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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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0917112 | 01/01/2021 | MD | 38.0 | 38 | M | Modern a COVID-19 Vaccine EUA. Left arm where administered had about a Golf ball size bump starting about 8 hours after administration as well as a 7/10 pain by palpitation and 4/10 pain with movement. At about the 10 hour mark symptoms started with GI iss | Y | 12/30/2020 | 12/30/2020 | 0 | None | UNK | None | None | None | 2 | 01/01/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0918567 | 01/04/2021 | MD | 38.0 | 38 | F | rash 1 week later, took Benadryl and is recovering | N | 12/28/2020 | 01/04/2021 | 7 | PVT | vitamin d , c , culturelle | none | na | 2 | 01/04/2021 | Y | tree nuts , peanuts, bees | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0918865 | 01/04/2021 | MD | 38.0 | 38 | F | swelling (golf ball size), pain, and redness at injection site. Severe headache and extreme fatigue started morning day after injection and lasted approx. 48 hours. Also a sore throat and some nasal congestion. | Y | 12/28/2020 | 12/29/2020 | 1 | COVID 19 swab done 12/29/20 (negative results) | PVT | Adderall XR, Latuda, Ativan | none | none | 2 | 01/04/2021 | Ceftin, Cipro, Amoxicillin, Darvocet, Codeine, Biaxin, PPD | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0919993 | 01/05/2021 | MD | 58.0 | 38 | F | Moderna COVID-19 Vaccine EUA Fatigue, Muscle Pain, Chills, Joint Pain, Nausea x 24hrs. Headache x 3 days Pain at injection site x 4 days | Y | 12/28/2000 | 12/29/2000 | 1 | OTH | PRN Zyrtec, Vitamin D, Calcium | None | None | 2 | 01/05/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0922001 | 01/05/2021 | MD | 38.0 | 38 | F | Sore throat Decreased taste Headache | U | 12/01/2020 | 01/04/2021 | 34 | COVID-19 test administered 01/04/2020 | PVT | Levothyroxine Flovent | None | Hypothyroidism Asthma | 2 | 01/05/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0922624 | 01/06/2021 | MD | 38.0 | 38 | F | swollen, red, hot, itchy, circle about 9 cm circumference with right arm pain directly around injection site. in addition, a cold sore on the same day. | N | 12/29/2020 | 01/05/2021 | 7 | OTH | Vitamin C Ashwagandha Keratin Astaxanthin Collagen | n/a | n/a | 2 | 01/06/2021 | Grass Amoxycillian | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0923793 | 01/06/2021 | MD | 38.0 | 38 | F | about 9 cm circumference circle around injection site that is very red, hot, swollen with intermitten itchiness and aches. | N | 12/29/2020 | 01/05/2021 | 7 | OTH | Organic collagen--Orgain brand Keratin Vitamin C Ashwagandha Astaxanthin Last 4 are my daily vitamins | n/a | lactose intolerant | 2 | 01/06/2021 | Grass and Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0926822 | 01/07/2021 | MD | 38.0 | 38 | F | Lymph node under left arm painful on Day 7 after the vaccination. | N | 12/31/2020 | 01/07/2021 | 7 | PUB | none | Stuffy nose the day of that had just started. | none | 2 | 01/07/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0929685 | 01/08/2021 | MD | 38.0 | 38 | F | *Moderna* Headache that has lasted 3 days along with a stiff neck on the left side. | N | 01/05/2021 | 01/05/2021 | 0 | OTH | 2 | 01/08/2021 | prednisone, morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0940413 | 01/13/2021 | MD | 38.0 | 38 | F | Arm became inflamed, red, hot to touch near the vaccine at day 10, arm soreness from day 1 until day 12. | Y | 12/30/2020 | 01/09/2021 | 10 | PVT | N/A | N/A | N/A | 2 | 01/13/2021 | penicillin, egg whites | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0954217 | 01/18/2021 | MD | 38.0 | 38 | F | Less than one hour after receiving my first Moderna vaccine I started to develop a slight red rash from my neck down my stomach and onto my legs. The rash developed into hives in less than 12 hours. I had hives that resembled bee stings from my neck down m | Y | 01/06/2021 | 01/06/2021 | 0 | None | PUB | None | None | None | 2 | 01/18/2021 | Y | Zithromax (z-pack) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0957162 | 01/19/2021 | MD | 38.0 | 38 | F | The patient reported that she has red, warm, bumpy with a dry center at the injection site. She visited her doctor and was diagnosed with cellulites. She reported that, the doctor suspected it may be due to contaminated needle. The doctore prescribed Ceph | N | 01/11/2021 | 01/11/2021 | 0 | PHM | None | None | None | 2 | 01/19/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0957296 | 01/19/2021 | MD | 38.0 | 38 | F | Nausea, vertigo, heat intolerance, rapid heartbeat, abdominal cramps, light sensitivity, insomnia, joint pain, fever, rash, headache, diarrhea | N | 01/08/2021 | 01/15/2021 | 7 | None | OTH | Celexa, CBD, evening primrose oil, zomig | Nonr | None | 2 | 01/19/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0960934 | 01/21/2021 | MD | 38.0 | 38 | M | Near syncopal a few minutes after receiving the vaccine. Was pale and hypotensive. Also c/o mild headache and LUQ abd pain. Laid down and given PO fluids and crackers. He felt better and went home. | Y | 01/20/2021 | 01/20/2021 | 0 | WRK | 2 | 01/21/2021 | IV contrast | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961140 | 01/21/2021 | MD | 38.0 | 38 | F | Headache and dizziness-given water and rest-feeling much better. She did not have anything to eat or drink this morning. Rested for 35 min and felt better with dinking a bottle of water. | Y | 01/21/2021 | 01/21/2021 | 0 | PUB | Niphedipine | no | Hypertension | 2 | 01/21/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0966269 | 01/22/2021 | MD | 38.0 | 38 | F | I started feeling sick the evening I got the shot. Chills, body aches, fever, headache. sweating, fatigue. Today I am having severe diarrhea and nausea. Fatigued and dizzy. Very scared. | N | 01/20/2021 | 01/20/2021 | 0 | none - I had a virtual visit with my doctor yesterday 1/21/20 | PVT | Lexapro, ortho tri cyclen low, xanax, | COVID - 11/2020 | SAH brain aneurysm | 2 | 01/22/2021 | Y | amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0966437 | 01/22/2021 | MD | 38.0 | 38 | F | the night of injection - nausea, vomitting, fatigue, migrane. sx lasted about 2 days then tapered off. Exactly one week later- Swelling, itching on whole body, hot to the touch , burning at injection site. muscle spasms only on R side ( R arm, R thigh) L | N | 01/11/2021 | 01/11/2021 | 0 | OTH | none | sinus/cold | urticaria, pre diabetic, low vitamin d | 2 | 01/22/2021 | Y | citrus, hot sauce, mango, kiwi | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0967574 | 01/23/2021 | MD | 38.0 | 38 | F | Vaccinated at 11:50am. Developed blanket like raised red rash on chest approx 2x3 inches within first 15minutrs. Patient anxious stated maybe I?m having a panic attack, I?m sweating, but not visible. Continued observation. One Hive developed on neck appro | Y | 01/21/2021 | 01/21/2021 | 0 | N/A | PUB | Imuran 50mg once a day Plaquenil 200mg once a day Amitriptyline 75mg once a day Methocarbamol 750mg once a day Refresh eye gel both eyes as needed | None | Lupus Bilateral trochleitis | 2 | 01/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0970998 | 01/25/2021 | MD | 38.0 | 38 | M | Less than 48 hours after shot developed shingles in left ear. | N | 01/18/2021 | 01/20/2021 | 2 | Diagnosed visually by a doctor | PVT | None | None | None | 2 | 01/25/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0975351 | 01/26/2021 | MD | 38.0 | 38 | F | Tingling, numbness of lips, inside cheek and tongue for approx. an hour. Given oral 50mg benadryl at 1025, nothing progressed or got worst. | Y | 01/26/2021 | 01/26/2021 | 0 | MIL | none | None | None | 2 | 01/26/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0982792 | 01/28/2021 | MD | 38.0 | 38 | F | From Thursday- Sunday, I had no usage of the left arm - couldn't raise it or move it. It hurt. I couldn't lift it at all. Friday = slept all day, very tired. Saturday night I went to ER because it hurt so bad: they gave me Lidocaine patches to help with pa | Y | 12/31/2020 | 12/31/2020 | 0 | No | PVT | Birth Control pills | no | anxiety; endometritis | Flu shot - first time ever - I had a reaction; bruised in the area and had swelling at site of injection; February2020 | vsafe | 2 | 01/28/2021 | Y | Y | ibuprofen; Insaids; Motrin; aspirin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0982935 | 01/28/2021 | MD | 38.0 | 38 | F | 2 days after the injection she noticed itching around the site of the injection. The following morning she had burning and swelling and the arm is hot to the touch. The injection site was noted to be in her mid humeral area, below the deltoid. | U | 01/19/2021 | 01/21/2021 | 2 | PVT | 2 | 01/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0988513 | 01/30/2021 | MD | 38.0 | 38 | F | Patient complaint of itching throat 15 minutes post getting vaccine. Redness noted right forehead Treatment 50 mg benadryl given right deltoid 5:48pm. Symptoms resolved in 10 minutes. | Y | 01/30/2021 | 01/30/2021 | 0 | PUB | Tresiba, atorvastatin, Novolog Insulin, Sertraline HCL,Ozempic, Jardiance, Vitamin D, Calcium,Collogen, Biotin, Muti Vitamin, Melatonin | NONE | Diabetes, Hyperlipidemia, Genital Herpes | 2 | 01/30/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0989176 | 01/31/2021 | MD | 38.0 | 38 | F | The first day I had chills and numbness and tingling in my hands and feet, soreness in the injected arm. The second day I had bad muscle and joint pain in both legs. The third day I had extreme fatigue, my body and head felt heavy, brain fog, dizziness and | Y | 01/20/2021 | 01/20/2021 | 0 | N/A | PVT | Birth control | No | No | 2 | 01/31/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0993123 | 02/02/2021 | MD | 38.0 | 38 | F | Pain and redness at injection site. Redness initially size of a quarter on day 1, 11 hrs after injection and increased to the size of a silver dollar on day 2.5. Remained silver dollar size through day 5. Also swelling of arm 2 inches above injection site | Y | 01/27/2021 | 01/27/2021 | 0 | N/a | WRK | Labetalol, Metformin, Vitamin D3, Vitamin C, Iron, Cabergolin, Chlorthalidone, Amlodipine, Claritin, Montelukast, Rabeprazole, Pregabalin, Prazosin, Spironolactone | Fatigue, Chills, Body Ache | HTN, Fibromyalgia, Asthma, Anxiety, Depression, PTSD, Chronic Fatigue, Microademnoma, PCOS | 2 | 02/02/2021 | Y | Latex, Peanuts, Percocet, Neurontin, Ferrlecit, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1007700 | 02/06/2021 | MD | 38.0 | 38 | M | Moderna COVID-19 Vaccine EUA about 2 hours after injection pain on injection side / the upper arm; arm started feeling hot after about 3-4 hours; I was very tired; day after injection muscle aches, joint paint and head aches started; nausea started on the | Y | 02/01/2021 | 02/01/2021 | 0 | None | PHM | None | None | Asthma, Obesity | 2 | 02/06/2021 | Allergies to pollen, dust, grain | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1008837 | 02/06/2021 | MD | 38.0 | 38 | M | Fever from 10:00 pm on 2/3 to around 4 pm on 2/5. Mild body ache. Chills. Fever over 100F until 11pm on 2/4. Started subsiding over night and went away by 2/5. Had 2 NyQuil night time pills at 11 pm on 2/3. And another two on 2/4 at 11:30 am. No medicatio | Y | 02/03/2021 | 02/03/2021 | 0 | None. Symptoms went away by evening of 2/5. | PVT | None. | None. | Asthma. | 2 | 02/06/2021 | Pollen, shrimps and crabmeat. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1009093 | 02/07/2021 | MD | 38.0 | 38 | F | Itching at injection site. Raised pink firm lump at injection site about 2? by 4? area. Lasted about 5 days. | Y | 01/15/2021 | 01/22/2021 | 7 | PUB | Multivitamins | None | None | 2 | 02/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1017094 | 02/09/2021 | MD | 38.0 | 38 | F | patient became sweaty and flushed | 02/09/2021 | 02/09/2021 | 0 | in progress | PVT | DM Irritable Bowel | 2 | 02/09/2021 | Iodine Midodrine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1020797 | 02/10/2021 | MD | 38.0 | 38 | F | Migraine headache for 4 days. Patient reports that she has had migraine headaches in the past but never lasted this long. | Y | 02/03/2021 | 02/07/2021 | 4 | PHM | NOT INDICATED | NONE | NONE | 2 | 02/10/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1026160 | 02/12/2021 | MD | 38.0 | 38 | F | rashes and redness on arm | Y | 02/09/2021 | 02/12/2021 | 3 | no lab test taken | UNK | none | none | none | 2 | 02/12/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1026712 | 02/12/2021 | MD | 38.0 | 38 | F | Patient walked to chair in waiting room after the vaccine and sat down. She began to feel dizzy and slid out of the chair to floor. She did not hit her head but felt dizzy and foggy for a few minutes. Given water to sip on. Put onto cot. 911 called, asse | Y | 02/12/2021 | 02/12/2021 | 0 | PUB | none | none | none | 2 | 02/12/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1036117 | 02/17/2021 | MD | 38.0 | 38 | F | Chills, full body aches, fatigue and rash around injection area. Lasted about 24 hrs. | Y | 02/11/2021 | 02/12/2021 | 1 | None completed. | PHM | Epiduo Forte, nutrafol vitamins and supplements, NAC 1000mg tablet, green tea, mushroom tea. | None. | Sciatica | 2 | 02/17/2021 | None known. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1037241 | 02/17/2021 | MD | 38.0 | 38 | M | Sever Back Pain going up the left arm from injection site into the central back. | 02/17/2021 | 02/17/2021 | 0 | UNK | Gabapentin Depokote | Epilepsy Limes Disease | Epilepsy | 2 | 02/17/2021 | Y | Beans Penicillin Dill | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1040776 | 02/19/2021 | MD | 38.0 | 38 | F | Tenderness in left armpit- onset 5 days after injection Redness, swelling, itching, warm to the touch injection site- onset 7 days after injection | U | 02/11/2021 | 02/19/2021 | 8 | n/a | WRK | xyzal, buscopan, effexor, probiotics, magnesium, multivitamin- daily Meloxicam, flexiril- as needed | n/a | depression/anxiety | 2 | 02/19/2021 | Avalox- just a small rash when taken once | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1044384 | 02/21/2021 | MD | 38.0 | 38 | F | Covid arm. Swelling and pain at injection sight along with itchiness. | N | 02/13/2021 | 02/20/2021 | 7 | PHM | None | none | none | 2 | 02/21/2021 | skin allergy to nickel | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1046024 | 02/22/2021 | MD | 38.0 | 38 | F | Raised bumps that itch on ankle, elbow, wrist, leg, arm and foot started on 21 Feb 2021 and is still present. Showering and benadryl 25 mgs did not resolve the issue. | N | 02/11/2021 | 02/20/2021 | 9 | None | PVT | Birth control Prenatal Vitamins | None | None | 2 | 02/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1060649 | 02/28/2021 | MD | 38.0 | 38 | F | Large swollen baseball size red knot at vaccination site arrived 1 week after vacc. Itchiness for four days and hard cellulitis under site for four days. Took Benedryl for two days and it started to dissipate. | Y | 02/11/2021 | 02/18/2021 | 7 | N/A | SCH | Nuva Ring | none | Migraines | 2 | 02/28/2021 | Seasonal allergies to pollen, dust and dogs(year long) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1061213 | 02/28/2021 | MD | 38.0 | 38 | F | I received the 1st dose of the Moderna Vaccine on January 6, 2021 at 01:49 pm. Approximately 4.5 hours later on January 6, 2021, I went outside in the cold temperatures. Upon returning inside to warmer air, the bilateral fingertips of both hands were pale | N | 01/06/2021 | 01/06/2021 | 0 | Lab Results I have received include CBC with Differential (twice), WBC, Complete Urinalysis, Sjogren?s Ab, Sedimentation Rate, RA Factor, Protein- Creatinine ratio, Complement C4, Complement C3, CMP (twice), C-Reactive Protein, Anti-Scleroderma Antibodies, | PVT | N/A | Asthma, Migraines, HTN, ADHD, Carpal Tunnel (repaired with surgery) | 2 | 02/28/2021 | Y | Y | Bactrim SSRI's | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063492 | 03/01/2021 | MD | 38.0 | 38 | F | Patient noted chest tightness, has had this before related to MS medication, no other symptoms. Declined any intervention but monitoring. | Y | 03/01/2021 | 03/01/2021 | 0 | OTH | 2 | 03/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1066364 | 03/02/2021 | MD | 38.0 | 38 | F | pt reported feeling heavy, unsure and staff noticed poss swelling of her eyes. escorted pt to first aid area. took pt vital signs, medical history, assessed pt , encouraged pt to stay 30 minutes for further monitoring; encouraged pt to call her dr when sh | Y | 03/02/2021 | 03/02/2021 | 0 | vital signs:12:47pm pulse-74 b/p-139/110 left arm, 128/97 right arm spo2-99 ] | PUB | no | none | none | 2 | 03/02/2021 | Peanuts Wheat bees | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1073134 | 03/04/2021 | MD | 38.0 | 38 | M | Diarrhea and fatigue started approx 8 hrs after administration. Fatigue continued next day. At ~9 am following day, began experiencing moderate + pain in and behind right ear and into and throughout lower right jaw. Watery right eye. Some feeling of weakne | N | 03/03/2021 | 03/04/2021 | 1 | UNK | Bystolic Olmesartan Amlodipine Zyrtec Allopurinol Breo | N/A | Hypertension Gout Sleep apnea Allergic asthma | Fever and general severe flu symptoms for a week following TDAP vaccine around 2012 | 2 | 03/04/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1085422 | 03/09/2021 | MD | 38.0 | 38 | F | Patient complained at 5 pm of dizziness/burning of the throat, eyes and entire body fatigue 13 minutes after receiving the vaccine. Benadryl 25 mg by mouth given per protocols at 5:01 pm. patient transferred to the urgent care for further observation at 5: | Y | 02/04/2021 | 02/04/2021 | 0 | NONE | PVT | UNKNOWN | UNKNOWN | UNKNOWN | 2 | 03/09/2021 | Y | SULFA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1088215 | 03/10/2021 | MD | 38.0 | 38 | F | I received the 1st dose of the Moderna Vaccine on January 6, 2021 at 01:49 pm. Approximately 4.5 hours later on January 6, 2021, I went outside in the cold temperatures. Upon returning inside to warmer air, the bilateral fingertips of both hands were pale | N | 01/06/2021 | 01/06/2021 | 0 | Lab Results I have received include CBC with Differential, WBC, Complete Urinalysis, Sjogren?s Ab, Sedimentation Rate, RA Factor, Protein- Creatinine ratio, Complement C4, Complement C3, CMP, C-Reactive Protein, Anti-Scleroderma Antibodies, Anti-extractabl | PVT | N/A | Migraines HTN | 2 | 03/10/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1088443 | 03/10/2021 | MD | 38.0 | 38 | F | ***To continue off previous entries: VAERS E-REPORT 326730 AND E-REPORT*** I received the 1st dose of the Moderna Vaccine on January 6, 2021 at 01:49 pm. Approximately 4.5 hours later on January 6, 2021, I went outside in the cold temperatures. Upon return | N | 02/03/2021 | 02/10/2021 | 7 | Lab Results I have received include CBC with Differential (3 x?s), WBC (3 x?s), Complete Urinalysis (3 x?s), Sjogren?s Ab, Sedimentation Rate, RA Factor (2 x?s), Protein- Creatinine ratio, Complement C4, (2 x?s) Complement C3(2 x?s), CMP (3 x?s), C-Reactiv | PVT | N/A | Migraines HTN | Reported previously in VAERS- Moderna Dose #1 | 2 | 03/10/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1090623 | 03/11/2021 | MD | 38.0 | 38 | F | following symptoms started aout 10-12 hours after receiving vaccine: fever with body aches lasted 2 days, headache and fatigue lasted 3 days, naseau and vomitting lasted 1 day. | Y | 02/05/2021 | 03/06/2021 | 29 | none | PVT | wellbutrin, methylassist (methylfolate & b12), vitamin d, fish oil | none | depression | 2 | 03/11/2021 | lanolin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091034 | 03/11/2021 | MD | 38.0 | 38 | M | Brief episode of lightheaded dizziness. No loss of consciousness. Resolved with drinking juice. Patient observed in car and family drove home. | Y | 03/11/2021 | 03/11/2021 | 0 | N/A | OTH | none | denies | denies | 2 | 03/11/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091992 | 03/11/2021 | MD | 38.0 | 38 | F | Started abdominal pain and heavy vaginal bleeding at the night of the first vaccine shot on 2/12/2021. That day was my 5th day of my period and there were very few brown spot during the day time as normal. After dinner, I started feel abdominal cramp and | 02/12/2021 | 02/12/2021 | 0 | N?A | MIL | N/A | N/A | N/A | 2 | 03/11/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1093532 | 03/12/2021 | MD | 38.0 | 38 | F | Rapid heart rate within 5 minutes of injection. Lightheaded. Shortness of breath. | Y | 02/17/2021 | 02/17/2021 | 0 | None | SCH | N/A | No | None | Vancomycin in 2010. Anaphylactic reaction. Swelling in the face, rash from neck to torso, | 2 | 03/12/2021 | Y | Vancomycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1098436 | 03/14/2021 | MD | 38.0 | 38 | F | Dizziness, nausea, shakiness to the point of extreme difficulty with mobility, excess sweating, pinching pain in left fore arm | Y | 03/05/2021 | 03/07/2021 | 2 | CBC w/o differential -normal Chest X-ray -normal EKG 12-LEAD Borderline Troponine BMP * all test performed on 3/7/2021 in Emergency facility | PVT | Cranberry pills | Urinary tract infection | 28+ year history of kidney stones | 2 | 03/14/2021 | Y | Codeine- causes projectile vomiting Some Plastic adhesive-rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1101938 | 03/15/2021 | MD | 38.0 | 38 | F | Immediately after vaccination had sensation of tongue swelling. No rash, no nausea/vomiting, no lightheadedness. On exam patient was in no acute distress, well appearing, clear voice, no rash, clear oropharynx with no appreciable tongue swelling. Patien | Y | 03/15/2021 | 03/15/2021 | 0 | OTH | N/A | Initial injection had rash | Denies | Had a rash with the first dose of this vaccine | 2 | 03/15/2021 | Penicillin (rashes) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1104447 | 03/16/2021 | MD | 38.0 | 38 | F | 16 min after administration pressure between ears about 20-25 min after administration slight nausea about 30 min after administration and continuing until 1 hr 45 min after administration periodic trouble swallowing and sensation that throat was constrict | Y | 03/13/2021 | 03/13/2021 | 0 | OTH | none | none | POTS | 2 | 03/16/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1111851 | 03/18/2021 | MD | 38.0 | 38 | F | Cold sore on outside of lip. It has been over 3 years since I developed a cold sore. | 03/17/2021 | 03/18/2021 | 1 | PHM | 2 | 03/18/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1115637 | 03/19/2021 | MD | 38.0 | 38 | M | Patient became diaphoretic, dizzy, pale, and weak after first dose. Went to ED. Discharged in stable condition. Advised to eat prior to receiving second dose. | Y | 03/18/2021 | 03/18/2021 | 0 | PVT | 2 | 03/19/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1132340 | 03/25/2021 | MD | 38.0 | 38 | F | I suffer from PSVT. I had an epside of rapid heart beat this morning, which isn't unusual. What was unusual was: increased pain during episode, check pain after, increased heart rate (normal hear rate for me is 71, today is 91), jittery, sweaty palms. | N | 03/24/2021 | 03/25/2021 | 1 | OTH | Zoloft - 75mg Multivitamin - daily | Celiac disease Heart condition - Paroxysmal supraventricular tachycardia (PSVT) | 2 | 03/25/2021 | Seasonal and cats only | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1136399 | 03/26/2021 | MD | 38.0 | 38 | M | Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild | U | 03/25/2021 | 03/25/2021 | 0 | PHM | 2 | 03/26/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1138257 | 03/26/2021 | MD | 38.0 | 38 | M | Upon receiving vaccine, patient had vasovagal reaction. Patient was diaphoretic and in and out of consciousness. SP02 dropped to 90%, Pulse went down to 42 bpm. Blood pressure read 139/99. EMS was called. Patient refused EMT, had snacks and water and juice | Y | 03/25/2021 | 03/25/2021 | 0 | OTH | 2 | 03/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139112 | 03/26/2021 | MD | 38.0 | 38 | F | Severe rashes covering my entire body after 6 days of the second COVID-19 vaccine. The rashes are getting worse daily and very itchy and swollen. | N | 03/14/2021 | 03/20/2021 | 6 | Awaiting biopsy result | PVT | None (N/A) | None (N/A) | None (N/A) | 2 | 03/26/2021 | Y | None (NKDA) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1144498 | 03/29/2021 | MD | 38.0 | 38 | F | Chills, fever to 102.5, nausea, diarrhea | Y | 03/26/2021 | 03/26/2021 | 0 | None | UNK | Zyrtec | None | None | 2 | 03/29/2021 | Gluten, shrimp, latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1153140 | 03/31/2021 | MD | 38.0 | 38 | F | passed out; doesn't remember much; fatigue; incontinence; tingling of toes; shaking; extreme weakness; unable to lift arms, legs or move. Could not turn over; achy; chills; 39 days between 1st and 2nd dose; A spontaneous report was received from a consumer | Y | Y | 03/01/2021 | 03/01/2021 | 0 | UNK | Ankylosing spondylitis; Autoimmune disorder (Several autoimmune disorders.); Raynaud's disease; Rheumatoid arthritis | Medical History/Concurrent Conditions: Bladder sling procedure (Patient having difficulty with urinary incontinence as reported.) | USMODERNATX, INC.MOD20210 | 2 | 03/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1159888 | 04/02/2021 | MD | 38.0 | 38 | F | I exp red bump around the injection site for 24 hours. | Y | 02/15/2021 | 02/15/2021 | 0 | No | PUB | Vyvanse 20 mg | No | ADHD | vsafe | 2 | 04/02/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1162743 | 04/02/2021 | MD | 38.0 | 38 | F | I woke up with severe abdominal pain. Diagnosed as appendicitis. The surgeon noted that it was severely gangrenous upon removal. Please note that while one of the causes can just be from hardened fecal matter, I do not have any issues with bowel movements | Y | 2 | Y | 03/09/2021 | 03/27/2021 | 18 | WBL: 16.4x10(3)/mcl 3/27/20 | PVT | Multi-vitamins, fish oil | none | obesity | 2 | 04/02/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163154 | 04/03/2021 | MD | 38.0 | 38 | F | Heart palpitations beginning Friday after the vaccine. Possibly began Thursday. | N | 03/28/2021 | 04/02/2021 | 5 | PHM | No | No | No | 2 | 04/03/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1167016 | 04/04/2021 | MD | 38.0 | 38 | F | Severe headache and sinus pressure (like worst sinus infection I ever had), severe fatigue - first day. Second day was headache and severe sore throat (like the last day of bad strep throat), resulting in difficultly swallowing, and extreme fatigue. | Y | 03/31/2021 | 04/01/2021 | 1 | None | OTH | None | None | Migraines | 2 | 04/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1170269 | 04/05/2021 | MD | 38.0 | 38 | F | Not concerned but wanted to share in case this is helpful in data collection. My text vaccination questions have already ended. On 4/4, I realized my arm was tender again at the injection site but I did not look at it. On 4/5, no longer sore but I noticed | 03/24/2021 | 04/04/2021 | 11 | PVT | Spirolactone | None | High BP | 2 | 04/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179481 | 04/08/2021 | MD | 38.0 | 38 | F | Patient's newborn had large areas of eroded skin on both lower legs and feet. Born at 39.1 weeks, 3.38 kg, APGARS 9 and 9. Other than legs, all other areas of infant's skin normal. No blisters, no bullae, no other lesions. Negative Nikolsky sign. | U | 03/06/2021 | 04/08/2021 | 33 | PVT | Prenatal Vitamins, baby Aspirin, Ferrous sulfate, Cabergoline | Benign tumor of pituitary gland, depression | 2 | 04/08/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179584 | 04/08/2021 | MD | 38.0 | 38 | F | Approx. 10-15 minutes after injection patient started to break out in an erythematous rash on arms then spread to legs. Rash was warm to touch and caused urticaria. | Y | 04/06/2021 | 04/06/2021 | 0 | PVT | Advair Discus | Migraine | Asthma Obesity | 2 | 04/08/2021 | Y | Ciprofloxacin- Codeine - Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1182944 | 04/08/2021 | MD | 38.0 | 38 | F | Red, itchy bumps on palms like hand foot and mouth, but no fever. Then some around toes and on feet. Woke up next morning with pox on both thighs, but no itching there. Rash has spread to backs of hands, further up feet. Thighs still don't itch. Bumps | N | 03/28/2021 | 04/06/2021 | 9 | PHM | none | maybe some seasonal allergies | 2 | 04/08/2021 | Y | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1192505 | 04/10/2021 | MD | 38.0 | 38 | M | Extreme nausea , extreme dizziness and vomit | N | 04/03/2021 | 04/10/2021 | 7 | OTH | None | None | Blood pressure | 2 | 04/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1195865 | 04/12/2021 | MD | 38.0 | 38 | M | Minor chills the night of shot #2. Headache and exhaustion the day after. By day 3, I was feeling back up to 90% and been feeling fine since. | Y | 03/31/2021 | 03/31/2021 | 0 | MIL | Daily multi-vitamin | 2 | 04/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1198165 | 04/12/2021 | MD | 38.0 | 38 | M | Developed sore throat 30 hours after injection. Sore throat worsened and persists now - currently 72 hours into codition. | N | 04/07/2021 | 04/09/2021 | 2 | COVID19 Rapid Test - Negative Strep Test - Negative Flu Test - Negative | PHM | Omeprazole, Vitamin C, Vitamin D, Magnesium | none | heartburn | 2 | 04/12/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1199758 | 04/13/2021 | MD | 38.0 | 38 | M | Hi I was vaccinated Thursday April 8th 2021 at approximately 9:15am. I kept a log so I could share my experience with my friends and family. After vaccination I was fine for a few hours but I randomly got a case of watery eyes that would last about 15 min | Y | 04/08/2021 | 04/08/2021 | 0 | No tests, just temperature checks | OTH | Candesarten, hydrochlorothiazide, Diltiazem, multi vitamin | Hypertension, obesity, sleep apnea | 2 | 04/13/2021 | Penicillin, amoxicillin, erythromycin, ceftin, Lisinopril, metroprolo, amlodipine, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1202520 | 04/13/2021 | MD | 38.0 | 38 | F | I had the j&j shot. I had an extremely high fever and excruciating sinus headache, and chills. | Y | 04/08/2021 | 04/08/2021 | 0 | UNK | Levothyroxine 200mcg Vitamins: zinc, d, c, magnesium | No | Hypothyroid | 2 | 04/13/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1208367 | 04/14/2021 | MD | 38.0 | 38 | F | Severe headache started 1-2 days after vaccine given, gradually improving. | N | 03/31/2021 | 04/01/2021 | 1 | n/a | PUB | Hydroxychloroquine 200mg, 2 tabs daily, folic acid 1mg daily, Vitamin D3 1000 IU daily, Vitamin D2 50,000 IU weekly, ferrous sulfate 325mg 2 daily, vitamin C. | Heavy menstrual bleeding | Lupus, obesity, subclinical hypothyroidism, tobacco dependence, endometriosis, optic nerve swelling | influenza vaccine, about 2010, hives | 2 | 04/14/2021 | Y | Gadolinium, iodinated contrast dyes, vancomycin, clindamycin, cipro, augmentin. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1210385 | 04/14/2021 | MD | 38.0 | 38 | F | Menstrual cycle started on day 17 and was abnormally heavy | Y | 03/20/2021 | 03/26/2021 | 6 | PVT | 2 | 04/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1211105 | 04/14/2021 | MD | 38.0 | 38 | F | Anaphylaxis and swelling of the lips - administered benadryl and patient felt better | Y | 04/14/2021 | 04/14/2021 | 0 | N/A | PHM | Unknown | None | Asthma, Hashimotos auto immune disorder | 2 | 04/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1211427 | 04/15/2021 | MD | 38.0 | 38 | M | Left work early because Chills, sweating Fever, Headache, Muscle and body aches, Fatigue, Shortness of breath, Fast heartbeat, Blood pressure 150/86/98 at 4:10pm on April 11. Cyclobenzaprine 10mg at 5pm and slept under multiple blankets because I was col | Y | 04/11/2021 | 04/12/2021 | 1 | None | MIL | Amlodipine besylate 5mg 1/day Rosuvastatin ca 40mg 1/day Ergocalcif 1,250mcg 1/week Cyclobenzaprine hcl 10mg 1/day as needed Vitamin C 2/day Black Elderberry | None | trigeminal neuralgia Sciatica High blood pressure | 2 | 04/15/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1212715 | 04/15/2021 | MD | 38.0 | 38 | M | Developed pain in right calf and hamstring. No improvement over the next few days. Went to Vein specialist and they performed an ultrasound. A blood clot was found in my right calf. | U | 04/07/2021 | 04/10/2021 | 3 | Ultrasound revealed a blood clot in my right calf. | OTH | Vitamin-D, Biotin | None | None | 2 | 04/15/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1215049 | 04/15/2021 | MD | 38.0 | 38 | F | throat closing up on one side tongue swelling/ numb VS take 154/104 HR 122 97% benadryl 50mg IM given right arm patient was able to leave vaccination site walking out with support person | U | 04/15/2021 | 04/15/2021 | 0 | OTH | 2 | 04/15/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1224015 | 04/17/2021 | MD | 38.0 | 38 | F | Red round circle, hot, itchy and firm | N | 04/09/2021 | 04/16/2021 | 7 | PUB | None | None | None | 2 | 04/17/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1225409 | 04/18/2021 | MD | 38.0 | 38 | M | Fatigue - Severe Sore throat | N | 04/17/2021 | 04/17/2021 | 0 | PHM | None | Nome | High blood pressure | 2 | 04/18/2021 | Bactrum | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1232645 | 04/20/2021 | MD | 38.0 | 38 | F | Fatigue, headache, and pain on injection site - 1 + 2 days after shot Red rash spot on the injection site - 10 days after shot | Y | 04/01/2021 | 04/10/2021 | 9 | OTH | 2 | 04/20/2021 | Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1234015 | 04/20/2021 | MD | 38.0 | 38 | F | Vertigo and Dizziness for weeks following vaccine | N | 03/18/2021 | 03/18/2021 | 0 | UNK | Birth Control | None | None | 2 | 04/20/2021 | Y | Penicillin, Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1234500 | 04/20/2021 | MD | 38.0 | 38 | M | Blood clot leading to stroke | Y | Y | 7 | Y | N | 03/22/2021 | 04/10/2021 | 19 | MRI | PHM | None | None | Nonenone | 2 | 04/20/2021 | Y | Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1236647 | 04/21/2021 | MD | 38.0 | 38 | M | Patient had severe pain at the injection site which he related to post surgical pain and continues to have pain with range of motion one month following the initial injection. Interestingly, he had the second moderna on the right arm and no significant si | N | 03/17/2021 | 03/18/2021 | 1 | No testing to date. Patient is slowly improving | MIL | none | none | none | 2 | 04/21/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1243323 | 04/22/2021 | MD | 38.0 | 38 | F | Fever 102.7 nausea, fatigue joint pain. headache daily since the shot given | N | 04/08/2021 | 04/09/2021 | 1 | none reported | SEN | none reported | History of POTS | History of POTS | 2 | 04/22/2021 | none reported | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1247332 | 04/23/2021 | MD | 38.0 | 38 | F | FELT MILD THROAT DISCOMFORT. RESOLVED IN 15 MINS. NO MEDS GIVEN. | Y | 04/23/2021 | 04/23/2021 | 0 | OTH | NONE | NONE | 2 | 04/23/2021 | ALLERGIES TO ALMONDS AND ENVIRONMENTAL ALLERGIES | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1256311 | 04/25/2021 | MD | 38.0 | 38 | F | Around 20-30 minutes after getting the shot my throat felt weird. Almost like there was a lump in the back. It went away after a few hours. | Y | 04/24/2021 | 04/24/2021 | 0 | PVT | Lexapro, Vyvanse, diltiazem, atorvastatin, Zyrtec, iron supplement | None | OCD, ADHD, asthma, high cholesterol, high blood pressure, iron deficiency | 2 | 04/25/2021 | Allergic to Prilosec and benzoyl peroxide | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1257295 | 04/25/2021 | MD | 38.0 | 38 | F | Red lump and itchy at injection site same day , lasting 2 days and still going. | N | 04/23/2021 | 04/23/2021 | 0 | PHM | Lexapro 10mg | 2 | 04/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1260986 | 04/27/2021 | MD | 38.0 | 38 | M | Three days after the first injection I noticed an itching sensation in my genital region. Upon closer inspection I noticed blister like bumps just under the head of my penis and down my scrotum. Initially I tried lotion, then Neosporin and finally Cortison | N | 04/19/2021 | 04/22/2021 | 3 | None yet, still waiting for an appointment. | OTH | Cortisone cream | None | Klinefelters Syndrome | 2 | 04/27/2021 | Doxycycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1265428 | 04/27/2021 | MD | 38.0 | 38 | F | Moderna COVID?19 Vaccine Fever (highest 101.1), sweating, body aches, headache, nausea | N | 04/26/2021 | 04/27/2021 | 1 | None | PUB | Methadone, Lexapro, Levothyroxine, Pepcid AC, Allegra | None | Asthma, only one kidney | 2 | 04/27/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267575 | 04/28/2021 | MD | 38.0 | 38 | M | Tinnitus / ear ringing Prior to vaccination, minor, mainly in left ear. After vaccination, ringing became stronger, still concentrated in left ear. | N | 03/23/2021 | 03/26/2021 | 3 | Primary Care: no infection, recommend audiologist. Audiologist: no hearing loss, in normal range. | PHM | Cetirizine, Vitamin D3 | 2 | 04/28/2021 | Y | Amoxicillin, ceclor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271658 | 04/29/2021 | MD | 38.0 | 38 | M | Pale, lightheaded,faint, eyes rolled back, unresponsive and to after a few seconds. Pt. diaphoretic. EMS called. Patient placed in wheelchair. Vital signs: BP=108/68 HR=88 Sat.O2=99% NSR on 3 Lead 15 minutes observation with EMS before rele | 04/29/2021 | 04/29/2021 | 0 | OTH | 2 | 04/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1272267 | 04/29/2021 | MD | 38.0 | 38 | F | Patient received COVID vaccine dose 2 by Pfizer on Saturday. They report significant arm pain (middle finger up to shoulder - burning / aching) and fever (101.2 to 102F per patient), but also trouble breathing which required a trip to the ER. Also pain in | Y | 04/24/2021 | 04/24/2021 | 0 | PHM | 2 | 04/29/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1277594 | 05/01/2021 | MD | 38.0 | 38 | F | Swelling, redness, pain, firmness and itchiness at injection site, add well as body aches and chills, one week after shot. Aches and chills dissipated after about 12-15 hours, injection site symptoms lasted about 2 days longer. | Y | 04/01/2021 | 04/08/2021 | 7 | PHM | Fluoxetine, buproprion, trazodone, adderall | 2 | 05/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1278133 | 05/01/2021 | MD | 38.0 | 38 | M | Labored deep breathing. Kinda hurts to take deep breaths. It causes me to cough a little too. Not sure if it?s a lung problem or a muscle ache problem. | N | 04/30/2021 | 05/01/2021 | 1 | N/A | UNK | N/A | N/A | N/A | 2 | 05/01/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1281680 | 05/03/2021 | MD | 38.0 | 38 | F | Currently having hives that feel like bruises. might be totally unrelated to the vaccine. I took prednisone and they went away but then came back whenever i stopped. | N | 12/30/2020 | 04/17/2021 | 108 | Blood work was normal | PVT | 2 | 05/03/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1284425 | 05/03/2021 | MD | 38.0 | 38 | F | Covid arm. Quarter size red not next to injection. | 05/03/2021 | 05/03/2021 | 0 | PUB | Prozac, busperone | 2 | 05/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1287118 | 05/04/2021 | MD | 38.0 | 38 | F | Progressively stiff and swollen MCP joint. Progressively worsened over 2 weeks, 24 hours of relief with second vaccine on 2/23/21 and then increasing swelling until could barely move affected joint. Joint continues to be swollen and stiff to this day. Fu | N | 01/26/2021 | 02/08/2021 | 13 | Ultrasound by rheumatologist to confirm inflammation in the affected hand joint on 4/14/21 | SCH | None | None | None | 2 | 05/04/2021 | Y | Wheat, pcn, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1296065 | 05/07/2021 | MD | 38.0 | 38 | F | Patient received Janssen Covid vaccine at Weis pharmacy on 5/7/21. After receiving the vaccination, patient disclosed that she had previously received the first dose of the Pfizer vaccine through her employer on 1/21/21 and had an allergic reaction (hives | Y | 05/07/2021 | 05/07/2021 | 0 | None | PHM | TYLENOL, FLINTSTONES MULTIVITAMIN, ALLEGRA | 2 | 05/07/2021 | MILK, DOXYCYCLINE, AUGMENTIN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1302259 | 05/10/2021 | MD | 38.0 | 38 | M | Shingles diagnosis | N | 04/13/2021 | 05/04/2021 | 21 | 5/10/2021 virtual visit listing symptoms. | PUB | None | None | 2 | 05/10/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1302441 | 05/10/2021 | MD | 38.0 | 38 | M | pt became nauseated 15 minutes after recieving vaccine vomited brought to OBS via wheelchair upon arrival to OBS pt vomiting and pale in color skin warm and dry, pt positioned self on stretcher laying down. after laying for a few minutes feeling be | U | 05/10/2021 | 05/10/2021 | 0 | none | OTH | none | none | hypertension | 2 | 05/10/2021 | lidocaine-sever hives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313988 | 05/13/2021 | MD | 38.0 | 38 | F | Patient reports the day after the second vaccine she had nausea and acid reflux. Second day after the shot had severe body aches and acid reflux. The 3rd day after vaccination she had a seizure. Reported nausea for 5 days after the vaccine. Reports che | Y | 05/03/2021 | 05/04/2021 | 1 | PVT | Unknown | Seizures | 4/5/21 Moderna | 2 | 05/13/2021 | Y | Hayfever | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1317397 | 05/14/2021 | MD | 38.0 | 38 | M | Pain immediately after injection with increasing discomfort and decrease reange in motion as days went on. Taking Nsaid and applying heat to site 2/16/21- folllow up= pain and still not the best range of motion- will be getting MRI and seeking orthopedic U | U | 01/28/2021 | 01/28/2021 | 0 | None | PVT | unsure | none | none | 2 | 05/14/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1320701 | 05/15/2021 | MD | 38.0 | 38 | M | The patient received Pfizer vaccine on 04/28/21 and Johnson & Johnson on 05/06/21 | U | 05/06/2021 | 05/06/2021 | 0 | N/A | PUB | N/A | N/A | N/A | 2 | 05/15/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1323883 | 05/17/2021 | MD | 38.0 | 38 | F | Flare up of pre-existing autoimmune condition causing painful, swollen, and stiff joints, fatigue, headaches, nausea, abdominal cramping, and alternating diarrhea and constipation. | N | 04/12/2021 | 04/13/2021 | 1 | PUB | Multivitamin, Probiotic, Omega oil, vitamin d, zyrtec, Flonase | Hashimotos thyroiditis | Hashimotos thyroiditis | Autoimmune flare following a Tetanus booster, 4 years ago. Unknown vaccine brand | 2 | 05/17/2021 | Sulpha, cephalexin, peanuts, mushrooms, corn, titanium dioxide | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327242 | 05/18/2021 | MD | 38.0 | 38 | M | Myocarditis with chest pain, resolved after 48 hours. | Y | 1 | Y | 05/13/2021 | 05/17/2021 | 4 | Abnormal troponin. Normal echocardiogram and coronary angiogram 5/17/2021. | UNK | 2 | 05/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1330616 | 05/19/2021 | MD | 38.0 | 38 | F | Early menstration. 6 days early in a regular cycle. | U | 05/14/2021 | 05/18/2021 | 4 | UNK | Claritin over the counter allergy medicine | 2 | 05/19/2021 | Ceftin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1342397 | 05/24/2021 | MD | 38.0 | 38 | F | After receiving the Pfizer Co Vid vaccine 5pm about 2 hrs later on the same day I begin to light headed when getting up and down sitting or standing and when walking dizziness later one around 11pm severe arm pain like getting hit in the arm and severe abd | N | 05/24/2021 | 05/24/2021 | 0 | Not yet but did take at home benadryl Incase it's caused by allergies but it doesn't seem like a allergic reaction I seems different | PHM | Suboxone | Asthma | Asthma | 2 | 05/24/2021 | Sulfa, CT Dye, Raspberries | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1346355 | 05/25/2021 | MD | 38.0 | 38 | F | Developed throbbing headache, high fever, severe pain at injection site, and extreme body pain. Symptoms began approximately 10 hours after vaccine and lasted about 24 hours. | Y | 05/22/2021 | 05/22/2021 | 0 | none | PHM | Loryna, multivitamin, vitamin D, calcium supplement | none | none | 2 | 05/25/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1350865 | 05/26/2021 | MD | 38.0 | 38 | M | 2 days of flu-like symptoms. High temperature, chill, achy muscles and joints, fatigue, and upset stomach. | N | 05/24/2021 | 05/25/2021 | 1 | OTH | None | None | None | 2 | 05/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1351391 | 05/26/2021 | MD | 38.0 | 38 | M | loss of consciousness muscle rigidity irregular breath sounds for approx. 45 secconds | Y | 05/26/2021 | 05/26/2021 | 0 | ECG BP HR performed by EMS on 05/26/21 | PHM | 2 | 05/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1354804 | 05/27/2021 | MD | 38.0 | 38 | M | The day after the vaccine I noticed that I could not open my mouth wide. when I do open my mouth wide it makes a very loud popping sound. There is no pain though. | N | 05/08/2021 | 05/09/2021 | 1 | I have an upcoming appointment for the issue because 2.5 weeks later it is still popping. | OTH | none | none | lower back pain, slipped disks | 2 | 05/27/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1355561 | 05/27/2021 | MD | 38.0 | 38 | F | Fainting spell/syncope, pulsatile tinnitus in the right ear & migraine with neurological symptoms - burning, tingling and pain in head, neck, face, left arm and left leg - for 3 weeks now. 1st Moderna shot was on 5/3. Symptoms started 5/9 and have not redu | N | 05/03/2021 | 05/09/2021 | 6 | 5/10 5/19 5/24 CT, MRI, Bloodwork, Nerve Block, Steroid treatment, medications etc ER | PHM | Prenatal vitamins | None | Past surgeries. Allergies. | 2 | 05/27/2021 | Y | Y | Toradol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1358535 | 05/28/2021 | MD | 38.0 | 38 | F | I did not feel adverse side effect, just sore arm. But there was bleeding that night, continuing that night and into Sunday. I went to my OB on Monday, I was 8 weeks and 4 days. They determined that the baby had stopped growing and there was no heartbeat a | Y | 05/01/2021 | 05/01/2021 | 0 | I had a D&C on the Monday after the vaccine at the Hospital. | WRK | synthroid, prenatal vitamin | none | hashimoto's disease | vsafe | 2 | 05/28/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361561 | 05/30/2021 | MD | 38.0 | 38 | F | Wednesday morning at 2 am, I broke out into itching hives all over my chest, stomach and under arm pits. I took a Claritin and applied Benadryl cream. They were gone when I woke up that morning. Around 3pm that afternoon, my neck started itching. By t | N | 05/22/2021 | 05/26/2021 | 4 | No tests were done, just treatment of the symptoms. | PVT | Vitamin D supplement, Vitamin C supplement | None | None | 2 | 05/30/2021 | Y | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361578 | 05/30/2021 | MD | 38.0 | 38 | M | Syncope | 05/30/2021 | 05/30/2021 | 0 | Vital signs stable | PUB | None | None | None | 2 | 05/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1367742 | 06/02/2021 | MD | 38.0 | 38 | F | I noticed a very large swollen Lymph Node under your right arm and I immediately went to Doctor after receiving email her (ask me to come in). She acknowledged that it was very large and said that it should go down but if it didn't go down she would need t | N | 05/13/2021 | 05/17/2021 | 4 | No, I only received a follow up email from her on 06/01/2021 since it hasn't gone down or subsided and that I am nervous about getting the 2nd dosage. She let me know continue to continue with the 2nd dose since the research and literature stated that it c | OTH | I take a prenatal vitamin, fish oil, Zofran, and Doxylamine. | No | No | vsafe | 2 | 06/02/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1368125 | 06/02/2021 | MD | 38.0 | 38 | F | Approximately 3 hours after injection, intense pain and numbness was felt from the shoulder all the way down through the fingertips, this intense pain lasted approximately 5 hours, ibuprofen was taken orally 2 hours after pain started and provided negligib | Y | 05/29/2021 | 05/29/2021 | 0 | PHM | Adderall, valium, medical marijuana | None | Generalized Gross Anxiety Disorder, Attention Deficit Disorder, Depression | 2 | 06/02/2021 | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1374534 | 06/04/2021 | MD | 38.0 | 38 | F | Est date of delivery 07/23/2021 I had inner thigh pain in my right leg; which became swollen could not walk. I had to used crutches. After pain went away I began having pain same spot on the left leg. | Y | 05/05/2021 | 05/10/2021 | 5 | 05/13/2021 Ultrasound in the leg | PVT | Prenatal Vitamins baby Aspirin | None | None | vsafe | 2 | 06/04/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1376564 | 06/06/2021 | MD | 38.0 | 38 | F | Upset stomach for 1 week then broke out with shingles. | N | 05/21/2021 | 06/01/2021 | 11 | PVT | 2 | 06/06/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1378317 | 06/07/2021 | MD | 38.0 | 38 | F | Chest pain, elevated troponin, suspected myocarditis | Y | 2 | Y | 05/27/2021 | 06/04/2021 | 8 | PVT | None disclosed | 2 | 06/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1378397 | 06/07/2021 | MD | 38.0 | 38 | F | Was given a booster MMR Vaccine because the Measles (Rubeola) titer was low. The Rubeola AB, IgG, was <0.91 indicating a negative result. Approximately one year later, I started to develop hearing loss in the right ear. The hearing loss was slow to prog | Y | N | 05/23/2012 | 05/01/2013 | 343 | Multiple hearing tests | OTH | None | None | None | Flu Vaccine, Age: 40, numbness and tingling to face. | 2 | 06/07/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1388827 | 06/10/2021 | MD | 38.0 | 38 | F | Patient started experiencing dizziness fogginess in her brain and "out of it" for a full 24 hours starting about 6 hours. | Y | 04/27/2021 | 04/27/2021 | 0 | PHM | 2 | 06/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1395352 | 06/14/2021 | MD | 38.0 | 38 | F | Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional | N | 06/11/2021 | 06/12/2021 | 1 | PHM | 2 | 06/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1397055 | 06/14/2021 | MD | 38.0 | 38 | M | Shingles | N | 03/01/2021 | 05/29/2021 | 89 | None. Visual oversee action by medical professional | PUB | None | None | 2 | 06/14/2021 | Y | Walnuts | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1402602 | 06/16/2021 | MD | 38.0 | 38 | F | About 11 hours after shot - Nausea, fever, chills, body aches, headache, tiredness | N | 06/15/2021 | 06/15/2021 | 0 | PVT | Adderall xr 30 mg Ibuprofen 800 mg | Severe cold 2 weeks after 1st shot | 2 | 06/16/2021 | Sulfur | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1408240 | 06/17/2021 | MD | 38.0 | 38 | M | patient stated he went to the hospital for blood clots. Says he went in last Tuesday or Wednesday for heavy breathing. Normal activity was making him very tired. Had COVID infection in March. The doctors cannot determine what other cause could have led | Y | 7 | U | 05/26/2021 | 05/01/2021 | Unknown. Patient was in hospital. | PHM | Duloxetine 30mg once daily, Quetiapine 300mg once nightly, Folic Acid 1mg once daily, Thiamine 100mg once daily, Divalproex DR 500mg twice daily | Unknown | Patient stated he had COVID infection in March | 2 | 06/17/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1412787 | 06/19/2021 | MD | 38.0 | 38 | F | Patient reports feeling dizzy and slight nausea. patient took Tylenol after vaccine due to left arm pain. denies shortness of breath, dyspnea, hives or itchiness. patiant has history of diabetisl type II , seasonal allergies and anxiety. she stated tha | 06/18/2021 | 06/18/2021 | 0 | UNK | 2 | 06/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1429764 | 06/26/2021 | MD | 38.0 | 38 | F | "Covid arm" , oval shaped red patch around injection site. Lasted 3 weeks plus, still mildly present at time of second dose, then more pronounced. | N | 05/24/2021 | 06/02/2021 | 9 | UNK | Birth control, vitamin d, multi-vitamin, benadryl | None | None | 2 | 06/26/2021 | Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1450267 | 07/06/2021 | MD | 38.0 | 38 | F | initial shot 3/9-diarrhea began the day after vaccination and is still occurring today. Rashes began appearing on both breasts as well as arm pits and arms. The rashes are gone but the diarrhea is occurring daily. Arm pain in both injection sites is still | N | 03/09/2021 | 03/10/2021 | 1 | ultrasound 06/02/2021 fibroscan 07/01/2021 Both scans revealed a fatty liver not seen in previous scans when my gallbladder was removed (2018) | PVT | none | none | None known | 2 | 07/06/2021 | Y | shellfish, contrast dye (MRI, etc.) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1478026 | 07/16/2021 | MD | 38.0 | 38 | F | onset is approximate - approximately a week after the second dose, I noticed a lesion under my right armpit. It itched and burned to the point that I scratched it raw in my sleep. It has since spread to the other armpit, then my right arm, then my back, | N | 05/18/2021 | 05/24/2021 | 6 | PHM | natural/herbal vitamins - doTERRA LLV, Deep Blue polyphenol complex, YarrowPom, DDR prime, onGuard softgels, Copaiba, TerraZyme digestive enzymes, TriEase, Turmeric | none | none | 2 | 07/16/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1478133 | 07/16/2021 | MD | 38.0 | 38 | F | diziness, lightheaded - also lower blood pressure, no medicaiton changes | N | 04/24/2021 | 05/28/2021 | 34 | PHM | loratadine, albuterol, airduo, miralax, xanax, suboxone, adderall, wellbutrin | none | asthma, allergies, bipolar | 2 | 07/16/2021 | Y | latex - rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1483926 | 07/18/2021 | MD | 38.0 | 38 | M | Headache, fatigue led to blood clot in the head and a seizure. _ diagnosis - Accute cerebral venous thrombosis (superior sagittal sinus{. | Y | 6 | Y | N | 03/16/2021 | 07/12/2021 | 118 | CT Scans on 7/13 and 7/14 MRI on 7/14 | PHM | Adderall xr 10, Lisinopril, Atorvastatin, | none | no | 2 | 07/18/2021 | Y | Y | Shellfish, Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1487307 | 07/20/2021 | MD | 38.0 | 38 | F | After recieving the second dose on Tuesday, 6/22, I experienced burning then tingling, weakness and soreness in the vaccine arm, as I had with the first dose. This time it was accompanied by a tight, pinching chest pain beginning about a day and a half la | U | 06/22/2021 | 06/27/2021 | 5 | Reported to doctor | PHM | Levothyroxine, Vitamin D, Vitamin B-12, Vitamin B-6, Magnesium, Turmeric | none | Hypothyroidism | 2 | 07/20/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1490597 | 07/21/2021 | MD | 38.0 | 38 | F | Numbness, tingling, and pins and needles sensation started about 15 minutes after the vaccine was given, in the right leg. Lasted about a few seconds. A few hours later, the pins and needles sensation was felt in all four extremities. It was more pronounce | Y | 04/01/2021 | 04/01/2021 | 0 | None, it was resolving gradually so decided not to get any workup. | PVT | none | none | 2 | 07/21/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1494216 | 07/22/2021 | MD | 38.0 | 38 | M | On June 24th I saw my eye DR and was diagnosed with retinal hemorrhage and then had some blood tests done with my PCD on June 28th 2021. I was placed on a Cholesterol lowering medication and then I still have further blood tests to do as well. I did not ha | U | 01/11/2021 | 06/24/2021 | 164 | Blood tests - June 28th 2021 - high cholesterol Eye exam - June 24th 2021 - retinal hemorrhage | WRK | Ibuprofen 200mg tablets as needed | n/a | n/a | vsafe | 2 | 07/22/2021 | Y | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1498119 | 07/23/2021 | MD | 38.0 | 38 | F | I am currently experiencing tingling and sharp pain in my upper and lower extremities. I went to my primary doctor who performed an MRI along with blood analysis. He referred me to a nerve specialist who scheduled a appointment run tests for another MRI of | N | 01/12/2021 | 01/26/2021 | 14 | MRI - normal Blood work - normal | PVT | No | No | No | vsafe | 2 | 07/23/2021 | Y | Seasonal allergies and seafood | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501387 | 07/25/2021 | MD | 38.0 | 38 | F | Rash developed at injection site, about two weeks or so later. It was about 2? x 3? large. It went away in about 3 days or so. | Y | 03/25/2021 | 04/07/2021 | 13 | None. Pharmacist told me to report to VAERS | OTH | Acyclovir | None | None | 2 | 07/25/2021 | Penicillin & Sulfa Drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1515547 | 07/30/2021 | MD | 38.0 | 38 | F | I became very ill after the second vaccine. Had flu-like symptoms for about 10 days. During that time an existing cyst on my thyroid filled and protruded on my neck. Usually I have the cyst drained and it takes a few years to fill back up. Ive had it drain | Y | Y | 01/26/2021 | 01/01/2021 | Lobectomy 5/4/21 Now on Synthroid. | WRK | ZyrtecD, birth control, zoft | None | None | 2 | 07/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1518402 | 07/31/2021 | MD | 38.0 | 38 | M | I've been having chest pain since the day after taking the vaccine. I've seen my primary care physician and have done a number of tests, including an EKG, blood work, X-ray, troponin, ALL came back fine. I have an appointment with a cardiologist one month | N | 06/25/2021 | 06/26/2021 | 1 | please see above | PHM | 2 | 07/31/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1537471 | 08/09/2021 | MD | 38.0 | 38 | F | Injection site is red, swollen; injection site swollen; Itching; Warm to touch; A spontaneous report was received from a pharmacist concerning a thirty-eight year old female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced inject | U | 12/27/2020 | 01/03/2021 | 7 | UNK | Medical History/Concurrent Conditions: No adverse event (No reported medical history) | USMODERNATX, INC.MOD20210 | 2 | 08/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1540605 | 08/10/2021 | MD | 38.0 | 38 | F | Second shot at 08/05/2021. Planed to be pregnant. Signs implied implantation. Period due at 08/09/2021 and came on time but with unprecedented pain so extreme that we called 911. The pain persisted for 30 minutes. After took pain-killer, Advil, the pain s | Y | 07/15/2021 | 08/05/2021 | 21 | UNK | 2 | 08/10/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1541148 | 08/10/2021 | MD | 38.0 | 38 | F | Changes in menstrual cycle (shorter cycle, number of days, length of period). Breakthrough bleeding. | U | 04/01/2021 | 05/10/2021 | 39 | Informed OB/GYN | PVT | Biotin, zinc, vitamin D, vitamin E Immunotherapy for environmental allergies | N/A | N/A | 2 | 08/10/2021 | Y | Doxycycline., environmental | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1550593 | 08/12/2021 | MD | 38 | F | Rash on back(Erythematous); Swelling on Injection site; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Rash on back(Erythematous)) and VACCINATION SITE SWELLING (Swelling on Injection site) in a 38-year-old female pa | U | 01/16/2021 | 01/24/2021 | 8 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1564312 | 08/15/2021 | MD | 39.0 | 38 | F | Itchy; Hives on both of her arms; This spontaneous case was reported by a physician (subsequently medically confirmed) and describes the occurrence of URTICARIA (Hives on both of her arms) and PRURITUS (Itchy) in a 39-year-old female patient who received m | U | 01/05/2021 | 02/23/2021 | 49 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1574030 | 08/16/2021 | MD | 38.0 | 38 | F | COVID positive after vaccination | 04/23/2021 | 08/09/2021 | 108 | PVT | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1600925 | 08/21/2021 | MD | 38.0 | 38 | M | pain in left arm; headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (pain in left arm) and HEADACHE (headache) in a 38-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for CO | Y | 02/26/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1614456 | 08/22/2021 | MD | 38.0 | 38 | M | in the syringe exploded, while the needle was in the patient arm; More than half the dose was administered; This spontaneous case was reported by a pharmacist and describes the occurrence of DEVICE CONNECTION ISSUE (in the syringe exploded, while the needl | Y | 05/06/2021 | 05/06/2021 | 0 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1617744 | 08/22/2021 | MD | 38.0 | 38 | F | Hives in patches all over body: legs, back, stomach, arms, neck. Taking Benadryl to no avail. Also received my menstrual cycle 2 days after shot. This is out of my normal cycle. | N | 08/20/2021 | 08/21/2021 | 1 | PHM | Zyrtec | Please note that I did give birth on May 29, 2021. | Asthma | 2 | 08/22/2021 | Nickel | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1623630 | 08/23/2021 | MD | 38.0 | 38 | F | Tinnitus, humming sound, whooshing sound buzz sound | N | 08/04/2021 | 08/13/2021 | 9 | PHM | none | none | none | 2 | 08/23/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1623892 | 08/23/2021 | MD | 38.0 | 38 | F | Fever of 103 degree, severe body ache, headache and injection site pain. Sever fatigue. | Y | 04/02/2021 | 04/03/2021 | 1 | PHM | Methotrexate, Famotidine, Omeprazole, Vyepti, Botox, Spironolactone, Propranolol, Amitriptyline, Cyclobenzaprine, Folic Acid | Inject site pain, over 103 degree F temperature, severe body ache, headache | Eczema, Migraine, GERD, Alopecia, | 2 | 08/23/2021 | Penicillin, Erythromycin, Trazodone, Reglan, Shell Fish, Nuts. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1641454 | 08/27/2021 | MD | 38.0 | 38 | F | Chest pain; x3-4 weeks; in hindsight I had mild chest pain after dose number one but it was less severe and did not last as long; I thought it was stress then. After dose number two is was crushing and lasted for a long time. | U | 01/25/2021 | 01/26/2021 | 1 | EKG 1-26/2021 | PVT | Womens Multivitamin | None | None | 2 | 08/27/2021 | Y | Sulfa Emycin Cleocin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1659237 | 08/31/2021 | MD | 38.0 | 38 | F | burning sensation on skin over entire body, no rash (yet), when in sunlight or when sweating. gums and roof of mouth feel like they are on fire. Warm/hot water sensitive. | N | 08/26/2021 | 08/28/2021 | 2 | PHM | Levothyroxine | Hashimoto's autoimmune and hypothyroidism | 2 | 08/31/2021 | Y | penicillin and codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1667366 | 09/02/2021 | MD | 38.0 | 38 | F | My period is 3 days late since the shot. I have slight cramps as if it?s coming but it never shows up. My period has never been late like this maybe by a day. Never more than that. | N | 08/30/2021 | 08/31/2021 | 1 | PHM | None | None | None | 2 | 09/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1670125 | 09/03/2021 | MD | 38.0 | 38 | M | Diagnosis - Myocarditis Symptoms - Chest pain Treatment - Naproxen 500 mg PO BID, and rest Until additional safety data are available, experts recommend that people who develop myocarditis or pericarditis after a first dose of an mRNA COVID-19 vaccine def | Y | 08/18/2021 | 08/21/2021 | 3 | Chest x-ray | OTH | Unknown | None | None | 2 | 09/03/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1678959 | 09/07/2021 | MD | 38.0 | 38 | F | Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Mild, Additional Details: about 10 minutes after pfizer covid vaccine administration, pt reported feeling slight dizzy. I said I would call 911 and asked if she has touble breathing. pt | Y | 09/07/2021 | 09/07/2021 | 0 | PHM | 2 | 09/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1682502 | 09/08/2021 | MD | 38.0 | 38 | F | Following my first dose, when my menstrual cycle came I had blood clots the size of my palm. The blood clots were so severe that my left arm had restricted blood circulation (blue). I do not normally feel when my cycle is coming on, however, the past 3 mon | 05/28/2021 | 06/13/2021 | 16 | OTH | None | None | None | 2 | 09/08/2021 | Pencillin Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1682796 | 09/08/2021 | MD | 38.0 | 38 | F | irregular bleeding, shortened menstrual cycle, menstrual cramping throughout cycle period. prior to vaccine, very regular cycles with no intermittent bleeding. | N | 03/04/2021 | 05/01/2021 | 58 | pelvic exam, ultrasound. | PVT | none | none | none | 2 | 09/08/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1693184 | 09/11/2021 | MD | 38.0 | 38 | F | Flu symptoms including high fever, body aches and headache for 5 days after 2nd shot. Headache continued for 1 month straight without reprieve. Headaches relented and then restarted 30 days later with severe fatigue, brain fog, sore throat, post exertional | N | 05/01/2021 | 05/01/2021 | 0 | UNK | Modafinil Xiidra | In remission with ME/CFS for 15 years | 2 | 09/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1693379 | 09/12/2021 | MD | 38.0 | 38 | F | Swollen left arm with radiating pain into left arm pit and left breast. | N | 09/09/2021 | 09/11/2021 | 2 | PHM | None | None | None | 2 | 09/12/2021 | MMR reaction Bee Venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1706902 | 09/17/2021 | MD | 38.0 | 38 | M | Systemic: Chest Tightness / Heaviness / Pain-Medium, Additional Details: PT RECEIVED THE 1ST SHOT ON 9/8. STARTED HAVING SXS OF LOW BP AND CHEST PAIN THE NEXT MORNING. WENT TO A HOSPITAL TO RECEIVE TREATMENT | U | 09/08/2021 | 09/09/2021 | 1 | PHM | 2 | 09/17/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1709682 | 09/17/2021 | MD | 38.0 | 38 | F | Syncopal episode found to be massive PE requiring intubation with associated right heart strain (estimated BOVA 4). | Y | Y | 4 | Y | 09/07/2021 | 09/13/2021 | 6 | CTA Chest TTE Troponin I Antiphospholipid Syndrome CT Head | OTH | - Metformin 1500mg once daily - norethindrone-ethinyl estradiol (ALAYCEN 1/35) 1-35 MG-MCG tablet once daily | Issues with contraception | Diabetes Mellitus Fibroids | 2 | 09/17/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1719570 | 09/21/2021 | MD | 38.0 | 38 | M | Seizures | Y | Y | 8 | N | 08/31/2021 | 09/13/2021 | 13 | In progress | PVT | DIAZEPAM 5mg, one before bed; Emergen-C 1000mg Vitamin C twice daily: Ibuprofen 200 mg, two tablets on occasion. | None | Anxiety | 2 | 09/21/2021 | Lactose Intolerant | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1729028 | 09/23/2021 | MD | 38.0 | 38 | M | Patient did not report any adverse event during administration or the 15 minute wait time. It was determine at 5:00pm that the patient was administered a Pfizer vaccine past the BUD/time. Administered at 3:18pm on 9/23 from a vial that remained in the IM | U | 09/23/2021 | 09/23/2021 | 0 | Unknown | PHM | Unknown | None | None | 2 | 09/23/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1729060 | 09/23/2021 | MD | 38.0 | 38 | M | It was determine at 5:00pm that the patient was administered a Pfizer vaccine past the BUD/time. Administered at 3:30pm on 9/23 from a vial that remained in the IMZ room from the previous day which was mixed on 9/22 at 12:14pm . I observed the beyond use | U | 09/23/2021 | 09/23/2021 | 0 | Unknown | PHM | Unknown | None | Unknown | 2 | 09/23/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1744513 | 09/29/2021 | MD | 38.0 | 38 | F | I recently got the pfizer booster shot and was completely incapacitated for 24 hours. I had to leave work early. I had the same experience after receiving the second dose but the booster was worse. I couldn't walk without holding something so I didn't fall | Y | 09/23/2021 | 09/24/2021 | 1 | NA | PVT | Allergy and Asthma medication | Seasonal Allergies Asthma | 2 | 09/29/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1762499 | 10/05/2021 | MD | 38.0 | 38 | F | Pain in both arms at injection and mildly after. At about 11pm that evening noticed tiredness. Spent night waking frequently (every two hours) with fever, sweating through pajamas, headache. Missed work next morning due to weakness, fever, joint pain (c | N | 10/04/2021 | 10/04/2021 | 0 | PVT | none | none | hypoglycemia, asthma, HSV-1 | 2 | 10/05/2021 | shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1767123 | 10/07/2021 | MD | 38.0 | 38 | M | Sharp lower back pain | N | 10/05/2021 | 10/06/2021 | 1 | PHM | None | None | None | 2 | 10/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1768002 | 10/07/2021 | MD | 38.0 | 38 | M | Symptoms: chest tightness, shortness of breath, injection site pain, raised blood pressure, feeling flush, lightheaded, muscle aches in back. Symptoms started on 10/07/2021. | U | 10/06/2021 | 10/07/2021 | 1 | none | PHM | none | none | fatty liver and hyperkinetic gallbladder | 2 | 10/07/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1784972 | 10/14/2021 | MD | 38.0 | 38 | M | Rushed to the emergency room on 10/12/2021 at 10:00 PM via ambulance due to chest pain, chest tightness, difficulty breathing, pain/numbness down left arm, and muscle spasms/convulsions all over body. Blood pressure was 169/113 with a pulse rate of 110. I | N | 10/06/2021 | 10/12/2021 | 6 | Covid-19 PCR test was negative. ECG 12-lead test was normal sinus rhythm with sinus arrhythmia (sinus tachycardia). Chest x-ray was: No focal consolidation, pleural effusion or definite pneumothorax. Cardiopericardial silhouette within normal limits. No di | PHM | none | none | fatty liver and gallbladder problems | 2 | 10/14/2021 | Y | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1808593 | 10/22/2021 | MD | 38.0 | 38 | F | Arm pain, chest pain, stomach upset, fatigue | Y | 04/20/2021 | 07/09/2021 | 80 | Na | PVT | Ortho tri-cyclen lo | N/A | N/A | 2 | 10/22/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1818209 | 10/26/2021 | MD | 38.0 | 38 | F | 10/11/2021 - Received first Moderna vaccine at 06:30pm 10/12/2021 - Injection site sore. Fatigue. 10/13/2021 - Injection site extremely sore. Fatigue. Headache. 10/14/2021 - Injection site sore. Headache, fatigue, and fever. 10/15/2021 - Injection site sor | N | 10/11/2021 | 10/18/2021 | 7 | Thyroid and CBC bloodwork performed on 10/22/2021 prior to doctor's appt. Thyroid dose and function have not altered. Thyroid appears to be functioning well. | OTH | Synthyroid 100mcgs Liothyronine 2.5mgs Wellbutrin Loryna birth control | none | hypothyroidism diagnosed at 23 | 2 | 10/26/2021 | Y | cephalosporins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1821740 | 10/27/2021 | MD | 38.0 | 38 | F | I was vaccinated on Wednesday, 10/20/21 at about 11am and woke up with a headache and chills on 10/21/21. At about 6pm on 10/21/21 I felt like my heart was racing, and my fitness watch showed that my heartrate was in the 120s-140s with little to no activit | Y | 10/20/2021 | 10/21/2021 | 1 | None | WRK | Multivitamin, Krill oil | none | mild asthma | Mild side effects to 2nd dose of Pfizer COVID vaccine - fever (101F), chills, headache, myalgia. Resolved within 48 hours of adm | 2 | 10/27/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1825044 | 10/28/2021 | MD | 38.0 | 38 | M | 101f temp, sharp stabbing head ache, fatigue, body and joint aches. | N | 10/26/2021 | 10/27/2021 | 1 | PHM | 2 | 10/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1832500 | 11/01/2021 | MD | 38.0 | 38 | F | Severe joint pain & body aches, Injection site is inflamed, hot and red, approximately 3? long and 2.5 inches wide and tender when touched. Loss of appetite, foggy mind. | N | 10/01/2021 | 10/01/2021 | 0 | PVT | Bioflex, multivitamin | Beh?et?s | 2 | 11/01/2021 | Meloxicam | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1850796 | 11/08/2021 | MD | 38.0 | 38 | M | I started having a significant amount of neck pain near the base of my skull and down my neck and upper back, which is unusual for me. I have not experienced pain like that in the past. | N | 09/21/2021 | 09/21/2021 | 0 | N/A | MIL | ALLEGRA | COVID-19 - 08/24/21 tested positive | No | Bad reaction to the smallpox vaccine/the injection site was bright red and hot and I ran high fever around 103/104. | vsafe | 2 | 11/08/2021 | Y | Primaquine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1850802 | 11/08/2021 | MD | 38.0 | 38 | M | Hospitalized with Bilateral Pulmonary embolism. Blood clots in each lung, causing severe pain, high blood pressure, and heart rate, being prescribed blood thinners for life. Damage was done to lungs, possible terminate damage | Y | Y | 2 | Y | N | 04/01/2021 | 05/01/2021 | 30 | EKG, MRI, CT scan with Contrast, sonogram, proving Bilateral Pulmonary Embolism | PVT | Gabapentin 600mg 3 times a day, Ambien | none | Sleep Apnea | 2 | 11/08/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1858192 | 11/10/2021 | MD | 38.0 | 38 | F | I received the Janssen shot on 11/6/2021, at 2:51. Upon leaving the clinic, I felt fine with soreness in my left arm. Later that night, I began to have hot flashes and feel dizzy. I vomited twice that night. On 11/7/2021 through today (11/10/2021), I have | N | 11/06/2021 | 11/06/2021 | 0 | N/A | PHM | Omeprazole | N/A | N/A | 2 | 11/10/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX |