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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0916656 | 01/01/2021 | TN | 47.0 | 47 | F | Extreme and worsening right upper hip pain, spreading to center lower back. Making it extremely difficult to take full breath. Unable to bend, sit up. Extreme pain while laying in any position and needing help to stand. Pain lvl 9.5 | N | 12/30/2020 | 12/31/2020 | 1 | WRK | Amlodipine | Hypertension Asthma Arthritis | Flu like symptoms from flu shot. pain lvl 6 to 7 | 2 | 01/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0922157 | 01/05/2021 | TN | 47.0 | 47 | F | Received Moderna Injection; Adverse Effects include Headache x 2 days, Soreness to Arm and unable to use for lifting/pushing/pulling x 2 days d/t increased pain | Y | 12/23/2020 | 12/23/2020 | 0 | PUB | Estrace, Celexa, Zyrtec | Covid Positive 12/09/2020 | 2 | 01/05/2021 | Sulfa, Biaxin, Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0922737 | 01/06/2021 | TN | 47.0 | 47 | F | soreness and swelling at injection site in small area, chills, and headache. | Y | 01/02/2021 | 01/03/2021 | 1 | OTH | Nexium, Aleve, Cymbalta, Claritin, Multi-vitamin for Women, birth control pill, CBD oil, Flonase, Plaquinil, and fiber supplements. | None | Sjogren's Syndrome and acid reflux. | 2 | 01/06/2021 | I'm only allergic to pollen, dust, and dander. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0926984 | 01/07/2021 | TN | 47.0 | 47 | F | Tongue swelling, face felt funny, and throat pain. See above in report for times. Dexamethasone 10mg IM in clinic. Benadryl OTC as directed. Pepcid 20mg daily po x 7 days | U | 01/05/2021 | 01/06/2021 | 1 | none | PUB | Pt received COVID 19 Vaccine, Moderna 025L20A at Health Department Vitamin D2 10mcg po daily Levothyroxine Sodium 137mcg po daily | None noted | ASTHMA , THYROID DISEASE, DIVERTICULITIS LEFT SHOULDER REPAIR, TORN LEFT AC/ SPURS, APPENDECTOMY, HYSTERECTOMY, THYROIDECTOMY, 09/2020 BLADDER SLING | 2 | 01/07/2021 | Y | Codeine Keflex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0928355 | 01/08/2021 | TN | 47.0 | 47 | F | Day 9 same hot red injection site with the addition of two baseball size hot red swollen areas below then on day 10 they were softball size then on day 11 they are one huge hot red swollen area with a more blanched center and the injection site above is st | N | 12/29/2020 | 01/06/2021 | 8 | None | PVT | Vitamin D3 | None | None | 2 | 01/08/2021 | PCN FLAGYL MANGOS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0931429 | 01/09/2021 | TN | 47.0 | 47 | F | Pfizer-BioNTech COVID-19 Vaccine EUA | N | 01/03/2021 | 01/09/2021 | 6 | N/A | UNK | Zoloft, simvastatin, and Ambien | None | OCD | 2 | 01/09/2021 | Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0935748 | 01/11/2021 | TN | 47.0 | 47 | F | Nine days after the vaccine I have redness in my left arm that starts at the site of the vaccine injection and grows larger (3 inches wide) going down the top part of my arm and stops an inch and a half before my forearm. I received the first dose of C | N | 01/02/2021 | 01/10/2021 | 8 | Tele conference appointment today at 4 pm with Nurse Practitioner. I'm going to take Benadryl and put cold compresses on it. If it looks worse tomorrow Dr. asked that I come in and be seen in the office. | OTH | Phentermine 37.5MG 1/2 tablet daily, trunature Advanced Digestive Probiotic, Nature Made Burpless Fish Oil 1000 mg, Isagenix Natural Accelerator Dietary Supplement | None | None | 2 | 01/11/2021 | Seasonal allergies - grass, pollen, ragweed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0937384 | 01/12/2021 | TN | 47.0 | 47 | F | Day of vaccination, arm tender, 7 hours after vaccination, Extreme Fatigue and Sore throat - loss of voice. Day after vaccination, Severe body pain - back, shoulders, hips, abdomen with Muscle aches, Headache, Mild Discomfort in chest and ribs when breathi | N | 01/11/2021 | 01/11/2021 | 0 | PVT | Contrave Gabapentin Mataxalone Vitamin C Vitamin D Zinc Multivitamin Baby Asperin | Back spasms Overweight | Pfizer COVID dose 1. Day after injection, pain at injection site. Next day, felt like I was getting sick - headache, sore throa | 2 | 01/12/2021 | Pennicillan Tramadol Hydrocodone Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0944721 | 01/14/2021 | TN | 47.0 | 47 | F | redness, warm to touch, slight swelling at injection site 48 hrs post injection red rash on neck and upper chest 48 hrs post injection fever 100, body aches, joint pain, and weakness 24-48 hrs post injection | N | 01/12/2021 | 01/13/2021 | 1 | PVT | Ibuprofen 800mg BID Metformin 1000mg BID Celexa 20mg 1 time a day Lisnopril HTZ 10 mg/12.5mg 1 time day Glipizide 20mg BID Singular 10mg HS levocetirizine 5mg HS Alegra 180mg BID Atorvastatin 80mg Zolpiden 10mg Aspirin 81mg Gabapentin 300 | N/A | Diabetes High B/P Allergies | 2 | 01/14/2021 | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0955389 | 01/19/2021 | TN | 47.0 | 47 | F | Extreme localized itching/redness/swelling to injection that lasted for at least a week. I have NEVER had any kind of redness/swelling that lasted a WEEK with any other vaccine in my life. | Y | 12/31/2020 | 12/31/2020 | 0 | None | WRK | None | None | None | 2 | 01/19/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0956845 | 01/19/2021 | TN | 47.0 | 47 | F | sneezing fits and consistent runny nose -- sneezing ~3 times every 5 minutes for over 3 hours | U | 01/17/2021 | 01/19/2021 | 2 | WRK | Tylenol, Sertraline 50 mg, Vitamin C 25 mg, Vitamin D 2,000 mg, Zinc 50 mg | NA | NA | 2 | 01/19/2021 | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0968311 | 01/23/2021 | TN | 47.0 | 47 | F | 6:00 pm onset of profound fatigue and moderate pain at the injection site 7:45 pm onset chilling/rigors lasting 90minutes, even under 5 blankets 9:15 pm fever up to 100.8, headache, bodyaches, unable to sleep 3:30 am 1/7/2021 took 800mg ibuprofen 4:00 am f | Y | 01/06/2021 | 01/06/2021 | 0 | None required | PVT | None | None | None | 2 | 01/23/2021 | Sulfa-rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0970992 | 01/25/2021 | TN | 47.0 | 47 | F | On night on vaccination (01/22/2021), experienced headache, fever, chills, nausea, and vomiting. On 01/23/2021, experienced same symptoms plus dizziness and muscle aches. Vomiting subsided on 01/24/2021 at 3:00pm. Muscle aches subsided on 01/25/2021 at 10: | N | 01/22/2021 | 01/22/2021 | 0 | N/A | OTH | Hydrocortisone, florinef, synthroid, cardizem, calcium, multivitamin, vitamin E, vitamin D3, vitamin B12. | N/A | Addison?s Disease, hypothyroidism, hypertension. | 2 | 01/25/2021 | Codeine, diflucam, latex, shellfish. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0974773 | 01/25/2021 | TN | 47.0 | 47 | F | 5 minutes after vaccine administration, patient complains of throat tightening. Given IM Benadryl 100mg in clinic. Patient taken by ambulance to ER. | U | 01/25/2021 | 01/25/2021 | 0 | PUB | none | none | fibromyalgia | 2 | 01/25/2021 | Y | Morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0999232 | 02/03/2021 | TN | 47.0 | 47 | F | On 31st of Dec and Jan 1-- arm extremely sore. on Sat jan 2 I started having mild allergy like symptoms. Sunday night Jan 3, started to have congestion, headache. only able to work appx 5 hours on Mon/ Tues bc weak, congested, headache, shortness of bre | N | 12/30/2020 | 01/02/2021 | 3 | Chest x ray-- clear. All labs good per Clinic. | PVT | Progesterone, thyroid med. testosterone/estrogen pellets every 3 months | none | Right lung surgery 2014 from collapsed lung and 1.5 liter of fluid from an accident. migraines since 18. menopause, anemia, Gerd | 2 | 02/03/2021 | Y | sulfa, hydrocodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033398 | 02/16/2021 | TN | 47.0 | 47 | M | Two severe seizures 23 hours after injection, fever of 101.4. First seizures in more than a year. Oral thrush two days after injection, fever blisters on lips three days after injection. | U | 02/11/2021 | 02/12/2021 | 1 | None | OTH | Carbamazepine 100mg x 8 per day 3 morn & night/ 2 at lunch Pantoprozole 40mg 1 per day morning Phenobarbital 64.8 mg 2 per day morn/night Baclofen 20mg x2 morning/night Generic Zyrtec 10 mg night Fluticasone Nasal spray 50 Mg morning/nig | Allergies-seasonal | Epilepsy, blindness, cerebral palsy, retardation | MRM vaccine approx 1975 | 2 | 02/16/2021 | Keflex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041104 | 02/19/2021 | TN | 47.0 | 47 | F | The roof of my mouth began it itch the next couple of day my mouth broke out into small red bumps on the roof of my mouth and them on the tip of my tongue, on the inside of my top and bottom lip as well. The itching in my mouth started almost immediately b | N | 02/09/2021 | 02/09/2021 | 0 | None yet appointment soon | PVT | Vitamin D3 2000 IU two per day Caltrate Calcium 600 1 per day Meticore Dietray Supplement 1 per day | None | None | 2 | 02/19/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1042169 | 02/19/2021 | TN | 47.0 | 47 | M | Fever, headache, aches, fatigue | Y | 02/01/2021 | 02/05/2021 | 4 | MIL | Motrin, atorvastatin, | None | None | 2 | 02/19/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1058433 | 02/26/2021 | TN | 47.0 | 47 | F | APPROXIMATELY 25 MINUTES AFTER INJECTION PATIENT COMPLAINS OF DIZZINESS AND THROAT FILLS TIGHT. PATIENT WAS ORIENTED AND VOCAL AND DENIED DIFFICULTY BREATHING BUT DOES ADMIT TO HAVING HISTORY OF ANAPHYLATIC REACTION AND IT FEELS SIMILAR PER PATIENT. ABMULA | 02/26/2021 | 02/26/2021 | 0 | PUB | 2 | 02/26/2021 | Y | SULFA-SWELLING,BREAKOUTS PO | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1060404 | 02/28/2021 | TN | 47.0 | 47 | F | Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium | N | 02/17/2021 | 02/18/2021 | 1 | WRK | 2 | 02/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1062579 | 03/01/2021 | TN | 47.0 | 47 | M | Swollen Lymph node under left arm pit | Y | 02/27/2021 | 02/28/2021 | 1 | N/A | PVT | Venlafaxine, Lovastatin, Bupropion, Multi-Vitamin, B-Complex, Fish Oil, Vitamin D | N/A | N/A | 2 | 03/01/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1067172 | 03/02/2021 | TN | 47.0 | 47 | F | Patient began having coughing, dyspnea, tongue tingling within 1-2 minutes of vaccine. Treated with Epinephrine and Benadryl injections. Transported via EMS to local ER. Given more Benadryl and steroids IV. | Y | 02/26/2021 | 02/26/2021 | 0 | none | PVT | amitriptyline, atorvastatin, Aubagio, Vitamin D3, propranolol ER, topiramate | none | Multiple sclerosis, hypertension, migraine headaches, hyperlipidemia | 2 | 03/02/2021 | Y | Y | Aimovig, aspirin, codeine, cyanocobalamin injections, iodine, latex, penicillin, sulfa antibiotics, triptans (sumatriptan) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108963 | 03/17/2021 | TN | 47.0 | 47 | F | PATIENT FELT LIGHTHEADED AND DIZZY ALMOST IMMEDIATELY AFTER RECEIVING VACCINE | Y | 03/17/2021 | 03/17/2021 | 0 | NONE | PHM | DIABETIC MEDICATIONS | UNKNOWN | DIABETES | 2 | 03/17/2021 | COMPAZINE, TORADOL | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1117294 | 03/19/2021 | TN | 47.0 | 47 | F | Day 1- Numb/ Tingling /cold hands. Both hands Day 2-Diarrhea Day 4- Sore aching wrist, right side only Day 5- Terrible Headache Day 6- Extreme Fatigue , mild headache, achy, very large swelling in right armpit (size of a lemon) Day 7- Swelling in armpit | N | 03/11/2021 | 03/11/2021 | 0 | No medical attention | PVT | Zoloft | 2 | 03/19/2021 | Sulfa Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1127742 | 03/23/2021 | TN | 47.0 | 47 | F | Week after first shot my arm started hurting again then that night became warm red itching painful there is some swelling and a knot | N | 03/15/2021 | 03/23/2021 | 8 | UNK | Prozac wellbutrin topamax atenelol omeprazole ramipril bcp | MS | 2 | 03/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1133228 | 03/25/2021 | TN | 47.0 | 47 | F | Full body flushing, mild tingling on face, mild hives on neck Duration ~12 hours 50mg Benadryl at onset 25mg Benadryl at 4 and 8 hours after onset 650mg Tylenol at 4 and 8 hours after onset | Y | 03/24/2021 | 03/24/2021 | 0 | N/A | PUB | N/A | N/A | gluten intolerance | 2 | 03/25/2021 | tree nuts, peanuts, wheat | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1147946 | 03/30/2021 | TN | 47.0 | 47 | F | On 3/18/2021 at 7:00 pm I lost my vision in my right eye I went to the ER where they did blood test and Ct scan to my head and they send me to a different Medical Center because they don't have vision specialists. In the Medical Center they examine my vi | N | 03/11/2021 | 03/18/2021 | 7 | PHM | N/A | Migraine chondricis | 2 | 03/30/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1154326 | 03/31/2021 | TN | 47.0 | 47 | M | Tinnitus. More prevalent in the right ear than the left. The high pitch noise in my ears will not go away. The right ear ringing worse the left. This did not result from any loud noises (I came directly home and had been in the house the entire time), | N | 03/29/2021 | 03/30/2021 | 1 | None. I have not gone to the doctor but I am getting concerned because I have an uncle that has the same tinnitus issue after his 2nd Moderna vaccine. | PHM | Excedrine, Ibuprofen | none | asthma | Flu shot has given me flu like symptoms and fever in the past | ? | 2 | 03/31/2021 | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155210 | 04/01/2021 | TN | 47.0 | 47 | F | Itching from a swollen, firm, red oval shaped welt (~2 inches across and 1 - 1 1/2 inches tall). So far it's been 15 hours and symptoms persist. | N | 03/24/2021 | 03/31/2021 | 7 | none so far | PHM | Humalog | congestion and sneezing | Diabetes, Type I | 2 | 04/01/2021 | terbinafine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1164590 | 04/03/2021 | TN | 47.0 | 47 | F | Extreme joint knee pain | N | 03/25/2021 | 03/28/2021 | 3 | PHM | None | None | None | 2 | 04/03/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1170999 | 04/06/2021 | TN | 47.0 | 47 | F | Tingling/numbing in the throat and tongue 4 hours post injection. Took 25mg Benadryl and symptoms dissipated within 30 minutes. Symptoms reappeared in 4 hours. Took 25mg Benadryl and symptoms dissipated. Slept through the night, woke the next morning to mi | U | 04/05/2021 | 04/05/2021 | 0 | PVT | Vitamin supplements (multivitamin with iron, vitamin C and D3) | None | None | 2 | 04/06/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1172368 | 04/06/2021 | TN | 47.0 | 47 | M | tinnitus: high-frequency hissing/ringing non-stopping, volume - low, more on right ear. wakes me up at night. learned to train my brain to ignore. two weeks after the 1st vaccine shot, hearing another high-frequency ringing on right ear, louder, on and off | N | 03/18/2021 | 03/21/2021 | 3 | Hearing loss test on March 25, one week after the 1st shot, at visited audiologist. Results normal, no apparent hearing loss. ENT appointment on April 1. Ears normal. Doctor had no idea. | WRK | Omeprazole | None. | None. | 2 | 04/06/2021 | Y | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1176923 | 04/07/2021 | TN | 47.0 | 47 | M | Covid Arm or Moderna arm. Red, itchy, hot to touch. Used perscription steroid/cortizone spray to relieve itching. | Y | 03/08/2021 | 03/15/2021 | 7 | PHM | omerarazole amlodipine/benasepril effexor benedryl atorvastatin allegra 180 | no | no | 2 | 04/07/2021 | ornade naldecon | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177093 | 04/07/2021 | TN | 47.0 | 47 | F | Rash on right side of neck presumed by physician to be shingles. Rash appeared 8 days after second Pfizer vaccine and symptoms were examined by internists and consistent with shingles symptoms. Rash has begun to dry up and begin to improve. Had chicken po | U | 03/17/2021 | 03/25/2021 | 8 | Exam on 4/2/2021. Visual in-person exam. | UNK | Multivitamins | None | None | 2 | 04/07/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179991 | 04/08/2021 | TN | 47.0 | 47 | F | Upon receiving the shot, I immediately felt lightheaded, not dizzy or vertigo but just detached from my surroundings. I felt spacey. I felt like that for the rest of the day. I took Tylenol as the clinic recommended. Then after I went to bed later that eve | N | 04/07/2021 | 04/08/2021 | 1 | None | PHM | Women's multi-vitamin, turmeric, Claritin allergy | None | None | 2 | 04/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1181382 | 04/08/2021 | TN | 47.0 | 47 | 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 | HYPERTHYRODISM HTN HLD | 2 | 04/08/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1187011 | 04/09/2021 | TN | 47.0 | 47 | F | Significant pain in left arm. Excruciating headaches. Fever/Chills. Rapid heart rate in 120s at rest. Muscle pain Left outter thigh and low back. Fatigue. | N | 04/08/2021 | 04/08/2021 | 0 | NA | PHM | Clariton | NA | Light soreness in arm after flu shots | 2 | 04/09/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1191092 | 04/10/2021 | TN | 47.0 | 47 | F | Day 2 fatigue & slight dizziness Day 3 severe vertigo/dizziness upon waking especially rolling from left side to right to get out of bed. It lasted less than 2 minutes. When I got out of bed, I couldn't walk straight & had to grab wall for balance. Later | N | 04/02/2021 | 04/04/2021 | 2 | I just emailed my doctor today to let her know and to see if I need to schedule a visit. No medical tests have been conducted. | PVT | Plaquenil; rosuvastatin; sertraline; folate; vitamin D2; aimovig | Sjogren's Syndrome, asthma, allergies, high cholesterol, migraines, anxiety & depression | Sjogren's Syndrome, asthma, allergies, high cholesterol, migraines, anxiety & depression, obesity | COVID-19 first shot: fatigue for 2 days | 2 | 04/10/2021 | Sulfa, shellfish, soy, coconut oil, yellow jacket venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1210660 | 04/14/2021 | TN | 47.0 | 47 | F | Tested COVID positive after 2 doses of Pfizer. Patient has been managed outpatient for COVID at this time. | 01/08/2021 | 04/13/2021 | 95 | PVT | 2 | 04/14/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1223093 | 04/17/2021 | TN | 47.0 | 47 | F | Patient felt like she was shaking 5 minutes after getting vaccinated, but did not have trouble breathing and was talking normally. She only had a protein shake for breakfast so we gave her orange juice in case it was low blood sugar. I sat with the patient | U | 04/17/2021 | 04/17/2021 | 0 | PHM | none reported | none reported | migraines only | 2 | 04/17/2021 | Y | none reported | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1230308 | 04/19/2021 | TN | 47.0 | 47 | F | Fever, Nausea, Headache, Swollen lymph nodes in armpit, Fatigue, Redness in toes, Chills | Y | 03/19/2021 | 03/19/2021 | 0 | UNK | Levothyroxine, Buoropion | No | Hypothyroid due to thyroidectomy | 2 | 04/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1233805 | 04/20/2021 | TN | 47.0 | 47 | M | Acute onset of tinnitus of left ear | N | 01/13/2021 | 01/23/2021 | 10 | Pure tone audiogram, tympanometry: no change in hearing | PVT | Lamotrigine, methylphenidate, omeprazole | None | Epilepsy, ADHD, GERD | 2 | 04/20/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1239784 | 04/21/2021 | TN | 47.0 | 47 | F | Patient had a syncope episode that resulted in a fall out of a chair in the lobby shortly after receiving her vaccine. She responded quickly to a firm sternal rub and cool cloth to the forehead. Patient was able to state her full name, DOB, and location wh | Y | 04/21/2021 | 04/21/2021 | 0 | N/A | PVT | NONE REPORTED | NONE REPORTED | NONE REPORTED | 2 | 04/21/2021 | NONE REPORTED | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1251692 | 04/24/2021 | TN | 47.0 | 47 | M | Swelling under left arm with some tenderness, chills headache, fatigue. Patient had COVID 6 weeks prior to this presentation. Patient given normal saline IV fluids. Clinical impression is cellulitis. Patient is discharged home from ER and given a prescr | U | 04/12/2021 | 04/14/2021 | 2 | Chest CT = small left axillary nodes. Subcutaneous edema and phlegmon in the left axilla and over the left anterior upper chest wall. Lungs are clear, Heart normal size, normal aorta and pulmonary arteries, no pleural effusions. WBC = 3.42. BUN = 21; AST | UNK | albuterol sulfate inhaler, afrin nasal spray, Percocet, tizanidine, Norco, Ibuprofen, lidocaine patch, CBD oil | none | none | 2 | 04/24/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1258967 | 04/26/2021 | TN | 47.0 | 47 | F | WITHIN 15 MINUTES OF COVID VACCINE GIVEN PATIENT WAS COMPLAINING OF ITCHING | Y | 04/23/2021 | 04/23/2021 | 0 | PHM | 2 | 04/26/2021 | Y | OPIODS,TETRACYCLINE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262963 | 04/27/2021 | TN | 47.0 | 47 | F | 102.8 FEVER, CHILLS, SHIVERING, MUSCLE ACHES, BODY ACHES, SEVERE HEADACHE AND FELT HORRIBLE AND COULD NOT LIFT MY HEAD OUT OF BED FOR 36 HOURS HORRENDOUS - 2nd shot for me (first shot pain in the arm was only side effect). | Y | 04/23/2021 | 04/24/2021 | 1 | PUB | Omeprozole Xyzal Irbesartan HTZ | 2 | 04/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1264879 | 04/27/2021 | TN | 47.0 | 47 | F | Began having upset stomach, headache, body ache, fever the day after the shot was received and continued until Monday when she was found unresponsive. | Y | Y | N | 04/16/2021 | 04/19/2021 | 3 | PHM | 2 | 04/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266593 | 04/28/2021 | TN | 47.0 | 47 | F | Error: Incorrect Reconstitution | Y | 04/26/2021 | 04/26/2021 | 0 | PHM | 2 | 04/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267334 | 04/28/2021 | TN | 47.0 | 47 | M | Approximately two weeks after receiving the vaccine I developed Shingles. My symptoms started as a sore/tender area in the center of my right collarbone and a red bump behind and slightly above my right ear that spread until the right side of my neck and h | N | 04/12/2021 | 04/22/2021 | 10 | The health practitioner stated the Shingles was a "textbook case of Shingles following the C2 dermatome". | PVT | none | none | none | 2 | 04/28/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267520 | 04/28/2021 | TN | 47.0 | 47 | M | Patient experienced dyspnea and tachycardia after receiving the vaccine. | Y | 04/07/2021 | 04/07/2021 | 0 | MIL | 2 | 04/28/2021 | Augmentin, Anthrax vaccine, Flagyl | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268294 | 04/28/2021 | TN | 47.0 | 47 | M | Error: Incorrect Reconstitution | U | 04/25/2021 | 04/25/2021 | 0 | PHM | 2 | 04/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1270177 | 04/29/2021 | TN | 47.0 | 47 | F | Received 2 doses of COVID-19 vaccine (2/3/21 and 2/24/21) then tested positive for COVID-19 through symptomatic testing. | U | 02/24/2021 | 04/27/2021 | 62 | SARS-CoV Qualitative PCR | OTH | NA | NA | Mixed Connective Tissue disease and kidney dysfunction | 2 | 04/29/2021 | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1270344 | 04/29/2021 | TN | 47.0 | 47 | F | Pulmonary embolus, new onset atrial fibrillation | Y | Y | 3 | N | 04/12/2021 | 04/18/2021 | 6 | CT PE protocol, EKG | PVT | omeprazole, trazodone, seroquel, meloxicam, symbicort | None | bipolar, obesity, GERD | 2 | 04/29/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1281833 | 05/03/2021 | TN | 47.0 | 47 | F | Approximately 10 minutes post vaccination patient reports experiencing numbness and tingling in her left arm all the way down into her fingers. Resolved after 1 hour. | Y | 01/14/2021 | 01/14/2021 | 0 | PUB | Unknown | Reports history of back and neck problems | Unknown | 2 | 05/03/2021 | Y | Sulfa- body rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1282221 | 05/03/2021 | TN | 47.0 | 47 | F | None, patient received vaccine 1 week early. | U | 05/02/2021 | 05/02/2021 | 0 | None | PHM | None | None | None | 2 | 05/03/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1285485 | 05/04/2021 | TN | 47.0 | 47 | F | Patient was at home cleaning and experience a sudden onset of shortness of breath. She felt her lungs close and she could not take a breath for about a minute. Then when she was able to breathe, she heart a whistling sound. Her daughter called 911. By th | N | 03/12/2021 | 03/19/2021 | 7 | see above | PUB | Citalopram 20mg daily, Actigall 300mg daily, Allegra 180mg daily as needed, Esomeprazole 20mg daily, flonase 2 sprays each nostril daily, Metamucil 1 scoop daily, Terbinafine 250mg daily, Vitamin D3 2000IU daily | None | GERD, dysthymia, panic, allergic rhinitis, Eustachian tube dysfunction, Obstructive sleep apnea, Mixed incontinences, obesity, diverticulosis, h/o nicotine dependence, fatty liver, exercised induced bronchospasm, Personal history of colon polyps | 2 | 05/04/2021 | Y | Y | Paregoric, Guiatuss | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1287349 | 05/04/2021 | TN | 47.0 | 47 | F | bumpy rash devesoped the eve after the vaccination. At first there was one and the next day a few more and then one week later the same kind of etchy bumpy rash has grown to about a dozen or more.non | N | 04/28/2021 | 04/29/2021 | 1 | none | UNK | Lisinopril, amlodipine, aspirin, atorvastatin, hydralazine. | heart murmur. | heart murmur. | 2 | 05/04/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1301417 | 05/09/2021 | TN | 47.0 | 47 | F | Within the 15 minute waiting period post injection, I felt like I was starting to have an asthma attack and had tons and tons of postnasal drainage. I was hoarse with a sore throat. My husband got the doctor's attention and he came to check on me. My vi | N | 05/07/2021 | 05/07/2021 | 0 | 05/07/21 - Only exams at the clinic and vital signs checked. Pulse ox was 96 but went up to 98 after taking Benadryl. Blood Pressure was about 170/101 at first check which is abnormal for me. 05/09/21 - Only exam at the clinic and vital signs checked. | PUB | Taken Day of Vaccination: Atenelol, Midodrine, Zyrtec, Vyvanse, Lexapro, Omeprazole, Dulcolax Stool Softer, Vitamins & Herbs to include Calcium, B Complex, Vit. D, Potassium, MSM, Butterbur, COQ10, Biotin, Probiotic | None | Anemia, Leukopenia, Neutropenia, Autoimmune Disease (possible Lupus and Sjogrens), Osteoarthritis, Dysautonomia (POTS and Orthostatic Hypotension) | 2 | 05/09/2021 | Y | Milk - triggers reactive airways and congestion, Penicillin & Codeine - hives, Cybalta - blood pressure/heart rate problems, Symbicort - blood pressure/heart rate problem Smoke and any airborne chemicals trigger allergic responses with asthma/reactive air | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313731 | 05/13/2021 | TN | 47.0 | 47 | M | the next day after my 2nd shot, I started experiencing hemifacial spasms on the left side. lip, eye, neck, cheek, all twitching at random times. Now 2 weeks after the 2nd shot the spasms continue. | N | 04/26/2021 | 04/27/2021 | 1 | PHM | hay fever, eczima, tourrette's syndome | 2 | 05/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1314142 | 05/13/2021 | TN | 47.0 | 47 | F | Severe pain in spine started 4 hours after vaccine; body aches and severed headache started 8 hours later with inability to sleep; severe diarrhea, throwing up; extreme exhaustion. Headache, severe diarrhea and throwing up continued for three days. Diarr | N | 04/28/2021 | 04/28/2021 | 0 | Moderna COVID?19 Vaccine EUA | WRK | Metformin (for PCOS), Montelukast, Lisinopril, Carvedilol, Tizanadine, Low does aspirin, Zyrtec OTC | None | PCOS, lower back problems | 2 | 05/13/2021 | Yeast allergy (if ingested); morphine IV | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1314539 | 05/13/2021 | TN | 47.0 | 47 | F | Patient received 2nd dose of COVID vaccine, stayed near pharmacy for 15-20 minutes, then left store. She called saying she and her husband went to get lunch afterwards, she started not feeling well, they got up to leave, and she had seizure. They called EM | Y | 05/03/2021 | 05/03/2021 | 0 | Patient should have all information regarding tests done in response to this adverse reaction | PHM | was diagnosed with COVID-19 2 weeks prior to vaccination | 2 | 05/13/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1315661 | 05/13/2021 | TN | 47.0 | 47 | F | Fever of 102.4 for 2 days, extremely achy skin from head to toe, teeth hurt, very weak, headache, chills | N | 05/11/2021 | 05/11/2021 | 0 | PHM | Vyvanse 70 mg Omeprazole 40 mg | Bladder infection | Raynaud's Syndrome | 2 | 05/13/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1343829 | 05/24/2021 | TN | 47.0 | 47 | F | Pericarditis, after experiencing achy joints Excruciating stabbing pain in back through to chest | N | 05/17/2021 | 05/19/2021 | 2 | On 5/20 doctor explained that I had inflamed heart lining and fluid retention around heart. The kept me under observation for 2 days | PVT | Progesterone, Estrodiol .05, Adderall 20mg | N/A | Bulging discs in neck | 2 | 05/24/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1346406 | 05/25/2021 | TN | 47.0 | 47 | F | Adverse event: Two days after first injection, both eyes swollen, hurt to touch and inflamed. Blared vision in left eye. Previously had derma filler in 2017/2018. Treatment: Benadryl, Tylenol, cold packs Outcome: visited PCP on 5/24/2021, still recove | N | 05/20/2021 | 05/22/2021 | 2 | None. | WRK | Novolog, vitamin D, simastatin, victoza, acyclovir | Shingles | diabetes type 1 | 2 | 05/25/2021 | Y | erythromycin, latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1356059 | 05/27/2021 | TN | 47.0 | 47 | F | patient urinated immediately after receiving vaccine | 05/24/2021 | 05/24/2021 | 0 | UNK | 2 | 05/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361763 | 05/30/2021 | TN | 47.0 | 47 | F | Standard reactions except I have been spotting vaginally and cramping since the day after getting the shot. I have the Mirena birth control implant and do not have a monthly period and have not had one for many years nor do I get the cramps and other symp | N | 05/21/2021 | 05/22/2021 | 1 | None yet | PHM | Singular, generic Paxil | None | Sinusitis, chronic cough | 2 | 05/30/2021 | Augmentin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1371076 | 06/03/2021 | TN | 47.0 | 47 | M | Patient experienced rash on their neck after leaving the facility. | Y | 05/11/2021 | 05/11/2021 | 0 | MIL | 2 | 06/03/2021 | Percocet-Itching purpura. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1394265 | 06/12/2021 | TN | 47.0 | 47 | F | Site: Swelling at Injection Site-Severe, Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Additional Details: Unsure what type of reaction she was experiencing. The agent from the state health department indicated pa | U | 06/04/2021 | 06/09/2021 | 5 | PHM | 2 | 06/12/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1394575 | 06/12/2021 | TN | 47.0 | 47 | M | Heart Attack | N | 03/26/2021 | 03/30/2021 | 4 | Nuclear stress test at Medical Center | PHM | Xarelto 20mg | Corona virus | Cancer | 2 | 06/12/2021 | Penicillin and latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1431407 | 06/28/2021 | TN | 47.0 | 47 | M | Patient reported before vaccine administration that he was bothered by his high blood pressure-LPN checked-150/100-then used automatic BP cuff-was 128/88- within 15 minutes patient complained of chest pain which worsened when laid down. BP-138/88. Request | U | 06/28/2021 | 06/28/2021 | 0 | PUB | Fluoxetine 20 mg Lisinopril 10 mg HCTZ 25 mg Albuterol 90 mcg. | Hypertension | HTN | 2 | 06/28/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1437057 | 06/30/2021 | TN | 47.0 | 47 | M | Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)- | Y | 05/23/2021 | 05/23/2021 | 0 | PHM | 2 | 06/30/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1438232 | 06/30/2021 | TN | 47.0 | 47 | F | Patient received 2nd COVID-19 vaccination on 06/27/2021. Vaccination administered was 1 day past BUD. BUD was set for 06/26/2021. Spoke with patient 06/28/2021, patient was experiencing normal side effects expected with mounting ample immune response. Symp | Y | 06/27/2021 | 06/27/2021 | 0 | N/A | PHM | unknown | no | unknown | 2 | 06/30/2021 | nkda | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1457641 | 07/08/2021 | TN | 47.0 | 47 | M | Patient was erroneously administered an undiluted vial of COVID-19 vaccine. This error was caught within 10 minutes of administration and patient was called to return to the pharmacy. At the time, he had no adverse effects, but was monitored for approximat | U | 07/08/2021 | 07/08/2021 | 0 | BP was taken at the time 130/88 and pulse 81 | PHM | 2 | 07/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1460147 | 07/09/2021 | TN | 47.0 | 47 | M | A pharmacy student accidentally administered 0.3ml of undiluted vaccine to the patient. Approximately 10 minutes later, I discovered the error and called the patient to return to the pharmacy so I could monitor him closely for any complications. His BP was | U | 07/08/2021 | 07/08/2021 | 0 | BP 133/88 | PHM | 2 | 07/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1470282 | 07/14/2021 | TN | 47.0 | 47 | F | Rabdomylosis which lead to kidney failure | Y | Y | 31 | N | 04/20/2021 | 05/18/2021 | 28 | Hospital records at hospital | PHM | Many | Seizure disorder, high blood pressure, reflux, diabetic, neurogenic bladder, blind, pressure wound, spina bifida, hydrocephalus | 2 | 07/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1470300 | 07/14/2021 | TN | 47.0 | 47 | M | Pt. states after receiving Janssen vaccine 03/16/2021, 2 hours after started experiencing light headedness periodically. Still continuing with more frequent bouts. Vertigo symptoms 2 or 3 times through a week's time. APRN communications noted. | N | 03/16/2021 | 03/16/2021 | 0 | N/A | OTH | N/A | N/A | N/A | 2 | 07/14/2021 | Y | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1484706 | 07/19/2021 | TN | 47.0 | 47 | F | Felt as if needle was still inside of arm, arm felt heavy, light headed, dizziness, sore, warm , muscle in arm hurt, looked like a big mosquito bight, swollen, itchy | N | 07/16/2021 | 07/16/2021 | 0 | None | PUB | Hydrochlorothiazide 50mg (once daily) Potassium CLER 10 MEQ capsule Claritin 10mg Nature Made Brand Burpless Ultra Omega-3 from fish oil 1400mg (1000mg-3) Equate Brand Complete Multi Vitamin Adults | None | None | 2 | 07/19/2021 | Bactrim Bactro Macroditon Flagyl Erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1493987 | 07/22/2021 | TN | 47.0 | 47 | F | redness, swelling that started 7 days after vaccination and is now still spreading | N | 07/11/2021 | 07/18/2021 | 7 | UNK | 2 | 07/22/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1498645 | 07/23/2021 | TN | 47.0 | 47 | F | over 45 days of extreme migraines with throwing up and diarrhea most of the day and night with a few hours of reprieve out of 60 days in April and May, then about 15-20 days of migraines with same problems the following months I'm also taking about 3-4 Ex | N | 03/08/2021 | 04/05/2021 | 28 | June 22nd at 10:50am saw Dr. and got my first Emgality shot and started on 50mg of Topomax twice daily also 9 Sumatriptan a month that you can take up to 2/day(I've been taking these for years); I get an MRI on Aug. 9th then see Dr. on August 12th to talk | OTH | Elmiron, Clonidine, Levothyroxine, Pravastatin, Pantoprazole, Clonazapam, Buspirone, Trileptyl, Hydroxyzine, Sumatriptan, ProAir, Advair, Albuterol Nebules Potassium, B-Complex, Biotin, Vitamin C, Vitamin D-3, Zinc, Centrum Silver, Co-Q10, | no | chronic bronchitis, allergies, asthma, mental health conditions, migraines, thyroid problems, acid reflux, overactive bladder, high cholesterol | 2 | 07/23/2021 | Y | sulfates, milk, latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501069 | 07/24/2021 | TN | 47.0 | 47 | F | Large red welt at injection site; hard and hot to touch, painful to touch; chills, muscle ache, headache and horrible neck pain | N | 07/23/2021 | 07/23/2021 | 0 | None yet | PHM | None | None | None | 2 | 07/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1510007 | 07/28/2021 | TN | 47.0 | 47 | F | Patient had received single dose of Johnson & Johnson on 3/23/21. When asked if patient had ever received Covid-19 shot previously, patient stated "no". Patient also marked "no" on the first question of the consent form that asks "Have you ever received a | U | 07/25/2021 | 07/25/2021 | 0 | PUB | Unknown | Unknown | Unknown | 2 | 07/28/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1525991 | 08/04/2021 | TN | 47.0 | 47 | F | I can't remember most of the time lines | N | 05/01/2021 | 05/23/2021 | 22 | Most blood works come back normal, there is nothing Normal about what my body has been doing the last 2 months | PVT | Lisinopril, Estradiol, Propanolol, B-12, Protonics, | None | Twitching on left side of body, when body tremors, leg/arm weakness, high blood pressure, arms and legs shake and jerk, mental confusion bad, memory loss, weight lost and weight gain, stabbing feeling through my bones. | Pfizer, April 27th and May 18th. | 2 | 08/04/2021 | Y | Y | Levaquin Codiene Mustard | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1529583 | 08/05/2021 | TN | 47.0 | 47 | F | I have been vomiting and nothing is stopping it. Initially I had a strange rash that left scars and my vision is blurry daily and eyes hurt. I have lost down to 100lbs and I am struggling to survive I never have been sick like this in my entire life and it | Y | N | 01/18/2021 | 02/01/2021 | 14 | don't know where to start? | OTH | Pain meds Adder all Soma Pro biotics | lupus SLE and other related autoimmune diseases, EBV | yes lupus and other autoimmunes. I have been throwing up on a regular basis since 2nd vaccine and I am very Ill. I barley weigh 100lbs and before this I weighed between 125-135lbs. I am having distorted vision every day causing loss of ability to read and | 2 | 08/05/2021 | Y | no known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1555038 | 08/13/2021 | TN | 47 | M | a little bit of redness; painful to touch; superficial skin ulcer; A spontaneous report was received on 28 Dec 2020, from a 47 year old male patient who is also a radiologist. The patient is a participating in the mRNA-1273 Emergency Use Program and experi | N | 12/22/2020 | 12/25/2020 | 3 | UNK | OLMESARTAN | USMODERNATX, INC.MOD20200 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1563400 | 08/15/2021 | TN | 47.0 | 47 | F | right side up to my ear; TMJ; pain in the joint of my jaw; This spontaneous case was reported by a consumer and describes the occurrence of EAR PAIN (right side up to my ear), PAIN IN JAW (pain in the joint of my jaw) and TEMPOROMANDIBULAR JOINT SYNDROME ( | U | 02/15/2021 | 02/16/2021 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1571483 | 08/16/2021 | TN | 47.0 | 47 | F | My knee pain started on after three days; felt like shooting sharp pain in my knees; I feel my knees are still sore in the muscles; I fee sore in the joint of my knees; I feel I can not bending it; This spontaneous case was reported by a consumer and descr | U | 03/25/2021 | 03/25/2021 | 0 | UNK | TYLENOL | MOD2021089364 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1595237 | 08/21/2021 | TN | 47.0 | 47 | F | Itchy red and swollen knot at the site of injection; Itchy red and swollen knot at the site of injection; Itchy red and swollen knot at the site of injection; Fever; hot on the face; sore arm; Rash/rash on her face; This spontaneous case was reported by a | N | 02/02/2021 | 02/03/2021 | 1 | UNK | Penicillin allergy | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1605444 | 08/22/2021 | TN | 47.0 | 47 | F | pain in her arm which travelled to her neck and jaw; Parotid gland was clogged; parotid gland was swollen; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 08-Apr-2021 and was forward | U | 03/08/2021 | 03/15/2021 | 7 | UNK | Medical History/Concurrent Conditions: No adverse event (No Medical history reported.) | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1605448 | 08/22/2021 | TN | 47.0 | 47 | F | Golf ball size swelling on jaw line below her ear; same pain after the second shot; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (same pain after the second shot) and SWELLING (Golf ball size swelling on jaw line be | U | 03/08/2021 | 04/06/2021 | 29 | UNK | Medical History/Concurrent Conditions: No adverse event (No medical history reported) | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1623908 | 08/23/2021 | TN | 47.0 | 47 | F | EXTREME Cramping and excessive bleeding during period- has happened the last three months | N | 05/04/2021 | 06/09/2021 | 36 | NA | UNK | Lexapro | NA | NA | 2 | 08/23/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1637159 | 08/26/2021 | TN | 47.0 | 47 | M | Case received Moderna vaccine x 2 with last dose on 6/18/2021. Was admitted to Medical Center on 8/20/2021. Case expired at hospital 8/21/2021. | Y | 08/21/2021 | 06/18/2021 | 08/20/2021 | 63 | PUB | 2 | 08/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1655972 | 08/30/2021 | TN | 47.0 | 47 | F | heart arrhythmia after going to bed that same night. Heart would beat strong for 2 beats and a long enough pause for me to wonder if I needed to move in order to make it go again. Happened multiple times before I went to sleep. Sporadic episodes of the | Y | 07/24/2021 | 07/24/2021 | 0 | PHM | NP thyroid | none | Hashimoto's thryoid disease Chronic Fatigue Syndrome Allergies(foods and seasonal) | 2 | 08/30/2021 | sulfa drugs erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1656074 | 08/30/2021 | TN | 47.0 | 47 | F | Day 1 (8/21) was sore arm only. Day 2 (8/22) after vax more sore than day before. 8/27- arm pit on injected arm swollen lymph node. 8/28- bigger lymph node and headache all day. 8/29- not sleeping well, bigger lymph node, headache all day. 8/30-not sleepin | N | 08/21/2021 | 08/28/2021 | 7 | PHM | BP, probiotic, Vitamin C, Vitamin D | none | High BP | Flu vaccine Jan 2020 | 2 | 08/30/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1656475 | 08/30/2021 | TN | 47.0 | 47 | F | Next morning swelling occurred in left eye lid. Patient described eyelid felt like a bruise and was tender to the touch but not itchy. Her chest felt tight and her heart rate increased to 100-102. Her O2 sats were above 97. She did have fatigue but no | Y | 08/27/2021 | 08/28/2021 | 1 | PHM | NONE | NONE | NONE | 2 | 08/30/2021 | AMOXICILLIN, KEFLEX | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1672642 | 09/04/2021 | TN | 47.0 | 47 | F | Raised rash; red rash at injection site; tired; This spontaneous case was reported by a consumer and describes the occurrence of RASH PAPULAR (Raised rash), VACCINATION SITE ERYTHEMA (red rash at injection site) and FATIGUE (tired) in a 47-year-old female | Y | 08/11/2021 | 08/11/2021 | 0 | UNK | USMODERNATX, INC.MOD20212 | 2 | 09/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1681683 | 09/08/2021 | TN | 47.0 | 47 | M | trembling and shakiness in my arms & legs; existing tinnitus got worse with the ringing in my ears extremely severe.; severe heat exhaustion; I felt nauseous; felt like maybe I was having a heart attack; I broke out in a massive sweat with big beads of swe | Y | 04/01/2021 | 05/18/2021 | 47 | Test Name: EKG; Result Unstructured Data: heart sounded fine | UNK | Tinnitus | USMODERNATX, INC.MOD20213 | 2 | 09/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1682520 | 09/08/2021 | TN | 47.0 | 47 | F | She complained of coughing and shortness of breath. She thought it was due to mask she was wearing but it continued. She went home. She continued to cough so she brought a pulse ox. Her oxygen sat was 93%. She started having chest tightness. She cal | U | 08/19/2021 | 08/19/2021 | 0 | Pending ECHO | PVT | Losarton | None | HTN | 2 | 09/08/2021 | Y | Y | no allergies but she reports hypersensitivity to medications | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1689252 | 09/10/2021 | TN | 47.0 | 47 | M | None | N | 09/03/2021 | 09/03/2021 | 0 | Noe | WRK | None | None | Hypertension | 2 | 09/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1689993 | 09/10/2021 | TN | 47.0 | 47 | F | Red, itchy, sore rash at site of injection that lasted about a week. | Y | 08/23/2021 | 08/31/2021 | 8 | PHM | None | None | None | 2 | 09/10/2021 | PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1704042 | 09/16/2021 | TN | 47.0 | 47 | M | Pt. states that after receiving the 1st dose of Phizer 09/03/2021, started experiencing symptoms 20mins of tenderness in the testicles (more so the right) lasting 7-8hrs. No other noted symptoms. No Primary visit noted. | Y | 09/03/2021 | 09/03/2021 | 0 | N/A | PHM | N/A | N/A | N/A | 2 | 09/16/2021 | Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1711104 | 09/18/2021 | TN | 47.0 | 47 | M | Vaccine dose administered after 24 hours at room temperature; The vial was kept at room temperature 69-72 degrees F in the clinic from September 2, 2021 at 9 am to September 3, 2021 at 3:45 pm; This spontaneous case was reported by an other health care pro | Y | 09/03/2021 | 09/03/2021 | 0 | UNK | AMLODIPINE; LISINOPRIL | Hypertension | USMODERNATX, INC.MOD20213 | 2 | 09/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1719167 | 09/21/2021 | TN | 47.0 | 47 | F | ADVERSE EVENT OCCURED 10 MINUTES AFTER ADMINISTRATION OF THE FIRST VACCINE. PATIENT WALKED UP TO THE COUNTER AND STATED SHE NEEDED HELP. PATIENT WAS LEAD TO A CHAIR AND SAT DOWN. PATIENT KEPT EYES CLOSED, STATED THEY WERE LIGHTHEADED AND FELT WEAK. WE LEAD | Y | 09/21/2021 | 09/21/2021 | 0 | 09/21/2021 12:34PM: BP 102/64, HR 54, PULSE OX 99 09/21/2021 12:40PM: BP 118/85, HR 53, PULSE OX 99 | PHM | THIS INFORMATION IS UNKOWN, HUSBAND WAS NOT AWARE EITHER | NO ILLNESSES | NO | 2 | 09/21/2021 | NONE REPORTED | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1749524 | 09/30/2021 | TN | 47.0 | 47 | M | Received COVID 19(Pfizer-BioNtech) vaccine LOT number: EL0142 on 01/04/2021 at Medical Center as the 2nd dose in the vaccine series. On 02/11/2021, I developed unusual heart palpitations and shortness of breath a few hours after eating a meal. Shortness | Y | 1 | N | 09/27/2021 | 09/29/2021 | 2 | PVCs and hypertension confirmed by telemetry and stress test 02/21/2021. Further cardiac workup pending following 09/29/2021 symptoms return to evaluate for possible myocarditis. | PVT | zolpidem, cetirizine, albuterol, pantoprazole, fluticasone, losartan | none | Asthma, allergic rhinitis, insomnia, hypertension, chronic back pain, hiatal hernia, IBS-D | Prizer Covid Vaccine documented above | 2 | 09/30/2021 | Y | Y | hydromorphone intolerance | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1759408 | 10/04/2021 | TN | 47.0 | 47 | M | Extreme fatigue | N | 09/10/2021 | 09/01/2021 | PHM | Phentermine | 2 | 10/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1765463 | 10/06/2021 | TN | 47.0 | 47 | F | significant blurred vision | N | 08/18/2021 | 08/25/2021 | 7 | none | PHM | coryza vitd,c,b zinc | none | none | 2 | 10/06/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1771595 | 10/08/2021 | TN | 47.0 | 47 | F | Arm went numb for around two days off and on, heart started feeling odd and progressed into shortness of breath and pain off and on for two weeks. No issues after around two weeks with heart or arm. Could not drink anything with caffeine or heart symptom | Y | Y | 07/22/2021 | 07/27/2021 | 5 | Clinic did not recommend testing at that time. | WRK | Synthroid, metformin | None | None | 2 | 10/08/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1795272 | 10/18/2021 | TN | 47.0 | 47 | F | About an hour after the vaccine was administered the patient began to feel light-headed and dizzy, the pt became cold and started to shiver. Patient was responsive the enitre time, and was able to talk with the staff. EMS was called and the patient was tak | Y | 10/13/2021 | 10/13/2021 | 0 | unknown | OTH | Unknown | None | Hypertension and Asthma | 2 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1801156 | 10/20/2021 | TN | 47.0 | 47 | F | I have had migraines every day since 3-4 days after vaccine... I get nausea, feel motion sickness. This has altered my life. I struggle to do daily activities. as of today 10/20/21 I have tried 2 different prescription medications. | N | 09/18/2021 | 09/22/2021 | 4 | blood work 10/16/21 ct scan 10/18/21 - normal | PVT | Estradiol hormone patch .1 mg. vitamin D , OTC allergy . | none | 2 | 10/20/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1801750 | 10/20/2021 | TN | 47.0 | 47 | F | Day after second vaccine my arm had a knot around injection site and was extremely sore. The soreness continued and developed a larger knot and red ring around the knot. It took 1 1/2 weeks for the redness and knot to go away but my arm is still sore from | N | 10/01/2021 | 10/07/2021 | 6 | UNK | Vitamin C Vitamin D3 Zinc | 2 | 10/20/2021 | Eurythromyacin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1804017 | 10/21/2021 | TN | 47.0 | 47 | F | woke up about 2:30 am, got up and about fainted (ears ringing, tunnel vision, heavy feeling), off balance, horribly nauseated, body aches and w swollen/painful nodes under my shot arm. In general pain/miserable. Standing made symptoms worse. Vomited, which | N | 10/20/2021 | 10/21/2021 | 1 | none | PVT | bupropion HCl XL 300 mg 24 hr tablet, extended release Take 1 po qd fluticasone propionate 50 mcg/actuation nasal spray,suspension SPRAY 1 - 2 SPRAYS (50 - 100 MCG) IN EACH NOSTRIL BY INTRANASAL ROUTEONCE DAILY AS NEEDED irbesartan | none | Hypertensive Disorder Allergic Rhinitis Due to Pollen Hypothyroidism Chronic Maxillary Sinusitis Bilateral Tinnitus Mixed Anxiety and Depressive Disorder Obstructive Sleep Apnea Syndrome Severe Obesity | COVID-19, mRNA, LNP-S, PF, 30 mcg/0.3 mL dose - severe body aches in joints/hands, swollen armpit glands (bilateral), moderate f | 2 | 10/21/2021 | Bactrim, Meloxicam, Sulfa antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1813893 | 10/24/2021 | TN | 47.0 | 47 | F | Severe exacerbation of RA symptoms. | Y | 10/01/2021 | 10/06/2021 | 5 | None | PHM | None | RA, HTN, d?pression and anxiety, spinal stenosis, obesity | 2 | 10/24/2021 | Nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1819199 | 10/26/2021 | TN | 47.0 | 47 | F | 4 days sore arm at injection site. Immediately after my throat began swelling and it was quite difficult to breath, impossible to swallow. This persisted for 4 days and progressively worsened till I feared for my life. I also had itching on that day tha | N | 10/13/2021 | 10/16/2021 | 3 | None at the ER other than IV of Benadryl, steroids, and pepcid. | PVT | Estrogen Patch, Progesterone, Trazadone HCL | primarily pelvic floor dysfunction & ehlers danlos syndrome. | Ehlers Danlos Syndrome, possible MCAS, pelvic floor dysfunction, 46xyDSD female. | 2 | 10/26/2021 | Y | Soma - itching | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1821524 | 10/27/2021 | TN | 47.0 | 47 | F | Occipital lobe headache and blurred vision, inability to maintain alertness, bilateral upper extremity tingling and bilateral tingling of cheeks, slurred speech, forgetting to swallow (when my husband attempted to get me to eat dinner), inability to read o | N | 04/21/2021 | 08/12/2021 | 113 | Went to ER on 8/13/21 where blood work was completed, as well as a CT scan with and without contrast. Visited with a neurologist via telehealth. No beds were available at any of the hospitals specializing in neurology resulting in discharge from the hospit | PHM | None | None | None | 2 | 10/27/2021 | Y | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1825469 | 10/28/2021 | TN | 47.0 | 47 | F | Patient had a changein their stabilized PT/INR requiring a dosage change . Patient had been stablilized for some time on a dosage and after getting moderna vaccine alteration had to be made in dosing to maintain paitient in theraputic range. | Y | 10/07/2021 | 10/08/2021 | 1 | PVT | Warfarin, buspirone, seroquel, effexor, omeprazole, crestor, baclofen, morphine, oxycodone/apap | none known | blood blotting issues | 2 | 10/28/2021 | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1843179 | 11/04/2021 | TN | 47.0 | 47 | M | Bell's Palsy onset 04/20 for 2 weeks | Y | 04/14/2021 | 04/20/2021 | 6 | UNK | none | 2 | 11/04/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX |