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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0918933 | 01/04/2021 | WI | 50.0 | 50 | F | Patient received a dose of vaccine that may be less than fully effective due to storage at room temperature for more than 12 hours | 12/26/2020 | 12/31/2020 | 5 | PVT | 2 | 01/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0919029 | 01/04/2021 | WI | 50.0 | 50 | M | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted. | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/04/2021 | Neosporin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0919452 | 01/04/2021 | WI | 50.0 | 50 | F | Its been 30 min now and she is doing much better. Felt tingling in her arm and leg on side that vaccine was given. Felt nauseous. Also had headache. Pt has had a severe ischemic stroke in past and has an intellectual disability. Pt seems to be doing fine o | U | 01/04/2021 | 01/04/2021 | 0 | None | SEN | No | Chronic isch stroke | 2 | 01/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920313 | 01/05/2021 | WI | 50.0 | 50 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects noted | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0929901 | 01/08/2021 | WI | 50.0 | 50 | F | I?m very dizzy, headache, nausea | U | 01/05/2021 | 01/08/2021 | 3 | No | SEN | Labetalol, prenatal multivitamin, aller-Zyr | Ear pain , pain on the back of my head | High blood pressure | 2 | 01/08/2021 | Sulfas | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0931759 | 01/09/2021 | WI | 50.0 | 50 | F | Patient was given the first COVID-19 vaccination at approximately 1254 today in her left deltoid. She approached writer at 1310 in no apparent distress. She voiced symptoms that were concerning to her. She indicated about 5 minutes after she received the i | U | 01/09/2021 | 01/09/2021 | 0 | Vitals taken, all within normal limits. Tests/labs not needed. | PVT | unknown | unknown | HTN CKD IgA nephropathy renal hematoma elevated hemoglobin hematuria proteinuria | 2 | 01/09/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0933434 | 01/11/2021 | WI | 50.0 | 50 | F | RECEIVED VACCINE IN LEFT ARM, IM, AT 0520, FRIDAY, 1/8/2021. LEFT SHOULDER JOINT PAIN BEGAN SAME DAY AT 12:00 PM (NOON.) SATURDAY, 1/9/2021, CONTINUED L SHOULDER JOINT PAIN AND AT 12:00 NOON, ONSET OF CHILLS AND FATIGUE BEGAN. SUNDAY, 1/10/2021 ONLY LEFT | N | 01/08/2021 | 01/08/2021 | 0 | NONE | WRK | NONE | NONE | NONE | 2 | 01/11/2021 | SHELL FISH | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0935518 | 01/11/2021 | WI | 50.0 | 50 | F | 1/7/2021 at 3:10 pm received vaccine in right arm. 3:15 felt hot flash, began feeling light headed & dizzy, followed by feeling sweaty and nausea (burning type.) The next day, 1/8/2021, at approx. 5:00 pm, symptoms lessened and was able to function okay bu | Y | 01/07/2021 | 01/07/2021 | 0 | none | WRK | Adderrall daily Topamax daily Wellbutrin daily Lorazapam prn Trazadone daily Allergy med prn Excedrin prn | none | Fibromyglia Migraines | seasonal influenza vaccine yearly, similar symptoms to that after getting COVID-19 as previously noted. | 2 | 01/11/2021 | Celebrex = hives Lactose intolerance Bee/wasp or hornet | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0937454 | 01/12/2021 | WI | 50.0 | 50 | F | day 1: injection site pain, left neck/jaw area painful lymph node. After 24 hours: swollen lymph nodes. At approximately 30 hours after injection - on face, neck, scalp - burning, blotchy, red rash (item 20 - recovered? yes to rash bcz I took Benadryl. lym | Y | 01/07/2021 | 01/08/2021 | 1 | n/a | PVT | lisinopril-hydrochlorothiazide 10-12.5 mg, Centrum Silver Women 50+, norethindrone 0.35mg, Eliquis 5mg (twice daily), D3 (2000IU), Ferrous Sulfate 325, Docusate Calcium | n/a | obese, diabetes type II (new), Factor 5 Leiden mutation - heterozygous, anemia, allergic rhinitis, history of PE and DVT | 2 | 01/12/2021 | Y | sulfa, doxycycline, clindamycin, apples, cichorium intybus | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0939570 | 01/12/2021 | WI | 50.0 | 50 | M | About 12 hours later I started having a headache, extreme chills to the point of shaking to warm up under 2 blankets, stuffy head and pain in the right shoulder. | N | 01/12/2021 | 01/12/2021 | 0 | Just the vaccine | PVT | Diclofanac, Valsartan hydrochlorothiazide, Vitamin D3, Daily multivitamin | none | Diffuse idiopathic skeletal hyperostosis, sleep apnea, hypertension, spinal stenosis, Hypertriglyceridemia, arthritis | 2 | 01/12/2021 | Allergic to pennicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0941260 | 01/13/2021 | WI | 50.0 | 50 | F | Vaccine received at 10:10. Mild pruritus occurred at vaccination site at 10:25. Quickly progressed to upper body widespread hives and itching/ Received 0.3mg epi in Right thigh at 10:35 and 25 mg Benadryl. All hives resolved by 10:40 and itching resolved | Y | 01/13/2021 | 01/13/2021 | 0 | None | WRK | Zyrtec 10mg Q AM Sertraline 100mg Q AM Levothyroxine 150mcg Q AM | none | hypothyroidism environmental allergies | 2 | 01/13/2021 | Y | Penicillins-hives Sulfas-hives Compazine-EPS symptoms | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0946748 | 01/15/2021 | WI | 50.0 | 50 | F | I woke up at 12:39am feeling nauseous and with a pounding heartbeat. I also had a headache and severe body aches, and chills, but no fever. I drank some water and sat up in bed for a while. The pounding heartbeat settled down in about half an hour. I | Y | 01/12/2021 | 01/13/2021 | 1 | OTH | none | none | IBS | 2 | 01/15/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0947388 | 01/15/2021 | WI | 50.0 | 50 | F | Dose at 12:25 12:32: Employee reported warmth, flushed, diaphoretic, dizzy, nauseous 12:34: Lied to floor with feet elevated. BP: 112/52 Reported Tingling lips- administered diphenhydramine 50mg at 12:36 1239: 122/78 1245: Feeling better, sat up in chair 1 | Y | 01/15/2021 | 01/15/2021 | 0 | PVT | Acetaminophen-1 hour prior to vaccination | Denies illness | 2 | 01/15/2021 | No confirmed allergies to food or medications, but possible reaction with angioedema 1 month ago- Resolved with no medical attention | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0947737 | 01/15/2021 | WI | 50.0 | 50 | F | Employee received vaccine at 10:30 10:40- during post-vaccination observation period, Employee reported sensation in throat while swallowing, eyes watering, occasional cough-Denies troubles breathing, denies swelling of lips tongue or throat. Drank water | U | 01/15/2021 | 01/15/2021 | 0 | PVT | Prednisone, hydrochlorothiazide | 2 | 01/15/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0947761 | 01/15/2021 | WI | 50.0 | 50 | F | 10:40 Employee complains of difficulties swallowing, sensation in throat. Denies troubles breathing. Is experiencing watering eyes and occasional coughing 10:49- received dose of 25mg diphenhydramine with slight improvement in symptoms, not resolved. 10:5 | U | 01/15/2021 | 01/15/2021 | 0 | PVT | 2 | 01/15/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0949502 | 01/15/2021 | WI | 50.0 | 50 | F | Diarrhea started Sunday 1/10, lasting until 1/12, involving mild to moderate cramping, lethargy A week to the day after vaccine administration (1/13) Itching, swelling, discoloration, heat (size of an egg) at injection site started in the afternoon and co | N | 01/06/2021 | 01/10/2021 | 4 | Did virtual appointment today, but due to poor video quality, physician unable to assign diagnosis, recommended face to face visit if injection site irritation persists | SCH | Sertraline 25mg, fish oil, vit d, multi vit, cal/mag, probiotic | N/a | N/a | 2 | 01/15/2021 | Y | Worsening of rosacea with erythromycin, levaquin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0949971 | 01/16/2021 | WI | 50.0 | 50 | F | Unable to life sore arm for about 48 hrs , headache , and a sore scald, light nausea when done eating and fatigue | Y | 01/01/2021 | 01/13/2021 | 12 | None | OTH | I had a sore arm ( unable to lift arm high) for about 48 hrs., Headache, fatigue and my scalp hurt for about 24 hr. | None | None | 2 | 01/16/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0956311 | 01/19/2021 | WI | 50.0 | 50 | M | Received fist Moderna Vaccine 12/30/2020. 01/07/2021 Started with bil leg numbness and weakness. By 1/15/2021 numbness constant both legs. Electric shock sensation at times down spine to feet. Weakness both legs started 1/18/2021. Neurologic injury being w | N | 12/30/2020 | 01/07/2021 | 8 | Pt reports total spine MRI no compression. | PVT | Unknown | 2 | 01/19/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0956546 | 01/19/2021 | WI | 50.0 | 50 | F | About 30 minutes after having the vaccine my face got tingly and I had a bad ear ache. It took 40 minutes to get back to my work at which time my face on the right side was starting to swell and look funny (drooping) I continued to have tingling and later | Y | 01/14/2021 | 01/14/2021 | 0 | Visual inspection, said it was most likely the vaccine and told me to come back if it didn't clear up. Steriod injection was discussed as well as it being normal for bells palsy to last 3 weeks or less and that it could last 6 months if untreated. We dis | PVT | Once daily muli-vitamin and lo-ortho birth control | none | facial fever blisters off and on - cluster migraines - neuropothy | 2 | 01/19/2021 | Y | Tylenol slight allergy, animal dander, bees | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0957078 | 01/19/2021 | WI | 50.0 | 50 | F | Patient developed body aches, bad headache and a rash on her legs, torso front and back. She took Benadryl and has not reported further symptoms. | U | 01/13/2021 | 01/14/2021 | 1 | PVT | 2 | 01/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0960023 | 01/20/2021 | WI | 50.0 | 50 | M | Patient was receiving dialysis and had low grade fevers on the morning on 1/15/2021. Patient was sent to the hospital's emergency room and was found to have a temperature of 103. The patient also had mental status changes. It is unsure what caused the ment | Y | Y | 01/14/2021 | 01/15/2021 | 1 | CT of head showed possible L PCA territory stroke MRI brain without contrast was negative for acute changes Lumbar puncture was negative for meningitis EEG: encephalopathic Phenytoin levels within normal | SEN | acetaminophen albuterol-ipatropium nebulizer amlodipine aspirin atorvastatin B complex-C-Folic acid benztropine biscodyl suppository carvedilol cholecalciferol fluoxetine hydralazine insulin lispro sliding scale lorazepam melatonin omega-3 | Patient tested positive with COVID on 12/2020. Repeat COVID test on 1/5/21 was negative. Patient tested COVID positive 1/15/21. | Diabetes, hypertension, hyperlipidemia, bipolar disorder, congestive heart failure, seizures, end stage renal disease on dialysis | 2 | 01/20/2021 | Y | lisinopril ? angioedema | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0966144 | 01/22/2021 | WI | 50.0 | 50 | F | Chills, headache, bodyaches, fever | U | 01/21/2021 | 01/22/2021 | 1 | No | PUB | Excedrin migrane | 2 | 01/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0986508 | 01/29/2021 | WI | 50.0 | 50 | F | New onset bilateral tinnitus, severe headaches and joint pain. 3 weeks after the injection while the headaches had resolved, the joint pain and tinnitus were unchanged. | 01/08/2021 | 01/09/2021 | 1 | PVT | Vitamin D 2000units, multivitamin, turmeric, escitalopram 2.5mg | none | Migraines Mild Asthma | 2 | 01/29/2021 | Y | latex causes a rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0986783 | 01/29/2021 | WI | 50.0 | 50 | F | Patient may have been given increased concentration of vaccine due to administration error. | U | 01/29/2021 | 01/29/2021 | 0 | unknown | PVT | unknown | unknown | unknown | Covid-19, BioNtec vaccine | 2 | 01/29/2021 | had a skin lesion, tiredness with the first dose of Covid vaccination | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0987132 | 01/29/2021 | WI | 50.0 | 50 | F | The evening of the vaccine got a headache and started getting muscle pain. By the next day I had fatigue, headache ,muscle pain, joint pain, chills and nausea. Lasted until the evening of January 26. 2021 | Y | 01/25/2021 | 01/25/2021 | 0 | SEN | Lorsartan | diabetes high blood pressure | 2 | 01/29/2021 | penicillin shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0987142 | 01/29/2021 | WI | 50.0 | 50 | F | I started having a sore arm the evening of 12/29/2021 - continued until am of 12/31/2021; and then I was fine until I had a vertigo episode on January 1 at 07:00 am. I didn't have cold symptoms but took a Mucinex - and the dizziness continued. Meclizine - | Y | 12/29/2020 | 01/01/2021 | 3 | No - just physical movement type tests | PVT | Multi-Vitamin; Zyrtec | no | no | vsafe | 2 | 01/29/2021 | Y | Y | Penicillin; Sulpha; Zipro; Bactrim and other drops for eyes (antibiotic) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0999356 | 02/03/2021 | WI | 50.0 | 50 | M | at the time of revoming the needle from patient,the needle and syring separated. as a result some of 0.5 ml dose did not go in his arm. As a result,I gave 0.25 ml additional dose to complete the vaccination. During 15 minute watch time nothing is happened. | U | 02/02/2021 | 02/02/2021 | 0 | SEN | 2 | 02/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1007550 | 02/06/2021 | WI | 50.0 | 50 | F | Diarrhea and intestinal cramping with bloody stools, muscle aches, chills, pain at site of injection | N | 02/05/2021 | 02/06/2021 | 1 | WRK | Baby aspirin, Omeprazole, famotidine, Effexor, buspar, propranolol, singulair, multivitamin, vit D, calcium, garlic, glucosamine-chondroitin, B complex | Vaginal yeast infection, UTI | Factor V-heterozygous | 2 | 02/06/2021 | Bactrim, PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1030436 | 02/15/2021 | WI | 50.0 | 50 | F | COVID-19 Moderna vaccine (Lot #011L20A) Patient received vaccination, after 10 minutes of waiting patient notified writer that she was very nausea and felt like "bee stings" to her lower back.(0745) VS-164/82, HR 98, RR 18, 98% RA. 25mg PO Benadryl given. | Y | 01/25/2021 | 01/25/2021 | 0 | PVT | 2 | 02/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1038500 | 02/18/2021 | WI | 50.0 | 50 | M | Patient received vaccine at 11:45 am on 2/17/2021 at Fairgrounds through Public Health. noticed tingling in the right side of his face at approximately 2:55pm. He called the office of public health to notify of tingling. Receptionist later told RN of reac | Y | 02/17/2021 | 02/17/2021 | 0 | Denies. | PUB | fluticasone daily Motrin taken around 0700 morning of vaccination for back pain | Denies. | Denies. | 2 | 02/18/2021 | Denies. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039382 | 02/18/2021 | WI | 50.0 | 50 | M | SORENESS, FATIGUE, BODY ACHES | 02/10/2021 | 02/11/2021 | 1 | PVT | 2 | 02/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039444 | 02/18/2021 | WI | 50.0 | 50 | F | patient presented to the observation with no issues; 15 minutes of observation the patient developed 1 hive on her forehead and red cheek. She was not in respiratory distress, no increase in heart rate, vital signs stable. Continue to observe the patient. | Y | 02/18/2021 | 02/18/2021 | 0 | none in the ED | PVT | unknown | none | unknown | 2 | 02/18/2021 | Y | Flex Seed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041420 | 02/19/2021 | WI | 50.0 | 50 | F | On the day after the first Moderna vaccine, I was extremely fatigued, had chills and generally felt bad. I stayed home from work and slept most of the day. I was able to go back to work on the following day, but still had fatigue, which never really went a | N | 01/06/2021 | 01/07/2021 | 1 | Covid test 1/22/2021-negative Covid test 1/22/2021-negative Chest X Ray 2/3/2021-normal other than "minimal basilar atelctasis" Blood work 2/15/2021-normal, except for high white blood cells | MIL | none | none | none | 2 | 02/19/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041810 | 02/19/2021 | WI | 50.0 | 50 | F | FEVER, CHILLS | 01/12/2021 | 01/13/2021 | 1 | PVT | 2 | 02/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1042975 | 02/20/2021 | WI | 50.0 | 50 | F | First felt warm but after 35 minutes of receiving vaccine, she started feeling throat closing up and harder to breathe. EPI was given at 0907 and rapid response was called and patient was brought immediately to ER. | U | 02/20/2021 | 02/20/2021 | 0 | OTH | 2 | 02/20/2021 | Erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1045524 | 02/22/2021 | WI | 50.0 | 50 | M | Tansverse myelitis; A spontaneous report was received from a physician, who was also a 50-year-old male patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced transverse myelitis. The patient's medical history included cervical disc | N | 12/30/2020 | 01/07/2021 | 8 | Test Date: 2021; Test Name: lumbar puncture for CSF analysis; Test Result: Inconclusive ; Result Unstructured Data: results not specified; Test Date: 2021; Test Name: MRI of brain; Test Result: Inconclusive ; Result Unstructured Data: results not specifi | UNK | TESTOSTERONE CYPIONATE; ANASTROZOLE | Cervical disc disease; Testosterone low | USMODERNATX, INC.MOD20210 | 2 | 02/19/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1058532 | 02/26/2021 | WI | 50.0 | 50 | F | Received first covid vaccine 1/17/21 to the right deltoid (Pfizer, lot #EL3248). On 1/27/21 seen by an APNP for right arm pain and decreased mobility. Presented to EHS on 1/29/21 with pain and concern that vaccine was give posterior to the deltoid. Pt did | N | 01/17/2021 | 01/17/2021 | 0 | EMG planning for 4/14/21 | WRK | 2 | 02/26/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1061053 | 02/28/2021 | WI | 50.0 | 50 | F | Severe abdominal pain and vomiting approximately 3 hours after injection | Y | 02/26/2021 | 02/26/2021 | 0 | N/A | PVT | Vitamin C, Vitamin D3 | None | None | 2 | 02/28/2021 | Eurthromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1072964 | 03/04/2021 | WI | 50.0 | 50 | F | DIZZINESS, FATIGUE, CHILLS, BODY ACHES, BRAIN FOG | 02/03/2021 | 02/04/2021 | 1 | PVT | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1073042 | 03/04/2021 | WI | 50.0 | 50 | F | FEVER, FATIGUE | 02/11/2021 | 02/11/2021 | 0 | PVT | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1073391 | 03/04/2021 | WI | 50.0 | 50 | F | Scratchy, dizzy, rash, faint | U | 03/04/2021 | 03/04/2021 | 0 | PUB | Just had spine surgery and vertigo | 2 | 03/04/2021 | Y | Fruits, Veggies, Ibuprofen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1080369 | 03/08/2021 | WI | 50.0 | 50 | M | 3/05 @ 9pm - pain on right shoulder (about a 4 for pain). 3/06 @ 4am - diarrhea that lasted until next morning. 3/06 @ 9am - pain on right shoulder, armpit, and back (about 8 for pain); chills, fever (98-99), and headache. 3/06 @ 6pm - pain on right should | Y | 03/05/2021 | 03/05/2021 | 0 | None | PHM | None | None | Hemorrhoids, internal Anemia Lower GI bleed Family history of diabetes mellitus (DM) Acute medial meniscal injury of knee Onychomycosis Left knee DJD Lumbar degenerative disc disease Lumbar disc herniation Lumbar facet arthropath | 2 | 03/08/2021 | Hydrocodone-Acetaminophen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1082641 | 03/08/2021 | WI | 50.0 | 50 | F | Patient reported nausea, dizziness, and shortness of breath at 0950. Declined epinephrine. Requested IM benadryl. 50 mg IM benadryl given at 1005 am in the left deltoid. Patient got a driver to take her home. Symptoms resolved within 30 minute observation | Y | 03/05/2021 | 03/05/2021 | 0 | none | PVT | none | none | HTN | 2 | 03/08/2021 | allergies to rasberries, sage, cilantro, melons, azithromycin, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1094501 | 03/12/2021 | WI | 50.0 | 50 | F | Moderna COVID-19 Vaccine EUA I noticed a small, kidney bean shaped blister appear about 24 hours after my vaccination. It was off to the side of the actual injection site- but only by about an inch or so. It didn't hurt, was not red. It continued to swe | Y | 03/04/2021 | 03/05/2021 | 1 | none | PUB | Folic Acid Methotrexate Venlafaxine | no | Rheumatoid Arthritis | 2 | 03/12/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1099428 | 03/14/2021 | WI | 50.0 | 50 | F | Severe headache, whole body pain, sore throat, eye pain, fever, severe cold, severe tremors, nausea, dizziness, swelling, redness, fatigue, muscle pain, cough, and sneezing. | N | 03/04/2021 | 03/04/2021 | 0 | PVT | Escitalopram 10mg, Black cosho. | asthma | asthma | 2 | 03/14/2021 | Hydrocodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1120380 | 03/21/2021 | WI | 50.0 | 50 | F | at 12:30am woke with headache and violent shaking chills at 2:15am woke with nausea and vomited, persistent headache at 3:30 am woke with headache and full body aches, took a tylenol at 4:45 am woke with fever, oral temp 100.4F, headache and body aches con | Y | 03/18/2021 | 03/19/2021 | 1 | none | PUB | Estradiol 0.1mcg transdermal patch cetirizine 10mg twice daily naproxen 220mg once daily in the morning Costco 50+ multivitamin once daily in the morning MacuHealth (eye vitamin) once daily at night | none | allergic rhinitis to pollen, dust, mold menopause 10 years | 1/6/2021 after receiving the second Shingrex on 1/5/21. Woke just after midnight on 1/6/21 with violent chills, headache and ful | 2 | 03/21/2021 | topical sensitivity to sulfa (silver sulfadiazine) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1122925 | 03/22/2021 | WI | 50.0 | 50 | F | Lightheadedness, chills, fever, headache, body aches, fatigue, cough, injection sight pain | N | 03/20/2021 | 03/20/2021 | 0 | PHM | Fluoxetine, Allegra, vitamin D and B | 2 | 03/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130787 | 03/24/2021 | WI | 50.0 | 50 | F | Vaccine given IM about 9:30am to right deltoid muscle. Patient monitored for 15 minutes, felt okay and left monitoring area. Patient returned after about 20 minutes from vaccine (a little after 9:50am) complaining of itching of throat, shortness of breath | Y | 03/24/2021 | 03/24/2021 | 0 | PHM | 2 | 03/24/2021 | Penicillin, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1134773 | 03/25/2021 | WI | 50.0 | 50 | F | Ear (right) was a little uncomfortable - it gradually got worse - by Tuesday afternoon, I went to my fitness class but tapped out half way through and it was around 6 pm that I went to urgent care. Had an ear infection and was given a ten day regimen of a | Y | 03/16/2021 | 03/21/2021 | 5 | no | PVT | Vit D; Black Cohash; Fiber supplement; Women's Multi-Vitamin; Evening pills: Melatonin; Valerian Root; Antihistamine - Loratadine | no | no | vsafe | 2 | 03/25/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1136046 | 03/25/2021 | WI | 50.0 | 50 | F | Patient has a history of anyphylaxis reaction to bees. Patient started with small rash on left hand two spots. Wanted to go to the ER due to history. RN took her. No shortness of breathe at that time, no swelling, itching, dizziness, or weakness, patient d | Y | 03/25/2021 | 03/25/2021 | 0 | Benadryl IV | PVT | Levothyroxine and benadryl | Hyperlipidemia, hyperthyroidism, obesity, Carpal Tunnel release | 2 | 03/25/2021 | Y | Bees | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1136497 | 03/26/2021 | WI | 50.0 | 50 | M | Chills started about 18 hours after vaccination Body Aches, Joint Pain, Diarrhea, Injection Site Soreness, Tiredness, Muscle Pain, Fever 99.8, Chill stopped about 28 hours after vaccination. Fever, body Aches, Joint Pain, Muscle Pain pretty much gone 40 | Y | 03/24/2021 | 03/25/2021 | 1 | PVT | Losartan 25 mg, Prilosec | None | None | 2 | 03/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1138665 | 03/26/2021 | WI | 50.0 | 50 | F | Day of Vaccine March 12: 5:30 pm chills, arm pain (left/injection side); 6:30 pm + fatigue, mild nausea; 7:30 pm + neckache and headache; 8:30 pm + shivering / teeth chattering, fever 99.8; 9:30 pm fever 100.5, dizziness, took 1 ibuprofen; 10:00 pm + extre | Y | 03/12/2021 | 03/12/2021 | 0 | none | PUB | none | asthma; seasonal and environment allergies | mild arm soreness after influenza vaccine (manageable, no impact on functioning) | 2 | 03/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1140045 | 03/27/2021 | WI | 50.0 | 50 | M | Sharp intermittent pain up and down left arm; painful blister clusters above and below elbow and between finger; sharp pain in fingertips. All outcomes on left arm | N | 03/20/2021 | 03/25/2021 | 5 | Cmp | PHM | Multi vitamin, b12, vitamin d | None | Ckd post transplant, hypertension | 2 | 03/27/2021 | Y | Ace inhibitors | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1149807 | 03/31/2021 | WI | 50.0 | 50 | F | Stiff joints, body aches, sneezing | N | 03/29/2021 | 03/31/2021 | 2 | NA | PHM | Losartan, Omeprazole, Escitalopram and Melatonin. | None | High Blood Pressure, Obesity, Psoriasis, Psoriatic Arthritis, Osteoarthritis, Degenerative disc disease, History of Hypokalemia, Anxiety, | 2 | 03/31/2021 | Lisinopril | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155484 | 04/01/2021 | WI | 50.0 | 50 | F | 2" diameter rash at injection site. The rash is itchy, raised, red, hard and warm to the touch. I first noticed it Sunday evening but it was just a little itchy. It has progressively become bigger but hasn't grown in the past 2 days. It doesn't hurt unless | N | 03/21/2021 | 03/28/2021 | 7 | NA | PUB | Fluoxetine - 30mg Bupropion - 300mg Propranolol - 20mg LISINOPRIL/HYDROCHLOROTHIAZIDE - 20-12.5 PREVIFEM 0.25/35 Albuterol | None | Depression, hypertension | Pain in arm after flu shot each year that last 2-3 days | 2 | 04/01/2021 | Y | Lamictal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1175355 | 04/07/2021 | WI | 50.0 | 50 | M | 5 days post vaccination I experienced sudden onset of generalized hives associated with itchiness. After use of benadryl the hives became more red, less raised, and resembled a confluent measles rash. From association with hives I experienced ear pruritus, | N | 04/01/2021 | 04/06/2021 | 5 | None currently | PUB | Venlafaxine 37.5 ER, Floragen 3 | None | Meneires Disease | 2 | 04/07/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1185261 | 04/09/2021 | WI | 50.0 | 50 | F | Patient felt dizzy when sitting on the toilet, reports passing out and states that this was unwitnessed. She is uncertain how long she was out for, but notes it felt like a long time. Then someone came and helped her up from the toilet and took her back to | Y | 04/07/2021 | 04/08/2021 | 1 | None | WRK | Tizanidine (muscle relaxer for back pain), Atorvastatin, Hydrochlorothiazide | Low back spasm | Hypertension, Hyperlipidemia, Allergic Rhinitis, | 2 | 04/09/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1192026 | 04/10/2021 | WI | 50.0 | 50 | F | Client received vaccine and became dizzy and was "seeing stars". Sat for about 20 seconds right after being vaccinated and then passed out for 10 seconds. BP was unreadable, pulse 72, O2 saturation 98%. Was transported to hospital | U | 04/10/2021 | 04/10/2021 | 0 | PUB | 2 | 04/10/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1195261 | 04/11/2021 | WI | 50.0 | 50 | F | injection site rash. rash about 3-4 inches in diameter, swollen, and hot to the touch. mildly itchy. only noticed it late Friday night. Saturday, rash and swelling persisted. toward the end of the day, whole body was mildly itchy. took 1 benadryl, waited | Y | 04/01/2021 | 04/09/2021 | 8 | PHM | liothyronine 5 mcg bupropion hcl 300m melatonin 10m l-theanine 200mg magnesium 500mg vitamin d3 250 mcg | none | none | 2 | 04/11/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1207643 | 04/14/2021 | WI | 50.0 | 50 | F | felt fine after the shot at 4:45pm. the next morning around 10:30am I began experiencing black-out episodes when I would move my head to look over my shoulder, look to either side of the room. When I got up from sitting to walk to the bathroom, my legs w | Y | 04/04/2021 | 04/05/2021 | 1 | none | PHM | Pramipexole 0.25 (1 @ bedtime) - Restless Leg; Linzess 290Mcg (1 @ breakfast) - Digestion/IBSC; Levothyroxine 75Mcg (1 @ breakfast) - Hypo Thyroid; Propranolol 10Mg (1 @ breakfast & 1 @ bedtime) - Sinus Tachycardia; Duloxetine DR 60Mg (1 @ | Healthy | Hypo Thyroid, Depression, Fibromyalgia | 2 | 04/14/2021 | Amoxicillan, Phenergen, Reglin, Torodol, the latex (yellow'ish) Foley Catheters, adhesives (band aids, any plastic tapes) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209057 | 04/14/2021 | WI | 50.0 | 50 | F | Accidentally given a Pfizer vaccine instead of Shingrix. Patient has already received both doses of Moderna in December and January. | U | 04/14/2021 | 04/14/2021 | 0 | PHM | 2 | 04/14/2021 | Morphine, Vicodin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209365 | 04/14/2021 | WI | 50.0 | 50 | F | Pt after 10 min started to develop dry and itchy throat, she denies difficulty breathing. She was given one 25mg dose of benadryl and was feeling better. she had driver with her. | Y | 04/14/2021 | 04/14/2021 | 0 | OTH | 2 | 04/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1210622 | 04/14/2021 | WI | 50.0 | 50 | F | I became extremely dizzy and had to stop working for the day the day after the shot, originally thought it was my sinuses because of the dry air in the house but had never been that dizzy where I could not function and had to stop working. Slight dizzines | Y | 04/06/2021 | 04/07/2021 | 1 | na | PHM | Sulfasalazine 500 mg tablet twice a day, Metformin HCL ER 500 mg tablet once a day, Atorvastatin 10 mg once a day, Synthroid 150 mcg tablet once a day, Duloxetine delayed release cap 60 mg, Celecoxib 200 mg cap once a day, Escitalopram 20 | na | RA, thyroid, cholesterol | 2 | 04/14/2021 | na | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1213203 | 04/15/2021 | WI | 50.0 | 50 | F | Eyesight has significantly deteriorated after vaccination. First realized on Monday 05Apr2021 as other side affects such as muscle soreness, dizziness, and fevers prevented me from getting up. Eye sight has not deteriorated since Monday. | N | 04/01/2021 | 04/05/2021 | 4 | No examination save been completed | PUB | Metformin, advil | None | Diabetes, glaucoma | 2 | 04/15/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1214713 | 04/15/2021 | WI | 50.0 | 50 | F | 50 yo female with no medical history known to our system presents with Inferior STEMI with ventricular fibrillation cardiac arrest. Unknown initial downtime without CPR. Arrived by rescue squad and taken emergently to Cardiac Catheterization Lab, required | Y | Y | Y | N | 03/29/2021 | 04/12/2021 | 14 | Troponin I 2.25 on 4/12/21 2215; & 9.2 on 4/13/21 0538; D-dimer 7.77 on 4/12/21 2215; plt 290 4/12/21 2215; WBC 18.7 4/12/21 urine culture-no growth, COVID-19 not detected 4/12/21 | PHM | none | none | obesity BMI 47.4 kg/m2, heavy smoker | 2 | 04/15/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222748 | 04/17/2021 | WI | 50.0 | 50 | F | For about 24 hours I experienced fever/chills/fatigue/nausea/headaches/body aches/mild injection site pain. These side effects occurred only with my 2nd dose (with the exception of mild injection site pain, which I had with both doses). | Y | 04/15/2021 | 04/16/2021 | 1 | None | PUB | 0 | 0 | 0 | 2 | 04/17/2021 | 0 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1226023 | 04/18/2021 | WI | 50.0 | 50 | F | bilateral hand swelling, pain and erythema | N | 04/09/2021 | 04/16/2021 | 7 | CBC, ANA, Rheumatoid factor, Lyme's testing, CMP | PVT | Chlorthalidone 25mg/day, lisinopril 5mg/day, zyrtec QD, Prempro, magnesium, selenium | HTN, allergic rhinitis, premature menopause, hypothyroidism, autoimmue nephrotitis (? in past) | hypothyroidism | 2 | 04/18/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1226980 | 04/18/2021 | WI | 50.0 | 50 | F | At 10:30 PM on the day of the vaccine I became achy throughout my body, chills, headache and severe nausea. By midnight my body was going in to full body cramping and nausea was unbearable along with the headache. Taken to emergency room at midnight. all | N | 04/09/2021 | 04/09/2021 | 0 | 4/9/21 taken to emergency room and placed on heart monitor, IV placed and IVF's infused along with a IV dose of magnesium. IV toradol given, IV zofran given and IV Ativan given. | PVT | Prozac 40mg once a day, Vitamin D 500units once a day, multivitamin once a day | NONE | NONE | Shingles vaccine on feb 24th, 2021. Similar reaction but not as severe and no emergency room visit. | 2 | 04/18/2021 | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1229601 | 04/19/2021 | WI | 50.0 | 50 | F | Developed bilateral tinnitus one day after receiving 2nd vaccination. No tinnitus prior to vaccination (or at any other time). Still experiencing tinnitus two weeks later. The ringing is almost constant. | N | 04/06/2021 | 04/07/2021 | 1 | 4/15/2021: Hearing tests performed by audiologist. Moderate hearing loss in both ears. | PHM | Topamax, Adderall, Estrodial, Synthroid, vitamin D3, vitamin B12 | Epilepsy | 2 | 04/19/2021 | Y | PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238038 | 04/21/2021 | WI | 50.0 | 50 | F | Patient states that she recently received her Johnson and Johnson covid vaccine on 4/8/21. After receiving the vaccine, she began experiencing right sided sciatica symptoms with painful sitting and ambulating. Did present to urgent care who evaluated and p | N | 04/08/2021 | 04/09/2021 | 1 | PVT | 2 | 04/21/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238795 | 04/21/2021 | WI | 50.0 | 50 | F | Feeling very tired and sometimes dizzy, low blood pressure | N | 04/15/2021 | 04/17/2021 | 2 | OTH | Armor thyroid 60 mg | Hypoglycemia | Low thyroid | 2 | 04/21/2021 | Eggs, gluten and dairy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1256078 | 04/25/2021 | WI | 50.0 | 50 | M | fever,nausea,headache,diarrhea | U | 02/07/2021 | 04/19/2021 | 71 | UNK | Diabetes | 2 | 04/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1258828 | 04/26/2021 | WI | 50.0 | 50 | M | Client was asymptomatic but was tested because he had a scheduled colonoscopy. | 01/29/2021 | 04/23/2021 | 84 | UNK | 2 | 04/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1263053 | 04/27/2021 | WI | 50.0 | 50 | F | I reported my reaction but wanted to report that I am still having symptoms. I continue with intermittent nausea and headaches, poor appetite, body aches and joint pain. | N | 04/09/2021 | 04/09/2021 | 0 | PVT | 2 | 04/27/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266141 | 04/28/2021 | WI | 50.0 | 50 | M | Patient reported nausea at 1530 and cold sweats, aches, chills starting at 0200 5March2021. For 2nd shot in series (8April2021 at 0830am): patient reported nausea at 0430, and cold sweats, aches, chills starting at 0300 on 9April2021). Patient reports sy | Y | 03/04/2021 | 03/04/2021 | 0 | none | MIL | None Reported | None | Post Vaccinial Encephalitis case 2008 - see #23 below | Anthrax/Smallpox May 2008 post vaccine encephalitis | 2 | 04/28/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267768 | 04/28/2021 | WI | 50.0 | 50 | F | Patient contracted COVID after fully vaccinated | Y | 03/17/2021 | 04/28/2021 | 42 | COVID positive Test on 4/23/2021 with symptom onset of 4/20/2021 | UNK | Levothyroxine 125mcg daily Lisdexamfetamine 40mg qAM TraZODone 100mg HS | Hypothyroid | 2 | 04/28/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1270969 | 04/29/2021 | WI | 50.0 | 50 | M | Per phone call with patient on 04/29/2021 at 10:38 am: At around 3:00 am on 03/19/2021, the morning after receiving his vaccine, patient states he began a 102 degree fever, chills, shivering, and nausea "worse than the nausea when I had COVID in November." | Y | 03/18/2021 | 03/19/2021 | 1 | None | OTH | None | None | None | 2 | 04/29/2021 | Y | "hives the last time I took azithromax" | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271074 | 04/29/2021 | WI | 50.0 | 50 | F | Heart rate increased 20-30 beats per minute for 24 hours. Fever, chills, lack of appetite, general malaise. | Y | 04/02/2021 | 04/03/2021 | 1 | n/a | PHM | n/a | n/a | n/a | 2 | 04/29/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271237 | 04/29/2021 | WI | 50.0 | 50 | M | During 15 minute observation period, patient complained of dizziness, lightheadedness and minor stomach upset. Patient was instructed to sit down, his feet were elevated, a cold compress was applied. Patient's blood pressure, heart rate and pulse ox were t | U | 04/29/2021 | 04/29/2021 | 0 | See above (4/29/21) | SEN | Blood pressure medication | None noted or mentioned | High blood pressure | 2 | 04/29/2021 | Y | Penicillin and codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271289 | 04/29/2021 | WI | 50.0 | 50 | M | Patient received Pfizer dose after having already received Janssen. Patient reported no previous COVID vaccine to clinic that provided Pfizer, and vaccine system was unable to check registry to verify this. | 04/23/2021 | 04/23/2021 | 0 | PUB | 2 | 04/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271786 | 04/29/2021 | WI | 50.0 | 50 | F | Patient came to pharmacy for 1st Moderna Covid-19 vaccination on 4/21/21. Spouse reported she died on 4/25/21. Our pharmacy does not have information about her medications or health conditions as she wasn't a regular customer of ours. | Y | 04/25/2021 | N | 04/21/2021 | 04/25/2021 | 4 | PHM | unknown | unknown | unknown | 2 | 04/29/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1274580 | 04/30/2021 | WI | 50.0 | 50 | F | 25 minutes after receiving vaccine, patient was wheezing, complained of chest tightness and was flushed. Utilized own inhaler. Pulse 100, pulse ox 100%. At 15:55, gave 50 mg IM Benadryl. BP 140/88. At 16:00, gave EpiPen. EMS called. 16:10, patient stated s | U | 04/30/2021 | 04/30/2021 | 0 | PUB | none | asthma, hypertension | influenza | 2 | 04/30/2021 | Y | Influenza vaccine, lorazepam, bee venom, lorsartan, sulfa drugs, environmental | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1281577 | 05/03/2021 | WI | 50.0 | 50 | M | Beginning on 4/29/21: Fever (reaching 105.2*), headache, and chills. Lasted for 4 days. Contacted MD by phone. Informed to treat with Acetaminophen and hydrate with water. | Y | 04/28/2021 | 04/29/2021 | 1 | None | PHM | Glimepiride and Enalapril | Had Covid in early February 2021 | Diabetes , High Blood pressure, and BMI >30 | Pfizer Covid on 4/7. Arm pain, slight headache and tired | 2 | 05/03/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1285245 | 05/04/2021 | WI | 50.0 | 50 | F | Site: Pain at Injection Site-Mild, Systemic: Allergic: Rash Generalized-Medium | N | 04/24/2021 | 04/24/2021 | 0 | PHM | 2 | 05/04/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1285751 | 05/04/2021 | WI | 50.0 | 50 | F | When the patient had her SHINGRIX #2 done, she didn't tell us she'd just had her 2nd covid vaccine (Pfizer) on 5/1. The pharmacy she had it done at had not yet uploaded the data to WIR, so it didn't download to our EMR. She has had no ill effects, but be | Y | 04/05/2021 | 04/05/2021 | 0 | PVT | N/A | N/A | N/A | 2 | 05/04/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1296142 | 05/07/2021 | WI | 50.0 | 50 | F | I woke up with dizziness/vertigo, and continued to feel it like motion sickness especially when going up/down stairs or bending over. Never experienced this before. This was day 2 of menstrual cycle and originally thought perhaps due to that, but not a h | Y | 04/09/2021 | 04/21/2021 | 12 | PUB | multivitamin, iron, vitamin C/D/zinc | endometriosis when younger | 2 | 05/07/2021 | just environmental allergies (pets, dust, pollen, etc.) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1299572 | 05/08/2021 | WI | 50.0 | 50 | F | Its 31 days after my 2nd dose & I got my period. I'm 51 & I have an IUD, I haven't had a period in over 2 years. I had 7 days of moderate to severe PMS symptoms including cramps, back pain and breast tenderness-I havent had those types of PMS issues since | U | 04/13/2021 | 05/08/2021 | 25 | PUB | Wellbutrin | 2 | 05/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1301406 | 05/09/2021 | WI | 50.0 | 50 | M | aches, chills, fever | Y | 05/07/2021 | 05/08/2021 | 1 | WRK | NONE | NONE | NONE | 2 | 05/09/2021 | NONEE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1303372 | 05/10/2021 | WI | 50.0 | 50 | F | Felt like arm is asleep, headache, chills, weakness, dizzy, nausea, vomiting, diarrhea and very tired. | N | 05/07/2021 | 05/08/2021 | 1 | PUB | Lisinopril-HCTZ 25 MG | High blood pressure | 2 | 05/10/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1317173 | 05/14/2021 | WI | 50.0 | 50 | M | Client received Pfizer after having already received full series of Johnson & Johnson vaccine. Client admits he lied about not receiving previous COVID vaccine. State data entry system did not have capability to review previous vaccinations in state regist | 04/23/2021 | 04/23/2021 | 0 | PUB | 2 | 05/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1320748 | 05/15/2021 | WI | 50.0 | 50 | F | Severe headaches - still occurring as of 5/15 - medication prescribed to manage pain started in April and other medication intended to prevent headaches from occurring started on 5/13 Muscle pain - less severe after 4 weeks and ongoing massage therapy Chil | N | 04/12/2021 | 04/12/2021 | 0 | Standard blood tests done in April and May - no abnormal results Brain MRI scheduled for 5/17 due to ongoing headaches | UNK | Buproprion, Risperidone, One-A-Day multi-vitamin | None | None | 2 | 05/15/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1321476 | 05/15/2021 | WI | 50.0 | 50 | M | Fever, Chills, Diarrhea, mild sore throat, mild breathing impairment, severe fatigue and lack of appetite. All these side effects started 2 days after vaccination 5/13/2021 and have kept me soaking wet, cold, and in bed through right now 5/15/2021 at 10:25 | N | 05/01/2021 | 05/13/2021 | 12 | None | OTH | None | None | None | 2 | 05/15/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1330699 | 05/19/2021 | WI | 50.0 | 50 | F | Vaccinated for COVID-19 with Pfizer on 3/11/2021 and 4/16/2021, tested positive for Covid-19 by PCR on 5/12/2021. Entered emergency department with complaints of knee pain on 5/14/2021 (knee aspiration done 5/12/2021). Also noted to have Covid-19 pneumonia | Y | U | 04/16/2021 | 05/14/2021 | 28 | as above | UNK | unknown | unknown | unknown | 2 | 05/19/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1336114 | 05/21/2021 | WI | 50.0 | 50 | M | Severe vertigo decreasing as time goes on | N | 05/12/2021 | 05/18/2021 | 6 | None | PHM | None | None | None | 2 | 05/21/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1337508 | 05/21/2021 | WI | 50.0 | 50 | M | Patient tested positive for COVID-19, he is asymptomatic. There are 10 members in his household, 9 of them have tested positive and 3 are fully vaccinated. | Y | 04/16/2021 | 05/19/2021 | 33 | PUB | 2 | 05/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1340716 | 05/22/2021 | WI | 50.0 | 50 | F | Patient presented in the ED on 5/14/20 at Hospital with a left sided stroke. Was treated with alteplase. Pt was then transferred to another Hospital | Y | Y | 8 | Y | 04/22/2021 | 05/14/2021 | 22 | UNK | Adderall, asa, atorvastatin, remeron, nicotine patch, oxycodone | None | 2 | 05/22/2021 | Y | PCN, nickel | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1347733 | 05/25/2021 | WI | 50.0 | 50 | F | Itching of hands and swelling of hands on day 2. of 1st vaccine. Headache, tinnitus, body aches, rash, and overall tiredness. Itching on feet ,hands, arms, and hives on back, ribs, core body and neck with second vaccine | N | 04/07/2021 | 04/08/2021 | 1 | Lab tests done 05/25/21. Waiting on results | PVT | none | none | none | Flu Shot 2008? I had swelling at the injection site for about 3 weeks. | 2 | 05/25/2021 | Y | Allergic to IV Dye Allergic to Oxycotin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1365105 | 06/01/2021 | WI | 50.0 | 50 | F | Patient is a 50 year old female with history significant for autism, developmental disability, hypertension, seizures, frequent falls, Tourette syndrome, s/p CVA. She presented 3/31/2021, through the Emergency Department from home with following an unwitne | Y | 6 | U | 03/27/2021 | 03/30/2021 | 3 | Severe sepsis, unknown origin, without end organ failure o SIRS/Sepsis criteria met o No source of infection identified clinically or through diagnostic imaging o Temperature 97.3?F, heart rate 103 BPM, respiratory rate 22, and WBC equals 15.9 upon arriva | UNK | fluoxetine (PROzac) 40 MG capsule Take 1 capsule by mouth daily. lamoTRIgine (LaMICtal) 25 MG tablet Take 1 tab PO qPM for 2 weeks, then take 1 tab BID for 2 weeks and then increase by 1 tab every two weeks up to 2 tabs BID lisinopril (ZEST | Autism Essential (primary) hypertension | 2 | 06/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1368543 | 06/02/2021 | WI | 50.0 | 50 | M | He was admitted to Hospital unresponsive as Ventricular Fibrillation cardiac arrest. Found to be COVID-19 positive upon testing on 5/31/2021. No prior positive tests on record. | Y | N | 03/18/2021 | 05/31/2021 | 74 | PVT | 2 | 06/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1386195 | 06/09/2021 | WI | 50.0 | 50 | M | Fatigue after second dose of Moderna vaccine- sleeping 12 hour or more at one time , soreness that has improved | N | 06/04/2021 | 06/04/2021 | 0 | n/a | PHM | metformin, sertaline, blood sugar monitor | n/a | type 2 diabetes, anxiety, obestiy, tobacco use disorder | 2 | 06/09/2021 | Y | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1392886 | 06/11/2021 | WI | 50.0 | 50 | F | One day after the second dose I felt a large lump, approximately 14mm right below my clavicle, I'm assuming it was a clavicular lymph node. It has now subsided 30 days afterwards. | Y | 05/12/2021 | 05/13/2021 | 1 | PHM | levothyroxine | none | mild hypothyroidism | 2 | 06/11/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1446103 | 07/03/2021 | WI | 50.0 | 50 | F | After 2nd shot felt upset stomach, headache, weak, lightheaded, stomach pain, diarrhea, throwing up. Not eating or drinking. Have lost 45lbs . Have not eating since 04/05/21. Was in ER on 4/6/21 and got fluids and was advised to go to GI. | N | 03/26/2021 | 04/01/2021 | 6 | Fecal test - negative, fecal fat test - negative, upper Endo - neg, Colonoscopy - negative, blood test all negative | PVT | Potassium Chloride Crys 20 MEQ ER tab .5 tab Ozempic (0.25 or 0.5 MG/DOSE) 2 MG/1.5ML soln pen-injector Sertraline HCl 100 MG tab Basaglar KwikPen 100 UNIT/ML soln pen-injector Amitriptyline HCl 50 MG tab Losartan Potassium 100 MG tab hydr | No | Diabetic | 2 | 07/03/2021 | Y | Y | Sulfa Drugs Penicillins Ace Inhibitors Isosorbide Nitrate Doxycycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1464812 | 07/12/2021 | WI | 50.0 | 50 | F | About a month after my J&J Covid vaccine I started having tingling/cold feelings in my feet and hands, my feet felt they were breaking a cold sweat it was very mild about a 2 on a scale from 1-10. I also noticed a lump on top of my right foot. The lump has | U | 04/02/2021 | 05/01/2021 | 29 | starting this week | PVT | Super Omega 3's 1800mg Vitamin C 1000mg, Vitamin D 2,000mg, Selenium 200mcg, Vitamin E 400iu, Turmeric extract 600mg | none | none at the time other then seasonal allergies. | 2 | 07/12/2021 | erythromycin. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1470445 | 07/14/2021 | WI | 50.0 | 50 | M | cough,loss of taste/smell, body aches,headache | U | 04/06/2021 | 07/10/2021 | 95 | UNK | 2 | 07/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1474773 | 07/15/2021 | WI | 50.0 | 50 | F | Shortness of breath and chest pain. I went to the ER on April 15, 2021. I went to the urgent care on April 20th because my shortness of breath and chest pain got worse. I have not been able to work since April 19th due to the shortness of breath and chest | N | 01/13/2021 | 04/03/2021 | 80 | They ran EKG and Lab work. Echo cardiogram results: pericarditis They have ran tests to see if there could be another cause for the pericarditis besides the vaccine and everything was negative | PVT | Vitamin B2, Vitamin D, magnesium, mepronil, fish oil, propranolol, troperiate, and mortriptolien | none | migraines | Pneumonia vaccine - got red and hot (early 2000's) | vsafe | 2 | 07/15/2021 | Y | Y | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1490506 | 07/21/2021 | WI | 50.0 | 50 | F | patient has had a daily, sometimes severe headache that started 1-2 days following 2nd Covid vaccine. | N | 05/07/2021 | 05/08/2021 | 1 | MRI of the brain negative | PVT | lisinopril-hydrochlorothiazide | none | hypertension, obesity | 2 | 07/21/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1507881 | 07/28/2021 | WI | 51.0 | 50 | F | Developed a staph infection/staph infection was on leg and butt had spots all over body; This spontaneous case was reported by a consumer and describes the occurrence of STAPHYLOCOCCAL INFECTION (Developed a staph infection/staph infection was on leg and b | U | 06/21/2021 | 06/01/2021 | UNK | USMODERNATX, INC.MOD20212 | 2 | 07/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1509571 | 07/28/2021 | WI | 50.0 | 50 | F | Pt received both doses of the Pfizer COVID vaccine on 1/20/2021 and 2/10/2021. She tested positive for COVID 19 (collected 7/18/2021 in urgent care), then presented to the ED on 7/20 with asthma exacerbation, bronchitis, and fever thought to be related to | Y | 1 | Y | 02/10/2021 | 07/19/2021 | 159 | PVT | budesonide-formoterol, cetirizine, escitalopram, esomeprazole, montelukast, trazodone | Asthma with acute exacerbation, BP elevation w/o history of HTN, celiac disease, eustachian tube dysfunction, left, GERD, hay fever, IBS, migraines, morbid obesity, ovarian cyst, premenstrual dysphoric disorder, unspecified disorder of menstruation | 2 | 07/28/2021 | Y | Y | topiramate, famotidine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1511609 | 07/29/2021 | WI | 51.0 | 50 | F | developed a staph infection same location of body and worse on backside and face; tired; headache; This spontaneous case was reported by a consumer and describes the occurrence of STAPHYLOCOCCAL INFECTION (developed a staph infection same location of body | U | 05/24/2021 | UNK | USMODERNATX, INC.MOD20212 | 2 | 07/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1523178 | 08/03/2021 | WI | 50.0 | 50 | M | 7/28/21 Tingling and minor weakness in right arm 7/29/21 Tingling in right arm, right leg, and right side of face 7/30/21 Tingling in right and left arm, right and left leg, right side of face | N | 07/26/2021 | 07/28/2021 | 2 | 8/2 MRI with contract on head. Nothing found 8/2 Panel of blood work, not sure the details on this....all came back as normal | PHM | none | none | none | 2 | 08/03/2021 | Y | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1540574 | 08/10/2021 | WI | 50.0 | 50 | F | Sore at injection site for 1 week/ mild aches/pains for 24 hours after The injection site remained a bit noticeable and 2 months later I have more intense muscle pain when I raise my left arm, shooting pains in muscle around injection site. | N | 04/08/2021 | 06/02/2021 | 55 | PUB | Multi-vitamin | none | none | 2 | 08/10/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1545682 | 08/11/2021 | WI | 50.0 | 50 | M | Shortly after receiving vaccine, patient reported tightness in chest, difficulty breathing, numbness in arm and headache. EMS were called and patient was transported further evaluation | U | 08/11/2021 | 08/11/2021 | 0 | EMS escorted patient for further evaluatin | PHM | Jardiance 10mg, nitroglycerin, atorvastatin, metformin, metoprolol, clopidigrel,,lisinopril, furosemide, potassium, gabapentin | Diabetes and heart disease | 2 | 08/11/2021 | Y | nkda | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1569114 | 08/15/2021 | WI | 50.0 | 50 | M | Experienced severe seizure | U | 05/01/2021 | 05/22/2021 | 21 | UNK | 2 | 08/15/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1570964 | 08/15/2021 | WI | 50.0 | 50 | F | very sick, day 4 stayed in bed, felt awful.; felt awful; back pain; all her body, in elbow both arm especially and back pain; headaches; super significant joint pain, very painful; fatigue, tiredness; pain and tenderness at the injection site; This spontan | N | 03/18/2021 | 03/18/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1577942 | 08/17/2021 | WI | 50.0 | 50 | M | Developed Shingles 4 days after vaccination, treated with VALACYCLOVIR HCL 1 GRAM TABLET, PREDNISOLONE AC 1% EYE DROP drops,suspension , CIPROFLOXACIN 0.3% EYE DROP DROPS, still have pain and numbness 3 moths later | N | 05/12/2021 | 05/15/2021 | 3 | PVT | POTASSIUM CL ER 10 MEQ CAPSULE CAPSULE, EXTENDED RELEASE, ROSUVASTATIN CALCIUM 20 MG TAB TABLET, HYDROCHLOROTHIAZIDE 25 MG TAB TABLET, ATENOLOL 50 MG TABLET | Heart disease | 2 | 08/17/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1582526 | 08/18/2021 | WI | 50.0 | 50 | F | Crackling noted upon inhalation when lying supine beginning at the end of January. Initial chest X-rays were normal. Continued respiratory symptoms which then began to cause pain with inhalation. Chest CT in June revealed mild pericardial effusion. | Y | 01/13/2021 | 01/01/2021 | Chest x-ray and chest CT | PVT | None | None | None | 2 | 08/18/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1604703 | 08/21/2021 | WI | 50.0 | 50 | M | Red rash on torso, neck, back and injected upper arm; Chills; Body aches; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Chills), MYALGIA (Body aches) and RASH ERYTHEMATOUS (Red rash on torso, neck, back and inject | U | 04/05/2021 | 04/06/2021 | 1 | UNK | CETRIZINE; SAW PALMETTO COMPLETE; BABY ASPIRIN | Drug allergy (Clindamycin); Penicillin allergy | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1608157 | 08/22/2021 | WI | 50.0 | 50 | M | pain at the the injection site; pain in his shoulder; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (pain at the the injection site) and ARTHRALGIA (pain in his shoulder) in a 51-year-old male patien | U | 04/07/2021 | 04/11/2021 | 4 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1614809 | 08/22/2021 | WI | 50.0 | 50 | F | Feeling sick; Headache; Injection site pain; Body aches; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (Feeling sick), HEADACHE (Headache), INJECTION SITE PAIN (Injection site pain) and MYALGIA (Body aches) in a 5 | U | 05/06/2021 | 05/07/2021 | 1 | UNK | AMLODIPINE; VENLAFAXINE | Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1621062 | 08/23/2021 | WI | 50.0 | 50 | F | I know I got the second dose a little bit later.; This spontaneous case was reported by a consumer and describes the occurrence of INTENTIONAL PRODUCT USE ISSUE (I know I got the second dose a little bit later.) in a 50-year-old female patient who received | U | 03/28/2021 | 05/28/2021 | 61 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1623912 | 08/23/2021 | WI | 50.0 | 50 | F | Fell asleep for 8-9 hours after vaccine and woke up unable to talk. She struggles with forming words and speaking entirely. She closes her eyes and takes deep breathes when trying to talk, and words come out slurred or not baseline for her speech. | Y | N | 08/05/2021 | 08/05/2021 | 0 | CT scan/MRI no signs of stroke - blood work also done and did not show any abnormalities | PUB | Bupropion, Gabapentin, Tizanidine, Fluoxetine | None | Depression | Flu vaccine 5-6 years ago was very sick afterwards | 2 | 08/23/2021 | Y | Y | Penicillin, oxycodone, hydrocodone, other pain medications. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1628709 | 08/24/2021 | WI | 50.0 | 50 | M | rapid heart beat of 110 BPM for about 30 minutes on 8/5/2021 rapid heart beat of 110 BPM for about 30 minutes on 8/6/2021 continued rapid heart beat and high blood pressure | N | 08/04/2021 | 08/24/2021 | 20 | EKG 8/23/2021 | PVT | none | none | none | 2 | 08/24/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1643303 | 08/28/2021 | WI | 50.0 | 50 | F | For the last 3 weeks her hip has been hurting bad; pain at the injection site; the same night of the vaccine she had body soreness; Headache; tired; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE PAIN (pain | U | 04/01/2021 | 05/19/2021 | 48 | UNK | Diabetes | USMODERNATX, INC.MOD20212 | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1643306 | 08/28/2021 | WI | 50.0 | 50 | F | For the last 3 weeks her hip has been hurting bad; pain at the injection site; the same night of the vaccine she had body soreness; headache; tired; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (pai | U | 04/01/2021 | 05/19/2021 | 48 | UNK | INSULIN | Diabetic | USMODERNATX, INC.MOD20212 | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1651618 | 08/28/2021 | WI | 50.0 | 50 | F | Shot on monday after work Started with headache and chest tightness, and a runny nose within about one hour . Sore R arm immediately . Chest tightness was constant for 2 days and now is intermittent headache is ongoing - waking up with headaches , | N | 08/23/2021 | 08/23/2021 | 0 | Have not seen a physician at this point. I sent a message to PCP office to report condition and told them I would continue to monitor | PVT | vitamin c , d e and magnesium . | none | none | always react to vaccines with generalized illness - never am sick otherwise | 2 | 08/28/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1653866 | 08/29/2021 | WI | 50.0 | 50 | M | Rapid heartbeat 110+ BPM for 30minutes occured 8/5 at 3am and 8/6 at 6am. Continued rapid heartbeat 80-100 BPM and high blood pressure. | N | 08/04/2021 | 08/05/2021 | 1 | PUB | none | none | none | 2 | 08/29/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1656317 | 08/30/2021 | WI | 50.0 | 50 | F | Patient contracted COVID-19 after being fully vaccinated | 02/10/2021 | 08/28/2021 | 199 | PVT | Fluticasone BID Ibuprofen PRN for pain Vitamin D | None Documented | mild persistent asthma | 2 | 08/30/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1682724 | 09/08/2021 | WI | 50.0 | 50 | F | I started getting episodes of vertigo in January. The episodes were not long - less than a minute but I was getting them 3-4 times per week by February when I went to the doctor. I had never had vertigo prior to this. As time has gone on the episodes | U | 01/04/2021 | 01/01/2021 | Doctor visit on 02/05/2021 - I was told this was likely Benign Positional Vertigo. | PVT | Multi vitamin, calcium supplement, fluoxetine | None | None | 2 | 09/08/2021 | Y | Amoxicillan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1685174 | 09/09/2021 | WI | 50.0 | 50 | F | No Treatment / no adverse event / vaccine was administrated outside Monera's storage and handing recommendation as outlined in the fact sheet for health care providers | Y | 09/03/2021 | 09/07/2021 | 4 | None | PVT | Unknown | none | Unknown | 2 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1693394 | 09/12/2021 | WI | 50.0 | 50 | F | 1 day - dizzy and trembling 2 days - left arm very sore 3 days - left neck very stiff / sore 1 day - right heal pain 1 day - diarrhea, nausea, chills, fever, left facial numbness 2 day - hoarseness / throat inflammation menstrual cycle - 7 days early 1 day | Y | 08/23/2021 | 08/23/2021 | 0 | PHM | Progesterone Spironolactone Metformin | Hashimotos Eczema | Hashimotos Eczema | 2 | 09/12/2021 | Sulfer | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1708225 | 09/17/2021 | WI | 50.0 | 50 | F | Within seconds of injection, cod burning sensation to armpit and down armpit to little finger. 2.5 hours after injection fatigue, nausea and arm burn increased. That night arm tender to any touch to armpit and to elbow. Still an issue day3. Sweating for no | N | 09/14/2021 | 09/14/2021 | 0 | none | WRK | famotidine PRN acid reflux | none | since December 1st dose (2020) post herpatic neuralgia on going since | 2 | 09/17/2021 | many to environmental, topicals, metals | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1711184 | 09/18/2021 | WI | 50.0 | 50 | F | It damaged my brain in sort of a concussion would damage the brain; They believe there was so much inflammation in my body due to the vaccine that it damaged my brain; Couldn't look at screens or computer screens, because would make me very nauseous and ma | N | 04/12/2021 | 04/12/2021 | 0 | UNK | USMODERNATX, INC.MOD20213 | 2 | 09/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1715504 | 09/20/2021 | WI | 50.0 | 50 | F | I had a Ovarian Vein Thrombosis | Y | Y | 1 | Y | 12/30/2020 | 09/12/2021 | 256 | CT scan done while in ER with severe lower abdominal pain and nausea | PVT | Welbutrin, Synthroid | None | Hypothyroidism | 2 | 09/20/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1715676 | 09/20/2021 | WI | 50.0 | 50 | F | Received shot at 10:15am, the following morning at 3:30am I had a seizure. | Y | 09/18/2021 | 09/19/2021 | 1 | None | PHM | Trazadone 50mg at bedtime | None | None | 2 | 09/20/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1716891 | 09/20/2021 | WI | 50.0 | 50 | F | Dear Covid auto form:) I?m a teacher and have been around middle school students (few wear masks)? we have Covid in school? I?m not sure when to worry about having Covid vs. vaccine side effects. I?m thinking I should call to get tested if I?m still havin | N | 09/01/2021 | 09/18/2021 | 17 | None | PHM | Amlodepine (sp?) high blood pressure med. | No | High blood pressure (recent, mild) | 2 | 09/20/2021 | Yes but unsure of what I am allergic to (I have an epipen but have never used it) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1726326 | 09/23/2021 | WI | 50.0 | 50 | F | Patient was fully vaccinated with the Moderna COVID-19 vaccine, on 3/1/2021 and 3/31/2021 respectively. On 9/4/2021, pt tested positive for COVID-19. Pt subsequently hospitalized for COVID-19 infection which resulted in asthma exacerbation and steroid in | Y | 2 | Y | 03/31/2021 | 09/04/2021 | 157 | OTH | Combivent respimat inhaler, atorvastatin, gabapentin, insulin glargine, lactulose, lisinopril, lithium, metformin, pantoprazole, ropinirole, trazodone. | anemia, anxiety, arthritis, asthma, bipolar 1, carpal tunnel syndrome, chronic back pain, chronic sinusitis, COPD, DM, diverticulitis, fibromyalgia, GERD, hyperlipidemia, hypertension, hypotension, IBS, insomnia, HX kidney stones, migraine headache, OUD, O | 2 | 09/23/2021 | Y | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1727333 | 09/23/2021 | WI | 50.0 | 50 | F | COVID INFECTION/BREAKTHROUGH | N | 01/29/2021 | 09/20/2021 | 234 | POS ABBOTT RAPID COVID | MIL | TRULICITY 1.5 MG FLONASE NASAL INHALER MONTELUKAST 10 MG ALBUTEROL INHALER 8.5 MG DULOXETINE 30 MG, FLOVENT 110 MCG | NONE LISTED | TYPE 2 DIABETES ALLERGIC RHINITIS | 2 | 09/23/2021 | Y | HYDROXYCHLOROQUIN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731149 | 09/24/2021 | WI | 50.0 | 50 | F | Rash and bump which was hot to the touch and felt like it was stinging. Lasted a week. Three weeks later I still have a lump under the skin and faint purple coloring. | U | 08/30/2021 | 08/30/2021 | 0 | PHM | None | None | None | 2 | 09/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1737561 | 09/27/2021 | WI | 50.0 | 50 | F | left axilla and breast pain grade 3 left lymph node pain grade 3 left axilla and bilateral breast lymphedema grade 3 back pain grade 3 flu like symptoms grade 2 chills grade 1 night sweats grade 3 started on prednisone 20mg BID. I am now day5 and can put | N | 09/23/2021 | 09/23/2021 | 0 | These are the exact same adverse events I had after my second COVID vaccine which was 4/28/21. But with the COVID vaccine I had a heavy period then no period for 2 months. Still waiting to see if the flu shot changes my periods. | WRK | Xanax 1 mg at HS Venlfexin 75 mg for migraine prevention | none | none | Moderna COVID 19 | 2 | 09/27/2021 | Y | PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1741183 | 09/28/2021 | WI | 50.0 | 50 | F | Spotting that turned to heavy bleeding and clotting for 3 days. Very sore, to the point of being uncomfortable, lower back kidney area. | N | 09/02/2021 | 09/02/2021 | 0 | PHM | None | None | None | 2 | 09/28/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1754548 | 10/01/2021 | WI | 50.0 | 50 | F | fever, coughing, sinus infection, persistent coughing | N | 03/22/2021 | 08/27/2021 | 158 | covid test | SCH | reactive airway | penicillin-5years old | 2 | 10/01/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1758757 | 10/04/2021 | WI | 50.0 | 50 | F | Within about 3 hours, my right arm started to hurt. Within 5 hours, I could no longer work. Even moving a mouse or typing with my right hand wasn't possible. I could barely move my right arm, and the pain extended from my elbow up to my neck and down thr | Y | 10/01/2021 | 10/01/2021 | 0 | None -- other than taking temperature with an oral thermometer at home. | WRK | Nothing other than multivitamins. | None | None | Second Moderna COVID-19 vaccine: fever, body aches, no energy; First Shingrix vaccine: fever, joint aches, no energy. | 2 | 10/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1758833 | 10/04/2021 | WI | 50.0 | 50 | F | Abnormal menstrual cycles, more than normal in a regular cycle period. Bleeding 14 days out of 21. Brain is fuzzy. Hair is falling out. Headaches. All these things started to happen after the first dose. | U | 08/10/2021 | 08/18/2021 | 8 | N/A | PVT | Elderberry, Stress B Complex, Cetirizine Hydrochloride, K2+D3, Metformin, Synthroid, Bupropion Spironolactone. | None | Thyroid and PCOS | 2 | 10/04/2021 | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1759045 | 10/04/2021 | WI | 50.0 | 50 | F | positive for covid | 02/09/2021 | 10/04/2021 | 237 | PVT | 2 | 10/04/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1785393 | 10/14/2021 | WI | 50.0 | 50 | F | Fever, Chills, night sweats, severe pain in armpit area radiating into lymph nodes and breast adjacent to vaccination site. | N | 10/12/2021 | 10/13/2021 | 1 | None | PVT | Levothyroxine | None | Migraines | Moderna COVID-19 Vaccine given 2/21, Age 49, Fever, Chills, sweats, HA, pain | 2 | 10/14/2021 | Seasonal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788004 | 10/15/2021 | WI | 50.0 | 50 | F | Patient completed Janseen one dose COVID-19 series on 4/2/21. Patient was admitted to reporting hospital on 10/11/21 with 10 days of on-going symptoms with persistent diarrhea, fatigue, cough, and poor oxygenation. Patient continues to be hospitalized on d | Y | U | 04/02/2021 | 10/11/2021 | 192 | LumiraDX SARS-COV-2 Rapid Result Antigen test positive 10/4/21 10/11/21 Chest Xray: Ill-defined bilateral peripheral and basilar predominant opacities, most consistent with infection including Covid 19 pneumonia. | UNK | Wellbutrin XL 300mg, Vitamin D3 5000 units, gabapentin 300mg, lisinopril 5mg, metformin ER 1000mg, phentermine 37.5mg | Anxiety, Carpal tunnel syndrome, depression, migraine, type 2 diabetes mellitus | Anxiety, Carpal tunnel syndrome, depression, migraine, type 2 diabetes mellitus | 2 | 10/15/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1793848 | 10/16/2021 | WI | 50.0 | 50 | F | LUMP IN AREA OF INJECTION ON LEFT ARM, WARM TO TOUCH RED APPEARANCE , RESOLVED IN 48 HOURS AFTER TAKING DIPHENHYDRAMINE AND ACETAMINOPHEN | Y | 10/12/2021 | 10/13/2021 | 1 | NONE | PHM | diphenhydramine, acetaminophen | none | diabetes | 2 | 10/16/2021 | none listed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1798180 | 10/19/2021 | WI | 50.0 | 50 | F | Since around the Sept 24th I have had repeat urinary tract infections, urgency, pain, discomfort, frequency like crazy, feeling of not being able to empty, and I never ever had this in my life before. I was on CIPRO500 for 5 days which helped quite a bit b | N | 09/14/2021 | 09/24/2021 | 10 | WRK | ant-acids at times, allergy eye drops at times | none | asthma (well controlled) | flu vaccine and 1st covid vaccine, get very ill for days when am usually never ill | 2 | 10/19/2021 | Y | many, most animals, most metals, most weeds, pollen, mainly topicals | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1800499 | 10/20/2021 | WI | 50.0 | 50 | F | hot flashes; body aches,; nausea at work; little bit of chills (no fever); stomach ache; she had an in and out headache; felt half decent,; she felt dizzy; her arm hurt a little bit; This spontaneous case was reported by a consumer and describes the occurr | U | 10/08/2021 | 10/08/2021 | 0 | UNK | FLUOXETINE; PANTOPRAZOLE; IBUPROFEN. | Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20213 | 2 | 10/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1804472 | 10/21/2021 | WI | 50.0 | 50 | M | Patient contracted COVID after being fully vaccinated. Congestion and Runny nose | 04/02/2021 | 10/16/2021 | 197 | PVT | Baclofen 10mg daily Ibuprofen 400mg q6hr prn for fever or pain Tadalafil 10mg daily prn, as neded. | None documented | Paraplegia, History of MRSA, Transient elevated blood pressure, elevated LFTs, Iron deficiency anemia. | 2 | 10/21/2021 | Bactrim - abnormal vital signs, nausea and vomiting Sulfamethoxazole - Heart rate change, blood pressure change. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1804713 | 10/21/2021 | WI | 50.0 | 50 | F | On 8/8/2021 I got sick with fever, body aches, nausea, vomiting, diarrhea, and chills. I went to the ER because I couldn't breathe and I felt like my throat had closed up. They tested me for covid and it came back positive. I was there for about an hour. T | Y | 04/14/2021 | 08/08/2021 | 116 | covid test 8/9/2021- positive | PHM | vitamin b3 5000 IU vitamin c 100 mg adult 50+ multivitamin diclofenac 75mg twice daily gabapentin 800 mg tablets three time daily duloxetine 660 mg 2 pills daily Prilosec OTC once daily | none | chronic kidney stones | vsafe | 2 | 10/21/2021 | Y | sulfa drugs seflosporin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1808281 | 10/22/2021 | WI | 50.0 | 50 | F | Patient experienced dizziness, headache, fever, muscle/body aches, muscle spasms in the back, and hypertension. Patient went to primary care provider, was prescribed muscle relaxer, steroid, and narcotic as a result. | U | 10/04/2021 | 10/04/2021 | 0 | PVT | 2 | 10/22/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1814177 | 10/24/2021 | WI | 50.0 | 50 | F | Fever, chills, shakes, nausea, vomiting, headache, extreme fatigue, dizzy, foggy started at 3 AM. Loss of appetite. Severe symptoms started getting better at about 5 PM. Then experienced change in sense of taste and continued feeling foggy, fatigued a | Y | 09/17/2021 | 09/18/2021 | 1 | PHM | N/A | None | None | 2 | 10/24/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1817932 | 10/26/2021 | WI | 50.0 | 50 | F | Had weakness, fatigue, sleepiness and external mouth tightness (like she had "chapped lips") for 5-10 minutes after the vaccine. Denies throat tightness. | Y | 10/25/2021 | 10/25/2021 | 0 | Blood sugar: 115 completed on 10/25/21 | PVT | ? ketorolac (TORADOL) 10 MG tablet ? albuterol 108 (90 Base) MCG/ACT inhaler ? omeprazole 20 MG tablet ? ondansetron (Zofran ODT) 4 MG disintegrating tablet ? ipratropium (ATROVENT) 0.06 % nasal spray ? hydroCORTisone (ANUSOL-HC) 2.5 % | headache, right knee pain | GERD, overactive bladder, asthma, iron def anemia, anxiety, depression | 2 | 10/26/2021 | Y | Aspirin, Reglan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1822578 | 10/27/2021 | WI | 50.0 | 50 | M | Brain fog, extreme lethargy, loss of short term memory | N | 04/16/2021 | 06/27/2021 | 72 | Full physical from liver function to vitamin d to electolytes everything ok. August 2021. | OTH | Azelastine hcl 0.15% Fluticasone furoate /vilanteol "Breo"100 mcg/25 | Allergic Asthma | 2 | 10/27/2021 | Demerol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1825835 | 10/28/2021 | WI | 50.0 | 50 | F | AT 10 MINUTES AFTER VACCINATION (4:20 PM), PATIENT REPORTED EXCESSIVE SALIVA PRODUCTION, WATERY EYES, AND TIGHTENING OF THROAT. SHE SAID SHE WAS STILL ABLE TO BREATH HOWEVER. I GAVE HER ONE TABLET OF 25MG DIPHENHYDRAMINE. I ASKED HER TO STAY AN EXTRA 30 | Y | 10/28/2021 | 10/28/2021 | 0 | PHM | PATIENT WAS GIVEN 1 TABLET DIPHENHYDRAMINE 25 MG AT FIRST. SHE REPORTED WATERY EYES AND EXCESS SALIVA PRODUCTION AND THROAT FEELING TIGHT. | 2 | 10/28/2021 | NONE REPORTED. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1832323 | 10/31/2021 | WI | 50.0 | 50 | F | I have typically had migranes 1 -2 times per year since my mid-20's...never more often than that. After my first Covid-19 shot on 8/3/2021, I had 3 migranes, 1 per week for each week following the first shot. I also am in perimenopause and did not have | Y | 08/03/2021 | 08/10/2021 | 7 | None | PVT | Losartan (blood pressure med) - 25 mg daioy Bioidentical progesterone (200 mg/day) Prozac - 20 mg daily Low-dose naltrexone (for autoimmune condition) - 4.5 mg daily Methimazole (2.5 mg per day) | NA | Grave's disease (autoimmune hyperthyroid) Asthma | 2 | 10/31/2021 | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1842911 | 11/04/2021 | WI | 50.0 | 50 | F | Patient reported pain behind her eyes 1 week after shot. She then was seen in ER on 09/15 with slurred speech and right facial droop . CTA head and neck normal. WBC 11.5, refused admission for further workup and MRI. Evaluated in clinic 09/17. Bilat | Y | 3 | Y | N | 08/27/2021 | 09/08/2021 | 12 | 9/15/21 - Protein electrophoresis was negative, though of note the A/G ratio was 1.1 CBC was normal aside from WBC of 11.5 ESR 62, CRP 1.9; ANA negative Lyme AB screen negative 09/17/21 -" Brain MRI 1. Several T2 hyperintensities in addition to numerous | UNK | albuterol inhaler, aspirin 81 mg, atenolol 50 mg (12.5 mg QID), Multvitamin, sertraline 100 mg, nitroglycerin 2% transdermal cream PRN for anal fissure, | Perianal abscess 6/6/21 - prescribed Augmentin for 5 days Did have URI symptoms 1 week prior to getting the shot but this resolved entirely. Did have a day of fever but no night sweats. | paroxysmal sinus tachycardia, frequent unifocal PVC in bigeminal pattern - patient report "heart flutter" , asthma, allergic rhinitis, gluten intolerance, anal fissure, anxiety and depression, tobacco use, carpal tunnel , history CIN 2-3 s/p LEEP. | 2 | 11/04/2021 | Y | Y | Clindamycin (diarrhea) Egg products (stomach upset) Advair (SOB) prednisone (angina) Shellfish (blisters) Sulfacetamide Sodium (GI upset) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1849665 | 11/07/2021 | WI | 50.0 | 50 | F | Saddle PE with symptoms that only started 2 days prior. No other symptoms to suggest that it was there for a long period of time. Saw Dr. on 10/25 for issues with Knee. Patient has SOB that started on 11/4-11/5. Came to hospital on 11/6, negative for DVT. | Y | Y | 3 | 10/12/2021 | 11/05/2021 | 24 | CT chest, US lower extremities, EKG, telemetry monitoring. Had to have TPA. Elevated Troponin, Elevated BNP due to heart strain. Echo cardiogram, IR thrombolysis therapy. | PVT | Zyrtec, Flonase, meloxicam, omeprazole, pseudoephedrine, ventolin | none | Allergic rhinitis, GERD, | 2 | 11/07/2021 | Y | Y | season allergies does not know what it is | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1857987 | 11/10/2021 | WI | 50.0 | 50 | M | Systemic: Heart Attack-Severe, Additional Details: 11/1/21 received moderna booster and first flu shot ever 11/2 headache, didn't feel well 11/3 pain in right leg- collapsed at md and couldn't be revived. Mother describes him as healthy and no underlying c | Y | 11/03/2021 | N | 11/01/2021 | 11/02/2021 | 1 | PHM | 2 | 11/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX |