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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0917365 | 01/02/2021 | WI | 44.0 | 44 | F | At injection site, at 1202, redness, rash, itchiness, and warmth. Then at 1206 head itchiness. Cold Compress applied to injection site. Later patient reported whole body itchiness and rash that was not raised. Patient is an NP and took prednisone. | U | 01/02/2021 | 01/02/2021 | 0 | NA | WRK | unknown | unknown | unknown | 2 | 01/02/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0917417 | 01/02/2021 | WI | 44.0 | 44 | F | ocal allergic reaction warmness rash right at site of injection | U | 01/02/2021 | 01/02/2021 | 0 | UNK | 2 | 01/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0919189 | 01/04/2021 | WI | 44.0 | 44 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted. | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/04/2021 | atorvastatin, amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920397 | 01/05/2021 | WI | 44.0 | 44 | F | Day 1: (12/23/20) fatigue, mild headache Day 2: (12/24/20) fatigue mild headache Day 3-5 (12/25/20-12/29/20)- large painful lymph node inflammation approx. size of a baseball. Right axilla. | Y | 12/23/2020 | 12/25/2020 | 2 | none | PVT | Lamictal, bupropion | None | None | 2 | 01/05/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0923863 | 01/06/2021 | WI | 44.0 | 44 | F | Persistent migrane pain with nausea | N | 12/30/2020 | 12/30/2020 | 0 | None, given toradol | PVT | acetaminophen (TYLENOL) 500 MG tablet Apply topically to the affected daily for acne once daily.. clindamycin (CLINDAGEL) 1 % gel Take 10 mg by mouth Every 8 (Eight) Hours As Needed for Muscle Spasms. fluconazole (DIFLUCAN) 150 MG tablet | None | Bipolar disorder (*) Allergic rhinitis Allergic asthma (*) Presence of (intrauterine) contraceptive device Migraine headache (*) Carpal tunnel syndrome Chronic lower back pain Spinal stenosis of lumbar region Eczema Breast pain in female Acute right lumbar | 2 | 01/06/2021 | Y | Metoclopramide and Prednisone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0925473 | 01/07/2021 | WI | 44.0 | 44 | F | 5d after vaccine I developed a R sided trigeminal neuralgia of branches 1 & 2. By d10 I developed the rash consistent with herpes zoster, including ophthalmic involvement of the R eye. I have not previously had shingles, but did have varicella as a child | Y | 12/17/2020 | 12/22/2020 | 5 | n/a other than ER visit with fluorescein staining on 12/26 and again with ophthalmologist on 12/28 and 1/6/21. | PVT | none | none | migraines | 2 | 01/07/2021 | Y | Y | ragweed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0926133 | 01/07/2021 | WI | 44.0 | 44 | M | Patient had a flu shot (Fluzone Quadrivalent, P-Free)(Lot: UJ471AA) on 12/29/2020 and was given the Moderna vaccine (Lot: 011L20A) on 1/5/2021. Patient has been notified and is aware. Patient is currently not experiencing any symptoms. | Y | 01/05/2021 | 01/05/2021 | 0 | PUB | 2 | 01/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0926320 | 01/07/2021 | WI | 44.0 | 44 | F | Received Moderna vaccine on 12/28/20. Patient texted me a picture of her arm which is swollen, red and indurated. Induration measures 3x4 inches. Also complained of itching. Has used hydrocortisone cream with no improvement. | 12/29/2020 | 12/01/2020 | PVT | 2 | 01/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0927281 | 01/07/2021 | WI | 44.0 | 44 | F | Did really have any reaction until 1/07/21. Woke up with my arm throbbing, then noticed my arm was super warm to touch, very red, as the day went on the symptoms progressed. | N | 12/30/2020 | 01/07/2021 | 8 | PVT | IBUPROFEN | None | Asthma, fibromyalgia, arthritis | 2 | 01/07/2021 | Y | Sulfa drugs and cymbalta | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0927404 | 01/08/2021 | WI | 44.0 | 44 | F | Injection site pain for 72 hours post injection (Dec 30-Jan 2) At injection site a raised red hard swelling 6cm round, very itchy. First noticed Jan 6 and is beginning to recede, but is still present. | N | 12/30/2020 | 01/06/2021 | 7 | None | SEN | None | Seasonal allergies | Seasonal allergies, arthritis | 2 | 01/08/2021 | Cow milk products, soy, corn | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0927969 | 01/08/2021 | WI | 44.0 | 44 | F | Symptoms started 1/1/21 Pm. Headache, ear ache, chills, fever. COVID and influenza swabbed 1/5/21 both negative. Symptoms continued ear infection 1/6/21, nausea and chest pain. 1/7/21 vomiting and diarrhea started. Going in for COVID swab this | N | 12/30/2020 | 01/01/2021 | 2 | COVID test 1/5/21 Influenza test 1/5/21 COVID test 1/8/21 | PVT | Vitamin D, Aspirin 81 mg, bupropion, metoprolol, escitalopram | Na | Asthma, clotting disorder, SVT | 2 | 01/08/2021 | Y | Na | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0929583 | 01/08/2021 | WI | 44.0 | 44 | F | 01/06/2021 developed a rash, redness, itching and is warm to touch at the injection site. | 12/29/2020 | 01/06/2021 | 8 | PVT | 2 | 01/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0929921 | 01/08/2021 | WI | 44.0 | 44 | F | Small red area next to the right arm injection site with a golf size lump in the upper pole of the right breast leading into the right armpit area which started on 01/05/2021. | 01/04/2021 | 01/05/2021 | 1 | PVT | 2 | 01/08/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930178 | 01/08/2021 | WI | 44.0 | 44 | F | shoulder pain in the joint space causing paresthesia in the hand and arm with intermittent pain in the forearm. loss of full range of mobility in the shoulder. this has been ongoing x 1 week. | N | 01/02/2021 | 01/04/2021 | 2 | WRK | omega 3 multivitamin MSM | 2 | 01/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930846 | 01/08/2021 | WI | 44.0 | 44 | F | Pfizer-BioNTech COVID-19 Vaccine EUA Given at Hospital L upper arm has been achy / painful at injection site and has not gone away, gets worse with some motions, has not been red or swollen Makes dressing, reaching, dishes, laundry, putting on a backpack, | N | 12/28/2020 | 12/28/2020 | 0 | none | PVT | women's multivitamin, 1000 mg Vit D daily, metformin, levothyroxine, omeprazole, Claritin, Zyrtec, duloxotine, losartan, simvastatin, sumatriptan, topiramate, letrozole, norethindrone acetate, miconazole powder, tylenol, ibuprofen, miralax | tested negative for COVID-19 on Saturday Dec 26th (tested d/t sore throat, stuffy head, headache, fatigue) | migraines, hypothyroid, thrombophelia, factor V leiden heterozygous, OSA, dysmenorrhea, menometrorrhagia, connective tissue disorder, chronic pain, chronic fatigue, adneomyosis, endometriosis, DM II | 2 | 01/08/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0935875 | 01/11/2021 | WI | 44.0 | 44 | F | Dec 17th, my throat felt scratchy, 45 minutes later I was wheezing. | Y | 12/17/2020 | 12/17/2020 | 0 | WRK | Asthma, seasonally allergies, atopic dermatitis | vsafe | 2 | 01/11/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0938311 | 01/12/2021 | WI | 44.0 | 44 | F | Within 5 minutes of receiving vaccine dose reported feeling a change. Erythema on chest and shoulders observed as well as Hypertension BP up to 172/104 and fever up to 101. This persisted for 20 minutes even after 50mg of Benadryl was administered. Ultimat | U | 01/12/2021 | 01/12/2021 | 0 | Vitals monitored throughout on 1/12/2021: 1322 T- 100.2, HR- 105, BP- 177/105, O2- 99%; 1327 T- 99.3, o2- 100%, BP- 162/105, HR- 98, RR- 18; 1332 T- 100.4, o2- 99%, BP- 163/97, HR- 99; 1338 T- 101, o2- 100%, BP-172/104, HR-85 | PVT | Zanax PRN, birth control, multivitamin, & aleve | 2 | 01/12/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0938379 | 01/12/2021 | WI | 44.0 | 44 | F | 5 minutes after vaccine administer reported feeling changes. Erythema on chest and shoulders observed. Hypertension up to 172/104 and fever up to 101. Symptoms persisted over 20 minutes and emergency response was called for ED visit | U | 01/12/2021 | 01/12/2021 | 0 | Vitals observed 1/12/2021: 1322 T 100.2, HR 105, BP 177/105, o2 99%, 1327 T 99.3, o2 100%, 162/105, HR 92, RR 18, 1332 T 100.4, 02 99%, 163/97, HR 99, 1338 T 101, o2 100%, BP 172/104, HR 85, 1345 o2 100%, BP 177/107, HR 103 | PVT | Xanax PRN, birth control, multivitamin, & aleve | None reported | past HTN now resolved | 2 | 01/12/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0943117 | 01/14/2021 | WI | 44.0 | 44 | F | Fever 103.2, severe muscle and joint pain, fatigue | Y | 01/11/2021 | 01/11/2021 | 0 | none | WRK | fluoxetine 80mg buproprion 300mg | none | none | 2 | 01/14/2021 | oxybutinin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0943445 | 01/14/2021 | WI | 44.0 | 44 | F | Myalgia in arm of vaccination on day 0 of vaccine. Then with severe headache, myalgias, joint pain, upset stomach for 2 days after vaccine. | Y | 01/06/2021 | 01/06/2021 | 0 | none | PVT | warfarin | None | Blood clots | 2 | 01/14/2021 | Rocephin (Cephtriaxone) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0944305 | 01/14/2021 | WI | 44.0 | 44 | F | 5 minutes later - perfuse sweating, entire body hot, dizzy, elevated pulse and BP 147, heart palpitations; drank a juice & some water 10 minutes later - sweats/chills, still dizzy, BP decreasing 135, agitated 20 minutes later - still sweating,/chills, head | Y | 01/13/2021 | 01/13/2021 | 0 | PVT | daily vite | none | none | 2 | 01/14/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0944735 | 01/14/2021 | WI | 44.0 | 44 | F | Per patient report: On 1/1/2021 she started to have a fever, HA, ear pain, neck pain (back of neck), and muscle aches in upper back. This continued through the weekend. On Wednesday, 1/6/2021, she saw a provider for ear pain, chest pain (radiating to ri | N | 12/30/2020 | 01/01/2021 | 2 | Tested on 1/5/2021 and was negative for COVID. Tested on 1/8/2021 and was negative for COVID and had CT scan and was negative for clots. | PVT | Vit D 5000 units QD ASA 81mg QD Escatalopram 20mg QD Buproprian 150mg QD Metroprolol 20mg QD Albuterol inhaler prn | None | History of DVTs and PE, clotting disorder, asthma, and SVT. | 2 | 01/14/2021 | Y | Y | Tomatoes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0946998 | 01/15/2021 | WI | 44.0 | 44 | F | Pt reported feeling itchy "all over" 19 minutes post vaccination. She denied any other sxs such as SOB, throat tightness, difficulty swelling, lightheadedness, nausea, vision change. I checked her BP and pulse @ 1117 and again @ 1122. Her BP and pulse rema | U | 01/15/2021 | 01/15/2021 | 0 | none | PVT | none | none | none | 2 | 01/15/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0947027 | 01/15/2021 | WI | 44.0 | 44 | F | Itching/hives over head, ears, no breathing difficulty | N | 01/14/2021 | 01/14/2021 | 0 | PUB | Wellbutrin, Citalopram, Singular, Cinnamon, Primrose, Echotrim, Nexium | 2 | 01/15/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0960016 | 01/20/2021 | WI | 44.0 | 44 | F | Fever (as high as 101.8), rigors, joint/muscle aches, headache, lethargy, malaise, injection site pain & swelling | Y | 01/18/2021 | 01/18/2021 | 0 | N/A | PVT | Melatonin | N/A | N/A | 2 | 01/20/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0964254 | 01/22/2021 | WI | 44.0 | 44 | M | Moderna - left sided severe neck pain starting 1/8/2021 developing into shingles pustules appearing on left temporal and occiptal scalp progressing to left anterior neck. Started on Valtrex 1g 3x/day plus oral prednisone 20 mg bid for 5 days. Currently s | N | 12/31/2020 | 01/08/2021 | 8 | none | PVT | Vitamin D3, Fish oil | Cold Sore | Cold sores | 2 | 01/22/2021 | Y | Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0969836 | 01/25/2021 | WI | 44.0 | 44 | F | The day after the first shot, I got a severe headache and felt very tired. I don't normally get headaches or feel tired, but I was aware that they can be side effects of the vaccine. I have trigeminal neuralgia type II, which causes facial pain headaches | U | 01/06/2021 | 01/07/2021 | 1 | NA - I did not seek medical treatment or talk with my PCP or neurologist yet. If I continue to get more regular trigeminal neuralgia headaches I will, I am waiting it out. | PVT | Amitriptyline 150 mg nightly - trigeminal neuralgia type II. Lamotrigine 300 mg nightly - bipolar disorder type II. Trazodone 100 mg nightly - sleep. Multivitamin gummy daily. Cyclobenzaprine 10 mg - prn/as needed for neck pain during t | NA | See health conditions listed in Item 9 above. Also mitral valve prolapse, TMJ, tinnitus, L and C spine disc degeneration, left knee pain due to injury hit by drunk driver 2016, ovarian cysts, and uterine fibroids resulting in hysterectomy in 2014. | 2 | 01/25/2021 | Gabapentin. Penicillin. Zonisamide. Possibly Sulfa drugs. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0970584 | 01/25/2021 | WI | 44.0 | 44 | F | Woke up from sleep at 3:02am (13hrs post injection) Severe headache (most prominent at base of neck, behind eyes, and top of head) throbbing pain. Hurt to move eyes. Photosensitivity (eyes must remain shut at all times) Nausea, fever (102.3), sweats, chill | Y | 01/23/2021 | 01/24/2021 | 1 | None | OTH | Fluoxetine Levothyroxine Buspar | Diarrhea- early Dec. Covid test negative 1st dose Pfizer vaccine 1/2/21 | Hypothyroidism Depression Anxiety PCOS | 2 | 01/25/2021 | Bee venom Strawberries | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0975734 | 01/26/2021 | WI | 44.0 | 44 | F | Severe muscle aches, shaking chills, fever, severe pain at injection site all started 12 hours after immunization. Not relieved by Tylenol or ibuprofen. | U | 01/25/2021 | 01/26/2021 | 1 | None | PVT | None | None | None | 2 | 01/26/2021 | Penicillin and levaquin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0977838 | 01/27/2021 | WI | 44.0 | 44 | F | Complained of blurred vision, and feeling lightheaded and dizzy. Vital signs were within normal limits. O2 saturation normal. Started about 15 minutes after vaccination and lasted another 15 minutes. No medications or other interventions needed. Will follo | Y | 01/27/2021 | 01/27/2021 | 0 | None. | PUB | None known | None known | 2 | 01/27/2021 | Bee stings and morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0979718 | 01/27/2021 | WI | 44.0 | 44 | F | 1 day after vaccination developed dizziness, ataxia, left upper and lower extremity weakness that has persisted at least to today (7 days later). Today's exam reveals left arm and leg weakness throughout with normal patellar and brachialis reflexes, but | N | 01/20/2021 | 01/21/2021 | 1 | There was a CTA head and neck which was normal on the 1/21 ED visit. CRP done day after vaccine slightly high at 0.37. | UNK | clobazam, lamotrigine, pantoprazole, topiramate, calcium carbonate, albuterol inhaler, diphenhydramine | idiopathic epilepsy | 2 | 01/27/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0985200 | 01/29/2021 | WI | 44.0 | 44 | F | Per Client on 1/27/2021 at 6:00 am awaken to left under eye lid swollen and tender. Per Client no medication taken for symptoms. Currently have not been seen by medical provided regarding symptoms. Per Client symptoms have not resolved and is planning to f | N | 01/25/2021 | 01/27/2021 | 2 | PUB | none | none | HTN | 2 | 01/29/2021 | Lisinopril | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0986600 | 01/29/2021 | WI | 44.0 | 44 | F | Patient reports pain/discomfort in chest and abdomen shortly after vaccine. States she experienced shortness of breath, headache, and fatigue for 2 weeks after vaccination. A day after vaccine, reports multiple episodes of subjectively bloody diarrhea. | U | 01/11/2021 | 01/11/2021 | 0 | Stool analysis - normal (negative for blood) CBC - normal Abdominal X-ray | PVT | Ascorbic acid 500 mg daily, colestipol 1 gram nightly, fluticasone nasal 50 mcg/spray, iron supplement (amount unclear), multivitamin daily, polyethylene glycol 17 grams daily as needed, rizatriptan 10 mg daily as needed | N/A | Migraine, abnormal uterine bleeding | 2 | 01/29/2021 | Y | Amoxicillin, sulfonamides | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0986721 | 01/29/2021 | WI | 44.0 | 44 | M | severe arm pain limiting range of motion, diffuse joint pain, chills, flushing, severe headache. last for 12 hours until 800 mg ibuprofen taken. | Y | 01/27/2021 | 01/27/2021 | 0 | none | WRK | none | none | none | 2 | 01/29/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0988290 | 01/30/2021 | WI | 44.0 | 44 | F | At injection site, redness measuring 5cm at widest part and swelling measuring 8cm diameter surrounding injection site. Pain and difficulty lifting arm | N | 01/29/2021 | 01/29/2021 | 0 | PVT | Hydroxychloroquine 200mg daily Bupropion XL 300mg daily Pantoprazole 20mg daily Lisinopril 10mg Vitamin D3 2000 IU Multivitamin Ibuprofen 600mg two hours prior Tylenol 1000mg two hours prior | None | Sjogrens Syndrome Cutaneous lupus HTN Anxiety migraines | Influenza 2009, Flumist 2013 | 2 | 01/30/2021 | Famotidine Topiramate | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0989276 | 01/31/2021 | WI | 44.0 | 44 | F | Fever, painful swelling redness and bruising since 5 hours after administering vaccine. | N | 01/01/2021 | 01/28/2021 | 27 | PVT | Zoloft, tramadol, adderall, vit D3, zinc, vitamin C, Levothyroxin | Recovering from Covid pneumonia | Hashimotos, Sj?gren?s syndrome/ rheumatoid arthritis. | 2 | 01/31/2021 | Y | Sulfa Environmental | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1002210 | 02/04/2021 | WI | 44.0 | 44 | F | Within 5 minutes, I felt weird and light headed. My blood pressure spiked, temperature spiked to 101, heart rate was elevated and continued to be elevated for about 12 hours, and there was a rash across my chest and upper arms. On 1/14, I was extremely ti | N | 01/12/2021 | 01/12/2021 | 0 | I tested negative for Covid on Tuesday 1/19. | PVT | Deblitane 0.35 Mg Women's One a Day Multivitamin | None | In my late 20's I had chronic urticaria. I wasn't allergic to anything in particular however I would break out in hives every day. This lasted for 4 years. The only thing that seemed to help was Prednisone. I completed allergy tested and they did not fi | 2 | 02/04/2021 | Y | Y | Allergic to Penicillen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1016680 | 02/09/2021 | WI | 44.0 | 44 | F | 2:50 pm EE increase heart rate per EE. Has HX of anxiety, felt better within 15 minutes. | 12/28/2020 | 12/28/2020 | 0 | WRK | Anxiety | 2 | 02/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039196 | 02/18/2021 | WI | 44.0 | 44 | F | FEVER HEADACHE DIZZINES BODY PAINS | U | 02/11/2021 | 02/11/2021 | 0 | PVT | 2 | 02/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039489 | 02/18/2021 | WI | 44.0 | 44 | F | The evening of her vaccine she developed jittery feeling (worse than having too much caffeine), felt like her muscles were jerking, feeling unbalanced and uncoordinated (almost fell on stairs) due to vertigo sensation and whole body weakness. A feeling of | 02/16/2021 | 02/16/2021 | 0 | UNK | 2 | 02/18/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1040953 | 02/19/2021 | WI | 44.0 | 44 | F | FEVER HEADACHE | U | 02/11/2021 | 02/12/2021 | 1 | PVT | 2 | 02/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1072924 | 03/04/2021 | WI | 44.0 | 44 | F | FELT ILL | 02/03/2021 | 02/04/2021 | 1 | PVT | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1076276 | 03/05/2021 | WI | 44.0 | 44 | F | Patient received the Covid-19 vaccine. She reports symptoms of flushing, swollen feeling in throat with some difficulty swallowing. No difficulty breathing, no wheezing, etc. Symptoms quickly lessened in intensity with first set of vitals. Injection was gi | Y | 03/05/2021 | 03/05/2021 | 0 | OTH | unknown | unknown | patient reports high blood pressure since previous Covid infection | 2 | 03/05/2021 | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1089727 | 03/10/2021 | WI | 44.0 | 44 | F | Approximately 30 minutes after receiving the vaccine, I began to experience coughing and a tightening in my chest. This lasted for another 30 minutes. | Y | 03/09/2021 | 03/09/2021 | 0 | UNK | Mesalamine, Brio Elipta, Lisinopril, Vitamin D, Vitamin B12 | None | Ulcerative Colitis, High blood pressure, mild cough-induced asthma | 2 | 03/10/2021 | Penicillin, environmental allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1095121 | 03/12/2021 | WI | 44.0 | 44 | M | first covid 19 vaccine received around 2:20 PM on 03/10/2021. He reports minimal edema Rt Axilla around 6AM on 03/11/2021.Increase in size and pain by 1 PM on 03/12/2021 with evaluation per work- Occupational Health Nurse.2-3 cm swollen medial lymph node e | N | 03/10/2021 | 03/11/2021 | 1 | none | PUB | fluoxetine 20 mg one/day . | none | none | 2 | 03/12/2021 | Y | Keflex-hives,reports prior episode with travel to Florida with swollen lymph nodes in axilla and neck but can't remember well the episode.he does remember it cleared quickly. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1117797 | 03/20/2021 | WI | 44.0 | 44 | M | Severe ringing sound in both ears. Feels like head is being squeezed. | N | 03/19/2021 | 03/20/2021 | 1 | None | PHM | 2 Tylenol at 5:30 pm, 2 ibuprofen at 10:30 pm. Fell asleep at 10:45 pm. | None | Mild Lupus (SLE) - no meds for 3 years | 2 | 03/20/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1124096 | 03/22/2021 | WI | 44.0 | 44 | F | Face rash around the eyes started about 4 hours later. Injection site pain the next day. Patient was fine the next day with the rash. | Y | 03/15/2021 | 03/15/2021 | 0 | none | PHM | don't know | don't know | don't know | 2 | 03/22/2021 | don't know | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1132329 | 03/25/2021 | WI | 45.0 | 44 | F | Pt received 1st COVID vaccine on 2/23/21. Returned to clinic on 3/17/21 for 2nd dsoe. Reports "being itchy without any rash on various parts of the body" about a week after injection. Also reported no appetite and a dry mouth along with being weak and tire | Y | 02/23/2021 | 03/02/2021 | 7 | None | PUB | Unknown | Unknown | Unknown | 2 | 03/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1144374 | 03/29/2021 | WI | 44.0 | 44 | F | Left foot became tingly as if it had fallen asleep starting at around 8:00 pm the evening of the injection. I was sitting on the couch with my legs outstretched and crossed at the ankle in front of me. I thought it was because I had my legs crossed. I uncr | N | 03/28/2021 | 03/28/2021 | 0 | none at this point. | PVT | Fluoxetine, Ibuprophen, CLARITIN, Mucinex D regular strength | n/a | Splenectomy due to Lymphoma. (over 20 years ago) | Pneumonia Immunization | 2 | 03/29/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1145775 | 03/29/2021 | WI | 44.0 | 44 | F | On arm where injected swollen, red, warm to touch, hard, about two inches around, occasionally itchy. Woke up on Saturday with it sore and it was raised. I took a shower and noticed it was red beyond band aid. Slowly got bigger through day and has been thi | N | 03/26/2021 | 03/27/2021 | 1 | None | PHM | Cetrizine hydrochloride 10mg tablets, vitamin d3 7000 iu, calcium 600mg, bcomplex, tumeric 500mg, magnesium 250mg, multivitamin for women under 50, escitalopram 20mg, omeprazole 20mg all per day. | Asthma caused by allergies | 2 | 03/29/2021 | nickel and sulfas | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1151276 | 03/31/2021 | WI | 44.0 | 44 | F | Tested positive for Covid on 3/4/2021. Dose 2 of vaccine given 1/26/2021. | Y | 01/26/2021 | 03/04/2021 | 37 | Positive Covid Test. | PVT | Unknown | Unknown | Unknown | 2 | 03/31/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155340 | 04/01/2021 | WI | 44.0 | 44 | F | ringing in ears | N | 02/28/2021 | 03/08/2021 | 8 | PHM | synthroid | None | None | 2 | 04/01/2021 | Sulfa and shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1159964 | 04/02/2021 | WI | 44.0 | 44 | F | 8 days after vaccination developed a large circular hot itchy red sore welt at injection site. As of today only slight redness and soreness remain. | U | 03/20/2021 | 03/28/2021 | 8 | PVT | Synthroid, Lithium, Gabapentin, Propranolol, Trazodone, Sertraline, Tropium, | 2 | 04/02/2021 | Codeine, Vicodin, Percocet, Unisom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163027 | 04/03/2021 | WI | 45.0 | 44 | F | I became dizzy within an hour of the vaccine. At times it feels like vertigo and others more like lightheaded. Beginning today (4/2/21) I felt tachycardic and took my pulse ox which read 96 oxygen saturation and HR of 125. I?m resting and have not felt | N | 03/31/2021 | 03/31/2021 | 0 | None | PVT | 2 | 04/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1164143 | 04/03/2021 | WI | 44.0 | 44 | F | Started with chills during the night following vaccine. By the next morning (4-2-21) I had fever, dizziness, headache and nausea (some dry heaving). These symptoms continued most of they day. I took Tylenol for fever and headache. Headache continued throu | Y | 04/01/2021 | 04/02/2021 | 1 | PHM | 2 | 04/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1164910 | 04/03/2021 | WI | 44.0 | 44 | M | Patient reported COVID-19 like symptoms including fever, cough, fatigue, headache, muscle aches, and congestion | N | 12/31/2020 | 04/02/2021 | 92 | COVID-19 PCR test | UNK | 2 | 04/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1164917 | 04/03/2021 | WI | 44.0 | 44 | M | Patient reported COVID-19 like symptoms including fever, cough, fatigue, headache, muscle aches, and congestion | N | 01/21/2021 | 04/02/2021 | 71 | COVID-19 PCR Test | UNK | 2 | 04/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1172590 | 04/06/2021 | WI | 44.0 | 44 | F | About three days after the shot, my arm became very itchy and hurt. Soon after, a very mild rash appeared - I'm not totally sure the rash wasn't from scratching, but I don't believe it was. 13 days out, my arm is still itchy and sore. | N | 03/24/2021 | 03/27/2021 | 3 | PHM | 2 | 04/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1173128 | 04/06/2021 | WI | 44.0 | 44 | M | Fatigue, chills, swollen lymp nodes in neck, | Y | 03/17/2021 | 03/19/2021 | 2 | MIL | Hiv. Ulcerative colitis, afib, 3rd heart block with pacemaker, VTach | 2 | 04/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1178382 | 04/07/2021 | WI | 44.0 | 44 | M | Third Pfizer COVID vaccination caused chills , urgent and explosive diarrhea, vomiting, cant keep anything down. Monitoring for dehydration | N | 04/01/2021 | 04/07/2021 | 6 | NA | UNK | Something for a mild heart condition | N/A | Mild heart condition, overweight | 2nd dose of Pfizer vac caused 24 hours of lethargy | 2 | 04/07/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1186683 | 04/09/2021 | WI | 44.0 | 44 | M | Patient fainted when standing for count. Fell to the floor, lost consciousness, and hit his head against the wall. Reported overnight he experienced chills and lightheadedness | Y | 04/08/2021 | 04/09/2021 | 1 | Patient was sent to the ER for evaluation. CT of head was performed and results were normal. EKG and blood work were unremarkable. Was instructed to avoid prolonged standing and exertion today and use tylenol and ice for pain. | OTH | Acetaminophen, amlodipine 5mg daily, cetirizine 10mg daily, Vitamin D 2000 iu daily, montelukast 10mg daily, hydrochlorothiazide 10mg daily | none | HTN, vitamin D deficiency, past positive COVID-19 10/15/20 | 2 | 04/09/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196226 | 04/12/2021 | WI | 44.0 | 44 | F | Fatigue , SOB (shortness of breath), Dyspnea on exertion, Generalized weakness, Respiratory distress, COVID-19 vaccine administered Asthma exacerbation Possible COVID-91 allergic reaction Nebs, inhalers, IV and oral steroids, oxygen Symptoms ongoing | Y | 3 | 03/18/2021 | 03/19/2021 | 1 | 3/30PFT-severe obstruction, 3/30CT chest-normal, 4/1MRI brain-stable, 4/1 EMG-normal, 4/1 echo-normal, 3/31 and 3/22chest xray-normal, 3/25, 3/31, 4/1 ekg-nsr Multiple lab tests 3/31-4/2 which were stable.-immunoglobulin igg, musk antibody test, pt, d dim | OTH | multivitamin and Mirena IUD | none | allergies. childhood asthma | vsafe | 2 | 04/12/2021 | Y | Y | seasonal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1199500 | 04/12/2021 | WI | 44.0 | 44 | F | Syncopal episode approximately 5 minutes after injection while waiting in the observation area. | Y | 04/01/2021 | 04/01/2021 | 0 | Staff assisted me to gurney and took blood pressure. Blood pressure had plummeted. Did not actually become unconscious. Symptoms resolved after lying down. | PVT | Zoloft Birth control Progesterone Testosterone Estrogen patch Magnesium Vitamin D 3 | High blood pressure | Thyroidism Anxiety | 2 | 04/12/2021 | Sulfa and Omnicef | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1199514 | 04/12/2021 | WI | 44.0 | 44 | F | Delayed onset of redness at the injection site. | N | 04/01/2021 | 04/12/2021 | 11 | PVT | Zoloft Birth control Progesterone Testosterone Estrogen patch Magnesium Imitrex | High blood pressure | Migraines Hypothyroidism Anxiety | 2 | 04/12/2021 | Sulfa Omnicef | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1203721 | 04/13/2021 | WI | 44.0 | 44 | F | I started having an annaphylaxis reaction a short time after i left. At first it was intense all over body itching that felt like it was from the inside out. By the time i got home i was getting red blotchy patches over my face, neck, and chest. I took ben | Y | U | 03/31/2021 | 03/31/2021 | 0 | Unknown | PUB | Unknown | None known | None known | 2 | 04/13/2021 | Y | None marked on her consent form she filled out. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1205671 | 04/13/2021 | WI | 44.0 | 44 | F | Patient complained of "racing heart", dizziness, chills and left sided "facial numbness" over the course 3 hours. Patient was shown to a cot. Vitals were obtained (BP 133/91, HR 100, SpO2 100%). After 3 hours the adverse effect subsided. | Y | 04/13/2021 | 04/13/2021 | 0 | OTH | Allergy medications | unknown | Covid-19 Aug/2020 | 2 | 04/13/2021 | seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1212264 | 04/15/2021 | WI | 44.0 | 44 | F | Dose #2 12:15 p.m. on 04/12/2021 1:30 a.m. 04/13/2021 - Sore Arm; Fever, Body Aches, Chills - fever between 100-101 until 4:30 p.m. 04/13/2021 04/14/2021 - Sore Arm; Fatigued in a.m.; Ear pain left side and flushed ~ 4:00 p.m.; low grade fever 99.9 04/15/2 | N | 04/12/2021 | 04/13/2021 | 1 | PHM | Bupropion, Lisinopril, Hydrochlorothiazide, Zyrtec (generic) | Asthma, depression/anxiety, migraines | Pneumonia first shot - Sore Arm, fever and body aches (~ 4-5 days) | 2 | 04/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1218567 | 04/16/2021 | WI | 44.0 | 44 | F | full body itch; Injection site itchy; Injection site redness/swelling and itchy; Injection site redness/swelling and itchy; This spontaneous case was reported by a nurse (subsequently medically confirmed) and describes the occurrence of PRURITUS (full body | Y | 2 | Y | 12/29/2020 | 01/05/2021 | 7 | UNK | Allergy to vaccine (Moderna vaccine); Drug allergy | INC.MOD2021002661 | 2 | 04/15/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1220617 | 04/16/2021 | WI | 44.0 | 44 | F | Several cold sores. Bottom lip blistered almost completely across, swollen and painful. Top lip has small tiny, painless blisters. | N | 04/08/2021 | 04/13/2021 | 5 | None | OTH | None | None | None | 2 | 04/16/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1223853 | 04/17/2021 | WI | 44.0 | 44 | F | Sore arm. Swollen lymph node in right underarm with pain | Y | 04/07/2021 | 04/08/2021 | 1 | None | PHM | Synthroid, chaste tree berry, D, b complex, calcium, folic acid, magnesium, probiotic, valacyclover | None | Hypothyroidism | 2 | 04/17/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1231201 | 04/19/2021 | WI | 44.0 | 44 | F | I received my second dose of the moderna vaccine 4/15/21. On 4/18/21, I noticed I had some hives on my trunk and neck/jaw area. I am still having flare-ups today but am able to manage them with benadryl and hydrocortisone cream. | U | 04/15/2021 | 04/18/2021 | 3 | PUB | Vitamin D | Hyperparathyroidism, Hypercalcemia | 2 | 04/19/2021 | Iodine contrast dye, perfumes, hayfever, cats, dust. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1233918 | 04/20/2021 | WI | 44.0 | 44 | M | Woke up 4/6/21 with minor, dull cramping feeling in my left calf. Pain increased each day and occurred during rest and activity, although walking was the most painful. | N | 04/05/2021 | 04/06/2021 | 1 | Walk-In clinic visit on 4/12/21. No tests, told to take Tylenol for pain. Told it was probably just a muscle strain. | PVT | Bisoprolol/HCTZ 10mg Escitalopram 20mg Trazadone 100mg Zolpidem 10mg | Anxiety, Depression, Lyme Disease | 2 | 04/20/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1235559 | 04/20/2021 | WI | 44.0 | 44 | M | Blurred vision, especially in right eye. Lasting for days. Dull steady headache. Terrible tinnitus in ears. Lethargic and tired for days | N | 03/18/2021 | 03/22/2021 | 4 | None | OTH | Clonazepam | None | Migraines | 2 | 04/20/2021 | Nonep | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1240490 | 04/22/2021 | WI | 44.0 | 44 | M | Flu like symptoms, chills, body aches, headache, fever | 04/20/2021 | 04/21/2021 | 1 | PVT | Atorvastatin, divalproex | 2 | 04/22/2021 | Vicodin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1242356 | 04/22/2021 | WI | 44.0 | 44 | F | Jaw, ear, neck pain 5 days after vaccine. Headache and eye pain 5 days after. | N | 04/15/2021 | 04/20/2021 | 5 | PUB | Venafaxine, Adderall, Alprazolam | N/A | N/A | 2 | 04/22/2021 | Penicillin and Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1244301 | 04/22/2021 | WI | 44.0 | 44 | F | Erythematous skin rash at injection site onset about 9 days after injection Swollen axillary lymph node in left axilla, onset about 7 days after injection | N | 04/12/2021 | 04/18/2021 | 6 | None at this time | PVT | Estradiol gel Multivitamin | None | None | 2 | 04/22/2021 | Y | Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1258567 | 04/26/2021 | WI | 44.0 | 44 | F | 4/22/2021 PATIENT NOTICED LIPS WERE DRY, RED, AND PEELING 4/23/2021 PATIENT LIPS STARTED ITCHING AND BUMPS DEVELPED IN THE CORNERS OF HER MOUTH 4/24/2021 LIPS GETTING WORSE WITH BUMPS, TICHING, AND REDDNESS. STARTED TAKING ABREVA FOR CORNER BUMPS 4/25/202 | N | 04/20/2021 | 04/22/2021 | 2 | NONE | PUB | BIRTH CONTROL PILLS, LISINOPRIL, PROBIOTIC, MAGNESIUM, MULTIVITAMIN, VITAMIN D 4/19/2021 ALSO STARTED TAKING COLLAGEN AND APPLE CIDER VINEGAR TABLETS | ECZEMA | ECZEMA, HYPERTENSION (WELL CONTROLLED FOR 2 YEARS), KIDNEY DISEASE (CHANGED DIET AND LEVELS HAVE BEEN NORMAL) | 2 | 04/26/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1264859 | 04/27/2021 | WI | 44.0 | 44 | F | I got my first dose Mar 26th. My last period began March 14th ended March 21st. And my cycle is spot on. I haven't had my period yet. After my second dose, 7 hrs after I got a slight headache that just wouldn't go away. 24 hrs later temp was 99.4 Tired | N | 04/23/2021 | 04/01/2021 | I have a headache, but nothing to call the Doctor about | MIL | None | None | None | 2 | 04/27/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266719 | 04/28/2021 | WI | 44.0 | 44 | M | Patient reports back pain chronically, but worsened on the left side and felt "inflamed" for 24 hours. Patient also reported hand shakiness and was unable to write for 24 hours. Patient reports he had balance issues. | Y | 04/22/2021 | 04/23/2021 | 1 | UNK | Calcium carb Cetirizine Gabapentin Iron Levothyroxine Lisinopril Multivitamin Oxcarbazepine Rosuvastatin Tylenol Venlafaxine ER | Hypertension Metabolic syndrome x Obesity Type 2 diabetes Depressive disorder Hypothyroidism Hyperlipidemia Sleep apnea | 2 | 04/28/2021 | Fish Containing Products Ibuprofen legumes nut - unspecified Sulfa (Sulfonamide Antibiotics) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267001 | 04/28/2021 | WI | 44.0 | 44 | F | Tested positive for COVID-19 after vaccine | N | 01/20/2021 | 04/22/2021 | 92 | Positive COVID 19 on test on 4/26/21 | PVT | Vitamin C, Vitamin D, Zinc, Magnesium, atorvastatin, triamterene hctz, furosemide, meloxicom | High blood pressure, obesity | 2 | 04/28/2021 | Allergic to Demerol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267863 | 04/28/2021 | WI | 44.0 | 44 | F | Noticed 3 Red dots on stomach a week after first dose ; after second dose ; felt feverish and had skin irritation on right side of stomach and right side back. Went to doctor on April 26 and they diagnosed it as shingles. It is a mild case but I believe i | N | 03/18/2021 | 04/04/2021 | 17 | Went to see a doctor on April 26tj after having the irritation for sometime. They diagnosed it as shingles. | PVT | N/A | N/A | N/A | 2 | 04/28/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1273041 | 04/30/2021 | WI | 44.0 | 44 | M | Severe body ache, chills, light nausea | N | 04/21/2021 | 04/27/2021 | 6 | UNK | Bayer Cranberry Vitamin D Miralax | None | None | 2 | 04/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1280037 | 05/02/2021 | WI | 44.0 | 44 | F | Approximately one hour following injection, had a headache and dizziness. The following day, extreme fatigue, headache dizziness. In the 10 days following, tinnitus, joint pain, chest heaviness, palpitations, daily headache, brain fog, dizziness. Felt a l | N | 03/12/2021 | 03/12/2021 | 0 | April 9th, went to the doctor for ongoing headache and dizziness. Multiple blood tests (metabolic panel, thyroid, ANA, CBC, all normal except for "low normal" B12. April 21st, called the nurse after experiencing intense palpitation. HR was at 118 bpm. Nurs | PVT | Clonazepam .25 mg; Sertraline 50mg | None | Chiari 1 malformation | 2 | 05/02/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1286022 | 05/04/2021 | WI | 44.0 | 44 | M | Pulmonary embolism of the distal right main pulmonary artery and right middle lobe pulmonary artery | Y | 2 | Y | 02/05/2021 | 02/08/2021 | 3 | CT angiogram of chest 2/9/21 12:09 AM WBC 14.2, hbg 14.7, platelets 255. normal creatinine and liver function tests 2/8/21 | PVT | Tylenol Miralax Rabeprazole EC | History of DVT/PE in 1999/2000 Anxiety | 2 | 05/04/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1295398 | 05/07/2021 | WI | 44.0 | 44 | F | "On the drive home from work after getting vaccinated I started feeling hot and swelling up, probably within 20 minutes of getting the vaccine. I didn't need to use my EpiPen but the hives started later that day and continued to get worse over the next fe | Y | 04/29/2021 | 04/29/2021 | 0 | WRK | allegra Advair amlodipine | asthma high blood pressure | 2 | 05/07/2021 | Y | sulfa meds sunflowers seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1316652 | 05/14/2021 | WI | 44.0 | 44 | F | A few minutes after receiving the vaccine patient started shaking and appeared to have difficulty breathing. This happened just a few minutes after saying she wanted to drive her car in a tree. | U | 05/13/2021 | 05/13/2021 | 0 | PUB | Client shook head yes, but could not communicate medicaiton. | denies | denies | 2 | 05/14/2021 | Y | Shaking, difficulty breathing | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1322626 | 05/17/2021 | WI | 44.0 | 44 | M | I had pain in my left shoulder immediately following my injection. I told myself that I must be getting weak as I hadn't felt like that with any previous vaccinations I have received. By the time I went to bed I couldn't raise my arm above my head. I suffe | N | 10/01/2020 | 10/01/2020 | 0 | 11/24/2020 XRay and MRI | PVT | Multivitamin | None | Sleep Apnea | 2 | 05/15/2021 | Y | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327434 | 05/18/2021 | WI | 44.0 | 44 | F | Event: 10 days after 1st dose, I suffered a celiac artery dissection and common hepatic artery dissection. Symptoms: Horrific abdominal pain!!!! Extremely high blood pressure. Treatment: Lisinopril | Y | Y | 3 | N | 03/24/2021 | 04/04/2021 | 11 | 4/4/2021, 4/5/2021, 4/6/2021 Abdominal CT, abdominal ultrasound, tons of labwork. Medical Center; Urgent Care | PUB | bupropion XL 300 mg 24 hr tablet venolafaxine XR 150 mg 24 hr capsule multivitamin Vitamin D 5,000 IU Metoprolol succinate 100 mg tablet Metoprolol succinate 50 mg tablet (taking 150 total) Metormin 500 mg tablet TWICE/DAY Aspirin 325 mg ta | none | Depression Anxiety Kidney stones meningioma Upper airway resistance syndrome Trichotilllomania Seasonal allergies Deviated septum hypertension irregular heart rate irregular intermenstrual bleeding white matter abnormality on MRI of brain History of caroti | 2 | 05/18/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1330599 | 05/19/2021 | WI | 44.0 | 44 | F | Patient had received her 2nd COVID vaccine and was about 10 minutes into her post vaccination waiting when she began feeling lightheaded, clammy, and nauseated. She got up and walked over to the staff desk where she continued to feel lightheaded and deve | Y | 05/05/2021 | 05/05/2021 | 0 | PVT | 2 | 05/19/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1350869 | 05/26/2021 | WI | 44.0 | 44 | M | the first 36 hours was normal pain with flu type symptoms, now there's vision changes and I had to go to the ER because it was really bothering me. They only helped with the anxiety and did an eye exam. It seemed to have gone away some but now it's coming | N | 05/18/2021 | 05/19/2021 | 1 | No | PHM | Klonopin | None known | None known | 2003 Flu vaccine | 2 | 05/26/2021 | Shell fish, some antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1357860 | 05/28/2021 | WI | 44.0 | 44 | F | shortly after receiving the vaccine, she developed lightheadedness, frontal headache and a feeling of "fuzziness." "I knew it was going to start." She describes a globus sensation. She developed nausea without vomiting. Took 40 mg of prednisone and 25 mg | Y | 03/16/2021 | 03/16/2021 | 0 | 3/17 Tryptase 4.8 mcg/L | PVT | None | None | Depression, irritable bowel syndrome, thyoiditis | 2 | 05/28/2021 | Y | Y | Lactose, kiwi, adhesive, lemon verbena, lemon grass, banana, ragweed, tree pollen, cats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1357994 | 05/28/2021 | WI | 44.0 | 44 | M | 3/12/21 persistent pain in the right shoulder since receiving his vaccine in December. History and physical exam are most consistent with post vaccination subacromial bursitis. Given lack of response to conservative therapy, I recommended subacromial bur | U | 12/19/2020 | 12/19/2020 | 0 | None | PVT | None | None | None | 2 | 05/28/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1362345 | 05/31/2021 | WI | 44.0 | 44 | F | Facial nerve affected and continued to Bell's palsy. Evicting the right side of my face. Including but not limited to the inability to close my right eye properly suck on his straw. Swallow speech and overall balance. | N | 02/23/2021 | 05/01/2021 | 67 | None | PVT | Lexapro Xanax B12 acetaminophen synthroid | Lupus gad underactive thyroid | Lupus gad | 2 | 05/31/2021 | Penicillin Vicodin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1374395 | 06/04/2021 | WI | 44.0 | 44 | F | It started with extreme stomach cramping and gas pains that lasted for about a week. I them had enlarged lymphnodes and developed pain and swelling under my left armpit. I now how intense joint pain and am having trouble using my hands & fingers. I t also | N | 05/24/2021 | 05/27/2021 | 3 | I was seen by my physician to discuss the lump under my armpit and the radiating pain. I also discussed my stomach issues with her. She stated that these are both side effects of the vaccine and that I should contact her again if anything worsens. Due t | PVT | Pepcid, Allign, Vitamins A, B12, C, D3, E, hair, skin & nails vitamin, Areds | None | IBS, anxiety | 2 | 06/04/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1413591 | 06/21/2021 | WI | 44.0 | 44 | F | Intense burning in both eyes about an hour after the shot. After several hours, could no longer keep my eyes open the pain was so intense. Had to lie in bed until the next day. Pain was duller on day 2, has since resolved. | Y | 05/14/2021 | 05/14/2021 | 0 | None | PHM | Probiotics | None | Asthma | 2 | 06/21/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1430925 | 06/28/2021 | WI | 44.0 | 44 | F | Already had received a dose of Janssen | 06/28/2021 | 06/28/2021 | 0 | PUB | 2 | 06/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1464731 | 07/12/2021 | WI | 44.0 | 44 | M | Pins & needles in fingers and toes. Started in the days following my Covid Shot (J&J) and has lasted about 4 months, although it seems like it's been going away gradually. I can barely feel it anymore, but still a bit. It was at its worst about a month af | U | 03/13/2021 | 03/14/2021 | 1 | UNK | 2 | 07/12/2021 | Y | Y | Possible Erythromycin allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1478344 | 07/16/2021 | WI | 44.0 | 44 | F | A week after the vaccination I got a rash at the injection site, exhaustion, weakness, headaches. I went to see the doctor to have blood tests and to get it checked out. He noted my symptoms. After the rash and other things subsided, the pain started to s | N | 03/30/2021 | 04/14/2021 | 15 | April 9 - Visit to Dr. to have symptoms checked May 28th - X-ray Urgent Care July 16th - Follow up to Dr. where he gave me range of motion tests/examination and to follow up since my symptoms have increased with time. | PUB | Metformin, Ibuprofen, CoQ10, Atorvastatin, Zinc, Vitamin D, Iron, aspirin. | Diabetes | Diabetes, Parry-Romberg Syndrome | 2 | 07/16/2021 | Y | Y | Erythromycin, Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1481650 | 07/17/2021 | WI | 44.0 | 44 | F | Diffuse Macular rash. shortness of breath. Patient was treated with IV Solu-Medrol and Benadryl. She has been placed on prednisone and Zyrtec outpatient without relief. | N | 07/13/2021 | 07/13/2021 | 0 | CBC, CRP, chest x-ray, EKG, troponin which were negative | PVT | Wellbutrin XL, Clonazepam, Ibuprofen, Prilosec, Spironolactone, Trazodone, Effexor | Viral infection 1 week prior | Affective Seasonal Disorder, Depression Major, Restless Leg Syndrome, Premenstral Syndrome, Prolapse Utrerovaginal incomplete, Fibromyalgia, Anxiety | 2 | 07/17/2021 | Y | Y | Amoxicillin, Contrast Dye (Gadolinium), Gabapentin, Nabumetone, Oxaprozin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1486080 | 07/20/2021 | WI | 44.0 | 44 | M | Sharp stabbing pains weakness in my right hip, and tingling sensation in my right upper leg. Lower back tightness and pain. Recently my leg pain has turned to burning, ripping pain. | N | 04/12/2021 | 04/22/2021 | 10 | WRK | Rosuvastatin 40mg, Bayer 81mg, B12 1000mcg, D3 50mcg, B100, Alive Men?s Energy Multivitamin 100mg | N/A | N/A | 2 | 07/20/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1490968 | 07/21/2021 | WI | 44.0 | 44 | M | SARS-CoV+SARS-CoV-2 Ag Resp Ql IA.rapid performed on 7/20/21 at 22:25. Test came back positive. Case investigation interview with patient has not been performed as of the time of this note. | U | 04/22/2021 | 07/20/2021 | 89 | PVT | Lumbar paraspinal muscle spasm, cervical spine pain, right leg pain, hyperglycemia, vitamin D deficiency, skin lesion, and lumbago. | 2 | 07/21/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501794 | 07/26/2021 | WI | 44.0 | 44 | F | Patient received full COVID vaccine series on 3/9/2021 and 3/30/2021. Patient became symptomatic with COVID symptoms on 7/13/2021. Symptoms include mild productive cough, fatigue, muscle aches, decreased smell. patient was tested for COVID-19 on 7/20/2021 | Y | 3 | N | 03/30/2021 | 07/13/2021 | 105 | COVID-19 RT-PCR Collected and resulted on 7/20/2021 - Positive. | PVT | Albuterol, Finacea, Breo Ellipta, Zyrtec, Clobetasol, Diltiazem, Eliquis, flonase, mirena, Triamcinolone | None | Anxiety, Asthma, Atrial fibrillation, Depression, Obesity, | 2 | 07/26/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501848 | 07/26/2021 | WI | 44.0 | 44 | M | SARS-CoV-2 ~COVID-19 rapid diagnostic test performed on 7/22. Test came back positive. Case investigation interview with patient has not been conducted as of the time of this interview. | U | 04/18/2021 | 07/22/2021 | 95 | PHM | 2 | 07/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1513194 | 07/29/2021 | WI | 44.0 | 44 | M | Patient came to clinic for left shoulder pain on 7/29/21 that he reports began immediately with injection of COVID-19 vaccine on 4/11/21. Pain progressively got worse over the next few days and has stayed the same since. Worse with lifting and exam consist | N | 04/11/2021 | 04/11/2021 | 0 | None | PVT | bupropion, escitalopram, propranolol, fish oil | None | Anxiety | 2 | 07/29/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1537409 | 08/09/2021 | WI | 44.0 | 44 | M | No known adverse effects at this time. Patient received a single dose of Moderna that had been at room temperature since 10:15AM on 08/08/21, he was given the dose at 12:05PM on 08/09/21. | U | 08/09/2021 | 08/09/2021 | 0 | N/A | PHM | No known medications | No known illnesses | No known conditions | 2 | 08/09/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1540098 | 08/10/2021 | WI | 44.0 | 44 | F | palpitation; a rash all over her body including arms to the sole of her feet; short of breath; injection site itching; injection site swelling; injection site redness; A spontaneous report (United States) was received from a nurse concerning a female patie | U | 12/29/2020 | 01/05/2021 | 7 | UNK | Medical History/Concurrent Conditions: No adverse event (No reported medical history.) | USMODERNATX, INC.MOD20210 | 2 | 08/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1548306 | 08/12/2021 | WI | 44.0 | 44 | M | Chest discomfort; Back ache; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of CHEST DISCOMFORT (Chest discomfort), BACK PAIN (Back ache) and NAUSEA (Nausea) in a 44-year-old male patient who received mRNA-1273 (Moder | U | 01/26/2021 | UNK | Medical History/Concurrent Conditions: COVID-19 | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1552073 | 08/13/2021 | WI | 44.0 | 44 | F | red hives, it grewdiameter of an orange; hotness; redness; itchy; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (red hives, it grewdiameter of an orange), INJECTION SITE WARMTH (hotness), ERYTHEMA (redness) and | Y | 01/08/2021 | 01/10/2021 | 2 | UNK | SALBUTEROL; EPIPEN | Comments: No medical history was reported. | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1554390 | 08/13/2021 | WI | 44.0 | 44 | M | Patient contracted COVID-19 after being fully vaccinated | U | 02/03/2021 | 08/05/2021 | 183 | PVT | None Documented | None Documented | Smoker | 2 | 08/13/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1557673 | 08/14/2021 | WI | 44.0 | 44 | F | Itchy and uncomfortable; Raised hives on the stomach, arms, and eyelids; Elbows felt itchy; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Elbows felt itchy), FEELING ABNORMAL (Itchy and uncomfortable) and URTICA | Y | 01/26/2021 | 01/31/2021 | 5 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1568296 | 08/15/2021 | WI | 44.0 | 44 | U | A spontaneous report was received from a nurse, concerning a 44 year-old patient of unknown gender, unknown race and ethnicity, who received Moderna COVID-19 vaccine (mRNA-1273) and experienced injection site itchy (injection site pruritus), injection site | U | 12/29/2020 | 01/05/2021 | 7 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1572569 | 08/16/2021 | WI | 44 | F | egg sized raised bump; hot to the touch; mild rash; redness; itchiness; injection site pain; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE PAIN (injection site pain), RASH (mild rash), ERYTHEMA (redness), P | U | 01/15/2021 | 01/15/2021 | 0 | UNK | Comments: No medical history information was reported. | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1573800 | 08/16/2021 | WI | 44.0 | 44 | F | Dose 1 - Severe headache, body aches to include extremely stiff neck, rash on arms, upper chest, belly and thighs, extreme fatigue and low grade fever lasting 2 days. Dose 2 - Severe headache for 5 days. Full body pain, extremely stiff neck - unable to tu | U | 01/13/2021 | 01/13/2021 | 0 | WRK | Adderall 20mg extended release, Adderall 20mg short acting, Multi-vitamin, Vitamin C, Calcium, and Biotin | None | Type 2 Diabetic - diet controlled | As a child I received a dose of the flu vaccine, and broke out in a rash, body aches and a fever. As an adult, whenever I get th | 2 | 08/16/2021 | ALL berries, Oxycodin, Oxycotin, Pecans, Walnuts, Macadamia nuts, Chlorohexidine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1573985 | 08/16/2021 | WI | 44.0 | 44 | F | symptoms started 8/2/21 was tested negative for COVID but got progressively worse with symptoms. Nasal drainage, ear pain, headache, cough | N | 12/30/2020 | 08/11/2021 | 224 | 8/11/21 tested positive for COVID | PVT | 2 | 08/16/2021 | Y | Y | sulfa,erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1599387 | 08/21/2021 | WI | 44.0 | 44 | F | fever; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever) in a 44-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 046A21A) for COVID-19 vaccination. The patient's past m | U | 03/24/2021 | 03/25/2021 | 1 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1609741 | 08/22/2021 | WI | 44.0 | 44 | F | Her right arm swelled bigger than a baseball; Blisters down her side and into her breast and armpit; Pain in right armpit area; right arm became red/Then it became red and the redness went through her arm and into her breast and arm pit.; pain in the right | Y | 04/10/2021 | 04/01/2021 | Test Date: 202104; Test Name: body temperature; Result Unstructured Data: 102 degrees Fahrenheit; Test Date: 202104; Test Name: CAT scan; Result Unstructured Data: Normal and showed no blood clots; Test Date: 20210301; Test Name: coronary calcium scan; Res | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1635925 | 08/26/2021 | WI | 44.0 | 44 | F | received an expired second dose of the Moderna COVID-19 vaccine; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (received an expired second dose of the Moderna COVID-19 vaccine) in a 44-year- | Y | 05/14/2021 | 06/14/2021 | 31 | UNK | USMODERNATX, INC.MOD20212 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1642019 | 08/27/2021 | WI | 44.0 | 44 | M | Next day I woke up to complete body soreness and fatigue. Day 2 had same symptoms as when I had Covid. Consisted of muscle cramping, fatigue, headache, chills, fever of 100 degree. Day 3 symptoms went away. Had positive Covid test December of 2020. | Y | 08/01/2021 | 08/02/2021 | 1 | PHM | 5mg amlodipine daily | None | None | 2 | 08/27/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1644517 | 08/28/2021 | WI | 44.0 | 44 | M | Expired vaccine was administered; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Expired vaccine was administered) in a 44-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vacc | Y | 08/09/2021 | 08/09/2021 | 0 | UNK | USMODERNATX, INC.MOD20212 | 2 | 08/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1644737 | 08/28/2021 | WI | 44.0 | 44 | F | loosing muscle were vaccine was injected; Indentation,huge indentation in upper arm, indentation is two fingers wide across the arm and loosing muscle were vaccine was injected; Itching; heat, injection site was hot to touch; Injection site puffy and swoll | N | 05/26/2021 | 06/22/2021 | 27 | UNK | USMODERNATX, INC.MOD20212 | 2 | 08/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1644789 | 08/28/2021 | WI | 44.0 | 44 | F | headache; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache) in a 44-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 017C21A and 025C21A) for COVID-19 vaccination. | U | 05/26/2021 | UNK | USMODERNATX, INC.MOD20212 | 2 | 08/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1671911 | 09/04/2021 | WI | 44.0 | 44 | M | Short-lived sharp chest pain across lung area, entire width of chest 12 hours after injection. Panic attack at 7 days with chest pains that varied in location and sensation. Insomnia began at about 10 days. Shortness of breath for hours at a time began aro | N | 08/16/2021 | 08/17/2021 | 1 | Blood work to rule out pericarditis (chest pain). Blood pressure checked. Pulse/O2 levels with fingertip scanner. | PUB | none | none | generalized anxiety | Flu vaccine several years ago resulted in vomiting, chills, bowel issues | 2 | 09/04/2021 | Y | possible shellfish possible buspar | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1674586 | 09/04/2021 | WI | 44.0 | 44 | M | Severe red eyeball and face swelling. Headache, body aches and fever. Lasted 36 hours | Y | 08/31/2021 | 08/31/2021 | 0 | PUB | None | None | None | 2 | 09/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1684762 | 09/09/2021 | WI | 44.0 | 44 | M | fever and hepatitis. hospitalized | Y | 2 | Y | 05/04/2021 | 05/12/2021 | 8 | blood tests showing hepatitis. | PHM | none | possible viral infection with hepatitis | asthma | 2 | 09/09/2021 | no known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1688919 | 09/10/2021 | WI | 44.0 | 44 | M | Nausea within 2 hours. By 8/21, major sinus congestion, leading to muscle aches, body fatigue, diarrhea, disorientation hog sweats etc. | N | 08/19/2021 | 08/21/2021 | 2 | Urgent care visits | PUB | Amolodipine, Synthroid, Sertraline, Oxycodone, Adderral | Chronic low back pain | 2 | 09/10/2021 | Prednisone, Effexor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1692921 | 09/11/2021 | WI | 44.0 | 44 | F | Large knot of swelling at injection site with itching and mild rash. | N | 09/03/2021 | 09/10/2021 | 7 | N/A | PVT | Synthroid, Zyrtec | None | Hypothyroidism | 2 | 09/11/2021 | Latex "sensitivity" | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696291 | 09/14/2021 | WI | 44.0 | 44 | F | I have pain, swelling, numbness and tingling in my left arm and hand. It is most noticeable in my left hand. The numbness and tingling are present all the time, but sometimes it gets worse. It feels like my arm "fell asleep" all the time. My left arm is a | N | 09/03/2021 | 09/03/2021 | 0 | none | PHM | None | None | Moderate persistent asthma without complication | 2 | 09/14/2021 | Fur, bananas, mellons | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731559 | 09/24/2021 | WI | 44.0 | 44 | F | 10 minutes after injection patient developed generalized itching, chest tightness. oral diphenhydramine 50mg; administered, patient developed itchy throat, mild cough in another 10 minutes. Continued monitoring with no progression of symptoms. to trea | U | 09/24/2021 | 09/24/2021 | 0 | PVT | Covid Pfizer dose #1 on 9/3/21. similar symptoms | 2 | 09/24/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1738034 | 09/27/2021 | WI | 44.0 | 44 | F | Hives on both wrists and left butt cheek, bumps on wrists and butt cheeks, rapid breathing | N | 09/26/2021 | 09/27/2021 | 1 | PHM | n/a | n/a | n/a | 2 | 09/27/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1739878 | 09/28/2021 | WI | 44.0 | 44 | M | No additional adverse effects; administered expired GARDASIL 9 and if it is supported; This spontaneous report was received from a certified medical assistant refers to a 44-year-old male patient. There was no information about the patient's medical histor | U | 09/23/2021 | 09/23/2021 | 0 | UNK | GARDASIL 9 SYRINGE (DEVICE) | US0095075132109USA006075 | 2 | 09/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1745481 | 09/29/2021 | WI | 44.0 | 44 | F | The symptoms started the same day and I felt tired sore muscles nausea vomiting diarrhea and chills | N | 09/23/2021 | 09/23/2021 | 0 | None | PVT | Adderall 15 mg, 150 mg Wellbutrin, multivitamin, D3 10000, B12, B Complex | None | None | 2 | 09/29/2021 | Sulfa,lactose and erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1753909 | 10/01/2021 | WI | 44.0 | 44 | M | Patient reports symptoms of diarrhea, vomiting, flu like reaction, muscle weakness, muscle site pain, dehydration, joint swelling, congestion, coughing, sneezing, sputum production, and disorientation. Patient required two separate visits to Urgent Care an | U | 08/19/2021 | 08/21/2021 | 2 | PVT | 2 | 10/01/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1760442 | 10/04/2021 | WI | 44.0 | 44 | F | Patient contracted COVID after being fully vaccinated runny nose and congestion | 02/11/2021 | 09/30/2021 | 231 | PVT | fluticasone nasal BID hydrochlorothiazide-triamterene 25 daily olmesartan 5mg daily omeprazole 40mg daily polyethylene glycol 3350 daily valacyclovir 2gm q12hrs | None documented | hypertension, impaired fasting glucose, gastroesophageal reflux disease, constipation | 2 | 10/04/2021 | Codeine - nausea and shaking losartan - cough | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1775601 | 10/10/2021 | WI | 44.0 | 44 | F | I'm still verrrrrry tired all the time and have reoccurring cold sores on lips. | N | 08/23/2021 | 10/01/2021 | 39 | Feeling of being very tired and Visuals of blisters on my lips | OTH | Abreva and peroxide | 2 | 10/10/2021 | Sulfa antibiotic | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1787931 | 10/15/2021 | WI | 45.0 | 44 | F | day of injection w/in 2 hours arm sore, burning and hot to the touch. woke up the following day with headache, tired and dizzy. day 2 armpits itching, tired dizzy and joint aches, sweating, feeling hot; no fevers from 9/22: headache, sweating, now getting | N | 09/15/2021 | 09/15/2021 | 0 | prescribed tramadol and did neuro exam, 10/9/21 MRI of brain: 1. No convincing evidence of acute intracranial abnormality. multiple lab tests done: 2. Nonspecific small wedge-shaped abnormal hyperintense signal surrounding the depths of a posterolatera | WRK | birth control pill | none | prediabetes, hyperlipid, rosacea | flu shot- fevers and diarrhea | 2 | 10/15/2021 | Y | Y | latex, strawberries and erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788704 | 10/15/2021 | WI | 44.0 | 44 | F | 2 day h/o mild URI sx, + COVID Abbott test on 10/15/21 | U | 01/27/2021 | 10/13/2021 | 259 | + COVID Abbott test on 10/15/21 | PVT | n/a | n/a | none | 2 | 10/15/2021 | Y | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1799479 | 10/20/2021 | WI | 44.0 | 44 | F | Episodes of extreme tinnitus several times a day and night, sometimes for hours at a time! I've NEVER experienced this before. | Y | N | 09/04/2021 | 09/11/2021 | 7 | None, no insurance | UNK | None | None | High cholesterol | 2 | 10/20/2021 | Vytorin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1813836 | 10/24/2021 | WI | 44.0 | 44 | F | -got a giant lump (like half baseball) at injection arm, It was hot for days. - extremely itchy (generalized and injection site) - face and ears were flushed and warm and tingly/burning yesterday -flared asthma symptoms, increased dyspnea symptoms persis | U | 10/14/2021 | 10/14/2021 | 0 | Increased antihistamine use Increased asthma medication use | PVT | Current Outpatient Medications on File Prior to Visit Medication Sig Dispense Refill ? aspirin, chewable, 81 mg oral tablet Take 81 mg by mouth every day. ? budesonide (PULMICORT) 0.25 mg/2 mL inhalation nebulizer suspension Take 2 mL (0. | Asthma Inhalant allergies Headaches | Patient Active Problem List Diagnosis Date Noted ? Fibromyalgia 06/22/2021 ? History of cerebral venous sinus thrombosis 02/24/2021 ? Fatty liver 11/05/2020 ? Generalized anxiety disorder 08/11/2020 ? Vitamin D deficiency 07/15/2020 ? Atypical facial pain | 2 | 10/24/2021 | Y | Carbamazepine Cephalexin Sulfa Ibuprofen Tramadol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1821424 | 10/27/2021 | WI | 44.0 | 44 | F | After my first shot, my throat felt a little bit tighter and a little itchy. They think it might have been an anxiety attack. They had me laid down and they kept checking my pulse and stuff. About 45 mins later they let me go home. I was feeling better. In | Y | 3 | N | 04/06/2021 | 07/01/2021 | 86 | heart test- coronary artery disease | SCH | Tylenol, Albuterol inhaler, Buspirone, Epi Pen as needed, Hydroxyzine, Claritin, Methocarbamol, Singulair, Oxybutynin, Zoloft, Imitrex, Imitrex injection as needed, Trazadone, Valerian root | None | Fibromyalgia, Trigeminal neuralgia, Asthma | vsafe | 2 | 10/27/2021 | Y | Y | Solabex, Morphine, Sulfa antibiotics, Clindamycin, Prednisone, Cortisone, Ultram, IVP dye, Aspirin, Ibuprofen, Voltaren, red pepper seasoning, latex, Lyrica | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1821901 | 10/27/2021 | WI | 44.0 | 44 | F | Entire body feels as if it is covered in a sunburn. Skin is painful to the touch, multiple joint swelling locations including knees, feet, and hands. Face swelling, eye swelling and drainage, blurred vision. Fatigue and headache first symptoms at onset. | N | 10/25/2021 | 10/26/2021 | 1 | NA. Rheumatologist and NP both contacted. Instructed to go into emergency room by NP but unable to afford copay at this time and unable to tolerate clothing touching skin or see to drive safely. Condition is ongoing at this time. | PVT | Prednisone, hydroxyclorquine, diclofenac, hydrocodone, Adderall | 2 root canals in Sept | Rheumatoid arthritis, OSA, ADHD, DDD, chronic pain | 2 | 10/27/2021 | Sulfa, penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1828886 | 10/29/2021 | WI | 44.0 | 44 | F | injection site on arm became red, swollen, hot and itchy few hours after administration | N | 10/27/2021 | 10/27/2021 | 0 | patient went to ER for treatment and started on antibiotic, Benadryl, cool compress | PHM | clonidine patch, birth control pills, multivitamin, omega 3 supplement, topiramate, vyvanse | none | none | 2 | 10/29/2021 | Y | Compazine, ginger, ginger root, latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1848944 | 11/06/2021 | WI | 44.0 | 44 | F | Fainting | U | 11/05/2021 | 11/06/2021 | 1 | PUB | Multivitamin Vitamin C Vitamin D Colloidal silver | None | None | 2 | 11/06/2021 | Mango | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1849567 | 11/07/2021 | WI | 44.0 | 44 | F | HURT GOING IN, DIDNT FEEL GOOD 30 MINUTES AFTER, HURT MORE ON 2ND DAY WITH A RED ITCHY LUMP/RASH NEAR INJECTION SITE. ITCHINESS HAS SUBSIDED BUT STILL HURTS AND TENDER TO TOUCH. | N | 11/05/2021 | 11/06/2021 | 1 | PHM | 2 | 11/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX |