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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0917264 | 01/02/2021 | WI | 33.0 | 33 | F | Left arm pit. Swollen painful lymph node | N | 12/01/2020 | 01/02/2021 | 32 | SEN | Viibryd 60mg q morning Cyclobenzaprine 2.5 mg q HS Clonazepam 0.5 mg q HS Birth control q morning Ibuprofen PRN | None | Depression Anxiety | 2 | 01/02/2021 | Niacin-itching | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0917455 | 01/02/2021 | WI | 33.0 | 33 | F | Shortness of breath, elevated heart rate, elevated blood pressure, dizzy, diaphoresis. Still had episodes of tachycardia and diaphoresis at 8pm. Following day headache and fatigue. | Y | 12/20/2020 | 12/20/2020 | 0 | None | WRK | None | None | None | 2 | 01/02/2021 | Y | Latex, kiwi | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0918620 | 01/04/2021 | WI | 33.0 | 33 | F | Vaccination was at 8:15am. At 5:30pm, patient states she had a "wierd sensation in my throat", "started having a difficult time breathing, and wheeze". Patient states she felt like she couldn't breathe. By 6:00pm a cough started, at 9:30pm "was completely | Y | 12/23/2020 | 12/23/2020 | 0 | PVT | Birth Control medication - unknown med name Lasix - did not take that day | Cold in November. | SVT | 2 | 01/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0919439 | 01/04/2021 | WI | 33.0 | 33 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted. | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/04/2021 | levonergestrel, cymbalta | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920358 | 01/05/2021 | WI | 33.0 | 33 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects reported | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/05/2021 | pollen extract | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920405 | 01/05/2021 | WI | 33.0 | 33 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects reported. | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/05/2021 | prochlorperazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920408 | 01/05/2021 | WI | 33.0 | 33 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect reported | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/05/2021 | prochlorperazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0922115 | 01/05/2021 | WI | 33.0 | 33 | F | Rash at site of injection, onset - after day 8 of vaccine. 2 distinct patches of erythema, slightly raised. On day 3 after rash developed, there is some central clearing. | N | 12/24/2020 | 01/03/2021 | 10 | none | WRK | none | none | cholelithiasis | 2 | 01/05/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0924380 | 01/06/2021 | WI | 33.0 | 33 | F | Anaphylaxis requiring epinephrine and ER visit, no hospitalization required | Y | 01/06/2021 | 01/06/2021 | 0 | PVT | Xolair, Breo ellipta, monteleukast, Zyrtec | None | Asthma | Flu shot with latex cap resulting in anaphylaxis | 2 | 01/06/2021 | Y | Yes; banana, almond, pineapple, dilaudid, flouroquinolones | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0928303 | 01/08/2021 | WI | 33.0 | 33 | F | Swelling of tongue, lips and face. Hives. Benadryl administered on site. Rapid Response team called. Patient was transported to ED. In ED received IV solumedrol, IV fluids and EPI X 1. Full recovery. Discharged from ED to home on 4 days of prednison | Y | 01/07/2021 | 01/07/2021 | 0 | None | PVT | MVI, Effexor-XR, Junel FE, Loratadine, Gabapentin | None reported | Back pain, headaches, ADHD | 2 | 01/08/2021 | Y | Y | Cyclobenzaprine, Lactase, Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0928551 | 01/08/2021 | WI | 33.0 | 33 | F | I saw patient for a video visit on 1/7/2021. She reported rash at injection site 4 hours after vaccine. Fever to 104.6 at 6:00pm 1/5/2021. Numbness in tips of hands and toes. Widespread bodyaches. Swelling in lymph nodes of neck. Cough, Stuffy nose. | N | 01/05/2021 | 01/05/2021 | 0 | Covid-19 swab 1/7/21: negative | PVT | Multivitamin Sertraline 100mg | Left otitis media 12/17/20 | generalized anxiety disorder | 2 | 01/08/2021 | Y | Penicillins Bee venom Adhesive | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0929338 | 01/08/2021 | WI | 33.0 | 33 | F | Anaphylaxis - started with metallic taste in mouth followed by tongue swelling and chest heaviness | N | 01/07/2021 | 01/07/2021 | 0 | Pharmaceutical intervention only | PVT | dextroamphetamine-amphetamine (ADDERALL XR) 20 MG 24 hr cap | None | 16 items Headache ADHD (attention deficit hyperactivity disorder) (*) Post herpetic neuralgia (*) Herpes zoster Anxiet | 2 | 01/08/2021 | Y | Cyclobenazprine, lactase, latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930057 | 01/08/2021 | WI | 33.0 | 33 | F | Rash and itching ended up in hospital and was diagnosed with Cellulitis on injection site and is receiving antibiotics from PCP. | Y | 12/28/2020 | 12/28/2020 | 0 | Cellulitis | PVT | 2 | 01/08/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930391 | 01/08/2021 | WI | 33.0 | 33 | F | Pt recieved her vaccine with her husband. 10 min after administration of the vaccine Pt's husband reported that the pt had arm tingling. PT then reported that she had difficulty swallowing and shortness of breath. Pt is a 33 year old female who presents to | Y | 01/08/2021 | 01/08/2021 | 0 | Pulse 107; BP 137/81; Na 140; K 3.6; Cl 101; C20 total 27 anion gap 16 glucose 73; BUN 13; Cr 0.6; Ca 2+ 1.9; H/H 45/15.3 | PVT | Crestor 20 mg Metformin 50 Levothyroxine 25mcg Zanzax 0.5 mg Lexapro 10 mirena device propranolol | Bariatric surgery f/u | Pt has hx diabetes, HTN, Obstructive sleep apneia , seasonal allergies, anemia | 2 | 01/08/2021 | Y | Contrast Media Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0931000 | 01/09/2021 | WI | 33.0 | 33 | M | No fever, but chills, mild headache, fatigue and generalized malaise with myalgia, mild joint pain. Managed with Tylenol. | N | 01/08/2021 | 01/09/2021 | 1 | UNK | Arm pain at injection site | 2 | 01/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0934382 | 01/11/2021 | WI | 33.0 | 33 | F | After receiving the vaccine on 1/5/2021 I had no symptoms initially and for then next 2 days. On 1/8/21 at around 10:00am I got a headache of moderate severity behind my right eye and at right temple. It was associated with nausea and fatigue. I took 80 | Y | 01/05/2021 | 01/08/2021 | 3 | PVT | No medications taken within 1 month prior to vaccination. Ibuprofen 800mg x1 and zofran 4mg x1 taken on 1/8/2021 for headache with nausea | none | Migraine headaches | 2 | 01/11/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0934400 | 01/11/2021 | WI | 33.0 | 33 | F | Immediately and for 2 days after receiving the vaccine, I had no symptoms. 1/8/2021 at 10:00am I developed a headache of moderate severity at right temple and behind right eye with associated nausea and fatigue. I took ibuprofen 800mg, zofran 4mg, and le | Y | 01/05/2021 | 01/08/2021 | 3 | none | PVT | None at time of vaccination ibuprofen 800mg x1 and zofran 4mg x1 on 1/8/21 | none | Migraine headaches intermittently | 2 | 01/11/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0935324 | 01/11/2021 | WI | 33.0 | 33 | F | Sore arm. A week later arm got a big red patch, itchy and raised and hot to touch. It kept growing to the size of her hand. Tired, Saw a doctor and was prescribed prednisone. It has started to go down. | N | 12/28/2020 | 01/05/2021 | 8 | no | WRK | Vitamin D | no | no | 2 | 01/11/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0935771 | 01/11/2021 | WI | 33.0 | 33 | F | Enlarged lymph node in left axilla, same side as vaccine given | 01/04/2021 | 01/10/2021 | 6 | WRK | Ashwagandha, loratadine | 2 | 01/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0944261 | 01/14/2021 | WI | 33.0 | 33 | F | Systemic: Anaphylaxis-Severe, Systemic: Headache-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium; symptoms lasted 1 day | U | 01/09/2021 | 01/09/2021 | 0 | SEN | 2 | 01/14/2021 | Y | Flu shot, beets, yogurt, wasps | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0946458 | 01/15/2021 | WI | 33.0 | 33 | F | Light red, hard and warm to the touch medium size circle around injection site | 01/07/2021 | 01/09/2021 | 2 | PUB | Diphenhydramine, Chantix | 2 | 01/15/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0946827 | 01/15/2021 | WI | 33.0 | 33 | M | Mild fever beginning 12hrs after injection improved over the next 12hrs. At time of this submission 40hrs out with very mild to nil fatigue. | Y | 01/13/2021 | 01/14/2021 | 1 | PVT | None | None | None | 2 | 01/15/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0947871 | 01/15/2021 | WI | 33.0 | 33 | F | Hives, itchiness, dizziness. Given 0.5 mg. of epinephrine right away. Paramedics called. Client recovered within 5 minutes. | Y | 01/15/2021 | 01/15/2021 | 0 | PUB | Hypo-thyroidism | 2 | 01/15/2021 | Penicillin, Benadryl | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0949875 | 01/16/2021 | WI | 33.0 | 33 | F | December 29-31, 2020 Terrible headache, body aches, fatigue, diarrhea, sore right arm. Jan 1-2, 2021 Headache, loose stool Jan 3, 2021 I woke up with a red, warm, itchy, rash at vaccine injection site on right arm. The rest was the size of a baseball. The | U | 12/28/2020 | 12/29/2020 | 1 | Jan 2, 2021 COVID TEST - NEGATIVE Jan 5, 2021 COVID TEST - NEGATIVE Jan 13, 2021 COVID TEST - NEGATIVE | PVT | SOLARAY MEGA MULTI MINERAL 2 CAPSULES 250MG MAGNESIUM 1000 MCG B12 450MG TURMERIC 2 CAPSULES SOURCE NATURALS WELLNESS FORMULA | NONE | GOOD HEALTH | 2 | 01/16/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0957675 | 01/20/2021 | WI | 33.0 | 33 | F | COVID-19 vaccine given high on the arm, outside of true deltoid site. Patient noted immediate significant pain at the injection site. Ibuprofen helped. Patient contacted her employee health staff and her PCP related to concerns for risk for possible should | U | 01/13/2021 | 01/13/2021 | 0 | N/A | WRK | 2 | 01/20/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961011 | 01/21/2021 | WI | 33.0 | 33 | F | Redness around injection site, raised bump that is warm to touch and tender, shoulder pain down to elbow. Reported to Employer at 4:30pm 1/20/21. Employee health recommended an ice pack and ibuprofen for discomfort. Instruction to present to Urgent Care sh | N | 01/19/2021 | 01/20/2021 | 1 | None. | PVT | Ibuprofen, Bupropion, Zyrtec | Stomach pain the week before 2nd dose. | Asthma, obesity | 2 | 01/21/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0965804 | 01/22/2021 | WI | 33.0 | 33 | F | Day after vaccine I began to have tachycardia upon standing and walking. Heart rates are in the 140-170s when walking a normal pace. Resting heart rate is much higher than normal at around 100. When climbing stairs, heart rate gets into the high 170s. Shor | N | 01/11/2021 | 01/12/2021 | 1 | ECG - 1/12/2021 Echocardiogram - 1/19/2021 24 hour holter monitor - 1/18-1/19/2021 | PVT | Tramadol, Clonazepam, Lyrica | None | Anxiety/depression and chronic back pain | 2 | 01/22/2021 | Y | Y | Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0972986 | 01/25/2021 | WI | 33.0 | 33 | F | Febrile starting at 2am (13 hours post vaccine) with full body chills. Pain at injection site lasting about 36 hours post injection. Full body aches, weakness and over all fatigue starting 12 hours post vaccination until 30 hours post vaccination. Symptoms | Y | 01/15/2021 | 01/16/2021 | 1 | UNK | Levothyroxine | None | Hypothyroidism, obesity | Sore arm for 24 hours after first Pfizer Covid 19 vaccine on 12/29/2020 | 2 | 01/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0975619 | 01/26/2021 | WI | 33.0 | 33 | F | Fever, Chills, Fatigue, swelling at injection site with pain, Hives | Y | 01/18/2021 | 01/19/2021 | 1 | WRK | Levothyroxine 25 mcg, Zinc | Hypothyroidism | Influenza | 2 | 01/26/2021 | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0985683 | 01/29/2021 | WI | 33.0 | 33 | F | 1ST TIME - INJ 1/6/21 EL0142 (throbbing headache after I left the hospital. It didn't go away until I took 2 Exedrin & went to bed. I also had some nausea as well and was fatigued). 2ND VACCINE - INJ 1/29/21 EL324 (much worse - fatigue, muscle pain, extre | N | 01/29/2021 | 01/29/2021 | 0 | I DID NOT GO TO DOCTOR. I PUT NO FOR ITEM #20 AS I'M STILL EXPERIENCING THE SIDE EFFECTS | PVT | tylenol, advil, ecedrin as needed melatonin sertraline tri-sprintec | negative ghostrider | negative ghostrider | 2 | 01/29/2021 | negative ghostrider | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0991949 | 02/01/2021 | WI | 33.0 | 33 | F | Approximately 17 minutes after vaccination to right deltoid, (patient) approached medical assistant in observation area reporting difficulty breathing and feeling of throat swelling; verbal and visual evaluation performed promptly by COVID-19 RN in obser | U | 01/28/2021 | 01/28/2021 | 0 | UNKNOWN | OTH | UNKNOWN | UNKNOWN | UNKNOWN | 2 | 02/01/2021 | Y | "RADIOGRAPHY DYE" | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1002328 | 02/04/2021 | WI | 33.0 | 33 | F | resident went to the hospital for vomiting and is now back home. | U | 02/03/2021 | 02/03/2021 | 0 | SEN | obesity, diabetes, asthma | 2 | 02/04/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1008096 | 02/06/2021 | WI | 33.0 | 33 | F | I had a reaction begin on 1/28/2021. I was 21 weeks pregnant with a baby girl. Everything has been healthy so far. I had started amoxicillan Tuesday (1/26) for a UTI in pregnancy from a high level of Strep B in my urine. On 1/27 before bed I noticed a hard | Y | 01/20/2021 | 01/28/2021 | 8 | None. I have 2 pictures | PVT | Prenatal vitamin and amoxicillan for UTI | Treated for strep B in urine- UTI | None | 2 | 02/06/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1009854 | 02/07/2021 | WI | 33.0 | 33 | F | No s/e after first injection. After the second injection, I experienced chills, body aches, and a temp up to 102 within 18 hours of receiving the second dose. My symptoms continued most of the day but subsided mostly by 32 hrs. Day 2 after the second injec | Y | 02/02/2021 | 02/03/2021 | 1 | NA | WRK | Prozac 20mg daily | NA | Depression Anxiety Hysterectomy | 2 | 02/07/2021 | Bee venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1011958 | 02/08/2021 | WI | 33.0 | 33 | F | Approximately 24 hours after receiving the vaccine, left arm punctured area became red, hot, tight and sore. The 2nd day after vaccination the area was somewhat itchy for that day. Area is increasing in size daily. Currently 5 & 3/4 inches in height by 7 & | N | 02/05/2021 | 02/06/2021 | 1 | WRK | escitalopram | none | chronic back pain | 2 | 02/08/2021 | Y | penicillin & bee stings | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1014870 | 02/08/2021 | WI | 33.0 | 33 | F | Large, red, itchy lesion on the arm of the injection (onset 2/07/2021, ongoing) Severe cramp-like muscle aches (onset 2/06/2021, gone by 2/08/2021) Swollen lymph nodes at the top of the shoulder of the injected arm (onset 2/06/2021, gone by 2/08/2021) | N | 02/05/2021 | 02/07/2021 | 2 | PVT | Advair diskus, cetirizine, montelukast, nexplanon | Asthma | 2 | 02/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1015924 | 02/09/2021 | WI | 33.0 | 33 | F | 1:19: Dizziness/seeing spots/SOB monitor of VS HR 125 BP 132/95 SPO2 100% RR 20 1:24 Feeling "not right" clammy/sweaty monitor of VS HR 92 BP 138/90 SPO2 100% RR 16 1:29 BP 131/79 HR 96 SPO2 100% RR 16 1:34 BP 135/80 HR 88 SPO2 100% RR 16 1:37 BP 134/ | 12/20/2020 | 12/20/2020 | 0 | WRK | 2 | 02/09/2021 | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1017473 | 02/09/2021 | WI | 33.0 | 33 | F | 1:15pm HR 99 SPO2 100% BP 130/68 1:20pm HR 100 SPO2 100% EE SOB, flushed/hot, Heart racing, facial tingling 1:22 Benadryl 1 tablet 25mg po given 1:24pm complaint of dizziness and vertigo 1:25pm HR 103 SPO2 100% BP 133/69 1:33pm HR 92 SPO2 100% BP 128/62 | 01/04/2021 | 01/04/2021 | 0 | WRK | 2 | 02/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1017649 | 02/09/2021 | WI | 33.0 | 33 | F | Patient received vaccination and after approximately 20 minutes reported dizziness and "tongue feeling weird". Vital signs were obtained with BP 120/76, HR 120, RR 16, and SPO2 99%. Patient was taken via wheelchair to the emergency department where diphe | U | 02/09/2021 | 02/09/2021 | 0 | None | PVT | Ciprofloxacin 500 mg, esomeprazole 40 mg, ferrous sulfate 325 mg (65 FE) | Unknown | GERD, Colitis, appendectomy | 2 | 02/09/2021 | Y | Penicillins, Bee, Peanut | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1020723 | 02/10/2021 | WI | 33.0 | 33 | F | C/o feeling dizzy at 1500 provided juice and granola bar | 02/05/2021 | 02/05/2021 | 0 | WRK | Lymes Disease, POTS, Fibromyalgia, Disautotonia | 2 | 02/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1023014 | 02/11/2021 | WI | 33.0 | 33 | F | Evening of receiving vaccine - slight pain at injection site; lower back pain; extreme chills; body aches Day after: slight back and neck pain; pain at injection site and shoulder | N | 02/10/2021 | 02/10/2021 | 0 | WRK | Prenatal vitamins, fish oil, vitamin C, Calcium + magnesium, Pepcid AC | N/A | N/A | 2 | 02/11/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039475 | 02/18/2021 | WI | 33.0 | 33 | F | Slept 11 hours, woke up to shaking hands, body and joint pain, nausea, vomiting, muscle weakness, fatigue, fever. Not able to go to work. | N | 02/17/2021 | 02/18/2021 | 1 | OTH | Naturelo prenatal multivitamin | None | None | 2 | 02/18/2021 | Wool, latex, poison ivy (large reaction) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041870 | 02/19/2021 | WI | 33.0 | 33 | U | FEVER, CHILLS, BODY ACHES | 01/28/2021 | 01/28/2021 | 0 | PVT | 2 | 02/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1046130 | 02/22/2021 | WI | 33.0 | 33 | F | Received first dose on 1/8/21 and second dose on 2/5/21. Mild side effects after first dose (soreness in arm). During 1st 24 hours of having the 2nd dose I had chills, fever, body aches, sleeplessness. Symptoms subsided within 24-48 hours with the arm sor | N | 02/05/2021 | 02/17/2021 | 12 | N/A yet Doctor said to check back with them in a couple of weeks if the lymph node doesn't reduce in size. | WRK | Doxycycline monohydrate 100 MG capsule 2x daily Sulfacetamide sodium/sulfur 10-5% cream 2x daily | None | Acne | 2 | 02/22/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1058541 | 02/26/2021 | WI | 33.0 | 33 | F | pt developed arm tingling and throat tingling | Y | 02/26/2021 | 02/26/2021 | 0 | Pt was given epinephrine Lab Results TROPONIN I POINT OF CARE (Final result) Component (Lab Inquiry) Collection Time Result Time TROPONIN I - POINT OF CARE 02/26/21 13:16:00 02/26/21 13:16:00 <0.10 Previous Results 01/08/21 15:46:00 01/08/21 15:46:00 | PVT | none | knee pain | Environmental allergies [Z91.09] dust mites Amenorrhea [N91.2] Carpal tunnel syndrome, bilateral [G56.03] Body piercing [Z78.9] Nose Postpartum depression [O99.345, F53.0] took Zoloft for a short time Allergy [T78.40XA] dust mite Hypersomnia [G47.1 | arm tingling | 2 | 02/26/2021 | Y | Allergies Contrast Media DIZZINESS, SHORTNESS OF BREATH High 3/17/2016 Past Updates... Pt states she felt like her throat was closing up. CT contrast Covid-19 (mrna) Vaccine SWELLING, SHORTNESS OF BREATH High 1/8/2021 Past Updates... Sulfa Antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1070866 | 03/03/2021 | WI | 33.0 | 33 | F | Rash, hives, moderate itching. Continued until antihistamine taken 5 hours later. Continued to a mild degree even after taking antihistamine more than 24 hours later. | N | 03/02/2021 | 03/02/2021 | 0 | None | PVT | Premarin 1.25 mg, pre- and probiotic supplement, multivitamin, potassium supplement 99 mg, melatonin 5 mg | None | None | 2 | 03/03/2021 | Vicodin, Lorazepam, nuts, tomatoes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1078379 | 03/06/2021 | WI | 33.0 | 33 | F | This is my 2nd pregnancy. Due date of 06/10/21. After the 2nd shot I developed hives on my right arm and in my inner thighs. An ultrasound 6 days after my 2nd injection showed an umbilical vein varix on baby. | N | 02/17/2021 | 02/23/2021 | 6 | Dose 1: 1/20/21 Dose 2: 2/17/21 Ultrasound 1: 1/26/21- no findings Ultrasound 2: 2/23/21- discovery of varix Ultrasound 3: 3/4/21- confirmation of varix by specialist. Normal <0.9cm Current UVV- 0.96cm | PVT | Prenatals | Moderna arm with first vaccination | None | 2 | 03/06/2021 | Y | Y | Na | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079795 | 03/07/2021 | WI | 33.0 | 33 | F | Beginning the day after my shot, I experienced engorging in my left breast. My breast was swollen, hard, and painful to touch. I?m currently breastfeeding my 7 month old, and I wasn?t able to get much milk out. I haven?t had an issue with engorgement since | Y | 03/05/2021 | 03/06/2021 | 1 | None | PHM | Levothyroxine and prenatal vitamins | None | None | 2 | 03/07/2021 | Sulfa drugs and macrobid | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091004 | 03/11/2021 | WI | 33.0 | 33 | F | Client developed hives to the arms, chest, and back approximately 5 minutes after vaccination. Paramedic checked lungs and temperature, both WNL. Client's mother provided Benadryl. Stayed for approx 45 minutes for observation. Advised client's mother t | 03/11/2021 | 03/11/2021 | 0 | PUB | 2 | 03/11/2021 | Vancomycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1092271 | 03/11/2021 | WI | 33.0 | 33 | F | Patient felt light-headed during period of observation approximately 10 minutes post vaccination. Temporarily went limp and lost consciousness for 15-20 seconds before regaining consciousness. Was given supportive care for apparent vasovagal reaction and | Y | 03/11/2021 | 03/11/2021 | 0 | None | SCH | Viorele Metoprolol succinate 50mg | None | Migraine | 2 | 03/11/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1106379 | 03/16/2021 | WI | 33.0 | 33 | F | shortness of breath and heaviness | Y | 03/16/2021 | 03/16/2021 | 0 | went to ER and was released saying it was an allergic reaction to the vaccine and was advised by ER not to get second dose | PHM | pantoprazole, tizanidine, eszopiclone, meloxicam, lamotrigine, prazosin, escitalopram, propranolol, levocetirizine, estradiol, montelukast, levothyroxine | 2 | 03/16/2021 | Y | opioids | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108217 | 03/17/2021 | WI | 33.0 | 33 | M | Woke up at 3am with strong chills, chills lasted for an hour or two. Experiencing fatigue since then. | 03/16/2021 | 03/17/2021 | 1 | PUB | Steroidal cream for skin taken every couple days | None | 2 | 03/17/2021 | None, to my knowledge | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1111923 | 03/18/2021 | WI | 33.0 | 33 | F | My arm starting itching badly around the injection site about six days after the injection. On day seven, I noticed the area was firm, and it also hurt to the touch. Now, eight days post-injection, it is still itchy, firm to the touch, but not as sore. The | N | 03/10/2021 | 03/16/2021 | 6 | None | PHM | VitaFusion Women's multivitamin | Mild cold prior to vaccination, but it had resolved. | None | 2 | 03/18/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1118139 | 03/20/2021 | WI | 33.0 | 33 | F | Pain in armpit in the same arm where injection took place | N | 03/13/2021 | 03/19/2021 | 6 | PUB | 2 | 03/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1121299 | 03/21/2021 | WI | 33.0 | 33 | F | Pregnant and EDD is 4/18/21. This is my 2nd pregnancy. By 8pm the night of the vaccine, I had some nausea, headache and muscle aches. I woke at 3am with severe chills and shaking. I had a fever of 101.5. I took Tylenol Extra Stength and that helped. Had | Y | 03/17/2021 | 03/17/2021 | 0 | NA | PUB | Prenatal Vitamin | NONE | NONE | 2 | 03/21/2021 | Penicillin, Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1121674 | 03/22/2021 | WI | 33.0 | 33 | F | Sudden onset of fever with strong chills, muscle aches, and fatigue. Fever typically stayed around 101-102, with highest temp recorded of 102.6. This lasted from about 7pm the night of the vaccine until around 3:30 in the morning, despite alternating Tyle | N | 03/20/2021 | 03/20/2021 | 0 | OTH | Montelukast, azelastine, xyzal, Xolair, mono-linyah | None | Asthma, Idiopathic Urticaria | 2 | 03/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1122554 | 03/22/2021 | WI | 33.0 | 33 | F | Vaccinated at 12:00 19Mar2021. Sore arm started a couple hours afterward and is still present. Started experiencing fogginess and feeling cold at 1:00 am 20Mar2021. Went to bed at 1:00 and dreamed of being sick until waking up at 8:30 am 20Mar2021. Woke u | U | 03/19/2021 | 03/20/2021 | 1 | none | OTH | Vitamin D supplements | no | Asthma, cold hives | 2 | 03/22/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1127062 | 03/23/2021 | WI | 33.0 | 33 | F | Moderna COVID 19 vaccine EUA Had first dose on Wednesday 3/10/21 and evening of 3/17/21 right deltoid where injection was giving broke out it what looked like hives with a red ring around it. Itchy, hot and swollen. Every day since rash felt better and re | Y | 03/10/2021 | 03/17/2021 | 7 | N/A | PUB | N/A | N/A | No | 2 | 03/23/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130705 | 03/24/2021 | WI | 33.0 | 33 | F | Eight days post-covid vaccine #1, I developed a hard, raised, red, hot, itchy, lump at the injection site. The rash is circular and about 1.5 inches wide/high. It does not appear to be spreading or getting larger. | U | 03/16/2021 | 03/24/2021 | 8 | NA, monitoring at home. | PUB | Sumatriptan, oral contraceptives, OTC probiotics, vitamin C, and magnesium/calcium/vitamin D supplements | None | Migraines | 2 | 03/24/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1134235 | 03/25/2021 | WI | 33.0 | 33 | M | At appox. 1313 a male party with a probable shellfish allergy reported feeling tingling and flush immediately after being vaccinated. His vaccinator, brought him over to the triage area to be evaluated. Upon RN 1's initial assessment at 1315 BP 159/85 HR | Y | 03/24/2021 | 03/24/2021 | 0 | PUB | 50mg of benadryl given at 1350 by clinic staff. | 2 | 03/25/2021 | Y | Y | shellfish-probable | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1137290 | 03/26/2021 | WI | 33.0 | 33 | F | I had the chills and was foggy the day after my vaccination. I also ended up with a headache that came and went throughout the day. | Y | 03/18/2021 | 03/19/2021 | 1 | WRK | None | None | none | 2 | 03/26/2021 | Allergic to morphine. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1147431 | 03/30/2021 | WI | 33.0 | 33 | F | Client report receiving first COVID vaccine on 03/11/21, right away began to have burning sensation at injection site. Later that day, body felt warm and face noticed to be swollen. On Saturday 03/13, face continued to be swollen, got hives all over her | Y | 03/11/2021 | 03/13/2021 | 2 | PUB | Inhaler | None | Asthma | 2 | 03/29/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1156273 | 04/01/2021 | WI | 33.0 | 33 | M | Chills, fatigue and headache from 12-32 hours after vaccine was administered. | Y | 03/26/2021 | 03/27/2021 | 1 | PUB | None | None | None | 2 | 04/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1162797 | 04/02/2021 | WI | 33.0 | 33 | F | Swelling, itching, redness, hardness, at vaccination site 7 days from injection | N | 03/26/2021 | 04/02/2021 | 7 | OTH | Claritin, Nasocort, multi vitamin | None | 2 | 04/02/2021 | None, outdoor and pet allergies only | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163402 | 04/03/2021 | WI | 33.0 | 33 | F | Miscarriage - due date was 10/16/2021 | Y | 03/16/2021 | 03/17/2021 | 1 | Ultrasound - 03/31/2021 Showed baby stopped growing around 03/17/21 | PVT | Levothyroxine .75mg | N/A | N/A | 2 | 04/03/2021 | Y | Cinnamon | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177667 | 04/07/2021 | WI | 33.0 | 33 | F | The day after the vaccine my right hip locked up. It was very stiff and sore and there was a sharp pain while going from standing to sitting and in the sitting position. It was a very sharp pain that was shooting down my leg and it wrapped around my hip. I | U | 03/30/2021 | 03/31/2021 | 1 | PUB | Sertraline 25mg Pantoprazole 40mg Allegra Vitamin D3 Magnesium Citrate Albuterol Inhaler PRN EpiPen PRN | Fibromyalgia GERD Anxiety | vsafe | 2 | 04/07/2021 | Y | Seasonal Allergies Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1180361 | 04/08/2021 | WI | 33.0 | 33 | F | Low fever under 100 degrees early on. Sometime between 7-8 PM fever spiked and was found by husband at 8, who had been in a meeting for the previous hour, curled up on the couch with a fever between 103-104. Was put into cold water bath and given ibuprofen | N | 04/07/2021 | 04/07/2021 | 0 | UNK | Ibuprofen was taken in response to the fever. Adult vitamins are taken daily. | None. | Restless leg. | 2 | 04/08/2021 | Older brother had strong negative response to pertussis vaccine and rest of children did not get it. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1180453 | 04/08/2021 | WI | 33.0 | 33 | F | Patient received a vaccine on 04/06/2021 that was administered vaccine too high on the shoulder resulting in soreness and stiffness of the arm. Patient was seen in urgent care the morning of 04/08/2021 and received a Prednisone taper prescription. Doctor r | N | 04/06/2021 | 04/08/2021 | 2 | n/a | SCH | N/A | N/A | N/A | 2 | 04/08/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1180693 | 04/08/2021 | WI | 33.0 | 33 | M | I noticed swelling on my underarm on the right side beginning mid day yesterday (2021-04-07). Swelling was not noticeable at first, it was first noticed because of tenderness which continues to today (2021-04-08). Swelling became noticeable overnight or | N | 04/01/2021 | 04/07/2021 | 6 | None | PHM | None | None at time of vaccination I believe I had a very mild cold in the preceding month | None known | 2 | 04/08/2021 | None known However, had swelling of lips ~1.5 years ago after eating sushi. It had never happened before. Had ordered the Chef's Deluxe (18 pieces of sashimi, approximately 3 pieces each of 6 different varieties of fish). Unsure which fish would have c | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1183376 | 04/08/2021 | WI | 33.0 | 33 | F | At 20mins after vaccine felt like the floor was coming up with out seeing it that way. About 40mins after vaccine left side of my face went numb. Into my lips, my entire cheek, up side of my eye. This was the same side as my vaccine. Lasted badly for almos | N | 04/06/2021 | 04/06/2021 | 0 | PHM | None | None besides I felt somewhat light headed and short after leaving vaccine site. | Slightly overweight Anxiety Asthma as a child | 2 | 04/08/2021 | -Amoxicillin -possibly walnuts - possibly laytex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1186525 | 04/09/2021 | WI | 33.0 | 33 | F | Chills, body ache, dizzy spells, nausea | N | 04/07/2021 | 04/07/2021 | 0 | WRK | Birth control pill | No | No | 2 | 04/09/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1189708 | 04/10/2021 | WI | 33.0 | 33 | F | Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Shakiness-Medium, Systemic: Weakness-Medium | Y | 04/07/2021 | 04/07/2021 | 0 | PHM | 2 | 04/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1195143 | 04/11/2021 | WI | 33.0 | 33 | F | Pt reports onset of chest tightness, SOB, nonproductive cough, dizziness, nausea, and fever up to 101. These symptoms started on 4/11/21. She took some Tylenol which improved fever. Came to Urgent Care for evaluation. Was given Albuterol inhaler. Ref | U | 04/10/2021 | 04/11/2021 | 1 | Given Albuterol inhaler for home use. | UNK | 1. Fluoxetine 2. Zofran 3. Pantoprazole 4. Promethazine 5. Rizatriptan | unknown | GERD, Migraines | 2 | 04/11/2021 | Y | Baclofen, Vicodin, Kiwi | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1198036 | 04/12/2021 | WI | 33.0 | 33 | M | Received the vaccine on 4/10/2021 with no severe signs/symptoms. Woke up next morning (4/11/2021) with rash over about 10% of my body. By that night, the rash spread to 60% of my body. On 4/12/2021 the rash spread to nearly all remaining areas of my body | N | 04/10/2021 | 04/11/2021 | 1 | OTH | Lactose Fast Act lactose enzyme | Lactose intolerant | 2 | 04/12/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1202296 | 04/13/2021 | WI | 33.0 | 33 | M | Patient received first dose of Moderna on 4/8. He reports a history of passing out with procedures that require needles. Patient reported he was feeling OK when he entered the observation area. 4:40 he waved his hand and reported his ears were ringing a | Y | 04/08/2021 | 04/08/2021 | 0 | PUB | None | None | None | 2 | 04/13/2021 | None...Only seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1207875 | 04/14/2021 | WI | 33.0 | 33 | F | Miscarriage. vaccinated December 19th. no Side effects. noticed a bit of pleuritic chest pain. was not bothersome and resolved with ibuprofen. I was pregnant at the time of first vaccine but did not know. had second vaccine 3 weeks after my first without | Y | 12/19/2020 | 02/10/2021 | 53 | PVT | none | none | none | 2 | 04/14/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1208873 | 04/14/2021 | WI | 33.0 | 33 | M | 10 days after first dose broke out in itchy hives. They covered inner biceps and forearms (both arms), torso, groin and outter thigh/calf (both legs). Accompanied by some fatigue and slight weakness. One dose of benadryl at about 2am the morning of 4/14 he | N | 04/03/2021 | 04/13/2021 | 10 | OTH | Omeprazole 40mg, Vitamin D3 2000 iu, Paxil oral suspension 1.5mg | None | Anxiety, gerd | 2 | 04/14/2021 | Pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1211136 | 04/14/2021 | WI | 33.0 | 33 | F | Client started out with anxiety following IM injection. Indicated that she had some tingling in her hands and feet. Visually upset. Within the course of staff evaluating client, client indicated that numbness and tingling spread to both hands and feet (wor | Y | 04/06/2021 | 04/06/2021 | 0 | Client was evaluated at Hospital and diagnosed with idiosyncratic reaction to the vaccine. EKG was mildly abnormal but not out of concern. Potassium was low which physician attributed to the hyperventilation and panic attack. CT an all other lab work unrem | PVT | unknown | none | unknown | 2 | 04/14/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1212409 | 04/15/2021 | WI | 33.0 | 33 | F | Sore arm / wrist beginning two hours after injection on Tuesday 4/13 at 6:20pm. Slight dizziness and nausea first day after on 4/14, sore arm a little better on 4/15 but had nausea /vomiting | 04/12/2021 | 04/13/2021 | 1 | NA | PHM | Tri-sprintec birth control pills, occasionally Miralax, | None | None | 2 | 04/15/2021 | Allergic to postassios, and mangoes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1213351 | 04/15/2021 | WI | 33.0 | 33 | F | Day one there was a metallic taste in my mouth by day 3 after the vaccine it turned to a rotten taste. I still have the rotten taste at the back side of my tongue( this is where the metallic taste was as well). It has been 5 days since my vaccination. | N | 04/09/2021 | 04/10/2021 | 1 | no | PVT | NO | No | NO | 2 | 04/15/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1220287 | 04/16/2021 | WI | 33.0 | 33 | F | VASOVAGAL REACTION WITH CLONIC TONIC MOVEMENTS | Y | 04/09/2021 | 04/09/2021 | 0 | UNKNOWN | PHM | UNKNOWN | UNKNOWN | UNKNOWN | 2 | 04/16/2021 | Y | ERYTHROMYCIN, SULFA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1221268 | 04/16/2021 | WI | 33.0 | 33 | F | Appendicitis | Y | 2 | Y | 04/13/2021 | 04/15/2021 | 2 | Appendectomy | PVT | azelaic acid 15 % gel norgestimate-ethinyl estradioL 0.25-35 mg-mcg per tablet | No | No | 2 | 04/16/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1233375 | 04/20/2021 | WI | 33.0 | 33 | F | Red bump was at injection site for 2 days after dose. On day 8, small red spot was back. It started out about 2 inches wide. Spot was raised and itchy. Over the next few days the spot grew to about 8 inches wide and 4 inches long. The spot was slightly itc | Y | 04/01/2021 | 04/08/2021 | 7 | PHM | None | None | Obesity | 2 | 04/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1245977 | 04/23/2021 | WI | 33.0 | 33 | M | Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Medium, Systemic: Weakness-Mild | Y | 04/22/2021 | 04/22/2021 | 0 | PHM | 2 | 04/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246426 | 04/23/2021 | WI | 33.0 | 33 | F | After does 1: 03/24: site of injection swelled up. 3inx2in raised patch, itchy. Went away after 12h; After dose 2: 04/14: chills, evening joint pain and aches, headache; 04/14-04/21: headache and brain fog ; 04/21: extreme exhaustion at 3pm; 04/21: 4:30pm | N | 04/14/2021 | 04/15/2021 | 1 | Blood work: normal ; Ct scan: normal. | PUB | Multivitamin | No | No | 2 | 04/23/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246854 | 04/23/2021 | WI | 33.0 | 33 | F | Headache, body aches, arm pain, chest pain, rapid heart rate, weakness of head and arms, numbness and tingling of bilateral upper and lower extremities. Patient denies having any shortness of breath or fevers. No noticeable rash or hives. Patient rates che | U | 04/22/2021 | 04/23/2021 | 1 | PVT | 2 | 04/23/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262373 | 04/27/2021 | WI | 33.0 | 33 | M | Raised, spotty rashes in specific locations (currently on day 4 of rashes): Elbows Hands and fingers Ankles Feet and toes | N | 04/12/2021 | 04/24/2021 | 12 | Will be going to urgent care tomorrow | PHM | N/A | N/A | N/A | 2 | 04/27/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267365 | 04/28/2021 | WI | 33.0 | 33 | F | Nausea, vomiting, itching and swelling of skin. | N | 04/13/2021 | 04/16/2021 | 3 | PHM | Effexor, albuterol inhaler | N/a | Asthma | Dizziness immediately after any tetanus shot. Goes away within 30 mins. | 2 | 04/28/2021 | Y | Sulfates | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1278282 | 05/01/2021 | WI | 33.0 | 33 | F | Starting 4 hours after injection, Severe pain in entire arm of injection site, particularly the shoulder. No mobility achieved without major pain for about 14 hours. Only comfortable when laying down as gravity pull from standing was excruciating. Pain sub | Y | 04/01/2021 | 04/28/2021 | 27 | None | PVT | Synthroid 175 mcg Isibloom 0.15mg/0.03 mg Vitamin B12 1000mcg Vitamin D3 25mcg Allertec 10mg | N/A | >25 BMI Hypothyroidism Celiac Disease | 2 | 05/01/2021 | Gluten | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1278591 | 05/01/2021 | WI | 33.0 | 33 | F | temporary loss of muscular function in left arm, chills, fatigue, lightheadedness/dizziness, severe night sweats | Y | 04/21/2021 | 04/21/2021 | 0 | PUB | sertraline, omega 3 + vitamin D supplement | n/a | Hashimoto's thyroiditis | 2 | 05/01/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1280747 | 05/02/2021 | WI | 33.0 | 33 | F | Vaccinated 4/10/21, fully vaccinated 4/24/21. Case became ill on 4/29 with "cold like symptoms" and tested C19+ on 4/30. | U | 04/10/2021 | 04/29/2021 | 19 | PHM | 2 | 05/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1291240 | 05/05/2021 | WI | 33.0 | 33 | F | Two herpes outbreaks within two weeks of receiving Pfizer COVID-19 vaccine | N | 04/05/2021 | 04/09/2021 | 4 | 0 | PVT | 0 | 0 | HSV-1 | 2 | 05/05/2021 | Y | Ceclor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1291399 | 05/05/2021 | WI | 33.0 | 33 | M | Sore testicles lasting from 9am and still existing at 10pm while I fill this out. Flu like symptoms also starting at 9am and existing still. Headache, chills and soreness. | U | 05/04/2021 | 05/05/2021 | 1 | None | PHM | Finasteride, omeprazole, Claritin, probiotic | Regular flu | None | 2 | 05/05/2021 | Oral allergy syndrome to some foods and beers | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1292045 | 05/06/2021 | WI | 33.0 | 33 | F | I started developing an uncomfortable sensation in my ear, my ear then felt "plugged", that went away but the sensation did not. Then I began hearing my heartbeat at night. It's diagnosed as tinnitus. | N | 02/03/2021 | 02/08/2021 | 5 | CT scan on 5/6/21 | WRK | 2 | 05/06/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1299900 | 05/08/2021 | WI | 33.0 | 33 | F | Itchy, swollen, partially red, and raised area around injection site, noticed 10 days after injection. No pus, drainage, or broken skin. Red area approx 1.5" diameter. Symptoms mild as of completion of this form, I am submitting the form because I had only | N | 04/28/2021 | 05/08/2021 | 10 | None | WRK | Bystolic 2.5 mg, quinapril/hydrochlorothiazide 10/12.5 mg, omeprazole 30 mg, all doses 1x/day | none known | sleep apnea, hypertension, asthma, depression, anxiety, OCD, ADHD, acid reflux, sinus tachycardia, possible anemia | 2 | 05/08/2021 | shaking reaction to an unknown injected numbing agent at a dentist office, environmental allergies to mold/dust/pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1300923 | 05/09/2021 | WI | 33.0 | 33 | F | initially had bilateral ear swelling, itching, redness, then face and neck rash appeared. Sx first appeared 5-6 days after vaccine, progressed over following 5 days to involve face and neck. No other systemic symptoms such as shortness of breath, difficu | N | 04/27/2021 | 05/03/2021 | 6 | none | PVT | Mirena IUD | none | none | 2 | 05/09/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1303630 | 05/10/2021 | WI | 33.0 | 33 | F | Developed unexplained Bell?s palsy on the left side of my face with mild swelling on the right side of my face. | N | 03/18/2021 | 05/09/2021 | 52 | Lymes test, EKG- normal, MRI-normal | PUB | 2 | 05/10/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1308044 | 05/11/2021 | WI | 33.0 | 33 | M | Rash. 2 days. Diffuse. Mild severity. | 05/08/2021 | 05/09/2021 | 1 | PVT | 2 | 05/11/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1315659 | 05/13/2021 | WI | 33.0 | 33 | M | Possible Mondor's disease. Left side chest to mid abdominal thrombophlebitis. | N | 04/06/2021 | 05/06/2021 | 30 | Observation. 5/12/2021 | PVT | None | No | None | 2 | 05/13/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1320520 | 05/15/2021 | WI | 33.0 | 33 | F | Joint inflammation the day after my second dose that led to ?throwing out? my back by bending over. My kids had to put my legs on the couch for me. This symptom improved, but the pain in my back is now returning. I?m concerned this will become a long term | N | 04/13/2021 | 04/14/2021 | 1 | PHM | Lamotrogine, topamax, bupropion, tizanidine, NAC, daily vitamin, probiotic | N/A | Complex-partial seizures (controlled epileptic), fibromyalgia, migraines, PCOS, depression | 2 | 05/15/2021 | Seafood | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1326876 | 05/18/2021 | WI | 33.0 | 33 | M | Had Janssen, given Pfizer but should not have. | 05/04/2021 | 05/04/2021 | 0 | PUB | 2 | 05/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327799 | 05/18/2021 | WI | 33.0 | 33 | F | Baby no longer had heartbeat on 20-week ultrasound. Was only measuring 15-16 weeks. Second dose of COVID vaccine given around 14 weeks. | Y | 02/27/2021 | 03/27/2021 | 28 | PVT | Prenatal vitamin | None | None | 2 | 05/18/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1331133 | 05/19/2021 | WI | 33.0 | 33 | F | patient's arm became red and swollen in a band across her left arm | U | 05/17/2021 | 05/19/2021 | 2 | PHM | 2 | 05/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1333785 | 05/20/2021 | WI | 33.0 | 33 | F | Patient had swelling and tingling in lips and teeth. Unable to have normal bowel movement since vaccine. Cycle problems since administration. Patient reports being extremely tired for 5+ days. Unable to perform mcommon physical activities. Patient rep | U | 04/22/2021 | 04/22/2021 | 0 | none available | PHM | unknown | none | unavailable | 2 | 05/20/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1334571 | 05/20/2021 | WI | 33.0 | 33 | F | Milk supply decreased | N | 04/27/2021 | 04/28/2021 | 1 | PUB | Docusate Famotidine | None | Migraines | 2 | 05/20/2021 | Sumatriptan NSAIDS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1339046 | 05/21/2021 | WI | 33.0 | 33 | M | This was patient's second dose. Patient reported after first dose she felt mild dizziness, but no loss of consciousness. After 2nd shot on 5-20-21 patient complained of dizziness. Patient sat in chair for observation after immunization for 30 minutes until | U | 05/20/2021 | 05/20/2021 | 0 | WRK | 2 | 05/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1341233 | 05/22/2021 | WI | 33.0 | 33 | F | Patient experienced syncope after first COVID vaccination. | Y | 04/30/2021 | 04/30/2021 | 0 | PHM | Folic Acid, Gabapentin, Saphris | 2 | 05/22/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1346963 | 05/25/2021 | WI | 33.0 | 33 | M | Pt was in to receive 2nd Pfizer vaccine. After the vaccine was administered, pt admitted that he had already received the Janssen vaccine and was considering getting the Moderna in the future. | U | 05/21/2021 | 05/21/2021 | 0 | OTH | Unknown | Unknown | Unknown | 2 | 05/25/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1351367 | 05/26/2021 | WI | 33.0 | 33 | F | I received the Janssen vaccine on 4/8/21 at 12:00 pm. By 5:00 pm that day I began having flu-like symptoms (fatigue, body aches, nausea). These symptoms carried through to the next day (4/9/21). When I woke up at 6:00 am on 4/10/21 I had a rash on the b | Y | 04/08/2021 | 04/08/2021 | 0 | OTH | Lamotrigine Hydroxyzine Pamoate Estarylla Vitamin D3 | No | No | 2 | 05/26/2021 | Y | Cephalexin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1366559 | 06/02/2021 | WI | 33.0 | 33 | M | I had no side effects immediately after receiving either my first or second Pfizer shot. However, in both cases, a little over three weeks after I received the shot, I experienced a one day illness that started with nausea in the morning with no vomiting, | Y | 05/07/2021 | 05/30/2021 | 23 | None | PHM | Vitamin D - prescription Multivitamin | Similar one day illness as being reported here was experienced on 5/6/2021, the day before my second shot and about 3.5 weeks after my first Pfizer shot. | Minor sinus bradycardia. No treatment or medication. | 2 | 06/02/2021 | None- only some seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1374154 | 06/04/2021 | WI | 33.0 | 33 | M | Approximately 4 weeks after receiving the second dose of Moderna COVID-19 vaccine, patient experienced tingling and loss of muscle control on one side of his face. He presented to Emergency department and was diagnosed with Bells Palsy. The ED was not co | U | 04/22/2021 | 05/21/2021 | 29 | PHM | Amlodipine, Fluoxetine, Ammonium Lactate | highly functioning autism | 2 | 06/04/2021 | Y | no known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1382268 | 06/08/2021 | WI | 33.0 | 33 | M | Client received Moderna 3/18, then came to clinic and was not able to check for previous vaccination. Client lied and reported no previous COVID vaccine and received first dose of Pfizer 4/20/2021, then came in 5/11 and received second dose of Pfizer due t | 05/11/2021 | 05/11/2021 | 0 | PUB | 2 | 06/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1416899 | 06/22/2021 | WI | 33.0 | 33 | F | Pt was given Moderna vaccine on 5/5/2021 and 6/2/2021. Pt came into the hospital for L&D on 6/18/2020, tested per protocol for COVID upon admission, test was positive. Pt was asymptomatic for COVID. Pt delivered by C-Section on 6/19/2020., with baby weig | Y | 06/02/2021 | 06/18/2021 | 16 | Positive NP PCR | PHM | diphenhydramine-acetaminophen, ferrous sulfate, prenatal vitamin, sertraline, triamcinolone 0.1% ointment. | Hx tobacco use, pregnancy with delivery in last 5 days, anxiety, depression, stress reaction. | 2 | 06/22/2021 | Eggs, Gold | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1423881 | 06/24/2021 | WI | 33.0 | 33 | F | Heavy breathing , felt like something heavy was on my Chest , coughing so much . Diagnosed with bronchitis, given a steroid , and an inhaler | Y | 05/06/2021 | 06/09/2021 | 34 | Chest X-ray | PVT | None | 2 | 06/24/2021 | Y | Morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1440975 | 07/01/2021 | WI | 33.0 | 33 | F | At around 11:30 on June 21st or midnight on the 22nd, I noticed that my right elbow was itchy. The skin felt rough, so I thought it might be my eczema acting up. I woke up and noticed quite a few lumps on my arm near my elbow. I thought they might have bee | N | 05/28/2021 | 06/21/2021 | 24 | I had a nurse look at it, spoke to my gp and was taken off the Strattera just in case it was a reaction to the medication. I had been on it for two weeks at the time | PVT | Fluvoxamine, probiotic, mulitivitamin (Strattera after I was vaccinated) | None | Fibromyalgia | 2 | 07/01/2021 | Penicillin, Amoxicillin, -Sulfa, Biaxin, mental (like nickel) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1443199 | 07/02/2021 | WI | 33.0 | 33 | F | Subjective: 33-year-old G4 P3 @36w5d presents for admission due to fetal demise diagnosed in clinic earlier today. Her pregnancy is complicated by hypothyroid, obesity, h/o LTCS with subsequent VBAC x 2, h/o GDM with normal screen this pregnancy, h/o pree | Y | 2 | 05/25/2021 | 06/30/2021 | 36 | UNK | 2 | 07/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454397 | 07/07/2021 | WI | 33.0 | 33 | F | Pt hosp within 6 weeks of vaccine to give birth | Y | 3 | 05/14/2021 | 06/10/2021 | 27 | PVT | 2 | 07/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1457096 | 07/08/2021 | WI | 33.0 | 33 | F | Patient received 1st dose of Pfizer vaccine (Lot # EW0196), left deltoid at 0831, at 0840 patient started to complain off itching throat 7/10. Vitals signs taken at 0845 and normal, Diphenhydramine 50mg (Lot # 6124006) given IM at 0900 in right deltoid b | N | 07/08/2021 | 07/08/2021 | 0 | PVT | Albuterol inhaler and multi-vitamin | No known illness, however; had vomiting, nausea and diarrhea a couple of weeks ago, but patient had positive pregnancy test two weeks ago as well. | Asthma | 2 | 07/08/2021 | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1460155 | 07/09/2021 | WI | 33.0 | 33 | F | Patient received the Covid-19 vaccine. She reports symptoms of Anaphylaxis - chest discomfort, palpitations, tachycardia, shortness of breath, feeling of tightness in the throat. I have observed patient was mildy anxious, with shallow rapid respirations. | Y | 07/09/2021 | 07/09/2021 | 0 | PVT | meloxicam (MOBIC) 15 MG tablet Take 1 tablet by mouth daily. acetaminophen (TYLENOL) 325 MG tablet Take 650 mg by mouth every 4 hours as needed for Pain. albuterol 108 (90 Base) MCG/ACT inhaler Inhale 2 puffs into the lungs every 4 hours as | unknown | SEE NOTES IN ITEM 18 | 2 | 07/09/2021 | Y | Bee Stings Hydrocodone/apap | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1478566 | 07/16/2021 | WI | 33.0 | 33 | M | About 2 minutes after receiving vaccine patient was seated on bench outside pharmacy, fainted and fell forward onto cement floor hitting his jaw. Patient was unresponsive for about 20 seconds while being attended to. Once he regained consciousness, he was | U | 07/16/2021 | 07/16/2021 | 0 | PHM | ventolin inhaler | n/a | past smoker | 2 | 07/16/2021 | Y | no known drug allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1484801 | 07/19/2021 | WI | 33.0 | 33 | F | Client tested positive for COVID-19 even though he has received both does of the vaccine | 04/12/2021 | 07/10/2021 | 89 | PVT | 2 | 07/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1498253 | 07/23/2021 | WI | 33.0 | 33 | F | I'm not sure if this is a result of the vaccine or not. Beginning 4/25/21, I had intense GI issues, NVD, resulting in a trip to Urgent Care on 4/26. The PA thought it was gastroenteritis and to follow-up if I wasn't feeling well later in the week. The f | Y | Y | 1 | U | 12/23/2020 | 01/13/2021 | 21 | See above as well. I was given lovanox shot on 5/14 and started on Xarelto that evening. I had a 2 week course of twice daily 15mg dose and have moved to a daily 20mg dose of which I have approximately 2-3 weeks left. I went off my birth control as well | PVT | Sprintec birth control, levothyroxine 125 mg, multivitamin | none | papillary thyroid cancer - thyroid removed 2014 obesity heavy periods | 2 | 07/23/2021 | Y | Y | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501752 | 07/26/2021 | WI | 33.0 | 33 | F | Unknown the Case Manager was unable to get in touch with the client. | U | 01/27/2021 | 07/18/2021 | 172 | UNK | 2 | 07/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501902 | 07/26/2021 | WI | 33.0 | 33 | F | Urgent care visit on 7/23/21. Symptoms included fatigue, chills, generalized body aches and sinus problem. Antigen test performed on 7/23/21 and came back detected. Case investigation interview with patient has not been performed as of time of this note. | U | 04/30/2021 | 07/23/2021 | 84 | PVT | Morbid obesity. | 2 | 07/26/2021 | Y | Allergic contact dermatitis due to cosmetics. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501992 | 07/26/2021 | WI | 33.0 | 33 | M | Was given Moderna, should have received Pfizer | 07/23/2021 | 07/23/2021 | 0 | PUB | 2 | 07/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1518808 | 08/01/2021 | WI | 33.0 | 33 | F | I developed severe shingles 15 weeks post covid shot. | Y | 04/16/2021 | 07/25/2021 | 100 | None. Confirmed diagnosis by medical provider requiring antivirals, steroids and pain medication | PVT | Lexapro 20mg Vitamin D 5,000 IU PRENATAL vitamin Magnesium glycinate 400mg daily | None | Anxiety/depression | 2 | 08/01/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1520096 | 08/02/2021 | WI | 33.0 | 33 | F | Patient hospitalized for vaginal delivery within 6 weeks of receiving COVID vaccination. Per doctor's notes: "Her pregnancy was complicated by Rh neg status and measles nonimmune status. {During her labor, she received and epidural for pain management. O | Y | 1 | 05/14/2021 | 07/05/2021 | 52 | OTH | 2 | 08/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1528654 | 08/05/2021 | WI | 33.0 | 33 | M | Patient sneezed/coughed and then passed out in chair about 5 minutes after vaccine administration. He slumped over in his chair, I ran over to him and held him up. I shook his shoulders and shouted his name. Patient was shaking, he had his eyes open but wa | U | 08/04/2021 | 08/04/2021 | 0 | PHM | 2 | 08/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1537405 | 08/09/2021 | WI | 33.0 | 33 | F | Vertigo approx 48 hours post injection, soreness at injection site, spotting | Y | 08/04/2021 | 08/06/2021 | 2 | WRK | 2 | 08/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1543308 | 08/11/2021 | WI | 33.0 | 33 | F | Pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Pregnancy) in a 33-year-old female patient (gravida 2, para 1) who received mRNA-1273 (Moderna COVID-19 Va | Y | 01/09/2021 | 01/09/2021 | 0 | Test Date: 20201016; Test Name: Pregnancy test; Test Result: Positive ; Result Unstructured Data: Positive; Test Date: 20201025; Test Name: Covid-19; Test Result: Positive ; Result Unstructured Data: Positive; Test Date: 20201113; Test Name: ultrasound; | PVT | PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS] | Medical History/Concurrent Conditions: Alcohol use (1 to 2 drinks per week); Delivery (Pregnancy complication-Patient had gestational diabetes; Pregnancy outcome: Live, full-term birth); Gestational diabetes (2019) | USMODERNATX, INC.MOD20210 | 2 | 08/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1545295 | 08/11/2021 | WI | 33.0 | 33 | F | Intermittent blurry vision lasting seconds 10 minutes post vaccination. First Response called, transported to ED | U | 08/11/2021 | 08/11/2021 | 0 | Unknown | OTH | Unknown | Unknown | Unknown | 2 | 08/11/2021 | Y | Denied | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1550423 | 08/12/2021 | WI | 33.0 | 33 | F | Terrible headache, body aches, chills, no energy, extremely tired. Going on 48+ hours with body aches and terrible headaches and sweating. | N | 08/10/2021 | 08/10/2021 | 0 | UNK | Multivitamin | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1554131 | 08/13/2021 | WI | 33.0 | 33 | F | Patient experienced consistent headache unrelieved by NSAIDs and acetaminophen. Patient had to see physician due to headache. | N | 08/05/2021 | 08/05/2021 | 0 | PVT | 2 | 08/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1571855 | 08/16/2021 | WI | 33.0 | 33 | F | redness; red rash at the neck, face ears and injection site; arm tender; red rash at injection site; arm itchy; arm felt warm touch; injection site redness; diarrhea; fatigue; headache; nausea; body ache; This spontaneous case was reported by a nurse and d | N | 12/28/2020 | 12/29/2020 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1582992 | 08/18/2021 | WI | 33.0 | 33 | M | Patient lied on intake form and indicated he did not receive previous vaccination. Upon further investigation found pt received JJ on 4/9/21 | Y | 04/15/2021 | 08/01/2021 | 108 | none | PHM | NONE | NONE | NONE | 2 | 08/18/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591465 | 08/20/2021 | WI | 33.0 | 33 | F | I have had right arm/shoulder pain when moving my arm since getting the first vaccine over two weeks ago. It is NOT pain at the injection site. | N | 08/04/2021 | 08/04/2021 | 0 | none | PVT | miralax, fluoxetine, zrytec, famotidine. | I had just finished course of doxycycline for lyme disease | depression, anxiety, lyme disease | 2 | 08/20/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591861 | 08/20/2021 | WI | 33.0 | 33 | F | I noticed a hive forming 4 weeks after second vaccine. it started small and grew almost to the size of my upper arm within a few days (left arm). I also grew an identical hive on the right arm where I had received my first vaccine. They are hot, itchy, swo | N | 07/01/2021 | 08/16/2021 | 46 | Just an examination by my GP three days after they appeared (8/19/21) | PVT | adderall, fluvoxamine, gummy multivitamin, probiotic. occasional over the counter allergy medications (claritin). | none | fibromyalgia, celiacs | 2 | 08/20/2021 | Y | gluten, penicillin, metals, -sulfas | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1599600 | 08/21/2021 | WI | 33.0 | 33 | F | Vaccine exposure during pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of EXPOSURE DURING PREGNANCY (Vaccine exposure during pregnancy) in a 33-year-old female patient (gravida 1) who received | Y | 03/18/2021 | 03/18/2021 | 0 | UNK | PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]; UNISOM [DOXYLAMINE SUCCINATE]; STOOL SOFTENER | Medical History/Concurrent Conditions: No adverse event (No medical history reported.) | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1603817 | 08/21/2021 | WI | 33.0 | 33 | F | Dizziness, vertigo, insomnia, extreme unrelenting panic attacks, light-headedness, jittery, chills, cold and clammy, body wide tremors, nausea, restless legs, shaky hands and vision, racing heart, unable to stand for any amount of time, arms and legs are n | N | 08/16/2021 | 08/19/2021 | 3 | Scheduling an appointment with my Doctor on Monday Aug 23. | PHM | Magnesium glycinate 400 mg daily | None | Eczema that flares when skin is in contact with fragrances, | 2 | 08/21/2021 | Eczema flares when skin is in contact with products with fragrances | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1604528 | 08/21/2021 | WI | 33.0 | 33 | F | shingles; This spontaneous case was reported by a consumer and describes the occurrence of HERPES ZOSTER (shingles) in a 33-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 001b21a) for COVID-19 vaccination. No Medic | U | 03/25/2021 | 03/27/2021 | 2 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1637268 | 08/26/2021 | WI | 33.0 | 33 | F | 08:05 am Nurse administrator vaccine too posterior on the arm. Numbness in right hand noticing around 10am. Seek medical treatment at 410pm | N | 08/25/2021 | 08/26/2021 | 1 | None | PVT | Birth control Pepcid | No | No | 2 | 08/26/2021 | Y | Zpak | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1658631 | 08/31/2021 | WI | 33.0 | 33 | F | 2 days after the 1st COVID-19 dose my right foot and leg started to tingle and feel slightly numb in the early afternoon. About 10 minutes later I had a intense stabbing pain in the lower spine with uncontrollable spasms. It felt as though needles were b | N | 08/24/2021 | 08/26/2021 | 2 | Test: XR Spine Lumbar 2-3 views for Dorsalgia - Results: No acute fracture or malalighment. No soft tissue abnormality. No paravertebral soft issue abnormality. - Date: 8/26/21 | PHM | Omeprazole, Women's Multi-Vitamin, Low Dose Aspirin | N/A | N/A | Leg swelling from Pertussis within DTP, 5 months old, 2/11/1988, unknown type and brand name | 2 | 08/31/2021 | Y | Amoxcillin, Penicillin, Pertussis, seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1659170 | 08/31/2021 | WI | 33.0 | 33 | F | At the beginning of August I developed a cough, headache, and a bit of nasal congestion. I was on vacation, and when I returned home I received a covid19 test, on Aug 6th, which was negative. I went into urgent care of Aug 7th due to difficulty breathing | N | 01/28/2021 | 08/01/2021 | 185 | Covid19 test (8/6/21), chest xray (8/30/21) | PVT | Prenatal vitamin | None | Asthma | 2 | 08/31/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1670534 | 09/03/2021 | WI | 33.0 | 33 | F | Patient woke up with chest pain and frequent cough. Completed a virtual visit and was advised to go to the Emergency Room due to the chest pain symptom. ER work up included X-ray and CT and patient was diagnosed with blood clot. Planned to have follow up w | U | 08/26/2021 | 08/28/2021 | 2 | PVT | 2 | 09/03/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1674480 | 09/04/2021 | WI | 33.0 | 33 | F | patient presented to pharmacy for covid vaccine - she filled out form and indicated that she has had reactions following vaccinations in the past - I inquired to see what kind of reactions - patient said she sometimes has felt light headed or fainted befor | Y | 09/03/2021 | 09/03/2021 | 0 | PHM | patient reported that she has felt light headed or fainted with previous vaccinations or when giving blood | 2 | 09/04/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1686240 | 09/09/2021 | WI | 33.0 | 33 | F | Flu like symptoms, fever, headache, chills, nausea, rash | Y | 02/25/2021 | 02/27/2021 | 2 | PVT | None | None | None | 2 | 09/09/2021 | Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1722993 | 09/22/2021 | WI | 33.0 | 33 | F | 3 days after 1st vaccination - large area on skin under right arm began to peal/flake. 3 days after that appeared a full blown itchy, scaly rash appeared on arms, neck and torso. | Y | 08/04/2021 | 08/06/2021 | 2 | Visited clinic on 9/17 and was "diagnosed" with unknown reason for rash - Pitariosis Rosea. | PHM | Sertraline 50mg | no | no | 2 | 09/22/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1741792 | 09/28/2021 | WI | 33.0 | 33 | F | within 5 minutes of having the Ffizer vaccine administered into my Left upper arm I started to feel extremely dizzy and ligththeaded. I also felt as if my vision was blurry. The best way to describe it is if someone took a role of Cerane wrap and tightly w | N | 09/16/2021 | 09/16/2021 | 0 | N/A | PVT | Birth Control | NO | Anxiety and migraines that are stable | 2 | 09/28/2021 | Y | Contrast Media, Flagyl | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1757220 | 10/03/2021 | WI | 33.0 | 33 | M | Immediate localized muscle pain. After about 12 hours, a strong fever, joint pain in knees and ankles, dry mouth, headache, chills, nausea, still in effect approximately 24 hours after vaccination. | N | 10/02/2021 | 10/02/2021 | 0 | PUB | None | None | None | 2 | 10/03/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1771874 | 10/08/2021 | WI | 33.0 | 33 | F | got sick with covid 19 even after 2 vaccinations | N | 02/05/2021 | 10/04/2021 | 241 | covid 19 positive test | PVT | metoprolol xl, diltiazem, calcitriol, famotidine, Lasix, | none | chronic kidney disease, hypertensions | 2 | 10/08/2021 | Y | ibuprofen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1775364 | 10/09/2021 | WI | 33.0 | 33 | F | Hard swollen arm with extreme pain, tenderness, itching and irritation. Followed by extremes shortness of breath with rest, heart palpitations and mild intermittent chest pain. | 09/13/2021 | 09/13/2021 | 0 | UNK | No | 2 | 10/09/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1782662 | 10/13/2021 | WI | 33.0 | 33 | F | Employee came in for covid booster. Currently giving only Pfizer boosters. After completing questions, Pfizer vaccine given. When given vaccination card, noted that previous doses were Moderna. Patient monitored for 15 minutes. No adverse effects noted. | 10/12/2021 | 10/12/2021 | 0 | N/A | PVT | Vit B, Calcium/mag/zinc, vit D, fish oil, tofacitinib, turmeric, valacyclovir | N/A | rheumatoid arthritis, psoriasis | 2 | 10/13/2021 | Chantix, amoxicillin, humira, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1782984 | 10/13/2021 | WI | 33.0 | 33 | F | Right shoulder pain, right arm weakness. Clinically consistent with brachial plexopathy/parsonage turner syndrome. EMG/NCS done today confirms upper/middle trunk brachial plexopathy. | Y | N | 09/10/2021 | 09/27/2021 | 17 | electromyography, nerve conduction study of right upper extremity | UNK | None reported | Frequent urinary tract infections | 2 | 10/13/2021 | Y | Seasonal allergies, otherwise NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1785035 | 10/14/2021 | WI | 33.0 | 33 | F | Swelling of Left supraclavicular lymphnode | N | 10/11/2021 | 10/14/2021 | 3 | None | PVT | Domperidone, goats rue, blessed thistle, prenatal vitamin, birth control (for 1st vax only) | None | None | 2 | 10/14/2021 | Mold, ragweed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1794436 | 10/17/2021 | WI | 33.0 | 33 | F | Raised, red, sore, rash at the site of injection. | 10/03/2021 | 10/15/2021 | 12 | PHM | Wellbutrin IR, Adderall IR | ADHD, Asthma, eczema | 2 | 10/17/2021 | Y | Azithromiacin and Chlorine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1797723 | 10/19/2021 | WI | 33.0 | 33 | F | I received the 2nd dose on 10/6/21. On 10/13/21 I developed pain in my left ear. I thought I was getting an ear infection. By 10/15/21, my left eye had drooped and the pain was a feeling of "pins and needles." This presentation was similar to my diagnosis | N | 10/06/2021 | 10/13/2021 | 7 | N/A Clinic Appointment scheduled for 11/1 | WRK | Metformin, Amlodipine, Synthroid, and Effexor | None | Hypertension, Anxiety, Hypothyroidism, PCOS | 2 | 10/19/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1807790 | 10/22/2021 | WI | 33.0 | 33 | F | 24 hours after vaccination had headache, nausea, body aches and extreme fatigue. cleared up in about 24 hours. 48 hours after vaccination rash started on both arms, spread to trunk of body - including both thighs and groin area. arms intermittently itch a | N | 10/13/2021 | 10/15/2021 | 2 | none | PVT | zoloft, ambien, phentermine | COVID | no | from second COVID vaccine: rash on bilateral arms that cleared up within 24-48 hours | 2 | 10/22/2021 | reglan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1817904 | 10/26/2021 | WI | 33.0 | 33 | F | Positive COVID-19 NAAT test on 10/25/2021 | U | 03/11/2021 | 10/25/2021 | 228 | Positive COVID-19 NAAT test on 10/25/2021 | PVT | Low-Ogesterel, loratadine, Flonase | none | none | 2 | 10/26/2021 | Y | amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1836682 | 11/02/2021 | WI | 33.0 | 33 | F | Left eye redness of 1 day(s) duration with purulence and mattering. She reports no vision problems such as blurred vision. She does report some Left eye discomfort. Treatment = Ofloxacin ophthalmic solution 0.3% 2 drops to right left both eyes 4 times | N | 03/11/2021 | 03/12/2021 | 1 | multiple specialists have been seen | PVT | Clindamycin, Betamethasone Ointment, Clobetasol Ointment, Urea Cream, Fluocinonide ointment, albuterol inhaler, sulfacetamide lotion, lactobacillus, Calcium-Vitamin D-Vitamin K, Ofloxacin Ophthalmic solution, levothyroxine, lidocaine cream, | none | Ventricular septal defect, mitral valve disorder, Down's Syndrome, Bilateral mild sensorineural, hypothyroid, secondary angle-closure glaucoma. esophageal reflux, celiac disease, osteopenia, scoliosis, obstructive sleep apnea, congenital anomaly of heart | 2 | 11/02/2021 | Betadine, Gluten, Povidone Iodine, Wheat | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1839641 | 11/03/2021 | WI | 33.0 | 33 | F | profound effusion in the left knee that was determined to be secondary to a Crohn's flare. unsure if the vaccination resulted in the Crohn's flare or if it was already "brewing", however, the knee effusion started within roughly 12 -18 hours of the vaccina | Y | 08/23/2021 | 08/24/2021 | 1 | PHM | Cimzia Sunflower Lecithin Probiotic Prenatal Vitamim | Crohn's disease | 2 | 11/03/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1850724 | 11/08/2021 | WI | 33.0 | 33 | F | Woke up exactly 8hours after receiving shot is sereve pain unable to move left arm. Six months has gone by with no relief. Constant deliberately pain. Unable to do any above head work or lift anything more then 30pounds with out pain and difficulty. Have r | N | 04/06/2021 | 04/06/2021 | 0 | X ray, Mri, contrast mri. Physical therapy, cortisone injections twice as well as two rounds of oral steroids. Currently taking malxacam for inflammation and pain. | WRK | None at time of vaccination | None | None | 2 | 11/08/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1854282 | 11/09/2021 | WI | 33.0 | 33 | F | Client had received 2 doses of Pfizer COVID 19 vaccine in past. Requested Moderna for booster dose. Client received dose during a mass clinic. Client immediately after injection had difficulty breathing. Was injected with 0.3 mg of epinephrine. Breathing i | Y | 11/06/2021 | 11/06/2021 | 0 | none available. | PUB | unknown | none reported | unknown | 2 | 11/09/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX |