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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0919416 | 01/04/2021 | WI | 40.0 | 40 | 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 | 01/04/2021 | penicillins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0922038 | 01/05/2021 | WI | 40.0 | 40 | F | States she started feeling sore and warm at injection site at about 9:30p on day of shot. Has a rash around injection site that was 4 inches across, but is slowly shrinking. Rash is warm,hot to touch. Elbow in right arm is tingling, but patient reports hav | Y | 01/04/2021 | 01/04/2021 | 0 | n/a | PHM | Ibuprofen 800mg for muscle pain ongoing before vaccination | Sinus infection for the last 4 months. Finished levaquin 500mg on 1/3/21 | hypothyroid, hysterectomy in July 2020, asthma, long standing muscle aches and pains. | 2 | 01/05/2021 | Rocephen, Azithromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0922059 | 01/05/2021 | WI | 40.0 | 40 | F | warm to touch at site of injection, rash up to 4 inches, starting to decrease | 01/04/2021 | 01/04/2021 | 0 | PHM | na | sinus infection for 4 months | hypothyroidism and long term muscle aches | 2 | 01/05/2021 | rocephen and azithromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0924571 | 01/06/2021 | WI | 40.0 | 40 | F | The first 2 days after the shot my arm was sore. That went away and then on 1/5/21 my arm became sore, red, raised and warm around the injection site. It still is 1/6/21 along with body aches | N | 12/29/2020 | 01/05/2021 | 7 | None | PVT | Sertraline buspirone claritin tylenol lisinopril Allergy drops prescribed by an allergist | Cold symptoms 1 week before with 2 negative covid tests | Hypertension anxiety depression Seasonal allergies | Red raised area around the site after some of my yearly flu shots. Within 1 day | 2 | 01/06/2021 | Compazine Seasonal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0925269 | 01/07/2021 | WI | 40.0 | 40 | F | Elevated heart rate and BP, headache, dry mouth, dizziness | 01/06/2021 | 01/06/2021 | 0 | SEN | 2 | 01/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0925404 | 01/07/2021 | WI | 40.0 | 40 | F | 0625-Employee began to have elevated heartrate, heart pounding in her chest. Color pale. VS-HR-157, B/P-135/105. O2 sats-100% 0630-Ambulated to ED room. HR-148, B/P-150/83, O2sats-100%. Drank apple juice and ate a cracker. Experiencing dizziness, chills an | Y | 01/06/2021 | 01/06/2021 | 0 | EKG and Unknown what else was done at clinic | PVT | Unknown | None known | None Known | 2 | 01/07/2021 | Y | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0925796 | 01/07/2021 | WI | 40.0 | 40 | F | RN received her first dose of the Moderna Covid Vaccine on 1/6/2021 at approximately 0615 at hospital. Within 5-10 minutes patient noted that her heart was racing and pounding in her chest. Hospital RN went and assessed patient- color pale, heart pounding. | Y | 01/06/2021 | 01/06/2021 | 0 | EKG at clinic | PVT | Unknown | Unknown | Unknown | 2 | 01/07/2021 | Y | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0926020 | 01/07/2021 | WI | 40.0 | 40 | F | at 1210 patient received the moderna vaccination o. 5ml in her left arm she went to sit down and at 1218 she stated she doesn't feel right she got all panicky and restless. we placed a pulse ox on her her HR was high 160's oxygenation 100% BP 158/88 s | U | 01/07/2021 | 01/07/2021 | 0 | unknown | PVT | no | 2 | 01/07/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0928376 | 01/08/2021 | WI | 40.0 | 40 | F | Pfizer-BioNTech COVID-19 Vaccine Approximately 24 hours after injection I felt dyspnea with minimal exertion and at rest while wearing my hospital mask, which I attributed to the cheap quality of the mask. Breathlessness was relieved after I took it off. | N | 12/30/2020 | 12/31/2020 | 1 | Covid negative test on 1/6/21 | PVT | Reclipsen daily, L-Arginine 200 mg TID, Vitamin E 400 units daily , probiotic daily, prenatal vitamin daily | none | none | 2 | 01/08/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930462 | 01/08/2021 | WI | 40.0 | 40 | F | Pfizer-BioNTech COVID-19 Vaccine EUA Patient experienced tingling tongue, odd taste on her tongue and neck swelling. Actions taken: Patient stated she had her own 50 mg of Benadryl with her and had taken it at 1305. She states she has other reactions to | U | 12/29/2020 | 12/29/2020 | 0 | WRK | 2 | 01/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0932965 | 01/10/2021 | WI | 40.0 | 40 | F | After sitting down in the observation area and I was just starting to register for vsafe my heart started to pound then I experienced a hot flushed feeling that went through my entire body and my heart started racing and felt not well. I told the nurses wh | Y | 01/09/2021 | 01/09/2021 | 0 | PVT | Vitamin D Vitamin C | None | None | 2 | 01/10/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0935542 | 01/11/2021 | WI | 40.0 | 40 | F | Tongue swelling, headache, tachycardia, elevated BP | Y | 01/11/2021 | 01/11/2021 | 0 | None | UNK | Synthroid | None | Hypothyroidism | 2 | 01/11/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0938581 | 01/12/2021 | WI | 40.0 | 40 | F | Employee immediately felt flushed. States that by 0400 the next day she awoke to fever of 102.1'F, severe body aches, chills, and lethargy | N | 01/11/2021 | 01/11/2021 | 0 | None | PVT | albuterol (PROVENTIL HFA;VENTOLIN HFA;PROAIR HFA) inhaler TAKE 3 ML (2.5 MG TOTAL) VIA HAND-HELD NEBULIZER 3 TIMES DAILY. albuterol (PROVENTIL) 5 mg/mL nebulizer solution 2 puffs into the lungs Every 6 (Six) Hours As Needed Pharmacy to di | None | Cystic fibrosis (*) Primary insomnia Conductive hearing loss, unilateral Anemia Constipation Pancreatic insufficiency (*) Elevated liver enzymes level due to cystic fibrosis (*) Situational anxiety Sacroiliac joint dysfunction of right side Controlled subs | 2 | 01/12/2021 | TramadolShortness Of Breath Belsomra [Suvorexant]Other (See Comments) Imitrex [Sumatriptan]Other (See Comments) Maxalt [Rizatriptan]Other (See Comments) Reglan [Metoclopramide Hcl]Other (See Comments) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0940334 | 01/13/2021 | WI | 40.0 | 40 | F | eye pain/headaches, sensitivity to light | N | 12/23/2020 | 01/03/2021 | 11 | Went to urgent care 1/8/21 and received 2 injections (Promethazine 25mg, Toradol 60 mg Eye Dr. appt scheduled for 1/14/21 | PVT | trazadone, fluoxetine, melatonin | None | 2 | 01/13/2021 | Y | Y | PCN, sulfa, cephalosporins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0945396 | 01/14/2021 | WI | 40.0 | 40 | F | Cellulitis | Y | 01/05/2021 | 01/12/2021 | 7 | PHM | None | None | Diabetes | 2 | 01/14/2021 | Y | Sulfa, IVP dye, Vicodin, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0956804 | 01/19/2021 | WI | 40.0 | 40 | F | Within 6 minutes I had a metalic taste in my mouth, the roof of my mouth went numb, my tongue started to swell up, the inside of my mouth started to swell up. I lost sense of taste to even water. I was allowed to take my 50 mg of benedryl. My BP was 171/10 | Y | 12/29/2020 | 12/29/2020 | 0 | No | UNK | I take flutcordisone, topamax, synthroid, and zoloft. | No | I have thrombpenia | vsafe | 2 | 01/19/2021 | Y | I allergic to sulphur drugs with a reaction of hives. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0957096 | 01/19/2021 | WI | 40.0 | 40 | F | Patient reported slight facial swelling but also has sinus issues | U | 01/06/2021 | 01/06/2021 | 0 | PVT | 2 | 01/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961209 | 01/21/2021 | WI | 40.0 | 40 | F | Broke out in a rash on neck and torso. Body aches and headache as well. Treated with Benadryl and Prednisone | N | 01/19/2021 | 01/20/2021 | 1 | PVT | No | No | No | 2 | 01/21/2021 | Y | Sulpha, Walnuts, Bees | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961210 | 01/21/2021 | WI | 40.0 | 40 | F | On Thursday, 1/14/21 I found a large ?lump? under my collarbone on my left side. It was tender. Went to my PCP and she found further cervical, axillary, supraclavicular, and infraclavicular adenopathy (all on the left side)I had labwork, X-ray, mammogram, | N | 01/08/2021 | 01/14/2021 | 6 | 1/14/21 X-ray of left chest area; all clear 1/15/21 labs, mammogram, ultrasound of lymph node under clavicle; all normal | PUB | Lexapro 20 mg | None | Anxiety | 2 | 01/21/2021 | Y | Allergy to Gabapentin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0962836 | 01/21/2021 | WI | 40.0 | 40 | F | vial did not have enough volume for 10th dose | 01/21/2021 | 01/21/2021 | 0 | PVT | 2 | 01/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0964146 | 01/22/2021 | WI | 40.0 | 40 | F | Migraine with auroras | Y | 01/21/2021 | 01/22/2021 | 1 | None | PVT | Desvenlafaxine, doxalamine | None | None | 2 | 01/22/2021 | Ambien | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0972352 | 01/25/2021 | WI | 40.0 | 40 | F | The patient reports redness and warmth. She is to treat with Zyrtec 2-3 times daily if itching occurs. | 01/14/2021 | 01/25/2021 | 11 | PUB | 2 | 01/25/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0977107 | 01/27/2021 | WI | 40.0 | 40 | F | 36 hours after the injection I developed large red, warm and painful area at the injection site. 24 hours after that I was experiencing fever and chills again. I also started to vomit | Y | 01/19/2021 | 01/27/2021 | 8 | N/A | WRK | N/A | None | asthma | 2 | 01/27/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0980238 | 01/27/2021 | WI | 40.0 | 40 | M | Had severe body chills, headache, muscle pain and fatigue for two days. | Y | 01/25/2021 | 01/26/2021 | 1 | UNK | None | None | None | 2 | 01/27/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0981773 | 01/28/2021 | WI | 40.0 | 40 | F | Symptoms after 2nd dose: swollen/red/hot arm. pain down arm and up into neck. continues at day 4 after dose, body aches, riggors, malaise, tired for 2-3days after dose. took Tylenol 100mg and IBU 600mg every 6hrs | U | 01/25/2021 | 01/25/2021 | 0 | none | PVT | none | none | none | 2 | 01/28/2021 | wellbutrin, bananas, latex, dust/some pollens | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0987978 | 01/30/2021 | WI | 40.0 | 40 | F | Client given Pfizer COVID vaccine 3 days after receiving first dose of Pfizer COVID vaccine. Client answered and signed on screening form that they had not received a vaccine in the past 14 days, and that this was their first dose of COVID vaccine. After | Y | 01/29/2021 | 01/29/2021 | 0 | PUB | 2 | 01/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0988876 | 01/31/2021 | WI | 40.0 | 40 | F | sore left arm x 2 days, muscle fatigue, chills | Y | Y | 01/20/2021 | 01/29/2021 | 9 | PVT | Fluoxetine - 60mg daily Lorazepam - 1-2.5mg daily Orphenadrine - 100mg ER BID Zofran ODT 4mg PRN Zolpidem 10mg 1-1.5 tabs per evening | POTS Vestibular/Hemiplegic Migraines | 2 | 01/31/2021 | Y | Pertussis vaccine _ anaphylaxis | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0989740 | 01/31/2021 | WI | 40.0 | 40 | F | patient reported mild tingling/burning in lower lip; symptoms did not worsen during 30 minute observation period; patient denies any additional symptoms; states that she had this same symptom after her first vaccination and that it lasted for about 1 hour | U | 01/31/2021 | 01/31/2021 | 0 | PVT | current prescriptions: cyclobenzaprine, gabapentin, meclizine, naratriptan, odansetron, spironolactone, topiramate, tretinoin, triamcinolone ointment | evaluated for chest wall pain on 1/31 prior to vaccination; no contraindication for receiving the vaccine following office visit | chronic migraine, pelvic pain, acne vulgaris, fibrocystic change of breast | 2 | 01/31/2021 | adhesive tape, nortriptyline, doxycycline, amoxicillin-pot clavulanate | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992200 | 02/01/2021 | WI | 40.0 | 40 | F | Several hours after getting 2nd dose, left arm very painful. The next morning she woke up and had increase in arm pain, not able to move it, body aches, chills, nausea, and fatigue. symptoms remain today. | N | 01/30/2021 | 01/30/2021 | 0 | none | PVT | NA | NONE | NONE | 2 | 02/01/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992885 | 02/01/2021 | WI | 40.0 | 40 | M | 01/30/2021 12:01 AM Headache, Body Ache and temperature 101 01/30/2021, Came to work, symptoms progressed and went home which included HA, body aches, pain at the injection site, chills, sweats, temp 103.9, started noticing, lymph nodes swollen slightly i | Y | 01/29/2021 | 01/30/2021 | 1 | None | PUB | Torvastatin | None | 2 | 02/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992910 | 02/01/2021 | WI | 40.0 | 40 | F | 40 year old female with history of hyperlipidemia & migraine. Patient had flushing and itching after 2nd COVID vaccination. No actual urticaria. No airway involvement. Did receive epinephrine and dexamethasone in the clinic prior to arrival. Patient obser | Y | 01/29/2021 | 01/29/2021 | 0 | PVT | History of migraine | 2 | 02/01/2021 | Y | Y | PCN, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0996957 | 02/03/2021 | WI | 40.0 | 40 | F | Fever, chills,severe body aches, fatigue. Headache for 7 days | Y | 01/01/2021 | 01/08/2021 | 7 | UNK | 2 | 02/03/2021 | Azithromycin Bactrim Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0999383 | 02/03/2021 | WI | 40.0 | 40 | F | Client stated she felt her "heart racing". Client continued to be coherent. 1:33 pm B/P 144/98 pulse=103 Pulse Oximeter 98% 1:37 pm B/P 142/78 pulse=107 Pulse Oximeter 94% 1:42 pm B/P 110/88 pulse=087 Pulse Oximeter 94% 1:45 pm B/P 118/9 | Y | 02/02/2021 | 02/02/2021 | 0 | none | PUB | Unknown | None known | Lupus | Stated something similar occurred when she received her flu vaccine. | PIN 801 | 2 | 02/03/2021 | No known allegies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1002176 | 02/04/2021 | WI | 40.0 | 40 | M | Tenderness at the site of injection, fever, chills, and headache. All signs and symptoms started about 6 hours after receiving vaccine and lasted about 18 hours. Felt back to baseline after 36 hours. Took ibuprophen 400 mg (morning of the 2/3 and eveni | Y | 02/02/2021 | 02/02/2021 | 0 | OTH | Chantix, Ibuprophen | None | None | 2 | 02/04/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1005156 | 02/05/2021 | WI | 40.0 | 40 | M | First day - Cold sweats, Fever, Chills, Headache, Nausea, Diarrhea, Body aches, Extreme back pain. Second day - Back pain, Nausea, No fever | N | 02/02/2021 | 02/03/2021 | 1 | none | PVT | none | none | none | 2 | 02/05/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1007265 | 02/05/2021 | WI | 40.0 | 40 | F | Large red spot about 4 inches in diameter. Onset approximately 24 hours post vaccine. Continues to be red, inflamed, and warm to the touch 48 hours post vaccine. From what I've read being called "COVID arm" only presenting in patients receiving the Moderna | N | 02/03/2021 | 02/04/2021 | 1 | none | OTH | Montelukast, Norethindrone Acet/Eth 1/20 tb 21's, Duloxetine DR, Bupropion XL | N/A | Asthma | 2 | 02/05/2021 | Environmental allergies, grass, ragweed, mold, etc. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1027674 | 02/13/2021 | WI | 40.0 | 40 | F | Swollen eye lid | N | 02/10/2021 | 02/12/2021 | 2 | PVT | Omeprazole | 2 | 02/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1028052 | 02/13/2021 | WI | 40.0 | 40 | F | Woke up on the 8th day after shot, right arm muscle was swollen and rock hard, painful. continued throughout the day, next few days it was sore but not hard anymore, and swelling went down. No doctor care was needed. | Y | 01/20/2021 | 01/28/2021 | 8 | PVT | none | none | none | 2 | 02/13/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039174 | 02/18/2021 | WI | 40.0 | 40 | F | moderate-severe adrenergic response within 15 minutes after injection. Pallor, diaphoresis, nausea, dizzy, lightheaded, tachycardia, hypotension, weakness, numb toes, tingling in mouth. Given liquid diphenhydramine at site. Recovered. | Y | 02/17/2021 | 02/17/2021 | 0 | OTH | Fluoxetine Vitamin D3 | Chronic vestibular migraines POTS - hyperadrenergic | Pertussis vaccine | 2 | 02/18/2021 | Pertussis vaccine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039240 | 02/18/2021 | WI | 40.0 | 40 | F | HEADACHE, HOT FLASH, "BUZZED TYPE FEELING" | U | 02/10/2021 | 02/10/2021 | 0 | PVT | 2 | 02/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1042149 | 02/19/2021 | WI | 40.0 | 40 | F | Chills/sweats, joint pain, headache, severe fatigue started 20 hours after vaccination and lasted 24 hours. Swollen lymph nodes started 24 hours after vaccination and so far lasted 48 hours. | N | 02/17/2021 | 02/18/2021 | 1 | UNK | Birth control pill Modofinil | 2 | 02/19/2021 | Shrimp | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1043646 | 02/20/2021 | WI | 40.0 | 40 | F | Swollen lymph node in neck, same side as injection site, lasted 2/14/21-2/18/21. | Y | 02/13/2021 | 02/14/2021 | 1 | UNK | N/A | N/A | N/A | 2 | 02/20/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1051656 | 02/24/2021 | WI | 40.0 | 40 | F | Following the injection, after approximately four hours later I began to feel some slight disorientation and tiredness. Later the same evening I experienced brain fog and confusion for the next several days as well as a terrible headache. Additionally my t | Y | 02/03/2021 | 02/03/2021 | 0 | N/A | UNK | Bupropion xl, adderall xr, zaleplon, magnesium, vitamin d3, loratadine, fish oil, collagen w/ biotin, and mirena (IUD) | None known of | Migraines, raynauds syndrome, super ventricular tachycardia, acne | 2 | 02/24/2021 | Penicillin, citric acid, and seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063049 | 03/01/2021 | WI | 40.0 | 40 | F | About 12 hours after the vaccine, I experienced a 102 degree temperature, all over body aches with the most discomfort in my lower back, knees, and hips, headache and general fatigue. The next day all the symptoms went away except residual arthritic joint | N | 02/18/2021 | 02/19/2021 | 1 | PVT | None | Common cold | None | 2 | 03/01/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071943 | 03/04/2021 | WI | 40.0 | 40 | F | FEVER, BODY ACHES | 02/09/2021 | 02/10/2021 | 1 | PVT | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1072718 | 03/04/2021 | WI | 40.0 | 40 | U | NAUSEA, STIFFNESS THROUGHOUT BODY, HIP JOINT PAIN. | 02/02/2021 | 02/02/2021 | 0 | PVT | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1072939 | 03/04/2021 | WI | 40.0 | 40 | F | HEADACHE, BODY ACHES, CHILLS, FATIGUE | 02/02/2021 | 02/03/2021 | 1 | PVT | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1072983 | 03/04/2021 | WI | 40.0 | 40 | F | HEADACHE, CHILLS, FATIGUE, BODY ACHES | 02/03/2021 | 02/04/2021 | 1 | PVT | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074443 | 03/05/2021 | WI | 40.0 | 40 | F | About 20 hours after 1st dose, I started becoming very tired and spacey. 24 hours after dose, I felt very exhausted with a headache behind my eyes and pain in my neck and upper back (felt more skeletal than muscular). I fell asleep for 2 hours and woke up | Y | 03/03/2021 | 03/04/2021 | 1 | OTH | 10mg Citirizine (Allegra-esque), Buspirone 5mg, womens multi-vitamin, probiotic, magnesium, zinc | none | 2 | 03/05/2021 | Allergic to wheat, nuts, several vegetables, fruits (except for berries), all-seasons' pollens (birch, ragweed, etc.); I have oral-allergy syndrome and am prone to exercise-induced anaphylaxis (based on metabolic rate - therefore, allergic reactions can b | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079152 | 03/07/2021 | WI | 40.0 | 40 | F | Ongoing red circle at injection site 10 days later. Spot is firm to the touch. | N | 02/25/2021 | 02/26/2021 | 1 | SCH | Multivitamin, metformin 500mg TID, Zyrtec, montelukast, Celexa | None | Polycystic ovarian syndrome, environmental allergies, anxiety | 2 | 03/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1081014 | 03/08/2021 | WI | 40.0 | 40 | F | Near syncope (multiple events); vomiting (multiple events); chills; headache Onset approx. 12 hours following vaccine. Rapid onset with little to no warning, lasting approx. 2-3 hours. | Y | 03/05/2021 | 03/05/2021 | 0 | CBC and Differential Comprehensive Metabolic Panel D-Dimer Quantitative Troponin I (05 March 2021) | WRK | LoLoestrin FE Aimovig | None | Migraine, Hayfever | 2 | 03/08/2021 | Y | Latex; Neosporine; Mold/Hayfever | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1084031 | 03/09/2021 | WI | 40.0 | 40 | F | Swollen and sore. Mildly itchy. | 03/01/2021 | 03/09/2021 | 8 | PHM | Lexapro | Protein S deficiency | 2 | 03/09/2021 | Penicillin, ceclor, latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1087426 | 03/10/2021 | WI | 40.0 | 40 | F | I had an abnormal headache, and I had excruciating pain in the left arm 24 hours after the injection. BUT, I was more concerned with the "Covid Rash" or "Covid Arm" i had developed. I noticed Friday morning after my injection a large red splotch under my | Y | 03/02/2021 | 03/05/2021 | 3 | none | PHM | Lisinopril and Metformin | none | Type 2 Diabetes and high blood pressure | 2 | 03/10/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1103314 | 03/15/2021 | WI | 40.0 | 40 | M | When I woke up the morning after I receive the vaccine, it was very painful to move my left arm. The pain increased if I moved my arm greater than perpendicular to my body. The worst pain though with with my back. I could not stand up straight without a sh | Y | 03/10/2021 | 03/11/2021 | 1 | None | PUB | Truvada, valacyclovir, Zyrtec, lexapro, aciphex, famotidine, rohto dry eye drops, one a day men?s multivitamin, probiotic, guaifenesin, phenylephrine, Tagamet, | None | Hemophilia C, depression, social anxiety, generalized anxiety disorder, GERD, Chronic Dry Eyes, herpes simplex II, IBS, nearsighted | 2 | 03/15/2021 | Allergy - Bactrim and mold Adverse reaction to - augmentin and biaxin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1105546 | 03/16/2021 | WI | 40.0 | 40 | M | Two days after receiving the COVID vaccine, patient developed a rash to his bilateral arms and legs. The rash has caused moderate itching. | N | 03/06/2021 | 03/08/2021 | 2 | PVT | 2 | 03/16/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109237 | 03/17/2021 | WI | 40.0 | 40 | F | A week after my vaccine my neck was swollen around the collar bone in the front. It was a ball the size of the marble that was painful. I was advised to see a physician. They advised Ibuprofen to bring the swelling down and that it might take two weeks to | Y | 01/08/2021 | 01/14/2021 | 6 | PVT | Sluoxitine Zinc Probiotics | vsafe | 2 | 03/17/2021 | Y | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109385 | 03/17/2021 | WI | 40.0 | 40 | M | On March 11th at around 10pm I experienced severe shaking, fever, headache and delirium. The next day I improved but had a fever on and off of 99.1. I felt like I was stable, but felt dizziness increasing, and was lethargic through the weekend. Then on M | Y | Y | 1 | N | 03/11/2021 | 03/11/2021 | 0 | CT scan on the 16th. Appendectomy on the 16th. Released back home on the same day. | PVT | Lexapro and Allegra | None | None | 2 | 03/17/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1122118 | 03/22/2021 | WI | 40.0 | 40 | F | One week post vaccine administration a large, red, itchy, painful rash appeared on Left arm in location of injection. Rash became worse over the following days and has remained for four days now. The area is raised and inflamed and still itches and hurts. | U | 03/11/2021 | 03/18/2021 | 7 | None | PUB | Levothyroxine 200mg qd, Hydroxychloroquine 200mg, Quetiapine 25mg prn for sleep, Hydroxyzine 10mg prn, Albuterol prn, Symbicort 160/4.5 bid Joint Health Kirkland brand one daily, certrizine qd, Vit D3, Vit B12, l-tyrosine, blood builder, | No | Thyroid Cancer diagnosed in 2019. Total thyroidectomy and neck dissection same year. Radioactive Iodine given. Asthma Lupus | 2 | 03/22/2021 | Penicillin, Sulfa , Shrimo | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1129527 | 03/24/2021 | WI | 40.0 | 40 | F | Thursday, March 18, 2021 8pm: fatigue 9pm: chills 10:20 pm: severe chills, shaking, mild nausea, 99.3 degrees 11:05 pm: extreme shaking, severe chills, moderate headache, moderate nausea, extreme fatigue, took 2 ibuprofen, 99.9 degrees 12:24 pm: all of the | Y | 03/18/2021 | 03/18/2021 | 0 | none | PUB | 5mg citalopram | none | none | 2 | 03/24/2021 | escargot (snail) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1133258 | 03/25/2021 | WI | 40.0 | 40 | M | Gave patient Pfizer 2nd dose when patient had moderate for first dose | 03/22/2021 | 03/22/2021 | 0 | PUB | 2 | 03/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1136452 | 03/26/2021 | WI | 40.0 | 40 | F | Red lesion on arm. Approx 2 inches in diameter. Started off as a pale pink. 8 days later it is bright red. Slightly elevated. | N | 03/18/2021 | 03/18/2021 | 0 | PHM | Oral birth control, CBD oil, multi vitamin | Asthma | 2 | 03/26/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139051 | 03/26/2021 | WI | 40.0 | 40 | F | COVID arm (as described by medical professionals) large raised lump in injection area, swelling, pain, itchiness | N | 03/18/2021 | 03/26/2021 | 8 | WRK | 2 | 03/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139466 | 03/27/2021 | WI | 40.0 | 40 | M | Client had previously received Moderna Dose 1. Client received separate invite for Janssen due to signing up twice and they came in. Previous Moderna dose not caught in clinic and Janssen dose given incorrectly. Client does not need any additional COVID va | 03/20/2021 | 03/20/2021 | 0 | PUB | 2 | 03/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1141178 | 03/28/2021 | WI | 40.0 | 40 | F | Constipation, chills, intestinal/stomach cramping, many liquid bowel movements, fever, extreme fatigue & lethargy, body/joint aches, mental fogginess, headache, all lasting one day. Liquid bowel movements, intestinal cramping lasting into day 2. | N | 03/25/2021 | 03/27/2021 | 2 | NA | PHM | NA | NA | Obesity | 2 | 03/28/2021 | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1146062 | 03/29/2021 | WI | 40.0 | 40 | F | Minutes after- Itching throat, felt like swelling, sneezing, increased blood pressure 1.5 hours after- sweating and shaking, swollen arm, red and hot Next day- headache and nausea Arm swelling, redness and hot, kept moving down and around my arm as days | N | 03/26/2021 | 03/26/2021 | 0 | OTH | Mestinon, dexilant, Zyrtec, linzess, ozempic, phentermine, birth control, prenatal vitamin, magnesium, vitamin d, metformin, vascepea, synthroid, probiotic, methyldopa, | None | Acid reflux, myasthenia gravis, high blood pressure and cholesterol, asthma & allergies, chronic sinusitis, vasovagel syncope, hypothyroid, obesity, chronic constipation, IBS | 2 | 03/29/2021 | Y | Claritin d, non-citrus tree fruit, nuts, sesame seed, airborne, penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1150744 | 03/31/2021 | WI | 40.0 | 40 | F | Patient received vaccine and within 5 minutes began feeling itchy all over and reported shortness of breath and reported throat was beginning to feel tight. Epi-Pen administered per RN at 1046. BP was 100/62 HR 70 bpm, oxygen saturation 99%. Nasal canula | U | 03/31/2021 | 03/31/2021 | 0 | PVT | 2 | 03/31/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1154466 | 04/01/2021 | WI | 40.0 | 40 | M | Thyroid painful to touch. Began approximately 24-30 hours after vaccine. Continuing for 7 days now. | N | 03/24/2021 | 03/25/2021 | 1 | PHM | Citalopram 20mg | None | None | 2 | 04/01/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163758 | 04/03/2021 | WI | 40.0 | 40 | F | Client reported 5 minutes after vaccination ears tingling, facial flushing, mouth swelling, high anxiety, chest tightness. Client had communicated with allergist and took cromolyn 8 ampules and hydroxy HCL 50 mgx2 on her own. At this point paramedic was co | Y | 04/03/2021 | 04/03/2021 | 0 | PUB | 2 | 04/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1165134 | 04/03/2021 | WI | 40.0 | 40 | F | 9:40am injection. 10:30am migraine started. 10:40am strong ringing in my left ear, and feel dizzy. 11am spine, back, and joints hurt. Ringing in both ears, but I have lost partial hearing in my left ear. 10:22pm, still ringing in left ear, partial hearing, | U | 04/03/2021 | 04/03/2021 | 0 | Nothing as of yet | UNK | D3, magnesium, B6, B12, iron | None | Asthma Headaches Back, neck, shoulder injury | 2 | 04/03/2021 | Keflin Tramadol NSAIDs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1168361 | 04/05/2021 | WI | 40.0 | 40 | F | 4am the day after my first shot I woke up to swollen, blood shot eyes which were irritated and itchy. After an hour and a half the symptoms were not getting better so I decided to take claritin since it was similar to the allergic reaction I have to mold. | Y | 03/01/2021 | 03/01/2021 | 0 | none | SCH | none | none | none | 2 | 04/05/2021 | mold | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1168458 | 04/05/2021 | WI | 40.0 | 40 | F | Pt reported feeling dizziness, nausea and feels like she is having a panic attack. Pt also is diaphoretic, appears pale and low blood pressure. BP 80/50 pulse 78, Resp. Rate 18, pulse ox 100% | U | 04/05/2021 | 04/05/2021 | 0 | Pt sent via EMS to ER. | WRK | Unknown | Unknown | Unknown | 2 | 04/05/2021 | Y | Ibuprofen, Haldol, Lyrica, Pregabalin, Baclofen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1171275 | 04/06/2021 | WI | 40.0 | 40 | F | Headache began 1 hour after vaccine, followed by vomiting repeatedly 4 hours after vaccine. Vomiting continued over night to the present time (4/6/21 - nearly 24 hours later). Headache became migraine. Woke up this morning with 102 fever with chills, and | N | 04/05/2021 | 04/05/2021 | 0 | None yet. Advised to push fluids and Tylenol. | PHM | Methotrexate, hydroxychloroquine, Vit D, flecanide, Metoporlol, Tramadol | Lupus | Lupus Obesity PCOS Anemia Premature Atrial contraction Red cell membrane disorder | Pneumovax and Flu vaccine | 2 | 04/06/2021 | Pneumovax, flu vaccine, metronidazole, sumatriptan, bees, peanuts | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177483 | 04/07/2021 | WI | 40.0 | 40 | F | 10 minutes post vaccine administration, patient had a witnessed syncopal episode. Patient was lowered to the floor. No injuries occurred. Vital signs stable. After seconds, patient was alert and oriented x4. Continued to monitor for 45 minutes. | Y | 04/07/2021 | 04/07/2021 | 0 | PVT | 2 | 04/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179490 | 04/08/2021 | WI | 40.0 | 40 | M | Fever, chills, aches 8 hours later. Light headed the next day. | U | 04/07/2021 | 04/07/2021 | 0 | PUB | 2 | 04/08/2021 | Tetanus shot arm swells | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1183193 | 04/08/2021 | WI | 40.0 | 40 | F | Rash on both ankles, both elbows, both hands. Rash is raised bumps that are red and itchy and clustered in groups. | N | 03/26/2021 | 04/06/2021 | 11 | PUB | Magnesium, probiotics, daily multi vitamin | N/A | N/A | 2 | 04/08/2021 | Kiwi fruit | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1187857 | 04/09/2021 | WI | 40.0 | 40 | M | Became diaphoretic and pale. BP slightly elevated. Assisted to a sitting position on the floor. Provided with water and ice pack. Stayed in vaccination area for an extended period of time for continued monitoring. | Y | 04/09/2021 | 04/09/2021 | 0 | N/A | PHM | Defer | Unknown | Unknown | 2 | 04/09/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1190199 | 04/10/2021 | WI | 40.0 | 40 | F | fast heart beat, hard time breathing, extreme dizziness, itching, near fainting spells, | Y | 04/06/2021 | 04/07/2021 | 1 | April 7,2021 I went to emergency room. I was given bendryl predsione fluids by Iv | PVT | none | sinus infection | asthama, hypthyroidism, migraines, Cigarette smoker, esophageal reflux, history of covid-19, vitamin d deficicency, syncope | 2 | 04/10/2021 | Y | Citric Acid Monohydrate, oxaprozin potassium, potassium, oxycodone ,metoprolol, midodrine doxycycline esomeprazole amoxicillin-pot clavulanate cefdinir amoxicllin pseudoephedrine dm gg ap ap potassium chloride morphine dicyclomine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1193134 | 04/11/2021 | WI | 40.0 | 40 | F | Red rash on arm where vaccine was received. Rash is warm to the touch. | 04/02/2021 | 04/11/2021 | 9 | PVT | Allergy vaccines and allegra | 2 | 04/11/2021 | Penicllin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196190 | 04/12/2021 | WI | 40.0 | 40 | F | Headache, muscle aches, shakes, weakness, dehydration | Y | 2 | Y | 03/12/2021 | 03/15/2021 | 3 | 3/15/21-required hospital care | PVT | NKM | not known | migraines | 2 | 04/12/2021 | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1197371 | 04/12/2021 | WI | 40.0 | 40 | F | Intractable migraine and nausea x 5 days Unrelieved by any medical therapy Finally aborted with steroid high dose pack for 14 days | Y | 01/02/2021 | 01/03/2021 | 1 | None | PVT | None | None | Migraines | 2 | 04/12/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1199320 | 04/12/2021 | WI | 40.0 | 40 | F | Dull, deep pain in the arm where shot was administered. Still can feel it 3 weeks after the shot. Very mild and only an issue when doing certain movements like lateral raises with my left arm. | N | 03/23/2021 | 03/23/2021 | 0 | None | OTH | Multi vitamin, magnesium and vitamin D supplements | None | None | 2 | 04/12/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1199982 | 04/13/2021 | WI | 40.0 | 40 | F | I have been having high blood pressure issues after the vaccine. Been monitoring blood pressure and trying to control it without medication. Would like to know if anyone else is having the same issue as me. | N | 03/01/2021 | 03/03/2021 | 2 | Home monitoring device. | PHM | Synthroid, cymbalta | None | Hypothyroidism, chronic sinus, heart palpitations | 2 | 04/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1201626 | 04/13/2021 | WI | 40.0 | 40 | M | Patient stated he was lightheaded after vaccination. Patient stated he was anxious prior to vaccine administration. No anaphylactic reaction after administration of vaccine. Patient recovered prior to leaving clinic. | 04/08/2021 | 04/08/2021 | 0 | PUB | 2 | 04/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1204151 | 04/13/2021 | WI | 40.0 | 40 | F | Client received the Pfizer COVID 19 vaccine on 4/10/2021 at 9:24 am, in left arm. Per Client on 4/10/2021 started experiencing symptoms of left armpit pain, like a "chafing" feeling, burning, soreness and painful to touch. Per Client still having symptoms, | N | 04/10/2021 | 04/10/2021 | 0 | PUB | Yes- Doxycycline and Probiotic | None | Yes-Asthma | 2 | 04/13/2021 | Yes- Seasonal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1208955 | 04/14/2021 | WI | 40.0 | 40 | F | Severe lymphedema of the left arm | Y | 03/11/2021 | 03/12/2021 | 1 | PVT | vitamin D | none | asthma | 2 | 04/14/2021 | Neomycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1210749 | 04/14/2021 | WI | 40.0 | 40 | M | Head ache, muscle pain, back pain | N | 04/08/2021 | 04/08/2021 | 0 | Called doctor on 4/13/2021 with back pain Got tizanidine Hcl 2 mg Next day 4/14/2021 pain no better went to urgent care and was given Diclofenac sodium 75mg. advised could or could not be from immunization but had no pain at all before the immunization. | OTH | Symbicort Albuterol halobetasol propionate cream | Asthma dermatitis | Asthma dermatitis | 2 | 04/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1210784 | 04/14/2021 | WI | 40.0 | 40 | F | Fever, chills, some short term memory loss, loss of appetite, lethargy the day following vaccination. Massive headache for 12+ hours beginning on 04/13/2021 with diminished headache, loss of appetite and difficulty with thought processing continuing curren | N | 04/07/2021 | 04/08/2021 | 1 | none | PUB | none | Recovering from left knee surgery (date of surgery 3/2/2021). | Occasional low iron and dehydration, general lower normal body temperature by one degree and lower blood pressure, slight blood circulation issues for the past 13 years. | 2 | 04/14/2021 | Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1211024 | 04/14/2021 | WI | 40.0 | 40 | F | Experienced lymphadenopathy in both axilla 2 days after injection. Muscle aches as well as muscle fatigue and sluggishness. Was seen by a local doctor and was told to monitor my symptoms and report back if anything became worse. | N | 04/11/2021 | 04/12/2021 | 1 | MIL | none | none | none | 2 | 04/14/2021 | Y | Levaquin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1216324 | 04/15/2021 | WI | 40.0 | 40 | F | Exactly 1 week from vaccination, menstruation began approximately 2 weeks before schedule and roughly 10-12 days after date of start of previous cycle. Heavy with many clots, extreme fatigue, headache, and heavier than usual cramping. Completely unexpected | 04/08/2021 | 04/15/2021 | 7 | PVT | Mitral valve prolapse, moderate regurgitation | 2 | 04/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1217377 | 04/16/2021 | WI | 40.0 | 40 | M | Fatigue, beginning about 2 hours after shot, Seems to have gone away by next morning. | Y | 04/15/2021 | 04/15/2021 | 0 | PVT | Metoprolol Tartrate 100mg Tablets Potassium Cl 10meq ER Tablets Allopurinol 300mg Tablets Sertraline 100mg Tablets Spironolactone 25mg Tablets Cephalexin 500mg Capsules AmLODIPine TAB 5MG ELIQUIS TAB 5MG LOVASTATIN TAB 40MG FUROSEMIDE TAB 2 | Hypertension, Hypertropic Cardiomyapathy, Atrial Fibrulation | 2 | 04/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1218867 | 04/16/2021 | WI | 40.0 | 40 | F | Patient gets hives from eggs so waited 30 minutes after vaccination. When she was about to leave, she looked down at to discover hives on her chest. She notified the security guard who then notified nursing staff and clinic lead. Patient was escorted in | 03/05/2021 | 03/05/2021 | 0 | PUB | 2 | 04/16/2021 | eggs leading to hives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1223916 | 04/17/2021 | WI | 40.0 | 40 | F | Diarrhea, loratadine, resolved Nausea, ondasetron, ongoing Pain at ejection site, ongoing Headache, ibuprofen, acetaminophen | N | 04/15/2021 | 04/16/2021 | 1 | UNK | Sertraline, buspirone, esomeprazole | Anxiety, heart burn | 2 | 04/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1224022 | 04/17/2021 | WI | 40.0 | 40 | M | Swollen lymph nodes above left collar bone | N | 04/16/2021 | 04/16/2021 | 0 | PHM | Ropinerole 3mg | None | Obese | 2 | 04/17/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1237951 | 04/21/2021 | WI | 40.0 | 40 | M | Client report receiving first COVID vaccine on 03/22/21. Received second COVID vaccine on 04/16/21, exact time not known but was in the afternoon. Adverse reaction started to be slightly noticeable after first vaccine of a rash or acne on lower back aro | N | 04/16/2021 | 04/17/2021 | 1 | None | PUB | Metformin, lisinopril, lexapro, risperidone, and claritin. | None | Hypertension, diabetes, and high cholesterol. | 2 | 04/21/2021 | Y | Azihromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1242062 | 04/22/2021 | WI | 40.0 | 40 | F | Tinnitus. I had a very mild case prior to last week due to side effects of migraine medications in the past; unless in absolute silence, I usually forgot I had it. The volume has increased by at least 3 or 4 times; it is now shrill and ever-present. | N | 04/13/2021 | 04/15/2021 | 2 | PHM | None | None | Migraines - about 3 per year now. They were weekly when I was a teenager. | 2 | 04/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1243309 | 04/22/2021 | WI | 40.0 | 40 | F | Patient received first dose of COVID vaccine today, appointment time 1430, received first dose vaccine at 1433. After receiving vaccine, patient sat in observation area and reported her voice "going away" sharing that with other allergies her voice often s | U | 04/21/2021 | 04/21/2021 | 0 | OTH | Flu virus vaccine on chart noted 11/11/2015; flushing -skin testing positive | 2 | 04/22/2021 | Y | 28 allergies noted in patient chart | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1244033 | 04/22/2021 | WI | 40.0 | 40 | F | IgA Vasculitis | 03/10/2021 | 03/23/2021 | 13 | PUB | 2 | 04/22/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246334 | 04/23/2021 | WI | 40.0 | 40 | F | Suffered blood clotting leading to three strokes. Started with numbness in limbs and face on 3/5 at 8:30AM and led to Ischemic stroke in three parts of the brain. | Y | Y | 19 | Y | N | 03/02/2021 | 03/05/2021 | 3 | 3/5 - 3/6 -- Healthcare 3/6 - Present --Hospital and Rehab Centers | OTH | Volnea Fluticasone Propionate Montelukast Sodium | NA | NA | 2 | 04/23/2021 | Penicillian | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266935 | 04/28/2021 | WI | 40.0 | 40 | F | Growing rash at injection site. Feels hotter (not just warmer) and harder than surrounding skin. Started Monday late night/Tuesday early morning. Only taken Aleve for fever/chills. Rash has continued to itch, feel hot, and spread. | N | 04/25/2021 | 04/27/2021 | 2 | UNK | Aleve | Obese, chronic migraines | 2 | 04/28/2021 | Possible minor egg allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268016 | 04/28/2021 | WI | 40.0 | 40 | F | Body aches, slight fever of 99.4 degrees F, fatigue for 24 hours. Vivid dreams for 2 weeks. Soreness in arm that received vaccine for 4 days. | Y | 04/13/2021 | 04/13/2021 | 0 | none | PUB | Allegra, multi-vitamin, vitamin C, calcium | none | Asthma | 2 | 04/28/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1286550 | 05/04/2021 | WI | 40.0 | 40 | F | Breakthrough cases determined by a positive PCR test on 05/03/2021. Cough, itchy throat, flu-like symptoms. | N | 04/09/2021 | 05/03/2021 | 24 | PCR test on 05/03/2021. | PVT | Unknown. | Unknown. | None reported by client. | DI #19459389 | 2 | 05/04/2021 | Unknown. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1287858 | 05/04/2021 | WI | 40.0 | 40 | F | Everything was fine until the next day at 11am, when I started feeling foggy, achy, heachahe, chilled, and feverish. Now coming up on Wednesday, 5 days later, I still have a fever that will only stay down if I take ibuprofen, and as soon as that wears off, | N | 04/29/2021 | 04/30/2021 | 1 | None | PUB | Amlodipine Levothyroxin Metformin | None | Hypertension Hypothyroid PCOS | 2 | 05/04/2021 | Erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1299434 | 05/08/2021 | WI | 40.0 | 40 | F | Chills, shaking, vomiting | Y | 05/07/2021 | 05/07/2021 | 0 | PHM | None | None | Complex PTSD, chronic migraine | 2 | 05/08/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1304681 | 05/10/2021 | WI | 40.0 | 40 | F | Chills, tired, body aches, loss of smell, fever, rash on hands and thighs, stomach aches, no appetite, on day 10 and still not feeling 100%. | N | 04/30/2021 | 04/30/2021 | 0 | PVT | Claritin | Slight seasonal allergy flair up the day prior to getting my shot | 2 | 05/10/2021 | Sulfa meds | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1306547 | 05/11/2021 | WI | 40.0 | 40 | M | Hair loss noticeable from head, eyebrows and body! It is not excessive but definitely noticeable and has never happened before. | N | 05/06/2021 | 05/10/2021 | 4 | None | PUB | Mult-vitamin, vitamin C, D, selenium, iron, coq10, pine bark extract, biotin, luetin, magnesium | None | None | 2 | 05/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327258 | 05/18/2021 | WI | 40.0 | 40 | M | tested PCR positive for Covid19 after being fully vaccinated. | Y | 01/08/2021 | 04/27/2021 | 109 | Positive Covid19 PCR 04/27/2021 . | UNK | unknown | unknown | none known | 2 | 05/18/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1334226 | 05/20/2021 | WI | 40.0 | 40 | F | I have an IUD and haven?t had a menstrual cycle in over a year when it was placed. About 24 hours after receiving this vaccine I had a heavy flow period that tapered off but lasted a few weeks. The same thing happened with my second dose. | Y | 04/21/2021 | 04/22/2021 | 1 | None | PHM | None | None | None | 2 | 05/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1334241 | 05/20/2021 | WI | 40.0 | 40 | F | I have an IUD in place and haven?t had a menstrual cycle for over a year since it was placed. Similar to my first dose, I experienced a heavy flow period around 24 hours later. | Y | 05/19/2021 | 05/20/2021 | 1 | PHM | None | None | None | 2 | 05/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1355372 | 05/27/2021 | WI | 40.0 | 40 | F | 7 days after vaccination had flare-up of MS symptoms which were stable for years. Neurologist stated that there is no way to know if this is vaccine related. Flare-up consisted of incoordination, numbness L side and loss of taste. By the next week, more lo | N | 04/29/2021 | 05/06/2021 | 7 | none | PUB | none | none | Multiple Sclerosis (M.S.) for over 20 years (stable) | 2 | 05/27/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1371469 | 06/03/2021 | WI | 40.0 | 40 | F | Patient was administered an expired dose of PFIZER BIONTECH COVID 19 vaccination on 6/3/2021 at 0838. Vaccination was outside of the recommended time allowed following first vial puncture. Syringe containing Pfizer vaccination was approximately 12-16 hour | U | 06/03/2021 | 06/03/2021 | 0 | None completed at this time | PVT | FLUOXETINE 20 MG DAILY | NONE | ANXIETY, DEPRESSION, HYPERLIPEDEMIA | 2 | 06/03/2021 | SULFA ANTIBIOTICS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1371625 | 06/03/2021 | WI | 40.0 | 40 | M | Per Client received COVID 19 in right arm on 5/24/2021, soreness at injection site on same day of vaccine. On 5/25/2021 around 4 am, started having chills and headache. On 5/26-5/27/2021 headache worsened and by Friday on 5/28/2021, along with headache, le | Y | 2 | N | 05/24/2021 | 05/25/2021 | 1 | PUB | None | None | NOne | 2 | 06/03/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1372780 | 06/03/2021 | WI | 40.0 | 40 | F | A little over an hour after vaccine my arm went numb from my shoulder blade down my entire arm, no pain just numbness, it also itches | U | 06/03/2021 | 06/03/2021 | 0 | UNK | None | None | None | 2 | 06/03/2021 | Benadryl, vicodin, anesthesia medication don't recall the name, a muscle relaxer don't recall the name, dander, dust | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1374660 | 06/04/2021 | WI | 40.0 | 40 | M | Patient received COVID-19 vaccine. After approximately ten minutes of sitting in the waiting area, patient began feeling ill. As he was walking up to the drop-off window to tell staff how he was feeling, he fainted and hit the back of his head on the groun | 06/04/2021 | 06/04/2021 | 0 | PHM | Patient reports low blood pressure and 12+ hours of fasting immediately prior to receiving vaccination | 2 | 06/04/2021 | Penicillin - rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1381851 | 06/08/2021 | WI | 40.0 | 40 | M | Vision loss, hearing loss, muscle control loss and fell over. Thought I was dying. Feel better now after breathing and trying to call myself down as it panicked me. Cuts and scrapes on hand and knee and elbow from falling. Scary as luckily I made it home d | Y | 06/08/2021 | 06/08/2021 | 0 | None | PVT | Tylenol 1 pill 500mg | None | None | Rapid heart beats | 2 | 06/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1383645 | 06/08/2021 | WI | 40.0 | 40 | F | Patient is currently pregnant, unknown to pharmacy/pharmacist estimated date of delivery. Patient did NOT experience any adverse event in the 20 minutes following vaccination. This report is to file the mis-administration of a Moderna second dose after a | U | 06/08/2021 | 06/08/2021 | 0 | None so far. | PHM | Unknown | Unknown | Currently pregnant | 2 | 06/08/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1391706 | 06/11/2021 | WI | 40.0 | 40 | M | Presented to ER with fever, chills, cough, shortness of breath and diarrhea. Suddenly became hypotensive and diaphoretic in ER, which prompted hospital admission. Had 1/2 positive blood cultures during admission of coagulase negative staph, which was thoug | Y | U | 04/29/2021 | 05/04/2021 | 5 | CTPE negative 5/6, CXR on 5/8, positive covid test on 5/6, 1/2 positive blood culture 5/6 growing staph hominis, CRP 16 on 5/8 | PVT | Acetaminophen, albtuerol, vitamin C, omeprazole | N/A | N/A | 2 | 06/11/2021 | Shellfish, wasp venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1400018 | 06/15/2021 | WI | 40.0 | 40 | F | headaches for a month, brain fog (only fog still present) | N | 12/04/2020 | 12/14/2020 | 10 | na | MIL | na | na | chronic leg pain from unknown source | 2 | 06/15/2021 | na | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407583 | 06/17/2021 | WI | 40.0 | 40 | M | Symptomatic; cough, runny nose, shortness of breath, sore throat, headache, and burning eyes. | N | 04/22/2021 | 06/15/2021 | 54 | SARS CORONAVIRUS-2 RNA, V; Detected | PVT | Unknown | Unknown | Unknown | 2 | 06/17/2021 | Y | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407893 | 06/17/2021 | WI | 40.0 | 40 | M | Ischemic stroke | Y | 2 | Y | 04/28/2021 | 05/03/2021 | 5 | UNK | 2 | 06/17/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1424156 | 06/24/2021 | WI | 40.0 | 40 | M | Given too early, given on day 14 after first dose. | 06/23/2021 | 06/23/2021 | 0 | PUB | 2 | 06/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1440520 | 07/01/2021 | WI | 40.0 | 40 | M | I have had severe pain in my right leg, it feels like nerve pain. Its very uncomfortable to sit and drive. I saw my PCP ( Kip ) who ordered two rounds of oral steroids. I was then referred to an Ortho who ordered PT, I completed 4 weeks with little to no i | N | 03/30/2021 | 04/09/2021 | 10 | X-Ray MRI PT Injection | OTH | Fish Oil Supplement ( 1xday ) Multivitamin ( 1xday ) | NA | NA | vsafe | 2 | 07/01/2021 | Y | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454710 | 07/07/2021 | WI | 40.0 | 40 | M | Client received 2nd COVID vaccine on 05/10/2021 at 3pm, 3 days later adverse reaction began of swollen lymph nodes. Two weeks later the swelling went away. The injection site took a month to heal from having swelling. At this time client report he is ha | N | 05/10/2021 | 05/13/2021 | 3 | None | PUB | None | None | None | 2 | 07/07/2021 | Wine with sulfites | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1470124 | 07/14/2021 | WI | 40.0 | 40 | F | Chills, sweats, nausea, headache, chest pain with deep inspiration, contacted 1 week after vaccination. Continued for another week, contacted clinic. Recommended ER, patient did not go. Reached out to her cardiologist who ordered labs and chest xray. CMP, | Y | Y | 22 | N | 03/25/2021 | 03/25/2021 | 0 | 4/12/2021- CBC,CMP, Chest Xray normal 5/5/2021- ER visit- CBC normal, GFR decreased slightly, electrolytes normal, LFTs normal, Lipase normal, Elevated D-dimer, CT angio- no PE or pneumonia. EKG- normal, Chest xray- normal, no acute cardiopulmonary disease | PVT | Pantoprazole, NuvaRing, Multivitamin, Aspirin | none noted in chart | GERD, hiatal hernia, Fibromyalgia, Thoracic Aortic Aneurysm- valve replaced and pacemaker | 2 | 07/14/2021 | Y | Y | Flax Seed Oil | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1474350 | 07/15/2021 | WI | 40.0 | 40 | F | 1- Heart palpitations that started slowly the day after the first shot, then increased significantly after second dose. Heart palpitations are extremely frequent. Twice an hour is the least frequent. 2- Shoulder pain within a day of the first dose, the l | N | 06/10/2021 | 06/11/2021 | 1 | Will see a doctor on Monday, 7/19/2021. Have not had tests, don't need a test to feel heart palpitations. Obviously from the vaccine. Will fill this out again after seeing the doctor. | PVT | None | None | None | 2 | 07/15/2021 | Wellbutrin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1484744 | 07/19/2021 | WI | 40.0 | 40 | F | Based on lab report unknown symptoms started on 7/17/21. 2019 Coronavirus SARS-CoV-2 Rapid~2019 Coronavirus SARS-CoV-2 Rapid test performed on 7/17/21 and came back positive. Case investigation interview with patient has not been performed as of the time o | U | 05/18/2021 | 07/17/2021 | 60 | PVT | 2 | 07/19/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1484804 | 07/19/2021 | WI | 40.0 | 40 | M | SARS-CoV-2 RdRp Resp Ql NAA+probe~COVID-19 rapid diagnostic test (nucleic acid amplification test NAAT) performed on 7/17/21, most likely done at a . Test came back positive. Case investigation interview conducted and based on case manager documentation on | N | 02/27/2021 | 07/14/2021 | 137 | PHM | 2 | 07/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1490390 | 07/21/2021 | WI | 40.0 | 40 | F | I had stomach cramps and at first I thought it was just period cramps and it got so severe I went to Emergency room and my appendix was inflamed. | Y | 01/13/2021 | 01/24/2021 | 11 | CT scan, | PVT | Sertraline, Omeprazole, Vit D, Buspirone, | depression and anxiety | vsafe | 2 | 07/21/2021 | Y | Vicodin, OxyContin. oxycodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501703 | 07/26/2021 | WI | 40.0 | 40 | F | My period came early. (The last date of my menstral cycle is 7/6/2021) When I woke up this morning my menstral cycle has begun again. I also want to add on 7/24/21 I had such strong body aches that night I became rehabilitated from that night until this mo | N | 07/24/2021 | 07/26/2021 | 2 | PHM | 2 | 07/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1512876 | 07/29/2021 | WI | 40.0 | 40 | F | Pt received both doses of the Moderna COVID-19 vaccine, on 3/23/2021 and 4/19/2021. On 7/26, pt called her PCP clinic, stating that symptoms started 7/24/2021. Symptoms included mild cough, low grade fever, sore throat, congestion, sinus pain, headache, | Y | 04/19/2021 | 07/26/2021 | 98 | PHM | Bactroban 2% ointment | Hx abnormal pap smear, mood disorder | 2 | 07/29/2021 | Y | Miconazole, tioconazole, amoxicillin-pot Clavulanate | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1515521 | 07/30/2021 | WI | 40.0 | 40 | F | Patient noted increasing frequency and intensity of palpitations. Holter monitor demonstrated symptomatic premature ventricular contractions. Patient referred to cardiology for possible treatment. | N | 06/10/2021 | 06/12/2021 | 2 | Holter monitor 7/19-7/20/2021- intermittent PVCs, PACs. | PVT | None | None | None | 2 | 07/30/2021 | Y | Wellbutrin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1531724 | 08/06/2021 | WI | 40.0 | 40 | F | Outbreak of cold sores on mouth. | N | 07/27/2021 | 08/05/2021 | 9 | PHM | Multiple Sclerosis | Multiple Sclerosis | 2 | 08/06/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1553899 | 08/13/2021 | WI | 40.0 | 40 | F | Patient reports that shortly after the vaccine, hours to the next day she developed memory loss and confusion that lasted about 2 days. She then developed bilateral leg pain that is described as constant and aching with a sensation of weakness to the backs | N | 04/10/2021 | 04/10/2021 | 0 | CBC, CMP, TSH, D-dimer, Lipid Panel, Holter monitor | UNK | None | 2 | 08/13/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1565150 | 08/15/2021 | WI | 40.0 | 40 | F | Breastfeeding; This spontaneous case was reported by a consumer and describes the occurrence of EXPOSURE VIA BREAST MILK (Breastfeeding) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 027A21A) for COVID-19 vacc | Y | 03/10/2021 | 03/10/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1572343 | 08/16/2021 | WI | 40 | F | whole body ached, could barely move; major headache; rash; throat got strectchy and kind of irritated; congested and runny nose; fever; This spontaneous case was reported by a consumer and describes the occurrence of THROAT IRRITATION (throat got strectchy | Y | 01/15/2021 | 01/15/2021 | 0 | UNK | TAMOXIFEN | Allergy; Cancer; Hypertension | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1572742 | 08/16/2021 | WI | 40.0 | 40 | F | Flushing; Itching; This spontaneous case was reported by an other health care professional and describes the occurrence of FLUSHING (Flushing) and PRURITUS (Itching) in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch n | Y | 01/29/2021 | 01/29/2021 | 0 | UNK | EPINEPHRINE; DEXAMETHASONE | Drug allergy (Sulfa allergy); Hyperlipidemia; Penicillin allergy | Medical History/Concurrent Conditions: Migraine | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1581727 | 08/18/2021 | WI | 40.0 | 40 | F | GI issues (upset stomach); in the area where she received the vaccine it felt hot to the touch; in the area where she received the vaccine it felt itchy; in the area where she received the vaccine it felt swollen; in the area where she received the vaccine | Y | 01/20/2021 | 01/20/2021 | 0 | UNK | GABAPENTIN; CYCLOBENZAPRINE | Comments: no specific medical history was reported. | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591146 | 08/20/2021 | WI | 40.0 | 40 | F | As with my second shot I had high fever (103.7), myalgias and headache starting about 12 hours after the shot and lasting 24 hours. 24 hours after the shot-I noticed what I thought was severe heartburn (I do not have heartburn normally-only during my first | Y | 08/16/2021 | 08/17/2021 | 1 | None | UNK | None | Recently completed chemotherapy and radiation for breast cancer-herceptin and perjeta finished end of June 2021. Radiation completed Feb 2021. This was my 3rd-booster dose of Pfizer | Breast cancer-completed treatment June 2021. Nothing else. | 2 | 08/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1627944 | 08/24/2021 | WI | 40.0 | 40 | M | Patient tested positive for COVID-19 on 8/6/21, hospitalized due to COVID-19 illness from 8/9/21 through 8/23/21. | Y | 15 | Y | 07/29/2021 | 08/09/2021 | 11 | PVT | 2 | 08/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1628753 | 08/24/2021 | WI | 40.0 | 40 | F | Patient was inadvertently given an unreconstituted dose of the vaccine. Due to human error the vial was not reconstituted and I gave her the 0.3ml dose. The error was caught by staff administering the next vaccine. Patient was called and advised of error a | U | 08/24/2021 | 08/24/2021 | 0 | None | PVT | Adapalene Topical 0.1% Gel Topically | None. | None | 2 | 08/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1679271 | 09/07/2021 | WI | 40.0 | 40 | M | Patient fell after 10 minutes getting the Pfizer vaccine, claimed felt nausea, light headed, no other symptoms reported. Got up by himself and sat on bench for another 30 minutes, check every 5 minutes with him, he claimed symptoms were getting better. | Y | 09/07/2021 | 09/07/2021 | 0 | n/a | PHM | n/a | n/a | n/a | 2 | 09/07/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1685421 | 09/09/2021 | WI | 40.0 | 40 | F | The patient was vaccinate @ 1300, waited 15 minutes and left vaccination site. About 5-10 minutes later, the patient re-presented at the vaccination site stating she felt hot and was having problems focusing. About 5 minutes later, after lying on a cot, | Y | 09/09/2021 | 09/09/2021 | 0 | N/A. | MIL | none | none | none | 2 | 09/09/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1689221 | 09/10/2021 | WI | 40.0 | 40 | F | patient c/o dizziness at 10:45 Patient was noted to be hypertensive 168/101, VS monitored for an additional 15 minutes with improvement in BP 136/84 patient without further symptom development, released to home at 11:10 | Y | 09/10/2021 | 09/10/2021 | 0 | none | PVT | albuterol 108 (90 Base) MCG/ACT inhaler Inhale 2 puffs into the lungs every 4 hours as needed for Shortness of Breath or Wheezing. cetirizine (ZyrTEC Allergy) 10 MG tablet Take 1 tablet by mouth daily. tiZANidine (ZANAFLEX) 4 MG tablet Take | none known | BMI > 40 | 2 | 09/10/2021 | no known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1709174 | 09/17/2021 | WI | 40.0 | 40 | M | Vasovagal Patient at reception desk to schedule follow up appointment and stated "uh-oh". Patient immediately collapsed, losing consciousness ofor less than 60 seconds. Did hit posterior right head on floor in lobby. Site actively bleeding. Patient den | U | 09/17/2021 | 09/17/2021 | 0 | PVT | 2 | 09/17/2021 | Y | PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1713983 | 09/19/2021 | WI | 40.0 | 40 | F | Employee became symptomatic and tested COVID-19 positive on 9/18/21. She is recovering due back at work on 9/28. | N | 12/29/2020 | 09/17/2021 | 262 | PVT | 2 | 09/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1735809 | 09/26/2021 | WI | 40.0 | 40 | F | hypokalemia, myalgia, severe lightheadedness/dizziness, nausea and vomiting | U | 09/20/2021 | 09/20/2021 | 0 | PVT | Tylenol, Ciprofloxacin, Gabapentin, Ibuprofen, Zofran, | Coag and Thromboembolic Superficial thrombophlebitis ENT Pain, dental Eye Unqualified visual loss, both eyes Clinical anophthalmos, bilateral Congenital glaucoma Eye pain, right Ocular inflammation Endocrine and Metabolic Vitamin D deficiency | 2 | 09/26/2021 | Y | Albuterollocal swelling Bupropion HclOther - see Comments Entecavirheadache/dizziness Tiotropiumlocal swelling Tramadol-acetaminophenOther - see Comments Acetaminophennausea/vomiting Alginate [Alginic Acid]pruritic/watery eyes Amitriptylineheadache/dizzine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1741719 | 09/28/2021 | WI | 40.0 | 40 | F | I had a pulmonary embolism | Y | U | 03/27/2021 | 06/08/2021 | 73 | I had a CAT scan and blood work done on 6/08/2021 | PVT | Montelukast Escitalopram Buspirone | Asthma | 2 | 09/28/2021 | Y | Y | Ceftin Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1745710 | 09/29/2021 | WI | 40.0 | 40 | M | BREAKTHROUGH COVID INFECTION | U | 04/08/2021 | 09/15/2021 | 160 | COVID19 POS 9/15/21 | PVT | LISINOPRIL 40 MG ATORVASTATIN 20 MG | NONE | HYPERCHOLESTEROLEMIA HYPERTENSION TYPE 2 DIABETES MELLITUS | 2 | 09/29/2021 | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1750210 | 09/30/2021 | WI | 40.0 | 40 | F | Contracted COVID-19 on 9/13/21 after complete Moderna vaccination series | Y | 03/11/2021 | 09/13/2021 | 186 | COVID-19 RNA, NAAT test on 9/13/2021 | PVT | Nexplanon | none | none | 2 | 09/30/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1765734 | 10/06/2021 | WI | 40.0 | 40 | F | Associate felt dizzy and weak after vaccination, BP was elevated. clammy skin. HR elevated. Monitored closely for 60 minutes. Associate felt better after about 48 minutes post vaccine. Closely monitored. Did not drive home after vaccine. | Y | 10/06/2021 | 10/06/2021 | 0 | Vital Signs done, cool compress, elevated lower extremities. | PVT | unknown | unknown | associate stated gets dizzy and has spells. fainting history. She stated she has discussed with PMD. | 2 | 10/06/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1773444 | 10/09/2021 | WI | 40.0 | 40 | F | diagnosed with covid after first dose of the vaccine; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 29-Sep-2021 and was forwarded to Moderna on 29-Sep-2021. This spontaneous cas | U | 07/27/2021 | UNK | Comments: No medical history was provided. | USMODERNATX, INC.MOD20213 | 2 | 10/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1775031 | 10/09/2021 | WI | 40.0 | 40 | F | New onset bladder irritation, pain, spasm, urgency, frequency with no UTI. Symptoms wax and wane. No prior history of any bladder issues. No history of UTIs. No history of lower urinary tract symptoms. | N | 02/09/2021 | 05/01/2021 | 81 | Office urine dipstick 06/2021 | PVT | None | None | None | Reaction to flu vaccine with preservative. Fever, chills, body aches, rigors within hours of vaccine on. Three separate occasion | 2 | 10/09/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1779074 | 10/12/2021 | WI | 40.0 | 40 | M | Patient admitted as inpatient on 10/7 due to acute hypoxemic respiratory failure due to COVID-19. Patient was tested for COVID-19 and was positive on 10/7. Patient required high-flow oxygen 25 L at 70%. | Y | 04/28/2021 | 10/07/2021 | 162 | UNK | albuterol,acetaminophen | 2 | 10/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1800818 | 10/20/2021 | WI | 40.0 | 40 | F | Moderna COVID?19 Vaccine Right arm pain and pain, tenderness and swelling of the lymph nodes within right under arm and down the side. | N | 10/18/2021 | 10/20/2021 | 2 | PVT | Levonorgest-Eth Estrad 91-Day 0.15-0.03 &0.01 MG per tablet spironolactone 100 MG tablet ipratropium 0.06% 0.06 % nasal spray fluticasone 50 MCG/ACT nasal spray cetirizine 10 MG tablet montelukast 10 MG tablet olopatadine 0.2 % ophthalmic s | no | no | 2 | 10/20/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1804351 | 10/21/2021 | WI | 40.0 | 40 | F | This client received a dose of Pfizer on 9/27/21, after having already received a dose on J&J on 4/2/21 unbeknownst to the vaccinator. | 09/27/2021 | 09/27/2021 | 0 | PUB | 2 | 10/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1808438 | 10/22/2021 | WI | 40.0 | 40 | F | Severe constant sharp ache from bicep to hand in right arm for nearly 24 hour period on 10/11/21. Pain lessened on second day but still painful. Continued to constantly ache in varying degrees of sharpness. Tried rest, ice, compression and elevation but | N | 10/07/2021 | 10/11/2021 | 4 | PUB | Humira, sertraline, birth control, Eliquis, vitamin D, vitamin B3 | Crohn's disease, seasonal allergies, anaphylactic reaction to shellfish | 2 | 10/22/2021 | Y | Shellfish, Percocet, Tramadol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1814683 | 10/25/2021 | WI | 40.0 | 40 | F | 5 minutes after booster injection, I noticed the injection site was starting to itch. I looked at it and it was red. I waited 5 more minutes and I felt more of my arm and chest starting to itch. My upper arms, armpit and chest was red. I notified the RN | Y | 10/21/2021 | 10/21/2021 | 0 | na | PVT | Multivitamin; Mirena IUD | none | none | 2 | 10/25/2021 | Y | Shrimp, pistachios, bee stings, seasonal environmental | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1821436 | 10/27/2021 | WI | 40.0 | 40 | M | Patient wanted J&J and we think that he was given Pfizer. When we went to count inventory, it was off after him, leaving an extra J&J and one less Pfizer; | U | 10/27/2021 | 10/27/2021 | 0 | none | PUB | unknown | unknown | unknown | 2 | 10/27/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1821851 | 10/27/2021 | WI | 40.0 | 40 | M | Patient contracted COVID after being fully vaccinated Runny nose, cough, fatigue, congestion, chills, Body aches, headache. | 04/10/2021 | 10/25/2021 | 198 | UNK | Aspirin 650mg q4hr PRN for pain Nicotine Gum | None documented | Panic Attack | 2 | 10/27/2021 | Cats - Itchy Eyes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1825788 | 10/28/2021 | WI | 40.0 | 40 | M | My symptoms started around 10pm on April 24th and begin with minor chest pain and sore ribs. After going to sleep I awoke in bed around 2am. My symptoms were unable to take full breaths without extreme chest pain. I was unable to lay on my stomach or si | Y | 04/09/2021 | 04/24/2021 | 15 | EKG, Bedside ultrasound, Complete LABs D-Dimer, Troponin, CBC, S-TSH, Comprehensive Metabolic Panel, Chest XRay | PVT | Claritin Allergy Medication over the counter | none | none | 2 | 10/28/2021 | Y | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1860857 | 11/11/2021 | WI | 40.0 | 40 | F | Patient experienced itching in the arm, armpit then into the chest. Patient felt hot and dizzy. Clinic staff administered diphenhydramine and recorded a high blood pressure reading. Patient was transferred to the Emergency Department where she was monitore | U | 10/21/2021 | 10/21/2021 | 0 | PVT | 2 | 11/11/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX |