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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0939566 | 01/12/2021 | HI | 53.0 | 53 | F | Injection site itchy the first day, developed to hives the next day | Y | 12/30/2020 | 01/10/2021 | 11 | N/A | PUB | Hydrochlorothiazide 12.5mg, Irbesartan 300mg | None | HTN | 2 | 01/12/2021 | Doxycycline, Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0942879 | 01/13/2021 | HI | 53.0 | 53 | M | Received 2nd vaccination in series on 11 JAN 21. By next morning started to experience some muscle and joint symptoms. By afternoon of 12 JAN 21 experienced sudden onset loss of bladder control for first time in his life, followed a few hours later by blu | Y | 2 | N | 01/11/2021 | 01/12/2021 | 1 | Troponin I mildly elevated (0.059 ng/ml. CXR, Echocardiogram, CT and MRI of head and neck NL. | MIL | LIPITOR, CYMBALTA, 81 MG ASA | N/A | PTSD, SCIATICA | 2 | 01/13/2021 | Y | PEANUTS, OXYCODONE, PCN, PRAZOSIN, AMIDE CLASS ANESTHETICS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0962395 | 01/21/2021 | HI | 53.0 | 53 | M | Hives on chest, back, legs and groin | N | 01/19/2021 | 01/20/2021 | 1 | OTH | None | Gallbladder stones | None | 2 | 01/21/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0967104 | 01/22/2021 | HI | 53.0 | 53 | F | chest tightness/spasm in right pectoral muscle; monitored; resolved 5 mins | Y | 01/22/2021 | 01/22/2021 | 0 | Vital signs monitored; stable | OTH | Acyclovir, amlodipine, atorvastatin, baclofen, calcium carbonate, celecoxib, cholecalciferol, docusate, duloxetine, gabapentin, hydrocodone/acet, levothyroxine, metformin, pantoprazole, potassium chloride, zinc, sennosides, zolpidem, apple | None | DMII, osteoarthritis, multiple sclerosis, hypertension, hypothyroidism, hyperlipidemia, depression | 2 | 01/22/2021 | sulfa, penicillin, teriflunomide, dimethyl fumarate | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0988491 | 01/30/2021 | HI | 53.0 | 53 | M | Double vision experienced in right eye upon waking up this morning. Contacted health care provider. Recommended eye drops over the next few days and to call back if symptoms persist. | N | 01/28/2021 | 01/30/2021 | 2 | OTH | None. | None. | Migraine, cancer (currently in remission). | 2 | 01/30/2021 | Y | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992444 | 02/01/2021 | HI | 53.0 | 53 | F | Rash and mild hive in injection area with onset 8 days after injection, duration 5 days | Y | 01/16/2021 | 01/24/2021 | 8 | none | SCH | famotidine, vitamin C, B complex, iron, multivitamin, zinc | none | none | 2 | 02/01/2021 | seasonal, mold | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1003541 | 02/04/2021 | HI | 53.0 | 53 | M | After both shots, the second on 1/27/21, I got a severe migraine within 2 hours that lasted 5 days. After day 5 the symptoms went away. During the time of the migraine I treated it with 2 doses of rizatriptan ODT per day. | Y | 12/30/2020 | 12/30/2020 | 0 | PUB | Lots | Gastrointestinal problems, migraines, PTSD, Bipolar, chronic pain in neck and back, rotator cuff tear and surgery, Copd | 2 | 02/04/2021 | Lots | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1017781 | 02/09/2021 | HI | 53.0 | 53 | F | The vaccine was administered way too high into my rotator cuff, not in the deltoid muscle belly. The injection hurt and felt like she hit a tendon or nerve and hasn?t stopped hurting. | N | 02/08/2021 | 02/08/2021 | 0 | None at this time. | OTH | Celebrex, Clonidine | In my 30?s a Hepatitis vaccine hit a nerve in my arm and I had pain for about a month. | 2 | 02/09/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1020129 | 02/09/2021 | HI | 53.0 | 53 | U | Onset of Facial numbness and flushing on R periorbital region. Spread to lateral periorbital area near R eye. Peaked and began to resolve in 15 min. Mild residual numbness. | Y | 02/05/2021 | 02/05/2021 | 0 | VS: T96.8F, P80 BPM. | OTH | None | None | 2 | 02/05/2021 | Perfumes, pollen, various environmental | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1027269 | 02/12/2021 | HI | 53.0 | 53 | F | After receiving 2nd doss of COVID 19 Lot #043L20A developed facial numbness, flushing, on right periorbital region, spreading to Lateral periorbital area near the right eye. Side effect occurred after the 15 minute wait following the vaccination. She retu | N | 02/05/2021 | 02/05/2021 | 0 | None | PUB | unknown | none | none | 2 | 02/12/2021 | Y | Perfumes, pollen, various environmental allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1037235 | 02/17/2021 | HI | 53.0 | 53 | F | Earlier that morning took 25mg of Benadryl to address allergic reaction of contact dermatitis. After receiving Covid Moderna vaccine: 30 minutes after shot: tiredness, mild lightheadedness 60 minutes after shot: light rash noticed on forearms and palms wi | Y | 02/10/2021 | 02/10/2021 | 0 | OTH | Amnitripyline, benadryl | None | TBI | 2 | 02/17/2021 | Y | Y | Infrequent reaction of hives for shrimp and itch for oranges Contact dermatitis for rubber | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1066667 | 03/02/2021 | HI | 53.0 | 53 | M | Pain at the injection site, tiredness, headache, and chills. | N | 03/01/2021 | 03/01/2021 | 0 | PVT | Vitamins (D3, E, B, C) and fiber supplement. | None | High blood pressure | 2 | 03/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1125587 | 03/23/2021 | HI | 53.0 | 53 | F | Fever; Upset stomach; This case was reported by a consumer via call center representative and described the occurrence of fever in a 53-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. In March 2020, the patient received the | Y | 03/01/2020 | UNK | USGLAXOSMITHKLINEUS202106 | 2 | 03/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1133683 | 03/25/2021 | HI | 53.0 | 53 | F | Hives on abdomen and back for 4 days. | Y | 03/03/2021 | 03/11/2021 | 8 | No other medical tests, labs or treatment other than Covid shot. | PUB | Iron Calcium/Vit D Multi-vitamin | None | None | 2 | 03/25/2021 | Penicillin, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1199609 | 04/12/2021 | HI | 53.0 | 53 | M | About 10 days after first dose of Moderna COVID-19 Vaccine, began to have itchy rashes all over the body. 3 days later as I write this, I still have these rashes. | N | 03/30/2021 | 04/09/2021 | 10 | SCH | Metformin HCL 850 Mg Tablet Januvia 100 Mg Tablet Invokana 110 Mg Tablet Glipizide ER 10 Mg Tablet Atorvastatin 10 Mg Tablet | N/A | Diabetes Type II | 2 | 04/12/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1227494 | 04/19/2021 | HI | 53.0 | 53 | F | Tinnitus started on 4/8, had a deep tissue massage that eve, noticed ringing that night... cold sore on my lip started around 4/12 | N | 03/25/2021 | 04/18/2021 | 24 | None, I visited my GP on 4/13, no swelling or infection seen in my ear | PUB | Sunosi, vit c, d... DHEA | None | Narcolepsy | 2 | 04/19/2021 | Y | Gluten and wheat sensitive | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1230611 | 04/19/2021 | HI | 54.0 | 53 | F | abdominal pain got worse every day until Friday after midnight, it became unbearable so went to ER. Did Cat scan and showed evidence that looked like kidney stones had just passed. Today is Monday and she is still in pain on right side abdomen front and | N | 04/13/2021 | 04/14/2021 | 1 | CAT SCAN 4/16 midnight- 4/17 2AM | OTH | Raloxifene, Fluoxetine, some tea, lots of coffee | none | none | 2 | 04/19/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1264945 | 04/27/2021 | HI | 53.0 | 53 | F | Pt received COVID vaccine at COVID Vaccination Clinic. Stayed in Observation for 15 minutes without issues. Walking to her car, pt reported feeling dizzy and nauseated. Hall monitor updated Observation staff. Pt assisted into wheelchair and returned to | Y | 03/27/2021 | 03/27/2021 | 0 | above | OTH | Unk | unk | unk | 2 | 04/27/2021 | nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1282602 | 05/03/2021 | HI | 53.0 | 53 | F | patient c/o numbness of the fingertips of the R hand since last Wednesday, 4/28/2021. Denies any headache, nausea/vomiting, chest pain, dyspnea, dizziness, vertigo, slurred speech, weakness. Patient received her 1st Moderna vaccine on 3/31/2021 on the lef | N | 04/28/2021 | 04/30/2021 | 2 | n/a | PVT | Losartan 100mg 1 tab PO daily | n/a | hypertension | 2 | 05/03/2021 | Y | Shrimp | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1318632 | 05/14/2021 | HI | 53.0 | 53 | F | Pt appears to have the onset of Paranoia, and hearing voices following receipt of the Covid Vaccine. She did not have any of these symptoms in her prior history. According to her, and her sister, it seems to have started since receiving the vaccine | N | 04/16/2021 | 04/24/2021 | 8 | PVT | Hyperlipidemia | 2 | 05/14/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1325031 | 05/17/2021 | HI | 53.0 | 53 | F | Per recovery RN documentation:05/17/2021 0813 MRN 1572066 Patient Sex: female DOB: 07/02/1967 Vaccine time: 0754 Reaction time: 0813 Symptoms: Patient was discharged from the clinic and she came back into the building c/o itchy throat and heavy shoulders. | 05/17/2021 | 05/17/2021 | 0 | UNK | 2 | 05/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1325381 | 05/17/2021 | HI | 53.0 | 53 | F | Started with pins and needles in my left hand followed by numbness in thumb and index finger and rights side of hand. I spoke to my doctor who advised me to come in to the clinic if it was still numb next Monday 24th May 2021 | N | 05/07/2021 | 05/09/2021 | 2 | SCH | Oxycodone, Dilaudid | Fibromyalgia, Arnold Chiari Malformation, Degenerative Disc Disease, Autoimmune Disease (Suspected Lyme Disease) | 2 | 05/17/2021 | Y | Penicillin, Metronidizole, Flagyl, Morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1369998 | 06/03/2021 | HI | 53.0 | 53 | F | patient fully vaccinated. returned home after out of state travel on 5/30/21, started having symptoms while on the plane (sinus/nasal congestion, fatigue). | N | 02/25/2021 | 05/30/2021 | 94 | 6/1/2021: covid-19 test positive | PVT | 2 | 06/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1457229 | 07/08/2021 | HI | 53.0 | 53 | F | +COVID infection after completing vaccine series | U | 05/11/2021 | 07/07/2021 | 57 | Component 7/7/2021 SARS-COV-2 NAA (COVID-19) Detected (A) | PVT | Losartan 50mg daily | None | Hypertension, Prediabetes, intermittent asthma, hyperlipidemia | 2 | 07/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1471273 | 07/14/2021 | HI | 53.0 | 53 | F | Pt started with toe tingling around 4/3 - 4/7. Came to ER on 5/6 and had an US that was negative for DVT. Admitted to the hospital on 7/8/21 with an ischemic left foot. Underwent arteriogram LE, angiojet thrombectomy left pop artery, penumbra thrombectomy | Y | Y | 6 | Y | U | 03/22/2021 | 04/03/2021 | 12 | Platelets: 7/8: 218, 7/9: 179, 7/10:156, 7/11: 182, 7/12: 203, 7/13: 131. PF-4 drawn 7/14 and pending. | PVT | Levothyroxine | None | Hypothyroidism | 2 | 07/14/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1475438 | 07/15/2021 | HI | 53.0 | 53 | M | COVID19 positive after full vaccination. Date of positive test 7/14/2021 | N | 04/13/2021 | 07/14/2021 | 92 | COVID19 positive after full vaccination. Date of positive test 7/14/2021 | PVT | N/A | none | Dm2 | 2 | 07/15/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1490928 | 07/21/2021 | HI | 53.0 | 53 | F | patient developed cough, runny nose, and body aches on 7/17/2021. She tested positive for COVID on 7/19/2021. | 06/17/2021 | 07/17/2021 | 30 | tested positive for COVID on 7/19/2021. | UNK | 2 | 07/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1495719 | 07/22/2021 | HI | 53.0 | 53 | F | This patient is fully vaccinated for Covid-19 On 7/17/21 patient was exposed to a family member who tested positive for Covid-19. On 7/21/21 patient tested positive for Covid-19 | U | 04/08/2021 | 07/18/2021 | 101 | 7/21/21 Covid-19 (naso swab) - positive | PHM | 2 | 07/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1507187 | 07/28/2021 | HI | 53.0 | 53 | M | Cough and nasal congestion developed on 7/25/2021. Tested positive for COVID on 7/26/2021 | 05/19/2021 | 07/25/2021 | 67 | Tested positive for COVID on 7/26/2021 | UNK | 2 | 07/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1537805 | 08/10/2021 | HI | 53.0 | 53 | M | Dizziness, Light-headedness, Fatigue, heaviness in legs, all increasing in severity each day. No treatment sought yet at this time. | N | 07/31/2021 | 08/01/2021 | 1 | PHM | none | none | none | 2 | 08/10/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1567557 | 08/15/2021 | HI | 53.0 | 53 | M | Fever; Night time Chills; Received 3 Moderna Covid-19 vaccinations; This spontaneous case was reported by a consumer and describes the occurrence of INCORRECT DOSE ADMINISTERED (Received 3 Moderna Covid-19 vaccinations), CHILLS (Night time Chills) and PYRE | Y | 12/30/2020 | 12/30/2020 | 0 | UNK | Arthritis (Left shoulder and right foot) | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1567911 | 08/15/2021 | HI | 53.0 | 53 | M | sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm) in a 53-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 011J20A) for COVID-19 vaccination. The pa | U | 12/30/2020 | 12/30/2020 | 0 | UNK | Arthritis (left shoulder and right foot) | Medical History/Concurrent Conditions: Swelling of fingers | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1701926 | 09/16/2021 | HI | 53.0 | 53 | F | Rash developed in the LT arm followed by a warmth sensation from the bottom of spine all the way to the throat which started to get swollen and constricted about 38 min after the vaccination. Self treated with 1 dose of claritin which relived partially the | Y | Y | N | 09/04/2021 | 09/04/2021 | 0 | none | PVT | COQ10, VIT B COMPLEX, EMERGENC, CURCUMIN, ASEA, VIT D/K, VIT C LIPOSSOMIC, COD LIVER OIL | Gadolinium deposition disease | Gadolinium deposition disease | 2 | 09/16/2021 | Y | GADOLINIUM | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1710197 | 09/18/2021 | HI | 53.0 | 53 | F | Covid vaccinated and covid positive | N | 01/12/2021 | 09/17/2021 | 248 | PVT | 2 | 09/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1725450 | 09/23/2021 | HI | 53.0 | 53 | M | Neck pain followed my eye orbital pain and swollen left eye soreness to the touch. Sore when I blink. Bone around eye socket is sore. Nothing injury related. No recent accidents. | N | 09/20/2021 | 09/21/2021 | 1 | UNK | None | None | None | 2 | 09/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1736148 | 09/27/2021 | HI | 53.0 | 53 | M | Standard achy, headache, chills. Started 7 hours later, lasting 24 hours. Difference, significant left armpit lymph node swelling, day 2, not present after first or second vaccine. | U | 09/24/2021 | 09/24/2021 | 0 | Not yet. | PVT | None | None | None | 2 | 09/27/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1737336 | 09/27/2021 | HI | 53.0 | 53 | F | Bruising, joint pains in right ankle, knees and wrist. Swollen lymph nodes under left arm pit and swelling on right ankle. Previously had swollen lymph nodes on right arm arm that went down. | N | 07/09/2021 | 08/20/2021 | 42 | Various Test Ran | PVT | None | None | None | 2 | 09/27/2021 | Y | Tylenol Aspirin Shell fish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1841373 | 11/03/2021 | HI | 53.0 | 53 | F | The Moderna vaccine was taken out of the freezer and placed in to the refrigerator on 9/8/2021. The vaccine was administered beyond the 30 days of which the vaccine is recommended to be kept in the refrigerator. No adverse reaction occurred during the 15 m | 10/22/2021 | 10/22/2021 | 0 | PUB | 2 | 11/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1858092 | 11/10/2021 | HI | 53.0 | 53 | M | dizziness, headache (still have 6 days after second dose (shot on 4 Nov 2021), Pain in left arm up to when i had second dose (feels like a typhoid shot). An hour after first dose had cramps/squeezing in my left testicle. I had chest pain after the secon | U | 10/14/2021 | 10/14/2021 | 0 | i haven't seen doctor yet. | PVT | none | chest infection | diabetes, hemorrhoids, hernia | 2 | 11/10/2021 | aspirin, albuterol, mefloquine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1863484 | 11/12/2021 | HI | 53.0 | 53 | F | 2nd Dose administered beyond 30-day use; This spontaneous case was reported by a health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (2nd Dose administered beyond 30-day use) in a 53-year-old female patient who received mR | Y | 10/22/2021 | 10/22/2021 | 0 | UNK | USMODERNATX, INC.MOD20213 | 2 | 11/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1863485 | 11/12/2021 | HI | 53.0 | 53 | F | 2nd Dose administered beyond 30-day use; This spontaneous case was reported by a nurse and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (2nd Dose administered beyond 30-day use) in a 53-year-old female patient who received mRNA-1273 (Moderna CO | Y | 10/22/2021 | 10/22/2021 | 0 | UNK | USMODERNATX, INC.MOD20213 | 2 | 11/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX |