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VAERS_ID | RECVDATE | STATE | AGE_YRS | CAGE_YR | CAGE_MO | SEX | RPT_DATE | SYMPTOM_TEXT | DIED | DATEDIED | L_THREAT | ER_VISIT | HOSPITAL | HOSPDAYS | X_STAY | DISABLE | RECOVD | VAX_DATE | ONSET_DATE | NUMDAYS | LAB_DATA | V_ADMINBY | V_FUNDBY | OTHER_MEDS | CUR_ILL | HISTORY | PRIOR_VAX | SPLTTYPE | FORM_VERS | TODAYS_DATE | BIRTH_DEFECT | OFC_VISIT | ER_ED_VISIT | ALLERGIES | Link 1 | Link 2 |
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0919244 | 01/04/2021 | WI | 36.0 | 36 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted. | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/04/2021 | vitamin D, Bupropion, steristrip | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920300 | 01/05/2021 | WI | 36.0 | 36 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect noted. | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920413 | 01/05/2021 | WI | 36.0 | 36 | M | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects reported. | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920879 | 01/05/2021 | WI | 36.0 | 36 | F | Abdominal 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. | Y | 1 | N | 12/23/2020 | 12/28/2020 | 5 | Labs drawn, abdominal ultrasound and ct scan performed. Stones found in appendix | PVT | None | None | Back pain | 2 | 01/05/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0921483 | 01/05/2021 | WI | 36.0 | 36 | F | Patient 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 itching | U | 12/26/2020 | 01/04/2021 | 9 | WRK | 2 | 01/05/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0921505 | 01/05/2021 | WI | 36.0 | 36 | F | Patient 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. | Y | 12/28/2020 | 12/28/2020 | 0 | PVT | 2 | 01/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0922569 | 01/06/2021 | WI | 36.0 | 36 | F | Employee 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 | Y | 12/23/2020 | 12/23/2020 | 0 | None | PVT | Levonorgestrel IUD, acetaminophen (PRN), multivitamin, ibuprofen (PRN) | None | Increased BMI | 2 | 01/06/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0943827 | 01/14/2021 | WI | 36.0 | 36 | F | 2 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. | N | 01/06/2021 | 01/12/2021 | 6 | SEN | Seasonale birth control pill, fluoxetine, B Complex, D3 | None | None | 2 | 01/14/2021 | peanut, tree nut, soy, red pepper, peach, zest soap, percocet | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0945005 | 01/14/2021 | WI | 36.0 | 36 | F | Nausea and dizziness. Gave me meclizine for vertigo | U | 01/13/2021 | 01/14/2021 | 1 | None | PVT | None | None | None | 2 | 01/14/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0949841 | 01/16/2021 | WI | 36.0 | 36 | F | Chills, headache, sore arm, tired | N | 01/15/2021 | 01/16/2021 | 1 | None | PVT | None | None | None | 2 | 01/16/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0951510 | 01/17/2021 | WI | 36.0 | 36 | M | Patient 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 so | Y | 12/24/2020 | 12/24/2020 | 0 | PVT | 2 | 01/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0952773 | 01/18/2021 | WI | 36.0 | 36 | F | Dry cough, chest tightness, rash covering entire left arm, chest and left side of abdomen, fever, Fatigue, nausea. | Y | 01/14/2021 | 01/14/2021 | 0 | N/A | OTH | Multi vitamin Creon | N/A | Asthma | 2 | 01/18/2021 | Ultram Flexeril Percocet Tretinoin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0953266 | 01/18/2021 | WI | 36.0 | 36 | F | sore 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 breath | Y | 01/05/2021 | 01/06/2021 | 1 | none | PVT | emgality injection once monthly desvenlafaxine 75mg QD vyvanse 30mg QD famotadine xarelto 20mg QD | COVID19 disease from 11/14-11/24 | depression/anxiety, migraine, obesity, GERD | 2 | 01/18/2021 | NKDA, allergy to mold and pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0955035 | 01/19/2021 | WI | 36.0 | 36 | F | Injection site pain, Injection site swelling, Injection site redness, tiredness after injection | N | 01/14/2021 | 01/15/2021 | 1 | PVT | Protein bars and protein shakes | No | No | Rash with MMR (age 9) | 2 | 01/19/2021 | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0959133 | 01/20/2021 | WI | 36.0 | 36 | F | Arm is red, swollen, and hot to the touch since she had her vaccine. | 01/12/2021 | 01/12/2021 | 0 | PUB | 2 | 01/20/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0964607 | 01/22/2021 | WI | 36.0 | 36 | F | Nausea Vomiting Fatigue Muscle aches Joint aches Swollen Lymph nodes in both armpits; more severe swelling on injection side. | Y | 01/19/2021 | 01/20/2021 | 1 | n/a | PVT | Lexapro 10 mg daily Birth Control (Yaz) Ibuprofen 600 mg Tylenol 1000mg Triamcinolone Acetonide cream | none | anxiety depression | 2 | 01/22/2021 | Levaquin - causes rash Amoxicillin - causes rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0966870 | 01/22/2021 | WI | 36.0 | 36 | F | I 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. | N | 01/17/2021 | 01/17/2021 | 0 | I will be going to my primary on Tuesday | PVT | Depo-Provera shot for birth control | No | No | 2 | 01/22/2021 | Y | Watermelon | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0967405 | 01/23/2021 | WI | 36.0 | 36 | F | prolonged and persistent bouts of nausea, decreased appetite, fatigue | N | 12/30/2020 | 01/01/2021 | 2 | WRK | fluoxetine, vitamin D, topamax, minipill | thyroid disease, depression | thyroid disease, depression | 2 | 01/23/2021 | reglan, morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0970689 | 01/25/2021 | WI | 36.0 | 36 | F | NUMBNESS AND TINGLING ON LEFT LEG. IT STARTED ON LEFT HIP AND WENT DOWN TO LEFT FOOT. | Y | 01/19/2021 | 01/20/2021 | 1 | WRK | NONE | NONE | NONE | 2 | 01/25/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0971205 | 01/25/2021 | WI | 36.0 | 36 | M | Sore, 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 sid | N | 01/21/2021 | 01/22/2021 | 1 | MIL | Day of vaccination: Omeprazole Days since: Omeprazole, Azelastine, Advair 250/50, Ibuprofen, Albuterol, multi vitamin | none | Asthma, sinusitis, acid reflux | 2 | 01/25/2021 | Seasonal allergies, mold, dogs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0977719 | 01/27/2021 | WI | 36.0 | 36 | F | The 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. | Y | 01/26/2021 | 01/27/2021 | 1 | PHM | N/A | N/A | N/A | 2 | 01/27/2021 | no known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0978104 | 01/27/2021 | WI | 36.0 | 36 | F | Parathesia 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 l | N | 01/14/2021 | 01/15/2021 | 1 | SEN | Levothyroxine, Adderall, Melatonin | None | Hypothyroidism d/t thyroidectomy | 2 | 01/27/2021 | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0978960 | 01/27/2021 | WI | 36.0 | 36 | M | After receiving second dose of COVID-19 vaccine, developed 100.5 temp, shakes, and feeling unwell. Unable to work scheduled shift. | 01/25/2021 | 01/26/2021 | 1 | PVT | 2 | 01/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0979467 | 01/27/2021 | WI | 36.0 | 36 | F | I 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 ev | N | 01/06/2021 | 01/14/2021 | 8 | CBC w/o differential: 1/15/21 Comprehensive Metabolic Panel: 1/15/21 Lyme Disease Western Blot: 1/15/21 CT head w/o contrast: 1/15/21 | PVT | Sertraline, oral birth control, Cetirizine, steroid inhaler | None | Anxiety, sleep apnea, asthma. | 2 | 01/27/2021 | Y | Latex sensitivity, outdoor allergies (hay, pollen), dust, animal dander. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0981353 | 01/28/2021 | WI | 36.0 | 36 | F | Red, inflammed and hot to the touch, hard and size of baseball at injection site. No fever. Localized pain. | 01/25/2021 | 01/25/2021 | 0 | PUB | None | None | Had Covid end of Nov 2020 | 2 | 01/27/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0982336 | 01/28/2021 | WI | 36.0 | 36 | F | Red rash on left upper arm- not painful or itchy. Resolved in 24 hours. | Y | 12/27/2020 | 01/07/2021 | 11 | PVT | Meclizine Prn OCP's daily | N/A | Migraines | 2 | 01/28/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0982834 | 01/28/2021 | WI | 36.0 | 36 | F | Felt 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. | U | 01/28/2021 | 01/28/2021 | 0 | PVT | Hydroxyzine, Multivitamin, Mirena | none | none | 2 | 01/28/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0983682 | 01/28/2021 | WI | 36.0 | 36 | F | Red 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 diss | Y | 01/05/2021 | 01/13/2021 | 8 | none | PVT | mirena | none | family history of malignant hyperthermia | 2 | 01/28/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0986898 | 01/29/2021 | WI | 36.0 | 36 | M | marked 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 Ibuprof | Y | 01/26/2021 | 01/26/2021 | 0 | N/A | OTH | No regular medications | None | Congenital heart disease | 2 | 01/29/2021 | Amoxicillin - rash/diarrhea | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0990808 | 02/01/2021 | WI | 36.0 | 36 | M | I contracted Shingles from immune system being knocked down so low. 4 days after the shot. No change to daily life or diet. | N | 01/26/2021 | 01/29/2021 | 3 | Doctor Visit | PVT | N/A | N/A | N/A | 2 | 02/01/2021 | Penicillins, Amoxicillin Bee sting, bee pollen, naproxen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0991640 | 02/01/2021 | WI | 36.0 | 36 | F | Patient developed globus sensation, chest tightness, and dizziness shortly after vaccination. Observed for 2 hours without concern, and was discharged without further issue. | Y | 01/28/2021 | 01/28/2021 | 0 | N/A | PVT | Hydroxyzine 25 mg PO TID prn, multivitamin PO daily, levonorgestrel IUD | N/A | Depression, anxiety, hypothyroidism, bilateral myopia | 2 | 02/01/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992689 | 02/01/2021 | WI | 36.0 | 36 | M | For 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 | Y | 12/26/2020 | 12/26/2020 | 0 | COVID tests January 1st CBC - was normal and CMT and Influenza - normal Mono - was positive | PVT | None | no | no | vsafe | 2 | 02/01/2021 | Y | nothing | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0997288 | 02/03/2021 | WI | 36.0 | 36 | F | Fever, 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 currently | Y | 01/05/2021 | 01/07/2021 | 2 | Jan 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) | SEN | Escitalopram 10 mg, pepcid ac 10mg | PCOS, migraines | 2 | 02/03/2021 | Y | Y | Floral perfumes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1010035 | 02/07/2021 | WI | 36.0 | 36 | F | Insomnia 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. | U | 02/05/2021 | 02/06/2021 | 1 | PVT | Cimzia, prenatal vitamin, Flonase, baby aspirin, Zofran, Unisom, Vitamin B6 | HLA-B27 Spondyloarthritis | 2 | 02/07/2021 | Latex, avocado, cephalosporins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1020522 | 02/10/2021 | WI | 36.0 | 36 | F | Face, mouth, neck, and throat tingling and then numb for an hour. No difficulty breathing and the numbness stopped on its own. | Y | 02/10/2021 | 02/10/2021 | 0 | None | OTH | Sertraline, levothyroxine | None | Anxiety, hypothyroid, B12 deficiency | 2 | 02/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1020742 | 02/10/2021 | WI | 36.0 | 36 | F | Passed out from standing/leaning on her bed, awoke, nausea, vomited, fatigue for two days. | Y | 01/19/2021 | 01/22/2021 | 3 | NONE | PVT | NEXPLANON | NONE | NONE | 2 | 02/10/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1027345 | 02/12/2021 | WI | 36.0 | 36 | F | Significantly swollen lymph nodes in neck - painful | N | 02/04/2021 | 02/09/2021 | 5 | PUB | none | sinus infection 3 weeks prior | past DVT | 2 | 02/12/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1030509 | 02/15/2021 | WI | 36.0 | 36 | M | After completion of series, 2 weeks following 2nd dose, client tested positive for Covid-19 by PCR (positive on 2/4/2021) | 12/22/2020 | 02/04/2021 | 44 | UNK | 2 | 02/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1030520 | 02/15/2021 | WI | 36.0 | 36 | M | Client tested positive for Covid-19 following completion of vaccine series (2 weeks following last dose) | 01/14/2021 | 02/04/2021 | 21 | UNK | 2 | 02/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1032853 | 02/16/2021 | WI | 36.0 | 36 | M | Fatigue, body aches, head ache, chills. On 2/16/2021 at 8am. Low grade temp of 99.0 degrees | N | 02/15/2021 | 02/16/2021 | 1 | SEN | no | no | no | Dose #1 on 1/15/21, same Fatigue, body aches, chills, head ache | 2 | 02/16/2021 | amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1036752 | 02/17/2021 | WI | 36.0 | 36 | F | 12/16: 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 day | U | 02/16/2021 | 02/16/2021 | 0 | None Managed symptoms at home | PVT | None | None | None | 2 | 02/17/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1036899 | 02/17/2021 | WI | 36.0 | 36 | M | Moderna 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 con | 02/17/2021 | 02/17/2021 | 0 | PHM | 2 | 02/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041342 | 02/19/2021 | WI | 36.0 | 36 | F | a cold sore has developed on the left of my mouth area | N | 02/05/2021 | 02/17/2021 | 12 | UNK | 2 | 02/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041888 | 02/19/2021 | WI | 36.0 | 36 | F | HEADACHE, VOMITING | 01/27/2021 | 01/28/2021 | 1 | PVT | 2 | 02/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1044338 | 02/21/2021 | WI | 36.0 | 36 | F | 1/8 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 mouthwa | Y | 01/08/2021 | 01/09/2021 | 1 | Strep; negative COVID ; Negative | PVT | montelukast 10mg; vit D3 2000, Multivitamin, loratidine | n/a | allergy induced asthma (have inhaler but 'don't use it' - very well controlled | vsafe | 2 | 02/21/2021 | Y | seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1045862 | 02/22/2021 | WI | 36.0 | 36 | M | Pfizer-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 | N | 02/17/2021 | 02/19/2021 | 2 | PHM | Levothyroxine 100 mcg tablets | hypothyroidism | 2 | 02/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1049761 | 02/23/2021 | WI | 36.0 | 36 | F | I 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. | N | 02/18/2021 | 02/22/2021 | 4 | PUB | Venlafaxine ER | none | None | 2 | 02/23/2021 | Sulfa and Ceclore | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313310 | 03/01/2021 | WI | 36.0 | 36 | M | 03/01/2021 | Immunizer 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. | Y | 02/27/2021 | both getting blood tests | OTH | PVT | NA | NA | NA | 1 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071460 | 03/04/2021 | WI | 36.0 | 36 | M | Vaccine 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 | Y | 02/16/2021 | 02/17/2021 | 1 | N/A | PUB | Urea Cream | N/A | N/A | 2 | 03/04/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1072196 | 03/04/2021 | WI | 36.0 | 36 | F | 3:35 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 | Y | 03/03/2021 | 03/03/2021 | 0 | None | PUB | Bupropion Citalopram | None disclosed by patient | None disclosed by patient | 2 | 03/04/2021 | None disclosed by patient | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1080518 | 03/08/2021 | WI | 36.0 | 36 | F | Moderna 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. | N | 02/27/2021 | 03/06/2021 | 7 | N/A | UNK | Birth control, Sertraline 50mg | None | Asthma, seasonal allergies | 2 | 03/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1082294 | 03/08/2021 | WI | 36.0 | 36 | M | Pt 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 sw | U | 03/05/2021 | 03/06/2021 | 1 | n/a | PVT | none | none | hyperlipidemia, vitamin d deficiency | 2 | 03/08/2021 | nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1084229 | 03/09/2021 | WI | 36.0 | 36 | F | Axillary lymphadenopathy on same side as the injection. Recommended warm compresses. Follow up in 2 days. | N | 03/03/2021 | 03/07/2021 | 4 | PVT | 2 | 03/09/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1097516 | 03/13/2021 | WI | 36.0 | 36 | F | I 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. | N | 03/04/2021 | 03/12/2021 | 8 | NA | PHM | Zyrtec Vyvanse Tumeric w/ Black Pepper Montelukast | NA | Asthma Heart Murmur | 2 | 03/13/2021 | Latex Tramadol Augmentin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1100595 | 03/14/2021 | WI | 36.0 | 36 | F | Swollen arm at site of shot 8 days later. Within 24 hours I've developed a hot, red, itchy rash in the same area. | N | 03/06/2021 | 03/13/2021 | 7 | None | PVT | Buspirone Prilosec Birth control | None | None | 2 | 03/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1101315 | 03/15/2021 | WI | 36.0 | 36 | F | Approximately 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 wei | Y | 03/11/2021 | 03/12/2021 | 1 | UNK | Bupropion | None | None | 2 | 03/15/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1105091 | 03/16/2021 | WI | 36.0 | 36 | F | developed tingling in fingers/hands (L>R) & lips | Y | 03/16/2021 | 03/16/2021 | 0 | none - vitals were taken (acceptable), pt was given po Benadryl 25mg & monitored for over 30 minutes, symptoms resolved completely | SCH | none documented | none | none documented | 2 | 03/16/2021 | fin fish, certain wines | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108252 | 03/17/2021 | WI | 36.0 | 36 | F | Headache 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 vaccination | Y | 03/14/2021 | 03/14/2021 | 0 | None | PHM | None | None | None | 2 | 03/17/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109513 | 03/17/2021 | WI | 36.0 | 36 | F | Covid arm- redness, swelling, rash, soreness in arm. No itch as of today but rash is getting larger in size of area. | 03/05/2021 | 03/16/2021 | 11 | PHM | 2 | 03/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1110719 | 03/18/2021 | WI | 36.0 | 36 | F | Patient 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 pai | U | 03/05/2021 | 03/05/2021 | 0 | Unknown at this time | PUB | Unknown | Unknown | Unknown | 2 | 03/18/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1111764 | 03/18/2021 | WI | 36.0 | 36 | M | Pinched nerve developed on the left side of my neck shortly after obtaining a dose of the vaccine. | N | 02/18/2021 | 03/07/2021 | 17 | Xray | PVT | None | The same Incident occurred on January 27th two days after receiving the first dose of the vaccine | Asthma | 2 | 03/18/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1117335 | 03/19/2021 | WI | 36.0 | 36 | F | pt 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. s | N | 03/11/2021 | 03/14/2021 | 3 | D-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, brachial | PVT | amitriptyline, buspirone, dicyclomine, humira, levonorgestrel-ethinyl estradiol, lorazepam, ondansetron, promethazine, propranolol | none | crohns disease, chronic. had covid 9/2/2020 | 2 | 03/19/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1118969 | 03/20/2021 | WI | 36.0 | 36 | F | patient 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 al | 03/19/2021 | 03/19/2021 | 0 | PHM | 2 | 03/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1121965 | 03/22/2021 | WI | 36.0 | 36 | F | Painful red itch patch/rash at injection site. Also feels warm to the touch. | N | 03/19/2021 | 03/21/2021 | 2 | PVT | Cymbalta, Wellbutrin, Zyrtec, Doxycyline, Spironolactone, Zinc, Probiotic | 2 | 03/22/2021 | Imitrex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1129414 | 03/24/2021 | WI | 36.0 | 36 | F | Twenty 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 th | N | 03/21/2021 | 03/21/2021 | 0 | I 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 | PHM | pre-natal vitamin | none | endometriosis | 2 | 03/24/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139565 | 03/27/2021 | WI | 36.0 | 36 | F | 9:00am - 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 112/82 | N | 03/25/2021 | 03/25/2021 | 0 | Blood pressure, oxygen level, and heart rate | PUB | Topimax, Zoloft, vitamin d, Claritin, doxycycline | None | None | 2 | 03/27/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1174273 | 04/07/2021 | WI | 36.0 | 36 | F | Approximately 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 Tylen | N | 04/06/2021 | 04/06/2021 | 0 | UNK | Levothyroxine, amlodipine, birth control, Brio Inhaler | None | Hypothyroidism, asthma, HTN, idiopathic rhabdomyelysis | 2 | 04/07/2021 | Lisinopril, PCN, Bactrim, Vessicare, Minocycline, Truvada, latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1178886 | 04/07/2021 | WI | 36.0 | 36 | F | Menstrual Spotting for one day. | Y | 03/31/2021 | 04/05/2021 | 5 | UNK | Multivitamin and magnesium oxide | Post Partum | 2 | 04/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179726 | 04/08/2021 | WI | 36.0 | 36 | F | Large 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 | U | 03/25/2021 | 04/07/2021 | 13 | N/A | PHM | N/A | N/A | obesity | 2 | 04/08/2021 | amoxycillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179911 | 04/08/2021 | WI | 36.0 | 36 | F | Patient 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 r | Y | 04/07/2021 | 04/07/2021 | 0 | None | PUB | Unknown | Unknown | Unknown | 2 | 04/08/2021 | PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1182617 | 04/08/2021 | WI | 36.0 | 36 | F | 16:30: 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. Pt | 04/08/2021 | 04/08/2021 | 0 | OTH | Unknown | None | Unknown | 2 | 04/08/2021 | Ceclor as a child- unsure of symptoms. No h/o anaphylaxis. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1183545 | 04/09/2021 | WI | 36.0 | 36 | F | 4/7/21 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 a | U | 04/06/2021 | 04/07/2021 | 1 | PHM | Vyvanse, simvastatin, levonoegestrel-ethinyl estradiol, zyrtec, levothyroxine, ergocalciferol | Obesity, asthma, hypothyroidism, hyperlipidemia, kidney stones | 2 | 04/09/2021 | Fin fish, shellfish, almonds, hazelnuts | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1185194 | 04/09/2021 | WI | 36.0 | 36 | M | The 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 o | N | 04/09/2021 | 04/09/2021 | 0 | 4/9 Xray narrowing of L5-S1 | SCH | none | none | Low back pain intermittent but never sciatica | He states with influenza vaccine in the past, he gets ill with the "flu" so he stopped receiveing them-no record of the date. | 2 | 04/09/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1187034 | 04/09/2021 | WI | 36.0 | 36 | M | tongue stiffness, tingling, skin tingling, lymphadenopathy, muscle stiffness | Y | 04/08/2021 | 04/08/2021 | 0 | UNK | metformin, lisinopril hct, fenofibrate, vit D3 | HTN, T2DM, hyperlipidemia | 2 | 04/09/2021 | Y | amoxicillin, PCN, SMT/TMP, prochlorperazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1187480 | 04/09/2021 | WI | 36.0 | 36 | M | About 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 hou | N | 04/08/2021 | 04/08/2021 | 0 | PUB | Vitamin D - 2,000units daily Metaformin Fenofibrate Lisinopril | High blood pressure Diabetes Obese | 2 | 04/09/2021 | Y | Penicillin Amoxicillin Bactrim Compazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1189783 | 04/10/2021 | WI | 36.0 | 36 | M | Nausea, tiredness, muscle aches, chills, headache. Lasted for 24 hours. Did not take temperature. Tylenol helped. | Y | 03/25/2021 | 03/26/2021 | 1 | None taken | UNK | Lisinopril 20mg Cetirizine 10 mg | None | High blood pressure | 2 | 04/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196628 | 04/12/2021 | WI | 36.0 | 36 | F | started 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 | Y | 04/10/2021 | 04/10/2021 | 0 | None | PVT | amitriptyline 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 mcg | NONE | NONE | 2 | 04/12/2021 | Y | cefaclor (Hives) morphine (Erythema at injection site, Unknown) amoxicillin (Unknown) penicillin (Unknown) 'ivory dish soap' ?Potatoes: Anaphylaxis | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1197708 | 04/12/2021 | WI | 36.0 | 36 | F | Large red, circular/oval mark on arm around injection site that was extremely itchy for about 12 hours. | Y | 03/17/2021 | 03/25/2021 | 8 | N/A | PHM | Vitamin D, Post-natal vitamins | N/A | N/A | Nausea, fatigue, headache, fever - TDAP - August 2020 | 2 | 04/12/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1199322 | 04/12/2021 | WI | 36.0 | 36 | F | Large 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. | Y | 03/15/2021 | 03/20/2021 | 5 | n/a | PHM | Zyrtec - daily, fish oil supplement, vitamin d supplement, women's daily multivitamin | n/a | n/a | 2 | 04/12/2021 | Shellfish, Oral Allergy Syndrome: Raw fruits and vegetables | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1204574 | 04/13/2021 | WI | 36.0 | 36 | F | headache left side of head since vaccine given | N | 04/01/2021 | 04/01/2021 | 0 | CBC ordered for 4/14/2021 | PVT | none | none | none | 2 | 04/13/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209967 | 04/14/2021 | WI | 36.0 | 36 | F | Red, raised, indurated arm approx. 1 week after receiving #2 Moderna vaccine | U | 04/01/2021 | 04/14/2021 | 13 | N/A | PVT | Alphlipoic 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 4 | choloecystectomy | dysphagia, mitochondrial metabolism, cerebellar ataxia, seizures and POTS | 2 | 04/14/2021 | Y | Flexeril, lamotrigine, ciprofloxacin, penicillin, kepra, venlafaxine, florinef, phenytoin, metroprolol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1217854 | 04/16/2021 | WI | 36.0 | 36 | M | fatigue, shortness of breath, nausea, | N | 04/06/2021 | 04/07/2021 | 1 | OTH | Asthma, hypertension | 2 | 04/16/2021 | Y | pollen, vancomycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1218694 | 04/16/2021 | WI | 36.0 | 36 | F | high fever, aching muscles, fatigue, nausea, headache, early menstrual cycle, lymph node swelling in injection arm, pain at injection site | N | 04/15/2021 | 04/16/2021 | 1 | OTH | None | None | None | 2 | 04/16/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1219460 | 04/16/2021 | WI | 36.0 | 36 | M | Headache 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. | N | 04/16/2021 | 04/16/2021 | 0 | None | OTH | Cetirizine | None | Similar side effects after first dose of Pfizer covid vaccine | 2 | 04/16/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222935 | 04/17/2021 | WI | 36.0 | 36 | F | Nauseous shortness of breath headache | N | 04/16/2021 | 04/17/2021 | 1 | None yet | PHM | Blood 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 800m | NA | High blood pressure Anxiety Acid reflux | 2 | 04/17/2021 | Azithromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1223589 | 04/17/2021 | WI | 36.0 | 36 | F | Slight 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 | Y | 04/17/2021 | 04/17/2021 | 0 | Vitals stable. No distress. | PVT | 2 | 04/17/2021 | Benzoyl Peroxide Topical: Rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1226669 | 04/18/2021 | WI | 36.0 | 36 | F | large 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 | Y | 01/25/2021 | 01/26/2021 | 1 | none | PVT | ibuprofen for arm pain/low grade fever/body ache | none | none | 2 | 04/18/2021 | benadryl taken on 1/28/21 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1228955 | 04/19/2021 | WI | 36.0 | 36 | M | CLT FELT LIGHT HEADED. BP 127/67. CLT MOVED TO A COT AND LAYED FOR 15 MINUTES WHEN SHE FELT BETTER | Y | 03/31/2021 | 03/31/2021 | 0 | UNK | N/A | N/A | 2 | 04/19/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1233787 | 04/20/2021 | WI | 36.0 | 36 | F | Ringing 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. | N | 01/17/2021 | 01/18/2021 | 1 | none | WRK | none | none, gall bladder removal on 12/22/2020 | none | 2 | 04/20/2021 | Y | hydrocortisone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1242987 | 04/22/2021 | WI | 36.0 | 36 | F | Patient 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. | U | 03/31/2021 | 04/18/2021 | 18 | COVID-19 PCR was positive on 4/21/2021. | PVT | Sertraline, Lorazepam, Metformin, Mirena, Spironolactone | none | Obesity, Anxiety, Polycystic Ovarian Syndrome | 2 | 04/22/2021 | Doxycycline and penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246720 | 04/23/2021 | WI | 36.0 | 36 | F | Sore throat developed on 4/11. Tested positive for COVID-19 on 4/22 | Y | 03/05/2021 | 04/11/2021 | 37 | COVID-19 PCR test 4/22 | UNK | 2 | 04/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246730 | 04/23/2021 | WI | 36.0 | 36 | F | Sore throat on 4/11 and tested positive for COVID-19 4/22 | Y | 03/27/2021 | 04/11/2021 | 15 | PCR Covid-19 test 4/22 | UNK | 2 | 04/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1248244 | 04/23/2021 | WI | 36.0 | 36 | F | Patient 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 h | Y | 04/22/2021 | 04/22/2021 | 0 | PUB | asthma | 2 | 04/23/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262564 | 04/27/2021 | WI | 36.0 | 36 | F | erythema nodosum developed 2 weeks after second vaccine | N | 04/05/2021 | 04/19/2021 | 14 | normal CBC, ANA, CMP, TSH | PVT | Sprintec 28 OCP | none known | none | 2 | 04/27/2021 | 2.,4 dimethylalanine, PCN, Sulfa, iodine, adhesive | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262653 | 04/27/2021 | WI | 36.0 | 36 | F | I 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 o | N | 03/16/2021 | 03/16/2021 | 0 | OTH | doxycycline, womens multi vitamin, probiotic, zyrtec (all daily) | none | none | 2 | 04/27/2021 | Y | wheat/gluten allergy, intolerant to corn/sugar/dairy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262742 | 04/27/2021 | WI | 36.0 | 36 | F | Patient 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 c | Y | 04/05/2021 | 04/22/2021 | 17 | Ultrasound of right arm on 4/22 shows a superficial clot in the right cephalic vein. No deep vein involvement. | PVT | N/A | Tobacco use, diabetes, Crohn's disease | 2 | 04/27/2021 | Y | Beta-lactam antibiotics, mercaptopurine analogues | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262808 | 04/27/2021 | WI | 36.0 | 36 | M | whole body rash/hives 4 days after 2nd vaccine | U | 04/22/2021 | 04/26/2021 | 4 | none | PHM | none | none | none | 2 | 04/27/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266860 | 04/28/2021 | WI | 36.0 | 36 | M | tinnitus | N | 04/27/2021 | 04/27/2021 | 0 | PUB | flo-nase, prilosec, allegra | none | 2 | 04/28/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267066 | 04/28/2021 | WI | 36.0 | 36 | F | Spotting (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. | Y | 04/19/2021 | 04/21/2021 | 2 | n/a | PHM | Sertraline, Vitamin D, Zyrtec, Biotin, Asthmanex (all daily). IUD (merena) | n/a | Asthma, obesity | 2 | 04/28/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1270567 | 04/29/2021 | WI | 36.0 | 36 | F | 15 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 | Y | 1 | Y | 04/27/2021 | 04/27/2021 | 0 | Negative urine pregnancy test. All routine labs within normal limits. | PVT | Fluticasone nasal spray | None | None | Itching | 2 | 04/29/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1270613 | 04/29/2021 | WI | 36.0 | 36 | F | Patient 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 o | Y | 04/28/2021 | 04/28/2021 | 0 | None | PUB | B/P medication- uncertain of name. | None | HTN | 2 | 04/29/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271410 | 04/29/2021 | WI | 36.0 | 36 | F | Severe flair in preexisting back/neck pain | N | 04/24/2021 | 04/25/2021 | 1 | PVT | Daily vitamin, iron supplement, PPA | Chronic muscle pain, chronic pain patient | Flu symptoms after flu shots | 2 | 04/29/2021 | Duloxetine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1280355 | 05/02/2021 | WI | 36.0 | 36 | M | Dizziness, heart palpitations, headaches, joint pain, chest pain, intestinal pain | N | 04/09/2021 | 04/13/2021 | 4 | Blood work, ECG, urine test | PHM | Doctor has me taking Alegra and Musinex for the symptoms. Not working. I am also taking a multi vitamin and occasionally ibporpheon | Sinus infection in March | High cloesteral | 2 | 05/02/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1284528 | 05/04/2021 | WI | 36.0 | 36 | M | 4 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 d | U | 04/14/2021 | 04/18/2021 | 4 | PHM | NA | NA | NA | 2 | 05/04/2021 | Y | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1290042 | 05/05/2021 | WI | 36.0 | 36 | F | Tinnitus. 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 symp | Y | N | 02/03/2021 | 02/08/2021 | 5 | TSH, WBC - normal Hearing test - normal | PUB | None | None | None | 2 | 05/05/2021 | Y | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1290443 | 05/05/2021 | WI | 36.0 | 36 | F | patient started having bells-palsy like symptoms- lips and right side of the face tingled and loss motor control | U | 04/15/2021 | 04/17/2021 | 2 | PHM | 2 | 05/05/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1292781 | 05/06/2021 | WI | 36.0 | 36 | M | Patient 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 | Y | 05/06/2021 | 05/06/2021 | 0 | None | PUB | Anti-anxiety and depression medications | None | Anxiety and depression. | 2 | 05/06/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1303172 | 05/10/2021 | WI | 36.0 | 36 | F | Incredibly 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" | N | 05/06/2021 | 05/08/2021 | 2 | PVT | Magnesium Glycinate 1000mg OTC Allegra | none | Allergies & asthma | 2 | 05/10/2021 | Asprin Sensitive | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1308226 | 05/11/2021 | WI | 36.0 | 36 | F | Patient 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 tigh | Y | 05/11/2021 | 05/11/2021 | 0 | OTH | Medications: 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 (INDER | Problem 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 methotr | 2 | 05/11/2021 | Penicillins and Bee Sting | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1311288 | 05/12/2021 | WI | 36.0 | 36 | M | Pt. 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 d | Y | 05/11/2021 | 05/11/2021 | 0 | unknown | PUB | unknown | opiate withdrawal taking methadone | opiate addition | 2 | 05/12/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327170 | 05/18/2021 | WI | 36.0 | 36 | F | Sore 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. | N | 03/23/2021 | 04/19/2021 | 27 | PHM | Tylenol, multivitamin, birth control pill, xanax, sertraline, adderall, ambien | None | Generalized anxiety disorder | 2 | 05/18/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1337723 | 05/21/2021 | WI | 36.0 | 36 | M | PATIENT 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. | Y | 05/18/2021 | N | 05/13/2021 | 05/18/2021 | 5 | UNKNOWN | PHM | UNKNOWN | UNKNOWN | 05/13-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. | 2 | 05/21/2021 | UNKNOWN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1340711 | 05/22/2021 | WI | 36.0 | 36 | F | Lump swelling at injection site hot to the touch pain under left arm pit fatigue | N | 05/14/2021 | 05/21/2021 | 7 | Unknown | PVT | Omeprazole cymbalta hydrocodone Tizanidine zolpidem | No | Migraines fibromyalgia | 2 | 05/22/2021 | Biaxin seasonsal shell fish cats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1341103 | 05/22/2021 | WI | 36.0 | 36 | M | Arm pain, fingers/toes numbness, chills, fever, headache. All symptoms lasted for around 24 hours with some lingering fatigue lasting for 48 hours. | Y | 05/18/2021 | 05/19/2021 | 1 | OTH | Dtap booster, hospital administered around 2016 | 2 | 05/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1341772 | 05/23/2021 | WI | 36.0 | 36 | M | Numbness 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. | N | 03/23/2021 | 04/08/2021 | 16 | 4/11/21 - 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) | PVT | None | None | None | 2 | 05/23/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1347394 | 05/25/2021 | WI | 36.0 | 36 | F | Headaches, 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. Ala | N | 04/07/2021 | 04/07/2021 | 0 | MRI, spinal tap, bloodwork for thrombosis. All negative, except MRI showed artifact/flare, will be rechecked in a month. | PVT | Sertraline (Zoloft generic) | N/A | N/A | vsafe | 2 | 05/25/2021 | Y | Y | Clindomyocin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1382688 | 06/08/2021 | WI | 36.0 | 36 | M | Cardiology 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 pas | Y | 1 | U | 05/19/2021 | 05/20/2021 | 1 | EKG, echocardiogram, bloodwork | PVT | none | 2 | 06/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1394360 | 06/12/2021 | WI | 36.0 | 36 | M | About 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. | Y | 06/12/2021 | 06/12/2021 | 0 | PHM | 2 | 06/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1413255 | 06/20/2021 | WI | 36.0 | 36 | F | All 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 | N | 05/14/2021 | 05/16/2021 | 2 | CT 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. | PHM | Probiotic, multi vitamin, D3, psyllium, zinc, magnesium | GERD, rapid gastric emptying, generalized anxiety, no gallbladder | 2 | 06/20/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1414723 | 06/21/2021 | WI | 36.0 | 36 | F | shoulder 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 extre | Y | 06/18/2021 | 06/18/2021 | 0 | PVT | prenatal vitamin | none | none | 2 | 06/21/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1440620 | 07/01/2021 | WI | 36.0 | 36 | F | Patient 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 Spontan | Y | 04/18/2021 | 06/27/2021 | 70 | Ultrasound 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) | PHM | Prenatal vitamin Probiotic Vitamin B complex Azelastine nasal spray Ambien - PRN | Left breast lesion- not concerning per PCP | Raynaud's Mild renal insufficiency | 2 | 07/01/2021 | Y | Y | Erythromycin - GI Upset | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1441124 | 07/01/2021 | WI | 36.0 | 36 | F | 1512 - 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 placed | U | 07/01/2021 | 07/01/2021 | 0 | OTH | 2 | 07/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1459484 | 07/09/2021 | WI | 36.0 | 36 | F | Injection site pain Fever Nausea Diarrhea Body aches Mild asthma symptoms | Y | 07/06/2021 | 07/06/2021 | 0 | Normal urine blood work on 7/7/21 Negative COVID 19 test on 7/7/21 | PVT | Propranolol Singular Zyrtec | Runny nose | NA | 2 | 07/09/2021 | Y | Y | Reaction to cephflexin and Compazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1459730 | 07/09/2021 | WI | 36.0 | 36 | M | 14 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. | Y | 07/08/2021 | 07/08/2021 | 0 | PUB | none | none | none | 2 | 07/09/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1470253 | 07/14/2021 | WI | 36.0 | 36 | M | sore throat,nasal congestion,headache | 03/12/2021 | 07/05/2021 | 115 | UNK | 2 | 07/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1494277 | 07/22/2021 | WI | 36.0 | 36 | M | SARS-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. | U | 06/07/2021 | 07/20/2021 | 43 | PHM | 2 | 07/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1505881 | 07/27/2021 | WI | 36.0 | 36 | F | Fluttering/rapid heartbeat | N | 07/20/2021 | 07/27/2021 | 7 | PVT | Sertiline 50 mg | na | na | 2 | 07/27/2021 | na | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1512704 | 07/29/2021 | WI | 36.0 | 36 | M | During 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 unconsc | Y | 07/29/2021 | 07/29/2021 | 0 | PHM | NA | none | none | 2 | 07/29/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1515021 | 07/30/2021 | WI | 36.0 | 36 | F | Patient 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 i | Y | 07/28/2021 | 07/28/2021 | 0 | PHM | 2 | 07/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1528715 | 08/05/2021 | WI | 36.0 | 36 | M | No adverse event. Medication error. | Y | 05/04/2021 | 05/04/2021 | 0 | n/a | PVT | n/a | n/a | n/a | 2 | 08/05/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1529177 | 08/05/2021 | WI | 36.0 | 36 | F | 7/7/21 - 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, congest | N | 07/07/2021 | 07/07/2021 | 0 | 7/13/21 - step test (negative) | PHM | Ibisbloom birth control, Esomeprazole Magnesium, Vitamin D | N/A | Overweight | 2 | 08/05/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1535196 | 08/08/2021 | WI | 36.0 | 36 | F | Early menstruation, Heavy menstruation, longer menstruation. Repeated for 3x cycles post vaccination, then returned to normal. | 03/16/2021 | 03/21/2021 | 5 | UNK | None | None | None | 2 | 08/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1536100 | 08/09/2021 | WI | 36.0 | 36 | F | Sore arm; headache; interrupted sleep; exhaustion; brain fog. | N | 08/06/2021 | 08/06/2021 | 0 | N/A | PHM | Multivitamin | N/A | Asthma; COVID long-hauler | 2 | 08/09/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1553860 | 08/13/2021 | WI | 36.0 | 36 | F | Developed 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. | Y | 08/12/2021 | 08/12/2021 | 0 | PVT | 2 | 08/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1582525 | 08/18/2021 | WI | 36.0 | 36 | F | Sudden, 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 ra | N | 08/17/2021 | 08/17/2021 | 0 | None | PVT | Escitalopram, buspirone, femotidine, hydroxyzine, calcium, vitamin D | None | Depression, anxiety, insomnia, reflux, obesity, acne, eczema | 2 | 08/18/2021 | Fluoxetine - 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 heada | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1582533 | 08/18/2021 | WI | 36.0 | 36 | F | I 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, n | Y | Y | 2 | Y | N | 04/30/2021 | 05/20/2021 | 20 | High 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 date | SCH | Gabapentin, hydrocodone, acetaminophen, ibuprofen, sumatripten, topriamate, birth control, | Kidney stones | 2 | 08/18/2021 | Y | Y | Penicillin, omyxicillian, oxycodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591954 | 08/20/2021 | WI | 36.0 | 36 | F | Started 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 | U | 01/08/2021 | 04/06/2021 | 88 | Urgent 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/ | WRK | Prenatal vitamin, vitamin D 2000iu | None | Asthma - Exercise Induced only | 2 | 08/20/2021 | Y | Y | Sumitriptan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1598120 | 08/21/2021 | WI | 36.0 | 36 | F | chest 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 COVID | Y | 03/21/2021 | 03/21/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1610483 | 08/22/2021 | WI | 36.0 | 36 | F | bumps; 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-ol | U | 04/07/2021 | 04/15/2021 | 8 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1613646 | 08/22/2021 | WI | 36.0 | 36 | M | general 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) | U | 03/30/2021 | 04/29/2021 | 30 | Test Date: 20210429; Test Name: Fever; Result Unstructured Data: 100.5 degrees Fahrenheit | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1624086 | 08/23/2021 | WI | 36.0 | 36 | F | Immediately 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 ass | U | 03/11/2021 | 03/11/2021 | 0 | MRI of neck, MRI of shoulder, MRI of brain. | PVT | No | No | No | 2 | 08/23/2021 | Y | Y | Flomax, & macrobid | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1629541 | 08/24/2021 | WI | 36.0 | 36 | M | Patient 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 symptoms | 08/03/2021 | 08/06/2021 | 3 | none | PHM | unknown | unknown | unkown | 2 | 08/24/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1635882 | 08/26/2021 | WI | 36.0 | 36 | M | Received 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-ol | Y | 06/14/2021 | 06/14/2021 | 0 | UNK | USMODERNATX, INC.MOD20212 | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1651226 | 08/28/2021 | WI | 36.0 | 36 | F | Body aches/pains for two and a half days Nausea for one day | Y | 08/01/2021 | 08/01/2021 | 0 | PVT | Nuvaring Lamictal Wellbutrin Xanax Herbs Advil | Asthma Arthritis | 2 | 08/28/2021 | Doxycycline Penicillin Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1655397 | 08/30/2021 | WI | 36.0 | 36 | F | Moderna vaccine was thawed, frozen and given to patient | Y | 08/26/2021 | 08/26/2021 | 0 | none | OTH | Tylenol | none | none | 2 | 08/30/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1689088 | 09/10/2021 | WI | 36.0 | 36 | F | body aches, chills, fever, headaches, muscle pains in arms, | N | 09/07/2021 | 09/08/2021 | 1 | PVT | levothyroxine | no | no | 2 | 09/10/2021 | sulfano | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1691665 | 09/11/2021 | WI | 36.0 | 36 | F | Dose 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 administe | Y | 08/26/2021 | 08/26/2021 | 0 | OTH | TYLENOL | Pain | USMODERNATX, INC.MOD20213 | 2 | 09/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1703902 | 09/16/2021 | WI | 36.0 | 36 | F | HEART 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 MUSCL | N | 09/12/2021 | 09/13/2021 | 1 | NO FORMAL MEDICAL TESTS BUT KNOWLEDGE OF MEDICAL CONDITIONS AND SYMPTOMS FROM EXPERIENCE AS A PARAMEDIC. | PHM | ELINEST | NONE | NONE | 2 | 09/16/2021 | MILD SENSITIVITY TO OXYCODONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1703988 | 09/16/2021 | WI | 36.0 | 36 | M | Chest pain | N | 09/13/2021 | 09/15/2021 | 2 | PVT | None | None | None | 2 | 09/16/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1712726 | 09/18/2021 | WI | 36.0 | 36 | F | Within 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 w | N | 09/10/2021 | 09/10/2021 | 0 | None | PHM | venlafaxine 225 mg | None | Anxiety Depression | Unknown reaction, pertussis vaccination - received during infancy | 2 | 09/18/2021 | Pertussis vaccination | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1713337 | 09/18/2021 | WI | 36.0 | 36 | F | about 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 s | Y | 09/18/2021 | 09/18/2021 | 0 | none | PUB | not known | none | none known | 2 | 09/18/2021 | nkda | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1714387 | 09/19/2021 | WI | 36.0 | 36 | F | Menstrual 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. | U | 02/02/2021 | 02/11/2021 | 9 | Pelvic ultrasound 5/13/21, FSH, CBC and TSH 5/7/21 | PVT | sertraline 200mg daily | n/a | kidney stones, headaches | 2 | 09/19/2021 | Y | allergy: erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1723358 | 09/22/2021 | WI | 36.0 | 36 | F | Recurrent 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 on | N | 01/13/2021 | 01/14/2021 | 1 | CBC, BMP, TSH, free T4- wnl IUD removal planned 9/23/21 and possible additional work up and intermittent lymphadenopathy since vaccine continues to recur | PVT | IUD | None. | None. | 2 | 09/22/2021 | Y | Keflex. Bactrian. Tree pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1728684 | 09/23/2021 | WI | 36.0 | 36 | F | dyspnea | N | 09/10/2021 | 09/10/2021 | 0 | EKG, chest xray and labs -9/21/21 | PVT | 2 | 09/23/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1741757 | 09/28/2021 | WI | 36.0 | 36 | F | Patient contracted COVID after being fully vaccinated runny nose, headache, sore throat, congestion, fatigue Patient is now pregnant | 05/05/2021 | 09/22/2021 | 140 | PVT | aspirin 81mg daily folic acid daily Multivitamin Daily | None Documented | anxiety, smoker, stomach ulcer, ganglion cyst, heartburn, retroverted uterus, uterine leiomyoma, panic disorder with agoraphobia, miscarriage, irritable bowel syndrome | 2 | 09/28/2021 | tetanus toxoid | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1749355 | 09/30/2021 | WI | 36.0 | 36 | F | EE 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 d | Y | 09/28/2021 | 09/28/2021 | 0 | none | UNK | 2 | 09/29/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1750388 | 09/30/2021 | WI | 36.0 | 36 | F | Patient 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 | N | 09/29/2021 | 09/29/2021 | 0 | PHM | Levothyroxine | Hypothyroidism | 2 | 09/30/2021 | Sunflower Seeds | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1757884 | 10/04/2021 | WI | 36.0 | 36 | F | Significant Right arm pain Deep bone/joint pain Muscle pain Fatigue Mild headache Heartburn | N | 10/02/2021 | 10/02/2021 | 0 | N/a | PVT | Lialda, Concerta, prenatal multivitamin, l-tyrosine, gabapentin, zolpidem, doxylamine, melatonin, iron | N/a | Ulcerative colitis, adhd | 2 | 10/04/2021 | Sulfasalazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1764646 | 10/06/2021 | WI | 36.0 | 36 | F | uri/gi sx X 2d + abbott test m10/4 | U | 08/31/2021 | 10/04/2021 | 34 | + abbott test | PVT | n/a | n/a | obesity | 2 | 10/06/2021 | Y | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1775404 | 10/10/2021 | WI | 36.0 | 36 | F | Painful, visible gland swelling in armpit proximal to injection site onset approximately 24 hours following injection and lasting at least 60 hours. | N | 10/07/2021 | 10/08/2021 | 1 | N/a | UNK | Women's multivitamin, calcium, vitamin D, magnesium, CBD, fish oil, coq10, probiotic, Flovent, Fluticasone nasal spray | N/a | Asthma, migraine | 2 | 10/10/2021 | Sunflower seed oil, nonoxynol-9 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1782734 | 10/13/2021 | WI | 36.0 | 36 | F | Miscarriage 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. | Y | 03/17/2021 | 08/06/2021 | 142 | PVT | N/A | None | None | 2 | 10/13/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1804700 | 10/21/2021 | WI | 36.0 | 36 | F | Headache, body aches , cough | Y | 10/15/2021 | 10/16/2021 | 1 | PVT | none | none | Asthma | 2 | 10/21/2021 | Y | shellfish, Iodine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1821674 | 10/27/2021 | WI | 36.0 | 36 | M | intermittent chest discomfort | N | 10/22/2021 | 10/23/2021 | 1 | electrocardiogram, troponin level, and inflammatory markers such as C-reactive protein and erythrocyte sedimentation rate | PVT | N/A | N/A | N/A | 2 | 10/27/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1827411 | 10/29/2021 | WI | 36.0 | 36 | M | Patient 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 (M | Y | 10/21/2021 | 10/21/2021 | 0 | UNK | USMODERNATX, INC.MOD20213 | 2 | 10/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1832173 | 10/31/2021 | WI | 36.0 | 36 | M | Severe 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. It | N | 10/21/2021 | 10/31/2021 | 10 | None | PHM | Multivitamin | Obesity | 2 | 10/31/2021 | Y | Latex, sulfa drugs, fluoroquinolone antibiotics, SSRIs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1836698 | 11/02/2021 | WI | 36.0 | 36 | F | Right 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 bo | Y | 06/18/2021 | 11/02/2021 | 137 | My session is going to time out but i included a few above. | WRK | sertraline, vitamin D, zinc, calcium, magnesium | none | none | 2 | 11/02/2021 | Y | sensitivity to wine (causes irritation on throat and tongue) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1843111 | 11/04/2021 | WI | 36.0 | 36 | F | Day 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/nau | N | 10/16/2021 | 10/16/2021 | 0 | CT 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 liver | PVT | empagliflozin/linagliptin; glipizide; lantus insulin; sertraline; depo provera | 1 month prior cold symptoms - neg covid testing | depression; type 2 diabetes | 2 | 11/04/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1846667 | 11/05/2021 | WI | 36.0 | 36 | F | Prior 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. | N | 04/14/2021 | 04/20/2021 | 6 | UNK | Zyrtec | Mild asthma, WPW | 2 | 11/05/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1849897 | 11/08/2021 | WI | 36.0 | 36 | F | Began 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 c | Y | 10/28/2021 | 10/28/2021 | 0 | PUB | Aspirin 81mg PO daily | N/A | N/A | 2 | 11/08/2021 | Droperidol Amoxicillin Codeine Latex Bananas Avocado Mushroom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1851582 | 11/08/2021 | WI | 36.0 | 36 | F | Injection site reaction lasting greater than 2 days. Red rash around injection site along with hard painful bump extending 1" in diameter. | N | 11/06/2021 | 11/07/2021 | 1 | None | PHM | Propranolol 120mg capsule, apple cider vinegar supplement, daily multi-vitamin | None | Hypertension | 2 | 11/08/2021 | Medications: Codeine, Cephalosporins, Penicillin, Enalapril, Sulfa Environmental: Bees | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1857537 | 11/10/2021 | WI | 36.0 | 36 | F | positive for COVID-19 on 11/1/21 | Y | 12/29/2020 | 11/01/2021 | 307 | Positive NAAT Sars-COV-2 RNA test on 11/1/21 | PVT | amitriptyline, clindamycin topical gel, Flonase, pantoprazole, sumatriptan prn, tramadol, valacyclovir | none | hypothyroidism, fibromyalgia, sacroiliac joint dysfunction, ESBL carrier, history of kidney stones, asthma, history of TTP | 2 | 11/10/2021 | Y | codeine, lactose intolerance, sulfa medications, metoclopramide | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1860856 | 11/11/2021 | WI | 36.0 | 36 | F | 10/29/2021 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 r | N | 10/29/2021 | 10/29/2021 | 0 | observation | PVT | Fluoxetine 40mg once daily, Lysinathphral 20mg once daily, Alodephim 5mg once daily, Quadrophenia 25-50mg daily | No | No | Age 2, Cold Pnemonia and hospitalized | vsafe | 2 | 11/11/2021 | Y | Amoxociline, Zithromicyine, Pineapples | 2021VAERSSYMPTOMS | 2021VAERSVAX |