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VAERS_ID | RECVDATE | STATE | AGE_YRS | CAGE_YR | CAGE_MO | SEX | RPT_DATE | SYMPTOM_TEXT | DIED | DATEDIED | L_THREAT | ER_VISIT | HOSPITAL | HOSPDAYS | X_STAY | DISABLE | RECOVD | VAX_DATE | ONSET_DATE | NUMDAYS | LAB_DATA | V_ADMINBY | V_FUNDBY | OTHER_MEDS | CUR_ILL | HISTORY | PRIOR_VAX | SPLTTYPE | FORM_VERS | TODAYS_DATE | BIRTH_DEFECT | OFC_VISIT | ER_ED_VISIT | ALLERGIES | Link 1 | Link 2 |
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0918460 | 01/04/2021 | TN | 31.0 | 31 | F | My lips have been numb since receiving the vaccine. | N | 12/23/2020 | 12/23/2020 | 0 | None | PUB | None | None | None | 2 | 01/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920433 | 01/05/2021 | TN | 31.0 | 31 | F | Solitary enlarged lymph node in left posterior cervical chain, approximately 2 cm in diameter, nontender. Enlargement initially felt the morning after receiving the vaccine. The lymph node continued to enlarge for several days and has remained 2 cm (visibl | N | 12/29/2020 | 12/30/2020 | 1 | PVT | None | None | None | 2 | 01/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920835 | 01/05/2021 | TN | 31.0 | 31 | F | hot and cold sweats legs are really sore | U | 01/05/2021 | 01/05/2021 | 0 | PHM | NONE | NONE | NONE | 2 | 01/05/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0922689 | 01/06/2021 | TN | 31.0 | 31 | F | I got my first dose of the Pfizer Covid vaccine on Saturday, 01/02/21, around 12:30 pm. About 12 hours after I got the vaccine (around 1 am), I woke up with a headache, chills, body aches and a low grade fever. During the night, my temp got up to 99.9 and | Y | 01/02/2021 | 01/03/2021 | 1 | n/a | WRK | Multivitamin | n/a | n/a | 2 | 01/06/2021 | Sulfa antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0924790 | 01/07/2021 | TN | 31.0 | 31 | F | Muscle aches, joint pain, fatigue, nausea, chills, fever, delirium from fever. Symptoms lasted 22 hours. | Y | 01/05/2021 | 01/05/2021 | 0 | N/A | PVT | Melatonin, multi vitamin, vitamin D | None. | None. | 2 | 01/07/2021 | Penicillin, amoxicillin, Tagamet, biaxin, omnicef, crab | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0931987 | 01/09/2021 | TN | 31.0 | 31 | M | Myalgias, Chills, hyperesthesia, Headaches, neck pains, fatigue, weakness. The day after the second dose. | N | 01/08/2021 | 01/09/2021 | 1 | PVT | Miralax Finasteride | None | None | 2 | 01/09/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0932656 | 01/10/2021 | TN | 31.0 | 31 | F | Right after the second dose less than 2 minutes my heart rate began to spike. I could feel my heart pumping fast. I couldn?t sit due to this so I began pacing the room. I didn?t know this was a side affect so I thought I was over thinking the second dose. | U | 01/07/2021 | 01/07/2021 | 0 | None. | OTH | Low hormone birth control pill, Zyrtec, Flonase, multivitamin gummy. | Allergies. | None that I know of. | 2 | 01/10/2021 | Trimethoprim / Sulfamethoxazole(Bactrim). | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0933390 | 01/11/2021 | TN | 31.0 | 31 | F | Lip swelling with history of cosmetic lip fillers | N | 01/09/2021 | 01/10/2021 | 1 | None | WRK | Spirinolactone 150mg qday Citalopram 20mg qday | None | None | 2 | 01/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0944072 | 01/14/2021 | TN | 31.0 | 31 | F | Nausea, upset stomach body aches and soreness | N | 01/13/2021 | 01/14/2021 | 1 | No | PVT | Iron, magnesium, vitamin d, calcium, fish oil | No | No | 2 | 01/14/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0966567 | 01/22/2021 | TN | 31.0 | 31 | F | red swollen arm 10 days post vaccination. Initiated on antibiotics for concerns of developing cellulitis. | U | 01/12/2021 | 01/22/2021 | 10 | OTH | 2 | 01/22/2021 | Y | PENICILLIN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0971704 | 01/25/2021 | TN | 31.0 | 31 | F | Patient reported thicken tongue and lip tingling. Patient complained of not feeling right or well 10 minutes after vaccination . Patient was given epi and Benadryl sent to ER . Patient reported no history of allergy to anything | Y | 01/13/2021 | 01/13/2021 | 0 | PUB | 2 | 01/25/2021 | Y | NFA OR NDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0983538 | 01/28/2021 | TN | 31.0 | 31 | M | Congestion and sinus drainage .. lost taste and smell on 12/30/2020 Tested positive for COVID on 01/03/2021 I started having difficult breathing after testing positive for COVID which triggered asthma attacks | N | 12/28/2020 | 12/30/2020 | 2 | COVID TEST XRAY CT SCAN | PVT | testosterone Weekly | None | Low testosterone | vsafe | 2 | 01/28/2021 | Y | Sulfa Antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0986518 | 01/29/2021 | TN | 31.0 | 31 | F | I experienced dry mouth, unquenchable thirst, metallic taste in mouth, diminished taste, dizziness, nausea, chills, fever, myalgia, joint pains, soreness at injection site, congestion, mild headache. | Y | 01/27/2021 | 01/27/2021 | 0 | I am reporting because as a pharmacist there was no literature to be found on the side effects associated with the mouth. It caused me to fear I might actually have covid, but I was tested today and it came back negative. | UNK | None | None | None | 2 | 01/29/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0991996 | 02/01/2021 | TN | 31.0 | 31 | F | I had a sore arm, mild headache and was tired for about 2 days. | N | 12/30/2020 | 12/30/2020 | 0 | no | PUB | Digoxin, Levothyroxine, Vistolic, Vit. D2 | no | Tackycardia | vsafe | 2 | 02/01/2021 | Oxycodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992020 | 02/01/2021 | TN | 31.0 | 31 | F | My left arm was hurting, body aches and a headache was hurting for about 48hrs and all subsided with taking tylenol and ibprophen. | Y | 01/27/2021 | 01/27/2021 | 0 | no | PUB | Digoxin, Levothyroxine, Vistolic, Vit. D2 | no | Tackycardia | Moderna COVID-19- 12/2020 | vsafe | 2 | 02/01/2021 | Oxycodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992978 | 02/01/2021 | TN | 31.0 | 31 | M | Moderate Soreness. Presented 8 hours after vaccination. Contact caused awakening from sleep during the night. Soreness/Tenderness persisted x 24 hours | Y | 01/20/2021 | 01/20/2021 | 0 | N/A | PVT | Descovy (HIV Prevention) Multivitamin Metamucil Cetirizine 10mg Vitamin D 2,000u | N/A | N/A | 2 | 02/01/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1009245 | 02/07/2021 | TN | 31.0 | 31 | F | Swollen red itchy painful toes on left foot less than 1 week after receiving dose. Intense pruritus. Heard of ?Covid toes? so thought I should report here just Incase. Taking Benadryl to help with itching. | N | 01/27/2021 | 02/01/2021 | 5 | UNK | Synthroid Hormonal contraceptive | None | Hypothyroidism | 2 | 02/07/2021 | Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1013346 | 02/08/2021 | TN | 31.0 | 31 | M | Debilitating fatigue and muscular pain could not move my arm at all along with numbness and tingling going throughout my right shoulder blade I also had severe swelling of my lymph node under my right armpit which was an agonizing pain that was unrelenting | Y | 02/02/2021 | 02/03/2021 | 1 | UNK | Lupus, ulcerative colitis | 2 | 02/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1018229 | 02/09/2021 | TN | 31.0 | 31 | F | Approximately 15 minutes after patient received Pfizer vaccine #1 she began to experience shortness of breath, tachypnea, tachycardia, diaphoresis, and hives to upper extremities. | Y | 1 | Y | 02/04/2021 | 02/04/2021 | 0 | Unknown but was admitted to medical center on 2/4/21 and discharged 2/5/21. | PUB | Unknown | none | unknown | 2 | 02/09/2021 | Vistaril, IV dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1023850 | 02/11/2021 | TN | 31.0 | 31 | F | About 8hrs prior to the injection I began to have a pain in my arm, nauseous, and a headache. I also had slight diarrhea. As of now (2/11/2021 @ 2:54p) i am still experiencing a headache | N | 02/10/2021 | 02/10/2021 | 0 | PVT | 2 | 02/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033106 | 02/16/2021 | TN | 31.0 | 31 | F | Circular rash/raised area about 1.5 inches around the injection site (it was raised for a few days after injection, but noticed on 2/15 that there was a red for circle around the injection site - no pain or itchiness is associated with it at this time) | N | 02/03/2021 | 02/15/2021 | 12 | None | PUB | Metformin, birth control, buspar, vitamin d3, vitamin c, calcium, magnesium, zinc | None | Polycystic ovary syndrome | 2 | 02/16/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1048895 | 02/23/2021 | TN | 31.0 | 31 | F | Circular but splotchy rash a site of injection. Appeared 10 days after receiving the vaccine. | N | 02/01/2021 | 02/23/2021 | 22 | PUB | Prenatal vitamins | None | None | 2 | 02/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1077977 | 03/06/2021 | TN | 31.0 | 31 | F | Patient states that she received her COVID vaccine 3/2/21. She reports the next day around 3:00pm she started having severe vomiting and diarrhea. She stated that it lasted about 3-4 hours followed by another 3 hours of severe stomach cramps. She said that | Y | 03/02/2021 | 03/03/2021 | 1 | NA | PUB | unknown | unknown | unknown | COVID19 | 2 | 03/06/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079492 | 03/07/2021 | TN | 31.0 | 31 | F | Early onset of mensural cycle and cramping (2 weeks early) | Y | 03/01/2021 | 03/05/2021 | 4 | PUB | Norlyda birth control | 2 | 03/07/2021 | Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1089058 | 03/10/2021 | TN | 31.0 | 31 | F | Hives on right side of face. Tightness in chest. | N | 03/10/2021 | 03/10/2021 | 0 | UNK | Prozac and adderall | Sinuses/runny nose | None | 2 | 03/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1092911 | 03/11/2021 | TN | 31.0 | 31 | F | Rash itching on left antecubital area | Y | 03/11/2021 | 03/11/2021 | 0 | None | UNK | Lisinopril, nifedipine, carbamazepine, seroquel | None | Asthma, htn, bipolar disorder | 2 | 03/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1105037 | 03/16/2021 | TN | 31.0 | 31 | F | Hives/red bumps/ itching/dry spots on my skin/ marks | N | 02/09/2021 | 02/11/2021 | 2 | UNK | No | None | None | 2 | 03/16/2021 | Penicillin Amoxicillin Advil Aleve Naproxen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108250 | 03/17/2021 | TN | 31.0 | 31 | F | I had facial tingly, numbness ad swelling. I went to ER, they did lab work and honestly that was all and thought it was a side effect. This lasted about a month or so . | Y | 01/10/2021 | 03/13/2021 | 62 | labs | PVT | losartin hydrochloroside metroprotosol lamythal Salexa Wellbutrin Nexum Singular Hydroxyzine | High blood pressure. | vsafe | 2 | 03/17/2021 | Y | Flagel (medication) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108716 | 03/17/2021 | TN | 31.0 | 31 | F | Headache, body pain, chills and diarrhea | N | 03/16/2021 | 03/17/2021 | 1 | PHM | Prenatal vitamin | 2 | 03/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1110892 | 03/18/2021 | TN | 31.0 | 31 | M | Developed a rash on face about 1 hour after receiving the Moderna COVID vaccine. Patient presented to ER, examined by MD and administered Depo-Medrol 40 mg IM X1 dose in ER. | Y | 03/10/2021 | 03/10/2021 | 0 | No tests were ordered. | PVT | Levothyroxine 75 mcg daily; Multivitamin daily; Clotrimazole betamethasone topical; Ketoconazole topical shampoo; mupirocin topical; Bactrim DS 1 tab daily; Nystatin topical | None | Celiac Disease; Autoimmune Disease; Hypothyroidism; Osteoporosis | 2 | 03/18/2021 | Y | Glutens, Clindamycin, Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1121068 | 03/21/2021 | TN | 31.0 | 31 | F | Fever, Chills, Nausea, Headache, Fatigue | Y | 03/20/2021 | 03/20/2021 | 0 | PUB | Armor Thyroid, Tri Sprintic (Birth Control) | 2 | 03/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1122225 | 03/22/2021 | TN | 31.0 | 31 | F | Noticed red patches and welts 10 days after first Moderna vaccine | 03/10/2021 | 03/20/2021 | 10 | PUB | Lo Loestrin & Zoloft | 2 | 03/22/2021 | Codine & Ceclor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1122294 | 03/22/2021 | TN | 31.0 | 31 | F | Flu like symptoms appeared 1 hour for 24 hours after shot. Swelling, itching, red rash at injection site 9 days after shot. Over the counter medication hasn't worked on any of the disconfort. | N | 03/10/2021 | 03/19/2021 | 9 | None | PUB | None | None | None | 2 | 03/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1128548 | 03/24/2021 | TN | 31.0 | 31 | F | Rash on the right arm - forearm and elbow, red, raised, itchy with little postules | N | 03/13/2021 | 03/21/2021 | 8 | None | OTH | None | None | None | 2 | 03/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1131889 | 03/25/2021 | TN | 31.0 | 31 | F | About 20 min after receiving the vaccine, the bottom half of my face became numb/tingly, along with tightness in my throat. I went back in the store to advise the pharmacist and she gave me Benadryl. | Y | 03/04/2021 | 03/04/2021 | 0 | No tests were done | PHM | None | None | None | 2 | 03/25/2021 | Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1147837 | 03/30/2021 | TN | 31.0 | 31 | M | I was recently diagnosed with Shingles. I don't know if this is related to the Pfizer vaccine I received, but I started having symptoms about a week and half after taking the vaccine. I had chicken pox as a kid, and the case has been really mild, but I th | N | 03/08/2021 | 03/19/2021 | 11 | OTH | n/a | n/a | n/a | 2 | 03/30/2021 | Y | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1148960 | 03/30/2021 | TN | 31.0 | 31 | F | The patient selected on our consent form that she will faint with vaccines sometimes, gave the patient the vaccine, she said she felt fine so she went to sit in our waiting area. I came out to give the next patient a vaccine, I checked on the patient and s | Y | 03/30/2021 | 03/30/2021 | 0 | N/A | PHM | N/A | N/A | N/A | 2 | 03/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1152411 | 03/31/2021 | TN | 31.0 | 31 | F | Allergic-type reaction: immediate swelling and heavy bleeding at injection site for ~10 seconds; neck and chest were blotchy, heart rate spiked to 140, dizziness. Treated with 25mg Benadryl tablet by mouth. Symptoms resolved after 20 minutes lying down a | Y | 03/18/2021 | 03/18/2021 | 0 | None | PHM | Levothyroxine 88mcg Azurette birth control Amitriptyline 125mg Sumatriptan 50mg (no more than twice per week for migraines) Magnesium 250mg Vitamin D 11,000 IU Vitamin C/Zinc Quercetin 100mg CoQ10 100mg Methylated Folate Curcumin Fish Oi | COVID-19 positive rapid test 2/20/21; negative rapid test on 3/1/21; negative igM and igG antibody tests on 3/11/21 and 3/17/21 | Hashimoto?s hypothyroidism Polycystic Ovarian Syndrome Migraines Anxiety/seasonal depression | 2 | 03/31/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1160617 | 04/02/2021 | TN | 31.0 | 31 | F | Within the first 5 minutes, my chest got very warm, I felt dizzy, and my heart began racing. This was after the shot and I was calm before. This feeling went away and I left the facility. When I arrived home, I felt very sick. I was nauseated, dry hea | Y | 03/12/2021 | 03/12/2021 | 0 | Blood test and vitals on 3/16/2021 | PUB | These are my daily medications but had not been taken at the time of the vaccine. These medications were taken when I arrived home. Viibryd 20 mg, Montelukast 10 mg, Claritin 10 mg, Omezpradole, Multivitamin, and Tumeric Circumin | I had an asthma attack the day prior to the vaccine. | Irritable Bowel Syndrome, Chronic Migraines, Asthma, Seasonal Allergies, Acid Reflux, GERD, Interstitial Cystitis, Endometriosis, Hypoglycemia, Hypersonmnia, Insulin Resistance, Lactose Intolerance, OCD, Depression, Scoliosis | 2 | 04/02/2021 | Y | Celexa, Penicillin, Medical Tape, Macrobid, Heparin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1162924 | 04/02/2021 | TN | 31.0 | 31 | M | Leg fatigue (felt like I had run a half marathon) first in the evening. Severe headache began overnight and lasted until 24 hours from injection. Treated with Tylenol, 2 pills, every 6 hours | Y | 03/20/2021 | 03/20/2021 | 0 | None | PUB | Bupropion, fluoxetine | None | None | 2 | 04/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163159 | 04/03/2021 | TN | 31.0 | 31 | F | Received shot at 2:45 PM on April 2nd. Took 2 Tylenol at 10:15 PM when I went to bed in anticipation that I may wake up not feeling well (I was already starting to feel some malaise). Woke up around 2:15 AM on April 3 with chills and took temp. It was aro | N | 04/02/2021 | 04/03/2021 | 1 | None- still experiencing them | PHM | Crestor; Spirnolactone: Birth Control. | None. | IGG deficient. | First COVID vaccine I got Covid arm- lots of swelling- showed up about 6 days after first shot | 2 | 04/03/2021 | Certain; Zofran. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163186 | 04/03/2021 | TN | 31.0 | 31 | F | Body aches Pain in injection arm and into armpit and breast Fever Chills Fatigue | Y | 04/01/2021 | 04/02/2021 | 1 | PHM | Lo-estren birth control Multi vitamin Zinc | No | Pcos | 2 | 04/03/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163284 | 04/03/2021 | TN | 31.0 | 31 | F | Restlessness the night of, moderate fatigue the next Day & heavily sore arm (same side); second day post shot quarter sized red area, tender & hard feeling, some itchiness. | N | 04/01/2021 | 04/02/2021 | 1 | N/A | PVT | Loryna 3mg, Olly Women?s Multivitamin, Cetrizine Hydrochloride 10m, 5mg pure Elderberry extract | Head cold in February | N/A | 2 | 04/03/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1167851 | 04/05/2021 | TN | 31.0 | 31 | M | He states eight days after he received his first COVID vaccine he broke out in a itchy rash on both arms, around his waist and groin area, chest, and abdomen as well as his left ankle area. He states he was working in his yard on Saturday, 03/27/2021. but | 03/24/2021 | 04/01/2021 | 8 | PHM | None | None | None | 2 | 04/05/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1175874 | 04/07/2021 | TN | 31.0 | 31 | F | Approximately two weeks after the first dose, lymph nodes in the left armpit began to swell to the size of large grapes and become tender. Three weeks after the initial dose, multiple lymph nodes in the right armpit began to swell and become tender. The ly | N | 03/12/2021 | 03/23/2021 | 11 | UNK | Trokendi XR - 50mg, Cymbalta - 30mg, Abilify - 2mg | None | Depression, anxiety, meningioma | 2 | 04/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1176267 | 04/07/2021 | TN | 31.0 | 31 | M | Following vaccination patient reported feeling dizzy, lightheaded ,visual changes. Paramedic and writer evaluated patient. Patient is alert and oriented. Able to verbally respond to questions. VS = 138/68, 73, 17, 98% RA. Patient states he has a hist | U | 04/07/2021 | 04/07/2021 | 0 | N/A | OTH | n/a | n/a | Low BP, Heart issues, anxiety | 2 | 04/07/2021 | sulfur drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177056 | 04/07/2021 | TN | 31.0 | 31 | M | Fainting, vagal reaction | Y | 04/06/2021 | 04/06/2021 | 0 | Per provider's note "LABS WERE ORDERED UPON ARRIVAL BUT WERE NEVER SENT. PT IS NOW ASYMPTOMATIC 1.5 HRS AFTER ARRIVAL AND WANTS TO GO HOME. AS HE HAS HAD A SIMILAR EPISODE IN THE PAST, AND SYMPTOMS ARE CONSISTENT WITH VASOVAGAL SYNCOPE, I DO NOT THINK HE N | PVT | Adderall 30mg | None | None | 2 | 04/07/2021 | Y | Cefaclor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179475 | 04/08/2021 | TN | 31.0 | 31 | M | NONE No adverse reaction First dose given on 3/9/2021 and second dose given on 3/29/2021 given to soon. No signs and symptoms | 03/29/2021 | 04/29/2021 | 31 | NONE | OTH | none | none | asthma | 2 | 04/08/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179684 | 04/08/2021 | TN | 31.0 | 31 | F | Rash on arm. Appeared 48 hours post vaccination, Present for 24 hours at time of reporting Body aches, chills, fever, numbness of right side of face lasting 36 hours post vaccination | N | 04/05/2021 | 04/06/2021 | 1 | None | UNK | None | None | None | 2 | 04/08/2021 | Mild oral allergy to fruit | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1180810 | 04/08/2021 | TN | 31.0 | 31 | F | Patient received 1st dose of Moderna Covid 19 vaccine. Lot 032B21A at 12:58PM. Approx 1:05pm she started having chills/tingling all over body. No shortness of breath/tongue swelling/lip swelling. No epinephrine was given due to no SOB. Patient experienced | U | 04/07/2021 | 04/07/2021 | 0 | EMS called, patient had glucose taken (115), heart rate (130), and blood pressure (149/91) | PHM | None. | None. | Patient had meningitis 3 years ago. She stated "not sure if viral or bacterial, but treated for both." | 2 | 04/08/2021 | Y | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1181246 | 04/08/2021 | TN | 31.0 | 31 | M | No adverse reaction. Moderna 1st dose was given on 3/9/2021 and 2nd dose was given on 3/29/2021 to soon. | 03/29/2021 | 03/29/2021 | 0 | No adverse reaction. Moderna 1st dose was given on 3/9/2021 and 2nd dose was given on 3/29/2021 to soon. | OTH | NONE | NONE | HCV | 2 | 04/08/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1186786 | 04/09/2021 | TN | 31.0 | 31 | F | Patient stated that she passes out from all vaccines or pain like bee stings. 30 seconds after vaccinating patient she passed out. She passed out 5 times over the next 10 minutes. We gave her some chocolate candy and a water, then she started feeling bette | Y | 04/09/2021 | 04/09/2021 | 0 | PHM | She fainted after receiving all vaccines. | 2 | 04/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1186970 | 04/09/2021 | TN | 31.0 | 31 | F | Bumpy rash at the injection site | N | 04/01/2021 | 04/09/2021 | 8 | PHM | lecithin & black seed oil | A moderate-to-severe case of poison ivy (I had finished a round of prednisone the day before vaccination) | Psoriasis | 2 | 04/09/2021 | amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1201153 | 04/13/2021 | TN | 31.0 | 31 | M | having bad headaches and body aches cannot fully urinate and always feel like he needs to urinate | N | 04/06/2021 | 04/08/2021 | 2 | OTH | Tylenol | Reynaud's Disease | 2 | 04/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1207966 | 04/14/2021 | TN | 31.0 | 31 | F | I received the first Pfizer vaccine on 3/16/21 in the afternoon. I am a young, healthy woman with no pre-existing health conditions: I don't smoke, am under 120 lbs., no allergies, etc. Two days after the vaccine, I started to experience an eye twitch, whi | Y | N | 03/16/2021 | 03/19/2021 | 3 | CT scan ruled out a stroke. Urgent Care doctor diagnosed me with Bells Palsy and contributed it to the vaccine. I have the paperwork. So far, my face has partially but not completely recovered....my left eye and left side of mouth do not function as they | OTH | N/A | N/A | N/A - patient is very healthy | 2 | 04/14/2021 | Y | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209935 | 04/14/2021 | TN | 31.0 | 31 | M | Fever for two consecutive days and arm pain | N | 04/12/2021 | 04/13/2021 | 1 | UNK | Advil | None | None | 2 | 04/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1221708 | 04/17/2021 | TN | 31.0 | 31 | F | Arm soreness, unable to use arm, fever, body aches, chills, headache, insomnia | N | 04/16/2021 | 04/16/2021 | 0 | PUB | Citalopram 30mg, Norethendone | Seasonal allergies | None | 2 | 04/17/2021 | Seasonal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1249128 | 04/23/2021 | TN | 31.0 | 31 | F | Pt presented on 4/20 for 2nd dose of Moderna, in which at that time she informed MD & RN she had a convulsion 1 week after first dose. Pt has hx of convulsions. 2nd dose postponed until evaluation by neurology. | U | 03/23/2021 | 03/30/2021 | 7 | npne | OTH | NONE | NONE | Convulsions | 2 | 04/23/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1249618 | 04/23/2021 | TN | 31.0 | 31 | F | I developed a swollen area in my arm that turned into a lump. I had an ultrasound of the lump this week and I believe it was diagnosed as a lipoma. | N | 01/29/2021 | 01/29/2021 | 0 | ultrasound 4/21/21 | PUB | mirena, multivitamin, vitamin d | none | mild asthma | flu vaccine and meningitis vaccine - both red plaques/papules in the skin after vaccine | 2 | 04/23/2021 | Y | lavendar, possibly sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266622 | 04/28/2021 | TN | 31.0 | 31 | F | Error: Incorrect Reconstitution | Y | 04/26/2021 | 04/26/2021 | 0 | PHM | 2 | 04/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1273498 | 04/30/2021 | TN | 31.0 | 31 | M | body aches fever dizziness started 12hrs after injection | N | 04/28/2021 | 04/28/2021 | 0 | UNK | none | none | none | 2 | 04/30/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1311285 | 05/12/2021 | TN | 31.0 | 31 | M | Patient presented to pharmacy for 2nd dose of COVID vaccine. He forgot his vaccination record card and verified with his wife what manufacturer he previously received. When updating his vaccination record card, he realized it said he received Moderna on 0 | Y | 05/06/2021 | 05/06/2021 | 0 | PHM | 2 | 05/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1321167 | 05/15/2021 | TN | 31.0 | 31 | F | I received my second Moderna shot on 4/9/2021. I was sick for about 36 hours and it went away. No big deal. On 4/12 I got my period. I haven?t had a period in 3 years because of my birth control. I had really bad cramping and lots of clots. It lasted about | N | 04/09/2021 | 04/12/2021 | 3 | Labs scheduled for 4/17 but I doubt will tell me anything since estrogen isn?t being checked. Going to also ask about an ultrasound to check everything when I go for labs on Monday. | PUB | Birth control, Zoloft and allergy medicine | No | No | 2 | 05/15/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1328707 | 05/18/2021 | TN | 31.0 | 31 | F | Menstruation began the day prior to vaccination as usual and on schedule. Menstruation ended hours after receiving the second covid vaccine. Typically my menstruation will last approximately 3-4 days. After last vaccine my period has returned on schedule | U | 04/20/2021 | 04/20/2021 | 0 | PVT | 2 | 05/18/2021 | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1346464 | 05/25/2021 | TN | 31.0 | 31 | F | Fatigue and muscle soreness. | N | 05/24/2021 | 05/25/2021 | 1 | None | PHM | None | None | Asthma | 2 | 05/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1349766 | 05/26/2021 | TN | 31.0 | 31 | M | Upon receiving the second dose of the COVID-19 vaccine, I immediately felt tingling or chills in the arm where the shot was administered. This developed into muscle soreness as I sat through the waiting period before leaving the facility. (For this reaso | N | 05/25/2021 | 05/25/2021 | 0 | OTH | acetaminophen | 2 | 05/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1353636 | 05/27/2021 | TN | 31.0 | 31 | F | I was sick with moderate flu-like symptoms for two days, then recovered from those. However, I am continuing to experience a major increase in my fibromyalgia/Chronic Fatigue Syndrome symptoms (excessive daytime drowsiness where I need at least a 4-hour na | N | 05/14/2021 | 05/15/2021 | 1 | None yet. I don?t know who to go to for help. | PHM | Lyrica | None | Fibromyalgia, Chronic Fatigue Syndrome | 2 | 05/27/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1354509 | 05/27/2021 | TN | 31.0 | 31 | F | About 10 minutes after pt received vaccine (around 10:21) she began to feel nauseated and dizzy. She began vomiting, and her throat became "itchy." Vital signs stable. She then complained of her lips feeling numb. Epi Pen was given at 10:33 am. Pt as | Y | 05/26/2021 | 05/27/2021 | 1 | OTH | 2 | 05/27/2021 | Y | coconut | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1376532 | 06/06/2021 | TN | 31.0 | 31 | M | a) Rapid heart beat (up to 140/min.) immediately after vaccination. Heart rate normalized after half hour of rest. b) Acid reflux three days after vaccination. Took Omeprozole & Sucralfate tabs and recovered within 3 weeks. c). Tachycardia & palpitation oc | Y | 2 | N | 03/22/2021 | 03/22/2021 | 0 | Chest X ray, EKG, Echo, Holter Monitor, blood & urine tests all came back normal | WRK | None | None | None | 2 | 06/06/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1385935 | 06/09/2021 | TN | 31.0 | 31 | F | Patient came in for MMR and Varicella vaccinations, reviewed consent form; no history of adverse reactions to previous vaccinations. Patient reports having both vaccinations earlier as child/teenager. Denies any reactions to previous doses of vaccine. Vacc | Y | 06/09/2021 | 06/09/2021 | 0 | None | PVT | Lexapro; Synthyroid | 1 week prior; had sinus congestion and possible fever | Anxiety; Hypothyroidism | 2 | 06/09/2021 | Sulfa- rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1398715 | 06/15/2021 | TN | 31.0 | 31 | F | Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Abdominal Pain-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chills-Severe, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Sy | U | 06/14/2021 | 06/14/2021 | 0 | PHM | 2 | 06/15/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1406283 | 06/17/2021 | TN | 31.0 | 31 | M | Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient reported hx of previous fainting with other vaccines and within 2 minutes of receiving this vaccine if fa | Y | 06/16/2021 | 06/16/2021 | 0 | PHM | 2 | 06/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1417108 | 06/22/2021 | TN | 31.0 | 31 | F | next day left arm was swollen, red, rash, golf ball size knot, limited mobility and MD looked at it 2 weeks later gave motrin and return to MD in 1 month ultrasound to rule out blood clot, and then 1 month and 2 weeks back to MD for antibiotics and trea | Y | 04/12/2021 | 04/19/2021 | 7 | ultrasound blood work | PUB | Pepcid REFLUX meds | none | none | 2 | 06/22/2021 | Y | PCN = rash clindamycin= rash duraicef = rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1426979 | 06/25/2021 | TN | 31.0 | 31 | M | Patient was asked to wait 15 minutes in lobby. After ~5 minutes the person who was with him came and said he was having a reaction. When I reached the lobby the patient was lying supine in the floor with his feet on a chair. He had pallor in his face in ar | U | 06/25/2021 | 06/25/2021 | 0 | only vital signs were taken at time of incident. EMS took over care once they arrived. | PUB | unknown | no reported illnesses at time of vaccine | no reported chronic conditions | 2 | 06/25/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1429625 | 06/26/2021 | TN | 31.0 | 31 | F | The patient was given a dose of the vaccine that was expired. The vial was from the previous day (6/24/21). No adverse events have been reported as of 6/26/21. | 06/25/2021 | 06/25/2021 | 0 | PHM | 2 | 06/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1430086 | 06/27/2021 | TN | 31.0 | 31 | M | 2 minutes after injection, proceeded to completely black out- the nurse at the time described it as if I was gasping for air, in somewhat of a convulsion. She then proceeded to administer to use an epi-pen, which in turn immediately relieved my symptoms. P | Y | 06/08/2021 | 06/08/2021 | 0 | PHM | Propranalol, Zoloft | N/A | One Kidney | 2 | 06/27/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1437680 | 06/30/2021 | TN | 31.0 | 31 | F | Irritation in my throat, getting hard to swollen, muscles in my throat felt tight. Which lead me to visit the doctor. Diagnosed with inflammation in the throat. Prescribed over the counter medication. | N | 05/30/2021 | 06/02/2021 | 3 | No | PHM | No | No | No | vsafe | 2 | 06/30/2021 | Y | Yes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1438242 | 06/30/2021 | TN | 31.0 | 31 | M | Administered 2nd COVID-19 vaccination on 06/28/2021 to patient. Vaccination had BUD of 06/26/2021, therefore, vaccine was given 2 days beyond BUD. Patient was called to make aware. At this time, unsure if patient has called facility back. We are waiting to | Y | 06/28/2021 | 06/28/2021 | 0 | none | PHM | unknown | not expressed to pharmacy | unknown | 2 | 06/30/2021 | nkda | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454746 | 07/07/2021 | TN | 31.0 | 31 | F | Within 6 hours of my first Pfizer vaccine, I felt out-of-body & almost "high" for 2-3 days. I almost felt like I was in twilight, didn't feel safe to drive, or do much at all. Within 2 days of the first vaccine, I started having "restless leg syndrome" s | U | 05/18/2021 | 05/20/2021 | 2 | None. | UNK | None | None | None | 2 | 07/07/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454774 | 07/07/2021 | TN | 31.0 | 31 | F | Within a few hours of my second shot, I had flu-like symptoms, intense pain in my left arm, high fever, severe nausea and fatigue. Within 4-5 days the flu-like symptoms had went away. A few days after my flu-like symptoms went away, my "restless leg synd | N | 06/17/2021 | 06/17/2021 | 0 | 7/4/2021 | PVT | None | None | None | VACCINE 1 PFIZER, 5/17/2021 | 2 | 07/07/2021 | Y | Penicillins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1455745 | 07/07/2021 | TN | 31.0 | 31 | F | Miscarriage | Y | 04/26/2021 | 07/03/2021 | 68 | PVT | 2 | 07/07/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1493796 | 07/22/2021 | TN | 31.0 | 31 | M | Began having widespread muscle fasciculations on 4/5/21. These continue presently. Areas of fasciculations: feet, calves, thighs, ribs, pecs, neck, hands, arms, jaw, buttocks, knees. Other symptoms similar to Benign Fasciculations Syndrome (BSF) also prese | N | 03/11/2021 | 04/05/2021 | 25 | Physical neurological exam: negative (4/12/21) NCS: negative (5/13/21) EMG: negative (5/13/21) | PHM | Losartan, Buspirone, Omeprazole, Vitamin D, Fish oil, CoQ10 | None | Hypertension, GERD | 2 | 07/22/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501220 | 07/25/2021 | TN | 31.0 | 31 | M | After 2 days receiving the shot - woke up with severe painful swelling in the outer right chest and under armpit area. Swelling continued for multiple days and as of this time is still present but no longer painful. | N | 07/22/2021 | 07/24/2021 | 2 | None | PHM | Tongkat Ali; Amazing grass green superfood; Cla and carnitine; Fish oil; Phosphatidylcholine | None | None | 2 | 07/25/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1529752 | 08/05/2021 | TN | 31.0 | 31 | M | 6:26 PM. Approximately 5 minutes after receiving vaccine, pt's wife informed me that the pt had "passed out " while I was administering her vaccine. I went to waiting area, pt was conscious, very pale, upright , somewhat disoriented in waiting area chair. | Y | 08/05/2021 | 08/05/2021 | 0 | bp 105/73 at 1845 08/05/2021 | PHM | none | none | none | 2 | 08/05/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1530069 | 08/06/2021 | TN | 31.0 | 31 | F | I am experiencing extremely heavy longer periods (cycle menstruation) with violent painful cramps that I have never had prior to the vaccinations. It is atrocious!!! I am using two boxes of 36 or more count due to the vaccines that I never had experience p | N | 06/08/2021 | 06/08/2021 | 0 | PUB | Aleve for fever after vaccination | none | Heart murmur | heavy menstruation cycles, violent cramps, horrendous hiccups, and right arm still sore | 2 | 08/06/2021 | Y | chipotle sauce/food flavoring any brand | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1536767 | 08/09/2021 | TN | 31.0 | 31 | M | Body Aches; Chills; Fever; Headache; Fatigue; Flu like symptoms; A spontaneous report was received from a consumer concerning a patient of age 31 years old, male who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced multiple events of flu li | U | 12/29/2020 | 12/30/2020 | 1 | UNK | CLARITIN [GLICLAZIDE]; NEXIUM [ESOMEPRAZOLE SODIUM] | Medical History/Concurrent Conditions: No adverse event (No reported medical history) | USMODERNATX, INC.MOD20200 | 2 | 08/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1541872 | 08/10/2021 | TN | 31.0 | 31 | F | itchy rash; rash on back of neck; This spontaneous case was reported by a physician and describes the occurrence of RASH PRURITIC (itchy rash) and RASH (rash on back of neck) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) | U | 01/29/2021 | 01/29/2021 | 0 | UNK | HYDROCORTISONE; PREDNISONE | Medical History/Concurrent Conditions: Lupus erythematosus (reported that patient had lupus) | MOD2021021703 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1545614 | 08/11/2021 | TN | 31.0 | 31 | F | I was pregnant at the time of vaccination on 04/09/2021 and experienced a placental abruption on 05/20/2021 at 30 weeks 3 days gestation. I had no risk factors for placental abruption and no prior pregnancy complications. | Y | Y | 2 | Y | 04/09/2021 | 05/20/2021 | 41 | PUB | Prenatal vitamin | None | None | 2 | 08/11/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1573613 | 08/16/2021 | TN | 31.0 | 31 | F | Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: itchy, diffuse rash mostly at joints | N | 08/06/2021 | 08/08/2021 | 2 | PHM | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1587173 | 08/19/2021 | TN | 31.0 | 31 | F | Saturday nigh I started with some hives on the side of my stomach. I took Zyrtec and it calmed me down, but Sunday morning when I woke up my whole body and back was covered with rash. I had to go to the emergency room because my lips were also numb. They g | N | 08/10/2021 | 08/14/2021 | 4 | blood test | PHM | Junel Fe | 2 | 08/19/2021 | Y | penicillin, sulfa, insect bites | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1592760 | 08/20/2021 | TN | 31.0 | 31 | F | Redness swelling and tender where I got COVID shot | 08/12/2021 | 08/20/2021 | 8 | None | UNK | Zyrtec | None | None | 2 | 08/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1604656 | 08/21/2021 | TN | 31.0 | 31 | F | Explosive diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Explosive diarrhea) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical H | Y | 04/02/2021 | 04/07/2021 | 5 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1606344 | 08/22/2021 | TN | 31.0 | 31 | F | 7 weeks late on getting the second dose; This spontaneous case was reported by a consumer and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (7 weeks late on getting the second dose) in a 31-year-old female patient who receive | Y | 02/26/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1654111 | 08/29/2021 | TN | 31.0 | 31 | F | Severe body pain, I had to be carried inside to bed. Every time I move I?m in tears. Nausea, terrible headache. But the body pain is soo bad | N | 08/28/2021 | 08/28/2021 | 0 | PHM | Insulin - type 1 diabetes | Type 1 Diabetes | Type 1 Diabetes | 2 | 08/29/2021 | Dilaudid | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1659054 | 08/31/2021 | TN | 31.0 | 31 | M | 8/27/2021. Cardiac arrest. Ventricular tachycardia. Possible Post COVID-19 vaccine myocarditis vs. cardiac vasospasm. Amiodarone, therapeuric cooling, Levophed. Aspiration pneumonia secondary to cardiac arrest | Y | Y | 4 | N | 08/26/2021 | 08/27/2021 | 1 | Left Heart Cath 8/27/2021 shows LVEF 45% with normal coronaries; CTA chest consistent with aspiration. | PHM | None | None known | Anxiety | 2 | 08/31/2021 | No Known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1689718 | 09/10/2021 | TN | 31.0 | 31 | M | this is what employee emailed: "The first night I experienced lightheadedness/ dizziness followed by cold sweats around 11pm-12am with a fever of 99.6 that eventually broke by morning around 5am-6am. Also experienced lower back pain throughout the first ni | U | 09/08/2021 | 09/08/2021 | 0 | WRK | 2 | 09/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1704046 | 09/16/2021 | TN | 31.0 | 31 | F | Rash at injection site started 9-15-21 and swollen lymph node by left collar bone 9-14-21 | N | 09/07/2021 | 09/14/2021 | 7 | None | PUB | None | None | None | 2 | 09/16/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1709671 | 09/17/2021 | TN | 31.0 | 31 | F | My wife had a miscarriage 6 days after she received the first dose. She was 9 weeks pregnant. My wife was 142 lbs. healthy. Baby had a normal ultrasound 3 weeks prior. | N | 08/07/2021 | 08/12/2021 | 5 | UNK | 2 | 09/17/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1715049 | 09/20/2021 | TN | 31.0 | 31 | F | After dose #1, patient had redness, rash and soreness at the vaccination site. She also had flu like symptoms. After dose #2, she started noticing some weakness, numbness and tingling in her arm that radiates down to her hand and fingers. She also has a | N | 08/07/2021 | 08/29/2021 | 22 | None so far. She is scheduled to be seen by her Provider on Sept 23, 2021. | PHM | None. | None. | None. | 2 | 09/20/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1726202 | 09/23/2021 | TN | 31.0 | 31 | F | 1 hr post injection, sweaty and chills, nausea 4 hours post injection, dizziness, extreme fatigue, nausea, chills, feverish(99.8-100), flushed 12 hours post injection, extreme fatigue, nausea, headache, feverish (99.8) Medicated for nausea and fever, ot | U | 09/22/2021 | 09/22/2021 | 0 | N/A | WRK | Novolog via insulin pump | None | Type 1 diabetes | 2 | 09/23/2021 | Sulfa, Bactrim, augmentin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1736930 | 09/27/2021 | TN | 31.0 | 31 | M | Breakthrough COVID case admitted for hospitalization for SARS-CoV-2 pneumonia | Y | 3 | Y | 06/16/2021 | 09/10/2021 | 86 | PVT | Amlodipine 5mg; atenolol 25mg; depo-testosterone 100mg; ergocalciferol 50,000 units; levothyroxine 75mcg | Hypothyroidism; hypertension | Leukemia with bone marrow transplant in the past | 2 | 09/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761207 | 10/05/2021 | TN | 31.0 | 31 | M | Shot was received around 2pm, by 4pm on Oct 2,2021 is when I started to feel ill. 10/2/21 I couldn't stay awake I slept to 7pm woke up for 2 hours and slept till the following morning. I currently am still having all the following issues as of 10/5/21. He | N | 10/02/2021 | 10/02/2021 | 0 | None yet, will be getting a covid test today 10/5/21 | MIL | Amox-clav, meloxicam, omeprazole, Test C, ibuprofen, Tylenol, Anastrozole | Tested negative for Covid on 9/13/21 however was told I have a Sinus infection, as being treated for this with the amox-clav. | None | 2 | 10/05/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1764639 | 10/06/2021 | TN | 31.0 | 31 | M | Patient received moderna vaccine instead of the flu vaccine he requested | Y | 10/05/2021 | 10/05/2021 | 0 | PHM | N/A | N/A | N/A | 2 | 10/06/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1813450 | 10/23/2021 | TN | 31.0 | 31 | M | Patient received a dose of J&J vaccine and came in to get the Moderna booster. Communication we received from corporate looked like those who received J&J would get a dose of 0.5ml so that is the dose that this patient received. We learned much later in | Y | 10/22/2021 | 10/22/2021 | 0 | PHM | 2 | 10/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1814990 | 10/25/2021 | TN | 31.0 | 31 | F | Continuous sore arm | N | 09/23/2021 | 09/30/2021 | 7 | PHM | Juice plus gummies | No | No | 2 | 10/25/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1818028 | 10/26/2021 | TN | 31.0 | 31 | F | At the time of vaccination I was 27 weeks pregnant. Three days after receiving my vaccine my husband took me to Hospital ER with a concealed placenta abruption. I lost my baby. She was due on 12/09/2021. I do not have any previous history of miscarriages. | Y | Y | 3 | Y | N | 09/09/2021 | 09/12/2021 | 3 | I had an emergency C-section and blood drawn. | MIL | I was taking prenatal vitamins and iron. | I was not experiencing any illness. | I do not have any chronic or long standing health conditions. | vsafe | 2 | 10/26/2021 | Y | I do not have any allergies. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1844359 | 11/04/2021 | TN | 31.0 | 31 | M | Tightness of the chest, shortness of breath, Chest pain, Headaches. all started a week to a week and a half after shot was administered, and is on going. Absolutely no previous issues. | N | 09/12/2021 | 09/23/2021 | 11 | Echocardiogram10/14/2021 EKG- 10/15/2021 Blood pressure-10/15/2021 Determined to be Pericarditis on 10/15/2021 | PVT | nexium | none | Acid reflux | 2 | 11/04/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1849602 | 11/07/2021 | TN | 31.0 | 31 | F | Extreme headache, 101? fever, high resting heart rate over 125 for more than 12 hours. Tylenol was given at ER for fever and IV fluids for high heart rate. Many tests were completed (EKG, CAT Scan, Chest X-ray, blood tests, COVID PCR test) and all came bac | Y | 11/04/2021 | 11/05/2021 | 1 | Same as item 18. | PVT | Sprintec, nasal spray, Zyrtec, vitamin B complex, probiotic pill | None | None | 2 | 11/07/2021 | Y | Liquid stitches | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1850185 | 11/08/2021 | TN | 31.0 | 31 | F | Loss of consciousness, sweating, drop in blood pressure, drop in pulse. | Y | 10/20/2021 | 10/20/2021 | 0 | PUB | None known. | None known. | None known. | 2 | 11/08/2021 | Y | None known. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1854074 | 11/09/2021 | TN | 31.0 | 31 | M | cold like symptoms | Y | 10/29/2021 | 11/03/2021 | 5 | none | PVT | n/a | denies | denies | 2 | 11/09/2021 | denies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1857800 | 11/10/2021 | TN | 31.0 | 31 | F | headaches 8/10 lasted 76 hours with no relive . due date January 2, 2021. | Y | 11/01/2021 | 11/01/2021 | 0 | yes | MIL | prenatal | no | no | vsafe | 2 | 11/10/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1860702 | 11/11/2021 | TN | 31.0 | 31 | F | I contracted COVID-19 approximately 6 months after being vaccinated. | Y | 03/01/2021 | 09/13/2021 | 196 | UNK | Tetralogy of Fallot | 2 | 11/11/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX |