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You are viewing patients aged: 36, in state: TN

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VAERS_IDRECVDATESTATEAGE_YRSCAGE_YRCAGE_MOSEXRPT_DATESYMPTOM_TEXTDIEDDATEDIEDL_THREATER_VISITHOSPITALHOSPDAYSX_STAYDISABLERECOVDVAX_DATEONSET_DATENUMDAYSLAB_DATAV_ADMINBYV_FUNDBYOTHER_MEDSCUR_ILLHISTORYPRIOR_VAXSPLTTYPEFORM_VERSTODAYS_DATEBIRTH_DEFECTOFC_VISITER_ED_VISITALLERGIESLink 1Link 2
091797801/03/2021TN36.036FFirst ever complex migraine with aura including right visual field deficits, tingling of the right hand and and right side of the mouth and difficulty speaking over the course of an hour that then resolved and was followed by a severe migraine headache wheY12/30/202012/30/20200PVTClaritin, Tylenol, MotrinViral URI (COVID-19 negative) with sore throat and cough that started 5 days prior to the vaccination.Occasional migraines201/03/2021YLatex sensitivity2021VAERSSYMPTOMS2021VAERSVAX
091963101/04/2021TN36.036MLimited range of motion in left shoulder, referred to Orthopedic Surgeon.U12/23/202012/25/20202WRKADHD, Psoriasis201/04/2021YNA2021VAERSSYMPTOMS2021VAERSVAX
092082801/05/2021TN36.036FThe patient called stating she received the COVID vaccine yesterday at 11:30 AM. She reported that she had the usual sore arm. She woke up at 1:00 AM with 102.0 temperature and then start excessive vomiting at 1:30 AM. She also complained of vertigo and di01/04/202101/05/20211NAPUBUnknownUnknownUnknownPatient stated that after receiving a flu vaccine she developed Bell's Palsy201/05/2021NKA2021VAERSSYMPTOMS2021VAERSVAX
092158801/05/2021TN36.036FI have learned that it was syncope. I felt like time was moving quickly. I was jittery and felt like my heart was beating quickly. I was taken to a separate area and felt warm and flush in my chest. They laid me down on the cot and said I looked pale. My hY12/22/202012/22/20200They checked by oxygen and blood levels.WRKZyterk Singulair Nasocort (nasal spray) Also have an IUD Took Tylenol at 7am on day of vaccinationAsthmavsafe201/05/2021YCephalexin2021VAERSSYMPTOMS2021VAERSVAX
092210001/05/2021TN36.036FLeft axillary lymphadenopathy, swelling and joint pain.N12/30/202012/31/20201PVTZyrtec SingularN/a201/05/2021Celebrex Pcn Latex2021VAERSSYMPTOMS2021VAERSVAX
093277101/10/2021TN36.036FSyncope at approximately 5:20am this morning. I had been awake and active for about 30 minutes getting ready for work. As I was walking to my kitchen, I suddenly became very dizzy with blurred vision, tingling hands, nausea, ringing in my ears, and I felt Y01/09/202101/10/20211none.PVT-Imatinib (Gleevec) 400mg by mouth once dailynoneChronic Myeloid Leukemia201/10/2021none2021VAERSSYMPTOMS2021VAERSVAX
093453801/11/2021TN36.036FChills and sweats, aches beginning during sleep Nausea and Vomiting and diarrhea persisted until about 8am next day Next day fatigue and lack of appetite, resolved within 24 hours with slight residual Epigastric painY01/07/202101/08/20211NonePVTDaily vitamin PRN anti inflammatoryNoneNo201/11/2021None2021VAERSSYMPTOMS2021VAERSVAX
093598101/11/2021TN36.036FReceived vaccine on 12/30/2020 arm continued to be sore. Then on 1/11/2021 woke up to arm no longer sore but very red and a large oval itchy area at injection site. Arm has been red itchy warm to touch for 12 hours now.N12/30/202001/11/202112NonePVTLexapro 20mgNoNo201/11/2021Coedine2021VAERSSYMPTOMS2021VAERSVAX
093977801/13/2021TN36.036F9 days after vaccine administration developed hives at the vaccine injection site (circumferential around the injection site). No other hives. No other source of hives and no contact exposures to that location (had been in same shirt all night with no chanU01/04/202101/13/20219N/aPUBVit d Vit c PepcidNoNo201/13/2021YLatex2021VAERSSYMPTOMS2021VAERSVAX
094566401/14/2021TN36.036FHeadache, Nausea, Dizziness, Face tingling, Fatigue, Throat discomfort 5-10mins after injection. Was given Benadryl, Zofran, & Tylenol. All symptoms other than Headache & fatigue subsided within 24hrs. Pain at injection site appeared the next morning withY01/13/202101/13/20210SENGabapentin, Clonazepam, Carvedilol, Sertraline, Blue Methafolate, Fiber GummyFibromyalgia, Adam Stokes Syndrome, Gene Malformation the inhibits B12 & folate absorption.201/14/2021Bee Stings, Oranges, Clorahydrate, yellow dye in Methafolate. (I take Methafolate but it has to be blue instead of yellowdue to the dye allergy.)2021VAERSSYMPTOMS2021VAERSVAX
095084301/16/2021TN36.036FSoreness at injection site, fatigue, body aches and tenderness/swelling at lymph node near collar bone on same side as injection site.U01/15/202101/16/20211NonePVTZoloftNoneAsthma201/16/2021Penicillin2021VAERSSYMPTOMS2021VAERSVAX
095148801/17/2021TN36.036FAt about 12 hours after the second dose I had chills, headache, fever of 101, fatigue and nausea. It lasted for about 24 hours. My arm was also sore for about 72 hours after the shot. I did not have any reaction from the first dose except for a sore arm.Y01/08/202101/08/20210PVTEffexor, Synthroid, Zyrtec, Tylenol, Ibuprofen, Singulair, XanaxNoneHypothyroidism, Anxiety, Seasonal AllergiesTDAP, nausea and fatigue both with childhood vaccine and vaccine as an adult201/17/2021None2021VAERSSYMPTOMS2021VAERSVAX
096318901/21/2021TN36.036FI had a fever, chills, headache, joint pain in my hands, rash, itching, SOB and a cough two days later. I did go to the doctor, she did an xray to check for pneumonia.Y12/22/202012/22/20200I had a chest xray with a NEG result.UNKNoI had COVID 19 on November 16, 2020I have asthma.vsafe201/21/2021YNo2021VAERSSYMPTOMS2021VAERSVAX
096522501/22/2021TN36.036FSwollen reaction at injection site. Red, swollen, hot to touch. Chills, aches & fever.N01/20/202101/22/20212PUBNoneNoneNone201/22/2021PCN -Rash2021VAERSSYMPTOMS2021VAERSVAX
096740001/23/2021TN36.036FApproximately around 1030 pm started having body aches and shaking chills. Finally fel asleep and then woke up around 2am 1-21 and had a major head ache body aches checked temp it was 101.7. Took Tylenol woke back up 4 hours later had chills and body achesN01/20/202101/20/20210WRKVitamin CNoEndometriosis Gerd201/23/2021No2021VAERSSYMPTOMS2021VAERSVAX
097032801/25/2021TN36.036M12h post vaccination: headache, chills, flush/pruritus, malaise, fatigue, arm soreness (acetaminophen, antihistamine, hot shower, sleep) 24h post vaccination: symptoms resolved except malaise and headache (acetaminophen) 48h post vaccination: symptoms resoN01/08/202101/18/202110n/aPVTn/an/an/a201/25/2021n/a2021VAERSSYMPTOMS2021VAERSVAX
098186801/28/2021TN36.036FDeveloped axillary lymphadenopathy about 24-36 hours after second dose of Pfizer COVID-19 vaccine. Lymphadenopathy was palpable and visible when arm raised. Significant enough to cause numbness and tingling in arm and hand. Lasted about 24-36 hours, resolvY01/08/202101/10/20212nonePVTzyrtec 10mg po HS, multivitamin po HS, b complex with c po HS, flonase 1 spray each nostril HS prn seasonal allergiesnonenonePatient experienced fatigue and body aches after the first dose of the covid-19 vaccine, listed above in item #22. No other adv201/28/2021chlorhexidine (rash)2021VAERSSYMPTOMS2021VAERSVAX
098493401/29/2021TN36.036F6 days later - 101-102 degree degree fever for 3 days (1/1/2021-1/4/2021) followed by 3 days of migraine headache (1/5/2021-1/8/2021)Y12/26/202001/01/202162 negative COVID Tests- rapid test on 1/2/2021 and PCR test on 1/4/2021; 1 negative flu test on 1/4/2021PUBnonenonenone201/29/2021Ysulfa2021VAERSSYMPTOMS2021VAERSVAX
098721501/29/2021TN36.036MApproximately 30 minutes after receiving his injection he returned to the site complaining that he experienced a " split second second of dizziness and became light headed and had a tingling sensation to his left arm (the arm that he received the vaccineY01/29/202101/29/20210PUBSTATES NONENONESTATES NONE201/29/2021NONE2021VAERSSYMPTOMS2021VAERSVAX
099410302/02/2021TN36.036FFacial flushing that was more prominent on the left side of my face and left ear flushing and burning, dizziness, nausea., and rapid pounding heart beat. This started 45 minutes after receiving the vaccine. About 1 1/2 hours symptoms still persisted so tooY01/29/202101/29/20210PUBNexium, Lisinopril, Zoloft, Gabapentin, Multivitamin, ProbioticNoneType 1 Diabetes, Hashimotos induced hypothyroidism202/02/2021None2021VAERSSYMPTOMS2021VAERSVAX
099480102/02/2021TN36.036FStarted with some nausea around noon on 1/18 that resolved, then experienced nausea without emesis and palpitations while driving to work at 1800. She describes it as feeling like her heart was racing, but also feeling like she was having large pauses in hY1Y01/11/202101/18/20217CBC, BMP, ECHO, TROPONINS, STRESS TEST, HOLTER MONITOR, THYROID LEVELS, CT FOR PE, D DIMER, MULTIPLE EKGSPVTmulti vitamin, PRN Ambiennooccasional heart burn202/02/2021Penicllin, ceclor2021VAERSSYMPTOMS2021VAERSVAX
099482502/02/2021TN36.036F(Starting at about 12 hours post vaccine) Developed severe headache (turned into Migraine) that lasted about 4 days, Fever (100.8) x 24 hours (medicated with Tylenol Q 4 hours), joint pain and fatigue. Developed moderate amount of swelling at the injectioY12/23/202012/24/20201Covid 19/Flu tests Jan.1 Negative (unsure if symptoms related to vaccine or other virus) Covid 19 test Jan. 3 NegativePUBMetformin Daily(PCOS), Levothyroxine Daily, Zyrtec Daily,NoneMigraine (Hemiplegic/classic), Hypothyroid, PCOS, Endometriosis, Asthma, Anxiety/Depression(Well Controlled),Unknown if considered "Adverse" 10-17-2016 Pneumovax- Starting at 24 hr post vaccine- 103 temp,202/02/2021YHydrocode2021VAERSSYMPTOMS2021VAERSVAX
099482902/02/2021TN36.036F(Starting at about 12 hours post vaccine) at Midnight woke up with fever 100.7, severe chills, joint and muscle aches and an intense migraine. By 3 am was up again vomiting. That lasted a few hours. Temp hovered around 101-102 all day (alternating Tylenol N01/22/202101/23/20211PUBMetformin Daily(PCOS), Levothyroxine Daily, Zyrtec Daily,NoneMigraine (Hemiplegic/classic), Hypothyroid, PCOS, Endometriosis, Asthma, Anxiety/Depression(Well Controlled),Unknown if considered "Adverse" 10-17-2016 Pneumovax- Starting at 24 hr post vaccine- 103 temp,202/02/2021Hydrocode2021VAERSSYMPTOMS2021VAERSVAX
099632302/02/2021TN36.036FI woke up and the rash had started on my arm around injection site (swollen at the injection site the day after) - 27th is when I broke into a rash over my face and chest. And it's progressively gotten worse sense. Rash is all over my chest, whole back, arN12/24/202012/27/20203Skin biopsy - Jan 13 - both tests (Blood work, too) said I had lupus but dr's are not sure if it is vaccine cause. d Bloodwork Lab work - January13.OTHCymbalta - 60 mg one time a day; Topamax - 50 mg one time a day; Alvactone 50 mg; Vit D 2000 Units a day; Mirapex 0.125 mgDiagnosed with COVID on Dec 9, 2020 and I was told it was okay to go ahead and get the vaccine as I was not experiencing any symptoms of COVIDFibromyalgiavsafe202/02/2021Ybananas - my tongue swells Ceclor - rash when I was a baby2021VAERSSYMPTOMS2021VAERSVAX
100210302/04/2021TN36.036FImmediate onset LLE pain, elbow. Employee concerned vaccination given "too high" given incorrectly. LUE pain, decreased ROM, weakness developed. Seen at Employee Health. MRI. Referral to Ortho. Dx: Parsonage Turner Syndrome associated with vaccination.N10/09/202010/09/20200MRI: LUE low to moderate grade bursal surface partial thickness tear of the supraspinatus tendon . Subacromial subdeltoid bursitisPVTpropanolol, synthroid, nuvigil, concerta, xyron, omeprazole, myrbetriq, spironolactonenarcolepsy, unspecified connective tissue disorder, hypothyroidism, indwelling loop recorder d/t syncope, reynaud's syndrome, interstitial cystitis202/04/2021YAmoxicillin2021VAERSSYMPTOMS2021VAERSVAX
101577202/09/2021TN36.036MVagal response, passed out due to low blood pressure, , low blood oxygen level saturation 83Y02/07/202102/08/20211EKGUNKAdderall genericNoneNone202/09/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
101702902/09/2021TN36.036MSevere left arm soreness and fatigue - bedridden x 3 daysY02/05/202102/06/20211NonaPHMNoneNoneNone202/09/2021None2021VAERSSYMPTOMS2021VAERSVAX
102894502/14/2021TN36.036MI woke up the day after I received the Moderna COVID vaccine feeling achy and tired, as expected. I took 600 mg of Ibuprofen at 0730. As the day progressed my symptoms became worse and I developed a fever and chills/shivers. At 1600 I took 1000 MG of TyY02/11/202102/12/20211Blood work was completed with normal results.MILPantoprazole 40MG Allopurinol 300MGNoneGerd202/14/2021YSulfa Drugs - Break out in itchy rash.2021VAERSSYMPTOMS2021VAERSVAX
104442002/21/2021TN36.036MPlease reference separately submitted MIS-A form. He had sore throat, high fever, diarrhea, deteriorating in to multisystem failure and apparent acute myocarditis, notably with relative initial sparing of the lungs. He suffered cardiac arrest in radioloY02/08/2021N01/09/202101/31/202122Sodium 131, creatinine 1.2 on admission, transaminases initially normal, lactic acid 2.6, white blood count 11.0, platelets 110, coronavirus nucleocapsid IgG positive, troponin 18, ferritin 1435, fibrinogen 642, D-dimer 5.22, CRP 284PVTnonenonenone202/21/2021none2021VAERSSYMPTOMS2021VAERSVAX
105280402/24/2021TN36.036FShoulder blade pain with sharp pain that feels like it is on fire. Hurts to do daily activities (i.e. carry cup, extend arm, lift anything). Have tried Ibuprofen 800 mg, heat patch, and heating pad with no improvement. Ongoing all day since 2.14.21N02/04/202102/14/202110NoneUNKLexapro 10 mgNoneVertigo, post partum depression , anxiety202/24/2021Imitrex2021VAERSSYMPTOMS2021VAERSVAX
105699802/26/2021TN36.036FApproximately 5-15 minutes after vaccine patient reported to health department staff that patient felt "funny." Upon assessment patient appeared flushed and pale. Patient reports tightness in throat.Y02/22/202102/22/20210unknownPUBMetformin 500mg once daily and blood pressure medication(patient did not recall name of medication)none per patientPCOS and high blood pressure202/26/2021YNo known allergies per patient2021VAERSSYMPTOMS2021VAERSVAX
106994903/03/2021TN36.036FPlease note that I am a primary care physician and that cases of coronavirus were very high in my geographical area during the time in question. I received coronavirus vaccine (Pfeizer) #1 on December 23rd. During the late afternoon to evening of DecembeY12/23/202012/29/20206Coronavirus PCR test was positivePVTHormonal birth controlNone knownNone known203/03/2021None2021VAERSSYMPTOMS2021VAERSVAX
107334603/04/2021TN36.036FWas released from the testing site 5-10 minutes after second dose was administered. Approximately 15-20 minutes after dose was administered I began feeling a reaction. The skin on my face, neck, and chest became red, flushed, warm, splotchy, and itchy. My Y03/04/202103/04/20210OTHDIMETHYL FUM DR CAP 240MG, Duloxetine 60mgMultiple Sclerosis.203/04/2021Ceclor (Hives). Copaxone - Had to discontinue after 2 years after reactions become increasing worse.2021VAERSSYMPTOMS2021VAERSVAX
108092103/08/2021TN36.036MPatient received 2nd dose of Pfizer COVID vaccine approximately 1:00pm. Around 1:15 pm staff were alerted by patient's father that he was having a seizure in the car. Staff went to assess situation, no seizure activity was noted at that time. Patient was lY03/05/202103/05/20210PUBHistory of epilepsy203/08/2021YMorphine - "respiratory problems"2021VAERSSYMPTOMS2021VAERSVAX
108233203/08/2021TN36.036FDouble vision (specifically seeing multiple lines of text above and below each other) Extreme "brain fog", suddenly unable to remember words or how to spell them, difficulty doing work related tasks due to such ringing in earN03/04/202103/07/20213OTHNyQuilnone knownsuspected fibromyalgia203/08/2021Iodine, Betadine, Zanaflex2021VAERSSYMPTOMS2021VAERSVAX
109535703/12/2021TN36.036FMuscle aches, joint pain, fatigue, mild nausea, slight nerve pain, ear pain, hot flashes, chills, redness at injection site, pain at injection site, swelling at injection site. All symptoms started overnight from 3/10-3/11 and most were gone by noon on 3/Y03/10/202103/11/20211SCH203/12/2021Eggs, cherries2021VAERSSYMPTOMS2021VAERSVAX
109626803/13/2021TN36.036FSoreness in arm so strong it?s difficult to move the arm.N03/12/202103/12/20210NoneOTHSudafed and ibuprofenSeasonal allergiesSystemic Lupus203/13/2021Morphine allergy2021VAERSSYMPTOMS2021VAERSVAX
110531703/16/2021TN36.036FImmediate nausea, mild pain/warmth at site of injection. Onset of headache approx 1 hr after inoculation. Muscle aches same evening of injection. Woke up with neck stiffness -?d moderate/severe joint pain (7/10 pain scale) in hips, wrists, and knees. HeadaN03/15/202103/15/20210None as of yetPHMOral birth controlNoneSingle kidney following living organ donation 2019203/16/2021None2021VAERSSYMPTOMS2021VAERSVAX
111561503/19/2021TN36.036FConstant Nausea, Headaches including Migraine, Bladder pain syndrome/interstitial cystitisN08/10/202009/15/202036MRI, Blood work, Bladder instillation, Urine Screen, Pap, ultrasound, Blood Culture March 17th 2021- Bladder instillation (5 Week Treatment) March 10th 2021- Bladder Instillation (5 Week Treatment) February 26th 2021-Urology Visit Jan or Feb 2021-OBGYN tOTHProzac Olanzapine Probiotics w/cranberryEndometriosisEndometriosis203/19/2021YYPCN Codeine2021VAERSSYMPTOMS2021VAERSVAX
111774203/20/2021TN36.036FPain at injection site starting one day after 2nd pregnancy (first was miscarriage), due date November 12N03/18/202103/19/20211PHMPrentala vitaminsNonePsoriasis203/20/2021None2021VAERSSYMPTOMS2021VAERSVAX
112451003/22/2021TN36.036FTremors started one week after initial vaccine; full body - hands, arms, legs. Tremors occurred at rest and continued while extremities were in use. No treatment. Tremors stopped within 48 hours of onset. Neurologist was notified with no recommendation forY03/13/202103/20/20217UNKBupropion, Vyvanse, Topamax, Methotrexate, Folic Acid, Biotin, ElavilNAMigraines, rheumatoid arthritis, depression, anxiety, epilepsy, s/p gastric bypass203/22/2021Penicillin, Cephalosporins, Triptan migraine medications2021VAERSSYMPTOMS2021VAERSVAX
112969403/24/2021TN36.036FSwollen, red and itchy arm. It began two days after the shot. Then resolved. Then came back worse on the 20th, 11 days post shot.Y03/09/202103/15/20216PUBzyrtec, zoloft, vitamin dnonepsoriasis203/24/2021tessalon pearls2021VAERSSYMPTOMS2021VAERSVAX
113545203/25/2021TN36.036FI have ?Covid Arm?. It has been eight days since my first shot and suddenly today I noticed that the injection site started to swell, turn red and hurt. It?s also a little itchy. I also started feeling very tired and got a head ache.N03/17/202103/25/20218NonePHMNoneNoneNone203/25/2021None2021VAERSSYMPTOMS2021VAERSVAX
113636403/26/2021TN36.036FItchiness at first around where the shot was given. Followed by a large hard lump (about the size of a large egg) under the skin. Hot to the touch. Redness about the size of a softball around the hard area.Y02/09/202102/17/20218PHMOlmesartan, Propranolol, Meloxicam, Colesevelam, Clonidine, Duloxetine, Famotidine, MelatoninNoneHypertension, IBS-D, Hiatal Hernia, Anxiety, Psoriasis203/26/2021None2021VAERSSYMPTOMS2021VAERSVAX
113830703/26/2021TN36.036FHeartbeat detected on ultrasound 3/12/21 6 weeks,2 days. Upon return for ultrasound on 3/24, no heartbeat detected. Gestation growth stopped at around same time frame as vaccination given.N03/13/202103/13/20210UltrasoundPUBPrenatal vitamins Baby aspirin ProgesteroneN/aN/a203/26/2021YSulfa2021VAERSSYMPTOMS2021VAERSVAX
114045803/27/2021TN36.036FIndividual received first dose of the Moderna vaccine on December 28,2020 and second dose of Moderna on January 28, 2021. Individual did not receive vaccines at, vaccines were administered through City. Individual tested positive for SARS-CoV-2 on todayY01/28/202103/27/202158SARS-CoV-2 Screening PCRPVTN/AN/AN/A203/27/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
114266503/29/2021TN36.036FWorking full time during this post injecting time but 2days later sarted with nausea and vomiting and then itching and then next day asthma started to flare up and by the next day it developed into full blown exacerbation. As everything worsened and couldnYY23YN02/12/202102/14/2021223days total on hospitals as follows all between 2/17-3/13 (also additional ER visit on 3/23) with following... (to not to repeat please see previous box for additional details on progressions, tests and dates).... Asthma exacerbation from immune responsPUBLisinopril, Albuterol as needed, symbicort, butalbitalNoHTM, asthma, and migraines but all very well controlled causing no limitations203/29/2021YYPenicillin, Levaquin, Keflex, contrast dye2021VAERSSYMPTOMS2021VAERSVAX
115204003/31/2021TN36.036MRASHN03/23/202103/30/20217PHMTECFIDERA 240MG BY MOUTH 2X/DAILY ADDERAL 20MG 2X/DAILY VITAMIN B COMPLEX BY MOUTH 2X/DAILYMULTIPLE SCLEROSIS ADHD203/31/2021NONE KNOWN2021VAERSSYMPTOMS2021VAERSVAX
115806804/01/2021TN36.036MApprox 18 hours after injection: fatigue, muscle aches, chills, and fever lasting approx 24 hours. Max fever 102.5? approx 24 hours after injection. Approx 36 hours after injection: small red rash (approx 2 inches diameter) formed about 3 inches below iN03/29/202103/30/20211UNK180 mg Fexofenadine dailyNone.Ocular hypertension, seasonal hay fever;204/01/2021None.2021VAERSSYMPTOMS2021VAERSVAX
116676804/04/2021TN36.036MAfter the pharmacist administered the vaccine the patient started slumping in his chair and stopped talking. The pharmacist patted his shoulder and said his name to try to get his attention. The patient's forearms turned red, and he was breathing heavilyY04/03/202104/03/20210PHM204/04/20212021VAERSSYMPTOMS2021VAERSVAX
116713304/04/2021TN36.036MRan fever up to 101 and had night sweats for first 48 hours. Also had stiff and sore joints for about 2 weeks before going away.. Developed ringing in both ears. This has persisted for 3 weeks now and is continuing. Saw a doctor on demand and she diagnosedN03/15/202103/15/20210Auditory test done with ENT on 3/31/2021.PVTNoneNoneNone204/04/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
116817004/05/2021TN36.036MAggressive Vomitting, Diarrhea, 103 degree fever, body aches, chillsY03/18/202103/19/20211NonePVT204/05/20212021VAERSSYMPTOMS2021VAERSVAX
116995904/05/2021TN36.036FFever all day on 4/4/21 up to 100.7 Fahrenheit Mild headache all day on 4/4/21 Fatigue/weakness all day on 4/4/21Y04/03/202104/04/20211UNKOmeprazole 40mg, amitriptyline 25mgNoneAcid reflux204/05/2021None2021VAERSSYMPTOMS2021VAERSVAX
117034504/05/2021TN36.036FCough, Congestion, Achy, Tired, watery eyesN04/03/202104/04/20211NonePVTOne a Day Women's Multivitamin,- daily ,Incruse Ellipta inhale- daily, Advair Diskus-daily, Montelukast- daily, Desmopressin- daily,, citalpram-daily, Florinal-as needed, Bupropion-daily, intal nebulizer as needed, intal inhaler-as needednoneAsthma, Depression, Obesity204/05/2021Ragweed, Hay fever, Cat, Dust,2021VAERSSYMPTOMS2021VAERSVAX
117292404/06/2021TN36.036FPatient called the office to mention an adverse event. She states about a minute after receiving the shot, she noticed that her throat became sore and her chest began to hurt. She did not mention anything to the provider and waited the 20 minute waiting pe03/17/202103/17/20210PVT204/06/20212021VAERSSYMPTOMS2021VAERSVAX
117779504/07/2021TN36.036FMiscarried found no fetal heartbeat at 3/11 ultrasound. D&C completed 3/19Y03/08/202103/11/20213Ultrasound 3/11 Ultrasound 3/16 D&C 3/19PUBLabeltol, previcid, prenatal vitamins, unisomLupus204/07/2021None2021VAERSSYMPTOMS2021VAERSVAX
117800104/07/2021TN36.036MI had a seizure around 5 minutes after the shot. I was feeling sweat and my vision started to fade...I can explain further on a call or email.Y04/06/202104/06/20210I am going to the doctor in the morning.PHMBupropion XL 150mgNoneNone204/07/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
117919104/08/2021TN36.036FUpper extremity dysfunction; felt like it was paralyzed; Left arm hurt; pain in shoulder down to armpit; This spontaneous case was reported by a consumer and describes the occurrence of PARALYSIS (felt like it was paralyzed) in a 36-year-old female patientY01/06/202101/06/20210UNKIBUPROFEN; SINGULAIR; ALBUTEROL HFAAsthma; Migraine; Sinus disorderUSMODERNATX, INC.MOD20210204/07/20212021VAERSSYMPTOMS2021VAERSVAX
117952504/08/2021TN36.036MNo adverse reaction First dose given on 3/9/2021 and second dose given on 3/29/2021 given to soon. No signs and symptoms.03/29/202103/29/20210No adverse reaction First dose given on 3/9/2021 and second dose given on 3/29/2021 given to soon. No signs and symptoms.OTHNONENONEHCV204/08/2021NONE2021VAERSSYMPTOMS2021VAERSVAX
117959504/08/2021TN36.036MNo adverse reaction First dose given on 3/9/2021 and second dose given on 3/29/2021 given to soon. No signs and symptoms.U03/29/202103/29/20210No adverse reaction First dose given on 3/9/2021 and second dose given on 3/29/2021 given to soon. No signs and symptoms.OTHnonenonehiv204/08/2021none2021VAERSSYMPTOMS2021VAERSVAX
118140204/08/2021TN36.036MNo adverse reaction. Moderna 1st dose was given on 3/9/2021 and 2nd dose was given on 3/29/2021 to soon.03/29/202103/29/20210No adverse reaction. Moderna 1st dose was given on 3/9/2021 and 2nd dose was given on 3/29/2021 to soon.OTHNONENONENONE204/08/2021NONE2021VAERSSYMPTOMS2021VAERSVAX
118140904/08/2021TN36.036MThe patient received his Janssen Covid 19 vaccine, and sat down in the waiting room for about 2 minutes. He started feeling sick and got up to go to the restroom. On his way to the restroom, he passed out and fell in the hallway. We then got him to a seat 04/06/2021UnknownPHMUnknown. The patient hasn't gotten any medication from us since December of 2020.UnknownUnknown204/08/2021YUnknown2021VAERSSYMPTOMS2021VAERSVAX
118212204/08/2021TN36.036FPatient was inadvertently given 0.3 mL of vaccine instead of 0.5 mL. Per Doctor, patient did receive valid dose since dose administered was over half of CDC recommended dose. doctor instructed that patient should be notified of incident but told that repeaY04/08/202104/08/20210NonePUBNoneNoneNone204/08/2021None2021VAERSSYMPTOMS2021VAERSVAX
118704304/09/2021TN36.036FPt reported tingling of left arm that radiated down her arm, pt reports that the left side of her jaw was numb. Pt reported these symptoms resolved that day. Pt has headache and fatigue for two days.Y03/19/202104/09/202121n/aPHM204/09/2021sulfa2021VAERSSYMPTOMS2021VAERSVAX
119282704/11/2021TN36.036Minjection site muscle soreness lasting around 1 dayY03/18/202103/18/20210NoneOTHDaily multivitaminNoneNone204/11/2021None2021VAERSSYMPTOMS2021VAERSVAX
119775804/12/2021TN36.036F~2 hours post-injection sharp pain in upper left abdomen under rib cage when breathing in but not constantly. Just every now and then. This lasted for ~72 hours. ~12 hours post-injection developed a mild fever, chills, body aches, and head ache. Body acheN04/08/202104/09/20211WRKOmeprazole, Pepcid AC, Tylenol, GasXGERD, Gastroparesis, IBS204/12/20212021VAERSSYMPTOMS2021VAERSVAX
119967004/13/2021TN36.036Ffever (24 hours), headache (48 hours), body soreness and nausea ongoingN04/09/202104/09/20210PUBPropranolol, trazodone, WellbutrinPOTS/ Dysautonomia204/13/20212021VAERSSYMPTOMS2021VAERSVAX
120248004/13/2021TN36.036MRacing heart beat, waves of panic attacks, dizziness, vertigo, brain fog.N04/10/202104/12/20212WRKValium, hydroxyzine, phenerganPanic disorder, agoraphobia, GAD, depression204/13/2021penicillin, alpha-gal2021VAERSSYMPTOMS2021VAERSVAX
120388904/13/2021TN36.036Fimmediately after receiving vaccine patient's right deltoid developed hematoma at the injection siteY04/13/202104/13/20210nonePUBNoneNoneNone204/13/2021Flaxseed: SOB;Rash2021VAERSSYMPTOMS2021VAERSVAX
120468504/13/2021TN36.036FPain and swelling and itchiness at injection site, hot to touch. Today it?s less red, still swollen and it feel really hard bump.U04/08/202104/13/20215NoUNKNoNo204/13/2021No2021VAERSSYMPTOMS2021VAERSVAX
121514604/15/2021TN36.036FFever and chills started on 4/14/21. Approximately 36 hours later she noticed a small rash appearing on her left upper arm. Around 48 hours the rash was about 5x3 inches wide and splotchy. No current treatment.N04/13/202104/14/20211NAPHMSynthroid, zoloft, Tylenolnonehypothyroidism204/15/2021neomycin2021VAERSSYMPTOMS2021VAERSVAX
122049304/16/2021TN36.036M12 days after the receiving the vaccine I began to have adverse symptoms. Fever of 102.5 that goes away 6 hours or so if I take ibuprofen. I?ve had the fever for 3 days. Body and joint aches all over. Pressure in my face nice my eyebrows and stiffness of nN04/02/202104/13/202111I was tested today for Covid-19 and it came back negative.SCHNoNoNo204/16/2021Yamoxicillin2021VAERSSYMPTOMS2021VAERSVAX
122281804/17/2021TN36.036MSore arm that lasted about a week. Went away and now on 4/17 reappeared soreness with a bruise in vaccination injection spot.03/24/202103/24/20210UNK204/17/20212021VAERSSYMPTOMS2021VAERSVAX
123036304/19/2021TN36.036Fredness, tenderness, and warmth present to right delt surrounding area of vaccine that appeared 4 days after vaccination and day 11 is still present but improving. pt has been putting benadryl cream on siteU04/07/202104/11/20214nonePVTparoxitine, levothyroxine, HCTZ 12.5mghypothyroidism - autoimmune, Mixed connective tissue disease, antiphospholipid antibodies, chronic active EBV,204/19/2021Ycephalosporins - anaphalaxyis2021VAERSSYMPTOMS2021VAERSVAX
123102404/19/2021TN36.036FSuddenly became hypotensive, diaphoretic and clammy, vision got swimmy. I was able to sit down and then lie down before passing out. Then I got the chills and fingers were a bit cyanotic. Blood pressure was checked--it was low 60s/40s. Pulse ox was cheY02/02/202102/03/20211N/APVTBystolic, levothyroxine, multivitamin, ZyrtecNonemigraine, Gilbert's, hypothyroidism204/19/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
123726704/21/2021TN36.036MSevere Nausea, Fever, Chills, Backache, Headache, Sore injection site. Worst I've ever felt except when I had the flu. Symptoms lasted one day, except for fever and sore injection site. Those lasted 2 days.Y04/19/202104/20/20211PHMnonenonenone204/21/2021none2021VAERSSYMPTOMS2021VAERSVAX
124207504/22/2021TN36.036FHeadache, fatigue - 3/15/2021-3/17/2021. Irregular menstrual cycle - period started on 3/19/2021, after only a 23 day cycle; next period started on 4/11/2021, after another 23 day cycle. Both periods were very early for me, more painful, but lighter flow. Y03/15/202103/16/20211UNKAbilify, Azelastine, Claritin, Errin, Flonase, Prilosec, Propranolol, Rizatriptan, Montelukast, Spironolactone, Trelegy Ellipta, BuPROPionNoneAsthma, chronic migraines, endometriosis, Gerd, allergies, depression204/22/2021Codeine2021VAERSSYMPTOMS2021VAERSVAX
124303604/22/2021TN36.036MVomiting, red rash over face, neck, upper shouldersY03/15/202103/19/20214NonePVTOzempic, medformin, oxycodone, tizadine, gabapentin, zoloftNoChronic pain, diabetes204/22/2021YSoy strawberry. Pertussis2021VAERSSYMPTOMS2021VAERSVAX
124343004/22/2021TN36.036FShe states she received the first dose of the Moderna vaccine on 3/10/21, and received the second dose on 4/8/21. She states she started developing delirium, chills, dizziness, nausea and fatigue within 1 hour of receiving the second vaccine. She states shN04/08/202104/09/20211PVTNoneNone notedNone204/22/2021YCepahalosporins2021VAERSSYMPTOMS2021VAERSVAX
124914604/23/2021TN36.036FMy arm started swelling that night, 04/21. It was painful to move or brush against anything. The next morning 04/22, I couldn?t move my arm without extreme pain, it hurt to even change into my work clothes(I work from home), I had a fever, shaking chills, N04/21/202104/21/20210None. I likely will see a doctor tomorrow.UNKBirth control, Tylenol, BC powderNone204/23/2021None2021VAERSSYMPTOMS2021VAERSVAX
125125904/24/2021TN36.036MSwollen lymph nodes under arm and collar bone. Appendicitis resulting in appendectomyYY04/21/202104/22/20211CT scan 4/24/2021PUB204/24/2021Y2021VAERSSYMPTOMS2021VAERSVAX
126309904/27/2021TN36.036MPatient reported feeling lightheaded and anxious after receiving the vaccine.Y04/27/202104/27/20210NAPUBunknownunknownunknown204/27/2021NKA2021VAERSSYMPTOMS2021VAERSVAX
126416704/27/2021TN36.036MWithin 5 minutes of administering vaccine, patient stated he felt hot in his face, described it as a wave of warmth that came over him suddenly. Patient also stated that his entire face was itching really badly. I had him sit in the chair closest to me andY04/27/202104/27/20210NonePHMN/ANoneNone204/27/2021None2021VAERSSYMPTOMS2021VAERSVAX
127450704/30/2021TN36.036FNew non itchy non painful non tender shallow maculopapular circular erythematous non blanchable lesions densely packed on abdomen and low back, less dense on chest and upper back, scattered on forearms, with only a few on legs, none on face or neck. >> IN04/18/202104/20/20212CBC & CMP drawn 4/30/2021 pending Tick-borne disease Abs pending COVID molecular swab pendingPVTLexapro 10mg PO QD since ~2019.None knownAnxiety/depression Mild eczema204/30/2021YYGrass PCN2021VAERSSYMPTOMS2021VAERSVAX
128284905/03/2021TN36.036FShortly after receiving the vaccine, she began to complain of dizziness. she began to shiver. denied SOB; soon had reflexive repetitive cough; Bilateral anterior breath sounds clear on auscultation; Color WNL; c/o dizziness again; reclined seat and patientY04/29/202104/29/20210noneWRKunknownunknownunknown205/03/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
128374505/03/2021TN36.036FI experienced what I have since learned is referred to as "Covid Arm": my arm became slightly swollen, warm, and red around the injection site, covering almost all of the outside of my upper arm. It looked like a giant mosquito bite, but it did not itch. IY02/17/202102/19/20212PUBCymbalta, Lo Loestrin FeN/AN/A205/03/2021neomycin2021VAERSSYMPTOMS2021VAERSVAX
128520805/04/2021TN36.036FWeek after second Moderna shot I had extreme PMS symptoms far from patient normal. More like PMDD symptoms for three days during 3 day period. Normal period flow.Y04/01/202104/01/20210PHMJolessa Birth Control, Effexor, MultivitaminNoneDepression, Anxiety205/04/2021None known2021VAERSSYMPTOMS2021VAERSVAX
128959805/05/2021TN36.036MShortness of breath, dizziness, acute headache, dull to acute chest pains, and rapid heart rate onset while sedentary on the evening of 5/2. Episode repeated prompting visit to ER. Episode recurred during drive to ER. Released with instructions to get hearN04/27/202105/02/20215EKG and heart rate monitor readouts normal during admission and observation on 5/2 and 5/3. Electrolyte levels, enzymes, etc., normal from blood draw, though no test for myocarditis performed on 5/2 and 5/3. Chest X-ray normal on 5/3. Awaiting referral foPUBZyrtec as needed.None.General allergies.205/05/2021YYPine nuts.2021VAERSSYMPTOMS2021VAERSVAX
129449405/07/2021TN36.036FRaised red itchy rash occurred at the injection site.N04/27/202105/05/20218PHM205/07/20212021VAERSSYMPTOMS2021VAERSVAX
129661705/07/2021TN36.036FVaccine received approximately 11:10 a.m. 5/6/21. Fatigue, nausea, headache, mild fever began approximately 1:30 p.m. 5/6/21 and continue to persist throughout the next day after vaccinationN05/06/202105/06/20210PHMMetoprolol tartrate 50mg 2x/day Famotidine 20mg 2x/dayHypertension205/07/2021Pcn2021VAERSSYMPTOMS2021VAERSVAX
129972405/08/2021TN36.036FApproximately 3 weeks after the vaccine my hair being to fall out in large patches. Hair began to rapidly turn grey.N02/01/202103/01/202128Positive ANA,APRIL 30TH 2021PVTBirth control combo pill, cetirizine, flonaseNoneNone205/08/2021YNo known allergies2021VAERSSYMPTOMS2021VAERSVAX
132660905/18/2021TN36.036FWith in a few hours skin felt like it had a bad sun burn. General nausea. General not feeling great. Next day didn?t feel great but went to work. Two days since vax and had significant tachycardia, resting heart rate very high. Set off alarms on dr?s pulN05/05/202105/05/202105/7: blood clot tests - negative. Heart damage - negative. EKG - ok. 5/12 - 5/15: holter monitor. Waiting to see dr to know results.OTH3mg Amitriptyline (low dose for sleep)205/18/2021YY2021VAERSSYMPTOMS2021VAERSVAX
134361205/24/2021TN36.036FHeadache started about 5-6 hours after injection, intensity increased throughout the next 14-16 hours. Generalized achy muscles lasted for 24 hours. 3 days after injection, skin peeling noted around finger nails and under nailbed.U05/19/202105/19/20210noneWRKVyvanse 30 mg daily Trintellix 20 mg daily Valtrex 500 mg dailysinus infection- treated with Zpack and sinus cocktail shotnone205/24/2021Sulfa drugs2021VAERSSYMPTOMS2021VAERSVAX
135770005/28/2021TN36.036FFeeling like a lump in my throat/ difficult to swallow. My arm chest and neck became itchy. Benedryl helped relieve some of the symptoms, but for fully.U05/27/202105/27/20210PHMbirth control, Zyrtec, vitamin C supplement, benedryl, Advil.NoneEndometriosis, fibroid tumors, ovarian cysts.205/28/2021Levofloxin, doxycycline, foods: gluten, soy, tree nuts, carrots, parsley, celery, avocado, ginger, navy beans, apples, citrus fruits, bananas,2021VAERSSYMPTOMS2021VAERSVAX
135880405/28/2021TN36.036FPain in right shoulder blade that radiated to chest and tingling in finger. Went to ER around 4/17/21- d diner was done and was not elevated. Followed up with doctor a couple days later. With same symptoms and more back pain. EKG Showed a slight inversioN04/01/202104/13/202112See abovePHMNoneNoneNone205/28/2021YYEurethromycin2021VAERSSYMPTOMS2021VAERSVAX
135970905/28/2021TN36.036FSevere heart palpitation with racing heartbeat, dizziness, and difficulty breathing for approximately 30 seconds to 1 minute the day after vaccination. I have experienced less severe heart palpitations occasionally (approximately 1-2 per week) since the vaU04/01/202104/02/20211Appointment with cardiologist scheduled for 6/14/2021.PVTLansoprazole 30mg, Wellbutrin XL 150mg, probiotic supplement, multivitaminNonePCOS, IBS, GERD205/28/2021YNo known allergies2021VAERSSYMPTOMS2021VAERSVAX
136193405/30/2021TN36.036FFever, nausea, headache, lethargic, pain at injection site, abdominal crampingN05/29/202105/30/20211PHMMetoprolol 50 mg 2x/day FamotidineNoneHypertension GERD ObesityPfizer dose 1205/30/2021Penicillin2021VAERSSYMPTOMS2021VAERSVAX
136282706/01/2021TN36.036MConstant left shoulder joint, and shoulder blade pain. Day after second dose until current time. Already take Ibuprofen daily, but that doesn?t make it better. Going to have to go get my shoulder looked at.N03/21/202103/22/20211None at this timeOTHDiazepam, Ibuprofen, Atorvastatin, PantoprazoleNONEAnxiety, Pulmonary Valve Stenosis, Chronic Pancreatitis, Cholesterol, GERD206/01/2021Paxil, Effexor, Parafon Fote2021VAERSSYMPTOMS2021VAERSVAX
136507206/01/2021TN36.036FPatient has a history of seizures. Patient received 2nd dose of Moderna Covid 19 vaccination. They did ok with the first vaccine. Approximately 5 minutes after receiving the vaccine the patient had a blank stare, which the caregiver noted and informed stafY06/01/202106/01/20210UnknownPHMPatient does not fill medications at this pharmacy. This pharmacy was administering Covid 19 Moderna vaccine. It is noted that patient has a history of seizures on consent form.History of seizuresHistory of seizures206/01/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
137184206/03/2021TN36.036FMy ear started ringing really badly and the outside went numb on the outer structure and about 1-2 inches around that. It lasted for about an hour and then went back to normal. I haven't experienced it since.Y05/13/202105/27/202114PUBLamotrigine, buspirone, risperidone, rosuvastatin, gabapentin, tamoxifen, calcium with vitamin D supplement, Allegra, FlonaseOvarian cystsOsteoarthritis Bipolar PTSD Anxiety Dust allergy206/03/2021Intolerance to garlic and onions Novahistimine/Novahistine Sulfa drugs Pseudoephedrine2021VAERSSYMPTOMS2021VAERSVAX
137509606/04/2021TN36.036MArm pain that continued for weeks, eventually referred to ortho shoulder specialists. Diagnosed with SIRVA. Sending him to physical therapy now.N02/18/202102/19/20211PHMn/an/an/a206/04/2021Yn/a2021VAERSSYMPTOMS2021VAERSVAX
137599606/04/2021TN36.036FFeeling warm and sweaty06/04/202106/04/20210PHM206/04/20212021VAERSSYMPTOMS2021VAERSVAX
140346706/16/2021TN36.036FHeart Palpitation Fatigue Dizziness Buzzing in EarN04/15/202104/29/202114Blood tests CT-A CT-V Chest XrayOTHNone.None.Mild Arthritis206/16/2021YYNone.2021VAERSSYMPTOMS2021VAERSVAX
142741106/25/2021TN36.036FPatient stated she started to feel dizzy and nauseated. I gave her a bottle of soda. As I was about to check her blood pressure, she seemed to lose consciousness. Her eyes rolled back in her head, and she seemed to be out of it for a few seconds. She came Y06/19/202106/19/20210UnknownPHMNone reportedNone reportedNone reported206/25/2021None reported2021VAERSSYMPTOMS2021VAERSVAX
142988206/26/2021TN36.036FVaccine was administered at another facility. Presents to our clinic for sore and blisters on had and redness at base of fingernails. Started 7-10 days post vaccine. Pernio-like reaction.06/11/202106/18/20217PVT206/26/2021Ysulfa2021VAERSSYMPTOMS2021VAERSVAX
143146906/28/2021TN36.036FBell's PalseyN06/11/202106/25/202114UNK206/28/2021Y2021VAERSSYMPTOMS2021VAERSVAX
144326007/02/2021TN36.036FI had a steroid shot in my left knee on 6/10 at 8:00 am. By 10:30 am I was feeling off and having heart palpitations. I kept checking my pulse and blood pressure. My pulse was lower than normal (in the high 50's and '60s. It's normally 80-90.) I felt heaviY03/25/202106/10/202177All tests were run on 6/10: EKG, blood work to check tripoin levels, chest x-ray. Everything came back on 6/10 as normal. No abnormal results.PVTClaritin, Blood pressurenonearthritis, seasonal allergies, high blood pressure, migraines, PCOS, hypohidrotic ectodermal dysplasia207/02/2021Yall seafood including shellfish, peanuts, tree nuts, rice, strawberries, tomatoes, latex2021VAERSSYMPTOMS2021VAERSVAX
146355907/11/2021TN36.036MFelt pain in my whole body. Especially in both my arms. Extreme nausea and some vomiting last night. Can?t do anything. Have a fever. Thought I would be getting better but just laying in bed having awful pains.N07/10/202107/10/20210PHMNoneNoneNone207/11/2021None2021VAERSSYMPTOMS2021VAERSVAX
146433907/12/2021TN36.036FI was having pain on my lower right and left side of my abdomen. I went to a urologist for a CT scan which was normal other than a possible cyst on the left ovary. The pain persisted so I went to an OBGYN office and they identified a small complex tumor onY1N04/07/202104/19/202112CT Scan, Vaginal Ultrasound, Blood Work to include cancer margins and pathology of tumor and ovary after surgery.PVTVesicare, Vitamin D, Valacyclovir, DexilantInterstitial CystitisInterstitial Cystitis207/12/2021Ycelcor, klfex, pcn, vancomycin2021VAERSSYMPTOMS2021VAERSVAX
148986407/21/2021TN36.036FADACEL vaccine received 30.6 weeks pregnant with no reportde adverse event; unsure how long the excursion was and unsure what the maximum or minimum temperature was during the excursion with no reportde adverse event; Initial information regarding an unsolU07/12/202107/12/20210UNKUSSA2021SA232974207/19/20212021VAERSSYMPTOMS2021VAERSVAX
149816607/23/2021TN36.036FTwo weeks after my shot I developed shingles on the back of my head on the left side. I went to an Urgent Care and they diagnosed me with shingles and gave me Valtrex. It lasted for a little over two weeks. Starting June 4 I have had shooting nerve pain alN04/27/202105/12/202115Two MRIs of my spine and neck, my brain and brachial plex.PVTPristiq, Lamictal, Buspar, Latuda, Klonopin, TrazadoneNoneNone207/23/2021YSulfa2021VAERSSYMPTOMS2021VAERSVAX
150074507/24/2021TN36.036FAdverse Event: Appendicitis Treatment: Appendectomy Outcome: Symptoms devolved 07/16/21. Presented to ER on 07/17/21, CT confirmed acutely inflammed non-perforated appendicitis. Laparoscopic appendectomy performed 07/17/21. Hospital discharge 07/18/21.Y2Y12/28/202007/17/2021201Medical Test: CT Abdomen and Pelvis With Contrast performed 07/17/21 Result: Acute uncomplicated appendicitis Laboratory Test: WBC performed 07/17/21 Result : 18.0 x10E3/uLPVT* Myrbetriq 25mg, once daily * Lamotrigine (Lamictal) 200mg, once daily * Adderall 20mg, twice daily * Zolpidem ER (Ambien ER) 12.5mg, once daily * Lorazepam (Ativan) 1mg, once daily * Aspirin 81 mg, once daily * Rosuvastatin (Crestor) 10 mNone* Bi-Polar * Generalized anxiety disorder * Adult ADHD * Hyperlipidemia * Heterozygous MTHFR mutation A1298C * Heterozygous MTHFR mutation C677T * PAI-1 4G/4G genotype * High grade squamous intraepithelial cervical dysplasia * Insomnia207/24/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
150651507/27/2021TN36.036FScleritis/episcleritis several days post second injection with recurrence 3 times total since. Each episode has been less severe.U01/08/202101/13/20215PVTNoneNoneNone207/27/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
151536407/30/2021TN36.036MThe patient presented his covid card and only had the 1st dose filled in , He said he needed the second shot. He filled out his paperwork, and it looked good after review , so the vaccination was given. when the technician proceeded billing, the system sY07/28/202107/28/20210THE PATIENT HAD NO ADVERSE EVENT.PHMBenztropine 2mg, Hydroyzine Pam 50mg, Invega Sust 234mg, Paliperidone ER 3mg,NoneMental Health207/30/2021Penicillin and Sulfa2021VAERSSYMPTOMS2021VAERSVAX
151549107/30/2021TN36.036F06/01/2021 muscle pain, right side of the body, right upper shoulder, right neck. Treatments: ibuprofen, lidocaine, diclofenac gel patches, I will start physical therapy, prescribed by Doctor.N01/19/202106/01/2021133No.PVTProzac od; prenatal vitaminNoMild cerebral palsyvsafe207/30/2021YSulfa drugs2021VAERSSYMPTOMS2021VAERSVAX
151872107/31/2021TN36.036FExtensive lymph node swelling g (under arm, throat), sore throat, premature menstrationN07/20/202107/22/20212No done to datePHMLevythyroxine207/31/20212021VAERSSYMPTOMS2021VAERSVAX
152008808/02/2021TN36.036FI was diagnosed with acute appendicitisY1Y01/18/202107/16/2021179SurgeryPVTNoNoNovsafe208/02/2021YNo2021VAERSSYMPTOMS2021VAERSVAX
152604408/04/2021TN36.036Fforearm of injection site broke out in a large rash, very red, and very itchy. a few days later , my right hand started to welp up. my knee had a small rash and my shoulder where the vaccine was injected had a rash and whole left side was just itchy.N07/16/202107/22/20216N/APHMn/an/an/a208/04/2021phenergan, sulfa, Penicillin2021VAERSSYMPTOMS2021VAERSVAX
152632108/04/2021TN36.036MAt first I just thought it was the shot. But over this time I have had trouble sleeping, body aches, especially at night to were it makes it very difficult to sleep. I assumed my arm hurting was after playing golf and suffered with the slight pain until I N04/10/202104/15/20215NonEPVTNoneNoneNone208/04/2021YYNone2021VAERSSYMPTOMS2021VAERSVAX
153741908/09/2021TN36.036FPatient had an immediate reaction to the vaccine complaining of throat burning and causing her to cough continuously. She said she did not feel as if her throat was closing or she was having any shortness of breath. she did say she felt very anxious and fY08/06/202108/06/20210n/aPHMVitamin D 50000 unitsN/An/a208/09/2021Latex, Penicillin, clindamycin, sulfa, sulfonamides, iodine2021VAERSSYMPTOMS2021VAERSVAX
153757508/09/2021TN36.036Fvaccine 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 36-year-old female patient who received mRNA-1273 (Y01/06/202101/06/20210UNKVITAMINS NOSMedical History/Concurrent Conditions: PregnantUSMODERNATX, INC.MOD20210208/09/20212021VAERSSYMPTOMS2021VAERSVAX
154005608/10/2021TN36.036FBumps; Red rash started near the wrist and went all the way up both of her arms; This spontaneous case was reported by a consumer and describes the occurrence of PAPULE (Bumps) and RASH ERYTHEMATOUS (Red rash started near the wrist and went all the way up N01/11/202101/11/20210UNKUSMODERNATX, INC.MOD20210208/09/20212021VAERSSYMPTOMS2021VAERSVAX
154165108/10/2021TN36.036MPatient received vaccine and said he felt fine, was surprised by this because he usually faints when getting blood drawn and around needles. Was talking to pharmacist and wife for 2 minutes post shot and then leaned over slowly and fell sideways. The pharmY08/10/202108/10/20210PHMn/an/an/a208/10/2021n/a2021VAERSSYMPTOMS2021VAERSVAX
154499708/11/2021TN36.036FShinglesN06/07/202106/12/20215PHMCalcium and Vitamin D3bronchiectasis, kayphoscoliosis, Osteoporosis208/11/2021YYRobaxin2021VAERSSYMPTOMS2021VAERSVAX
155032808/12/2021TN36.036Fbaseball size swelling under her left arm; baseball size swelling under her left arm likely a swollen lymph node; pain in the top of the shoulder down to armpit; discomfort; low-grade fever of 99 F that went to 100.2 F then back down; fatigue; chills; muscY01/06/202102/01/202126Test Date: 20210202; Test Name: body temperature; Result Unstructured Data: temperature elevated from 99 to 100.2F; Test Date: 20210203; Test Name: body temperature; Result Unstructured Data: Temperature elevated between 98 F and 99 FUNKIBUPROFEN; SINGULAIR; ALBUTEROL [SALBUTAMOL]Asthma; Migraine; SinusitisUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
157084108/15/2021TN36.036Frash on leg, itching/itching rash on leg; This spontaneous case was reported by a consumer and describes the occurrence of RASH PRURITIC (rash on leg, itching/itching rash on leg) in a 36-year-old female patient who received mRNA-1273 (Moderna COVID-19 VacU03/08/202103/16/20218UNKUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
157860108/17/2021TN36.036FHSV was in remission for several years and had repeated flare ups post vaccinationU03/02/202103/15/202113UNKGERD, HSV(in remission)208/17/2021Nka2021VAERSSYMPTOMS2021VAERSVAX
158186208/18/2021TN36.036Fswollen lymph nodes on her right armpit and at the base of her neck, like above her collar bone, on the right side; This spontaneous case was reported by a consumer and describes the occurrence of LYMPHADENOPATHY (swollen lymph nodes on her right armpit anU02/03/202102/03/20210UNKUSMODERNATX, INC.MOD20210208/13/20212021VAERSSYMPTOMS2021VAERSVAX
158660808/19/2021TN36.036MStarted as numbness in my left hand, pinky and ring finger, when I slept at night. Moved to my right hand, pinky and ring finger as well. Started getting same feeling in my left leg, outside shin during the day. I have tingling in my head as well.N07/23/202107/28/20215MRI - 7/28 on brain and spine. Normal results, only 1 spot on brain, most likely a migraine.PHM208/19/2021YDairy, Red Meat, Ginger2021VAERSSYMPTOMS2021VAERSVAX
158675808/19/2021TN36.036FLost of hair, Arm sore, TirednessYN07/27/202108/01/20215NoOTHNoNoNo208/19/2021No2021VAERSSYMPTOMS2021VAERSVAX
160585908/22/2021TN36.036FSore skin; Arm is sore and hurting terribly.; Bad chills; Bad headache; Sore muscles; Fever running pretty hot; This spontaneous case was reported by a consumer and describes the occurrence of PAIN OF SKIN (Sore skin), PAIN IN EXTREMITY (Arm is sore and huU04/08/202104/08/20210Test Date: 20210408; Test Name: Body temperature; Result Unstructured Data: 103.5 F; Test Date: 20210408; Test Name: Body temperature; Result Unstructured Data: 102 FUNKUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
161042208/22/2021TN36.036FThis spontaneous case reported by a nurse, describes the occurrence of mouth ulcers, face swelling (swollen, puffy face), dizziness, pyrexia (intermittent fevers) and chills in a 36-year-old female patient who received mRNA-1273 (Moderna COVID-19 vaccine) U04/08/202104/09/20211UNKUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
161298908/22/2021TN36.036Fadministered the second dose of Moderna COVID-19 vaccine from a vial that have been punctured for more than 12 hours; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (administered the second dY04/30/202104/30/20210UNKUSMODERNATX, INC.MOD20211208/17/20212021VAERSSYMPTOMS2021VAERSVAX
161720608/22/2021TN36.036Fitchiness; broke out into rash inside bilateral upper thigh; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (itchiness) and RASH (broke out into rash inside bilateral upper thigh) in a 36-year-old female patient wY03/08/202104/14/202137UNKUSMODERNATX, INC.MOD20211208/14/20212021VAERSSYMPTOMS2021VAERSVAX
162306408/23/2021TN36.036FPassing out, heart flip flops, tachycardia, high blood pressure, excessive sweats, tingling and cold in hands and feet, chest pain, dizziness, weird scary head pressure, flushing and then extreme paleness, exhaustionN07/31/202108/02/20212NonePHMCorlanor Alprazolam AlbuterolNoneAsthma, POTS, Ehlers Danlos Type 3208/23/2021Peanuts and tree nuts2021VAERSSYMPTOMS2021VAERSVAX
162791208/24/2021TN36.036FCough, wheezing, arm pain on left (where shot was given) into finger tips, chest tightness. Started about 1.5 hours after vaccine given, mostly resolved by the next day except arm pain which lasted into lower arm x 1 week and upper arm x about 1 month.Y02/15/202102/15/20210None, I told my ID MD at the who said it sounded suspicious for myocarditis and not to get the second shot.PVTAllerga, tri-lo-spintecNoneNoneSlightly similar reaction to anthrax vaccine in about 2006- at least the arm pain being extreme, no chest tightness, cough, or w208/24/2021YSensitive to latex and morphine2021VAERSSYMPTOMS2021VAERSVAX
165862208/31/2021TN36.036Fpatient had previous history of reaction to MMR vaccine as a child including face swelling and hives. Recommended patient to remain in pharmacy for 30 minutes following covid vaccine. Approx 6 minutes after receiving vaccine patient came to pharmacy with sY08/31/202108/31/20210PHMnonenoneMMR208/31/2021Yprevious reaction for MMR vaccine as child.2021VAERSSYMPTOMS2021VAERSVAX
169655709/14/2021TN36.036FI took 1000 mg of Tylenol, one hour before my vaccination appointment time on 9/10/21. After this injection, I felt no pain - it was nothing like the first vaccine on 8/20/21. I continued to alternate 600 mg of ibuprofen and 1000 mg of Tylenol every 4 houN09/10/202109/11/20211Chest x-ray 9/13/21 (negative) COVID test 9/14/21 (no result yet)PHM1000 mg Acetaminophen (taken one hour before vaccine) Zyrtec (taken morning of vaccine)None that I am aware of.No.Immediately after my first vaccine on Friday, 8/20/21, I had burning that traveled down my arm and into my thumb and 1st finger.209/14/2021YNone.2021VAERSSYMPTOMS2021VAERSVAX
169736809/14/2021TN36.036FThe patient called on 9/14/21 to report redness that developed in the arm that she received her flu shot on 9/12/21. The size of the red area was about 5 inches long. She said that applying ice helped, and instructed patient to continue ice application aloN09/12/202109/13/20211PHM209/14/20212021VAERSSYMPTOMS2021VAERSVAX
170857009/17/2021TN36.036F9/10/21 PATIENT SEEN IN THE ER REPORTS FEELING SICK X 2 DAYS.SHORTNESS OF BREATH, COUGH, BODY ACHES, REPORTS TESTED POSTIVIE FOR COVID ON HOME TEST 9/9/21. ALSO REPORTS FEVER, CHILLS, ANOREXIA. NOTED TO BE TACHYCARDIC WITH HR 120s. HYPOTENSION 80/60. MILDY3U05/02/202109/09/2021130PHMUNKNOWNUNKNOWNUNKNOWN209/17/2021YNO KNOWN ALLERGIES2021VAERSSYMPTOMS2021VAERSVAX
171539409/20/2021TN36.036MPatient reported left arm, 3rd-5th digit numbness, depression, SOB, upset stomach, back pain, headache, and throat pain from day of receiving vaccine to today 9/20/21.N09/16/202109/16/20210PVTaleve, tylenol, fluticasoneCOVID-19 a couple weeks beforenone209/20/2021YPenicillins2021VAERSSYMPTOMS2021VAERSVAX
171677009/20/2021TN36.036FArm soreness - occurred same day, recovered by day 3 Neck stiffness - occurred same day lasted about a week Shingle-like pain in back - started about 4 days after the vaccine, sporadically still occur Dizziness - occurred about 4 days after the vaccine andN08/19/202108/19/20210PHMNoneNoneNone209/20/2021Azithromycin2021VAERSSYMPTOMS2021VAERSVAX
172067009/21/2021TN36.036MPatient experienced expected fatigue, body aches, fever, chills for 4 days. On day 4 Patient started having intense intrusive suicidal thoughts which made him tearful because he reportedly said he did not want to commit suicide but could not get the thougY09/13/202109/17/20214CBC, CMP, vitamin D, sed rate, CRP. Only abnormality was low vitamin DPHMPristiq 40mg, Buspar 15mg BID, modafiil 200mg BIDDepression and anxiety both controlled on medication for over 2 years. OSA209/21/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
172251909/22/2021TN36.036MAt 8:30am on 9.22.21, the patient called to speak to pharmacy staff to tell them what happened to him and what he should do. He explained to the pharmacist that around 8-8:30 pm on 9.21.21 he started to feel dizzy, headache, experienced arm soreness and "U09/21/202109/21/20210Unknown as it was not provided by patient.PHMUnknown as it was not provided by patient.Unknown as it was not provided by patient.Unknown as it was not provided by patient.209/22/2021Unknown as it was not provided by patient.2021VAERSSYMPTOMS2021VAERSVAX
173222509/24/2021TN36.036FI?ve developed chronic urticaria, it?s lasted since September 4th and it comes and goes all over my body in the form of itchy lacy hives. Initially it was treated by my doctor with a steroid shot, that didn?t work. Then I was given 6 days of prednisone andN08/17/202109/04/202118None, the doctor just looked at it and prescribed steroids.PHMVitamin B12, VitaminD3, Vitamin CNoneNone209/24/2021YYSulfa drugs (bactrim) and benzoyl peroxide2021VAERSSYMPTOMS2021VAERSVAX
173598109/26/2021TN36.036F35 weeks pregnant, due 10/22/21. Awoke on 9/21/21 with tightnes in chest and mild difficulty breathing that lasted all day. Large hive approximately 3.5" appeared on left upper leg around 10pm.Y09/20/202109/21/20211PVTPrenatal vitamins, magnesium, fish oil, calcium, probioticsnonenone209/26/2021Corn and corn bi-products2021VAERSSYMPTOMS2021VAERSVAX
174114609/28/2021TN36.036MParents reported to Death Investigator that patient complained of body aches, severe headache, and pain in his lower extremities on the evening of 9/22/21 (thee date he received the vaccine). He was taking Tylenol for his symptoms per his parents. On ThuY09/25/2021N09/22/202109/22/20210No medical or lab tests were done by the Death Investigator. An autopsy was ordered and the body was sent to the State Medical Examiner for an autopsy.PUBUnknownNone reported by individual - Parents told EMS and Death Investigator that he had been "sick a few weeks ago". He was last tested for COVID-19 for his job on 8-16-21 and was negative. It was a PCR test.None reported209/28/2021NKA2021VAERSSYMPTOMS2021VAERSVAX
175955110/04/2021TN36.036FPatient had a rash that started on the right arm and spread to the legs and truck overnight. Patient contacted her primary care and was advised to take benadryl and pepcid.N10/03/202110/03/20210none at this timePHMNonenonenone210/04/2021Morphine2021VAERSSYMPTOMS2021VAERSVAX
176814810/07/2021TN36.036FNurse drawing up Moderna doses drew up and administered 0.3mL doses instead of 0.5mL. Patient was notified 10/06/21 and offered to received the additional 0.2mL to receive the full dose.10/06/202110/06/20210PVT210/07/20212021VAERSSYMPTOMS2021VAERSVAX
177516110/09/2021TN36.036FMuscle pain in upper left arm. I can hardly lift it. It?s getting worse with time.N06/11/202106/18/20217X-ray done at walk in clinic. Nothing was broken. 07/29/21UNKN/aN/aN/a210/09/2021YN/a2021VAERSSYMPTOMS2021VAERSVAX
177642510/11/2021TN36.036MPATIENT GIVEN SECOND DOSE OF MODERNA TOO EARLY. SECOND DOSE NOT DUE UNTIL 10/19/21Y10/11/202110/11/20210PUB210/11/20212021VAERSSYMPTOMS2021VAERSVAX
181347310/23/2021TN36.036FPatient 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 the J&J shot would get the full 0.5ml dose of the Moderna booster so that is what this patient got. MucY10/22/202110/22/20210PHM210/23/20212021VAERSSYMPTOMS2021VAERSVAX
182089010/27/2021TN36.036Fpt called office at 820am on 8/27/21 and stated around 12am she had fainted falling off her front porch and hitting her headU10/26/202110/27/20211PVTnone per pt reportnonepsoriasis210/27/2021none per pt report2021VAERSSYMPTOMS2021VAERSVAX
182092610/27/2021TN36.036MFever, chills, headache, nausea. Symptoms began at 10:00 PM. Fever and chills ended around 3:00 AM. Nausea and headache continued until 8:00 AM.10/26/202110/26/20210None.PHMInsulinNoneType 1 DiabetesModerna COVID-19 2nd dose - same symptoms as 3rd dose. 35 yo at time of 2nd dose. 2nd dose date was 4/26/21.210/27/2021None2021VAERSSYMPTOMS2021VAERSVAX
182525810/28/2021TN36.036FUTI symptoms began within 2 weeks of receiving 2nd dose. Went to a walk in clinic and received 5 days of Macrobid for positive urine culture, 3 days after finishing that course, went back to walk in with a raging UTI and severe pain. Then was given 5 days U09/10/202109/26/202116Two positive urine cultures at local urgent care on 9/29/2021 and 10/9/2021.WRKnonenonenone210/28/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
183161710/30/2021TN36.036MBecame tachycardic approx 30 post vaccination Began running fever 103.0 approx 1 am on 10/30/21. Fever remained above 102 with rotating doses of Tylenol 1000mg and Ibuprofen 800mgN10/29/202110/29/20210PHMNoneNoneCrohn?s Disease210/30/2021PCN2021VAERSSYMPTOMS2021VAERSVAX
183997911/03/2021TN36.036FRash on chest, mucus in chest made popping and crackling noise, running noise, sneezing, diarrhea, wheezing, As advised by my allergist due to my reaction to my first shot, I began taking 50 mg of Benedryl beginning 24 hours before my injection and had toU10/30/202110/30/20210UNKNikki, Zyrtec, Benedryl,Endometriosis, fibroid tumors, ovarian cysts.211/03/2021YLevoquin, doxycycline, pepto bismal , foods: gluten, tree nuts, soy, parsley family, avocados, navy beans, melons, citrus, apples, bananas, other2021VAERSSYMPTOMS2021VAERSVAX