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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0919306 | 01/04/2021 | HI | 52.0 | 52 | F | Hives on left arm close the injection site. Hives and skin redness on upper chest between breasts | Y | 12/30/2020 | 12/31/2020 | 1 | PVT | Metformin, Multivitamins | Diabetes | 2 | 01/04/2021 | Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0927393 | 01/08/2021 | HI | 52.0 | 52 | F | Injection site pain Muscle pain Headache Fatigue | N | 01/04/2021 | 01/05/2021 | 1 | PVT | Metformin Januvia Lisinopril Metoprolol Atoravastatin Singulair Lyrica Low dose aspirin Tizanidine Trazadone | Diabetes Asthma Heart disease High Cholesterol | 2 | 01/08/2021 | Shellfish Iodine Vicodin Steroids | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930910 | 01/09/2021 | HI | 52.0 | 52 | F | Patient received COVID vaccination around 12:15pm. Patient was monitored for the appropriate amount of time by nursing staff. Patient passed away at 2:15pm. | Y | 01/08/2021 | N | 01/08/2021 | 01/08/2021 | 0 | SEN | Patient was refusing to take all medications for over a year | None | Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, major depressive disorder, aphasia following cerebral infarction, muscle weakness, dysphagia, hypothyrodism, type 2 diabetes, hyperlipidemia, hypomagnesemia, hypokalemi | 2 | 01/09/2021 | Metformin, morphine, statins, latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0941239 | 01/13/2021 | HI | 52.0 | 52 | M | Early administration of vaccine- Administration error: Patient received first dose of Pfizer COVID vaccine at another location on 28 DEC 2020. Pfizer COVID vaccine second dose to be given 21 days after first dose. Patient arrived to Bloch Arena for COVID V | Y | 01/12/2021 | 01/12/2021 | 0 | MIL | 2 | 01/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0967927 | 01/23/2021 | HI | 52.0 | 52 | M | The last 7 days I have had muscle cramp in lower leg. (calf muscle/shin) mostly right leg but at least once in middle of night , every night 7 days straight. So started 16 days after shot. I want to know how to stop it or if I should not get a 2nd shot. | N | 12/30/2020 | 01/16/2021 | 17 | OTH | USANA vitamins, Q10, | 2 | 01/23/2021 | slight milk alergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0978988 | 01/27/2021 | HI | 52.0 | 52 | F | Swollen arm, redness, hot Headache Chills Body aches Runny nose Sneezing | N | 01/25/2021 | 01/26/2021 | 1 | PVT | Metformin Metoprolol Lisinopril Atoravastatin Januvia Lyrica Sinulair Docusate sodium Tizanidine Trazadone Prilosec Dicyclomine | Abdominal pain | Diabetes Heart attack | 2 | 01/27/2021 | Shellfish Iodine Oxycodone Vicodin Steroids | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1007373 | 02/05/2021 | HI | 52.0 | 52 | F | Arm swollen and itchy 1.5 weeks later. Still feeling dizzy, light headed occasionally and difficulty breathing at times | N | 01/26/2021 | 01/26/2021 | 0 | None | UNK | None | None | None | 2 | 02/05/2021 | Bee stings, poison ivy, mosquito bites | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1007572 | 02/06/2021 | HI | 52.0 | 52 | M | rash ,infected all over body .docycycline prescribed by MD | N | 01/27/2021 | 01/27/2021 | 0 | none | OTH | none | none | diabetes | 2 | 02/06/2021 | turkey serum | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1089653 | 03/10/2021 | HI | 52.0 | 52 | F | Significant pain in entire left arm that has continued to today (12 days after shot). | N | 02/26/2021 | 02/26/2021 | 0 | None | OTH | none | none | none | 2 | 03/10/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1129917 | 03/24/2021 | HI | 52.0 | 52 | F | Eight days after the initial vaccine injection, a painful nodule appeared. I consumed a large amount of (simple and complex sugar) calories (around 4,000) the night before 3/13/21. On the day of 3/13/21 I woke up with swelling and noticed a painful lump, | N | 03/05/2021 | 03/13/2021 | 8 | None | PVT | None | Eczema. | Eczema. | I was 51 yrs of age and received two doses of the Shingrix vaccine, resulting in redness, swelling, and heat from the injection | 2 | 03/24/2021 | Y | Gluten, dairy, soy, alcohol, high levels of carbohydrates. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1142580 | 03/28/2021 | HI | 52.0 | 52 | M | About 15-20 minutes after receiving the shot, he reported feeling warm and clammy. He mentioned that was similiar to the beginning of his other reaction. Because he has had a reaction to epinephrine in the past, an ambulance was offered to be called for h | Y | 03/28/2021 | 03/28/2021 | 0 | N/A | PHM | Patient was given a Benadryl 25mg tablet. | N/A | N/A | 2 | 03/28/2021 | Epinephrine allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1158876 | 04/02/2021 | HI | 52.0 | 52 | F | Systemic: Dizziness / Lightheadness-Mild, Additional Details: PATIENT INDICATED HISOTRY OF DIZZINESS AND FEAR AFTER VACCINATIONS OR GIVNG BLOOD. AFTER VACINATIN, PATIENT ASKED TO LAY DOWN FELT A LITTLE DIZZY, PATIENT LAYED DOWN AND ELEVATED LEGS, AND FELT | Y | 04/01/2021 | 04/01/2021 | 0 | PHM | 2 | 04/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1166049 | 04/04/2021 | HI | 52.0 | 52 | F | Headache, fatigue, brain fog, shaking feelings, racing heart Tachycardia all started the same day within 30 minutes of shot Symptoms persisted with additional trouble breathing started on April 3. I went to Urgent Care for assistance. Was given albuterol, | N | 03/31/2021 | 03/31/2021 | 0 | EKG on April 3, Tachycardia. | OTH | Nortriptyline; Baclofen; Albuterol as needed | Neuropathy; Spine injury; Ulcer; Hyetial hernia; Allergy induced Asthma | Neuropathy; Spine injury; History of Valley Fever, from Arizona | 2 | 04/04/2021 | Y | Y | Penicillin; Clindamycin; Cashews; Pollens; Dust; Cats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177411 | 04/07/2021 | HI | 52.0 | 52 | F | Within 5 minutes of vaccine felt woosey. Within 35 minutes felt mild numbness tingling in lips. Within 40 minutes of vaccine felt back pain, then neck pain. The neck pain intensified throughout day to a full blown stiff neck. My neck continuted to hurt mo | Y | 03/31/2021 | 03/31/2021 | 0 | none. | OTH | Vit C, Zinc, Magnesium,B Vitamin | Asthma | Asthma, Allergies | 2 | 04/07/2021 | Asprin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1199348 | 04/12/2021 | HI | 52.0 | 52 | F | more coughing, ear infection, headache | N | 04/01/2021 | 04/07/2021 | 6 | PHM | Benonatate, Musinex, | Just the cold | none | 2 | 04/12/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1225214 | 04/18/2021 | HI | 52.0 | 52 | F | Error: Incorrect Reconstitution | U | 04/17/2021 | 04/17/2021 | 0 | PHM | 2 | 04/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1260301 | 04/26/2021 | HI | 52.0 | 52 | M | tinnitus, potential hearing loss, severe rash, severe right hip pain debilitating movement, lump at injection site, lymphadenopathy | N | 04/23/2021 | 04/23/2021 | 0 | hearing screen | PVT | none | none | Migraine, dyslipidemia, melanoma, TIA, RA | 2 | 04/26/2021 | Y | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1301353 | 05/09/2021 | HI | 52.0 | 52 | F | swollen left arm, hives very itchy full body, and scratchy throat | N | 05/07/2021 | 05/09/2021 | 2 | PVT | wellbutrin | 2 | 05/09/2021 | Y | nkda | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327573 | 05/18/2021 | HI | 52.0 | 52 | F | disasterous menstrual cycles, heavy periods | N | 04/07/2021 | 04/23/2021 | 16 | MIL | Daily Vitamins: vitamin D, Cod Liver Oil, Fish Oil Prescriptions: montelutekast, 600 mg ibuprofen | none | asthma arthritis | 2 | 05/18/2021 | Y | Food: most shellfish, papaya | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1348294 | 05/25/2021 | HI | 52.0 | 52 | M | 10 minutes after receiving the injection, my ears began to ring. They have steadily rang since, except today it has increased slightly. | N | 05/04/2021 | 05/04/2021 | 0 | OTH | Multivitamin | No | No | 2 | 05/25/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361048 | 05/29/2021 | HI | 52.0 | 52 | F | Instantly hurt and never stopped hurting at the injection site. My entire shoulder, joint and next are in extreme pain where I can not do my job properly without over the counter pain medication. | N | 05/06/2021 | 05/06/2021 | 0 | Will be seeing a PA on Tuesday June 1st. | OTH | basic vitamins | na | Scoliosis | 2 | 05/29/2021 | na | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1371046 | 06/03/2021 | HI | 52.0 | 52 | M | Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster) | U | 06/02/2021 | 06/02/2021 | 0 | PHM | 2 | 06/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1385932 | 06/09/2021 | HI | 52.0 | 52 | M | Approximately 8-10 hours post shot experienced sore arm with moderate pain no swelling that persisted into next 24hrs. Limited ROM somewhat. Most significant effects were increased fatigue and overall muscle pain/rigors and chills with headache and feve | Y | 06/08/2021 | 06/08/2021 | 0 | None | MIL | Ibuprofen, Lipitor, HCTZ, Allegra | None | Hypertension Hyperlipidemia | 2 | 06/09/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1417809 | 06/22/2021 | HI | 52.0 | 52 | F | Later that night after getting the shot her arm felt stiff and she could barely move it and her joint is very stiff. She has tried taking advil and she's also tried icing her arm. | N | 01/13/2021 | 01/13/2021 | 0 | PVT | None | None | None | vsafe | 2 | 06/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1475211 | 07/15/2021 | HI | 52.0 | 52 | M | Patient developed cough, runny nose, loss of smell, disturbing vivid dreams, and sore throat on 07/11. Tested positive for COVID on 07/14 | N | 05/05/2021 | 07/11/2021 | 67 | Tested positive for COVID on 07/14 | PHM | 2 | 07/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1479637 | 07/17/2021 | HI | 52.0 | 52 | M | With in 4 hours of vaccination patient felt nauseated and vomited. Nausea lasted approximately 8 day. At about 8 to 10 days after vaccination began having joint and muscle pain in the lower half of body. Could not stand or walk without assistance, conditi | N | 05/21/2021 | 05/21/2021 | 0 | None at this time | PHM | Not Known | Spinal Stenosis / Spondylosis | 2 | 07/17/2021 | Y | Sulfur | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1494171 | 07/22/2021 | HI | 52.0 | 52 | F | Fully vaccinated and tested positive for Covid-19 | 05/06/2021 | 07/22/2021 | 77 | PVT | Diabetes | 2 | 07/22/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1494312 | 07/22/2021 | HI | 52.0 | 52 | M | cough, malaise and fatigue. He states that he started to have symptoms about 3 days ago with chills, subjective fevers, cough, anosmia. He also had some chest pain that he states was left sided/substernal and felt like squeezing/heavy pain. It started yest | Y | 6 | N | 06/21/2021 | 07/17/2021 | 26 | 7/16/21 tested positive upon arrival to ED; CRP, D-dimer, prolactin 0.17, pulse ox, O2, | UNK | none | pertinent medical history for HFrEF, Morbid Obesity, Bipolar disorder, Hypertension, T2DM, Anxiety, Asthma, CAD, CKD 3 | 2 | 07/22/2021 | tramadol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1528273 | 08/05/2021 | HI | 52.0 | 52 | F | patient was exposed to COVID on 07/24, she is asymptomatic, tested positive for COVID on 7/31/2021 | 05/07/2021 | 07/31/2021 | 85 | tested positive for COVID on 7/31/2021 | UNK | 2 | 08/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1529350 | 08/05/2021 | HI | 52.0 | 52 | F | symptomatic covid infection | N | 01/07/2021 | 08/04/2021 | 209 | SARS-COV-2 NAA (COVID-19) (no units) Date Value 08/05/2021 Detected 11/17/2020 Not Detected | PVT | Naproxen, ? Fingolimod (GILENYA) 0.5 mg Oral Cap ? SUMAtriptan (IMITREX) 50 mg Oral Tab ? FLUoxetine (PROZAC) 20 mg Oral Cap ? Acyclovir (ZOVIRAX) 200 mg Oral Cap ? CHOLECALCIFEROL (VITAMIN D3) 5000 UNIT ORAL CAP | multiple sclerosis, asthma, depression, in remission, | multiple sclerosis, asthma, depression, in remission, recurrent herpes simplex | 2 | 08/05/2021 | Doxycycline, codeine, multihance | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1532466 | 08/06/2021 | HI | 52.0 | 52 | F | Positive Covid test. Post vaccination. | 04/21/2021 | 07/30/2021 | 100 | PUB | Unknown | None | Hypertension, Hx of Hepatitis C (Post treatment) | 2 | 08/06/2021 | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1583599 | 08/18/2021 | HI | 52.0 | 52 | F | I sat for at 15 minutes designated allotted time and started to feel a little light headed and shallow breathing but not much. My husband was taking his shot at the same time as well. When my time was done, I stood up, and felt light headed but just though | N | 04/09/2021 | 04/09/2021 | 0 | None | PHM | NONE | NONE | NONE | 2 | 08/18/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1658092 | 08/31/2021 | HI | 52.0 | 52 | M | he thought he was going to die/he thought it almost killed him; episode of his jaw swelling; teeth fell like fallen, this hurt so much like he didn't known it could hurt.; Severe headaches; after the first 12 hours, he had a fever of 103F-105F for 3 days/t | N | 12/29/2020 | 01/27/2021 | 29 | Test Name: Body temperature; Result Unstructured Data: fever of 102-103; Test Date: 20210127; Test Name: Body temperature; Result Unstructured Data: a fever of 103F-105F | UNK | Allergy multiple (lot of allergies) | Medical History/Concurrent Conditions: COVID-19 (he believed he had COVID-19 back in Jan2020.) | USMODERNATX, INC.MOD20212 | 2 | 08/31/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1659493 | 08/31/2021 | HI | 52.0 | 52 | F | covid-19 test was positive. EE had congestion, headache and malaise | U | 03/05/2021 | 08/31/2021 | 179 | PVT | unknown | unknown | unknown | 2 | 08/31/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1672380 | 09/04/2021 | HI | 52.0 | 52 | M | Sometimes he couldn't speak; Sever headaches; He states all of his lymph nodes got inflamed/lymph nodes were like little golf balls; He had body aches all around his body; His joints were all sore/His joints felt like there was broken glass in them; For th | U | 12/29/2020 | 12/29/2020 | 0 | UNK | Allergy multiple (lot of allergies) | USMODERNATX, INC.MOD20212 | 2 | 09/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1741999 | 09/28/2021 | HI | 52.0 | 52 | F | I am having intense pain in the joints of my right (dominant) hand and it impacts all of my fingers and my ability to grip/grasp things. It started immediately after the first shot I received on 9/1, but it wasn?t too intense and was almost gone when I go | N | 09/24/2021 | 09/25/2021 | 1 | I have an appointment on 9/29 at 10:20 am with Doctor | PVT | Trazodone | None | None | 2 | 09/28/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1765205 | 10/06/2021 | HI | 52.0 | 52 | F | COVID hospitalization after full vaccination. | Y | 3 | 05/03/2021 | 08/27/2021 | 116 | UNK | 2 | 10/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX |