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VAERS_ID | RECVDATE | STATE | AGE_YRS | CAGE_YR | CAGE_MO | SEX | RPT_DATE | SYMPTOM_TEXT | DIED | DATEDIED | L_THREAT | ER_VISIT | HOSPITAL | HOSPDAYS | X_STAY | DISABLE | RECOVD | VAX_DATE | ONSET_DATE | NUMDAYS | LAB_DATA | V_ADMINBY | V_FUNDBY | OTHER_MEDS | CUR_ILL | HISTORY | PRIOR_VAX | SPLTTYPE | FORM_VERS | TODAYS_DATE | BIRTH_DEFECT | OFC_VISIT | ER_ED_VISIT | ALLERGIES | Link 1 | Link 2 |
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0918635 | 01/04/2021 | MD | 49.0 | 49 | M | Patient felt like he was going to pass out after receiving the vaccine. He was monitored for 45 minutes, vital signs remained stable. | Y | 01/04/2021 | 01/04/2021 | 0 | PVT | 2 | 01/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0919007 | 01/04/2021 | MD | 49.0 | 49 | M | Around 6pm I felt fatigued and tired. I went to bed around 8pm. I could not sleep. Had injection site pain on right arm. Tossed and turned. Had a headache. Became fevered and chilled. Had temperature of 100.1 at 2am on 1/4/2021. Temperature decrease back t | N | 01/03/2021 | 01/03/2021 | 0 | None | PVT | Truvada 200/300 ; Vyybrid 20 mg; fish oil; multi vitamim | None | Depression; anxiety | 2 | 01/04/2021 | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920715 | 01/05/2021 | MD | 49.0 | 49 | U | 15:30 complete, injection site warmth. VS: T97.5, HR 108, 95% SpO2, BP 162/72. Patient monitored for 10 more minutes, doctor notified. Patient cleared. Second set of vitals obtain: HR 113, BP 139.67, 100% SpO2. | 12/23/2020 | 12/23/2020 | 0 | UNK | Unknown. | Unknown. | Unknown. | 2 | 01/05/2021 | No known allergies. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0923992 | 01/06/2021 | MD | 49.0 | 49 | F | swelling/puffiness in both eyes - redness - woke up in the morning and continued throughout day - called employee health at hospital where shot was given and was advised to take benadryl and cold compresses on eyes. No swelling anywhere else - Was advise | N | 01/05/2021 | 01/06/2021 | 1 | n/a | PVT | breo Lo Lo estrin tirosint ventalin | n/a | COPD Celiace Disease Hashimoto's | 2 | 01/06/2021 | celiac disease Epinephrine reaction (require carbocaine in dental office ) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0931218 | 01/09/2021 | MD | 49.0 | 49 | F | About 10 minutes after vaccine administration, patient explains that she experienced numbness over her entire body. Patient also stated that she felt hot over her entire body. Nurse advised patient to remove extra layers of clothing. Patient?s Initial B | Y | 01/09/2021 | 01/09/2021 | 0 | NA | OTH | Zolpediem Loratadine (generic Claritin) Inhaler-as needed | Tension headache week of vaccination | None | 2 | 01/09/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0931465 | 01/09/2021 | MD | 49.0 | 49 | F | Heart rate went up to 162 within 10 mins of receiving the shot which causes blood pressure to shoot up to 157/79. normal blood pressure is usually below 120/80 | Y | 01/05/2021 | 01/05/2021 | 0 | N/A | PVT | Caltrate | N/A | N/A | 2 | 01/09/2021 | Y | Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0933329 | 01/11/2021 | MD | 49.0 | 49 | M | On Saturday evening 1/9/2021 I started to have a moderate reaction to my vaccine that I received on 1/3/2021, I started to itch from head to toe with rash in multiple areas of my body. I was able to control the reaction/symptom with Benadryl 50mg every 6 h | U | 01/03/2021 | 01/09/2021 | 6 | PVT | lisinopriL 40 MG tablet, zolpidem 3 mg tablet | none | none | 2 | 01/11/2021 | Iodine (shell fish reaction) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0941016 | 01/13/2021 | MD | 49.0 | 49 | M | Starting Jan 7, he has been experiencing fatigue and light-headedness, which gets worse if he stands up too fast. | N | 12/24/2020 | 01/07/2021 | 14 | PVT | 2 | 01/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0941036 | 01/13/2021 | MD | 49.0 | 49 | M | "Starting late last week, around the 7th, I?ve been feeling easily fatigued, sometimes absolutely spent by the end of the work day. Also kind of light headed, almost dizzy and slow. Easily recognizable if I stand too fast; I get a pressure drop and light h | N | 12/24/2020 | 01/07/2021 | 14 | PVT | 2 | 01/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0941280 | 01/13/2021 | MD | 49.0 | 49 | M | Increasing shortness of breath starting several hours after the vaccination | N | 01/12/2021 | 01/12/2021 | 0 | PVT | 2 | 01/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0942440 | 01/13/2021 | MD | 49.0 | 49 | F | chills which lead to shivers and putting on 3 layers, 2 down comforters and a throw blanket to go to sleep, fever (I can't remember what it was), sweating (even after taking layers and blankets off), fatigue, arm swelling, and pain where the injection was, | U | 01/11/2021 | 01/11/2021 | 0 | None, took picture, will report it to work tomorrow. | OTH | multivitamins, Wellbutrin XL (had not taken since Monday morning), Tylenol 1000mg since receiving vaccine. | none | none | Same Lot # EL0140- chills, headache, pain. . .nothing compared to 2nd dose. | 2 | 01/13/2021 | PCN, ASA, Zyrtec, Zantac | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0947319 | 01/15/2021 | MD | 50.0 | 49 | F | Client reported rapid heart rate and tingling in face. BP 123/80 pulse 83 @12:59. She stated feeling better before leaving. Encouraged client to follow up with PCP if experienced any other symptoms. | Y | 01/15/2021 | 01/15/2021 | 0 | None | PUB | Linzess | None | Celiac Disease | 2 | 01/15/2021 | Gluten | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0951002 | 01/17/2021 | MD | 49.0 | 49 | F | Area where injection was performed is red. Warm, swollen and itchy. Sore to touch | N | 01/08/2021 | 01/16/2021 | 8 | None | PVT | Lexapro, omeprazole , BCP | No | None | 2 | 01/17/2021 | Codiene | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0952318 | 01/18/2021 | MD | 49.0 | 49 | F | Patient experienced abdominal pain on January 12th. She reported having a headache and joint pain as well. Her temperature was 103.5. On January 14th the patient was admitted for acute appendicitis with perforation, localized peritonitis, and gangrene. Pat | Y | 3 | Y | 01/11/2021 | 01/12/2021 | 1 | WBC = 18.5 on Jan 14th at 0915 AST 72 ALT 81 | WRK | 2 | 01/18/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0955902 | 01/19/2021 | MD | 49.0 | 49 | M | Significant painful axillary and supraclavicular lymphadenopathy lasting 96 hours | Y | 01/14/2021 | 01/14/2021 | 0 | PVT | Prevacid, daily MVI | None | GERD | 2 | 01/19/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0959202 | 01/20/2021 | MD | 49.0 | 49 | F | C/O nausea, Dizziness, stated that she was about to find. The client was helped to floor, head flat, and leg elevated. The patient was alert and oriented, Vital signs were stable. VS: BP:105:68, 66 Reg, RR:18. The mucosa was pink. Juice and water given, o | Y | 01/20/2021 | 01/20/2021 | 0 | PUB | Zoloft, Chloroquine, Levothyroxine | Anxiety, Hypothyroidism, Lupus | 2 | 01/20/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0960596 | 01/21/2021 | MD | 49.0 | 49 | M | Muscle pain, Chills, injection site pain | U | 01/19/2021 | 01/20/2021 | 1 | OTH | Tylenol | None | Diabetes, Hypertension, High Cholesterol | 2 | 01/21/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0960878 | 01/21/2021 | MD | 49.0 | 49 | F | All of my symptoms occurred later in the evening: Very cold (lasted 1 night) nausea (lasted 2 days) light headed (lasted 1 night) tingling sensation in hands, feet, legs, and arms (this is still happening as of today) | N | 01/19/2021 | 01/19/2021 | 0 | PVT | daily aspirin raberprazole chlorthalidone atorvastatiin | none | sarcoid premature heart disease | 2 | 01/21/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961120 | 01/21/2021 | MD | 49.0 | 49 | F | Right Lymph Node Swollen in the Neck, Neck Pain on Right Side | N | 12/30/2020 | 01/06/2021 | 7 | 1/14/2021: Ultra Sound of Neck- results abnormal Lymph Node & Nodules on Thyroid 1/18/2021: Blood Work. Results: Normal 1/20/2021: CT Scan of Neck & Ultra Sound of Thyroid - still waiting for results | PUB | Multi Vitamin Benefiber powder | 2 | 01/21/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961129 | 01/21/2021 | MD | 49.0 | 49 | M | patient reported transient tightening in his throat, resolved within 15 minutes of onset. | 01/06/2021 | 01/06/2021 | 0 | OTH | hypertension, asthma | 2 | 01/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961173 | 01/21/2021 | MD | 49.0 | 49 | F | anxiety, tachycardia, palpitations. all symptoms resolved during observation period of 30 minutes. | 01/16/2021 | 01/16/2021 | 0 | OTH | maxalt | anxiety disorder, migraine | 2 | 01/21/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0965309 | 01/22/2021 | MD | 49.0 | 49 | M | Sore area around injection site, irregular temperature, severe fatigue - fatigue lasted the equivalent of two days with the next full day after injection being the worst. The day after the injection fatigue was debilitating requiring sleeping or resting f | Y | 01/20/2021 | 01/20/2021 | 0 | N/A | PUB | basic allergy medication, multi-vitamin, vitamin D | Allergies | N/A | 2 | 01/22/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0965983 | 01/22/2021 | MD | 49.0 | 49 | F | The injection was very painful it took along time for her to push. I assumed the vaccine was cold and about 2 hours later started having increasing pain which progressed over two days. I was unable to move my right shoulder. I got an MRI exam on12-30-2020. | N | 12/28/2020 | 12/28/2020 | 0 | PVT | None reported | None reported | None reported | vsafe | 2 | 01/22/2021 | Penicillin, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0966009 | 01/22/2021 | MD | 49.0 | 49 | F | The injection was painful and took her awhile to push in and bout 2 hours later i started having pain which progressed over the next 2 days. I was unable to move my shoulder and I received an MRI on 12-30-2020 and saw an orthopedic surgeon on 12-31-2020 wh | N | 12/28/2020 | 12/28/2020 | 0 | PVT | None reported | None reported | None reported | vsafe | 2 | 01/22/2021 | Penicillin, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0972072 | 01/25/2021 | MD | 49.0 | 49 | F | A week and a day later from vaccine given I woke up with my deltoid area swollen, red and warm. Quarter size at first and then continued to increase in size to about 3 inches round. | N | 01/16/2021 | 01/24/2021 | 8 | PVT | Prozac | None | None | 2 | 01/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0972976 | 01/25/2021 | MD | 49.0 | 49 | F | Arm falling asleep several times a day since vaccination on 1/14. Mild Pain in clavicle area beginning yesterday 1/24 with increase in pain intensity today 1/25 along with radiating to lower portion of neck on right side. | 01/14/2021 | 01/14/2021 | 0 | WRK | None | None | None | 2 | 01/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0974552 | 01/26/2021 | MD | 49.0 | 49 | F | At about 3 -4 am on the morning after the vaccine I went to the Bathroom to Urinate, upon rising I slumped to the floor and passed out. I also had sweating and profound weakness. I crawled back to the bedroom and was placed in bed with assistance. I also e | N | 01/25/2021 | 01/26/2021 | 1 | None | WRK | None | None | None | 2 | 01/26/2021 | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0977288 | 01/27/2021 | MD | 49.0 | 49 | F | Patient c/o palpitations after receiving 2nd COVID vaccine. Her HR was 140-160. No CP, no SOB or dizziness. Went down to 86 and she felt better and left the clinic. she returned to the clinic 20 minutes later c/o palpitations again. Her HR was then 112. | Y | 01/25/2021 | 01/25/2021 | 0 | WRK | anxiety | 2 | 01/27/2021 | Y | Erythromycin, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0979240 | 01/27/2021 | MD | 49.0 | 49 | F | 3 1/2 hours after receiving 2nd dose. Extreme abdominal pain that lasted 1 1/2 hours. I had the same pain after the 1st dose-but it happened 6 days after receiving the dose. Exactly the same pain and lasting 45 minutes. | Y | 01/27/2021 | 01/27/2021 | 0 | n/a | PVT | Cymbalta 30mg OD | n/a | n/a | abdominal pain-lasting 45 minutes | 2 | 01/27/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0983884 | 01/28/2021 | MD | 49.0 | 49 | F | Fever; body aches; joint aches | Y | 01/27/2021 | 01/28/2021 | 1 | PVT | Progesterone birth control | Covid early December 2020 | None | 2 | 01/28/2021 | Pcn | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0984041 | 01/28/2021 | MD | 49.0 | 49 | F | Injection received in left arm. 1-2 hours later I experienced swelling of throat on the left side, swollen tongue, difficulty swallowing, headache, extreme fatigue | Y | 01/27/2021 | 01/27/2021 | 0 | N/a | WRK | HCTZ Losartan Celebrex Multi-vitamin Vitamin D3 B12 injection | None | Sleep apnea/reduced oxygen levels High blood pressure | 2 | 01/28/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0988699 | 01/30/2021 | MD | 49.0 | 49 | F | On 1/29/2021 at around 9 PM I noticed my arm was itching and I noticed a fairly large red spot on the arm I had been vaccinated. It also seems slightly warm to the touch. | N | 01/21/2021 | 01/29/2021 | 8 | none | PVT | Iron, Vitamin D3, Folic Acid, Vitamin C | Anemia | None | 2 | 01/30/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0995003 | 02/02/2021 | MD | 49.0 | 49 | F | After my first dose injection, I experienced a dental infection. I went to see Dr who performed dental work. I do not know if this is related to the Moderna vaccine. I also had my second dose injection on 01-23-2021 and have no adverse event symptoms to r | Y | 12/26/2020 | 01/14/2021 | 19 | Dental work | UNK | None reported | None reported | None reported | vsafe | 2 | 02/02/2021 | Y | None reported | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0998403 | 02/03/2021 | MD | 49.0 | 49 | F | Patient stated she had tingly of lips, bp was 170/92. Patient checked by medical officer, opted to stay and be observed another 30 minutes. B/p rechecked 163/85. Patient discharged to home at 13:05. Advised to call PCP with any further problems. | Y | 01/28/2021 | 01/28/2021 | 0 | PVT | 2 | 02/03/2021 | Y | Allergy to shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1004773 | 02/05/2021 | MD | 49.0 | 49 | F | A little over an hour after shot: Numbness on back of tongue, lasted about 1 hour after shot 3.5 hours after shot: Swelling and small lump formed on left wrist, last appx 16 hours 2 days after shot: Small lump and soreness along the left collar bone area, | N | 02/02/2021 | 02/02/2021 | 0 | none | WRK | none | none | none | Vaccination 1st dose 1/12/21, Pfizer numbness back of tongue/Report submitted as well | 2 | 02/05/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1004848 | 02/05/2021 | MD | 49.0 | 49 | F | about an hour after shot: Numbness on back of tongue, extreme tiredness. Took about an hour nap. Woke up feeling better. Appx 3 days later ( 1/15/2021) from shot, soreness in both breasts. This symptom lasted for about a total of 1 week from date of notic | Y | 01/12/2021 | 01/12/2021 | 0 | none | WRK | None | None | None | 2 | 02/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1004928 | 02/05/2021 | MD | 49.0 | 49 | F | Bad headache, Fatigue, with muscle aches. Sore Throat, coughing with shortness of breath (seems to get better with movement, slight temperature 99.8 but using old ear thermometer, nausea, some trouble with eating but can taste foods fine. I had a hystere | N | 01/29/2021 | 02/04/2021 | 6 | Only to test for pre-menopause. | PUB | Fish Oil, B Vitamin, D3, Lamotrigine, Bupropion, Clonazepam, Topamate | NO | No | 2 | 02/05/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1005350 | 02/05/2021 | MD | 49 | F | Passed out, loss of unconsciousness; Aching; Felt unwell, very sick; Shaky; Feverish; Fatigue; Nauseated; A spontaneous report was received from a 49-year-old, female consumer who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced loss of cons | N | 12/28/2020 | 01/25/2021 | 28 | UNK | CLARITINE | Medical History/Concurrent Conditions: No adverse event (No reported medical history) | USMODERNATX, INC.MOD20210 | 2 | 02/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1009302 | 02/07/2021 | MD | 49.0 | 49 | F | Within 48 hours had 4 red cyst type spots that grew in size. One on right side front, two on back ride side. Irregular shape. Itch, very sore and painful. | N | 02/03/2021 | 02/05/2021 | 2 | MIL | Allegra, Vitamin D, C, B complex, Zinc | none | none | 2 | 02/07/2021 | Seasonal allergies. Highly allergic to animals | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1009478 | 02/07/2021 | MD | 49.0 | 49 | F | bad rash all over body almost 48 hours after vaccine | N | 02/05/2021 | 02/07/2021 | 2 | nothing yet | OTH | Lexapro, Synthroid, Viviscal hair growth supplement, Areds 2 eye vitamin, Calcium/Magnesium/Zinc supplement, Vitamin D | none | Hashimoto's thyroiditis depression | 2 | 02/07/2021 | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1011157 | 02/08/2021 | MD | 49.0 | 49 | F | Chills and fever up to 102 at 9:00am on 02/06/2021. Low grade fever of 99 -100 for most of the day. Took ibuprofen x2 that date. Temperature was. 97.8 at 10:00am on 02/07/2021. | Y | 02/05/2021 | 02/05/2021 | 0 | WRK | women's multivitamin; vitamin C | None | None | 2 | 02/08/2021 | Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1015819 | 02/09/2021 | MD | 49.0 | 49 | M | 12 hours: mild muscle pain, soreness at injection site, mild HA. 20 hours: increased fatigue, increased muscle pain, body aches, fever (100.0), swelling at injection site. 48 hours: increased fatigue, moderate-severe HA, brain fog, swelling at injection si | Y | 01/15/2021 | 01/16/2021 | 1 | OTH | Omeprozole | GERD | GERD | 2 | 02/09/2021 | Bee Stings/Bug Bites | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1016689 | 02/09/2021 | MD | 49.0 | 49 | F | Patient was walking to car after her 15 minutes of observation. Patient felt heart racing, shaky and "strange" feeling in throat. Patient came back in. Patient given bottle of water. Vitals checked. Patient rested until she stated she felt "better". | Y | 02/09/2021 | 02/09/2021 | 0 | 125/87,84-90 HR, 24, 98% | PUB | Steroid Pack | Lupus | 2 | 02/09/2021 | PCN, Amoxicillin, Erythromycin, Cefdinir, Sulfa, Wheat | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1017936 | 02/09/2021 | MD | 49.0 | 49 | M | High fevers, rigors, severe headache, body aches, not able to go to work severe | N | 02/08/2021 | 02/08/2021 | 0 | OTH | None | None | None | 2 | 02/09/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1019561 | 02/10/2021 | MD | 49.0 | 49 | F | Itching and redness from scratching injection site | 01/01/2021 | 02/09/2021 | 39 | PVT | Ozempic Multi-vitamins Vitamin D | Insulin resistant | Insulin resistant | 2 | 02/10/2021 | Iodine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1022311 | 02/11/2021 | MD | 49.0 | 49 | M | Shingles Numbness started on right side upper quadrant day afdter shot Rash started 5 days after shot Still treating one week out rash, burning, itch, severe pain | N | 02/01/2021 | 02/02/2021 | 1 | none diagnosed by my Doctor | PHM | none | none | none | 2 | 02/11/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1024741 | 02/11/2021 | MD | 49.0 | 49 | F | Injection site became very hot, itchy, red, hard, and inflamed. Large red circle about 1.5 inches in diameter. Lasted 2 days, until poultice of warm turmeric and then ice pack was applied. Took 500 mg tylenol. Went to sleep. Much better next day. | Y | 01/29/2021 | 02/09/2021 | 11 | none | PUB | vitamin D, vitamin C | none | none | 2 | 02/11/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1026526 | 02/12/2021 | MD | 49.0 | 49 | F | Complained of tingling of tongue and lower lip about 10 minutes after getting the vaccine. Then complained of left thumb tingling. After about 1hr,the tingling had gone. She did receive a Benadryl 25mg at 12:35pm. She was discharged with her son and advise | Y | 01/15/2021 | 01/15/2021 | 0 | none | PUB | none | none | CVA at 47 yrs old and 48 yrs old. | 2 | 02/12/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033651 | 02/16/2021 | MD | 49.0 | 49 | F | Fever started 2 hrs after administration. Overall malaise, fatigue, body aches, headache, chills. | Y | 01/27/2021 | 01/27/2021 | 0 | none | SEN | vit c and vit d | occular migraine | none | 2 | 02/16/2021 | Y | pineapple, seasonal allergies, tegretol, dilantin, phenobarbital, xanax, all sulfamides | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033694 | 02/16/2021 | MD | 49.0 | 49 | F | Body aches, entire head ache, congested, sore eyes that lasted 36 hours | Y | 02/12/2021 | 02/12/2021 | 0 | n/a | PUB | Vit C, Calcium, Vit D, B12 | n/a | n/a | 2 | 02/16/2021 | Amoxycillian | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1035655 | 02/17/2021 | MD | 49.0 | 49 | M | Pt reports within 1 hr of receiving vaccine, he started with L sided lip/tongue swelling, L neck and "side swelling", chills, HA, body aches. Denies SOB, respiratory distress, difficulty swallowing, chest pain, confusion, changes in speech, numbness/tingli | Y | 02/12/2021 | 02/12/2021 | 0 | PVT | Routine Medication List: Atenolol, Lipitor, Vit D3, Vit D2, hydrochlorothiazide, Mobic, Nitroglycerin PRN No OTC medications taken prior to or after vaccination | None | HTN, Obesity, Pre-diabetic | 2 | 02/17/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1036462 | 02/17/2021 | MD | 49.0 | 49 | F | 2/5/21 - arm hurt 2/6/21 - threw up almost every hour on the hour 2/7/21 - body aches all day 2/8/21 - exhaustion 2/9/21 - exhaustion ever since 2/9 exhaustion and as of 2/16/21 feeling dizzy | N | 02/05/2021 | 02/05/2021 | 0 | none | PUB | Dexilant 60 MG CPDR | Sinus Infection | none | 2 | 02/17/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039123 | 02/18/2021 | MD | 49.0 | 49 | M | Fatigue then sudden onset dyspnea with exercise in previously well and athletic physician/ health care worker | Y | N | 01/12/2021 | 02/05/2021 | 24 | Transthoracic echocardiogram revealed pulmonary hypertension 43mmHg systolic estimated by TR jet velocity. Chest CT angiogram normal without evidence of pulmonary emboli. CBC/ metabolic panel / TSH normal | PVT | 2 | 02/18/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1047089 | 02/22/2021 | MD | 49.0 | 49 | F | crushing headache, extreme joint pain, extreme fatigue, Fever starting evening of shot (2/8) lasting until evening of 2/11. TMAX 102.4 F chills loss of appetite | Y | 02/01/2021 | 02/08/2021 | 7 | none | PVT | none | none | none | Covid vaccine shot 1 | 2 | 02/22/2021 | minocycline allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1047121 | 02/22/2021 | MD | 49.0 | 49 | F | fatigue, nausea, loss of appetite, on side of shot pain on right side of neck all the way down to elbow. Lasted for 3 days. arm pain went away and returned 7 days later at the injection site and lasted for 3 days. arm pain started same evening as shot. | Y | 01/01/2021 | 01/11/2021 | 10 | none | PVT | none | none | none | 2 | 02/22/2021 | minocycline allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1054683 | 02/25/2021 | MD | 49.0 | 49 | F | Patient reports globus sensation ("golf ball in throat") and hoarseness starting about 5 minutes after injection. She was observed for 30 minutes and was leaving the vaccination site but was noted to have vocal change. She was given a dose of diphenhydra | Y | 02/23/2021 | 02/23/2021 | 0 | PUB | Aspirin, atenolol, HCTZ, atorvastatin, Xyzal, albuterol, Vitamin D | none | CVA, HTN, asthma | 2 | 02/25/2021 | Y | Shellfish- anaphylaxis gadolinium | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1055324 | 02/25/2021 | MD | 49.0 | 49 | F | large, red, swollen, raised and itchy area at the site of the injection | N | 02/16/2021 | 02/24/2021 | 8 | PUB | sertraline, wellbutrin | no | pre-high blood pressure overweight | 2 | 02/25/2021 | bees | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1057343 | 02/26/2021 | MD | 49.0 | 49 | F | Migraine headache | N | 02/14/2021 | 02/26/2021 | 12 | None | PHM | Thyroid, vit D, multi vit | Hypertension, obesity | Hypothyroidism | 2 | 02/26/2021 | Cats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1060757 | 02/28/2021 | MD | 49.0 | 49 | F | Fever- 102.5, severe headache, severe arm pain(right arm), nausea, diarrhea, severe fatigue, chills, body aches- all symptoms lasted at least 36 hours. Nausea for 3-4 days | Y | 02/22/2021 | 02/22/2021 | 0 | PVT | Vitamin D, Advil the day before | Frozen shoulder | Frozen shoulder | 2 | 02/28/2021 | Avelox | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1066091 | 03/02/2021 | MD | 49.0 | 49 | M | Slight swelling in the left arm. Migraine headache in the AM post shot. | N | 03/01/2021 | 03/02/2021 | 1 | MIL | None | None | Migraine headaches | 2 | 03/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1066252 | 03/02/2021 | MD | 49.0 | 49 | F | Later that day after the vaccination I developed a severe migrane headache that lasted 2 weeks. After a few days I went to see my PCP who prescribed a Medrol dose pack and muscle relaxer to help with the pain but the headache still remained the 2 weeks be | Y | 01/06/2021 | 01/06/2021 | 0 | no | PUB | Zoloft | no | no | vsafe | 2 | 03/02/2021 | Y | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1075273 | 03/05/2021 | MD | 49.0 | 49 | F | Moderna COVID-19 Vaccine EUA Pain in arm 12 hours after injection. Light headedness, headache, tiredness 19 hours after injection Mild fever (99.7) 20 hours after injection | N | 03/04/2021 | 03/05/2021 | 1 | None | PHM | Multivitamin Turmeric | None | None | 2 | 03/05/2021 | Thimerosal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1076109 | 03/05/2021 | MD | 49.0 | 49 | F | Fever, chills, thunder clap headaches, dizziness, severe fatigue, muscle aches, body aches, severe bone pain, numbness and tingling to both hands, tinnitus in left ear, back pain. Severe injection pain and unable to raise arm that received the vaccine abo | Y | 02/05/2021 | 02/05/2021 | 0 | PVT | Vitamin D, Zinc, Tylenol, Zyrtec | Anemia | 2 | 03/05/2021 | Dairy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1076271 | 03/05/2021 | MD | 49.0 | 49 | F | After receiving the medication, the patient stated that she felt tingling in right arm. She states that she had a headache. It subsided in 20 minutes. Blood Pressure was very high 5:13PM 175/102 P94 O2 100: 5:19 PM 183/109 P96 O2 100 5:23PM 1 | U | 03/05/2021 | 03/05/2021 | 0 | None | OTH | Singular 20 mg Once a day Spiraton 20 mg Once a day Nifone? 20 mg Once a day for BP Pantatone 20 mg Twice a day | Asthma Hypertension Acid REfelex | Same as above | 2 | 03/05/2021 | Bacitracin Silver Lopressor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1077591 | 03/06/2021 | MD | 49.0 | 49 | F | Pain at injection site, soreness in right arm, Abdominal cramps and diarrhea lasting throughout the night | U | 03/05/2021 | 03/05/2021 | 0 | Followed up with a telehealth doctor's visit the next day since diarrhea was severe and not listed as a reported side effect on Pfizer fact sheet distributed at the clinic. | WRK | One A Day for Women multivitamin, Zinc | None | Asthma | 2 | 03/06/2021 | Y | Previous allergic reaction (hives) to sulfa and codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079345 | 03/07/2021 | MD | 49.0 | 49 | F | within 10hrs felt cold for an hour, then hot for an hour then dizzy and nauseated. ~18hrs after shot, woke with frontal headache and nausea, both of which continue now ~54hrs after shot. ~36hrs after shot, red itchy bumpy rash on both legs and tricep area | N | 03/05/2021 | 03/05/2021 | 0 | none | MIL | bupropion 200mg PO BID | none | major depressive disorder, generalized anxiety disorder | 2 | 03/07/2021 | medication - year had reaction piroxicam 2004 swollen lips, body rash clindamycin 2007 full body rash wheat starch sensitivity 2012 lab test result Septra/Bactrim 2013 swollen lips, body rash latex sensitive 2013 local rash after painting with latex ba | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1082330 | 03/08/2021 | MD | 49.0 | 49 | M | Central Retinal Vein occlusion, right eye | U | 02/03/2021 | 02/13/2021 | 10 | work up in progress | OTH | Atenolol, Axiron | none | Hypertension, Testicular Hypofunction | 2 | 03/08/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1085460 | 03/09/2021 | MD | 49.0 | 49 | F | dizzy, faint, blood pressure 90s/60s. Currently on OCPs, denies chest pain or SOB | Y | 03/09/2021 | 03/09/2021 | 0 | n/a | PUB | n/a | n/a | n/a | 2 | 03/09/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1088624 | 03/10/2021 | MD | 49.0 | 49 | M | Fully immunized person developed symptoms of COVID-19 on 3/8 and tested positive by antigen test on 3/9. He had been exposed to his son, who was also ill. Both appear to be recovering. | Y | 02/08/2021 | 03/08/2021 | 28 | Quidel Sophia 3/9/2021 | PUB | Multivitamin | none | none | 2 | 03/10/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1090810 | 03/11/2021 | MD | 49.0 | 49 | M | Brief episode of lightheaded dizziness and nausea, drank some juice, and wife drove patient home | Y | 03/11/2021 | 03/11/2021 | 0 | OTH | none | none | IBS | 2 | 03/11/2021 | Shellfish (anaphylaxis), Pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091596 | 03/11/2021 | MD | 49.0 | 49 | M | Low Grade Fever (100-101 degrees) for 24 hours. Fatigue for 24 Hours. | Y | 03/05/2021 | 03/05/2021 | 0 | OTH | Lexapro 20 mg | None | None | 2 | 03/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091719 | 03/11/2021 | MD | 49.0 | 49 | F | I experienced an inability to get warm in the afternoon and extreme fatigue, then after going to bed, I woke up with my heart racing, intense headache, head spinning, weakness, and sweating. | Y | 02/28/2021 | 03/06/2021 | 6 | UNK | None | None | None | 2 | 03/11/2021 | Sulfur drugs, bee stings, shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1093394 | 03/12/2021 | MD | 49.0 | 49 | M | First fatigue, starting five hours post-shot. Then 11 hours post-shot, incredible chills lasting until around hour 23. Achey joints until hour 23-24. Malaise. Mild nausea lasting through hour 32. Sore arm. | Y | 03/05/2021 | 03/05/2021 | 0 | PUB | N/A | N/A | N/A | Similar reaction to first dose of Moderna COVID 19 vaccine (chills, fever, malaise, achey joints, etc.) | 2 | 03/12/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1094204 | 03/12/2021 | MD | 49.0 | 49 | M | I don?t if this is related to receiving the Covid vaccine or not but I thought I would report this just in case. About one month after receiving the second Covid vaccine as listed above, I developed shingles on the left side of my neck and face. Aching de | U | 02/03/2021 | 03/03/2021 | 28 | Urgent care medical exam on 3/7/21 confirmed diagnosis. | PUB | Esomeprazole 40mg qday Creator 10mg qday Trintellix 10mg qday Vit D 5000IU qday | None | Gerd Depression/anxiety | 2 | 03/12/2021 | Y | Latex Cats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096094 | 03/12/2021 | MD | 49.0 | 49 | F | Delayed red warm rash on left arm around vaccination site with some mild pain that lasted around 4 days. It has since resolved. | Y | 02/23/2021 | 03/05/2021 | 10 | UNK | 2 | 03/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1102775 | 03/15/2021 | MD | 49.0 | 49 | M | chills, body aches, headache, fever, fatigue. Began approximately 10 hours after vaccination. Progressed and became worse 10 to 12 hours after initial signs. After about 8 hours of sleep side effects went away, except for headache which lasted approxima | Y | 03/10/2021 | 03/11/2021 | 1 | none | OTH | Atorovostatin | none | none | 2 | 03/15/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1121282 | 03/21/2021 | MD | 49.0 | 49 | F | The vaccinated arm was sore for about 24 hours. Dose 1. | Y | 03/16/2021 | 03/16/2021 | 0 | PHM | none | none | none | 2 | 03/21/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1127016 | 03/23/2021 | MD | 49.0 | 49 | F | Had sore arm to touch for about 7 days. The day after the vaccination about 8:30 am started to get chills, body aches, went to bed. Took my temperature a while later it got to 100.0 F. I basically stayed in bed. When I woke up Monday morning fever was | Y | 03/13/2021 | 03/14/2021 | 1 | None. Was told when receiving vaccine that could end up with these symptoms. Just rested for a day then felt better. | PHM | Had been taking vitamin D, zinc and vitamin c prior to vaccine but not on day of vaccine. | None | None | 2 | 03/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1129015 | 03/24/2021 | MD | 49.0 | 49 | M | right sided bell's palsy | N | 03/17/2021 | 03/19/2021 | 2 | n/a | MIL | Viagra | denies | denies | 2 | 03/24/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130616 | 03/24/2021 | MD | 49.0 | 49 | F | Community partner reported that they found her unresponsive on the 17th (so she may have died on the 16th) from what they believe was a heart attack. The family has requested an autopsy. | Y | 03/17/2021 | N | 03/16/2021 | 03/17/2021 | 1 | Unknown | OTH | Unknown | Unknown | Unknown | 2 | 03/24/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1132851 | 03/25/2021 | MD | 49.0 | 49 | M | erection lasting more than 3 hours ( it's ok now but just thought i should report it ). | Y | 03/12/2021 | 03/25/2021 | 13 | PVT | buspar , welbutrin | 2 | 03/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1136437 | 03/26/2021 | MD | 49.0 | 49 | M | I received the shot at 1:11 pm. I felt sorta drunk and not safe to drive by 3 pm. Sorta woozy. By 7 I was home and fell asleep and did not wake up until 4 pm the next day. I was sleepy and felt terrible nausea and was sweaty three nights in a row. By t | Y | 03/04/2021 | 03/04/2021 | 0 | PUB | None | None | None | 2 | 03/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139997 | 03/27/2021 | MD | 49.0 | 49 | M | Fever, body aches, joint pain, sore throat, migraine and fatigue more than 3 days | N | 03/24/2021 | 03/24/2021 | 0 | none | OTH | NONE | NONE | NONE | 2 | 03/27/2021 | AMOXACILLION , PCN, PEANUTS, DAIRY | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1146686 | 03/30/2021 | MD | 49.0 | 49 | F | Guillain-barre syndrome; Inflammation at the injection site; Tingling and numbness now spread to her finger tips; Tingling and numbness now spread to her finger tips; This spontaneous report was reported by a physician concerning a 49-years-old female pat | U | 03/18/2021 | 03/18/2021 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event (No medical history reported) | USMODERNATX, INC.MOD20210 | 2 | 03/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1154920 | 04/01/2021 | MD | 49.0 | 49 | M | Mild fever (peaked at 101f), mild nausea, severe fatigue. Started about 24 hours after the shot, lasted about 20 hours after that. | Y | 03/29/2021 | 03/30/2021 | 1 | OTH | Escitalopram (lexapro); Alprazolam (xanax) | No Spleen | 2 | 04/01/2021 | Tree Pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155314 | 04/01/2021 | MD | 49.0 | 49 | F | While sitting in a chair after vaccination, client reported feeling chest tightening, lightheadedness, and feeling like suffocated:05. Nurse guided her to a private area and advised her to take off her double masks. After taking off her masks, client said | Y | 03/30/2021 | 03/30/2021 | 0 | none | PUB | vitamins and minerals (specifics not known), probiotics | none | none | Client said she experienced similar event after the first Moderna shot, but chest tightening lasted shorter. | 2 | 04/01/2021 | anaphylaxis to peanuts and tree nuts | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1156886 | 04/01/2021 | MD | 49.0 | 49 | M | Numbness on left side of face similar to receiving Novacaine...continuing eye issues | N | 03/09/2021 | 03/29/2021 | 20 | CT | MIL | Crestor, multivitamin, tumeric, fish oil | None | None | 2 | 04/01/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1158854 | 04/02/2021 | MD | 49.0 | 49 | F | At shot+2.5 hours = sore arm, slight headache Shot+6 hours = ache of hip joint and muscles, headache, sore arm, chills Shot+9 hours = ALL muscles and joints ached, MASSIVE headache, sore arm, teeth-chattering chills Shot+24 hours = all muscles and joints | Y | 03/23/2021 | 03/23/2021 | 0 | None | PHM | Singular, Flonase, Vit D, B-12 | None | None | 2 | 04/02/2021 | Lactose intolerant, latex, previous allergic reaction to Taxotere | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163394 | 04/03/2021 | MD | 49.0 | 49 | F | 8:06 am Patient having feeling of swollen tongue and face puffing | Y | 04/03/2021 | 04/03/2021 | 0 | epi x1 dose IM Benadryl 25mg x1 dose 911 called patient declined transfer to ER Patient declined transfer to the tent for OBS EMS came patient declined to go with them Patient felt better and requesting discharge and was discharged home | OTH | Lisinopril, amlodipine | Hypertension | 2 | 04/03/2021 | Compazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1164635 | 04/03/2021 | MD | 49.0 | 49 | F | Shortness of breath , itchy throat dizziness | Y | 04/03/2021 | 04/03/2021 | 0 | IM Benadryl 25 mg Benadryl 25mg by po | OTH | NONE | NONE | NONE | 2 | 04/03/2021 | BEE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1166779 | 04/04/2021 | MD | 49.0 | 49 | F | I am having extremely watery and itchy eyes. Watery eyes is so that water is coming down my face and interfering with my vison a little. I am trying not to scratch my eves so much. I am using my Olopatadine HCI solution 0.2% and Visine Red Eye Total Co | N | 03/30/2021 | 04/03/2021 | 4 | PVT | Advir HFA 230/21 Albuterol Sulfate Inhalation Solution 0.083% 2.5mg/3 mL Allegra 180mg 1x daily Asprin 81 mg once daily Baqaimi 3mg as need for Hypoglycemia Benicar 40mg once daily Budesonide 0.5mh/2 mL twice a day Bupropion XL 300mg once | Diabetic High blood pressure Asthma Hypothyroidism High cholesterol | Diabetic High blood pressure Asthma Hypothyroidism High cholesterol | 2 | 04/04/2021 | Hydrochlorothiazide (HTCZ) -Metronidazole (Flagyl) -Cannot tolerate milk anything that is in milk form only. I can eat greek yogurt only. I can eat cheese -Norco -Penicillin -Sulfa Victoza -Iron | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1166899 | 04/04/2021 | MD | 49.0 | 49 | F | On April 3, 2021 around 5 PM stated having tingling, numbness and slight swelling in right hand. as of 5:47 PM on 4 April the same symptoms remain unchanged. I had the headache from mild on April 1, 2021 to severe on April 3 to where I took a Tylenol t | N | 04/01/2021 | 04/03/2021 | 2 | PHM | Synthroid 188 mg, hydrochlorothiazide 25 mg, lisinopril 20 mg, calcium carbonate 500 mg x2, Synjardy 5/1000 x 2 | None | Hypertension, diabetes, hyperthyroidism | 2 | 04/04/2021 | Erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1168588 | 04/05/2021 | MD | 49.0 | 49 | F | Immediately after receiving the IM vaccine patient states she experienced shortness of breath but felt very warm all throughout her body. The symptoms lasted for a couple minutes and quickly resolved. | Y | 04/05/2021 | 04/05/2021 | 0 | Vitals were taken, Patients Os sat 98, HR 105 | OTH | Patient takes no medications | None | History of breast cancer | 2 | 04/05/2021 | pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1170441 | 04/05/2021 | MD | 49.0 | 49 | F | 11 days later without warning the non existent injection site suddenly turned red, hot and hard - about a 2 inch diameter circle. The injection site was not properly placed and is on the front side (anterior Biceps) of my upper arm and not on the side (D | N | 03/26/2021 | 04/05/2021 | 10 | PHM | Xyzal, Singulair, Ozempic | Fibromyalgia Hyper IGE Syndrome Allergies Asthma Diabetes Type II | DTP - 2 months Hospitalized - encapsulated vaccine nodule still in leg Flu Vaccine 2010 - Lymphadenopathy severe left axilla MM | 2 | 04/05/2021 | Tetanus, Penicillin, Formaldehyde, Dill, Melons, Squash, Pollen, Dust, Animals, Papaya | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1170596 | 04/06/2021 | MD | 49.0 | 49 | M | After one day of vaccination, got fever around 99.7, same temperature continued for two days. Third day started getting chills with fever. Fourth day chills stayed for more than 5hrs with fever. 6th day, temperature raised to 100.4 with severe headaches, | N | 03/30/2021 | 03/31/2021 | 1 | None yet, waiting for my doctor permission | PUB | Crestor | No | No | 2 | 04/06/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1170813 | 04/06/2021 | MD | 49.0 | 49 | F | Fever Chills Muscle aches Headache | Y | 04/04/2021 | 04/05/2021 | 1 | PHM | None | None | None | 2 | 04/06/2021 | Bacitracin Gold | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1170949 | 04/06/2021 | MD | 49.0 | 49 | F | A couple minutes after the vaccine I developed a feeling of warmth over my body and had a weird taste in my mouth. Felt as if my HR elevated and was checked and was 167. My BP was elevated also but I still felt ok. I was transported to the ER for about 5 | Y | 01/25/2021 | 01/25/2021 | 0 | EKG-normal CBC-normal | PVT | Colace, Vit D3 | no | no | vsafe | 2 | 04/06/2021 | Y | Erythromycin, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1170992 | 04/06/2021 | MD | 49.0 | 49 | M | Mild Headache lasting 4 days. Increase in perceived volume of previously existing tinnitus (doubling of volume, has not changed since shortly after the 2nd shot) | N | 03/29/2021 | 03/30/2021 | 1 | None | OTH | Allegra | None | None | 2 | 04/06/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1172733 | 04/06/2021 | MD | 49.0 | 49 | F | By March 9, I began experiencing loss of appetite, tiredness, jaundice and nausea. | Y | 12 | N | 03/06/2021 | 03/09/2021 | 3 | 3/14/21 Bilirubin Total/Direct T3 T4 Free TSH PT and PTT CBC W/ AUTO DIFF PREGNANCY SRUM COMPREHENSIVE METABOLIC PANEL MAGNESIUM ACETAMINOPHEN LEVEL US ABDOMEN COMPLETE URINALYSIS AUTO ONLY ALCOHOL-ETHYL 3/15/21 CBC FERRITIN IRON + TIBC COMPREHENSIVE MET | OTH | Flonase nasal spray Vitamin D3 Multivitamin | N/A | N/A | 2 | 04/06/2021 | Y | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1176184 | 04/07/2021 | MD | 49.0 | 49 | M | Tightening of chest/difficulty breathing . Broke out in hives on upper arms and arm pits. | N | 04/06/2021 | 04/06/2021 | 0 | PUB | Iosartan 25mg 1x/day | None | Asthma | 2 | 04/07/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1181321 | 04/08/2021 | MD | 49.0 | 49 | F | Teammate complained of numbing of her face, Left Upper Quad. TM was given 50 mg of Benadryl. Her husband drove her home. She was symptom free @04:00 Thursday April 8th. | Y | 04/07/2021 | 04/07/2021 | 0 | OTH | None | 2 | 04/08/2021 | ACE inhibitors, HCTZ, Multiple fruit allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1186073 | 04/09/2021 | MD | 49.0 | 49 | F | 12:30 - Received J&J vaccine 13:00 - Started to experience lip/gum tingling and chest tightness. Given Benadryl 50 mg PO x 1 in vaccine clinic. Symptoms progressed to throat tingling, coughing, difficulty swallowing, lightheadedness, some SOB. 13:15 - Tra | Y | 04/08/2021 | 04/08/2021 | 0 | 4/8 - chest x-ray, 12 lead ECG | PVT | Bioactive woman's one daily multivitamin high potency (once a day) | Ear infection (was on Bactrim x 10 days, finished 3/26) | TIA x 2 (last one 2012), obesity, OSA, endometriosis, chronic interstitial cystitis, SLE, fibromyalgia | 2 | 04/09/2021 | Y | Ibuprofen, aspirin, Alka-Seltzer, butorphanol, latex, meperidine, oxycodone-acetaminophen - causes anaphylaxis (sometimes face swelling, itching) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1190046 | 04/10/2021 | MD | 49.0 | 49 | F | Swelling, pain, redness & heat at injection site 5 inches in diameter. Started 7 days after receiving the vaccine. | N | 04/01/2021 | 04/10/2021 | 9 | PHM | Birth control, phentermine | None | No | 2 | 04/10/2021 | Avalox, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1190668 | 04/10/2021 | MD | 49.0 | 49 | F | Left-sided facial numbness beginning with nose and progressing to cheek, lips and jaw. Symptoms began 30 min after vaccine administration and Benadryl 50 mg was taken at that time. Symptoms continued for four hours and improved within 12 hours of administ | Y | 04/07/2021 | 04/07/2021 | 0 | WRK | nifedipine | none | 2 | 04/10/2021 | ACE inhibitors, fresh fruits (peaches, plums, cherries) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1192881 | 04/11/2021 | MD | 49.0 | 49 | F | Dizziness, nausea, tingling in arm, shortness. | 04/10/2021 | 04/11/2021 | 1 | UNK | 2 | 04/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1194338 | 04/11/2021 | MD | 49.0 | 49 | F | Migraine headache and nausea the first night and next day and again 6 days later. Dizziness and nauseas for 8 days. Hot flashes intermittently continually and at present. | N | 03/27/2021 | 03/28/2021 | 1 | OTH | Levothyroxin | 2 | 04/11/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1195565 | 04/12/2021 | MD | 49.0 | 49 | F | Painful rash 5" long by 2" wide. Took ibuprofen and benedryl as soon as discovered. Applied ice pack also. | N | 04/01/2021 | 04/12/2021 | 11 | PUB | Wellbutrin, trintellix, zolpedim | High blood pressure | 2 | 04/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196028 | 04/12/2021 | MD | 49.0 | 49 | F | Abnormal uterine bleeding. Started morning after an evening 2nd dose. Normally 28 day cycle very routine. Started a week early and has not stopped since, 8 and a half weeks so far. Large clots at times. Is a change from baseline, not blamed on stress ple | N | 02/10/2021 | 02/11/2021 | 1 | CBC and CMP, PT and PTT pending | PUB | Vit D3 5000IU, turmeric, iron, valacyclovir 500mg/d, Humira injection weekly | Rheumatoid Arthritis with bursitis flare, autoimmune hepatitis, psoriasis, uterine fibroids | Flu vaccine out of multidose vial at Hospital. Rash on entire half of body where vaccine administered lasting a week. Happened 2 | 2 | 04/12/2021 | Y | Cymzia, Enbrel, flu shot from multidose vial, penicillin, erythromycin, botswelia | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196121 | 04/12/2021 | MD | 49.0 | 49 | F | Muscles aches, tireness, body pains, chills, hot flashes, pounding headache, difficulty moving, thrist, lose of appetite. | Y | 03/13/2021 | 03/13/2021 | 0 | WRK | Fibromyalgia | Flu vaccine | 2 | 04/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1197351 | 04/12/2021 | MD | 49.0 | 49 | M | 42 hours after started notice noise is heard in the left ear. Not sure about right ear. Still the ringing noise on the left ear after 23 days. Checked with in ENT specialist and reported hear loss in the high frequency sound. It is TENNITUS. 22nd day | N | 03/20/2021 | 03/22/2021 | 2 | I have hearing test and reported as hearing lost on the left eye on higher frequency . | PHM | Nothing | Nothing | Nothing | 2 | 04/12/2021 | Y | Nothing | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1201427 | 04/13/2021 | MD | 49.0 | 49 | F | During my 15min wait (about 5 minutes after the injection) I started to become very hot and sweating profusely. My ears started ringing and the noise in the room sounded like it was in slow motion. I started to feel dizzy and clammy like I was going to p | Y | 04/08/2021 | 04/08/2021 | 0 | Vitals taken by paramedic on 04/08/2021 day of vaccine. All vitals were within normal range. | OTH | Nexium - one pill taken daily | none | none | 2 | 04/13/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1205659 | 04/13/2021 | MD | 49.0 | 49 | F | Having Headache everyday ever since jnj vaccine shot. Getting MRI test on Thursday 15, 2021. | N | 03/15/2021 | 03/17/2021 | 2 | PVT | None | None | Blood pressure. | 2 | 04/13/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1205702 | 04/13/2021 | MD | 49.0 | 49 | F | 3/29: fatigue and strong leg pain; 3/30 - fatigue gone, some leg pain lingered; 3/31 - normal. | Y | 03/28/2021 | 03/29/2021 | 1 | None | OTH | None | None | None | 2 | 04/13/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1208021 | 04/14/2021 | MD | 49.0 | 49 | F | left arm pain starting a few hours after administration, continuing now for 3 months. No improvement, gradual worsening. | N | 01/05/2021 | 01/05/2021 | 0 | n/a | PVT | none | none | obesity, mild anemia | 2 | 04/14/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209192 | 04/14/2021 | MD | 49.0 | 49 | F | Breath shortening, severe headaches, vomiting,chest pressure | U | 03/10/2021 | 03/22/2021 | 12 | Doctor told they are not instructed to provide tests and treatment related to vaccine complications yet. Today I got email that if my condition will not improve I should go to ER, especially if chest discomfort continues. | PVT | Verapamil 120mg, metformin 500 mg, torsemide 20mg,olanzapine, omeprazole 20 mg, | SVT, Stenosis,vein reflux, anemia | 2 | 04/14/2021 | Y | Penicillin, vancomycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1211150 | 04/14/2021 | MD | 49.0 | 49 | F | A cyst on my left ovary ruptured that evening and I went to the Emergency Room the next day due to the pain | Y | 03/24/2021 | 03/24/2021 | 0 | An internal ultrasound and a Cat Scan were performed | PUB | None | None | None | 2 | 04/14/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1211444 | 04/15/2021 | MD | 49.0 | 49 | F | From 4/7 Swollen gland near armpit, first right, then left a couple days later From 4/7 Rash under right breast, then left breast next day. Suspected to be fungal rash by doctor. From 4/6 Renewed moderate pain and warmth at injection site that had large | N | 03/27/2021 | 04/07/2021 | 11 | PUB | Benicar 20 mg | Hypertension | 2 | 04/15/2021 | Y | Ampicillin Lisinopril Turmeric | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1212916 | 04/15/2021 | MD | 49.0 | 49 | M | Tinnitus became very apparent about a week after my second dose. Had second dose on 02/19/21, that lot # is 004M20A. It is not affecting my ability to hear yet, but it is still extremely annoying. Previous to these vaccines, I did have very mild tinnitu | N | 01/15/2021 | 02/26/2021 | 42 | WRK | none | none | overweight every winter | 2 | 04/15/2021 | penicillin (maybe) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1214949 | 04/15/2021 | MD | 49.0 | 49 | F | The patient received the 1st dose of the Moderna covid vaccine. After receiving the vaccine Approximately 5 minutes after receiving the vaccine she felt like her left hand/arm was heavy. She began to feel lightheaded and weak. This caused her to eventually | N | 03/26/2021 | 03/26/2021 | 0 | See #18 | PVT | Clonazepam 0.5 mg, flovent HFA 44 mcg/actuation inhaler, | Unknown | Unknown | 2 | 04/15/2021 | Y | Y | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1215027 | 04/15/2021 | MD | 49.0 | 49 | F | tingling and burning of tongue started 2 hours after injection and subsiding without intervention 4 hours after injection | U | 04/15/2021 | 04/15/2021 | 0 | none | PVT | amlodipine 5mg qd, prednisone tapering dose, hydroxyurea 1000am 500pm, chlorthalidone 25mg qd, vit D 5000iu qd | n/a | HTN, obesity, autoimmune hepatitis with cirrhosis, fibromyalgia, thrombocytosis | 2 | 04/15/2021 | aspirin caused fixed drug eruption | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1219912 | 04/16/2021 | MD | 49.0 | 49 | F | Severe headache several hours after injection. Took tylenol at 3am and it went away. Headache returned later in the day and for the next 14 days after the vaccination. Had to take motrin or tylenol every day. | Y | 03/04/2021 | 03/04/2021 | 0 | none | OTH | linzess 290 mcg | none | none | 2 | 04/16/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222541 | 04/17/2021 | MD | 49.0 | 49 | M | Labored breathing, almost blacked out (I quite possibly did, for a minute or 2), very low BP. | Y | 04/08/2021 | 04/17/2021 | 9 | PUB | none | none | none | 2 | 04/17/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222684 | 04/17/2021 | MD | 49.0 | 49 | F | Swelling and rash at injection site, 14 days later | N | 04/02/2021 | 04/02/2021 | 0 | PHM | Claritin D, Zyrtec, montelukast, krill oil | 2 | 04/17/2021 | Cipro | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1223892 | 04/17/2021 | MD | 49.0 | 49 | F | 101.3 fever developed around 9 pm. Headache lasted about 24 with inset around 7 pm. Tylenol reduced fever, headache, vaccine paused next day caused anxiety. Anxiety is what caused me to call dr. Dr was more concerned about fever. He explained what to loo | Y | 04/12/2021 | 04/12/2021 | 0 | None | PVT | Vitamin D, Multi vitamin, Restasis | None | None | 2 | 04/17/2021 | Amoxcyllian, eurythromyacin, clarinex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1239107 | 04/21/2021 | MD | 49.0 | 49 | F | Loud tinnitus started day after shot and is still there at day 55 hours. Rest of the symptoms are mostly gone. | N | 04/20/2021 | 04/21/2021 | 1 | None | OTH | No | Mild Timnitus | Mild Tinnitus | 2 | 04/21/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1239273 | 04/21/2021 | MD | 49.0 | 49 | M | Starting night of 2nd vaccine, started having low grade fever, fatigue, arm pain. Continued for an additional day. Started experiencing lupus flare symptoms 3 weeks after 2nd vaccine - rash, hair loss (alopecia), joint pain/swelling, low grade fever, worse | Y | 02/05/2021 | 02/05/2021 | 0 | PVT | amlodipine, azathioprine, hydroxychloroquine, levothyroxine, losartan | Lupus with nephropathy, hypothyroidism, ITP, OSA, hypertension | 2 | 04/21/2021 | Y | ciprofloxacin, contrast, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1255829 | 04/25/2021 | MD | 49.0 | 49 | F | I am currently experiencing ?Moderna arm.? I have two blotchy red areas on my upper right arm, am experiencing non-injection site pain and soreness. This started on or about 4/24/2021, less than 72 hours after the second dose of my vaccine. | N | 04/21/2021 | 04/25/2021 | 4 | PHM | Atenolol, multi vitamin, vitamin C | High blood pressure, osteoarthritis | 2 | 04/25/2021 | Sulfa drugs, augmenten | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1256637 | 04/25/2021 | MD | 49.0 | 49 | F | Chills, numbness, tingling from shoulders to hands (tip of fingers), swelling of lymph nodes Symptoms are getting worse since Wednesday | N | 04/21/2021 | 04/21/2021 | 0 | PHM | Paroxetine Tylenol | no | no | 2 | 04/25/2021 | Y | nuts, garlic, onion, gluten, dairy, sugar | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1259198 | 04/26/2021 | MD | 49.0 | 49 | F | 15 mins post-vaccination: patient developed superficial numbness on skin R side of face, eyes, nose, mouth & chin. Sensation spread to R side forehead, mouth, tongue & back of throat. Stayed on R side. No dysphagia, no SOB, no HA or visual changes, no ches | Y | 04/22/2021 | 04/22/2021 | 0 | Labwork, EKG & MRI as described above | MIL | Trokendi 200mg daily (took dose night before) Venlafaxine 75mg qd? Pravastatin? 20mg qd? Trazodone 25-50mg hs ? Rizatriptan 5mg prn migraine? | Lupus (SLE) Migraines HLD Anxiety | 2 | 04/26/2021 | Y | Naprosyn- throat/face/tongue swelling & angioedema Versed- reaction unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262766 | 04/27/2021 | MD | 49.0 | 49 | F | patient continues to have severe left arm pain at the site of the injection, no redness, no swelling, reports a nerve like pain, hot compresses are improving, has full use of arm | 04/06/2021 | 04/06/2021 | 0 | UNK | 2 | 04/27/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262916 | 04/27/2021 | MD | 49.0 | 49 | M | moderate fatigue lasting 7 days, mild nauseous especially post eating lasting a few days, heavy chest pressure (still experiencing this after 30 days) with mild labored respiratory breathing and increased blood pressure to clinical high. Low grade headache | N | 03/26/2021 | 03/27/2021 | 1 | Comp metabolic panel-4/26/21 Appointment with cardiologist on 4/30/21 | OTH | Thyroid Armour 1.5 g/day | none | hashimoto's thyroiditis | 2 | 04/27/2021 | Y | KETEK (Telithromyacin) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1263724 | 04/27/2021 | MD | 49.0 | 49 | F | Feeling of that I couldn't swallow. Feelings of dizziness. | N | 04/01/2021 | 04/01/2021 | 0 | OTH | Levothyroxine 112 MCG | 2 | 04/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266486 | 04/28/2021 | MD | 49.0 | 49 | M | Developed ascending paralysis, currently hospitalized and being worked up, but felt to be inflammatory with extensive spinal lesions and brain lesion. | Y | N | 04/09/2021 | 04/22/2021 | 13 | MRI, lumbar puncture, extensive infectious/inflammatory/malignancy workup underway | UNK | None | None | None | 2 | 04/28/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266865 | 04/28/2021 | MD | 49.0 | 49 | F | Ringing in ears (left ear more pronounced than right). The left side is also where the shot was administered. Since the shot was administered I have experienced ringing in ears 4-6x's per day (these ringing "episodes" last 15-30 min). | N | 04/16/2021 | 04/17/2021 | 1 | I called my the Medical Clinic & spoke with a PA (virtual appt), and explained the symptoms noted above. | MIL | na | headaches | na | 2 | 04/28/2021 | Y | idonine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268333 | 04/28/2021 | MD | 49.0 | 49 | F | this is the pharmacy that fills Imatinib for the pt reporting this AE. pt reported the day after the vaccination she had watery frequent dirrhea the whole day (Saturday). got better on Sunday but upon taking her Imatinib dose she threw up and couldn't take | Y | 04/23/2021 | 04/24/2021 | 1 | UNK | Imatinib 400mg tablet taking one tablet once a day | Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission | Chronic myeloid leukemia, BCR/ABL-positive, not having achieved remission | 2 | 04/28/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1274286 | 04/30/2021 | MD | 49.0 | 49 | F | Vaccinator report: 3 min post Pfizer dose #1, patient felt dizzy and needed to sit down. She did not pass out and was conversational. Got into a wheelchair to be observed by a medic. She became somnolent. EMS was summoned. Patient evaluated and transported | U | 04/30/2021 | 04/30/2021 | 0 | PT evaluated and transported to ED for evaluation and treatment. | PUB | Unknown | Unknown | Unknown | 2 | 04/30/2021 | Y | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1279909 | 05/02/2021 | MD | 49.0 | 49 | F | The following day of the first vaccine I stared having difficulties. I couldn't lift my left leg, it felt as if I severely pulled a muscle in my groin area. The following day my left wrist hand and fingers started. It's a very painful crippling feeling and | N | 03/12/2021 | 03/13/2021 | 1 | Blood work 04/22/2021; Blood work 04/30/2021; Chest X-Ray 04/30/2021 | PVT | Levothyroxine 175mg; Lansoprazole 30mg; Phentermine 37.5mg | None | Graves - Thyroid radiation now Hypothyroidism; Pancreatitis; Migraines; IBS with constipation | 2 | 05/02/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1282861 | 05/03/2021 | MD | 49.0 | 49 | F | Patient reports for virtual provider visit for discussion of adverse symptoms noted after receiving SARS-COV vaccine. Patient reports b/l intermittent episodes of ringing in her ears that can persist for up to 15 minutes before they resolve. No previous H | 04/16/2021 | 04/17/2021 | 1 | OTH | 2 | 04/30/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289718 | 05/05/2021 | MD | 49.0 | 49 | F | cough, shortness of breath, chest tightness, unable to take a full breath, feels like her neck has a spasm | N | 04/05/2021 | 04/10/2021 | 5 | OTH | Prednisone Albuterol Claritin | Lyme Disease | 2 | 05/05/2021 | Y | Y | No known medication or food allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1293119 | 05/06/2021 | MD | 49.0 | 49 | F | Facial and cheek swelling on right side of face within 1-2 hours of injection. Pain in left arm extending to neck within 1 day. Periodic mild chest pain. General disorientation within 1 hour of injection. | Y | 04/19/2021 | 04/19/2021 | 0 | Did not seek immediate assistance. The side effects eventually subsided assumed likely normal side effects. However, during an unrelated medical appointment with endocrinologist describing particularly the facial swelling, concerns were raised it was indi | PHM | Eye drops for eye pressure. | None. | Graves Disease but in remission. Thyroid normal level and no medication needed. | 2 | 05/06/2021 | Y | None except citrus. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1296173 | 05/07/2021 | MD | 49.0 | 49 | F | 10 days after the vaccine my menstrual cycle started 2 weeks earlier than expected. I am always regular and this has never happened before to me, Then, my regular cycle started again 2 weeks after. So I basically had 2 menstrual cycles in one month. | Y | 04/11/2021 | 04/21/2021 | 10 | none | OTH | none | none | none | 2 | 05/07/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1296680 | 05/07/2021 | MD | 49.0 | 49 | F | Arm soreness - pain on the sides of the arm where I had the injection that lasted about 24 hours. I had loose stools - 29th of April - four times in six hours - 12 noon to 6 pm. Right after midnight, I had the chills - it was the night right after the l | Y | 01/06/2021 | 01/06/2021 | 0 | COVID test - negative results - April 30th- Hospital. | PVT | Vitamins C- D3; multi-vitamins; turmeric; calcium | no | no | vsafe | 2 | 05/07/2021 | Y | Adhesives; penicillin; lactose intolerance | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1300823 | 05/09/2021 | MD | 49.0 | 49 | F | Shingles | N | 04/26/2021 | 05/03/2021 | 7 | Shingles | PVT | N/A | N/A | N/A | 2 | 05/09/2021 | Y | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1300873 | 05/09/2021 | MD | 49.0 | 49 | F | "Patient received Janssen Vaccine. While in post vaccine observation area patient reported feeling like she was going to pass out. Patient escorted to EMS Observation Room. BP 116/68, HR 62, RR18, SpO298%. Patient rested and felt better. Patient refused tr | Y | 03/06/2021 | 03/06/2021 | 0 | NA | OTH | None indicated | None indicated | None Indicated | 2 | 05/09/2021 | None Indicated | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1300905 | 05/09/2021 | MD | 49.0 | 49 | F | 5/7/21 - 28 hours after shot-hives covering arms and legs-intense itch. Allegra taken and gone. 5/8/21 - 6pm stomach and back covered with a sea of red skin. Arms, neck, legs, butt full hives. Intense itch and uncomfortable. Doctor told me to take Zyrtec | N | 05/06/2021 | 05/07/2021 | 1 | None | PUB | Birth control JUNEL | None | None | 2 | 05/09/2021 | Y | Eurythmicin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1302428 | 05/10/2021 | MD | 49.0 | 49 | M | The patient was last seen well at 3:30 PM. He was found unresponsive, face down in his own vomit, cyanotic, apneic by family. Patient was unable to be resusitated. He was pronounced dead at 6:51 PM. | Y | 05/05/2021 | 05/05/2021 | 05/05/2021 | 0 | UNK | 2 | 05/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1302652 | 05/10/2021 | MD | 49.0 | 49 | F | On the day after the shot, I had severe headache, nausea, brain fog and extreme fatigue. Two days after the vaccine I experienced insomnia for two nights straight, which is not at all my normal. After the second night of no sleep, I purchased melatonin and | N | 05/02/2021 | 05/03/2021 | 1 | None as of yet. My appointment with my doctor will be on Monday, May 17th. | OTH | None | Sinusitis - 3 weeks prior | None | The first Pfizer vaccine on April 2, 2021 resulted in side effects including brain fog, headache, fatigue. No prior vaccination | 2 | 05/10/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1311034 | 05/12/2021 | MD | 49.0 | 49 | F | 5 days after vaccine had hives appear on both hands and legs with intense itching. Lasted 2 + days | U | 05/05/2021 | 05/10/2021 | 5 | UNK | Advil, vitamin d | 2 | 05/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313830 | 05/13/2021 | MD | 49.0 | 49 | F | Bilateral axillary urticaria | Y | 04/03/2021 | 04/04/2021 | 1 | PHM | Enbrel, sulindac, fish oil, mg, citracal | Psoriatic arthritis | 2 | 05/13/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1323664 | 05/17/2021 | MD | 49.0 | 49 | F | patient felt palpitations noted and weakness with pt having some juice and crackers and feeling better as well. Pt was able to drive out as well with vitals sat 98% HR 89 | Y | 05/17/2021 | 05/17/2021 | 0 | N/A | OTH | 2 | 05/17/2021 | Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1331728 | 05/19/2021 | MD | 49.0 | 49 | M | Sore arm, extreme exhaustion, fever, body aches, racing heartbeat while resting, headaches out of the blue that's don't fade away, fluid in ears, soreness in left knee/inflamed hamstring, fever, sweaty, post nasal drip, minor cough, rattling noise in lung | N | 04/11/2021 | 04/11/2021 | 0 | Issued steroid to relax inflamed hamstring 5/19/2021 | OTH | None | None | diverticulitis | flu shot | 2 | 05/19/2021 | Y | Mineral spirits | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1333862 | 05/20/2021 | MD | 49.0 | 49 | F | pt says about a week after taking vax she has joint pain in right elbow and her arm is swollen. Pt contacted her PCP and was told to use ice packs. Pts symptoms never went away before getting second dose and now they have gotten worse. Pt will see her P | N | 03/20/2021 | 03/27/2021 | 7 | OTH | advil | 2 | 05/20/2021 | nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1333888 | 05/20/2021 | MD | 49.0 | 49 | F | pt says about a week after taking vax she has joint pain in right elbow and her arm is swollen. Pt had this same reaction after taking the 1st vaccine on 3/20/21. She contacted her PCP at that time and was told to use ice packs. Pts symptoms never went | N | 04/17/2021 | 04/24/2021 | 7 | OTH | advil | 1st covid vax- pt developed joint pain and swelling in right elbow a week after taking vax. | 2 | 05/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1334441 | 05/20/2021 | MD | 49.0 | 49 | M | Patient came. On 5/5/2021 to get 2nd dose of PfiZER. Specfic stadium not giving Pfizer that day and pt. had vaccine card with pfizer sticker. Pt. vaccinated with Moderna and given 2nd Card. Patient 1st shot pfizer lot #EW 0158 given on 4/10/21. Pt. Came b | 05/05/2021 | 05/05/2021 | 0 | OTH | 2 | 05/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1334740 | 05/20/2021 | MD | 49.0 | 49 | M | Patient may have been given 0.2ml instead of 0.3ml of Pfizer COVID19 vaccine based on an error that the technician made when drawing the vaccine up into the syringe. The patient was contacted and made aware. Based on the CDC and clinical guidelines, re-ad | Y | 05/20/2021 | 05/20/2021 | 0 | PHM | transplant patient | 2 | 05/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1337873 | 05/21/2021 | MD | 49.0 | 49 | F | Tingling in vaccination arm. Pt. was discharged home at 10:57 a.m | 05/21/2021 | 05/21/2021 | 0 | OTH | 2 | 05/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1342305 | 05/23/2021 | MD | 49.0 | 49 | M | Fever, chills, injection site pain, nausea, and fatigue. Fever, chills and nausea lasted for 1 hour 20 minutes. Fatigue the evening before and the following day. | Y | 05/14/2021 | 05/15/2021 | 1 | None | OTH | None | None | None | COVID-19 First dose | 2 | 05/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1347489 | 05/25/2021 | MD | 49.0 | 49 | F | Both palms covered with petechial rash within 15 minutes of injection. Mild swelling of left palm. Took one tablet of her own Benadryl 25mg at 2:45pm with some relief. Took 2nd dose of Benadryl 25mg this morning. Rashes 90% improved. Left hand swelling res | Y | 05/24/2021 | 05/24/2021 | 0 | None performed at Clinic. Her primary care provider initiated laboratory tests to evaluate the left cervical lymphadenopathy after she received the 1st dose | SCH | Multiple vitamin | None | None | 2 | 05/25/2021 | Y | Seafood-Hives, itching | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1354760 | 05/27/2021 | MD | 49.0 | 49 | F | It was really bizarre, I remember feeling like all my senses were heightened , I got my period, it didn't stop for 3 weeks. Called my OBGYN, they said let it run it's coarse and they had they had many similar phone calls. I take a Nuva ring for birth cont | Y | 04/12/2021 | 04/12/2021 | 0 | SCH | I sometimes take allergy meds | vsafe | 2 | 05/27/2021 | Y | Penicillin, seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361494 | 05/30/2021 | MD | 49.0 | 49 | F | I started to black out minutes after waking up the morning after administration. In doing so I hit my head on the table resulting in a laceration and 8 staples in my head. I was diagnosed vasovagal syncope while my blood pressure remained low throughout te | U | 05/25/2021 | 05/26/2021 | 1 | All done 5/26: Endocrinology: Negative; General Chemistry: Blood Glucose 139 mg/Dl; Urinalysis: Negative; BP: 114/73 at 8:45 am and 102/63 at 9:30 am. | PVT | None | None | None | 2 | 05/30/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1381892 | 06/08/2021 | MD | 49.0 | 49 | F | Belching, severe diarrhea for about 10 hours and then subsided, began again 24 hours later. | N | 06/03/2021 | 06/06/2021 | 3 | PHM | Metformin, lisinopril, phentermine, vitamin d, Claritin, Allegra | diabetes, high blood pressure | 2 | 06/08/2021 | Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1382412 | 06/08/2021 | MD | 49.0 | 49 | F | NO immediate reaction during 30 min observation. No difficulty breathing. No welts RASH noticed the morning of 5/7, more than 4 hours but less than 24 hours after vaccination Red urticarial plaques with irregular margins on abdomen, back, and both thighs ( | Y | 05/06/2021 | 05/07/2021 | 1 | Pending visits with Allergist, PCP | PUB | Responded "NO" to the medical conditions listed on the screening form. | None reported | COVID-19 early Dec 2020 PCR (+) on 12/3/2020 Several days of myalgias, influenza like illness, and headache. Lost taste and smell. Resolved with some chest congestion a week or so later. Headaches and fatigue lasted about a month | 2 | 06/08/2021 | Allergic PCN Rash to Poison Ivy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1388839 | 06/10/2021 | MD | 49.0 | 49 | M | Patient reported symptoms of chills brain fog and armpit swelling for full 24 hours started about 4 hours after vaccine administration. | Y | 04/27/2021 | 04/27/2021 | 0 | PHM | 2 | 06/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1388979 | 06/10/2021 | MD | 49.0 | 49 | F | presented to ED with tight closing of the throat and trouble breathing within minutes of the second dose. She was given epinephrine and Benadryl at the site of vaccination. Symptoms resolved, only lingering symptom was heart racing. Had throat swelling a | 05/12/2021 | 05/12/2021 | 0 | PVT | 2 | 06/10/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1405277 | 06/17/2021 | MD | 50.0 | 49 | F | Beyond 42 days and No second dose yet; Rash (left thigh); Shingles (left thigh); Blisters (left thigh); Numb Left Leg; Full Blown Allergy; Nasal symptoms; Cough; Tired; Left Arm hurt; This spontaneous case was reported by a consumer and describes the oc | N | 04/09/2021 | 04/09/2021 | 0 | Test Date: 20210410; Test Name: COVID-19 virus test; Test Result: Negative ; Result Unstructured Data: Negative | PVT | USMODERNATX, INC.MOD20212 | 2 | 06/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1418151 | 06/22/2021 | MD | 49.0 | 49 | M | Pt got the 2nd shot earlier that he supposed to. He got the first shot at 6/10/2021, and we gave the 2nd dose on 6/21/2021, only 11 days in between. No adverse effects reported from patient | Y | 06/21/2021 | 06/22/2021 | 1 | n/a | PHM | n/a | n/a | n/a | 2 | 06/22/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1431353 | 06/28/2021 | MD | 49.0 | 49 | M | About a week after shot 1 I started to feel very fatigued and run down. I was able to function but got tired easily. On May15, I received shot 2 and my fatigue got worse. I started to get tremors and shakes in my hands and arms. Legs felt weak, its dif | N | 04/24/2021 | 04/30/2021 | 6 | Blood work at emergency room. Followed up with Neurologist Dr. and had an MRI which was neg. Following up with Rheumatologist and had more blood work done. Awaiting results. As of now it was mentioned that it could be an auto immune condition triggered | PHM | Gaviscon antacids | Lyme disease and co-infection Bartonella | 2 | 06/28/2021 | Y | Y | Augmentin, Levaquin, Aspertame | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1432533 | 06/29/2021 | MD | 49.0 | 49 | F | Shortness of breath and chest pains (left side) ; urgent care-> abnormal EKG, Emergency Room of hospital, admitted, additional testing and observation, procedures, and diagnosed Acute Pericarditis - shortness of breadth June 16, 2021, chest pains June 17, | Y | Y | 4 | U | 03/10/2021 | 06/16/2021 | 98 | EKG, Elevated Troponin Levels-several blood draws over hours, Echocardiogram, Cardiac Catherization | PVT | Losartan Potassium 100 mg Ayorvastatin 10mg Vitamin D3 Elderberry Zinc 30mcg | N/A | N/A | 2 | 06/29/2021 | Y | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1435942 | 06/30/2021 | MD | 49.0 | 49 | M | Excruciating pain; all joints became extremely sore; it is getting worse and worse; he believes this was caused by the vaccine; can't move and is using crutches; thinks there is autoimmune reaction happening; feels trauma in ligaments; can't move; This spo | Y | U | 03/26/2021 | 04/23/2021 | 28 | UNK | USMODERNATX, INC.MOD20212 | 2 | 06/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1437574 | 06/30/2021 | MD | 49.0 | 49 | F | The afternoon after I got the second dose of the vaccine I started to have pain under my arm and along the left side of of my breast. It got more intense overnight and the next day. It started to localize in my underarm area. It was painful to put my arm d | Y | 06/20/2021 | 06/21/2021 | 1 | PHM | Metformin; Cholesterol; Hypertension | Diabetes | vsafe | 2 | 06/30/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1446605 | 07/04/2021 | MD | 49.0 | 49 | F | Received Moderna 1st dose on Tue 6/29 @0933am. Very mild soreness in left arm Tue and Wed. Otherwise, felt fine until Thu 7/1 around 530pm with the onset of mild lower back pain, hip joint pain, and nausea. Friday and Saturday morning, the pain was severe | N | 06/29/2021 | 07/01/2021 | 2 | None | OTH | Vitamin D Zyzal Calcium, Magnesium & Zinc Iodine | 2 | 07/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1463513 | 07/11/2021 | MD | 49.0 | 49 | F | FRIDAY, 7/9/2021: ONE HUGE MENSES CLOT IN MASS AND LENGTH. FOLLOWED BY CRAMPING. LASTED MINUTES. SATURDAY, 7/10/2021: SLIGHT PELVIC ACHE RANDOMLY THROUGHOUT DAY. SUNDAY, 7/11/2021: AT 6:10 AM, TWO SMALLER MENSES CLOTS COME OUT. PELVIC ACHE ALL DAY. | U | 07/03/2021 | 07/09/2021 | 6 | I WILL CONTACT MY PCP. | OTH | CETIRIZINE WHEN NEEDED. I HAD NOT TAKEN THE MED FOR THAT DAY. | NO | ELEVATED BLOOD PRESSURE - NO MEDICATION / PERIMENOPAUSE | 2 | 07/11/2021 | LATEX | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1464344 | 07/12/2021 | MD | 49.0 | 49 | F | Numbness in limbs, Body aches, tiredness, | 07/11/2021 | 07/11/2021 | 0 | PVT | 2 | 07/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1464738 | 07/12/2021 | MD | 49.0 | 49 | F | On Apr 10, 2021, it was the 2nd dose of the COVID-19 Moderna vaccines. (The 1st dose was on Mar 12, 2021). Both times were done at the. No significant symptoms happened after the 1st dose. However, there were reactions after the 2nd dose. Right after t | Y | 04/10/2021 | 05/01/2021 | 21 | I don't know all the details about lab tests given to me on May 01 and May 02 2021, but I was told my heart's ECG had some change, and also I was told I had an overall inflammatory reaction to something. | PVT | None take 48 hours before and 48 hours after the vaccination | No acute illnesses at the time of vaccination | Benign heart murmur | 2 | 07/12/2021 | Y | Y | Seasonal allergies only | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1467042 | 07/13/2021 | MD | 49.0 | 49 | F | SUBCONJUNCTIVAL HEMORRHAGE(RIGHT EYE, SAME SIDE AS SHOT) BREAKTHROUGH BLEEDING | 06/30/2021 | 07/02/2021 | 2 | PHM | 2 | 07/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1480546 | 07/17/2021 | MD | 49.0 | 49 | M | arm numbness or tingling, similar to what was reported for Guillain-Barr? syndrome. Always since vaccination | N | 03/09/2021 | 04/15/2021 | 37 | OTH | tylenol | no | no | 2 | 07/17/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1490456 | 07/21/2021 | MD | 49.0 | 49 | F | Tenderness, stiffness, warm to the touch, itchy, knot all at injection site and around | N | 07/13/2021 | 07/21/2021 | 8 | PVT | 2 | 07/21/2021 | Pork latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1494268 | 07/22/2021 | MD | 49.0 | 49 | F | I had feelings of rapid heart rate and flutters and heart palpitations soon after getting my shot of Moderna. Rattling in my chest. . | U | 03/17/2021 | 04/14/2021 | 28 | I had a heart monitor put in place to monitor my heart for flutters and palpitations and EKG an echo Graham sonogram. | PVT | None | N/a | N/A | 2 | 07/22/2021 | Y | Penicillin latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1498228 | 07/23/2021 | MD | 49.0 | 49 | M | After first Moderna shot, both elbow, both shoulder, both hip, both groin, and left knee (especially) started to become sore/painful (3 - 5 out of 10). This soreness continued to the second Moderna shot. After second shot the joints slowley became more and | Y | 3 | Y | N | 04/23/2021 | 07/23/2021 | 91 | Too many to list, contact doctor. X-Rays, MRI and Sonograms were also performed. | PVT | Lexapro 10 mg 1x, Atorvastatin 20 mg, 1x Metformin 1000mg 2x, Cannabis 20-40 mg day | chronic lower back pain | 2 | 07/23/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1505947 | 07/27/2021 | MD | 49.0 | 49 | F | Broke out in red, itchy hives all over body (face, neck, arms, stomach, back, legs) 1 week after second Pfizer shot. Took over-the-counter antihistamines for 2 weeks. Started experiencing lip swelling 2 weeks after shot and scheduled tele-health visit wi | U | 04/12/2021 | 04/18/2021 | 6 | Blood work 7/7 - see Continuation Page | OTH | Levothyroxine, Allegra, multivitamin, calcium supplement | N/A | Hypo-thyroid, dermatographia | 2 | 07/27/2021 | Y | Y | Allergic reaction (hives) to Azithromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1506024 | 07/27/2021 | MD | 49.0 | 49 | F | Developed a swollen tonsil on right side. No pain. Positive Mono spot. EBV antibody abnormal. | N | 04/05/2021 | 04/21/2021 | 16 | 21 May 21- Mono spot: positive 4 Jun 21- EBV antibody: EBV AB TO EA D = 27.4 H EBV VCA IGG = 142 H EBV VCA IGM = <10 EBV EBNA IGG = 68.6 H | PVT | Levoxyl 88 mcg | None | Hashimotos Thyroiditis | 2 | 07/27/2021 | Y | Gluten | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1512820 | 07/29/2021 | MD | 49.0 | 49 | F | Dizziniess, light-headiness, shortness of breath when walking or going upstairs, strange heartbeat periodically mostly at night and body aches | N | 03/27/2021 | 03/27/2021 | 0 | Blood tests...CK | PVT | Vitamins C & D | none | Seasonal mild asthma | 2 | 07/29/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1526132 | 08/04/2021 | MD | 49.0 | 49 | F | Severe headache lasting 4 days. Pain in left arm and limited motion without pain. Body felt like someone took a baseball bat to my body. 3 day fever. Upset stomach, Dizziness and feeling out of body for five days. Onset of hot flashes. Insomnia lasting | U | 07/28/2021 | 07/29/2021 | 1 | PHM | None | None | None | MMR in early 1970s. Required hospitalization | 2 | 08/04/2021 | MMR | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1528756 | 08/05/2021 | MD | 49.0 | 49 | F | Fever 102, 02/08 covid positive test, viral load of 8.2, I.V. fluid. | Y | 01/27/2021 | 01/27/2021 | 0 | Blood Work | PVT | Multivitamin | None | None | vsafe | 2 | 08/05/2021 | Y | Y | Pineapple; catretol; cenabarbotol; sulfamides | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1535208 | 08/08/2021 | MD | 50.0 | 49 | F | Mild case of shingles. I had 5 (1 millimeter) small clear puss filled bumps form on my chest creating a 1/2 circle shape edge about the size and shape of a nickel edge. The shingles lasted two full week before drying up and leaving a scar. For about one we | Y | 04/01/2021 | 05/09/2021 | 38 | I was not tested | MIL | Vitamin D2 50,000 unit, Hydrochlorothiazide 25 MG, Metformin HCL ER 500 MG, Trulicity 0.75 MG | No | Diabetes & Hypertension | 2 | 08/08/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1545036 | 08/11/2021 | MD | 49.0 | 49 | F | So I had a blood clot that happened around 8/3/2021, I was prescribed blood thinners - Lovanox and I am supposed to be on it for a course of maybe three months; and that is basically it. | N | 04/30/2021 | 08/02/2021 | 94 | I do not have that information, I know they did a sonogram, but outside of that, I do not know. | UNK | Blood pressure medication - triamterene; CARAFATE; pantoprazole; B12; K2; D3; magnesium; iron; multivitamin; melatonin | N/a | Gerd | vsafe | 2 | 08/11/2021 | Y | N/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1548608 | 08/12/2021 | MD | 49.0 | 49 | F | elevated ALT/ALT increased more; This spontaneous case was reported by a consumer and describes the occurrence of ALANINE AMINOTRANSFERASE INCREASED (elevated ALT/ALT increased more) in a 49-year-old female patient who received mRNA-1273 (Moderna COVID-19 | U | 01/04/2021 | 01/13/2021 | 9 | Test Date: 20210113; Test Name: ALT; Result Unstructured Data: elevated; Test Date: 20210128; Test Name: ALT; Result Unstructured Data: increased more | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1556313 | 08/14/2021 | MD | 49.0 | 49 | M | rash on his nose (1/4 of inches); This spontaneous case was reported by a consumer and describes the occurrence of RASH (rash on his nose (1/4 of inches)) in a 49-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 024M20A) f | Y | 02/20/2021 | 02/20/2021 | 0 | Test Name: Heart rate; Result Unstructured Data: 100 | PHM | LOSARTAN; MULTIVITAMIN [VITAMINS NOS]; ASHWAGANDHA [WITHANIA SOMNIFERA]; VITAMIN D3; COQ10 [UBIDECARENONE] | Anxiety (guessing); Hypertension | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1556968 | 08/14/2021 | MD | 49.0 | 49 | F | Patient noticed a rash on her left thigh few hours after the second dose; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Patient noticed a rash on her left thigh few hours after the second dose) in a 49-year-old fema | U | 02/25/2021 | 02/25/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1557023 | 08/14/2021 | MD | 49.0 | 49 | F | Severe pain in arm of injection. Fatigue. Headache. Vomiting. | N | 08/13/2021 | 08/13/2021 | 0 | None | PVT | Zyrtec allergy medicine otc | None | GERD | 2 | 08/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1557175 | 08/14/2021 | MD | 49.0 | 49 | F | Bellafill facial filler was "hard as a rock"; This spontaneous case was reported by a consumer and describes the occurrence of INSTILLATION SITE INDURATION (Bellafill facial filler was "hard as a rock") in a 49-year-old female patient who received mRNA-127 | U | 02/10/2021 | 02/26/2021 | 16 | UNK | Dermal filler injection (Patient states the filler was put in 5 years ago); Food allergy (Patient is allergic to wheat and oats); Shellfish allergy (Patient is allergic to Shellfish allergy) | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1558211 | 08/14/2021 | MD | 49.0 | 49 | M | The patient reported getting his second COVID vaccine on July 2nd. He reported that 3 weeks later which would be July 21st he started having pain in his left leg. He noted severe fatigue that would not go away. A few days later he started having pain in hi | Y | Y | 2 | U | 07/02/2021 | 07/21/2021 | 19 | EKG, CBC, CMP, Troponin, Left leg ultrasound, CT for PE | PVT | none | no medical history or coinciding acute illness | none | 2 | 08/14/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1578008 | 08/17/2021 | MD | 49.0 | 49 | F | Contact with and (suspected) exposure to covid-19 Acute upper respiratory infection Nausea | U | 04/30/2021 | 07/31/2021 | 92 | 08/02/21 1337 POCT COVID-19 PCR Collected: 08/02/21 1337 | Final result | Specimen: Swab from Nares POC COVID-19 PCR DetectedAbnormal Lot # 1000268759 Point of Care COVID-19 PCR Testing Method Cepheid Lot Expiration Date 5/29/22 | PVT | Outpatient Medications ACCU-CHEK FASTCLIX LANCET DRUM misc acetaminophen 500 mg capsule acyclovir (ZOVIRAX) 400 mg tablet azaTHIOprine (IMURAN) 50 mg tablet betamethasone, augmented, (DIPROLENE) 0.05 % ointment buPROPion SR (WELLBUTRIN SR) | Nervous Neuropathy Migraine headache Tinnitus Headache Diabetic polyneuropathy associated with type 2 diabetes mellitus Chest pain, unspecified type Respiratory Allergic rhinitis Sinus congestion Circulatory Hypertension associated with diabetes PAN | 2 | 08/17/2021 | Y | Atarax [Hydroxyzine Hcl]Hallucinations Haldol [Haloperidol]Swelling PravastatinMyalgia / Muscle Pain Sulfa (Sulfonamide Antibiotics)Rash, Other (document details in comments) AcetazolamideRash Bee Venom Protein (Honey Bee)Other (document details in commen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1578135 | 08/17/2021 | MD | 49.0 | 49 | F | Approximately a week after recieving the moderna vaccine I have had a constant menstuation cycle. This has been accompanied by significant cramping which led me to my obgyn to see if I had some sort of internal cancer, infection or other issue. The blee | N | 04/14/2021 | 04/21/2021 | 7 | June 2021 I had a pelvic exam as well as a very invasive (and expensive) sonnogram. Nothing unusual was noted that would explain the bleeding and pain. | PVT | Mirena, Levoxyl 137.5 mcg, losartan 10 mg, norvasc 7.5 mg | none | hypothryroidism, treated high blood pressure, hashimoto's, chronic lyme disease | 2 | 08/17/2021 | Y | roceophin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1579745 | 08/18/2021 | MD | 49.0 | 49 | M | Dont have much time on this, keeps expiring. Started feeling headache, weakness in legs in April, May started having tingline in feet, and then Very bad pain in feet, then in June Knees started hurting too. thought it could be disease I saw on tv I cant pr | Y | 2 | Y | U | 04/03/2021 | 04/18/2021 | 15 | a bunch of blood test done, MRI, XRay | PVT | Suboxone 12/3mg, Ibuprofen 800mg, Venlafaxine 225mg, Bupropion150mg, Atenolol 25mg, Tylenol 500mg | Psoriasis, Psoriatic Arthritis, Rheumatoid Arthritis, | Psoriasis, Psoriatic Arthritis, Rheumatoid Arthritis, High Blood priesure | 2 | 08/18/2021 | Y | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1607598 | 08/22/2021 | MD | 49.0 | 49 | F | My arm was itching; Raised up rash the size of an egg, an un cracked egg; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (My arm was itching) and RASH (Raised up rash the size of an egg, an un cracked egg) in a 49 | U | 04/06/2021 | 04/14/2021 | 8 | UNK | CRESTOR; ATACAND HCT; WELLBUTRIN; XANAX | Medical History/Concurrent Conditions: No adverse event (No reported medical history) | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1611095 | 08/22/2021 | MD | 49.0 | 49 | F | All the Moderna Vaccine side effects literally; Left breast feel weird; Lefct breast pain; nausea; vomiting; fever; This spontaneous case was reported by a consumer and describes the occurrence of ADVERSE REACTION (All the Moderna Vaccine side effects lite | Y | 03/30/2021 | 03/30/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1612590 | 08/22/2021 | MD | 50.0 | 49 | F | Sore arm; Swollen face that gets tight and hot which is ongoing; Swollen face that gets tight and hot which is ongoing; Swollen face that gets tight and hot which is ongoing; Chills; Fever, a temperature of 105; Swollen lymph notes; Nausea; Vomiting; This | N | 03/13/2021 | Test Name: Body temperature; Test Result: Inconclusive ; Result Unstructured Data: Patient's body temperature was 105. | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1614220 | 08/22/2021 | MD | 49.0 | 49 | M | Fever of 103; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Fever of 103) in a 49-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 017C21A and 030B21A) for COVID-19 vaccination. | U | 04/05/2021 | 05/04/2021 | 29 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1619107 | 08/22/2021 | MD | 50.0 | 49 | F | round red raised area(silver dollar sized)below the injection site; started itching; sore skin; This spontaneous case was reported by a pharmacist and describes the occurrence of ERYTHEMA (round red raised area(silver dollar sized)below the injection site) | U | 04/25/2021 | 05/23/2021 | 28 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1637859 | 08/26/2021 | MD | 49.0 | 49 | F | Patient came in for her second dose of Moderna vaccine. About 5 minutes after administration, patient was having trouble breathing and she said her throat was "closing up". She was feeling lightheaded as well and mentioned she might "pass out". Her husband | U | 08/26/2021 | 08/26/2021 | 0 | N/A | PHM | Patient does not fill with Rite Aid pharmacy | Diabetes, anxiety, IIH, asthma | Diabetes, anxiety, IIH, asthma | 2 | 08/26/2021 | Y | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1639766 | 08/27/2021 | MD | 49.0 | 49 | M | Trauma in left knee; Groin Pain; joint tenderness/Elbow Pain/ both shoulder /Hip Pain started to become sore/painful (3 - 5 out of 10); This spontaneous case was reported by a consumer and describes the occurrence of JOINT INJURY (Trauma in left knee), GRO | N | 03/26/2021 | 03/26/2021 | 0 | UNK | LEXAPRO; ATORVASTATIN; METFORMIN; CANNABIS | Medical History/Concurrent Conditions: Back pain | USMODERNATX, INC.MOD20212 | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1651623 | 08/28/2021 | MD | 49.0 | 49 | F | experiencing reoccurring rash all over body, specifically hands, arms, legs, feet, & back began a couple of week after receiving 2nd dose | N | 07/21/2021 | 08/01/2021 | 11 | PHM | 2 | 08/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1656590 | 08/30/2021 | MD | 49.0 | 49 | F | Multiple large bilateral kidney stones requiring surgical removal; pain began on date reported (on 2nd day after 2nd vaccine) | Y | 4 | Y | 03/03/2021 | 03/05/2021 | 2 | Lab results showing kidney dysfunction 4/9 CAT scan 4/10 | OTH | Metformin, Ozempic, Levothyroxin | N/A | Diabetes Type 2, Hypothyroidism | 2 | 08/30/2021 | Y | Sulfa, Zithromax, Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1685332 | 09/09/2021 | MD | 49.0 | 49 | F | Lipoma on torso/trunk under left arm | N | 05/13/2021 | 05/28/2021 | 15 | Sonogram 7/12/21 | PVT | NA | NA | NA | 2 | 09/09/2021 | Y | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1709191 | 09/17/2021 | MD | 49.0 | 49 | F | I have had a dull headache ever since I received my first shot ..it has not gone away since 7/13/2021. Nothing I take makes it go away!also have had really bad leg cramps in both my legs, I go to bed with them and I wake up every morning with them. | N | 07/12/2021 | 07/13/2021 | 1 | PHM | Multi vitamin | None | Migraines | 2 | 09/17/2021 | Penicillin wheat | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1713840 | 09/19/2021 | MD | 49.0 | 49 | F | Arm pain, chills, headache, stuffy nose, fatigue | N | 09/17/2021 | 09/17/2021 | 0 | PVT | Zyrtec | None | Arm pain, vomiting, fatigue, fever, chills, headache from first COVID-19 vaccine | 2 | 09/19/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731440 | 09/24/2021 | MD | 49.0 | 49 | F | Both feet and ankles swollen and painful so was unable to walk before getting to the ER. Back of right leg painful, place I was injected painful, backache, severe headache, fever | N | 09/21/2021 | 09/21/2021 | 0 | Blood pressure 121/90 temperature (oral) 97.8 degrees F pulse 95, respiration 16, oxygen said 99% | PVT | None | Tested positive -Covid 19 on Aug 9 | None | 2 | 09/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1757538 | 10/03/2021 | MD | 49.0 | 49 | F | Tested positive for Herpes STD/ I have never had a STD in 49 years of living. I have been with the same male partner for 10 years. The . most he does is masturbate daily. I don't have any other partners. I have never had the chicken pox. I took a blood tes | U | 06/08/2021 | 09/27/2021 | 111 | HSV 2 IgG, Type Spec Learn more about this HSV 1 IgG, Type Spec Learn more about this 51.90 (High) Date:Sep 28, 2021 10:09 a.m. EDT > 23.60 (High) Date:Sep 28, 2021 10:09 a.m. EDT | PVT | Caberogline( Cyst on Pituatary)( Once a week) Flonase Nasal Spray Simibicort ( Tablet) Allergies Albuterol Inhaler Verapamil ( Migraine headaches) Nasonex ( Nasal Spray) Vitamin D 25,000 ( Once a week) Epi Pen (As Needed) | Right knee surgery 4 cardiac ablations 3 c sections 3 carpal tunnel releases Parotidectomy ( Benign) ( Non Cancerous) White Matter Brain Lesions Spinal Taps for MS | White Matter Brain Lesions I have never had chicken pox or any other STD ( Now as of September 27, 2021 I had a blood test completed and I have Herpes I havent had sex in over 4 months. I have been with the same partner for 10 years. I tooka blood test 6 m | 2 | 10/03/2021 | seafood trees mold mildew grass Cock roaches | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1763694 | 10/06/2021 | MD | 49.0 | 49 | F | Racing heartbeat at 12 hours post vaccine | N | 10/05/2021 | 10/06/2021 | 1 | PVT | Losartan, setraline, crestor, garlique | Elevated blood pressure, headache | High blood pressure, high cholesterol | 2nd dose, heart racing, increase bp, onset of GAD | 2 | 10/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788184 | 10/15/2021 | MD | 49.0 | 49 | F | Patient presented to the ED with nausea, vomiting, diarrhea and cough for 3 days. She tested positive for COVID-19. She was found to have acute on chronic renal failure secondary to vomiting and diarrhea. She was admitted for rehydration. She was discharge | Y | 06/14/2021 | 09/25/2021 | 103 | PVT | 2 | 10/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1795005 | 10/18/2021 | MD | 49.0 | 49 | F | I am not sure the details of the flu vaccine. the employee health office would have that information. About 10 minutes after my COVID vaccine I got really itchy with a notable rash on my arms. NO hives at this time. They wanted me to take benadryl and | Y | 10/15/2021 | 10/15/2021 | 0 | EKG | WRK | methylphenidate 10 MG 24 hour extended release capsule dilTIAZem 60 MG 12 hour extended release capsule spironolactone 100 MG tablet sertraline 50 MG tablet lactobacillus acidophilus 500 Million Cells capsule Colace Vit D | no | Constipation Esophageal reflux/ spasm | 2 | 10/18/2021 | Y | Y | Biaxin (Clarithromycin) Allergy Itching Ciprofloxacin Itching Airway tightness Levofloxacin Not Noted Reglan (Metoclopramide Hcl) Intolerance Other (See Comments) Anxious, Sulfa Antibiotics Not Noted | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1795027 | 10/18/2021 | MD | 49.0 | 49 | M | Severe headaches, tingle feeling on the left side of the body (injection site) , fatigued. | N | 10/13/2021 | 10/15/2021 | 2 | PHM | None. | None. | 2 | 10/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1808056 | 10/22/2021 | MD | 49.0 | 49 | M | Cramping/spasm , mostly left calf then started going throughout my body. No sleep for more then 1.5 hrs secondary to these symptoms. Internal tremors , fasiculations, Burning in the back of my head/neck, profuse sweating every night, light headed, BP way u | N | 06/04/2021 | 06/05/2021 | 1 | Blood test ordered July 26th, test negative DVT negative July EKG (4 times, first 2 were negative at the hospital in July, 3rd was positive on 10/8 at cardiologist and 4th positive on 10/11 Kidney scan positive for kidney stone (from profuse night sweats | PHM | Atenolol, Rosuvstatin, Amlodipine | none | High Blood pressure (controlled) | 2 | 10/22/2021 | Y | Y | penecilian | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1821737 | 10/27/2021 | MD | 49.0 | 49 | M | I started to have chills and bad cough. I had a lot of fatigue. I thought it was seasonal allergies at first. We did COVID test, positive result. I ended up in the hospital for four days. It got much worse, I was struggling to breathe and was coughing a lo | Y | 4 | U | 04/23/2021 | 08/30/2021 | 129 | COVID test, positive result; They did a scan, they determined I had pneumonia; they admitted me to hospital. | OTH | Atorvastatin; hydrochlorothiazide; cholesterol meds; fish oil; vit D; loratadine; multivitamin | No | Non Hodgkin's Lymphoma | vsafe | 2 | 10/27/2021 | Y | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1821834 | 10/27/2021 | MD | 49.0 | 49 | F | menstruation stopped x 5 moths following second vaccine dose. | N | 04/27/2021 | 05/01/2021 | 4 | PVT | liothyronine, progesterone | none | hypothyroid | 2 | 10/27/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1827929 | 10/29/2021 | MD | 49.0 | 49 | F | Neck pain started might of injection, woke up with migraine headache and fever lasted throughout the day . I did not have any side effects with first two . Only booster at half the dose 8 months later | Y | 10/27/2021 | 10/27/2021 | 0 | PHM | Hctz 12.5 mg everyday | No | Hypertension | 2 | 10/29/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1846866 | 11/05/2021 | MD | 49.0 | 49 | F | swelling: hands legs arms neck chin face, sore, fatigued, headache | N | 10/19/2021 | 10/19/2021 | 0 | blood work: waiting on results | PVT | anxiety meds | 2 | 11/05/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX |