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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0919303 | 01/04/2021 | TN | 41.0 | 41 | F | DIZZY AND FLUSHED. PT WAS ATTENED BY EMS. PT THEN STATED SHE FELT FINE. PT WAITED AN ADDITIONAL 15 MINUTES. PT WAITED A TOTAL OF 30 MINUTES. EMS SAID PT COULD LEAVE. PT LEFT IN STABLE CONDITION. | Y | 01/04/2021 | 01/04/2021 | 0 | PUB | unknown | unknown | unknown | 2 | 01/04/2021 | no known anaphylactic reaction to an injectable or intravenous vaccine or medication. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0919475 | 01/04/2021 | TN | 41.0 | 41 | U | Around 11am the 23rd I starting having chills, low grade fever, severe body aches. Went to walk in clinic (Urgent Care) around 6pm that evening and had Covid and Flu test, both came back negative. Body aches lasted thru the night had to take medicine, body | Y | 12/18/2020 | 12/23/2020 | 5 | Covid test, Flu test | WRK | vsafe | 2 | 01/04/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0928112 | 01/08/2021 | TN | 41.0 | 41 | F | Red, itchy bumps on several places throughout the body. | U | 01/06/2021 | 01/07/2021 | 1 | WRK | Triamterene, Wellbutrin, Metoprolol, Omeprazole, Vitamin D, Magnesium, Potassium, Melatonin | None | Fibromyalgia, Minears Disease | 2 | 01/08/2021 | Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0929372 | 01/08/2021 | TN | 41.0 | 41 | F | I initially developed 3 small red raised bumped on my R arm around Day 9 after the injection . One on forearm, one near antecubital, and one at inner upper arm. The bumps did not itch or have any drainage. The area increased in size, remained red, and had | N | 12/21/2020 | 12/30/2020 | 9 | None | PVT | None | None | None | 2 | 01/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930267 | 01/08/2021 | TN | 41.0 | 41 | F | site swelling, itching along upper extremities, shoulders, and upper back. Itching treated with Benadryl x 2 doses with positive results | Y | 01/05/2021 | 01/06/2021 | 1 | none | SEN | Metformin, Symbicort, Desvenlafaxine, Bupropion, Quetiapine, Alprazolam PRN, Eliquis, Ferrous sulfate, Atenolol, Ventolin inhaler, B12, Zyrtec, Montelukast, Tylenol, Trimcinolone | no | Polycystic ovarian syndrome, asthma, depression, anxiety, anemia and b12 deficiency, atrial fibrillation, idiosyncratic tachycardia, arthritis, seasonal allergies | 2 | 01/08/2021 | seasonal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0935892 | 01/11/2021 | TN | 41.0 | 41 | M | Symptom: Headache | Treatment: Tylenol | Outcome: No resolution thus far; Symptom: Fatigue | Treatment: Sleep | Outcome: Slight improvement in fatigue; Symptom: Left arm muscle soreness (same arm as injection) | Treatment: Tylenol | Outcome: No resolution | N | 01/06/2021 | 01/07/2021 | 1 | N/A | PVT | Biktarvy, Alprazolam, Centrum Multi-vitamin, Vitamin D3 | Strep throat | HIV+ (undetectable) | 2 | 01/11/2021 | Balneol, Adhesive from band-aids | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0938890 | 01/12/2021 | TN | 41.0 | 41 | F | 10 days following vaccination, rash, burning, and itching developed on opposite extremity of injection with fever of 99.5. 2 days later rash moved to opposite extremity. Treatment during this time with Claritin and Benadryl. Some improvement noted then wor | N | 12/24/2020 | 01/03/2021 | 10 | CBC and other lab work completed on 1-11-21 with PCP. Results have not been received at this point. | PUB | Claritin PRN | sinus infection 12-4. treatment with zpak | none | 2 | 01/12/2021 | Hx of environmental allergies. Took allergy shots until 10-20. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0939165 | 01/12/2021 | TN | 41.0 | 41 | F | Extremely sore arm started around 8pm on 1/9 Headache, fatigue started at 8am on 1/10 Nausea started at 12pm on 1/10 Fever reached 101.8 at 4pm on 1/10, took 975mg Tylenol New fever of 100.2 at 2:30am, took 650mg Tylenol Headache, fatigue, nausea all day 1 | Y | 01/09/2021 | 01/10/2021 | 1 | PHM | Lessina, Omega Fish Oil, Biotin, vitamin d3 | 2 | 01/12/2021 | Erythromycin, Percocet, Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0940103 | 01/13/2021 | TN | 41.0 | 41 | F | fever loss of appetite headache/migraine body aches muscle cramps, rash | Y | 01/08/2021 | 01/09/2021 | 1 | PVT | Ulcerative colitis | flu vaccine itchy hives reaction treating 2 month | 2 | 01/13/2021 | Y | Biaxin, Morphine, Bleach latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0942076 | 01/13/2021 | TN | 41.0 | 41 | F | Sunday I had al little ache and pain. On the 21st I had to leave work with a fever 101.4 also had body ache. It progressed from there then I tested positive for Covid. I went to a clinic to get tested was given Zpac, Zythrimac, steroids' . | Y | 12/18/2020 | 12/21/2020 | 3 | Covid test | WRK | vsafe | 2 | 01/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0945532 | 01/14/2021 | TN | 41.0 | 41 | F | Same night that I got the vaccine I got a headache and on the second day I started getting nauseas I was aching I had a fever 102.8 I had chills, body aches, my muscles where hurting, I also felt the pins & needles on my feet everything lasted about 36hrs. | Y | 12/27/2020 | 12/27/2020 | 0 | WRK | none | no | no | vsafe | 2 | 01/14/2021 | Medications | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0957288 | 01/19/2021 | TN | 41.0 | 41 | F | 5 days after my injection, I noticed a raised, bumpy area on my L upper arm. At this time, I did not equate this with my injection since it was 5 days later. But on day 6 in the AM, the area on my L deltoid was visible and red in the mirror. It took my | N | 01/13/2021 | 01/18/2021 | 5 | PVT | none | none | none | 2 | 01/19/2021 | possibly allergic to penicillin; definitely allergic to Sulfa drugs; allergic to Azo Standard | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0958695 | 01/20/2021 | TN | 41.0 | 41 | F | 5 minutes after vaccination, recipient became flushed, red in face, felt hot. Reported to observation RN that she began feeling short of breath. RN administered Epinephrine in left thigh. Patient escorted to Emergency Department for further evaluation a | U | 01/20/2021 | 01/20/2021 | 0 | PVT | Reports taking a "diet pill" the morning of the vaccination. | Unknown | Unknown | 2 | 01/20/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0964198 | 01/22/2021 | TN | 41.0 | 41 | F | White ulcers (3) under right side of tongue. Developed approximately 24 hours after vaccine, and were at maximum size and ulceration 48 hours after vaccine. At 96 hours, nearly resolved with over the counter topical treatment. | Y | 01/17/2021 | 01/18/2021 | 1 | UNK | 2 | 01/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0965875 | 01/22/2021 | TN | 41.0 | 41 | M | Cold chills along with a fever of 102.8. Severe headaches and body aches. Immediately started hydrating with water and Gatorade. Took tylenol for headaches and body aches. This lasted 2 full days intense and eased on the 3rd day. | Y | 01/19/2021 | 01/20/2021 | 1 | Was tested for covid which came back negative on January 20th 2021 at physicians. Also my blood was checked to rule out anything viral. Blood work was good. | PUB | Hrdrochlorothiazide, metformin, and rosuvastatin | 2 | 01/22/2021 | Y | Penicillin , sulfur ,and shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0972195 | 01/25/2021 | TN | 41.0 | 41 | F | Rash and bruise | 01/15/2021 | 01/23/2021 | 8 | PVT | Multivitamins | N/A | N/A | 2 | 01/25/2021 | No known drug or food allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0978977 | 01/27/2021 | TN | 41.0 | 41 | F | I had motion sickness , dizzy, and nausea. | Y | 12/27/2020 | 12/28/2020 | 1 | None | UNK | Singular Symbolcot Zyrtec Flonase Patanaseie | None | Nasal congestion | vsafe | 2 | 01/27/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0979621 | 01/27/2021 | TN | 41.0 | 41 | F | Sore, red arm days 1-3 which resolved. New temp 100.3F, fatigue, body aches began 10 days post vaccine and lasted until post vaccine day 17. | Y | 01/06/2021 | 01/06/2021 | 0 | none | WRK | buspirone 5mg TID, famicyclovir 500mg BID as needed | none | generalized anxiety disorder, herpes labialis | 2 | 01/27/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0983098 | 01/28/2021 | TN | 41.0 | 41 | F | Patient reports that within 1 hour of receiving the first dose of vaccine, she developed redness on bilateral arms that extended from her shoulders down to her hands. Her arms also itched towards the top, near her shoulders. Also reports feeling an odd sen | Y | 01/07/2021 | 01/07/2021 | 0 | None. | PUB | 2 | 01/28/2021 | Nuts, shellfish, contrast dye, avocado | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0985685 | 01/29/2021 | TN | 41.0 | 41 | F | Around 10 minutes after receiving vaccine, pt. c/o feeling flushed, hot and light headed. Pt. assessed by staff. BP: 100/68, HR: 68, RR: 16, O2 sats: 97%. No other symptoms noted. Pt. declines to go to emergency room. Will follow up with PCP if neede | Y | 01/29/2021 | 01/29/2021 | 0 | None | PUB | 2 | 01/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0985742 | 01/29/2021 | TN | 41.0 | 41 | F | headache, low grade fever; 12 hr duration, treated with Tylenol 650 mg BID | Y | 01/26/2021 | 01/27/2021 | 1 | none | SEN | Metformin 1000mg BID, Symbicort 2 puffs every morning, Desvenlafaxine Suc ER 100 mg daily, Bupropion 150 mg daily, Quetiapine ER 150 1 tab 3 hrs before HS, Alprazolam 0.5mg up to TID as needed, Eliquis 5 mg BID, Ferrous sulfate 325mg BID, | none | Polycystic Ovarian Syndrome, Asthma, Depression, Anxiety, Anemia and b12 deficiency, A Fib, Idiosyncratic Tachycardia, Arthitis, Seasonal Allergy | 1st dose of COVID vaccine | 2 | 01/29/2021 | Ibuprofens, aspirin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0993104 | 02/01/2021 | TN | 41.0 | 41 | M | Rash and burning feeling broke out on left arm around inner elbow area and growing to circumnavigate the arm | N | 01/22/2021 | 01/31/2021 | 9 | PUB | none | none | obesity | 2 | 02/01/2021 | Imitrex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0994942 | 02/02/2021 | TN | 41.0 | 41 | F | On 1/27/2021 Had adverse reaction, was Headache, Body Ache , Sore Throat, Nausea, Stayed off work for two days. Self medicated with Tylenol, Aleve, Reactions started four days after vaccination. Nurse advised Covid 19 Test on 1/29/2021 which was Negative. | Y | 01/22/2021 | 01/27/2021 | 5 | OTH | Tylenol, | None | None | 2 | 02/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1008232 | 02/06/2021 | TN | 41.0 | 41 | F | After my second dose of Moderna COVID-19 Vaccine EUA on Tuesday, I woke up to find a red circle with a large knot underneath on my left arm. It continue to get worse both in size and pain through the day. My school nurse looked at it. On Thursday, my ly | Y | 02/02/2021 | 02/03/2021 | 1 | none | PUB | none | none | none | 2 | 02/06/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1012560 | 02/08/2021 | TN | 41.0 | 41 | F | The patient received dose 1 of the COVID Moderna vaccine at around 7:00 AM on 2/8/21 at her place of work The patient came back to the vaccine area around 10:00 AM saying she was experiencing shortness of breath, jaw pain, tingling in her left arm, and che | U | 02/08/2021 | 02/08/2021 | 0 | SEN | Heart Disease- history of myocardial infarction | 2 | 02/08/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1018486 | 02/09/2021 | TN | 41.0 | 41 | F | I had a migraine the day after and was fatigued but no way to know if the vaccine triggered that. My arm was sore for about 3 days. It has been itching since the day after but on day 7, I developed a light pink rash. It had darkened on day 8. It is red | N | 02/01/2021 | 02/08/2021 | 7 | None | PUB | Verapamil Prevastatin Cetrazine Hydrochloride | Migraines | High blood pressure High cholesterol Migraines | 2 | 02/09/2021 | Penicillin (rash) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1053946 | 02/25/2021 | TN | 41.0 | 41 | F | Body and joint aches, chills, soreness at injection site. | N | 02/24/2021 | 02/25/2021 | 1 | PUB | Vyvanse, Lamictal, Protonix, Pepcid, Ambien, Baclofen, Xanax, Elderberry, Multivitamin | COVID positive January 25, 2021. | 2 | 02/25/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1059038 | 02/26/2021 | TN | 41.0 | 41 | F | Palpitations, swollen lymph nodes under my left armpit and general malaise the day after the vaccine | N | 02/25/2021 | 02/26/2021 | 1 | None | PUB | Methocarbamol | Autoimmune Lupus or RA | 2 | 02/26/2021 | NKDA NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063771 | 03/01/2021 | TN | 41.0 | 41 | F | Patient received Moderna Covid 19 vaccine lot# 031L20A exp date 07/22/2021 0.5ml to left deltoid at 10:15 a.m. 02/12/2021. Patient was asked to wait in parking area for monitoring of adverse reaction. At approximately 10:20 a.m. officer called to nurse tha | Y | 02/12/2021 | 02/12/2021 | 0 | none | PUB | Spiranolactone 50mg 1 tab po daily for acne Crestor 40mg 1 tab po daily | none | none | 2 | 03/01/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1066709 | 03/02/2021 | TN | 41.0 | 41 | F | Patient reported that within a "couple of minutes" of receiving 1st dose of Pfizer on 03/01/21 her face bilateral became numb in addition to her right arm and right hand. Patient stated after 5 minutes, she got feeling back in her face. As of 03/02/2021, | Y | 03/01/2021 | 03/01/2021 | 0 | None. | PUB | Spironolactone | None. | None. | 2 | 03/02/2021 | NKDA. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1067332 | 03/02/2021 | TN | 41.0 | 41 | F | I began having pain in the lymph nodes in my right under arm, then started experiencing stiffness in my neck, and today noticed a swollen node above my collar bone on the right as well. It is painful to touch and is radiating pain in my throat, right ear, | N | 02/27/2021 | 03/01/2021 | 2 | PVT | Nature Made Multi for Her (multi-vitamin) Nature?s Bounty 1000mg Vitamin C with Rose Hips | None known | None known | 2 | 03/02/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079824 | 03/07/2021 | TN | 41.0 | 41 | F | Aches and chills proceeded to a fever of 100.5 after an hour. Fever continued to rise every hour, proceeding to 100.9, 101.3, 101.5 and 101.9. Fever then began falling every hour to 101.7, 101.3, and 100.9 at which point patient fell asleep. In the morning | Y | 03/04/2021 | 03/04/2021 | 0 | None | SEN | Symbicort inhaler for asthma -- not used very soon before or after vaccination | None | Occasional allergy induced asthma | 2 | 03/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1087848 | 03/10/2021 | TN | 41.0 | 41 | F | questionable mild allergy- administered benadryl 25mg PO liquid | 03/09/2021 | 03/09/2021 | 0 | PUB | 2 | 03/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096566 | 03/13/2021 | TN | 41.0 | 41 | F | 7 days after first dose, I woke up very itchy at the injection site, a hard knot, and oval red rash swelling | N | 03/06/2021 | 03/13/2021 | 7 | N/A | PUB | None | I had a cold (covid negative) with runny nose and fatigue; I saw the Dr on Feb 8th, 2021 | None | 2 | 03/13/2021 | Diagnosed Egg allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1098458 | 03/14/2021 | TN | 41.0 | 41 | F | Redness and knot at injection site. Continued redness at site 2 days later. | N | 03/12/2021 | 03/13/2021 | 1 | PUB | Kaitlib-fe | 2 | 03/14/2021 | Coedine, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1103422 | 03/15/2021 | TN | 41.0 | 41 | F | The day after my vaccination I woke up with horrible bone pain like my bones were breaking. Intense dizziness and shortness of breath when getting up and moving around. Muscle pain would come and go all day long. On the second day, the bone pain has ligh | N | 03/13/2021 | 03/14/2021 | 1 | none yet | PHM | Wellbutrin xl 300, fluoxetine 20, levothyroxine 75, Ibuprofen , omeprazole | none | asthma | 2 | 03/15/2021 | Y | sulfa, Steriods, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1104588 | 03/16/2021 | TN | 41.0 | 41 | F | swollen tongue (20 minutes after, subsided after taking allergy medicine) chills, headache, body aches, tiredness (lasted 4-5 hours, some symptoms improved after taking Ibuprofen) sore arm near injection (immediately and lasting 3 days) Was within 90 da | Y | 03/11/2021 | 03/11/2021 | 0 | OTH | Rosuvastatin | 2 | 03/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1116000 | 03/19/2021 | TN | 41.0 | 41 | F | LARGE, RED , WARM AREA ON ARM | N | 03/10/2021 | 03/13/2021 | 3 | ADVISED TO VISIT PHYSICIAN | PHM | NKA | NKA | NKA | 2 | 03/19/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1126943 | 03/23/2021 | TN | 41.0 | 41 | F | Red rash around injection site with firmness and tenderness | N | 03/15/2021 | 03/23/2021 | 8 | PHM | Mg, Vit C, elderberry, zinc | None | None | 2 | 03/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130699 | 03/24/2021 | TN | 41.0 | 41 | F | Sore arm March 19-20 Fever began March 21 to present, ranging in 99 degree range daily. Lowest 99.2, highest 99.6. Also experiencing chills, lymphnode on left side of neck, little to no appetite, diarrhea, full body aches, dizziness, ringing in ears, knee | N | 03/18/2021 | 03/21/2021 | 3 | PVT | Triamterene/HCTZ Wellbutrin Lexipro Singulair Atenolol | N/A | Asthma, HBP | 2 | 03/24/2021 | Peanuts, penicillin, milk, peaches | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1131451 | 03/24/2021 | TN | 41.0 | 41 | M | Metallic taste in mouth starting ten minutes after injection, reporting event approximately 8 hours later and metallic taste is still present. | N | 03/24/2021 | 03/24/2021 | 0 | MIL | Lisinopril | None | Hypertension | 2 | 03/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1150699 | 03/31/2021 | TN | 41.0 | 41 | F | I woke up with pain in the neck/throat on the morning of the 30th after receiving the Moderna vaccine. It felt like my throat was closing and it was extremely difficult to swallow. It felt like I had been punched in the throat. This pain and difficulty sw | Y | 03/29/2021 | 03/30/2021 | 1 | none | PHM | none | none | none | 2 | 03/31/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1160406 | 04/02/2021 | TN | 41.0 | 41 | F | I received the vaccine at College. Initially my hand had numbness for a week, right wrist ached. My jaw and right side of head, ear, neck experienced sharp pain and swelling. My arm stayed red and swollen in a goose egg at the injection site, warm to tou | U | 03/10/2021 | 03/10/2021 | 0 | None | PVT | Metoprolol tartrate, escitalopram, hydrochlorothiazide | None | High Blood Pressure | 2 | 04/02/2021 | Nickel, mold, dust, chrysanthemum oil, seasonal allergies, flowers, trees, grass, cats, cockroaches, rabbits, guinea pigs, mice | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1170002 | 04/05/2021 | TN | 41.0 | 41 | F | Fever, body aches, chills, headache, nausea | Y | 04/02/2021 | 04/03/2021 | 1 | PHM | Artificial tears over the counter as needed Probiotic over the counter once a day Zyrtec 10 mg daily over the counter Patanol eye drops 0.1% as needed Pantoprazole 20 mg daily Lorazepam 0.5 mg as needed Fluoxetine 40 mg daily Rizatriptan | N/A | Tachycardia Gerd/heartburn Allergies Depression and anxiety Migraine history Irritable bowel syndrome Endometriosis Fibromyalgia Mild sleep apnea Vertigo TMJ Ringing in ears | 2 | 04/05/2021 | Sulfa, penicillin, caffeine, corn | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179510 | 04/08/2021 | TN | 41.0 | 41 | M | No adverse reaction First dose given on 3/9/2021 and second dose given on 3/29/2021 given to soon. No signs and symptoms | 03/29/2021 | 03/29/2021 | 0 | No adverse reaction First dose given on 3/9/2021 and second dose given on 3/29/2021 given to soon. No signs and symptoms | OTH | none | none | HYPERTENSION HLD | 2 | 04/08/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1180814 | 04/08/2021 | TN | 41.0 | 41 | M | No adverse reaction. Moderna 1st dose was given on 3/9/2021 and 2nd dose was given on 3/29/2021 to soon. | 03/29/2021 | 03/29/2021 | 0 | No adverse reaction. Moderna 1st dose was given on 3/9/2021 and 2nd dose was given on 3/29/2021 to soon. | OTH | NONE | NONE | HTN | 2 | 04/08/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1182895 | 04/08/2021 | TN | 41.0 | 41 | F | Shingles outbreak on right side, rash that spread, itching, pain at rash site and under the arm, rash still present 9 days after vaccine | N | 03/30/2021 | 03/31/2021 | 1 | Shingles diagnosis on 4/8/2021 at Med center | OTH | phentermine | none | none | 2 | 04/08/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1194437 | 04/11/2021 | TN | 41.0 | 41 | F | Within around an hour of the injection, patient started having numbness on ride side of body (including face down to toes) which lasted approximately 2 days. Around 3 days after injection, she developed a bright red rash down her right leg which lasted ap | Y | 03/08/2021 | 03/08/2021 | 0 | PHM | 2 | 04/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1198194 | 04/12/2021 | TN | 41.0 | 41 | F | Patient stated within the hour had itching on face and body. Patient stated had rash around her mouth. Patient took benadryl and spoke to doctor. Patient stated was just itchy several days later as of 3/31 | Y | 03/29/2021 | 03/29/2021 | 0 | None | PHM | Diabetes | 2 | 04/12/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1200577 | 04/13/2021 | TN | 41.0 | 41 | F | Fever of 101, chills, body aches and headaches. Fever and chills lasted about 8 hours and the aches for about 16. | Y | 04/10/2021 | 04/11/2021 | 1 | None | OTH | None | None | None | 2 | 04/13/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1200795 | 04/13/2021 | TN | 41.0 | 41 | M | Extreme nausea, vomiting, body aches, headache, sweating | Y | 04/10/2021 | 04/11/2021 | 1 | None | PHM | Lion?s mane mushroom extract | None | None | 2 | 04/13/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1201409 | 04/13/2021 | TN | 41.0 | 41 | F | Delivered preterm infant (stillbirth) at 24 weeks on March 9, 2021. Infant had IUGR noted at 19 weeks. Placenta showed 2 blood clots restricting blood flow at delivery. Mother with no known clotting disorders. 2 prior healthy infants. | Y | Y | 1 | Y | 12/21/2020 | 02/22/2021 | 63 | Placenta sent for pathology - 2 blood clots. No infectious source. | OTH | Phenergan, dicylegis | No | None | 2 | 04/13/2021 | Y | Neosporin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1202281 | 04/13/2021 | TN | 41.0 | 41 | F | within 4 hours - pain at the injection site, tired, full body chills with uncontrollable teeth chattering, headache, entire body aches of the joints, eye pain. Effects lasted 36 hours then acutely dissipated. | Y | 03/31/2021 | 03/31/2021 | 0 | none | OTH | Vit D, Calcium, Glucosamine, Chondroiten, MultiVitamin, Vit C, Synthroid 0.25 ug, Drosperienone 3mg/Ethinyl estradiol 0.02mg | none | sinus allergies | 2 | 04/13/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1212448 | 04/15/2021 | TN | 41.0 | 41 | F | Moderna COVID?19 Vaccine EUA - Irregular Menstruation - Out of Cycle by a week with heavier than normal flow following vaccine | U | 04/09/2021 | 04/12/2021 | 3 | PHM | None | None | None | 2 | 04/15/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1213072 | 04/15/2021 | TN | 41.0 | 41 | F | rapid heart beat light headedness blurred vision at times | N | 04/12/2021 | 04/15/2021 | 3 | OTH | none | none | asthma | 2 | 04/15/2021 | aspirin, penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1228923 | 04/19/2021 | TN | 41.0 | 41 | F | Musle pain is gone after 2days, Nausea :3~4th day after vaccination swelled lymps and thyroid: getting better slowly but still have swelled lymps Fever for first 6 days: 99.8F after 6th day fever 99.2F~99.5F and start to have dizzyness | N | 04/12/2021 | 04/13/2021 | 1 | Tylenol or advil only worked for musle pain but not really worked for fever | WRK | methimazole 7.5 mg everyday | hyperthyroidism | 2 | 04/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267756 | 04/28/2021 | TN | 41.0 | 41 | F | Patient reports waking up in the early morning hours with pain in center of chest and between shoulder blades. She felt like her throat was closing up, unable to take a deep breath. Dizziness, feeling faint and heavy arms also reported along with headache. | Y | 03/03/2021 | 04/12/2021 | 40 | x-ray and lab results were performed on 4/12/21 at 10:15pm. All lab values were within normal limits and chest x-ray was clear. D-dimer for clotting was negative so the emergency provider didn't feel that a CT was necessary. EKG was normal | PHM | none | none | 2 | 04/28/2021 | Y | Y | whey protein | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1278269 | 05/01/2021 | TN | 41.0 | 41 | F | These symptoms persisted for 34 hours: 103 fever, body aches, muscle cramps, nausea, shaking, skin sensitivity. As of now, I am still experiencing fatigue, soreness, and 99.2 temp. | N | 04/29/2021 | 04/30/2021 | 1 | PHM | Blood pressure medicine, Apple cider vinegar supplement | None | None | 2 | 05/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1292094 | 05/06/2021 | TN | 41.0 | 41 | M | Woke up with shoulder pain the next day. Pain has now persisted for 6 weeks. In the last week has slowly migrated into chest and neck. No shortness of breath or any other symptoms. Somewhat relieved by ibuprofen. Ongoing | N | 03/15/2021 | 03/16/2021 | 1 | None, normal physical exam | SCH | Ranitidine 300mg BID | None | GERD | 2 | 05/06/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1296170 | 05/07/2021 | TN | 41.0 | 41 | F | Pulmonary Embolism | Y | 4 | Y | 04/05/2021 | 04/28/2021 | 23 | DDimer, CT scan, Echocardiogram, chest xrays | OTH | Effexor, Excederin, Trazadone, Protonix, | Pluerisy- February 2021 | Asthma, Endometriosis, and Fibromyalgia | 2 | 05/07/2021 | Claratin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1300300 | 05/08/2021 | TN | 41.0 | 41 | F | Lips feel big and numb | U | 04/07/2021 | 04/07/2021 | 0 | unknown | OTH | unknown | Unknown | unknown | 2 | 05/08/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1300772 | 05/09/2021 | TN | 41.0 | 41 | M | Systemic: Fainting / Unresponsive-Mild, Additional Details: Fainted. Responded after about 10 seconds. Has history of fainting / abscent seizures. Pulse and blood pressure normal immediately after incident occured. | Y | 05/08/2021 | 05/08/2021 | 0 | PHM | 2 | 05/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1301467 | 05/09/2021 | TN | 41.0 | 41 | M | Went to the ER for heart palpitations/discomfort. Had elevated Troponins from a heart event | Y | 3 | Y | 04/21/2021 | 04/24/2021 | 3 | Enzyme tests Cat scan Heart catheter | PVT | N/A | N/A | N/A | 2 | 05/09/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1328553 | 05/18/2021 | TN | 41.0 | 41 | F | Pain with injection all the way down my arm into my fingers. Arm felt very heavy. Sharp pain in left chest area Lightheaded Tired | Y | 05/18/2021 | 05/18/2021 | 0 | Checked vitals and told me to call my PCM Pain went away before leaving clinic | MIL | One A day women vitamin Hair, skin, nail gummies Caltrate Calcium Zyrtec Tylenol Naproxin Nasal spray Eye drops | Flu shot | 2 | 05/18/2021 | Cats All herbs (rosemary, oregano ect.) Eggs Seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1343815 | 05/24/2021 | TN | 41.0 | 41 | F | Reported throat feeling "funny" and "hoarse" approximately five to six minutes post vac. Observed pt x 51 minutes. No SOB, tachycardia, tachypnea, wheezing, hives, cyanosis observed. Vitals WNL x 2. BP 118/80, Resp 16-18, Pulse 80-88. A/O x3. Over th | Y | 05/24/2021 | 05/24/2021 | 0 | N/A | PUB | ASA, Insulin pump, Lurasidone, | Tyoe-2 IDDM, Gastroparesis, Depression, | Depression, Type-2 IDDM, Gastroparesis, | 2 | 05/24/2021 | Reglan, Doxycycline, Augmentin, Bactrim, Topamax, Bee venom, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1343851 | 05/24/2021 | TN | 41.0 | 41 | F | For the First dose: A migraine-level headache set in about twelve hours after vaccination. It lasted for over 12 hours. For the Second Dose: Nausea, chills, fever, vomiting all started twelve hours after vaccination. The chills and fever lasted for 18 h | Y | 05/21/2021 | 05/22/2021 | 1 | PHM | Trintellix 20 mg, 1 time per day | none | Depression (being treated with Rx) | After shot 1 of Moderna COVID19 vaccine, I had a migraine headache for over 12 hours. | 2 | 05/24/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1344595 | 05/24/2021 | TN | 41.0 | 41 | M | Patient states he has had a "migraine" since he received the vaccines. He said the pain started about an hour after he received the vaccine and has had no relief even with taking ibuprofen. He says the pain is mostly in his neck and the base of his skull. | N | 05/19/2021 | 05/19/2021 | 0 | PHM | Ibuprofen | 2 | 05/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1358522 | 05/28/2021 | TN | 41.0 | 41 | F | Patient received two doses of the Boostrix on May 27, 2021 1ml, instead of the 0.5ml. | U | 05/27/2021 | 05/27/2021 | 0 | NONE | PVT | prenatal vitamins | none | none | 2 | 05/28/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1374317 | 06/04/2021 | TN | 41.0 | 41 | F | I received the Moderna vaccine on 5/28/21. No reactions on the first day. Day 2 I noted the small red swollen area, extreme pain radiated from my shoulder to my wrist. The next day it had tripled in size and was hot to the touch and pain continued as well | N | 05/28/2021 | 05/29/2021 | 1 | PHM | Zyrtec, Bupropion, Celexa, Prevacid | none | Asthma, Anxiety | 2 | 06/04/2021 | Y | Levaquin, Axert, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1392717 | 06/11/2021 | TN | 41.0 | 41 | F | Fever, chills, sweating, lethargic, sore all over, throwing up, diarrhea, nauseous, headache, chest pains, dizziness. | N | 06/09/2021 | 06/09/2021 | 0 | PVT | Nitrofurantoin macro 50mg | UTI | 2 | 06/11/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1397046 | 06/14/2021 | TN | 41.0 | 41 | F | I had a typical reaction with my first dose. The second dose seem typical for the first 24hrs. After that joint pain increased all over and I started having muscle spasms. The fever went away by Sunday but them my arm started to turn red, heat up and swell | N | 06/11/2021 | 06/13/2021 | 2 | PHM | 2 | 06/14/2021 | Y | Latex, whey and sulfa meds | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1403412 | 06/16/2021 | TN | 41.0 | 41 | F | numbness and tingling in feet for 5 days (ongoing) pain in bilateral hips and knees x 1 day (resolved) | N | 06/11/2021 | 06/11/2021 | 0 | none yet | PVT | sciatica anemia | 2 | 06/16/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1413135 | 06/19/2021 | TN | 41.0 | 41 | F | Thursday pm I began to experience palpitations, indigestion, substernal pain, and back pain between the shoulder blades when breathing deeply. Friday the symptoms continued, particularly in the evening. I began monitoring my blood pressure Friday evening w | N | 06/11/2021 | 06/17/2021 | 6 | none | PHM | None | none | none | 2 | 06/19/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1419976 | 06/23/2021 | TN | 41.0 | 41 | F | Initially I had arm pain, as expected later in the evening on day of shot. I iced and took Tylenol as advised by staff at health department. Saturday morning I woke to nausea, lightheadedness and increased arm pain. I pushed fluid intake, rested off and | N | 06/18/2021 | 06/20/2021 | 2 | N/A at this time ... Contacting primary care and liver specialist today for additional guidance. | PUB | Ursodiol 500 MG 2 x daily, Zyrtec 10 MG at bedtime, Tylenol as needed. | History of Ulcerative Colitis ( jpouch surgery 2004), pouchitis, Primary Sclerosing Cholangitis, | History of Ulcerative Colitis ( jpouch surgery 2004), pouchitis, Primary Sclerosing Cholangitis, | 2 | 06/23/2021 | Noroxin (rash) Heparin (kills platelets) Lavender (severe hives) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1420413 | 06/23/2021 | TN | 41.0 | 41 | M | First dose of Moderna given 03/12/2021. Second dose of Moderna given 04/09/2021. Patient experienced redness, pain, light sensitivity, and decreased vision in the left eye on 04/23/2021. Seen in ER. Did not require an over night stay at this facility. Di | Y | 04/09/2021 | 04/23/2021 | 14 | Several eye exams. LABS= Positive ANA which had been negative in the past, normal sed rate, and negative RA factor. | PUB | Clozapine, Zoloft, Metformin, Crestor, Verapamil, Lovaza, Lactulose | None reported | schizophrenia, diabetes, sinus tachycardia, dyslipidemia, hypercholesterolemia, hypertension, and chronic constipation | 2 | 06/23/2021 | Y | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1446300 | 07/03/2021 | TN | 41.0 | 41 | M | Patient reports to pharmacy on June 29th 2021 that he had pain and inflammation in both arms after both covid vaccines. He switched vaccine administration sites but still had pain/burning after both vaccines. He told the technician that he has myocarditi | U | 05/11/2021 | 05/12/2021 | 1 | PHM | same reaction with both 1st and 2nd covid vaccine doses | 2 | 07/03/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1495751 | 07/22/2021 | TN | 41.0 | 41 | F | Rash, back pain, injection site pain, muscle aches, tiredness and headache | Y | 07/21/2021 | 07/21/2021 | 0 | PHM | None | None | None | 2 | 07/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501139 | 07/25/2021 | TN | 41.0 | 41 | M | Patient received two doses of Janssen vaccine. No adverse event has been noticed at the time of reporting. Patient is an inmate at the time of administration of the second vaccine on 07/21/2021. When asked if the individual had received a COVID-19 vaccine | Y | 07/21/2021 | WRK | None listed | None listed | None listed | 2 | 07/23/2021 | None listed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1505893 | 07/27/2021 | TN | 41.0 | 41 | F | Patient was very nervous to receive the Moderna vaccine due to her having COVID-19 about a year ago. She was hospitalized and stated she kept delaying the injection due to PTSD from hospitalization. Patient consented to vaccine and waited her 30 minutes. N | N | 07/27/2021 | 07/27/2021 | 0 | unknown | PHM | unknown | none documented | none documented | 2 | 07/27/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1522783 | 08/03/2021 | TN | 41.0 | 41 | M | 7 day after the shot on 8/30/2021, my husband developed fever, chills and loss of cognitive functions. He didn't know his name, day, month and could hardly answer yes and no questions without struggling. He was admitted to the hospital and had CT scan, MRI | Y | Y | 4 | Y | 07/23/2021 | 07/30/2021 | 7 | Between 7/31-8/2 he had, full blood panels and cultures, eeg, 2 MRIs, lumbar puncture, and CT scan. | PVT | None | None | Herpes on lips | 2 | 08/03/2021 | Y | Food dyes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1536789 | 08/09/2021 | TN | 41.0 | 41 | F | Pain; Chills; Headache; Ran a fever; A spontaneous report was received from a healthcare professional concerning 41-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced pain, chills, headache and ran fever. The pati | N | 12/24/2020 | 12/24/2020 | 0 | Test Date: 20201224; Test Name: Temperature; Result Unstructured Data: Fever of 101 (after vaccine) and 102 in the evening was reported; Test Date: 20201225; Test Name: Temperature; Result Unstructured Data: 100.5 | UNK | Medical History/Concurrent Conditions: No adverse event (No reported medical history.) | USMODERNATX, INC.MOD20200 | 2 | 08/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1543190 | 08/11/2021 | TN | 41.0 | 41 | F | first dose of the Moderna COVID-19 Vaccine on January; Tachycardia; erythema around the injection site described as a red; Raised area; Itchy area; local site reaction below the injection site; This spontaneous case was reported by a consumer and describes | Y | 01/05/2021 | 01/05/2021 | 0 | UNK | EFFEXOR; SYNTHROID; NADOLOL; MIRALAX | Allergy (Allergic to sulfa.); Drug allergy (Sulpha allergy); Iodine contrast media allergy | Medical History/Concurrent Conditions: Asthma (Mild Ashtma); Graves' disease; Thyroidectomy | USMODERNATX, INC.MOD20210 | 2 | 08/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1549069 | 08/12/2021 | TN | 41.0 | 41 | M | Extremely bad diarrhea for past 4 days and hand are very jittery | 08/08/2021 | 08/09/2021 | 1 | UNK | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1561789 | 08/15/2021 | TN | 41.0 | 41 | F | arm soreness/Arm being sore to the touch; fatigue; Arm soreness; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm soreness), PAIN IN EXTREMITY (arm soreness/Arm being sore to the touch) and FATIGUE (fa | N | 02/03/2021 | 02/03/2021 | 0 | UNK | Medical History/Concurrent Conditions: Arthritis | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1568402 | 08/15/2021 | TN | 41.0 | 41 | F | injection site hot to the touch; injection site swelling; injection site itching profusely; Heartburn; sore; This spontaneous case was reported by a consumer and describes the occurrence of DYSPEPSIA (Heartburn), PAIN (sore), VACCINATION SITE WARMTH (injec | U | 12/30/2020 | 12/30/2020 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event (No reported medical history) | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1574415 | 08/16/2021 | TN | 41.0 | 41 | M | Called from Medical Examiner's office that record of vaccination was needed on a deceased person. Upon talking to local Fire Chief states, "patient received Moderna COVID 19 vaccination on 8/10/21 complained of chest pain on 8/11/21 and deceased on 8/12/2 | Y | 08/12/2021 | N | 08/10/2021 | 08/11/2021 | 1 | Autopsy done on 8/14/21 per Medical Examiner's office. | PUB | Unknown, patient deceased. | Unknown | Unknown for sure. Was told that patient was overweight and had HTN | 2 | 08/16/2021 | PCN and SULFA drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1580301 | 08/18/2021 | TN | 41.0 | 41 | M | Itchy; Burns; RASH; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Itchy), THERMAL BURN (Burns) and RASH (RASH) in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043L20A) | U | 01/22/2021 | 01/31/2021 | 9 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591469 | 08/20/2021 | TN | 41.0 | 41 | F | I received covid 19 vaccine second dose April 1 2021 , and I have covid 19 as of 8/19/2021 | N | 04/01/2021 | 08/19/2021 | 140 | Covid 19 test | UNK | 2 | 08/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1592325 | 08/20/2021 | TN | 41.0 | 41 | F | Patient stated she couldn't breathe and wanted her Epipen. She then gave herself a shot in her right thigh. After this, she started to feel better, then worse. She said it hurt to breathe and she was very jittery and nauseous. I called 911 and they cam | U | 08/20/2021 | 08/20/2021 | 0 | Patient was taken to hospital. | PHM | Unknown | Asthma | Patient told me she had a bad reaction, she described it as anaphylaxis, to the first flu shot she had ever received. She then | 2 | 08/20/2021 | Y | patient reported morphine, sulfa drugs, cephalexin, and protonix | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1594522 | 08/21/2021 | TN | 41.0 | 41 | M | Nose started to feel weird; Nosebleed; Headache; This spontaneous case was reported by a consumer and describes the occurrence of NASAL DISCOMFORT (Nose started to feel weird), EPISTAXIS (Nosebleed) and HEADACHE (Headache) in a 41-year-old male patient who | Y | 01/04/2021 | 01/04/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1595859 | 08/21/2021 | TN | 41.0 | 41 | M | Ringing in ears; sweating; I could not move out of my bed; fever; Vertigo; This spontaneous case was reported by a consumer and describes the occurrence of VERTIGO (Vertigo), TINNITUS (Ringing in ears), HYPERHIDROSIS (sweating), VACCINATION COMPLICATION (I | N | 01/04/2021 | 03/03/2021 | 58 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1600469 | 08/21/2021 | TN | 41.0 | 41 | F | Injection site redder and larger by the day; Extremely painful; Injection arm 2 inchers larger than other arm; site temp 101; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Injection arm 2 inchers larg | N | 02/27/2021 | 03/29/2021 | 30 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1603471 | 08/21/2021 | TN | 41.0 | 41 | F | diarrhea; little tiredness; mild fatigue; chills; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (diarrhea), FATIGUE (little tiredness), FATIGUE (mild fatigue) and CHILLS (chills) in a 41-year-old female patient | Y | 03/03/2021 | 04/02/2021 | 30 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1603660 | 08/21/2021 | TN | 41.0 | 41 | M | Loss of taste; This spontaneous case was reported by a consumer and describes the occurrence of Loss of taste in a 41-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was r | U | 03/03/2021 | 04/02/2021 | 30 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1617557 | 08/22/2021 | TN | 41.0 | 41 | F | About 2-5 minutes after vaccine, I felt clammy and hot, vision, blurry, throat felt tight, nausea, and dizzy, hard to breath. I carry 2 EPI pens with me so I administered both right away. Started shaking uncontrollably immediately. The pharmacist on duty | Y | 08/20/2021 | 08/20/2021 | 0 | /At the hospital I received benadryl and a steroid via IV. I was just monitored from time of entering hospital to discharge on 8/21/2021 52:00EDT. I was not checked for Covid. Doctor on duty cancelled orders for chest x-ray and IV fluids. I was at hospit | PHM | none | broken 4th metatarsal on right foot | allergies (receiving allergy injections 2016); have a pacemaker since 2015; eustachian tube dysfunction | Around 14-15 Years of age I received a flu vaccine and my throat felt like it was closing so I immediately took benadryl and fel | 2 | 08/22/2021 | Y | Influbenza Virus Vaccine prior to 3 years ago (can have influenza vaccine starting 3 years ago; Protonix, Keflex, sulfa drugs, morphoneb | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1627139 | 08/24/2021 | TN | 41.0 | 41 | F | 8/21- felt light headed, brain fog, headache starting around 8:00 pm; 8/22- woke up with 100.7 degree fever, severe headache, fatigue, malaise, brain fog, dizziness, swelling in lymph node under left arm, highest measured fever 102.4 around 4:00 pm, 101.8 | N | 08/21/2021 | 08/21/2021 | 0 | None | PHM | Metoprolol, Methimazole, guanfacine, Zyrtec, Acarbose, omeprozole, vitassium Saltsticks, Loratadine, multivitamin, vitamin D, iron supplement, tylenol | No acute illnesses | Graves disease, eosinophilic esophogitis, postural orthostatic tachycardia syndrome, environmental allergies | 2 | 08/24/2021 | Grasses, tresses, molds, animal dander, feathers, dust | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1636392 | 08/26/2021 | TN | 41.0 | 41 | F | severe allergic reaction with hives, stimulated Mast cell Activation Syndrome, was taken from administration site to hospital within 8 minutes after vaccine administration | N | 06/01/2021 | 07/07/2021 | 36 | none | PVT | Vyvanse, Metformin, Ttrintellix, | Endometriosis | none | 2 | 08/26/2021 | Y | Y | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1651237 | 08/28/2021 | TN | 41.0 | 41 | F | Arm sore for one day, for three days I have ran a temperature (101) every six to eight hours I've had to take tylenol, I'm weak, my body aches, I've had a severe headache, a slight runny nose, a slight cough, and a runny nose, and my hands have a tingling | N | 08/25/2021 | 08/26/2021 | 1 | No | PHM | No | No | Raynauds, Leiden factor v, and a mild form of EDS | 2 | 08/28/2021 | Ibu and Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1651507 | 08/28/2021 | TN | 41.0 | 41 | F | After receiving the pfizer covid vaccine, within hours felt flushed....lightheaded..., slight headache with minutes of receiving vaccine. Felt as if I was running fever, no fever. The following day...neck pain with chest discomfort...assuming acid reflu | N | 08/19/2021 | 08/21/2021 | 2 | Recorded blood pressure readings. Ekg t wave appeared to be abnormal. | UNK | Otc nexium and otc ibuprofen | Nothing, I do have PCOS and heart murmur....no illness whatsoever , only attended physical therapy for dislocated shoulder ..but dislocated back in May 2021. | Pcos and heart murmur only. | Pfizer | 2 | 08/28/2021 | Y | Y | Stadole and codeine.... Poultry | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1653734 | 08/29/2021 | TN | 41.0 | 41 | F | -Breakthrough Menstral 1/2 month early while on controled progesterone blocker ( contraceptive ). Very heavy and has lasted one week already. -Dull headache off/on like a vice clamp still a week later -Vertigo & confusion still a week later | N | 08/23/2021 | 08/24/2021 | 1 | None. I do not currently have a health care provider and my health insurance is state/ government, so it's hard to find a doctor. I contacted the vaccine administration site (Walgreens) and they told me to fill out this form and that's all that could be | PHM | Lamictal 50 mg Yaz Birth Control | None | AUTISM spectrum | Flu vaccines give me a migraine | 2 | 08/29/2021 | Penicillin Msg Beans Bananas | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1656228 | 08/30/2021 | TN | 41.0 | 41 | F | Heart palpitations at night. Dr diagnosed as tachycardia. Treated with atenolol 25mg | Y | 01/23/2021 | 08/30/2021 | 219 | EKG, Full blood panel (BMP, CBC, electrolytes, cholesterol, thyroid) date 3/5/21 | PUB | Hailey 24 FE, montelukast 10mg, doxepin 25mg, carisoprodol 350mg, estazolam 2mg, fluticasone nasal spray, iptatropium 0.06% nasal spray, multi vitamin, red yeast rice, glucosamine/chondroitin/MSM, vitamin B complex, vitamin D, fish oil, bio | None | Low back pain, seasonal allergies, insomnia | 2 | 08/30/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1675234 | 09/05/2021 | TN | 41.0 | 41 | F | Sore arm | N | 04/01/2021 | 08/04/2021 | 125 | Thyroid TSH high after vaccine. Never had issue before vaccine | PVT | Effexor, gabapentin, metformin, glimipiride, claritin | Diabetic. Fatty liver | Diabetic type 2 | 2 | 09/05/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1682780 | 09/08/2021 | TN | 41.0 | 41 | F | 8/31- shot given no side effects immediately Evening, sore arm slightly warm 9/1-4:00am woke up extremely uncomfortable cramps in lower back couldn?t get comfortable. Took alive tried to go back to sleep 5:30 get up to make breakfa | Y | N | 08/31/2021 | 09/01/2021 | 1 | I don?t have results yet | PHM | Prenatal vitamins, round 1 of 50mg clomid aug 4-8 besides that nothing else not even Tylenol | No illness I had a miscarriage in June 2021 | Bad back from car accident in my 20s went through years of pain management with physical therapy anti inflammatory diet options. I have had issues with depression anxiety and adhd I am currently not taking any meds for depression or anxiety I stopped las | 2 | 09/08/2021 | Y | Y | Lactose intolerant Eggs make me unwell but not diagnosed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1685331 | 09/09/2021 | TN | 41.0 | 41 | F | I had no major symptoms after the vaccine, except a little sore arm on day 3, which lasted for 48 hours and resolved. On 8/30/2021- I had seizure like symptoms and developed brain fog and lost my memory. Even though I was awake, I was unresponsive and m | Y | 3 | Y | 08/21/2021 | 08/30/2021 | 9 | Covid test; blood test | PHM | None | Migraines | None | vsafe | 2 | 09/09/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1685519 | 09/09/2021 | TN | 41.0 | 41 | F | unknown | U | 09/08/2021 | 09/08/2021 | 0 | unknown | PUB | unknown | unknown | unknown | 2 | 09/09/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696594 | 09/14/2021 | TN | 41.0 | 41 | F | 8/6/21: soreness at injection site lasting approximately 24 hours. 8/23/21: noticed soreness at injection site returned. I had been exposed to covid the day before and assumed the pain meant the vaccine was working. 9/5: Quarantine ended, I tested negati | N | 08/06/2021 | 08/22/2021 | 16 | None yet. I am scheduled to see my PCP on 9/16/21 for this reason. | PVT | Zyrtec, albuterol, multivitamin | None | Mild allergy-induced asthma | 2 | 09/14/2021 | Y | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1700715 | 09/15/2021 | TN | 41.0 | 41 | F | Involuntary muscle spasms, difficulty moving, Speaking | Y | 07/09/2021 | 09/15/2021 | 68 | PHM | Metoprolol, Effexor | NA | NA | 2 | 09/15/2021 | Penicillin, imitrex, bees | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1700871 | 09/15/2021 | TN | 41.0 | 41 | F | Patient was monitored for about an hour after the vaccine injection. She complained of chest tightness and had increase in blood pressure and heart rate. | Y | 09/09/2021 | 09/09/2021 | 0 | None at time of event. She went to see her PCP on 9/11/21 | OTH | Exforge, Clonidine | None | HTN and Iron deficiency | 2 | 09/15/2021 | Y | Seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1715795 | 09/20/2021 | TN | 41.0 | 41 | M | Extreme fatigue, 103.2F fever- not responsive to ibuprofen or acetaminophen, severe joint aches in hips and knees, nausea, migraine headache, radiating pain from injection site (elbow to shoulder of left arm), chills. These symptoms lasted for 10-12 hours | Y | 08/23/2021 | 08/24/2021 | 1 | PHM | Multi-vitamin (daily), Epicor (daily) | None | None | 2 | 09/20/2021 | Pennicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1722684 | 09/22/2021 | TN | 41.0 | 41 | F | Nausea, vomiting, fatigue - Promethazine 25mg Q8h x 3 days | Y | 09/02/2021 | 09/02/2021 | 0 | None | PHM | None | None | None | 2 | 09/22/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1726614 | 09/23/2021 | TN | 41.0 | 41 | M | No adverse events reported, only reporting an administration error. When giving the vaccine, the needle came loose from the syringe and less than half of the dose was given in the patient's right deltoid. I contacted Moderna support and was advised that if | U | 09/16/2021 | 09/16/2021 | 0 | None | PHM | None | None | None | 2 | 09/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1733905 | 09/25/2021 | TN | 41.0 | 41 | M | syringe got leaked and patient was administered less than half of the dose; syringe got leaked and patient was administered less than half of the dose; This spontaneous case was reported by a pharmacist and describes the occurrence of DEVICE CONNECTION ISS | Y | 09/16/2021 | 09/16/2021 | 0 | UNK | USMODERNATX, INC.MOD20213 | 2 | 09/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1734393 | 09/25/2021 | TN | 41.0 | 41 | F | I am no longer having a menstrual cycle after receiving second dose. | Y | N | 05/17/2021 | 08/01/2021 | 76 | PUB | 2 | 09/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1760639 | 10/04/2021 | TN | 41.0 | 41 | F | Swelling. Pain, itchy rash a week after injection. | N | 09/24/2021 | 09/30/2021 | 6 | PHM | Flonase, famidotine, Breo Ellipta, Singulair, azelastine HCL nasal spray, zertec, magnesium, Calcium citrate, D3, elderberry, zinc, C, FLO gummie vitamin, and women's multi. | Asthma. Allergies. | 2 | 10/04/2021 | Allergies to mold, ragweed, animals, grasses, various trees. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761269 | 10/05/2021 | TN | 41.0 | 41 | M | Herpes Zoster | N | 09/30/2021 | 10/02/2021 | 2 | None | PHM | None | None | None | 2 | 10/05/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1765034 | 10/06/2021 | TN | 41.0 | 41 | F | Patient reports that vaccine was given to high and she has limited mobility in her arm. | U | 10/04/2021 | 10/05/2021 | 1 | PHM | 2 | 10/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1767144 | 10/07/2021 | TN | 41.0 | 41 | M | Broke out in a full body rash 5 days later. Itching most intense on palms of hands. Redness, burning, severe itching with little relief. | N | 09/29/2021 | 10/05/2021 | 6 | PHM | Adderall 30mg x 3, Lisinipril 40 mg, Zyrtec, Odefsey | High blood pressure | 2 | 10/07/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1768659 | 10/07/2021 | TN | 41.0 | 41 | F | Soreness on left upper part of body and Headache at 230 a. Upon waking, face was swollen with the left being worse than the right. Joint pain and stiffness on left side, neck pain on left side. Temperature 100.5 @ 25mg benadryl were taken at 0800. | U | 10/06/2021 | 10/07/2021 | 1 | OTH | Buspar, Folic Acid, Ibuprofen | Lupus, Psoriatic Arthritis, Depression and Anxiety | Arthritis | 2 | 10/07/2021 | Penicillin, Flonase and Orange Juice | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1776762 | 10/11/2021 | TN | 41.0 | 41 | F | HIGH BLOOD PRESSURE AND HEADACHES. SLOWLY WORSENING OVER THE LAST 3 MONTHS | N | 08/27/2021 | 09/01/2021 | 5 | WRK | LOSARTAN 50 MG,LASIX 25 MG, DEVILS CLAW, MAGNESIUM, OMEPROZOLE | NONE | MILD HYPERTENSION | 2 | 10/11/2021 | Y | FORTAZ, VANCOMYCIN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1826279 | 10/28/2021 | TN | 41.0 | 41 | F | Patient was given fluarix vaccine in the left arm deltoid region on 10/27/21 she comes back on 10/28/21 to say the front part of her arm was swollen and red and warm to touch and she believes she was given the vaccine in that area. | U | 10/27/2021 | 10/28/2021 | 1 | PHM | 2 | 10/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1839451 | 11/03/2021 | TN | 42.0 | 41 | F | Little cold; Armpit hurt so bad; Swollen lymph node on left arm; Tired; This spontaneous case was reported by a consumer and describes the occurrence of NASOPHARYNGITIS (Little cold), AXILLARY PAIN (Armpit hurt so bad), LYMPHADENOPATHY (Swollen lymph node | Y | 03/18/2021 | 10/23/2021 | 219 | UNK | ZYRTEC [CETIRIZINE HYDROCHLORIDE]; LACTASE | Lactose intolerant (takes lactase pills); Obesity (Patient is obese, so she qualifies as "high risk".) | USMODERNATX, INC.MOD20213 | 2 | 11/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1845909 | 11/05/2021 | TN | 41.0 | 41 | F | Soreness in upper arm, loss of mobility. Given two rounds of steroids but pain rerturns when steroids begin to wear off | N | 09/16/2021 | 09/16/2021 | 0 | PHM | Prozac, Synthroid, Ambien | None | None | 2 | 11/05/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX |