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

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VAERS_IDRECVDATESTATEAGE_YRSCAGE_YRCAGE_MOSEXRPT_DATESYMPTOM_TEXTDIEDDATEDIEDL_THREATER_VISITHOSPITALHOSPDAYSX_STAYDISABLERECOVDVAX_DATEONSET_DATENUMDAYSLAB_DATAV_ADMINBYV_FUNDBYOTHER_MEDSCUR_ILLHISTORYPRIOR_VAXSPLTTYPEFORM_VERSTODAYS_DATEBIRTH_DEFECTOFC_VISITER_ED_VISITALLERGIESLink 1Link 2
091924401/04/2021WI36.036FPatient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted.12/26/202012/30/20204PVT201/04/2021vitamin D, Bupropion, steristrip2021VAERSSYMPTOMS2021VAERSVAX
092030001/05/2021WI36.036FPatient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect noted.12/26/202012/30/20204PVT201/05/20212021VAERSSYMPTOMS2021VAERSVAX
092041301/05/2021WI36.036MPatient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects reported.12/26/202012/30/20204PVT201/05/20212021VAERSSYMPTOMS2021VAERSVAX
092087901/05/2021WI36.036FAbdominal pain that proceeded to get worse into the next day. Connected with PCP, had labs drawn and ultrasound ordered. Ended up going to ER. Determined to have Appendicitis, needed and had appendectomy on 12/29/2020.Y1N12/23/202012/28/20205Labs drawn, abdominal ultrasound and ct scan performed. Stones found in appendixPVTNoneNoneBack pain201/05/2021YYNone2021VAERSSYMPTOMS2021VAERSVAX
092148301/05/2021WI36.036FPatient stated while showering the am of 1/4 noticed a red area over COVID vaccine injection site. As the day went on, she became itchy all over and developed a rash. Describes redness of injection site, pain in lymph nodes in armpit, diffuse itchingU12/26/202001/04/20219WRK201/05/2021Y2021VAERSSYMPTOMS2021VAERSVAX
092150501/05/2021WI36.036FPatient experienced headache, dizziness, light headedness and metallic taste in the mouth a few minutes after receiving the vaccine. Vitals were taken and patient observed for 30 minutes following vaccination.Y12/28/202012/28/20200PVT201/05/20212021VAERSSYMPTOMS2021VAERSVAX
092256901/06/2021WI36.036FEmployee received Pfizer COVID-19 vaccine on 12/23/2020. Waited 15 minutes after immunization and felt fine. Started to have a hot flash on the way home. Then her tongue felt sluggish but not swollen. She had a few minutes having difficulty swallowing Y12/23/202012/23/20200NonePVTLevonorgestrel IUD, acetaminophen (PRN), multivitamin, ibuprofen (PRN)NoneIncreased BMI201/06/2021None2021VAERSSYMPTOMS2021VAERSVAX
094382701/14/2021WI36.036F2 days ago noticed redness and itching at the injection site of left upper arm. Some tenderness to left axillary lymph node area. No swelling in the lymph node. Area outlined and being monitored. No noticeable lump on the arm.N01/06/202101/12/20216SENSeasonale birth control pill, fluoxetine, B Complex, D3NoneNone201/14/2021peanut, tree nut, soy, red pepper, peach, zest soap, percocet2021VAERSSYMPTOMS2021VAERSVAX
094500501/14/2021WI36.036FNausea and dizziness. Gave me meclizine for vertigoU01/13/202101/14/20211NonePVTNoneNoneNone201/14/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
094984101/16/2021WI36.036FChills, headache, sore arm, tiredN01/15/202101/16/20211NonePVTNoneNoneNone201/16/2021None2021VAERSSYMPTOMS2021VAERSVAX
095151001/17/2021WI36.036MPatient complained of tingling around his forehead and numbness in his fingertips apx. 5 minutes after receiving vaccine. Was given some water to drink and taken to an area where he could be appropriately distanced from other people but remove his mask soY12/24/202012/24/20200PVT201/17/20212021VAERSSYMPTOMS2021VAERSVAX
095277301/18/2021WI36.036FDry cough, chest tightness, rash covering entire left arm, chest and left side of abdomen, fever, Fatigue, nausea.Y01/14/202101/14/20210N/AOTHMulti vitamin CreonN/AAsthma201/18/2021Ultram Flexeril Percocet Tretinoin2021VAERSSYMPTOMS2021VAERSVAX
095326601/18/2021WI36.036Fsore arm x 3 days. (starting on night of injection) Chills (starting night of injection) following injection for 24 hours: fever 100.8 F muscle aches extreme fatigue migraine mild shortness of breathY01/05/202101/06/20211nonePVTemgality injection once monthly desvenlafaxine 75mg QD vyvanse 30mg QD famotadine xarelto 20mg QDCOVID19 disease from 11/14-11/24depression/anxiety, migraine, obesity, GERD201/18/2021NKDA, allergy to mold and pollen2021VAERSSYMPTOMS2021VAERSVAX
095503501/19/2021WI36.036FInjection site pain, Injection site swelling, Injection site redness, tiredness after injectionN01/14/202101/15/20211PVTProtein bars and protein shakesNoNoRash with MMR (age 9)201/19/2021Codeine2021VAERSSYMPTOMS2021VAERSVAX
095913301/20/2021WI36.036FArm is red, swollen, and hot to the touch since she had her vaccine.01/12/202101/12/20210PUB201/20/2021Y2021VAERSSYMPTOMS2021VAERSVAX
096460701/22/2021WI36.036FNausea Vomiting Fatigue Muscle aches Joint aches Swollen Lymph nodes in both armpits; more severe swelling on injection side.Y01/19/202101/20/20211n/aPVTLexapro 10 mg daily Birth Control (Yaz) Ibuprofen 600 mg Tylenol 1000mg Triamcinolone Acetonide creamnoneanxiety depression201/22/2021Levaquin - causes rash Amoxicillin - causes rash2021VAERSSYMPTOMS2021VAERSVAX
096687001/22/2021WI36.036FI received the 2nd dose at 730am and by 1130pm the following symptoms occurred dizziness, sweating, tingling in the feet, hands, and face; headaches rapid heart beats and I have these symptoms for 5 days now.N01/17/202101/17/20210I will be going to my primary on TuesdayPVTDepo-Provera shot for birth controlNoNo201/22/2021YWatermelon2021VAERSSYMPTOMS2021VAERSVAX
096740501/23/2021WI36.036Fprolonged and persistent bouts of nausea, decreased appetite, fatigueN12/30/202001/01/20212WRKfluoxetine, vitamin D, topamax, minipillthyroid disease, depressionthyroid disease, depression201/23/2021reglan, morphine2021VAERSSYMPTOMS2021VAERSVAX
097068901/25/2021WI36.036FNUMBNESS AND TINGLING ON LEFT LEG. IT STARTED ON LEFT HIP AND WENT DOWN TO LEFT FOOT.Y01/19/202101/20/20211WRKNONENONENONE201/25/2021NONE2021VAERSSYMPTOMS2021VAERSVAX
097120501/25/2021WI36.036MSore, lump, and minor rash at injection site. No treatment Body aches, fatigue, abdominal cramps, dry lips, dry mouth and throat, sinus pressure, nasal passage closed on one side and closing on the other, pale white skin on back of throat on the right sidN01/21/202101/22/20211MILDay of vaccination: Omeprazole Days since: Omeprazole, Azelastine, Advair 250/50, Ibuprofen, Albuterol, multi vitaminnoneAsthma, sinusitis, acid reflux201/25/2021Seasonal allergies, mold, dogs2021VAERSSYMPTOMS2021VAERSVAX
097771901/27/2021WI36.036FThe morning after 2nd dose of COVID 19 Moderna vaccination I felt nauseous and fainted. I passed out for about 2 minutes. In addition I had arm pain at site of injection and general fatigue.Y01/26/202101/27/20211PHMN/AN/AN/A201/27/2021no known allergies2021VAERSSYMPTOMS2021VAERSVAX
097810401/27/2021WI36.036FParathesia to injection arm. Immediately after the shot arm was warm and tingly. Involuntary muscle twitching noted. On 1/15 chilled pinprick sensation began from fingertips to shoulder. Progressively worsened with pinprick sensations occurring in random lN01/14/202101/15/20211SENLevothyroxine, Adderall, MelatoninNoneHypothyroidism d/t thyroidectomy201/27/2021NA2021VAERSSYMPTOMS2021VAERSVAX
097896001/27/2021WI36.036MAfter receiving second dose of COVID-19 vaccine, developed 100.5 temp, shakes, and feeling unwell. Unable to work scheduled shift.01/25/202101/26/20211PVT201/27/20212021VAERSSYMPTOMS2021VAERSVAX
097946701/27/2021WI36.036FI had no immediate symptoms other than slight redness and muscular pain at injection site for a couple days, which was tolerable. 8 days after my vaccine (1/14/21) I noticed tightness in my right cheek and my tongue feeling a little numb or burnt in the evN01/06/202101/14/20218CBC w/o differential: 1/15/21 Comprehensive Metabolic Panel: 1/15/21 Lyme Disease Western Blot: 1/15/21 CT head w/o contrast: 1/15/21PVTSertraline, oral birth control, Cetirizine, steroid inhalerNoneAnxiety, sleep apnea, asthma.201/27/2021YLatex sensitivity, outdoor allergies (hay, pollen), dust, animal dander.2021VAERSSYMPTOMS2021VAERSVAX
098135301/28/2021WI36.036FRed, inflammed and hot to the touch, hard and size of baseball at injection site. No fever. Localized pain.01/25/202101/25/20210PUBNoneNoneHad Covid end of Nov 2020201/27/2021None2021VAERSSYMPTOMS2021VAERSVAX
098233601/28/2021WI36.036FRed rash on left upper arm- not painful or itchy. Resolved in 24 hours.Y12/27/202001/07/202111PVTMeclizine Prn OCP's dailyN/AMigraines201/28/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
098283401/28/2021WI36.036FFelt lump in throat 2 minutes after receiving vaccine. 3 minutes later she felt chest pressure and had a metallic taste in mouth and with smell. She was brought to TEC for futher evaluation.U01/28/202101/28/20210PVTHydroxyzine, Multivitamin, Mirenanonenone201/28/2021YNKDA2021VAERSSYMPTOMS2021VAERSVAX
098368201/28/2021WI36.036FRed rash about 2-3 inches in diameter appeared suddenly on d+8 after vaccination. The rash was hot to the touch, red, tight, swollen, and had intermittent itchiness. It expanded overnight to about 4-5 inches in diameter. The swelling and irritation dissY01/05/202101/13/20218nonePVTmirenanonefamily history of malignant hyperthermia201/28/2021none2021VAERSSYMPTOMS2021VAERSVAX
098689801/29/2021WI36.036Mmarked Chills/Shivering starting about 8-9 hours after dose (approx. 10:30 pm) lasting until after midnight Fever the next morning at 0500 of 101.9 F Fever of 99 - 100 F and fatigue continued throughout the day; Managed with Acetaminophen alt/with IbuprofY01/26/202101/26/20210N/AOTHNo regular medicationsNoneCongenital heart disease201/29/2021Amoxicillin - rash/diarrhea2021VAERSSYMPTOMS2021VAERSVAX
099080802/01/2021WI36.036MI contracted Shingles from immune system being knocked down so low. 4 days after the shot. No change to daily life or diet.N01/26/202101/29/20213Doctor VisitPVTN/AN/AN/A202/01/2021Penicillins, Amoxicillin Bee sting, bee pollen, naproxen2021VAERSSYMPTOMS2021VAERSVAX
099164002/01/2021WI36.036FPatient developed globus sensation, chest tightness, and dizziness shortly after vaccination. Observed for 2 hours without concern, and was discharged without further issue.Y01/28/202101/28/20210N/APVTHydroxyzine 25 mg PO TID prn, multivitamin PO daily, levonorgestrel IUDN/ADepression, anxiety, hypothyroidism, bilateral myopia202/01/2021YN/A2021VAERSSYMPTOMS2021VAERSVAX
099268902/01/2021WI36.036MFor six days: I had headache; nausea; body aches; decreased appetite; on and off fevers and fatigue. Went to Respiratory clinic - COVID - negative test (day after my vaccine - COVID test; re-COVID tested at six days out - both normal/negative). Dx'd with Y12/26/202012/26/20200COVID tests January 1st CBC - was normal and CMT and Influenza - normal Mono - was positivePVTNonenonovsafe202/01/2021Ynothing2021VAERSSYMPTOMS2021VAERSVAX
099728802/03/2021WI36.036FFever, headache, extreme fatigue, shortness of breath, lack of appetite for first 10 days. Fever returned around day 14 or 15 and stayed for another 3 or 4 days. Joint pain, fatigue currentlyY01/05/202101/07/20212Jan 11: chest xray (possible start of pneumonia) influenza test(negative) Jan 15: bloodwork (lots of flags), chest ct (clear) Jan 25: blood work (some flags), abdomen xray (clear), covid test (negative)SENEscitalopram 10 mg, pepcid ac 10mgPCOS, migraines202/03/2021YYFloral perfumes2021VAERSSYMPTOMS2021VAERSVAX
101003502/07/2021WI36.036FInsomnia for 2 nights following vaccine administration. I am currently 18 weeks pregnant, after IUI treatment. I am due 07/06/2021. I have had hyperemesis and severe nausea throughout my pregnancy so far.U02/05/202102/06/20211PVTCimzia, prenatal vitamin, Flonase, baby aspirin, Zofran, Unisom, Vitamin B6HLA-B27 Spondyloarthritis202/07/2021Latex, avocado, cephalosporins2021VAERSSYMPTOMS2021VAERSVAX
102052202/10/2021WI36.036FFace, mouth, neck, and throat tingling and then numb for an hour. No difficulty breathing and the numbness stopped on its own.Y02/10/202102/10/20210NoneOTHSertraline, levothyroxineNoneAnxiety, hypothyroid, B12 deficiency202/10/2021None2021VAERSSYMPTOMS2021VAERSVAX
102074202/10/2021WI36.036FPassed out from standing/leaning on her bed, awoke, nausea, vomited, fatigue for two days.Y01/19/202101/22/20213NONEPVTNEXPLANONNONENONE202/10/2021NONE2021VAERSSYMPTOMS2021VAERSVAX
102734502/12/2021WI36.036FSignificantly swollen lymph nodes in neck - painfulN02/04/202102/09/20215PUBnonesinus infection 3 weeks priorpast DVT202/12/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
103050902/15/2021WI36.036MAfter completion of series, 2 weeks following 2nd dose, client tested positive for Covid-19 by PCR (positive on 2/4/2021)12/22/202002/04/202144UNK202/15/20212021VAERSSYMPTOMS2021VAERSVAX
103052002/15/2021WI36.036MClient tested positive for Covid-19 following completion of vaccine series (2 weeks following last dose)01/14/202102/04/202121UNK202/15/20212021VAERSSYMPTOMS2021VAERSVAX
103285302/16/2021WI36.036MFatigue, body aches, head ache, chills. On 2/16/2021 at 8am. Low grade temp of 99.0 degreesN02/15/202102/16/20211SENnononoDose #1 on 1/15/21, same Fatigue, body aches, chills, head ache202/16/2021amoxicillin2021VAERSSYMPTOMS2021VAERSVAX
103675202/17/2021WI36.036F12/16: 1200 - dizziness 1700 - headache, fatigue 2000 - 101.9 fever, body aches, fatigue, dizziness, nausea 12/17: 0600 - dizziness, nausea 0800 - nausea, diarrhea - lasted throughout whole dayU02/16/202102/16/20210None Managed symptoms at homePVTNoneNoneNone202/17/2021None2021VAERSSYMPTOMS2021VAERSVAX
103689902/17/2021WI36.036MModerna COVID-19 vaccine, 0.5ml, was administed using supplied needles. During IM injection, the vaccine leaked from the hub where the syringe and the needle connect. A large drip was seen on patient's arm. Patient also felt the leakage. Moderna was con02/17/202102/17/20210PHM202/17/20212021VAERSSYMPTOMS2021VAERSVAX
104134202/19/2021WI36.036Fa cold sore has developed on the left of my mouth areaN02/05/202102/17/202112UNK202/19/20212021VAERSSYMPTOMS2021VAERSVAX
104188802/19/2021WI36.036FHEADACHE, VOMITING01/27/202101/28/20211PVT202/19/20212021VAERSSYMPTOMS2021VAERSVAX
104433802/21/2021WI36.036F1/8 vaccination 1/9 I woke up and my throat was thick. Happens a lot with allergies. I ate breakfast, but felt like something stuck in my throat. White spots in back of throat. Drank a lot of water, monitored. 1/10 Walk-in Medical Center. I used mouthwaY01/08/202101/09/20211Strep; negative COVID ; NegativePVTmontelukast 10mg; vit D3 2000, Multivitamin, loratidinen/aallergy induced asthma (have inhaler but 'don't use it' - very well controlledvsafe202/21/2021Yseasonal allergies2021VAERSSYMPTOMS2021VAERSVAX
104586202/22/2021WI36.036MPfizer-BioNTech COVID-19 Vaccine EUA I started developing itchy hives and rash on tops of my hands and around my elbows. Also on my feet and under my armpit. There are also random hives appearing on different parts of my body. These symptoms have been N02/17/202102/19/20212PHMLevothyroxine 100 mcg tabletshypothyroidism202/22/20212021VAERSSYMPTOMS2021VAERSVAX
104976102/23/2021WI36.036FI have a red circle below my injection site that is sore and tender. It is also very warm and itchy. All I have tried so far is hydrocortisone cream.N02/18/202102/22/20214PUBVenlafaxine ERnoneNone202/23/2021Sulfa and Ceclore2021VAERSSYMPTOMS2021VAERSVAX
131331003/01/2021WI36.036M03/01/2021Immunizer accidentally stuck herself with the needle and then proceeded to give the patient the vaccination with that needle. Both individuals are getting blood testing done.Y02/27/2021both getting blood testsOTHPVTNANANA12021VAERSSYMPTOMS2021VAERSVAX
107146003/04/2021WI36.036MVaccine was administered at 10am with no signs or symptoms. Patient went to bed at 930pm with no signs or symptoms. Patient awoke at 0100am on 2/17/21 with 102.7 fever, chills, nausea, severe full body muscle aches, headache, diaphoresis, and shortness of Y02/16/202102/17/20211N/APUBUrea CreamN/AN/A203/04/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
107219603/04/2021WI36.036F3:35 Began feeling tingly sensation on tongue, roof of mouth. Also felt lightheaded. Laid down supine. BP 162/82, HR 76. Patient stated she would take some deep breaths and try to relieve some of the anxiety she was feeling. 4:02 Pt reported symptoms had Y03/03/202103/03/20210NonePUBBupropion CitalopramNone disclosed by patientNone disclosed by patient203/04/2021None disclosed by patient2021VAERSSYMPTOMS2021VAERSVAX
108051803/08/2021WI36.036FModerna Covid-19 Vaccine EUA The first 24 hours after injection, experienced headache, arm pain, and fatigue. Developed an itchy, red rash in a large circular area around injection site after one week from injection.N02/27/202103/06/20217N/AUNKBirth control, Sertraline 50mgNoneAsthma, seasonal allergies203/08/2021None2021VAERSSYMPTOMS2021VAERSVAX
108229403/08/2021WI36.036MPt reports received 1st dose of moderna vaccine on 3/5 to R arm. On Saturday 3/6 he noted red rash to R side of his neck and black/blue dot rash on L side of neck. Also had mild fever, pain and injection site, chills. Denies any issues with breathing or swU03/05/202103/06/20211n/aPVTnonenonehyperlipidemia, vitamin d deficiency203/08/2021nka2021VAERSSYMPTOMS2021VAERSVAX
108422903/09/2021WI36.036FAxillary lymphadenopathy on same side as the injection. Recommended warm compresses. Follow up in 2 days.N03/03/202103/07/20214PVT203/09/2021Y2021VAERSSYMPTOMS2021VAERSVAX
109751603/13/2021WI36.036FI am reporting COVID arm. Itching, a rash and some tissue inflammation appeared on day 8 post-vaccination. On day 9, a red patch (where the rash was) is present around the vaccination site. All previous day reactions were reported though vsafe.N03/04/202103/12/20218NAPHMZyrtec Vyvanse Tumeric w/ Black Pepper MontelukastNAAsthma Heart Murmur203/13/2021Latex Tramadol Augmentin2021VAERSSYMPTOMS2021VAERSVAX
110059503/14/2021WI36.036FSwollen arm at site of shot 8 days later. Within 24 hours I've developed a hot, red, itchy rash in the same area.N03/06/202103/13/20217NonePVTBuspirone Prilosec Birth controlNoneNone203/14/2021None2021VAERSSYMPTOMS2021VAERSVAX
110131503/15/2021WI36.036FApproximately 7.5 hours after the vaccine I woke up with severe/violent chills/shakes. Fever unknown. I sat in a hot bath for about an hour and they stopped. When I got out I took ibprophen and went back to bed. Soon they started again and I piled on a weiY03/11/202103/12/20211UNKBupropionNoneNone203/15/2021None2021VAERSSYMPTOMS2021VAERSVAX
110509103/16/2021WI36.036Fdeveloped tingling in fingers/hands (L>R) & lipsY03/16/202103/16/20210none - vitals were taken (acceptable), pt was given po Benadryl 25mg & monitored for over 30 minutes, symptoms resolved completelySCHnone documentednonenone documented203/16/2021fin fish, certain wines2021VAERSSYMPTOMS2021VAERSVAX
110825203/17/2021WI36.036FHeadache nausea chills fever and body aches started about 2 hours after vaccination 3/14/2021 arm was in pain and swollen started feeling better Wednesday 3/17/2021 aftwr vaccinationY03/14/202103/14/20210NonePHMNoneNoneNone203/17/2021None2021VAERSSYMPTOMS2021VAERSVAX
110951303/17/2021WI36.036FCovid arm- redness, swelling, rash, soreness in arm. No itch as of today but rash is getting larger in size of area.03/05/202103/16/202111PHM203/17/20212021VAERSSYMPTOMS2021VAERSVAX
111071903/18/2021WI36.036FPatient reports she received the COVID-19 vaccination "around 3:45pm on Friday, March 5th". States she left clinic in good condition after waiting the designated amount of time for observation. Reports that in the "middle of the night, she had terrible paiU03/05/202103/05/20210Unknown at this timePUBUnknownUnknownUnknown203/18/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
111176403/18/2021WI36.036MPinched nerve developed on the left side of my neck shortly after obtaining a dose of the vaccine.N02/18/202103/07/202117XrayPVTNoneThe same Incident occurred on January 27th two days after receiving the first dose of the vaccineAsthma203/18/2021YYNone2021VAERSSYMPTOMS2021VAERSVAX
111733503/19/2021WI36.036Fpt received her first covid vaccine on Thursday. Friday had some soreness of the right arm, fatigue. sunday march 14th evening she noted some axillary pain, by Monday had more severe pain and noted swelling and discoloration of her right arm and hand. sN03/11/202103/14/20213D-DIMER 0 - 400 ng/mL 677 FINDINGS: Lack of normal flow and waveforms within the right subclavian vein and also lack of normal flow and compressibility along the right axillary vein. Findings are consistent with deep venous thrombosis. Cephalic, brachialPVTamitriptyline, buspirone, dicyclomine, humira, levonorgestrel-ethinyl estradiol, lorazepam, ondansetron, promethazine, propranololnonecrohns disease, chronic. had covid 9/2/2020203/19/2021YYnone2021VAERSSYMPTOMS2021VAERSVAX
111896903/20/2021WI36.036Fpatient received dose that was not diluted properly. Pharmacy was able to get hold of patient after 2nd try and leaving message for her. Patient called back on 3/20/21 at 5:08 pm and reports she was groggy and felt like she was drunk for most of the day al03/19/202103/19/20210PHM203/20/20212021VAERSSYMPTOMS2021VAERSVAX
112196503/22/2021WI36.036FPainful red itch patch/rash at injection site. Also feels warm to the touch.N03/19/202103/21/20212PVTCymbalta, Wellbutrin, Zyrtec, Doxycyline, Spironolactone, Zinc, Probiotic203/22/2021Imitrex2021VAERSSYMPTOMS2021VAERSVAX
112941403/24/2021WI36.036FTwenty minutes after receiving the vaccine I suddenly felt a tight squeezing under my breastbone. It was a lot of pressure and felt like someone was standing on my chest. This lasted about an hour and was about a six on the pain scale. In the three days thN03/21/202103/21/20210I went to the emergency room on the evening of March 23, 2.5 days after receiving the vaccine after a nurse recommended I be screened for a heart attack. The ER staff ran an EKG, multiple blood tests standard for chest pain, and performed an x-ray. It was PHMpre-natal vitaminnoneendometriosis203/24/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
113956503/27/2021WI36.036F9:00am - extreme headache 9:15am - high blood pressure 168/92, low heart rate 62 10am - extreme headache, dizzy, blurred vision, high blood pressure 2pm - fever 102.1 9pm- blood pressure normal 112/82N03/25/202103/25/20210Blood pressure, oxygen level, and heart ratePUBTopimax, Zoloft, vitamin d, Claritin, doxycyclineNoneNone203/27/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
117427304/07/2021WI36.036FApproximately 1 hour following vaccine a mild headache started and persisted through the evening. At approximately 11:11 PM I woke with uncontrollable chills and persisting mild headache as well as muscle aches. Temperature was 98.7. I took 1000mg TylenN04/06/202104/06/20210UNKLevothyroxine, amlodipine, birth control, Brio InhalerNoneHypothyroidism, asthma, HTN, idiopathic rhabdomyelysis204/07/2021Lisinopril, PCN, Bactrim, Vessicare, Minocycline, Truvada, latex2021VAERSSYMPTOMS2021VAERSVAX
117888604/07/2021WI36.036FMenstrual Spotting for one day.Y03/31/202104/05/20215UNKMultivitamin and magnesium oxidePost Partum204/07/20212021VAERSSYMPTOMS2021VAERSVAX
117972604/08/2021WI36.036FLarge red rash appeared on upper left arm on Wednesday, April 7th around 5pm. Slightly itchy, but mostly just very very hot. It is raised up like a welt with the diameter of about 3 inches. There are a few smaller surrounding welts with diameters of 1/2 U03/25/202104/07/202113N/APHMN/AN/Aobesity204/08/2021amoxycillin2021VAERSSYMPTOMS2021VAERSVAX
117991104/08/2021WI36.036FPatient received Janssen COVID-19 vaccine and presented to observation area. After a few minutes, complained that "her heart felt like it was racing". BP checked: 128/72, P 72 and regular. HRR. Stated she was nervous and maybe she felt like her heart was rY04/07/202104/07/20210NonePUBUnknownUnknownUnknown204/08/2021PCN2021VAERSSYMPTOMS2021VAERSVAX
118261704/08/2021WI36.036F16:30: Pt was standing up to leave when she advised observer in room that she didn't feel right. I had just walked in after she sat back down and pt said she felt difficulty swallowing. We talked a little bit as I asked her about any other symptoms. Pt04/08/202104/08/20210OTHUnknownNoneUnknown204/08/2021Ceclor as a child- unsure of symptoms. No h/o anaphylaxis.2021VAERSSYMPTOMS2021VAERSVAX
118354504/09/2021WI36.036F4/7/21 6am - woke up with moderate muscle pain in left arm at injection site 8am - injection site pain gone, mild nausea and dizziness, body aches and joint pain started and got worse throughout the morning 9:30am -took 1000mg acetaminophen 12pm - nausea aU04/06/202104/07/20211PHMVyvanse, simvastatin, levonoegestrel-ethinyl estradiol, zyrtec, levothyroxine, ergocalciferolObesity, asthma, hypothyroidism, hyperlipidemia, kidney stones204/09/2021Fin fish, shellfish, almonds, hazelnuts2021VAERSSYMPTOMS2021VAERSVAX
118519404/09/2021WI36.036MThe evening he received his 1st dose of the vaccine, he developed severe sciatica in his left leg. He took tylenol and ibuprofen and did gentle stretching. Then 4/2 he sought care because the pain was worse. He was prescribed a steriod-prednisone-unsure oN04/09/202104/09/202104/9 Xray narrowing of L5-S1SCHnonenoneLow back pain intermittent but never sciaticaHe states with influenza vaccine in the past, he gets ill with the "flu" so he stopped receiveing them-no record of the date.204/09/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
118703404/09/2021WI36.036Mtongue stiffness, tingling, skin tingling, lymphadenopathy, muscle stiffnessY04/08/202104/08/20210UNKmetformin, lisinopril hct, fenofibrate, vit D3HTN, T2DM, hyperlipidemia204/09/2021Yamoxicillin, PCN, SMT/TMP, prochlorperazine2021VAERSSYMPTOMS2021VAERSVAX
118748004/09/2021WI36.036MAbout an hour after receiving vaccine I had the following take place: Flush skin, sweating (no fever), stiffened muscles in neck and shoulders, tingling / stiff tounge, and enlarged lymph nodes in neck. Started taking over the counter benadryl (every 4 houN04/08/202104/08/20210PUBVitamin D - 2,000units daily Metaformin Fenofibrate LisinoprilHigh blood pressure Diabetes Obese204/09/2021YPenicillin Amoxicillin Bactrim Compazine2021VAERSSYMPTOMS2021VAERSVAX
118978304/10/2021WI36.036MNausea, tiredness, muscle aches, chills, headache. Lasted for 24 hours. Did not take temperature. Tylenol helped.Y03/25/202103/26/20211None takenUNKLisinopril 20mg Cetirizine 10 mgNoneHigh blood pressure204/10/2021None2021VAERSSYMPTOMS2021VAERSVAX
119662804/12/2021WI36.036Fstarted with tongue swelling and then felt like her throat was starting to close in. Placed in Wheelchair and taken up to ED. Gave her 50 po Benadryl on our way up to ED. In the ED was given the following medication Medications Administered During Visit Y04/10/202104/10/20210NonePVTamitriptyline 10 mg oral tablet, 10 mg= 1 tab(s), Oral, DAILY (AT BEDTIME) Dulcolax Stool Softener 100 mg oral capsule, 100 mg= 1 cap(s), Oral, DAILY, PRN ibuprofen 200 mg oral tablet, 400 mg= 2 tab(s), Oral, q8hr, PRN levothyroxine 50 mcgNONENONE204/12/2021Ycefaclor (Hives) morphine (Erythema at injection site, Unknown) amoxicillin (Unknown) penicillin (Unknown) 'ivory dish soap' ?Potatoes: Anaphylaxis2021VAERSSYMPTOMS2021VAERSVAX
119770804/12/2021WI36.036FLarge red, circular/oval mark on arm around injection site that was extremely itchy for about 12 hours.Y03/17/202103/25/20218N/APHMVitamin D, Post-natal vitaminsN/AN/ANausea, fatigue, headache, fever - TDAP - August 2020204/12/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
119932204/12/2021WI36.036FLarge rash at injection site, approximately 6"+ in diameter, red, raised, warm to touch and very itchy. "Covid Arm" Last approximately 48 hours. Delayed reaction beginning 4 days after injection.Y03/15/202103/20/20215n/aPHMZyrtec - daily, fish oil supplement, vitamin d supplement, women's daily multivitaminn/an/a204/12/2021Shellfish, Oral Allergy Syndrome: Raw fruits and vegetables2021VAERSSYMPTOMS2021VAERSVAX
120457404/13/2021WI36.036Fheadache left side of head since vaccine givenN04/01/202104/01/20210CBC ordered for 4/14/2021PVTnonenonenone204/13/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
120996704/14/2021WI36.036FRed, raised, indurated arm approx. 1 week after receiving #2 Moderna vaccineU04/01/202104/14/202113N/APVTAlphlipoic Acid 300mg, Baclofen 20mg, Buspar 15mg, Vit D 5000 U, CoQ10, B12 5000mg, Cymbalta 60mg, Lactulose, Leucovorin 25mg, Levocarnitine, lorazepam 1mg, Depo Provera Injection 150mg, Midorine, Niacin 100mg, Zyprexa 2.5mg, Pantaprozole 4choloecystectomydysphagia, mitochondrial metabolism, cerebellar ataxia, seizures and POTS204/14/2021YFlexeril, lamotrigine, ciprofloxacin, penicillin, kepra, venlafaxine, florinef, phenytoin, metroprolol2021VAERSSYMPTOMS2021VAERSVAX
121785404/16/2021WI36.036Mfatigue, shortness of breath, nausea,N04/06/202104/07/20211OTHAsthma, hypertension204/16/2021Ypollen, vancomycin2021VAERSSYMPTOMS2021VAERSVAX
121869404/16/2021WI36.036Fhigh fever, aching muscles, fatigue, nausea, headache, early menstrual cycle, lymph node swelling in injection arm, pain at injection siteN04/15/202104/16/20211OTHNoneNoneNone204/16/2021None2021VAERSSYMPTOMS2021VAERSVAX
121946004/16/2021WI36.036MHeadache and mild nausea. Onset started within 20 minutes or so of second dose. No other adverse reactions noticed at time of submission of this form, approximately 3 hours after second dose.N04/16/202104/16/20210NoneOTHCetirizineNoneSimilar side effects after first dose of Pfizer covid vaccine204/16/2021None2021VAERSSYMPTOMS2021VAERSVAX
122293504/17/2021WI36.036FNauseous shortness of breath headacheN04/16/202104/17/20211None yetPHMBlood pressure Lisinopril/Hctz 20mg/12.5mg Stomach Omeprazole 20 mg capsule Mood Escitalopram oxalate (generic lexipro) 20 mg tablet Buproprion 300 mg 1 tablet Vitamin D 2000 IU Fiber OTC 1cap Iron OTC 1 cap Fish oil 800mg L-glumtamine 800mNAHigh blood pressure Anxiety Acid reflux204/17/2021Azithromycin2021VAERSSYMPTOMS2021VAERSVAX
122358904/17/2021WI36.036FSlight tachycardia feeling, mild dizziness, brief nausea and feeling flush. Some symptoms within few minutes, but all developed within 15 minutes. Patient embarrassed and didn't want to acknowledge them. She felt she needed to take her mask off to help Y04/17/202104/17/20210Vitals stable. No distress.PVT204/17/2021Benzoyl Peroxide Topical: Rash2021VAERSSYMPTOMS2021VAERSVAX
122666904/18/2021WI36.036Flarge 4" x 6" hot, raise, red, welt appeared around 24 hours after vaccine. it persisted despite use of cold compresses and ibuprofen taken only when the pain started. The size of the welt continued to grow until 1/28 when I took Benadryl. It took about 2 Y01/25/202101/26/20211nonePVTibuprofen for arm pain/low grade fever/body achenonenone204/18/2021benadryl taken on 1/28/212021VAERSSYMPTOMS2021VAERSVAX
122895504/19/2021WI36.036MCLT FELT LIGHT HEADED. BP 127/67. CLT MOVED TO A COT AND LAYED FOR 15 MINUTES WHEN SHE FELT BETTERY03/31/202103/31/20210UNKN/AN/A204/19/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
123378704/20/2021WI36.036FRinging in the ears. Did two burst and tapers of oral prednisone, but once down to 20 mg daily the ringing would return. Went to ENT 2 weeks ago and they injected a steroid to the ear drum, this helped for 1 week and 2 days, now the ringing is back.N01/17/202101/18/20211noneWRKnonenone, gall bladder removal on 12/22/2020none204/20/2021Yhydrocortisone2021VAERSSYMPTOMS2021VAERSVAX
124298704/22/2021WI36.036FPatient developed COVID symptoms including stomach ache, vomiting, diarrhea, headache, and fatigue on 4/18/2021. Patient did have exposure to a COVID-positive person on 4/16/2021.U03/31/202104/18/202118COVID-19 PCR was positive on 4/21/2021.PVTSertraline, Lorazepam, Metformin, Mirena, SpironolactonenoneObesity, Anxiety, Polycystic Ovarian Syndrome204/22/2021Doxycycline and penicillin2021VAERSSYMPTOMS2021VAERSVAX
124672004/23/2021WI36.036FSore throat developed on 4/11. Tested positive for COVID-19 on 4/22Y03/05/202104/11/202137COVID-19 PCR test 4/22UNK204/23/20212021VAERSSYMPTOMS2021VAERSVAX
124673004/23/2021WI36.036FSore throat on 4/11 and tested positive for COVID-19 4/22Y03/27/202104/11/202115PCR Covid-19 test 4/22UNK204/23/20212021VAERSSYMPTOMS2021VAERSVAX
124824404/23/2021WI36.036FPatient arrived at monitoring area during COVID-19 clinic and started complaining of numbness/tingling in her left arm, same arm as the one she received the covid-19 pfizer vaccine. Patient had what appeared a mild circular rash area and erythema around hY04/22/202104/22/20210PUBasthma204/23/2021Y2021VAERSSYMPTOMS2021VAERSVAX
126256404/27/2021WI36.036Ferythema nodosum developed 2 weeks after second vaccineN04/05/202104/19/202114normal CBC, ANA, CMP, TSHPVTSprintec 28 OCPnone knownnone204/27/20212.,4 dimethylalanine, PCN, Sulfa, iodine, adhesive2021VAERSSYMPTOMS2021VAERSVAX
126265304/27/2021WI36.036FI felt drunk, and then had severe pain. My skin hurt, hair hurt, muscles and entire body hurt. Freezing shivers. The severe pain lasted about 36 hours and I had about 2 weeks of fatigue that would come and go. I still have bouts of fatigue and shortness oN03/16/202103/16/20210OTHdoxycycline, womens multi vitamin, probiotic, zyrtec (all daily)nonenone204/27/2021Ywheat/gluten allergy, intolerant to corn/sugar/dairy2021VAERSSYMPTOMS2021VAERSVAX
126274204/27/2021WI36.036FPatient received vaccine on 4/5/21. She presented to her PCP on 4/22 with swelling and redness in the inside upper area of her right arm. Determined to be a superficial thrombosis. Patient has not history of VTE, but does smoke. Uses a Mirena IUD for cY04/05/202104/22/202117Ultrasound of right arm on 4/22 shows a superficial clot in the right cephalic vein. No deep vein involvement.PVTN/ATobacco use, diabetes, Crohn's disease204/27/2021YBeta-lactam antibiotics, mercaptopurine analogues2021VAERSSYMPTOMS2021VAERSVAX
126280804/27/2021WI36.036Mwhole body rash/hives 4 days after 2nd vaccineU04/22/202104/26/20214nonePHMnonenonenone204/27/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
126686004/28/2021WI36.036MtinnitusN04/27/202104/27/20210PUBflo-nase, prilosec, allegranone204/28/2021none2021VAERSSYMPTOMS2021VAERSVAX
126706604/28/2021WI36.036FSpotting (vaginal bleeding) and mild cramps for a few hours. I have had IUDs for 6+ years and no periods during that time until this. It was very mild and didn't last more than a day.Y04/19/202104/21/20212n/aPHMSertraline, Vitamin D, Zyrtec, Biotin, Asthmanex (all daily). IUD (merena)n/aAsthma, obesity204/28/2021n/a2021VAERSSYMPTOMS2021VAERSVAX
127056704/29/2021WI36.036F15 minutes after dose, complained of itching. Sent to Emergency Department. Found to have lacy erythematous rash on thighs and back. No breathing difficulty and no swelling. Received diphenhydramine IV, famotidine IV, and methylprednisolone IV. Discharged Y1Y04/27/202104/27/20210Negative urine pregnancy test. All routine labs within normal limits.PVTFluticasone nasal sprayNoneNoneItching204/29/2021YNKDA2021VAERSSYMPTOMS2021VAERSVAX
127061304/29/2021WI36.036FPatient had a hive type skin reaction that covered her upper chest and neck area. It consisted of Nickle sized red flat areas and was pruritic 20 minutes after vaccine administration. B/P was 172/102, P 79, O2 sat 98%. Patient given 25mg liquid Benadryl oY04/28/202104/28/20210NonePUBB/P medication- uncertain of name.NoneHTN204/29/2021None2021VAERSSYMPTOMS2021VAERSVAX
127141004/29/2021WI36.036FSevere flair in preexisting back/neck painN04/24/202104/25/20211PVTDaily vitamin, iron supplement, PPAChronic muscle pain, chronic pain patientFlu symptoms after flu shots204/29/2021Duloxetine2021VAERSSYMPTOMS2021VAERSVAX
128035505/02/2021WI36.036MDizziness, heart palpitations, headaches, joint pain, chest pain, intestinal painN04/09/202104/13/20214Blood work, ECG, urine testPHMDoctor has me taking Alegra and Musinex for the symptoms. Not working. I am also taking a multi vitamin and occasionally ibporpheonSinus infection in MarchHigh cloesteral205/02/2021YYNone2021VAERSSYMPTOMS2021VAERSVAX
128452805/04/2021WI36.036M4 days after the first shot I was feeling very very dizzy. My ears felt full enough that I thought maybe they were just full of wax. I bought an over the counter ear cleaning kit. That didn't relieve any symptoms. I never get headaches, but a couple dU04/14/202104/18/20214PHMNANANA205/04/2021YNA2021VAERSSYMPTOMS2021VAERSVAX
129004205/05/2021WI36.036FTinnitus. Primary doctor care, antibiotics. Anxiety, panic attack. Emergency room care. Mental health inpatient/outpatient. Daily anti anxiety medication. ENT doctor visit. Hearing test. Audiologist visit, hearing test. Chiropractic care. No change in sympYN02/03/202102/08/20215TSH, WBC - normal Hearing test - normalPUBNoneNoneNone205/05/2021YYSulfa2021VAERSSYMPTOMS2021VAERSVAX
129044305/05/2021WI36.036Fpatient started having bells-palsy like symptoms- lips and right side of the face tingled and loss motor controlU04/15/202104/17/20212PHM205/05/2021YY2021VAERSSYMPTOMS2021VAERSVAX
129278105/06/2021WI36.036MPatient experienced lightheadedness, dizziness, nausea blurred vision and chest pain within 10 minutes of receiving second dose of Moderna vaccine. Blood pressure was 80/60 initially but rebounded in 10 minutes to 90/62, pulse regular and steady at 63 and Y05/06/202105/06/20210NonePUBAnti-anxiety and depression medicationsNoneAnxiety and depression.205/06/2021None2021VAERSSYMPTOMS2021VAERSVAX
130317205/10/2021WI36.036FIncredibly painful arm at injection site starting four hours after injection. Pain continued to worsen when 46-48 hours later my left armpit start to have sharp pain that also felt like burning. The swelling is very tender with a hard, pronounced "ball" N05/06/202105/08/20212PVTMagnesium Glycinate 1000mg OTC AllegranoneAllergies & asthma205/10/2021Asprin Sensitive2021VAERSSYMPTOMS2021VAERSVAX
130822605/11/2021WI36.036FPatient became clammy and sweaty and developed a headache within 5 minutes of receiving her 2nd dose of Moderna. About 10 minutes after receiving the vaccine , patient stated " It feels like it is hard to swallow the crackers and my throat is feeling tighY05/11/202105/11/20210OTHMedications: atomoxetine (STRATTERA) 80 MG capsule escitalopram (LEXAPRO) 20 MG tablet hydrOXYzine (ATARAX) 50 MG tablet traZODone (DESYREL) 50 MG tablet liraglutide - weight management (Saxenda) 18 MG/3ML pen-injector propranolol (INDERProblem List: Trochanteric bursitis of both hips Tobacco use Thyroid nodule Substance abuse Sedimentation rate elevation Pain in right lower leg Pain in both hands OSA (obstructive sleep apnea) Mixed hyperlipidemia Metabolic syndrome Long term methotr205/11/2021Penicillins and Bee Sting2021VAERSSYMPTOMS2021VAERSVAX
131128805/12/2021WI36.036MPt. requested and received the J&J / Jansen COVID 19 vaccination yesterday at 1317. While he was being monitored for any adverse reactions, Pt. asked if lightheadedness was a side effect of the shot. Writer advised that it could be and that everyone is dY05/11/202105/11/20210unknownPUBunknownopiate withdrawal taking methadoneopiate addition205/12/2021Yunknown2021VAERSSYMPTOMS2021VAERSVAX
132717005/18/2021WI36.036FSore arm , headache, and fatigue, but then the morning of my second dose, I woke up to a rash on my arm. It's been one month and it hasn't gotten better, gotten worse, or gone away.N03/23/202104/19/202127PHMTylenol, multivitamin, birth control pill, xanax, sertraline, adderall, ambienNoneGeneralized anxiety disorder205/18/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
133772305/21/2021WI36.036MPATIENT WAS IMMUNIZED 5/13. PATIENT WAS FOUND DECEASED IN THEIR APARTMENT ON 5/18. FAMILY LAST SAW HIM ON 5/16 WHEN THEY DROPPED HIM OFF AT HIS APARTMENT. MEDICAL EXAMINER HAS NOT YET DETERMINED CAUSE OF DEATH OR EXACT DATE OF DEATH.Y05/18/2021N05/13/202105/18/20215UNKNOWNPHMUNKNOWNUNKNOWN05/13-DISCUSSED WITH PHARMACIST A TOPICAL ALLERGIC REACTION HE HAD BEEN HAVING FROM A NEW BODY SOAP. PHARMACIST RECOMMENDED TOPICAL HYDROCORTISONE CREAM AND ORAL BENADRYL TO HELP MANAGE SYMPTOMS.205/21/2021UNKNOWN2021VAERSSYMPTOMS2021VAERSVAX
134071105/22/2021WI36.036FLump swelling at injection site hot to the touch pain under left arm pit fatigueN05/14/202105/21/20217UnknownPVTOmeprazole cymbalta hydrocodone Tizanidine zolpidemNoMigraines fibromyalgia205/22/2021Biaxin seasonsal shell fish cats2021VAERSSYMPTOMS2021VAERSVAX
134110305/22/2021WI36.036MArm pain, fingers/toes numbness, chills, fever, headache. All symptoms lasted for around 24 hours with some lingering fatigue lasting for 48 hours.Y05/18/202105/19/20211OTHDtap booster, hospital administered around 2016205/22/20212021VAERSSYMPTOMS2021VAERSVAX
134177205/23/2021WI36.036MNumbness and tingling in the arms and hands. Pain and pressure near the heart and lungs. No treatment has been given. Symptoms still continue as of 5/23/21.N03/23/202104/08/2021164/11/21 - chest x-ray 4/11/21 - EKG 4/11/21 - blood work (D Dimer, CBC, Basic Metabolic Panel, Troponin) 4/12/21 - blood work (ESR, Thyroid Stimulating Hormone, Liver Panel, Vitamin B12)PVTNoneNoneNone205/23/2021YYNone2021VAERSSYMPTOMS2021VAERSVAX
134739405/25/2021WI36.036FHeadaches, nausea, fatigue, low grade fever, migraine all for 4 days. Migraine has not subsided. Naratriptan, nerve blockers inserted in head, three shots in arm (torodol, naratriptan, zoloft). Naratriptan four days after. Pregnazone taper for 12 days. AlaN04/07/202104/07/20210MRI, spinal tap, bloodwork for thrombosis. All negative, except MRI showed artifact/flare, will be rechecked in a month.PVTSertraline (Zoloft generic)N/AN/Avsafe205/25/2021YYClindomyocin2021VAERSSYMPTOMS2021VAERSVAX
138268806/08/2021WI36.036MCardiology Consult: Patient ID: (Name) Date of birth: (Date) Primary Care Provider: (Name), MD Admitting Provider: (Name), MD Admitted: 5/22/2021 Reason for Admission: Chest pain SUMMARIZED H&P: Patient is a 36 year old male with no significant pasY1U05/19/202105/20/20211EKG, echocardiogram, bloodworkPVTnone206/08/2021None2021VAERSSYMPTOMS2021VAERSVAX
139436006/12/2021WI36.036MAbout 1 minute after vaccination, the patient fainted briefly while waiting in the post-vaccination waiting area. No further medical attention was needed other than basic first-aid.Y06/12/202106/12/20210PHM206/12/20212021VAERSSYMPTOMS2021VAERSVAX
141325506/20/2021WI36.036FAll started few days after vaccine. Resolved mostly within 4 weeks: Insomnia (1-2 hours of sleep per night 5 out of 7 days), continuous elevated heart rate (over 160 at one point) Not resolved: Pulsing in abdomen/chest that causes waves of panic. Happens N05/14/202105/16/20212CT of abdomen, ultrasound of heart, EKG, chest Xray, cbc, liver panel, kidney panel, CRP, ESR, test for heart inflammation. All normal. One of the 3 liver panel had slight elevated aot,ast. Others were normal. Will recheck.PHMProbiotic, multi vitamin, D3, psyllium, zinc, magnesiumGERD, rapid gastric emptying, generalized anxiety, no gallbladder206/20/2021YYNone2021VAERSSYMPTOMS2021VAERSVAX
141472306/21/2021WI36.036Fshoulder joint tightness and pain to the point I couldn't lift or move my left arm d/t tightness. could not lay flat due to intense shoulder pain. low grade fever 99.5, shaking chills, body aches. had to sleep in a recliner and have the left upper extreY06/18/202106/18/20210PVTprenatal vitaminnonenone206/21/2021no2021VAERSSYMPTOMS2021VAERSVAX
144062007/01/2021WI36.036FPatient was 15w0d G1P0 presented to Emergency Room on 6/28/21 with complaint of mid abdominal pain and low back pain for several hours. Noted some vaginal spotting which occurred the night prior to ER and continued. Ultrasound performed. Confirmed SpontanY04/18/202106/27/202170Ultrasound performed: No intrauterine gestation. Findings concerning for incomplete miscarriage with gestational sac within the vagina and absent fetal heart tone. ABO/RH: B- Labs: evaluated and unremarkable except for low potassium (3.0)PHMPrenatal vitamin Probiotic Vitamin B complex Azelastine nasal spray Ambien - PRNLeft breast lesion- not concerning per PCPRaynaud's Mild renal insufficiency207/01/2021YYErythromycin - GI Upset2021VAERSSYMPTOMS2021VAERSVAX
144112407/01/2021WI36.036F1512 - Pfizer dose reconstitution expiration time 1522 - Pfizer dose drawn on demand from vial, which was stored at 73 degrees F, and administered to patient, IM, right deltoid. 1525 - Pfizer dose noted to be expired per EUA recommendations. Call placedU07/01/202107/01/20210OTH207/01/20212021VAERSSYMPTOMS2021VAERSVAX
145948407/09/2021WI36.036FInjection site pain Fever Nausea Diarrhea Body aches Mild asthma symptomsY07/06/202107/06/20210Normal urine blood work on 7/7/21 Negative COVID 19 test on 7/7/21PVTPropranolol Singular ZyrtecRunny noseNA207/09/2021YYReaction to cephflexin and Compazine2021VAERSSYMPTOMS2021VAERSVAX
145973007/09/2021WI36.036M14 minutes after receiving vaccine, patient was sitting in chair and had a syncopal episode. Unresponsive for 10-15 seconds. BP 92/50, pulse 66. Transported to hospital. Diagnosed with vasovagal reaction and sent home.Y07/08/202107/08/20210PUBnonenonenone207/09/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
147025307/14/2021WI36.036Msore throat,nasal congestion,headache03/12/202107/05/2021115UNK207/14/20212021VAERSSYMPTOMS2021VAERSVAX
149427707/22/2021WI36.036MSARS-CoV-2 RNA Resp Ql NAA+probe~SARS-CoV-2, qPCR performed on 7/20/21. Test came back positive. Case investigation interview with patient has not been performed as of the time of this note.U06/07/202107/20/202143PHM207/22/20212021VAERSSYMPTOMS2021VAERSVAX
150588107/27/2021WI36.036FFluttering/rapid heartbeatN07/20/202107/27/20217PVTSertiline 50 mgnana207/27/2021na2021VAERSSYMPTOMS2021VAERSVAX
151270407/29/2021WI36.036MDuring the post-vaccine monitoring period , a bout 5-10 minutes after the first dose injection of Moderna Covid Vaccine, pt felt nausea and had seizure episode for about 2-3 minutes. Pharmacist noticed rolling eye balls and body shake with brief unconscY07/29/202107/29/20210PHMNAnonenone207/29/2021NKDA2021VAERSSYMPTOMS2021VAERSVAX
151502107/30/2021WI36.036FPatient was given Pfizer Covid 19 dose in error, the patient had requested Tdap(Boostrix), and had previously received 2 doses of Moderna Covid vaccine. The Tdap was then given in the other(left) arm so the patient would know which vaccine was involved iY07/28/202107/28/20210PHM207/30/20212021VAERSSYMPTOMS2021VAERSVAX
152871508/05/2021WI36.036MNo adverse event. Medication error.Y05/04/202105/04/20210n/aPVTn/an/an/a208/05/2021n/a2021VAERSSYMPTOMS2021VAERSVAX
152917708/05/2021WI36.036F7/7/21 - Nausea 7/8/21 - Nausea and Extreme Fatigue 7/9/21 - Nausea and Extreme Fatigue 7/10/21 - Fatigue 7/11/21 - 7/17/21: Fatigue, Sore Throat, runny nose, congestion, fever less than 99.4 7/17/21 - 8/2/21: Extreme Fatigue, Malaise, runny nose, congestN07/07/202107/07/202107/13/21 - step test (negative)PHMIbisbloom birth control, Esomeprazole Magnesium, Vitamin DN/AOverweight208/05/2021YN/A2021VAERSSYMPTOMS2021VAERSVAX
153519608/08/2021WI36.036FEarly menstruation, Heavy menstruation, longer menstruation. Repeated for 3x cycles post vaccination, then returned to normal.03/16/202103/21/20215UNKNoneNoneNone208/08/2021None2021VAERSSYMPTOMS2021VAERSVAX
153610008/09/2021WI36.036FSore arm; headache; interrupted sleep; exhaustion; brain fog.N08/06/202108/06/20210N/APHMMultivitaminN/AAsthma; COVID long-hauler208/09/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
155386008/13/2021WI36.036FDeveloped slight rash, no hives, no shortness of breath 20 minutes post vaccine. Consult with primary care provider on site. Oral Diphenhydramine 25 mg given orally. Symptoms improved, discharged home.Y08/12/202108/12/20210PVT208/13/2021Y2021VAERSSYMPTOMS2021VAERSVAX
158252508/18/2021WI36.036FSudden, intense itching of the front of neck and upper chest began 2 hours after receiving the vaccine. Treated with Benadryl and triamcinolone cream. The itching returned the next day and also included skin redness, warmth to the touch and skin feeling raN08/17/202108/17/20210NonePVTEscitalopram, buspirone, femotidine, hydroxyzine, calcium, vitamin DNoneDepression, anxiety, insomnia, reflux, obesity, acne, eczema208/18/2021Fluoxetine - mood swings, suicidal Bupropion - migraines Sertaline - hypersensitive hearing Morphine - itching Hydrocodone - vomiting Doxycycline- vomiting if not taken with food Fluticasone - minor nose bleed (pink boogers) NuvaRing - frequent heada2021VAERSSYMPTOMS2021VAERSVAX
158253308/18/2021WI36.036FI had a stroke, dissection of right neck artery. ER visit turned into hospital admissions to run cognitive function testing every two hours for about 24 hours. I had CT with and without dye, MRI with and without dye, cholesterol testing, glucose testing, nYY2YN04/30/202105/20/202120High cholesterol (5/20-21), severe headaches and decrease in ability to have eye concentration, cannot read/focus on computer for more than short spurts (10-15 minutes), dizziness and inability to drive -all symptoms have been occuring 5/20- current dateSCHGabapentin, hydrocodone, acetaminophen, ibuprofen, sumatripten, topriamate, birth control,Kidney stones208/18/2021YYPenicillin, omyxicillian, oxycodone2021VAERSSYMPTOMS2021VAERSVAX
159195408/20/2021WI36.036FStarted having frequent palpations requiring multiple visits and tests to be done. Unknown cause of palpations, but could be related to any number of things such as the oral birth control pills that were started that same month that the palpations started U01/08/202104/06/202188Urgent Care 6/17/21 - EKG no acute finding, RBBB but may not be new (no previous EKGs to compare PCP appointment 624/21 - EKG no acute finding, all lab work normal Holter monitor for 48 hours - 875 PVCs during that period Electophysiology appointment 7/22/WRKPrenatal vitamin, vitamin D 2000iuNoneAsthma - Exercise Induced only208/20/2021YYSumitriptan2021VAERSSYMPTOMS2021VAERSVAX
159812008/21/2021WI36.036Fchest pain/ right underneath her breast bone; This spontaneous case was reported by a pharmacist and describes the occurrence of CHEST PAIN (chest pain/ right underneath her breast bone) in a 36-year-old female patient who received mRNA-1273 (Moderna COVIDY03/21/202103/21/20210UNKUSMODERNATX, INC.MOD20210208/17/20212021VAERSSYMPTOMS2021VAERSVAX
161048308/22/2021WI36.036Fbumps; hives; Pain at injection site; itchy hips; This spontaneous case was reported by a consumer and describes the occurrence of SWELLING (bumps), URTICARIA (hives), PRURITUS (itchy hips) and VACCINATION SITE PAIN (Pain at injection site) in a 36-year-olU04/07/202104/15/20218UNKUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
161364608/22/2021WI36.036Mgeneral body ache; fever 100.5 degrees; This spontaneous case was reported by a nurse and describes the occurrence of PAIN (general body ache) and PYREXIA (fever 100.5 degrees) in a 36-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine)U03/30/202104/29/202130Test Date: 20210429; Test Name: Fever; Result Unstructured Data: 100.5 degrees FahrenheitUNKUSMODERNATX, INC.MOD20211208/17/20212021VAERSSYMPTOMS2021VAERSVAX
162408608/23/2021WI36.036FImmediately had discomfort in my right arm, that feeling of discomfort in my arm never went away, I started experiencing severe arm shoulder & neck pain & stiffness a few days later, I went to the ER at for my symptoms , I was quickly released with an assU03/11/202103/11/20210MRI of neck, MRI of shoulder, MRI of brain.PVTNoNoNo208/23/2021YYFlomax, & macrobid2021VAERSSYMPTOMS2021VAERSVAX
162954108/24/2021WI36.036MPatient reported for second dose of Pfizer Covid19 vaccine today. He reported have hand, foot and mouth virus about 3 days after 1st dose of vaccine. His daycare aged daughter was exposed and had an outbreak as well. Wife and other child showed no symptoms08/03/202108/06/20213nonePHMunknownunknownunkown208/24/2021unknown2021VAERSSYMPTOMS2021VAERSVAX
163588208/26/2021WI36.036MReceived an expired first dose of the Moderna COVID-19 vaccine; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Received an expired first dose of the Moderna COVID-19 vaccine) in a 36-year-olY06/14/202106/14/20210UNKUSMODERNATX, INC.MOD20212208/16/20212021VAERSSYMPTOMS2021VAERSVAX
165122608/28/2021WI36.036FBody aches/pains for two and a half days Nausea for one dayY08/01/202108/01/20210PVTNuvaring Lamictal Wellbutrin Xanax Herbs AdvilAsthma Arthritis208/28/2021Doxycycline Penicillin Bactrim2021VAERSSYMPTOMS2021VAERSVAX
165539708/30/2021WI36.036FModerna vaccine was thawed, frozen and given to patientY08/26/202108/26/20210noneOTHTylenolnonenone208/30/2021none2021VAERSSYMPTOMS2021VAERSVAX
168908809/10/2021WI36.036Fbody aches, chills, fever, headaches, muscle pains in arms,N09/07/202109/08/20211PVTlevothyroxinenono209/10/2021sulfano2021VAERSSYMPTOMS2021VAERSVAX
169166509/11/2021WI36.036FDose administered to patient after improper storage and handling/Patient was given vaccine that had been thawed, re-frozen and thawed again; This spontaneous case was reported by a nurse and describes the occurrence of PRODUCT STORAGE ERROR (Dose administeY08/26/202108/26/20210OTHTYLENOLPainUSMODERNATX, INC.MOD20213209/09/20212021VAERSSYMPTOMS2021VAERSVAX
170390209/16/2021WI36.036FHEART PALPITATIONS, FREQUENT PVCs - USUALLY COMES IN WAVES OF 4-8 PER MINUTE THAT LASTS FOR AN HOUR OR MORE THEN DECREASES TO 0-2 PER MINUTE AND REPEATS - NO NOTICABLE PATTERN OTHERWISE, MILD BACK ACHE LESSENING EACH PASSING DAY, PAIN, CONTUSION, AND MUSCLN09/12/202109/13/20211NO FORMAL MEDICAL TESTS BUT KNOWLEDGE OF MEDICAL CONDITIONS AND SYMPTOMS FROM EXPERIENCE AS A PARAMEDIC.PHMELINESTNONENONE209/16/2021MILD SENSITIVITY TO OXYCODONE2021VAERSSYMPTOMS2021VAERSVAX
170398809/16/2021WI36.036MChest painN09/13/202109/15/20212PVTNoneNoneNone209/16/2021None2021VAERSSYMPTOMS2021VAERSVAX
171272609/18/2021WI36.036FWithin an hour of vaccination, a hard red spot appeared at and a little lower from the injection site. It was about 3" and oblong in shape. 6 days after, a rash appeared in random spots: forearm, back of neck/upper shoulder, leg. Day 7 hives appeared wN09/10/202109/10/20210NonePHMvenlafaxine 225 mgNoneAnxiety DepressionUnknown reaction, pertussis vaccination - received during infancy209/18/2021Pertussis vaccination2021VAERSSYMPTOMS2021VAERSVAX
171333709/18/2021WI36.036Fabout 5 minutes after receiving vaccine, she notified me she was not feeling good, and she wanted to lay down , she laid down gently i sat with her about 10 min she carried on conversation pulse steady , was nauseous at one point wth dry heave said sY09/18/202109/18/20210nonePUBnot knownnonenone known209/18/2021nkda2021VAERSSYMPTOMS2021VAERSVAX
171438709/19/2021WI36.036FMenstrual cycle became irregular, heavy, concerning enough for gynecological work-up that was ruled normal. No explanation for extreme change in menses other than recent COVID injection.U02/02/202102/11/20219Pelvic ultrasound 5/13/21, FSH, CBC and TSH 5/7/21PVTsertraline 200mg dailyn/akidney stones, headaches209/19/2021Yallergy: erythromycin2021VAERSSYMPTOMS2021VAERSVAX
172335809/22/2021WI36.036FRecurrent posterior occipital, neck, and chest lymphadenopathy. Keeps recurring 9 months after vaccination with no chronic health issues. When lymph nodes flare, have debilitating fatigue/lethargy, lymph nodes are painful, and headaches when lymph nodes onN01/13/202101/14/20211CBC, BMP, TSH, free T4- wnl IUD removal planned 9/23/21 and possible additional work up and intermittent lymphadenopathy since vaccine continues to recurPVTIUDNone.None.209/22/2021YKeflex. Bactrian. Tree pollen2021VAERSSYMPTOMS2021VAERSVAX
172868409/23/2021WI36.036FdyspneaN09/10/202109/10/20210EKG, chest xray and labs -9/21/21PVT209/23/2021Y2021VAERSSYMPTOMS2021VAERSVAX
174175709/28/2021WI36.036FPatient contracted COVID after being fully vaccinated runny nose, headache, sore throat, congestion, fatigue Patient is now pregnant05/05/202109/22/2021140PVTaspirin 81mg daily folic acid daily Multivitamin DailyNone Documentedanxiety, smoker, stomach ulcer, ganglion cyst, heartburn, retroverted uterus, uterine leiomyoma, panic disorder with agoraphobia, miscarriage, irritable bowel syndrome209/28/2021tetanus toxoid2021VAERSSYMPTOMS2021VAERSVAX
174935509/30/2021WI36.036FEE stated 15 minutes after getting Flu vaccine at clinic she noted her face was flushed. Twenty minutes after vaccine flushing had developed down neck mid chest and mid forearm. She also developed puffiness under eyes and felt warm but took her temp and dY09/28/202109/28/20210noneUNK209/29/2021none2021VAERSSYMPTOMS2021VAERSVAX
175038809/30/2021WI36.036FPatient obtained influenza vaccine from outpatient pharmacy. Approximately 4 hours after vaccination, patient developed a red, bumpy rash down both arms. After 24 hours of vaccination, rash extended to trunk of body. Patient took 1 dose of diphenhydramine N09/29/202109/29/20210PHMLevothyroxineHypothyroidism209/30/2021Sunflower Seeds2021VAERSSYMPTOMS2021VAERSVAX
175788410/04/2021WI36.036FSignificant Right arm pain Deep bone/joint pain Muscle pain Fatigue Mild headache HeartburnN10/02/202110/02/20210N/aPVTLialda, Concerta, prenatal multivitamin, l-tyrosine, gabapentin, zolpidem, doxylamine, melatonin, ironN/aUlcerative colitis, adhd210/04/2021Sulfasalazine2021VAERSSYMPTOMS2021VAERSVAX
176464610/06/2021WI36.036Furi/gi sx X 2d + abbott test m10/4U08/31/202110/04/202134+ abbott testPVTn/an/aobesity210/06/2021Yn/a2021VAERSSYMPTOMS2021VAERSVAX
177540410/10/2021WI36.036FPainful, visible gland swelling in armpit proximal to injection site onset approximately 24 hours following injection and lasting at least 60 hours.N10/07/202110/08/20211N/aUNKWomen's multivitamin, calcium, vitamin D, magnesium, CBD, fish oil, coq10, probiotic, Flovent, Fluticasone nasal sprayN/aAsthma, migraine210/10/2021Sunflower seed oil, nonoxynol-92021VAERSSYMPTOMS2021VAERSVAX
178273410/13/2021WI36.036FMiscarriage at around 7 weeks (I found out at 9 weeks pregnant). No symptoms were present. I found out about the miscarriage because of a routine ultrasound- the fetus did not have a heartbeat and was measuring at 7 weeks.Y03/17/202108/06/2021142PVTN/ANoneNone210/13/2021YN/A2021VAERSSYMPTOMS2021VAERSVAX
180470010/21/2021WI36.036FHeadache, body aches , coughY10/15/202110/16/20211PVTnonenoneAsthma210/21/2021Yshellfish, Iodine2021VAERSSYMPTOMS2021VAERSVAX
182167410/27/2021WI36.036Mintermittent chest discomfortN10/22/202110/23/20211electrocardiogram, troponin level, and inflammatory markers such as C-reactive protein and erythrocyte sedimentation ratePVTN/AN/AN/A210/27/2021YN/A2021VAERSSYMPTOMS2021VAERSVAX
182741110/29/2021WI36.036MPatient received dose from expired vaccine; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Patient received dose from expired vaccine) in a 36-year-old male patient who received mRNA-1273 (MY10/21/202110/21/20210UNKUSMODERNATX, INC.MOD20213210/28/20212021VAERSSYMPTOMS2021VAERSVAX
183217310/31/2021WI36.036MSevere myalgia, headaches, sweating, insomnia, fatigue, abnormal injection site pain, stiff neck, exacerbation of tinnitus, and confusion. My first dose was on 03/27/2021, my second dose was on 4/21/2021, and my third and final dose was on 10/21/2021. ItN10/21/202110/31/202110NonePHMMultivitaminObesity210/31/2021YLatex, sulfa drugs, fluoroquinolone antibiotics, SSRIs2021VAERSSYMPTOMS2021VAERSVAX
183669811/02/2021WI36.036FRight after I had the first vaccine I started having mild chest pain. I shrugged it off and didn't say anything. Over the course of the next few months I experienced intermittent chest pain on and off followed by extreme bouts of fatigue. I had overall boY06/18/202111/02/2021137My session is going to time out but i included a few above.WRKsertraline, vitamin D, zinc, calcium, magnesiumnonenone211/02/2021Ysensitivity to wine (causes irritation on throat and tongue)2021VAERSSYMPTOMS2021VAERSVAX
184311111/04/2021WI36.036FDay 1 - 2 hours bad headache and right facial paresthesias, body aches Day 4 persistent worsening right facial paresthesias- right forehead/temple/cheek and wrapped around to right side to right occiput. no visual changes/no light or sound sensitivity/nauN10/16/202110/16/20210CT head negative; Blood glucose 200; A1C 10.1; 10-11-2021 covid negative test on file 11-1-2021- cmp with mild elevated LFTs - chronic - fatty liverPVTempagliflozin/linagliptin; glipizide; lantus insulin; sertraline; depo provera1 month prior cold symptoms - neg covid testingdepression; type 2 diabetes211/04/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
184666711/05/2021WI36.036FPrior to the shots I had mile asthma where I used my rescue inhaler once a year. Since then I have needed my inhaler once to twice a week, and I am on a daily medication to help with breathing issues.N04/14/202104/20/20216UNKZyrtecMild asthma, WPW211/05/2021Y2021VAERSSYMPTOMS2021VAERSVAX
184989711/08/2021WI36.036FBegan having difficulty swallowing. Within the hour, tonsils were noted to be +4 by a dental hygienist. These symptoms were treated with 10mg Zyrtec and 50mg Benadryl. 6 hours later, the patient experienced fevers, chills and hives on the face, neck, and cY10/28/202110/28/20210PUBAspirin 81mg PO dailyN/AN/A211/08/2021Droperidol Amoxicillin Codeine Latex Bananas Avocado Mushroom2021VAERSSYMPTOMS2021VAERSVAX
185158211/08/2021WI36.036FInjection site reaction lasting greater than 2 days. Red rash around injection site along with hard painful bump extending 1" in diameter.N11/06/202111/07/20211NonePHMPropranolol 120mg capsule, apple cider vinegar supplement, daily multi-vitaminNoneHypertension211/08/2021Medications: Codeine, Cephalosporins, Penicillin, Enalapril, Sulfa Environmental: Bees2021VAERSSYMPTOMS2021VAERSVAX
185753711/10/2021WI36.036Fpositive for COVID-19 on 11/1/21Y12/29/202011/01/2021307Positive NAAT Sars-COV-2 RNA test on 11/1/21PVTamitriptyline, clindamycin topical gel, Flonase, pantoprazole, sumatriptan prn, tramadol, valacyclovirnonehypothyroidism, fibromyalgia, sacroiliac joint dysfunction, ESBL carrier, history of kidney stones, asthma, history of TTP211/10/2021Ycodeine, lactose intolerance, sulfa medications, metoclopramide2021VAERSSYMPTOMS2021VAERSVAX
186085611/11/2021WI36.036F10/29/2021 AM vaccination with 3-4 hours after receiving the vaccination , patient started to see red bumps on feet that itched and the bumps lasted a week and feet started to peel. Feet is still peeling. Used hydrocortisone cream for the third dose the rN10/29/202110/29/20210observationPVTFluoxetine 40mg once daily, Lysinathphral 20mg once daily, Alodephim 5mg once daily, Quadrophenia 25-50mg dailyNoNoAge 2, Cold Pnemonia and hospitalizedvsafe211/11/2021YAmoxociline, Zithromicyine, Pineapples2021VAERSSYMPTOMS2021VAERSVAX