe | 2 | 06/08/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1385179 | 06/09/2021 | MD | 31.0 | 31 | F | May 30 at 37+6 weeks pregnant with no pregnancy complications at this time: I experienced temporary vision loss in the field of view of my left eye. My vision in my left eye was obscured by a flashing, arching, lightning that I was afraid might be a sign o | Y | 03/08/2021 | 05/30/2021 | 83 | Blood pressure was measured and was in the normal range; no laboratory tests | PVT | Unison, B6 vitamins - taking as needed to combat nausea during pregnancy Pre-natal vitamins (without iron) | None | None | 2 | 06/09/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1395402 | 06/14/2021 | MD | 31.0 | 31 | M | Acute appendicitis presented and diagnosed April 6, 2021. Treated nonsurgically due to active COVID-19 infection at time of hospitalization. Hospitalized again on April 23 to treat an abdominal abscess caused by appendiceal perforation. Appendix was later | Y | 4 | Y | 03/23/2021 | 04/06/2021 | 14 | CT scan and bloodwork indicated acute appendicitis. | OTH | Cetirizine HCl 10mg daily, Vitamin D3 100 IU daily | 2 | 06/14/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1398912 | 06/15/2021 | MD | 31.0 | 31 | F | After taking the 1st dose I felt the left side of my body heavy (specially the area of the vaccine), my left arm and leg was a little numb after a while. Around 8:30pm on the same day I felt as my heart was being ?squeezed? and a little pressure. There w | Y | 05/24/2021 | 05/24/2021 | 0 | Not applicable | PHM | No | Not applicable | Not applicable. | 2 | 06/15/2021 | Not that I?m aware of. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1399363 | 06/15/2021 | MD | 31.0 | 31 | M | Symptoms: Tongue itching, denies swelling, airway constriction, shortness of breath. this is dose #1 Assessment: Chest clear, no visible facial or oropharyngeal edema, vital signs are WNL bp- 136/95, p- 84, o2- 98% Treatment: 25mg IM benadryl x1 wi | N | 06/12/2021 | 06/12/2021 | 0 | OTH | albuterol as needed for asthma | asthma | asthma | 2 | 06/15/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1402752 | 06/16/2021 | MD | 31.0 | 31 | F | The day after vaccine I started experience period symptoms like cramps and bleeding. I'm still bleeding as of today 6/16/2021. I am on birth control and am not supposed to be bleeding yet. | N | 06/10/2021 | 06/11/2021 | 1 | PVT | Iron; Vitamin D; Zinc; Multivitamin; Lexapro. | Seasonal Allergies. | 2 | 06/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1404230 | 06/16/2021 | MD | 31.0 | 31 | F | Menstrual cycle was 2 weeks late. My period was much heavier when it did come. And cramping was more than I ever experienced. I experienced my second period since my first vaccine 28 days after my last period. I did not have the cramping like the previou | N | 04/23/2021 | 05/10/2021 | 17 | UNK | IUD birth control | None | None | 2 | 06/16/2021 | Nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407625 | 06/17/2021 | MD | 31.0 | 31 | F | I had several positive pregnancy tests for about a week before and a week after my first vaccine dose on 4/15:21. I currently have 6 children, all carried to full term, with no history of miscarriage or abortion. Being my seventh pregnancy, I am fully in | N | 04/15/2021 | 04/16/2021 | 1 | OTH | 2 | 06/17/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1410377 | 06/18/2021 | MD | 31.0 | 31 | F | severe fatigue, nausea, vomiting, shakes and feeling hot. Sx started approx 25 hours after 2nd vaccine and have carried into the next day. | 06/16/2021 | 06/17/2021 | 1 | UNK | Vyvance 50 mg | none | narcolepsy, asthma | 2 | 06/18/2021 | Percocet, Levaquin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1412985 | 06/19/2021 | MD | 31.0 | 31 | F | Bilateral pitting edema ongoing since 4/6/21. I have incurred thousands of dollars in medical bills, seen several specialists and doctors, had numerous tests performed . I?ve also been prescribed lasix which causes a significant disruption to my daily life | Y | N | 03/31/2021 | 04/06/2021 | 6 | Bilateral Venus dopplar Lab work Pelvic ultrasound EKG Echocardiogram Pulmonary function tests MRI with venogram | PHM | Buprenorphine HCL | 2 | 06/19/2021 | Y | Cephalasporins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1425899 | 06/25/2021 | MD | 31.0 | 31 | M | Roughly 8 weeks post second-vaccination, left (the side of injection) deltoid and brachioradialis began experiencing sudden onset of muscle tightness and twitching. What started as an occasional occurrence throughout the the day has progress to a nonstop e | N | 04/12/2021 | 06/10/2021 | 59 | Sought an opinion through local urgent car in hopes of obtaining muscle relaxer, steroid, or some kind of treatment to help the issue. Was diagnosed with persistent and non-specific myoclonus. Referred to a neurologist for further evaluation and sent home | PVT | Escitalopram (5mg/day) | None | None | 2 | 06/25/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1431297 | 06/28/2021 | MD | 31.0 | 31 | F | I was 34 weeks pregnant and I woke up in the middle of the night to what I thought was my water breaking, but was large amounts of blood. After going to the hospital they determined that my placenta had an abruption, and I was 1cm dilated. My abruption cre | Y | 6 | Y | 05/23/2021 | 05/25/2021 | 2 | PVT | Vitamin D (1000iu) Prenatal Vitamins | None | None | 2 | 06/28/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1432903 | 06/29/2021 | MD | 31.0 | 31 | M | The patient is a 31 year old kidney transplant recipient who had been in his usual state of health and feeling well over the past months. On May 7, he received the first dose of COVID vaccine and experienced intense myalgias at that time. He recovered, but | Y | 6 | Y | 05/07/2021 | 05/17/2021 | 10 | Diagnosis was made clinically so a skin biopsy was not performed. | PVT | Prednisone, tacrolimus, mycophenolate, amlodipine, atenolol, lisinopril, pantoprazole | History of kidney transplant in 2016, on stable immunosuppression | History of kidney transplant in 2016, on stable immunosuppression History of kidney transplant rejection 2017 Congenital renal disease Secondary hyperparathyroidism Hypertension Gastroesophageal reflux | 2 | 06/29/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1456640 | 07/08/2021 | MD | 31.0 | 31 | M | Erectile Dysfunction; Panicking; This spontaneous case was reported by a consumer and describes the occurrence of ERECTILE DYSFUNCTION (Erectile Dysfunction) in a 31-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 051C21A | U | 06/26/2021 | 06/26/2021 | 0 | UNK | USMODERNATX, INC.MOD20212 | 2 | 07/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1470563 | 07/14/2021 | MD | 31.0 | 31 | M | Pt received 2nd Moderna vaccine at 10:07am. Within 2 minutes of injection pt stated he felt dizzy and put his head down and then he jerked to his right, fell out of his chair and hit the right side of his head on the floor; his head bounced hard off the f | Y | 07/13/2021 | 07/13/2021 | 0 | While at hospital pt had an EKG which was normal. CBC, CMP and Troponin I was drawn - all normal. | PHM | Denies taking any medications | None reported | After incident occurred pt stated he had a seizure about 10 years ago and has also fainted in the past. | 2 | 07/14/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1474480 | 07/15/2021 | MD | 31 | M | I gave the patient a Pfizer COVID-19 vaccine after confirming the patient had not received any previous doses of the vaccine verbally and from the consent form. After processing the vaccine, I could see that they had already gotten a Moderna COVID-19 vacci | Y | 07/15/2021 | 07/15/2021 | 0 | none | PHM | unknown | unknown | unknown | 2 | 07/15/2021 | no known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1486084 | 07/20/2021 | MD | 31.0 | 31 | M | severe cervicle neck pain for 3 weeks including radiculapathy severe headache inter cranial pressure for 2 weeks non stop pressure in head and different parts of the brain due to elevation swollen lymph nodes left side of face correlates to vax in left ar | N | 05/18/2021 | 05/28/2021 | 10 | ct of neck and head mri of neck and brain 6 er visits for self and 4 for spouse with same symptoms and same vax blood work all normal done 7 times ekg 2 times normal neurology test of reflexes motor cognitive etc x ray of chest & neck normal hearing tes | OTH | none | none | none | 2 | 07/20/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1502941 | 07/26/2021 | MD | 31.0 | 31 | M | Ventricular arrhythmia nonischemic cardiomyopathy | Y | Y | 7 | Y | 07/16/2021 | 07/17/2021 | 1 | MRI 07-20-2021 EKG 07-/17-18-19-20-21-22/-2021 | PUB | Celexa, Methadone | 2 | 07/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1512547 | 07/29/2021 | MD | 31.0 | 31 | M | Client called us after receiving the shot and complained of nerve tingling and pain in the shoulder which he received his vaccination. Several weeks later the pain has not gone away. | U | 06/22/2021 | 06/24/2021 | 2 | PHM | None | None | Anxiety, chronic pain | 2 | 07/29/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1515034 | 07/30/2021 | MD | 31.0 | 31 | F | My left arm was itchy. I did not notice it at first because I thought my arm was healing from the vaccine. My arm was really red. I contacted the doctor they prescribed a steroid cream and an antihistamine. I also had a lump under my armpit for 6 months. | Y | 02/04/2021 | 02/09/2021 | 5 | OTH | vsafe | 2 | 07/30/2021 | Y | Penicillin; Amoxicillin; Kiwi | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1528716 | 08/05/2021 | MD | 31.0 | 31 | F | After the 1st dose of vaccine, the day after, I noticed tingling and numbness of both hands and lower portions of both legs below my knees. I also experienced increased sweating. I waited 5 days to see if it would resolve. I finally went to see the docto | N | 04/09/2021 | 04/10/2021 | 1 | blood work | PVT | Synthroid, Multivitamin, Vitamin D | none | hypothyroidism | vsafe | 2 | 08/05/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1531673 | 08/06/2021 | MD | 31.0 | 31 | F | 6 months: dizziness, weakness, lightheadedness, fainting, fast heartrate, fatigue, migraine, nausea, vomiting | N | 03/08/2021 | 03/20/2021 | 12 | 2 MRI, 24 hour EEG, EKG, echocardiogram, 3 CT scans, bloodwork, 24 hour urine test, spinal tap | UNK | gabapentin, zyrtec d, flonase | 2 | 08/06/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1560709 | 08/15/2021 | MD | 31.0 | 31 | M | On 13-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Jan-2021, the patient experienced SARS-COV-2 TEST POSITIVE (Tested positive for covid). At the time of the report, SARS-COV-2 TEST | Y | 01/13/2021 | 01/25/2021 | 12 | Test Date: 20210125; Test Name: SARS-CoV-2 test positive; Test Result: Positive ; Result Unstructured Data: positive | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1567944 | 08/15/2021 | MD | 31.0 | 31 | F | severe arm pain; numbness; lack of movement; right eye muscle spasm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (severe arm pain), HYPOAESTHESIA (numbness), MOBILITY DECREASED (lack of movement) and M | U | 03/03/2021 | 03/01/2021 | UNK | PENTASA; MULTIVITAMIN [VITAMINS NOS] | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1568319 | 08/15/2021 | MD | 31 | F | Spot that looks like a ring higher up from where the vaccine was given; Swollen at injection site; Itchy rash; Arm was sore; Arm was hot to touch on the site of injection; Arm was very painful; A spontaneous report was received from 31 year old, female pat | Y | 12/31/2020 | 12/31/2020 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event (No reported medical history) | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1568992 | 08/15/2021 | MD | 31.0 | 31 | F | Pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Pregnancy) in a 31-year-old female patient (gravida 1) who received mRNA-1273 (Moderna COVID-19 Vaccine) ( | Y | 03/03/2021 | 03/03/2021 | 0 | Test Date: 20210414; Test Name: Glucose tolerance test; Result Unstructured Data: April 12, 2021: negative (within normal range); Test Date: 20210213; Test Name: Pregnancy test; Test Result: Positive ; Result Unstructured Data: positive | UNK | PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS] | Medical History/Concurrent Conditions: Alcohol use (socially - 3 drinks per week) | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1574171 | 08/16/2021 | MD | 31.0 | 31 | F | Pt was very anxious about shot. After tech administered pt reported chest tightness and " a kinda scratchy throat." Said didn't really feel like throat was closing, nor any difficulty breathing. Mom got her something to drink. After 30 min nothing worse | Y | 08/16/2021 | 08/16/2021 | 0 | PHM | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1578141 | 08/17/2021 | MD | 31.0 | 31 | M | Started to get get low grade dull pain in front left thigh about 6 inches from groin. Over the course of the next 6-12 hours I started to have other similar pains all over body as well as tingling/burning skin sensation mostly left side of the body. Over | U | 08/05/2021 | 08/07/2021 | 2 | UNK | None | Non | None | 2 | 08/17/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1580912 | 08/18/2021 | MD | 31 | M | Two days later blood pressure was 130/90 (close to 110); He is aware that he may have Hypertension; Was aware that one of the side effects could be tiredness; This spontaneous case was reported by a health care professional (subsequently medically confirme | U | 01/20/2021 | 01/22/2021 | 2 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591473 | 08/20/2021 | MD | 31.0 | 31 | F | 01/21/2021 First dose, I experienced a sore arm for about 24 hours and a slight headache. 02/18/2021 shaking, low fever, I attempted to lay down but I was shaking so bad and it caused a bad headache, fever spiked to 102.0 by 11PM. The shakes lasted about a | Y | 01/21/2021 | 01/21/2021 | 0 | Physical. | WRK | OTC Zyrtec | None | None | vsafe | 2 | 08/20/2021 | Y | Morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591867 | 08/20/2021 | MD | 31.0 | 31 | M | 6" x 3" rash on lower left side of back, several other smaller rashes similar in shape and color in proximity. Some itching but not severe. Showed up about 8-9 days after first dose of Moderna. Also, felt shortness of breath during exercise 8-9 days aft | N | 08/10/2021 | 08/19/2021 | 9 | Saw my doctor for it today. No tests or labs done. Will observe. | PVT | Vitamin C, Nature Made Men's multivitamin | None | None | 2 | 08/20/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591909 | 08/20/2021 | MD | 31.0 | 31 | F | Patient did not experience an adverse event. Patient received her 2nd dose of the Moderna vaccine from vial open 30 hours prior. Patient at the time of discharge was not in distress and presented within normal limits. Vial opened on 8/19/2021 at 0818 | 08/20/2021 | 08/20/2021 | 0 | PVT | 2 | 08/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1592026 | 08/20/2021 | MD | 31.0 | 31 | F | Muscle spasms and twitching in legs non stop | N | 07/30/2021 | 08/12/2021 | 13 | UNK | None | None | None | 2 | 08/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1608136 | 08/22/2021 | MD | 31.0 | 31 | F | sore arm; pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm) and MATERNAL EXPOSURE DURING PREGNANCY (pregnancy) in a 31-year-old female patient (gravida 2) who rece | Y | 04/10/2021 | 04/10/2021 | 0 | Test Date: 20200915; Test Name: pregnancy test; Test Result: Positive ; Result Unstructured Data: positive | UNK | PROZAC; PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS | Penicillin allergy | Medical History/Concurrent Conditions: Alcohol use (couple beers/week); Clotting disorder; Obsession | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1610049 | 08/22/2021 | MD | 31.0 | 31 | F | This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itchy from head to toe) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information wa | U | 04/21/2021 | 04/21/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1610263 | 08/22/2021 | MD | 31.0 | 31 | F | redness under the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (redness under the injection site) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine | U | 04/14/2021 | 04/22/2021 | 8 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1617849 | 08/22/2021 | MD | 31.0 | 31 | F | Shingles without history of chicken pox (vaccinated against chicken pox in 1996) | N | 03/10/2021 | 08/12/2021 | 155 | PVT | Synthroid | 2 | 08/22/2021 | Y | Amoxicillin Clindamycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1626010 | 08/24/2021 | MD | 31.0 | 31 | F | very weak; A little dizzy; High fever; headache; In the injection arm, a lot of pain; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (very weak), DIZZINESS (A little dizzy), PYREXIA (High fever), HEADACHE (headach | U | 01/04/2021 | 01/04/2021 | 0 | UNK | Comments: No medical history reported. | USMODERNATX, INC.MOD20210 | 2 | 08/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1628444 | 08/24/2021 | MD | 31.0 | 31 | F | I got severe abdominal pain which turned out to be appendicitis. I've never had any pain or symptoms before it. Pain started the next day after getting vaccine. Appendex was inflamed. Happened rapidly and with no prior pain before taking the vaccine. | Y | Y | 2 | U | 08/19/2021 | 08/20/2021 | 1 | CAT scan with inflamed appendex showing appendicitis. Appendex was removed in appendectomy. | PHM | None | None at all | None | 2 | 08/24/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1659266 | 08/31/2021 | MD | 31.0 | 31 | F | within 30 minutes patient complained of severe dizziness, nausea, chills, BP elevated to 144/94, 15 minutes later 138/97; 1 hour later 139/90 | Y | 08/31/2021 | 08/31/2021 | 0 | PVT | BupropionXL- 150mg/24hrs ; escitalopram 10 mg; Loestrin Fe: HCTZ 12.5mg: losartan 50 mg; esomeprazole -ER 20mg | none | asthma, high blood pressure , anxiety | Rabies vaccines within last 5 years | 2 | 08/31/2021 | Y | codeine - hives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1670686 | 09/03/2021 | MD | 31.0 | 31 | F | Arms face and back have severe acne that I've never had before. And a half dollar size rash in the Injection site | N | 09/02/2021 | 09/02/2021 | 0 | PHM | 2 | 09/03/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1674861 | 09/05/2021 | MD | 31.0 | 31 | F | Apr 09. 03:00 PM: Get first dose of Pfizer. Apr 09. 03:10 PM: Numbness and Pins and needles on legs and foots all the time when I sit down or lay down on my bed. Apr 10. 04:00 AM: Woke up several time at night because of numbness/pins and needles. Apr 10: | Y | N | 03/09/2021 | 03/09/2021 | 0 | Apr 12: I visited Urgent Care. blood tests/Ultrasound. No health problems found. Apr 19: I visited Immunologist. No health problems found. He recommended to visit emergency room asap. Apr 20: Visited Emergency Room. CTA Head W/WO Contrast and LUMBAR PUNC | UNK | N/A | N/A | N/A | 2 | 09/05/2021 | Y | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1674956 | 09/05/2021 | MD | 31.0 | 31 | F | Large, painful welt developed at injection site after both doses. Developed one week after injection with the first dose, within 12 hours with the second. Developed a severe UTI/Kidney infection within a few days of second dose. Sought treatment on 2/24. | Y | 02/20/2021 | 02/24/2021 | 4 | N/A | PVT | Blood builder supplement, vestura | None. Developed large welt after both doses at injection site, UTI/Kidney infection after second. | Anemia | 2 | 09/05/2021 | Y | Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1675656 | 09/06/2021 | MD | 31.0 | 31 | F | Hives on face, Facial swelling, facial redness, face felt like burning, shortness of breath | Y | 08/29/2021 | 09/03/2021 | 5 | hospital Aug 3rd - IV steroids, IV benedryl, zofran, Pepcid Labs - CBC and CMP | PHM | None | None | None | 2 | 09/06/2021 | Y | Sulfa tramdaol Demerol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1695761 | 09/13/2021 | MD | 31.0 | 31 | M | 8/16: Soreness at injection site, fever 101 degrees F, chills, tremors, bodily pains, tingling in fingers and toes, migraines, dry mouth, fatigue, blurred vision, ringing in both ears, coughing, and sneezing, reduced sex drive, inability to become erect 8/ | N | 08/16/2021 | 08/16/2021 | 0 | 8/28: Uranalysis, Chemistry Panel, White Blood Cell Differential, and Complete Blood Count | PHM | Warafin St. John's Wort Vitamin B12 Vitamin D3 Vitamin C Zinc Men's Multivitamin Ginger Melatonin Apple Cider Biotin | None | Portal vein thrombosis | 2 | 09/13/2021 | Y | Y | Hyperactivity to Mucinex-D | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1718868 | 09/21/2021 | MD | 31.0 | 31 | M | Patient reported having headaches with coughing/sneezing approximately 8/16/21-8/23/21, not able to give specific dates but states about 4 weeks ago. Patient presented 9/20/21 after acute headache with nausea and vomiting while working as an electrician. | Y | Y | 3 | U | 08/03/2021 | 08/23/2021 | 20 | MRI: 9/20/21: subacute thrombus occluding the right transverse sinus and right sigmoid sinus as well as the upper portion of the right internal jugular vein. CT head: 9/20/21: venous congestion noted in the right temporal occipital region. Antiphospholi | PVT | None | None | None | 2 | 09/21/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731211 | 09/24/2021 | MD | 31.0 | 31 | M | I developed Ulcerative Colitis shortly after getting the vaccine. I was defecating blood and lost 50 pounds in the span of a month. | Y | 4 | N | 02/03/2021 | 02/07/2021 | 4 | I had a colonoscopy on 3/16/21 to diagnose me with UC. | PUB | Abilify and welbutrin | None | Acid Reflux | 2 | 09/24/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1737338 | 09/27/2021 | MD | 31.0 | 31 | F | Patient had returned to work post vaccination. Approximately 90 minutes later patient brought to medical at plant and sent out via ambulance. | U | 09/22/2021 | 09/22/2021 | 0 | Unknown | WRK | Unknown | None disclosed | None disclosed | 2 | 09/27/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1753738 | 10/01/2021 | MD | 31.0 | 31 | F | I have been having vertigo since sep 7, 2021 and prior to that it was slight. I have taken prednisone and meclizine and nothing has helped so far. | N | 08/20/2021 | 09/03/2021 | 14 | high beta 2 glycoprotein IgA tested on 09/15/2021 | PVT | none | beta thalassemia minor | 2 | 10/01/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1772088 | 10/08/2021 | MD | 31.0 | 31 | F | I started to experience paresthesia in my hands the day after receiving the 3rd dose/booster dose. I also experienced very vivid dreams and was unable to wake easily. The paresthesia lasted about 5 days. | Y | 09/21/2021 | 09/29/2021 | 8 | None | PVT | Hydroxychloroquine, once a day | None | discoid lupus | 2 | 10/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1777624 | 10/11/2021 | MD | 31.0 | 31 | F | Patient came in in 8/29/21 and got her 1st dose of Moderna Covid vaccine. she returned to the pharmacy on 10/11/21 for her 2nd dose and upon reviewing her questionnaire, I questioned her about the blood transfusion she indicated that she recieved in the p | U | 08/26/2021 | 09/04/2021 | 9 | n/a | PHM | N/A | N/A | N/A | 2 | 10/11/2021 | Y | Y | Y | MORPHINE, IBUPROFEN, JELLYFISH AND ZOSYN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1782557 | 10/13/2021 | MD | 31.0 | 31 | F | Bilateral foot and toe intense burning, bright red rash, tiny blisters. | Y | 05/04/2021 | 05/17/2021 | 13 | PHM | Orthocyclen, Zyrtec, atenolol, women?s multi vitamin | N/A | Seasonal allergies, tachycardic arrhythmias, | 2 | 10/13/2021 | Y | Nickel, adhesive tape | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1785505 | 10/14/2021 | MD | 31.0 | 31 | M | Continuous head aches that have been getting better over time but were really bad for 2 weeks starting end of august | U | 08/09/2021 | 08/29/2021 | 20 | OTH | None | None | None | 2 | 10/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1803544 | 10/21/2021 | MD | 31.0 | 31 | F | Her unborn baby's heartbeat stopped; Heartbeat went through the roof - from 140 to 180; She was panting; Had to get an emergency DNC; She was bleeding out/She lost a lot of blood; Had to get a blood transfusion; Whole left arm turned red; Left side of her | Y | Y | 08/26/2021 | 08/26/2021 | 0 | UNK | Medical History/Concurrent Conditions: Surgery (she had to have 2 more surgeries) | USMODERNATX, INC.MOD20213 | 2 | 10/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1807785 | 10/22/2021 | MD | 31.0 | 31 | M | 1 minute after administration of the vaccine the person became diaphoretic and complained of dizziness. His resp. rate was noted to be 22. BP checked @ 314p was 67/38, hr. 42. He was given water, then placed on the floor with his feet up. Spoke to my | Y | 10/21/2021 | 10/21/2021 | 0 | PVT | denies | denies | denies | 2 | 10/22/2021 | denies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1814273 | 10/25/2021 | MD | 31.0 | 31 | F | her left arm and is hot to the touch; Sore arm; Red circle in the size of coin at her left arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (her left arm and is hot to the touch), PAIN IN EXTREMI | Y | 10/15/2021 | UNK | USMODERNATX, INC.MOD20213 | 2 | 10/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1821156 | 10/27/2021 | MD | 31.0 | 31 | F | Itch pale light-headed dizzy nose tingle migrane | U | 10/13/2021 | 10/13/2021 | 0 | PHM | Flu | 2 | 10/27/2021 | Flu shot | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1829294 | 10/29/2021 | MD | 31.0 | 31 | F | female with no significant past medical history who presented with chest pain, fatigue, nausea, vomiting, dyspnea. Grandmother tested positive for COVID 1 week ago, patient is vaccinated. Went to UC for COVID test, which was negative. Found incidentally | Y | Y | 15 | Y | N | 07/21/2021 | 10/08/2021 | 79 | - ADAMTS13 studies from admission 10/9 activity of 11% (s/p FFP x2 prior to transfer), 55% inhibitor - ADAMTS13 level on 10/14/2021 activity of 14%, inhibitor 33% - ADAMTS13 level on 10/15/2021 activity of 20%, inhibitor 69% - ADAMTS13 level on 10/17/2021 | OTH | None | None | None | 2 | 10/29/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1851151 | 11/08/2021 | MD | 31.0 | 31 | F | I recieved the 1st Ja/nssen vaccine on friday 11/5/2021. I started with a rash on sunday 11/7/21. Then started with throat tingling, and tongue tingling on 11/08/21. I am in employee health now on 11/8/21 @ 1612 waiting to see a doctor. | 11/05/2021 | 11/08/2021 | 3 | PVT | none | none | no known conditions | 2 | 11/08/2021 | Y | no known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX |