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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0919425 | 01/04/2021 | WI | 53.0 | 53 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect noted. | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/04/2021 | meperidine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920296 | 01/05/2021 | WI | 53.0 | 53 | 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 | meperidine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920319 | 01/05/2021 | WI | 53.0 | 53 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effected reported | 12/26/2020 | 12/30/2020 | 4 | PVT | Tetanus-diphth-acell Pertussis No other info available | 2 | 01/05/2021 | Tetanus-diphth-acell Pertussis | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0921954 | 01/05/2021 | WI | 53.0 | 53 | F | Sore left shoulder not relieved by ice/heat/anti-inflammatories, tightness going up into back of neck | N | 01/05/2020 | 10/27/2020 | 296 | Will be seeing PCP on the 1-22-21 | WRK | Levothyroxine, Murina Birth Control, Generic Effexor, Occasional Tylenol PM, Multivitamin, Vitamin D Biotin | None | Thyroid Malfunction | 2 | 01/05/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0924196 | 01/06/2021 | WI | 53.0 | 53 | F | 1) itchy arms and legs starting a few minutes after injection, resolving within the half hour 2) allergic dermatitis (id reaction) on my fingers about 30 hours after the injection (presumed type 4 hypersensitivity reaction to PEG) | Y | 12/30/2020 | 12/30/2020 | 0 | None | PVT | claritin | None | None | 2 | 01/06/2021 | Y | PEG, colophony, thimerosal, gold | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0925469 | 01/07/2021 | WI | 53.0 | 53 | F | Day following vaccination had significant diarrhea and nausea. Lasted about 24 hours. Then 7 days after vaccination, 1/6, awoke with large reddened area at injection site, warm to the touch. | N | 12/29/2020 | 12/30/2020 | 1 | none | PVT | Vit D daily, ambereen, claritin | none | seasonal allergies, IBS | 2 | 01/07/2021 | codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0926099 | 01/07/2021 | WI | 53.0 | 53 | F | Felt like skin, head to toe was "on fire" and mild hives (burning- similar to past reactions with things) - I took 50mg benadryl [I have an epi pen but chose to try benadryl first as my symptoms were only skin and I was breathing fine (pulse ox was 98 whic | Y | 12/30/2020 | 12/30/2020 | 0 | None; self-care | UNK | levothyroxine, acyclovir, fluoxetine, serevent, qnasl, Flovent, singulair, vitamin D3, vit b12, MVI women's | none | hashimotos thyroiditis (hypothyr); chronic HSVI; recurrent shingles, asthma (RAD/EIA), menopause | Military - bootcamp | 2 | 01/07/2021 | molds, ash trees | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930073 | 01/08/2021 | WI | 53.0 | 53 | F | Associate stated anxious to needles at 1400 and had flu vaccine anxiety in past. at 1403, felt sweaty and asked to lie down. 1405 had cold compress, 15 ounces apple juice, sat 40 minutes post vaccine. At 1440 ambulated to bathroom with assistance and sta | Y | 01/08/2021 | 01/08/2021 | 0 | VS all within normal limits. 1415: Temp 98.0,resp=16,Pulse 76, 100/76 BP on right arm. at 1430: [pulse 80, temp 98.1, 100/68 blood pressure right arm. states this is normal BP for her. | PVT | none stated by associate | none stated | none stated | 2 | 01/08/2021 | none stated by associate | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930759 | 01/08/2021 | WI | 53.0 | 53 | F | 11:40AM PATIENT STARTED FEELING RED/ITCHY/WARM 11:45AM 50MG DIPHENHYDRAMINE ORAL GIVEN 11:58AM BLOOD SUGAR 123. PULSE 72. PATIENT DRANK COCA COLA 12:21PM BREATHING HEAVY, THROAT FEELING OKAY/NOT SWOLLEN 12:30PM WOBBLY LEGS 1:20PM PATIENT CALLED PCP, SUGG | 01/08/2021 | 01/08/2021 | 0 | UNK | TYPE 1 DM, ASTHMA, TACHYCARDIA | 2 | 01/08/2021 | Y | GENTAMICIN, PHENOL | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0931594 | 01/09/2021 | WI | 53.0 | 53 | F | Muscle pain, joint pain, fever, chills, shortness of breath, headache, fatigue, starting the morning after the vaccination that was provided around 4:30 in the afternoon, used Tylenol for the pain and fever. Better the next day but still not well. Missed w | N | 01/07/2021 | 01/08/2021 | 1 | PUB | COVID positive December 13th | Capp, asthma | 2 | 01/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0933576 | 01/11/2021 | WI | 53.0 | 53 | F | 1/8/21 AM headache over the eye, injection site sore arm; PM body aches, chills and shivering, fever 107., joint pain --over the counter ibuprofen no relief, weakness in legs. 1/9/2021 body aches and fever resolved. Fatigue, weakness and joint pain, Tyleno | N | 01/07/2021 | 01/08/2021 | 1 | N/A | PVT | Synthroid, Fish oil, Multivitamin, Vitamin D, Estradiol patch | N/A | N/A | Shingrix (1st dose) 09/30/2020, shivering, coldness, headache | 2 | 01/11/2021 | Latex, bananas, Compazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0935996 | 01/11/2021 | WI | 53.0 | 53 | F | classic Arthus reaction -- woke up on the 10th day following injection with a several cm focus of erythema and warmth in the left upper arm at the injection site. I noted focal central clearing in this, which has increased over the past 48 hours, leaving o | 12/30/2020 | 01/10/2021 | 11 | PVT | 2 | 01/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0940341 | 01/13/2021 | WI | 53.0 | 53 | M | severe lower back pain, mostly to left - a little to right. Pain spreads to left side, feels like skin tearing and hot sharp pain that wraps around to stomach area. Pain travels down to groin area, left testicle area, continues down to left knee cap area. | N | 10/01/2020 | 10/22/2020 | 21 | Blood / urine - Hospital ER visit and hospitalization December of 2020. (Several ER visits) | PHM | metformin, aspirin, atorvastatin, buspirone, clopidogrel, depakote, duloxetine, gabapentin, glimepiride, hydrochlorothiazide, motrin,levetiracetam, metoprolol tartrate, prazosin,tamsulosin, temazepam, tizanidine | diabetic, heart disease, neuropathy, seizures, arthritis | diabetic, heart disease, neuropathy, seizures, arthritis | 2 | 01/13/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0941315 | 01/13/2021 | WI | 53.0 | 53 | F | Anaphylaxis requiring administration of Epi | Y | 01/07/2021 | 01/13/2021 | 6 | PVT | 2 | 01/13/2021 | Y | Levaquin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0949436 | 01/15/2021 | WI | 53.0 | 53 | F | The patient received the vaccine at approximately 1:30. They were observed for the standard 15 minute wait time at which time they complained of some mild numbness to their arm. The patient felt well enough to return to work after the 15 minute observation | U | 01/15/2021 | 01/15/2021 | 0 | N/A | SEN | Duloxetine, Alprazolam, Buspirone. Med list may be incomplete patient or contact not available to confirm | None listed on VAR by patient | None | has had dizziness with vaccines in past and egg allergy prevents vaccination with certain flu shots | 2 | 01/15/2021 | Y | Egg | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0950741 | 01/16/2021 | WI | 53.0 | 53 | F | Patient present via ambulance for allergic reaction. Symptoms included: tingling, voice hoarseness, difficulty swallowing, nausea, and weakness. Patient recieved vaccine at 13:30 arrive at ED at 16:01. Patient received IV methylprednisolone, Benadryl and | Y | 01/15/2021 | 01/15/2021 | 0 | None | PVT | alprazolam, buspirone, duloxetine, Ibuprofen, MVI, Nicotine patch, Senna | None noted in ED visit | Anxiety | influenza vaccine, egg based prior to 2016 | 2 | 01/16/2021 | Y | Gabapentin, Influenza vaccine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0953382 | 01/18/2021 | WI | 53.0 | 53 | F | Tachycardic, Tingling of lips, Shivers but felt hot, nausea, flushing | U | 01/14/2021 | 01/14/2021 | 0 | SEN | Hypertension | 2 | 01/18/2021 | PCN, Sulfa, Lisinopril, Erythramiacin, Dairy, Hornet/Bee/Yellow Jacket Venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0956600 | 01/19/2021 | WI | 53.0 | 53 | F | Fever up to 101.0, body aches, chills, fatigue, weakness, redness at injection site, tender at injection site, swollen lymph nodes in neck, axilla, L breast, headache that started at 6 am the following day. I took Tylenol which did help fever and body ach | Y | 01/08/2021 | 01/09/2021 | 1 | none | PVT | Propranolol, multivitamin, metformin, ibuprofen, omeprazole | none | hypertension, obesity | 2 | 01/19/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0975657 | 01/26/2021 | WI | 53.0 | 53 | F | Redness and swelling at injection site after 8 days. Started at 8am the size of a quarter and has doubled by 3:30 pm. | 01/18/2021 | 01/26/2021 | 8 | N/A | PUB | N/A | N/A | N/A | 2 | 01/26/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0980122 | 01/27/2021 | WI | 53.0 | 53 | F | Fever 100.6 Body aches Headache Welt at injection site | Y | 01/01/2021 | 01/25/2021 | 24 | PVT | Allegra Omeprazole Lisinopril | 2 | 01/27/2021 | Penicilin Bactrim Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0988085 | 01/30/2021 | WI | 53.0 | 53 | F | redness and hardness at the injection site day2 and day 3. Delayed redness, edema and mild itching at injection site, day 8. | N | 01/21/2021 | 01/29/2021 | 8 | none | OTH | progesterone, testosterone, magnesium, potassium, curcumin, occuvites, multivitamins | none | menopause | 2 | 01/30/2021 | Sulfa, bee venom. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992143 | 02/01/2021 | WI | 53.0 | 53 | F | GOT EXTREME CHILLS, FEVER AND BODY ACHES FOR A GOOD 30 HOURS AFTER THE VACCINE. | Y | 01/15/2021 | 01/16/2021 | 1 | PVT | MULTIVITAMIN, CITOLOPRAM, OMEPROZOL | NONE | NONE | 2 | 02/01/2021 | SULFA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1005141 | 02/05/2021 | WI | 53.0 | 53 | M | Spoke with patient, he reports that he may have had a severe reaction to Shingrix injection 1/27/21. Patient had an office visit at 0800 on 1/27/21 and received Shingrix injection to left deltoid at the end of the visit. He was at home at 1130 drinking cof | Y | 1 | Y | 01/27/2021 | 01/27/2021 | 0 | Labs and tests completed in hospital 1/27/21 | PVT | tamsulosin, protonix, ASA, ranitidine, gabapentin, valacyclovir, colace | chest pain | depression hemorrhoids genital herpes | 2 | 02/05/2021 | Y | codeine bee stings oxycodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1005371 | 02/05/2021 | WI | 53.0 | 53 | F | Fever, body aches, Fatigue | 02/03/2021 | 02/04/2021 | 1 | PVT | 2 | 02/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1006771 | 02/05/2021 | WI | 53.0 | 53 | F | FEVER | 02/03/2021 | 02/04/2021 | 1 | PVT | 2 | 02/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1009818 | 02/07/2021 | WI | 53.0 | 53 | F | Patient developed body aches, pain, fever, headache, diarrhea, chills, nausea starting the day after vaccination and they continued for about 72 hours. | Y | 02/03/2021 | 02/04/2021 | 1 | None | PHM | Methotrexate, bupropion, cetirizine, omeprazole, gabapentin, escitalopram | None | None | 2 | 02/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1011736 | 02/08/2021 | WI | 53.0 | 53 | F | Developed acute hives followed by itching of the throat. Epinephrine auto injector 0.3mg administered IM. Patient remained stable. EMS called, evaluated patient. Patient declined transport. | U | 02/05/2021 | 02/05/2021 | 0 | None known | PVT | Unknown | None known | Unknown | 2 | 02/08/2021 | Shellfish, nuts | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1016064 | 02/09/2021 | WI | 53.0 | 53 | F | aches, chills, 103 fever, diarrhea, severe headache, photophobia, severe tinnitus. at about 1:30 am on the 29th severe lower back pain started: I was not able to get up normally and had to roll out of bed, then stand with all my strength clenching my butt | N | 01/27/2021 | 01/29/2021 | 2 | PVT | qnasal, flovent, singulair, serevent, levothyroxine | none | asthma, hypothyroidism (hashimotos), psoriasis, HSV1 | mild reaction to first modern covid-19 vax | 2 | 02/09/2021 | molds, ash trees | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1021890 | 02/11/2021 | WI | 53.0 | 53 | F | Terrible headache that lasted 3 days | Y | 01/21/2021 | 01/21/2021 | 0 | None | WRK | None | None | None | 2 | 02/11/2021 | Bee venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1026736 | 02/12/2021 | WI | 53.0 | 53 | F | BODY ACHES, FATIGUE | 02/03/2021 | 02/04/2021 | 1 | PVT | 2 | 02/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1036914 | 02/17/2021 | WI | 53.0 | 53 | M | Moderna COVID-19 vaccine, 0.5ml, was administered using state-supplied Monojet needles. During IM injection, the vaccine leaked from the hub where the syringe and the needle connect. A large drip was seen on patient's arm. Patient also felt the leakage. M | 02/17/2021 | 02/17/2021 | 0 | PHM | 2 | 02/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1038558 | 02/18/2021 | WI | 53.0 | 53 | M | Fatigue, arm pain, fever, swelling in right arm | Y | 02/01/2021 | 02/10/2021 | 9 | None | PVT | 2 | 02/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1038589 | 02/18/2021 | WI | 53.0 | 53 | F | Case is a nurse practitioner who called and spoke to RN on 2/18/2021 around 0926 to report that her vaccine appears to have been administered too high yesterday. Writer called to follow up with case and she states that the vaccine was administered near the | U | 02/17/2021 | 02/17/2021 | 0 | Denies. | PUB | fluoxetine daily Aleve daily (held, did not take this day) Vitamin D daily famotidine daily | Denies. | 2 | 02/18/2021 | Latex Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039490 | 02/18/2021 | WI | 35.0 | 53 | U | FEVER, BODYACHES, CHILLS | U | 02/10/2021 | 02/11/2021 | 1 | PVT | 2 | 02/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041849 | 02/19/2021 | WI | 53.0 | 53 | F | HEADACHE,FATIGUE | 01/26/2021 | 01/27/2021 | 1 | PVT | 2 | 02/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1044818 | 02/21/2021 | WI | 53.0 | 53 | F | exaggerated inflammatory response to moderna vaccine - muscle & body aches; tactile static allodynia; chills; headache with sinus pain and photosensitivity; extreme fatigue and malaise with sob and activity intolerance; progressed to bilateral pneumonia r | N | 01/15/2021 | 01/18/2021 | 3 | 1/20/21 - influenza negative; covid rapid antigen negative; covid PCR negative 1/22/21 - covid rapid antigen neg; covid PCR neg 1/25/21 - cxr; D-dimer, CBC, LFT; blood cultures; CT angio of chest 2/2/21 - cxr; procalcitionin, CBC and IGE 2/4/21 - covid a | WRK | none - use of seasonal allergy meds and anxiety meds as needed | none | Sleep Apnea Sjogrens with Sicca GERD Anxiety | 2 | 02/21/2021 | Y | Y | Augmentin; Pine Pollen and Ragweed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1054010 | 02/25/2021 | WI | 53.0 | 53 | F | Developed vertigo, dizziness, spinning sensation and continued HA. Symptoms started insidiously about 1 week after second dose, became daily around week 3 | U | 02/03/2021 | 02/22/2021 | 19 | PVT | Losartan 100mg/day HCTZ 25mg/day | None | HTN | 2 | 02/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1059251 | 02/27/2021 | WI | 53.0 | 53 | F | Systemic: Allergic: Anaphylaxis-Severe. Systemic: Allergic: Difficulty Breathing-Severe. Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe. Systemic: Allergic: Itch Generalized-Severe. Systemic: Chest Tightness/Heaviness/Pain-Severe. Addit | U | 02/26/2021 | 02/26/2021 | 0 | SEN | 2 | 02/27/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1059587 | 02/27/2021 | WI | 53.0 | 53 | F | Painful red blistered toes muscle aches and fatigue developed approximately 18 days after vaccine accompanied by painful sensory neuropathy. Covid test on 2/12/21 negative. Pain and rash persisted and worsened. I saw my primary doctor on 2/19/21 because my | N | 01/24/2021 | 02/10/2021 | 17 | CBC, CMP, LFT on 2/11/21 all WNL except mild decrease in kidney function GFR 72. | OTH | Mitigare 0.6 mg QD, Synthroid 137 mcg QD, Vitamin D3 5000 IU | Behcet's Disease, hypothyroidism | Behcet's Disease, hypothyroidiam, migraine | 2 | 02/27/2021 | Demerol, Nickel (rash) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063103 | 03/01/2021 | WI | 53.0 | 53 | F | Nausea, chills, vertigo, tired, rash over body developed two days after vaccine | N | 02/08/2021 | 02/08/2021 | 0 | None, took Zyrtec and used itch cream on rash | PVT | Allegra, 81 mg aspirin, D3, multi vitamin, vitamin C, Zinc, montelukast, verapamil, probiotic, spironolactone | high blood pressure, exercise induced asthma, seasonal allergies | 2 | 03/01/2021 | demurral, vancomycin, codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074334 | 03/05/2021 | WI | 4.42 | 53 | F | Within one hour of vaccine, pain at sight of injection. Within three hours of receiving vaccine, body aches, joint aches. Within 8 hours of vaccine, headache. | 03/04/2021 | 03/04/2021 | 0 | None | PUB | Vitamin B-12, Vitamin D, Maxalt as needed | None | Fibromyalgia, Migraines, HBP | 2 | 03/05/2021 | Aspriin, Tramadol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074959 | 03/05/2021 | WI | 53.0 | 53 | F | Janssen COVID-19 Vaccine EUA Injection @ 1130a 1hr after - diarrhea 5hrs after- Rt Arm (opposite arm of shot) tingling sensitive to touch 7hrs after- Skin Crawling painful to touch - low back,thighs, arms, scalp 9hrs after- Freezing and fever sweating 1 | Y | 03/04/2021 | 03/04/2021 | 0 | WRK | Vitamin C | None | None | 2 | 03/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1078808 | 03/07/2021 | WI | 53.0 | 53 | M | Left hand including the wrist was completely non functioning upon waking up this morning. Left hand was completely limp. Had to use my right hand to move my left hand. The experience was comparable to what is described as "falling asleep" , the exception | U | 03/06/2021 | 03/07/2021 | 1 | none | PHM | simvastatin -40mg lisinopril-20mg fish oil-1200mg Bayer back and body-500mg | none | none | 2 | 03/07/2021 | none, only known allergy is seasonal hay fever | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1080918 | 03/08/2021 | WI | 53.0 | 53 | F | Weird feeling in ears after injection, slightly dizzy and little tightness in chest. Used ice pack for comfort. Monitored until 1:07PM Chest hurting 1:33 p.m. rash developed on neck so went to Clinic. Nurse checked symptoms-heart racing, feeling weak. I | U | 03/03/2021 | 03/03/2021 | 0 | SCH | Duloxetine, Pantoprazole, Centrum, Vitamin C, Magnesium | History of anaphylactic reactions. | 2 | 03/08/2021 | Y | Y | Keflex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1089493 | 03/10/2021 | WI | 53.0 | 53 | F | headache runny nose sneezing injection pain | U | 03/09/2021 | 03/10/2021 | 1 | WRK | glipizide er 10mg ozempic 2mg lisinopril 10mg sertraline 50mg metformin er 500mg x 4 levothyroxin 50mg tramadol 50mg x 2 aleve | diabetes depression high blood pressure | 2 | 03/10/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1101611 | 03/15/2021 | WI | 53.0 | 53 | M | Adverse impact began within 1 hour of receiving the injection. Headache persisted for 2 to 3 days along with fever. Treated with acetaminophen. Also have experienced chills, fatigue, lightheadedness. Loss of appetite. Symptoms were strongest on day one. It | Y | 03/13/2021 | 03/13/2021 | 0 | None | OTH | None | None | Obesity | 2 | 03/15/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1101728 | 03/15/2021 | WI | 53.0 | 53 | F | PT CALLED ON WEDNESDAY MARCH 10TH WITH A LOT OF SORENESS IN HER ARM AND THE PHARMACIST TOLD HER TO TAKE TYLENOL OR IBUPROFEN TO HELP WITH THE PAIN. SHE CAME TO THE PHARMACY TODAY MARCH 15TH WITH THE SAME COMPLAINT AND SAID IT HAS GOTTEN WORSE. I TOLD HER T | N | 03/09/2021 | 03/10/2021 | 1 | PHM | I DONT KNOW | DON'T KNOW | HYPERTENSION, ASTHMA, DEPRESSION, ANXIETY | 2 | 03/15/2021 | I DON'T KNOW | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1102655 | 03/15/2021 | WI | 53.0 | 53 | F | Patient states she developed left eye swelling on the morning of 03/15/21. States she does not think its allergies since she took a claritin and it did not help her. | N | 03/13/2021 | 03/15/2021 | 2 | PHM | 2 | 03/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1104731 | 03/16/2021 | WI | 53.0 | 53 | M | Fever, malaise, headache, myalgias Missed one day of work Fully recovered by 3/10/2021 6am | Y | 03/08/2021 | 03/08/2021 | 0 | none | PHM | none | none | none | 2 | 03/16/2021 | Duck eggs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1110704 | 03/18/2021 | WI | 53.0 | 53 | F | Spoke with client onsite. Immediately upon injection, client had swelling occur right at the injection site--her arm swelled up noticeably, about the size of a golf ball. The site was sore, the client describing it as "it feels like there is a lot of press | U | 03/17/2021 | 03/17/2021 | 0 | Applied a cool compress to the site for fifteen minutes of the thirty minute observation period. Relieved some soreness at the sight. Swelling did not go down, but it did not increase either by the time she left. | PUB | Takes "nutritional supplements" | None | None | 2 | 03/18/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1111024 | 03/18/2021 | WI | 53.0 | 53 | F | patient was injected with an empty syringe... I apologized and informed her of the mistake made and injected her again with the syringe with vaccine. I explained to her of the error and told her that I wanted her protected and injected her again.The reaso | U | 03/12/2021 | 03/12/2021 | 0 | none known | WRK | none on file | none | none known | 2 | 03/18/2021 | nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1111700 | 03/18/2021 | WI | 53.0 | 53 | F | Client reported that she had the vaccine yesterday around 10:45 am. At the time she felt a little lightheaded and her arm was sore. She went to sleep at 1130pm on the day she received her vaccine. At 4am the following morning, she woke up and her whole bod | Y | 03/17/2021 | 03/18/2021 | 1 | Client reports that her husband wanted to call 911 after the second episode occurred. She insisted that she was feeling better and chose not to call 911. When she woke up in the morning, she called her PCP who said that they believe that she experienced a | PUB | Losartan 50 mg/day; omeprazole 20 mg BID, clonazapam PRN, vitamin D 5000 mg qday (occasionally), melatonin PRN (occasionally) | None | High blood pressure, ulcers (chronic, but on her last endoscopy no ulcers were seen) | 2 | 03/18/2021 | Novacain | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1113718 | 03/19/2021 | WI | 53.0 | 53 | F | In First 24 hours itching swelling redness upper arm around injection site with superficial loss of feeling outside arm. Area. Approx 5? in diameter. No weakness. Concerned about second vaccine and a worse reaction if condition has not resolved by that | N | 03/10/2021 | 03/11/2021 | 1 | None at this time | PHM | Vitamin D. Multi vitamin | Breast cancer survivor | 2 | 03/19/2021 | Amoxicillin. Sensitivity to niacin vit B3 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1118240 | 03/20/2021 | WI | 53.0 | 53 | F | I reported this two days ago but it is getting worse I went to urgent care for them to look at. Difficult to tell if it is infection from injection or response to moderna vaccine. I was prescribed antibiotics. Very frustrated that it wasn't communicated | N | 03/10/2021 | 03/18/2021 | 8 | PHM | Vitamins multivitamin | Breast cancer survivor | 2 | 03/20/2021 | Y | Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1120108 | 03/21/2021 | WI | 53.0 | 53 | F | Slight dizziness that has lasted almost a week. More frequent when bending down to standing up. Getting out of bed. feeling of pressure in the back of my neck that resonates up into the base of my skull and ears. | N | 03/15/2021 | 03/16/2021 | 1 | none | PVT | Centrum Silver multi-vitamin | none | Type2 diabetes Sleep Apnea | 2 | 03/21/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1123386 | 03/22/2021 | WI | 53.0 | 53 | F | Developed full case of Chicken pox approx. 100 fluid filled vesicular lesions. Temp max. 99.0 F, macular rash started evening on 3/19 and developed into full body (face/head, limbs, trunk) 18 days following vaccination. Started on Valacyclovir on 3/20. | N | 03/01/2021 | 03/19/2021 | 18 | Pt was tested for Varicella immunity by IgG on 2/18 and was negative per patient. She was tested and vaccinated as mother reported her never having chickenpox as a child. | PVT | Lipitor, Glyburide, Metformin, Januvia | None | Type 2 Diabetes, High cholesterol | 2 | 03/22/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1135349 | 03/25/2021 | WI | 53.0 | 53 | F | Post COVID Vaccine injection 1639 numbness left lips, tingling in throat and feels tight BP 148/86 - HR 75 1643 Epi 0.3 via pen Right thigh Feeling shaking Medical emergency called 1645 Benadryl IM right arm. Feeling flushed ED clinical staff here and t | U | 03/25/2021 | 03/25/2021 | 0 | Sent to Emergency room | PVT | 2 | 03/25/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1137687 | 03/26/2021 | WI | 53.0 | 53 | F | Lymphadenopathy in R arm and axilla. No infection | U | 03/23/2021 | 03/23/2021 | 0 | Physical exam only | OTH | None | None | Osteoarthritis knee, hypertension | 2 | 03/26/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1403022 | 03/30/2021 | WI | 53.0 | 53 | M | 03/22/2021 | . | Y | Y | 03/18/2021 | 03/19/2021 | 1 | OTH | OTH | none | none | 1 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1158187 | 04/01/2021 | WI | 53.0 | 53 | F | 8 days post injection itching, swelling, warm | N | 03/24/2021 | 04/01/2021 | 8 | PUB | Sertraline, lorazepam, fish oil, turmeric | Obesity | 2 | 04/01/2021 | Tetracycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1159336 | 04/02/2021 | WI | 53.0 | 53 | F | Covid Arm - woke up with an itchy arm - swollen area around shot location and red. | U | 03/24/2021 | 04/02/2021 | 9 | none | PUB | none | no | mild asthma | 2 | 04/02/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163432 | 04/03/2021 | WI | 53.0 | 53 | M | Tinnitus. Persistent loud ringing in both ears. Present when I awake in the morning. Very unusual. | 03/05/2021 | 03/12/2021 | 7 | Have not reached out to my physician yet. Have delayed my second dose by two weeks. | UNK | Flovent once a day for mild asthma | none | none | 2 | 04/03/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1167157 | 04/04/2021 | WI | 53.0 | 53 | M | Flu-like symptoms occurred approximately 24 hours after the injection! Immediately, the injection site was sore, but after 24 hours I experienced body aches, headache, fever, light-headedness, and a lack of balance. These symptoms persisted for approxima | Y | 03/05/2021 | 03/06/2021 | 1 | N/A | PUB | Claritin-D, Omeprazole, Escitalopram, Multi-Vitamin | N/A | Migraines | September 25th, Shingles vaccination, Zoster? | 2 | 04/04/2021 | Ceclor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1169095 | 04/05/2021 | WI | 53.0 | 53 | F | Pt reported feeling her hands suddenly "swollen, tight, and tingling" 15-20 minutes after vaccine administration. RN noted some mild bilateral edema in pt hands. RN took pt to observation at 3:25 PM and advised administration of oral diphenhydramine; pt co | Y | 04/01/2021 | 04/01/2021 | 0 | BP, HR, and SpO2 WNL | PUB | Unknown | Unknown | Unknown | 2 | 04/05/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1169305 | 04/05/2021 | WI | 53.0 | 53 | F | The second vaccination pinched more than the first one, my arm was sore like it was with the first vaccination, but the following day I noticed a twingeing sensation almost like a zapping electrical shock on the inside of the injection ar m just below my a | N | 04/01/2021 | 04/02/2021 | 1 | PUB | Ibuprofen | High blood pressure | 2 | 04/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1189824 | 04/10/2021 | WI | 53.0 | 53 | F | tinnitus - high pitched noise in both ears | 04/02/2021 | 04/05/2021 | 3 | UNK | Synthroid, Pantoprazole | n/a | Hypothyroidism | 2 | 04/10/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1191726 | 04/10/2021 | WI | 53.0 | 53 | M | Fever (101 Deg F), fatigue, headache | N | 04/09/2021 | 04/09/2021 | 0 | None | OTH | None | None | Obstructive sleep apnea | 2 | 04/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1192672 | 04/11/2021 | WI | 53.0 | 53 | F | After receiving the vaccine in April 2 I had nothing more than a mild headache and slight fatigue for a day. Then on April 10 after being in menopause for 2 years I started bleeding again. I typically never got cramps and have been experiencing mild cramps | U | 04/02/2021 | 04/10/2021 | 8 | None | PHM | Metoprolol | None | High blood pressure | 2 | 04/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1195490 | 04/11/2021 | WI | 53.0 | 53 | F | Elevated heart rate (110-120) beginning about 9 hours after vaccine and lasting about 12 hours. Fever (101 degrees F) beginning about 9 hours after vaccine and lasting about 36 hours. Body aches and joint pain beginning about 9 hours after the vaccine and | N | 04/08/2021 | 04/08/2021 | 0 | SCH | Asthma, latex allergy | 2 | 04/11/2021 | Natural Rubber Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196213 | 04/12/2021 | WI | 53.0 | 53 | M | I woke up around midnight with a headache as bad as I have ever had. Symptom lasted for about 12 hours. | Y | 04/09/2021 | 04/09/2021 | 0 | None | PHM | None | None | Asthma, Slight high blood pressure and slight elevated cholesterol | 2 | 04/12/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196467 | 04/12/2021 | WI | 53.0 | 53 | F | Patient reported left sided facial swelling after receiving the second dose of Moderna COVID-19 vaccine. Patient advised to take 50mg of diphenhydramine and 20 mg famotidine. Patient reported symptom resolution after one hour of taking medications without | Y | 04/07/2021 | 04/08/2021 | 1 | PVT | 2 | 04/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1199678 | 04/13/2021 | WI | 53.0 | 53 | F | Side effects started later same day (Thursday) in same arm as vaccine with pinky and ring finger tingling like it fell asleep, extreme chills, heavy chest (not congested) through the night with a 102.9 fever and also had extreme sweats. Friday morning fev | Y | 04/08/2021 | 04/08/2021 | 0 | None | OTH | None | Asthma (very controlled without medication) | 2 | 04/13/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1200731 | 04/13/2021 | WI | 53.0 | 53 | F | Starting Monday night I started getting canker sores all over my mouth. I have never in my life had canker sores and now it is over 1 week and I stil have trouble eating. I have gotten the sores to go away somewhat but I still have to be careful | N | 04/05/2021 | 04/06/2021 | 1 | PHM | phentermine metoprolol succinate hydroCHLOROthiazide lisinopril atorvastatin omeprazole sertraline diclofenac sodium | none | high blood pressure | 2 | 04/13/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1202437 | 04/13/2021 | WI | 53.0 | 53 | F | Nausea, diarrhea, headache, fever/chills | Y | 04/01/2021 | 04/11/2021 | 10 | N/A | WRK | Zoloft | Anemia | Migraine headaches | 2 | 04/13/2021 | MSG | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1207889 | 04/14/2021 | WI | 53.0 | 53 | F | Lightheadedness, diarrhea, racing heart. Diarrhea only lasted a couple of hours - took Imodium. Lightheadedness lasted off and on for 5 days. Racing heart continues to happen off and on. Stopped drinking caffeinated coffee 4/2/21. Went to physician on | N | 03/30/2021 | 03/31/2021 | 1 | PVT | None | None | None | 2 | 04/14/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1215464 | 04/15/2021 | WI | 53.0 | 53 | F | Extreme dizziness - Threw up due to upset stomach. Extremely hot. | Y | 04/13/2021 | 04/15/2021 | 2 | PHM | Multivitamin; Vitamin C; D3 | None | None | 2 | 04/15/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1219002 | 04/16/2021 | WI | 53.0 | 53 | F | Patient felt shaky, like there was swelling and dryness in her throat, along with a little lightheadedness starting approximately 10 minutes after getting her vaccination. Pt taken to exam room. 1730: 135/79 bp, 72 pulse, 100 O2. Pt indicated she has is | 03/05/2021 | 03/05/2021 | 0 | PUB | unknown | unknown | 2 | 04/16/2021 | Celiacs disease as well as allergies to certain antibiotics (unspecified) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222323 | 04/17/2021 | WI | 53.0 | 53 | M | Developed tinnitus after the 1st moderna COVID vaccination. He consider this mild and felt that it was subsiding for few days and does decided to get the 2nd moderna COVID vaccination. Within 12 hours he develops severe high-pitched tinnitus that has con | N | 03/05/2021 | 03/06/2021 | 1 | Ordered MRIMRA brain if symptoms persist; Econsultation ENT. | PVT | Daily fluticasone inhaler 2 puffs once a day; no other medication at the time of vaccination | none | Mild asthma | 2 | 04/17/2021 | Y | No known drug allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1232118 | 04/20/2021 | WI | 53.0 | 53 | F | Continuous vomitting started Friday 4/2-went to Urgent Care Saturday 4/4. recieved IV fluids-Vomiting continued at home, went to Emergency room later that day Saturday, kept me overnight with IV/meds and went home Sunday 4/4 | Y | 1 | N | 03/30/2021 | 04/02/2021 | 3 | Covid tests done at the Urgent care facility and at the ER-both negative, continual IV fluids with meds Blood taken for CBC tests in both the Urgent Care and Hospital.-Saturday through Sunday and left with medication to take-Ondansetron and Pantoprazole | PUB | Metformin, Farxiga, B12, Cinnimon. Tumeric. Vitamin D | none | DIabetic | 2 | 04/20/2021 | Y | Y | Sulfa Drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1234425 | 04/20/2021 | WI | 53.0 | 53 | F | Starting about 20 minutes after shot (after I left vaccination site), I experienced some throat and lung tightening, hoarseness, racing heart, stomach cramping (symptoms similar to what I experience when I accidentally ingest a small amount of peanuts, ex | Y | 03/29/2021 | 03/29/2021 | 0 | N/A | OTH | Loratadine 10 mg and D-Hist (Quercetin Dihydrate, Stinging Nettles, Vitamin C, Bromelain, N-Acetyl-L Cysteine), multivitamin/minerals, calcium, Vitamin D. | None | mild asthma due to seasonal allergies (pollen) | 2 | 04/20/2021 | peanuts, tree nuts, pollen, cats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238251 | 04/21/2021 | WI | 53.0 | 53 | M | Acute bilateral pulmonary emboli without known risk factors for this condition. Onset of symptoms consistent with acute pulmonary embolism started 2 days after vaccination. Formal diagnosis made on CT chest on 4/13/2021 after worsening symptoms of shortnes | Y | N | 03/28/2021 | 03/30/2021 | 2 | CT chest | PVT | Valacyclovir prn | None | No significant history. Impaired fasting blood sugar | 2 | 04/21/2021 | Y | Y | Morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1240054 | 04/21/2021 | WI | 53.0 | 53 | F | Fever Chills Headache Body aches | Y | 04/20/2021 | 04/21/2021 | 1 | PUB | Adderal Venlafaxine Klonopin Bupripon | None | Depression. ADD | 2 | 04/21/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1241567 | 04/22/2021 | WI | 53.0 | 53 | F | Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe, Systemic: Allergic: Itch Generalized-Mild, Systemic: Headache-Mild | U | 04/21/2021 | 04/21/2021 | 0 | PHM | 2 | 04/22/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1243701 | 04/22/2021 | WI | 53.0 | 53 | F | Patient was given 1st dose of Pfizer vaccine at 13:55. At 14:10 patient reported feeling warm and feels heart rate is increased. She reports that she takes blood pressure and anxiety medications. VS: 14:10 BP 140/90 SPO2 98% RR 20 Pulse 96 14:15 | Y | 04/22/2021 | 04/22/2021 | 0 | none | OTH | unknown | unknown | unknown | 2 | 04/22/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246229 | 04/23/2021 | WI | 53.0 | 53 | F | Moderna COVID-19 Vaccine EUA I woke up this morning with diarrhea, and the frequency is getting shorter between episodes. | U | 04/22/2021 | 04/23/2021 | 1 | WRK | Loratadine 10mg, Pseudoephedrine HCI 30mg, Spring Valley Iron 65mg, Bupropion 150 mg, Nutrilite Cal Mag D, Spring Valley L-Lysine 500 mg | none | none | 2 | 04/23/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246273 | 04/23/2021 | WI | 53.0 | 53 | M | Extreme fatigue; achy muscles; chills; 102 degree fever; inflammation under left arm pit; sore joints; headache; injection site pain; general sick feeling. | Y | 04/20/2021 | 04/21/2021 | 1 | None | PHM | N/A | N/A | N/A | 2 | 04/23/2021 | Allergic to Minocycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1257913 | 04/26/2021 | WI | 53.0 | 53 | F | Woke up with body aches/joint aches and a low grade fever. Lasted approximately 8 hours | Y | 04/21/2021 | 04/22/2021 | 1 | N/A | PHM | Allegra, carvedilol, losartan, Vitamin D, mallatonin, centrum multi-vitamin | N/A | high blood pressure, asthma | 2 | 04/26/2021 | Sulfa, codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1258874 | 04/26/2021 | WI | 53.0 | 53 | F | The day after receiving the vaccine, had a sore left arm where the first shot had been given. (The second shot was given higher up on the same arm.) Arm started turning red and was tender and warm to the touch. Started feeling achy everywhere. Took ibuprof | N | 04/23/2021 | 04/24/2021 | 1 | None. | PUB | multi-vitamin and Vitamin D supplement | none | none | 2 | 04/26/2021 | dust, ragweed, pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1259028 | 04/26/2021 | WI | 53.0 | 53 | F | Short of breath 4/20/21 hospitalization for blood clots in both lungs | Y | Y | 5 | N | 03/10/2021 | 04/08/2021 | 29 | 4/20/21. Pulmonary embolism | PUB | Lysinapril | High blood pressure Obesity | 2 | 04/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266140 | 04/28/2021 | WI | 53.0 | 53 | F | 4 days of chills, nausea, not sleeping but constantly tired. | N | 04/24/2021 | 04/25/2021 | 1 | PUB | Lisinipril | HBP | 2 | 04/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266491 | 04/28/2021 | WI | 53.0 | 53 | F | Received 2nd Pfizer COVID vaccine in right arm on 3/26/2021. One month/30 days later/ on 4/26, patient awoke with a right arm rash - warm and red - similar to known "COVID VACCINE ARM" What was different is that she had a large blister in the middle of th | U | 03/26/2021 | 04/26/2021 | 31 | Office visits. | PHM | cephalexin (KEFLEX) 500 MG capsule Take 1 capsule by mouth 4 times daily for 7 days. methylphenidate (RITALIN) 20 MG tablet Take 1 tablet by mouth 2 times daily. clonazePAM (KlonoPIN) 1 MG tablet Take one tablet by mouth every morning, one | None | Hypertension, Hyperlipidemia, Hypothyroidism, Type 2 Diabetes and Depression | 2 | 04/28/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268673 | 04/28/2021 | WI | 53.0 | 53 | F | cough, other covid symptoms (refused initial interview with LHD), monoclonal antibody treatment | 12/22/2020 | 04/26/2021 | 125 | Positive COVID-19 PCR test (NAAT) | UNK | unknown | unknown | unknown | 2 | 04/28/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268683 | 04/28/2021 | WI | 53.0 | 53 | F | covid sx, monoclonal antibody treatment | N | 01/13/2021 | 04/26/2021 | 103 | positive COVID-19 PCR test | UNK | unknown | unknown | unknown | 2 | 04/28/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1270325 | 04/29/2021 | WI | 53.0 | 53 | F | joint pain by the knee, then spread to the whole body, feels like all her joints are inflamed and she is not able to move them. | N | 04/16/2021 | 04/26/2021 | 10 | none | PUB | hormone therapy, B12, melatonin, Lyrica but just switched to Gabapentin | none | nerve damage on right hip | 2 | 04/29/2021 | Y | amoxicillin, Bactrim, Percocet, nolamine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1273741 | 04/30/2021 | WI | 53.0 | 53 | F | spontaneous bruising with acute pain in right buttock awakening pt from sleep and unable to sit for more than 20 minutes due to pain for the past3 days, | N | 04/21/2021 | 04/27/2021 | 6 | cbc, INR, and sed rate nil | PVT | losartan, propranolol, atorvastatin, ibuprofen, Lyrica, amlodipine | none | HTN | 2 | 04/30/2021 | Y | PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1274754 | 04/30/2021 | WI | 53.0 | 53 | F | Patient experienced cough, sore throat, headache, and runny nose on 4/27 | 02/17/2021 | 04/27/2021 | 69 | COVID-19 PCR Test | UNK | 2 | 04/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1274766 | 04/30/2021 | WI | 53.0 | 53 | F | Patient experienced cough, sore throat, headache, and runny nose on 4/27 | N | 03/17/2021 | 04/27/2021 | 41 | Tested positive for COVID-19 - PCR tested on 4/29 | UNK | 2 | 04/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1283361 | 05/03/2021 | WI | 53.0 | 53 | F | Fever of 102? for 2+ days, body aches, severe headache, extreme fatigue | N | 05/01/2021 | 05/02/2021 | 1 | PHM | Lisinopril, Amlodipine, Venlafaxine, Montelukast | None | Asthma | 2 | 05/03/2021 | None, seasonal/environmental | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1287362 | 05/04/2021 | WI | 53.0 | 53 | F | itching of arms and upper back about 15 min after injection. History of hives Benedryl 50mg administered patient itching not progressing and seems improved about 35 min later and d/c home with advice to return to ER with ominous signs or symptoms | U | 05/04/2021 | 05/04/2021 | 0 | PVT | Amitriptyline, Azelastine nasal, Buspirone, Cetirizine, vitamin D3, Diphenhydramine topical, Fluconazole, Fluticasone nasal, Montelukast, mupirocin, Odansetron, pantoprazole, propranolol, sumatriptan succinate, tizanidine, zolpidem | obesity, Migraine headaches. Obstructive sleep apnea. Obesity (BMI 44.8 September 2020) Fibromyalgia. Low back pain. Right knee arthroscopy with partial lateral meniscectomy limited chondroplasty August 2018. Left foot plantar fasciotomy 2014. Achilles ten | pfizer | 2 | 05/04/2021 | Aspirin: Gastrointestinal upset Cefdinir (Omnicef?) Codeine Cyclobenzaprine (Flexeril?): Rash DULoxetine: Hives Eszopiclone (Lunesta?) Fentanyl Transdermal (Duragesic?) Gabapentin: Rash Hydrocodone-Acetaminophen: Rash Ibuprofen: Gastrointestinal u | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1288019 | 05/04/2021 | WI | 53.0 | 53 | F | Pain, headache, vomiting, cough, eyes swollen | N | 05/03/2021 | 05/03/2021 | 0 | PUB | Na | None | Fibromyalgia | 2 | 05/04/2021 | Mobic, dexamthasone, trazodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1293431 | 05/06/2021 | WI | 53.0 | 53 | M | Patient received Moderna shot, during observation period he reported burning in the throat, metallic taste and left lower arm swelling and red. Blood pressure at 10:00 am 136/82, pulse 76, SaO2 97% on room air. Respirations normal, cardiac eval normal, | Y | 04/29/2021 | 04/29/2021 | 0 | None | PVT | Ibuprofen 400 mg daily PRN | none | none | 2 | 05/06/2021 | Y | Lortab - severe itch Shellfish - erythema | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1310109 | 05/12/2021 | WI | 53.0 | 53 | M | According to his wife, patient received the Janssen COVID-19 vaccine at the Center on a Friday afternoon in March; she could not recall the exact date and could not locate his vaccination card. Several hours later, patient began stuttering and was unable t | Y | 03/12/2021 | 03/12/2021 | 0 | None | OTH | None | None | Hypertension | 2 | 05/12/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1323146 | 05/17/2021 | WI | 53.0 | 53 | F | Client reports on the morning after receiving her vaccine she experienced left sided sore throat pain that progressed to spine pain and swelling at injection site up her neck and to L eye area. Symptoms lasted approximately 3-4 days. "It was concerning e | Y | 04/07/2021 | 04/08/2021 | 1 | PUB | Denies | Denies | 2 | 05/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327757 | 05/18/2021 | WI | 53.0 | 53 | M | Patient was fully vaccinated and was diagnosed with COVID19 | U | 03/16/2021 | 05/07/2021 | 52 | 5/7/21: PCR+ | PUB | 2 | 05/18/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1330852 | 05/19/2021 | WI | 53.0 | 53 | F | I experienced left sore arm after my Pfizer vaccine. I had two episodes and I do not know if they are related to the Pfizer vaccines. Feb 28,2021 @ 10pm, severe onset vomiting. March 15, 2021 @9:45am had a mild stroke. I was in ICU, CT scans, MRI, echo | Y | Y | 01/20/2021 | 03/15/2021 | 54 | lab work extensive lab work done EKG heart monitor | PVT | Mild headache medication was taken | Breast CA survivor, high cholesterol (managed), Baby ASA (taken due to family heart issues) | vsafe | 2 | 05/19/2021 | Food allergies, dust, pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1334640 | 05/20/2021 | WI | 53.0 | 53 | M | Patient was seated in waiting area post vaccination. communicated to technician he felt dizzy. Pharmacist came to patient's side. Patient slowly went unconscious, folding forward in chair for about 30 seconds. Pharmacist kept patient in chair and called fo | U | 05/20/2021 | 05/20/2021 | 0 | PHM | 2 | 05/20/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1341106 | 05/22/2021 | WI | 53.0 | 53 | M | He fainted 5 minutes after vaccine administration. After he came to on his own, he starting vomiting. Paramedics were called and took him to the emergency room for further evaluation. | Y | 05/17/2021 | 05/17/2021 | 0 | PHM | Unknown | Cold symptoms | Unknown | 2 | 05/22/2021 | Y | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1343555 | 05/24/2021 | WI | 53.0 | 53 | F | perforated intestine | Y | Y | 5 | Y | 02/08/2021 | 02/16/2021 | 8 | CT Scan, Ultrasound 02/19/2021 | PVT | Sertraline, Black Cohosh | 2 | 05/24/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1344831 | 05/24/2021 | WI | 53.0 | 53 | F | Patient experienced swelling at vaccine site shortly after administration. | 05/24/2021 | 05/24/2021 | 0 | PHM | 2 | 05/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1350914 | 05/26/2021 | WI | 53.0 | 53 | M | Unbearable Elbow Joint pain | N | 04/02/2021 | 04/05/2021 | 3 | PVT | Omeprazole, Amlodipine Besylate, Losartan | none | High blood Pressure, acid reflux | 2 | 05/26/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1351609 | 05/26/2021 | WI | 53.0 | 53 | M | Heart Attack, burning from center of chest expanding to back like a dagger and outwards 1 stent placed to stop it 2 more stents the next day preventative Now attending cardiac rehab New meds prescribed | Y | Y | 3 | Y | 04/12/2021 | 04/22/2021 | 10 | Triponin 3.77 peaked EKG abnormal showed STEMI in ER on date it happened | OTH | Verapamil, Lisinopril, Rosuvastatin, Buspirone, Diazapam, Low Dose Aspirin 1 Megamen vitamin Quinol CBD Oil | nothing | Hypertension, cholestorol issues, coronary artery disease, obesity, allergies, PTSD | 2 | 05/26/2021 | Y | Y | Tegritol, Pennicilan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361115 | 05/29/2021 | WI | 53.0 | 53 | F | On day of vaccine, I was nauseous, body aches all except arm until few days later, muscle pain, hard time walking, headache. As of today 05/24/2021, I declined, I have had a multitude of symptoms, sore throat, cold symptoms, covid like symptoms | N | 05/03/2021 | 05/03/2021 | 0 | No tests, did not see Dr. When it began. I did have a covid test at Same day testing on 5/29/2021 awaiting results. | PHM | Protonix Klonopin Fluoxetine Reglan Zyrtec Metoprolol Albuterol Inhaler Multivitamin Elderberry Probiotics Vitamin D Calcium Magnesium | None | Immune disorder Gastro issues | vsafe | 2 | 05/29/2021 | Y | Penicillin Latex Th shell of a shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1364556 | 06/01/2021 | WI | 53.0 | 53 | F | Patient hospitalized within 6 weeks of receiving COVID vaccination. First hospitalization was 4/19/21, then 5/4/21. On 5/11/21 patient presented to the ED and was subsequently hospitalized for 16 days with decompensation of cirrhosis of liver. | Y | 16 | 04/16/2021 | 04/19/2021 | 3 | OTH | 2 | 06/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1372093 | 06/03/2021 | WI | 53.0 | 53 | M | Pt felt body aches/chills/headache and then after a few days started to get significant neck pain that he cannot relate to anything else. He is attributing it to the vaccine. He has a hard time turning his head to the side. | N | 05/28/2021 | 05/31/2021 | 3 | None | PHM | Levothyroxine, Glipizide ER, amlodipine, lisinopril, naproxen, metformin ER, atorvastatin | No | Diabetes | 2 | 06/03/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1399897 | 06/15/2021 | WI | 53.0 | 53 | F | She started to get constant, left-sided chest pain focally near her sternum 1 day after receiving the vaccine. She had a 3 to 4/10 rating for her pain with exacerbations that would wake her up at night. Her pain did get so bad that she pursued evaluation | N | 05/01/2021 | 05/02/2021 | 1 | EKG and D-dimer negative on 05/21/2021. TSH was 1.15, troponin I was less than 0.006, CBC and BMP were unremarkable. Subsequent stress test and stress echocardiogram were negative. Diagnostic mammogram was ordered today to work up mastodynia. | PVT | none except for p.r.n. rizatriptan and p.r.n. ibuprofen | none | mild GERD, night sweats, cyst on liver, renal cyst, atypical ductal hyperplasia of breast, SI joint dysfunction, migraine headache, generalized anxiety | 2 | 06/15/2021 | Y | Y | Azithromycin, doxycycline, nickel | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1402789 | 06/16/2021 | WI | 53.0 | 53 | F | Swollen lymph nodes Fever Nausea Diarrhea Chills Sweats Pain at injection site | N | 04/02/2021 | 04/02/2021 | 0 | Blood work Ultra sound of lymph noses 2 rounds of antibiotics | PVT | Metformin 2000 mg daily Trulicity 1.5 mg weekly Tresiba 30 units daily Flonase daily Lisinopril 40 mg daily Aspirin 81 mg daily | None | Obesity Diabetes High blood pressure | 2 | 06/16/2021 | Y | Amoxicillin/Bactrim Latex Bee Sting | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1406859 | 06/17/2021 | WI | 53.0 | 53 | M | Paracarditis | Y | 3 | U | 05/01/2021 | 06/01/2021 | 31 | PHM | Coronary Artery Disease Hypertension | Coronary Artery Disease Hypertension | 2 | 06/17/2021 | Melons Bee/Wasp stings | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1421071 | 06/23/2021 | WI | 53.0 | 53 | M | diarrhea, heart palpitations w/ documented tachycardia on fitbit in supraventricular tachycardia rhythm on 6/1/2021 | Y | 05/27/2021 | 05/29/2021 | 2 | normal chemistries and thyroid function | PVT | none | none | obesity | 2 | 06/23/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1431316 | 06/28/2021 | WI | 53.0 | 53 | F | Pt completed vaccination series for the COVID-19 Pfizer, with one dose received 4/6/2021 and the 2nd received 4/27/2021. Pt was seen at ED on 6/26/2021 for mental health related reasons, and tested positive for COVID-19 as part of routine admission screen | Y | 04/27/2021 | 06/26/2021 | 60 | PVT | acyclovir, albuterol nebs, diclofenac, fluticasone-salmeterol, gabapentin, hydroxyzine, montelukast, trazodone | Vitamin D deficiency, seasonal affective disorder, reflux, radiculopathy - lumbosacral region, pes planus, obesity, neck pain, multiple allergies, herniated lumbar intervertebral disc, GERD, dysphagia, depression, COPD, chronic pain, ADD, asthma, arthritis | 2 | 06/28/2021 | aspirin, naproxen, jalapenos, gluten meal, salicylates, zofran. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1443405 | 07/02/2021 | WI | 53.0 | 53 | F | Patient developed a rash on her elbows and blisters on her lips 3-4 days after getting her Moderana Vaccine #1. She tried benedryl cream orginally which helped a little with itching. She was evaluated 3/30/21 for continued rash and itching with redness aro | Y | 03/18/2021 | 03/22/2021 | 4 | none | PVT | Womens One Daily, Estradiol 2mg | none | Osteopenia, Postmenopausal | 2 | 07/02/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454092 | 07/07/2021 | WI | 53.0 | 53 | F | On 1/16/21 I received my first dose of Moderna covid 19 vaccine. Then on Friday the 22nd of Jan prior to going to bed I noticed a baseball size lump under my left arm pit. I called my Dr. the next morning and was able to get in and see MD. She examined m | N | 01/16/2021 | 01/22/2021 | 6 | On 1/28/21 I saw NP at the breast surgery cancer center. She stated to me that there was some talk of this being a side effect from vaccine. Told me to keep my diagnostic mammogram and ultrasound appointments. Went to Hospital on 2/1/2021 and had both t | WRK | multi-vitamins gummies, pepcid ac, ipratropium 0.03% nasal spray, melaton gummies and clariton-D | none | S/P cervical spinal fusion, Sjogren's syndrome, discoid lupus and generalized osteoarthritis of multiple site | 2 | 07/07/2021 | Y | sulfa, valium and diazepam | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454153 | 07/07/2021 | WI | 53.0 | 53 | F | increased headaches, brain fog, memory problems | U | 12/21/2020 | 12/21/2020 | 0 | Symptom tracking w/ possible MRI of the Brain; pt is currently trying migraine medication | PVT | 2 | 07/07/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454207 | 07/07/2021 | WI | 53.0 | 53 | F | On Friday 1/29/2021 my wife tested negative for COVID19, and received thePfizer vaccine. Then over the weekend she developed petit mal seizures and went by ambulance to the hospital unable to walk on Monday morning, and also on Monday 2/1/2021 she was dia | Y | 5 | Y | 01/29/2021 | 01/30/2021 | 1 | Patient had an MRI, and an EEG. These showed the stroke was caused by blockages in the blood vessels in the brain | OTH | Lantus/Basaglar Kwik pen 11u in AM Novolog, Kwik pen 2 units with meals, then sliding scale Metformin HCL XR 500 mg 2 tablets 2x a day Risperidone 1 mg 2 times per day, morning and lunch time Benztropine .5 mg 2 times per day, morning and d | Diabetes | 2 | 07/07/2021 | Y | Haldol, Hydroxyzine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454850 | 07/07/2021 | WI | 53.0 | 53 | M | On 07/07/2021, a 2019 Coronavirus SARS-CoV-2 Rapid~2019 Coronavirus SARS-CoV-2 Rapid test was ordered and came back positive for the patient. Case investigation interview with patient has not been conducted at the time of this note. | U | 03/29/2021 | 07/07/2021 | 100 | PVT | 2 | 07/07/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1463373 | 07/11/2021 | WI | 53.0 | 53 | F | Error: Incorrect Reconstitution- | Y | 07/10/2021 | 07/10/2021 | 0 | PHM | 2 | 07/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1464533 | 07/12/2021 | WI | 53.0 | 53 | F | Patient experienced weakness, tingling , pain in legs for about 15 minutes 20 days after first shot, then experienced the same thing again and could not physically walk for 15 minutes and continued experiencing pain, then it subsided. and has not recurred. | Y | 05/27/2021 | 06/15/2021 | 19 | none | PHM | pain nighttime | no | none | 2 | 07/12/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1469687 | 07/14/2021 | WI | 54.0 | 53 | F | pericarditis; Has not had second dose of vaccine.; Pain in arm; chest pain; shortness of breath,difficult breathing; thought it was gas; burp; This spontaneous case was reported by a patient and describes the occurrence of PERICARDITIS (pericarditis) in a | Y | 3 | U | 04/30/2021 | 05/01/2021 | 1 | Test Date: 20210502; Test Name: Catheterisation cardiac; Result Unstructured Data: Pericarditis | UNK | SIMVASTATIN; AMLODIPINE BESYLATE; OMEPRAZOLE | USMODERNATX, INC.MOD20212 | 2 | 07/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1485118 | 07/19/2021 | WI | 53.0 | 53 | F | Resides in a household with 2 positive cases, first one tested positive on 7/7/21. Sx onset 7/13/21 with sore throat, muscle aches, headache, fatigue & nausea. Tested on 7/17/21 for COVID-19 which returned as positive. | 02/26/2021 | 07/13/2021 | 137 | o Test date: 7/17/2021 o Test performed: SARS CORONAVIRUS-2 RNA, V o Route: Nasopharyngeal o Result: DETECTED | PVT | 2 | 07/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1485127 | 07/19/2021 | WI | 53.0 | 53 | F | Resides in a household with 2 positive cases, first one tested positive on 7/7/21. Sx onset 7/13/21 with sore throat, muscle aches, headache, fatigue & nausea. Tested on 7/17/21 for COVID-19 which returned as positive. | N | 03/20/2021 | 07/13/2021 | 115 | o Test date: 7/17/2021 o Test performed: SARS CORONAVIRUS-2 RNA, V o Route: Nasopharyngeal o Result: DETECTED | PVT | 2 | 07/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1490433 | 07/21/2021 | WI | 53.0 | 53 | F | Runny Nose,loss of smell,nasal congestion,loss of taste | U | 04/08/2021 | 07/16/2021 | 99 | PHM | 2 | 07/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1498350 | 07/23/2021 | WI | 53.0 | 53 | F | Fever/chills/body aches six hours after the second dose which lasted for three days. The site of injection used to become sore every couple of days for almost two months. On July 20, had to rush to ER due to severe chest pain which could not be controlled | U | 04/15/2021 | 04/15/2021 | 0 | Heart Stress Test Ordered by MD Jul 20, 2021; BASIC METABOLIC PANEL; Ordered, NP Jul 20, 2021 Echocardiogram Ordered MD Jul 20, 2021; TROPONIN I ULTRA SENSITIVE Ordered MD Jul 20, 2021 TROPONIN I ULTRA SENSITIVE Ordered DO Jul 20, 2021; Electrocardiogra | PVT | Vitamin D; Iron; HCTZ (for high BP) | none | eczema | 2 | 07/23/2021 | Y | sulpha drugs; augmentin; banana, grapes, garlic, pine apple | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1506244 | 07/27/2021 | WI | 53.0 | 53 | M | HE SAID HIS CHEST FELT TIGHT. HE SAT FOR 5 MORE MINUTES AND WE WATCHED HIM. HIS WIFE WAS WITH HIM. HE DECIDED HE FELT BETTER AND WANTED TO LEAVE. | Y | 07/27/2021 | 07/27/2021 | 0 | NONE | PHM | NONE | NONE | NONE | 2 | 07/27/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1513915 | 07/29/2021 | WI | 53.0 | 53 | M | Pneumonia or Asthma like symptoms of strong severity for several months. | Y | 03/01/2021 | 05/08/2021 | 68 | X-ray, COVID-19 testing | PVT | Valsartin | None | High blood pressure | 2 | 07/29/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1519801 | 08/02/2021 | WI | 53.0 | 53 | F | On 6/30/21 patient had first covid-19 vaccination. Initially had typical immunization symptoms (fatigue, chills, right arm heaviness and headache). On 7/21/21- present day she developed symptoms starting Bell's Palsy (pain in top of head, right side fa | N | 06/30/2021 | 07/21/2021 | 21 | UNK | omega-3 fish oil, vitamin D3, biotin, multivitamin | HTN | HTN, history of Bell's Palsy, h/o TIA | 2 | 08/02/2021 | Y | Y | atorvastatin-myalgia | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1523045 | 08/03/2021 | WI | 53.0 | 53 | F | Headache, body aches, nausea, fatigue, loss of appetite, abdominal pain | U | 08/02/2021 | 08/03/2021 | 1 | None | PVT | None | None | None | Covid-19 Pfizer in March and April | 2 | 08/03/2021 | Penicillin, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1526230 | 08/04/2021 | WI | 53.0 | 53 | F | Severe rash around mid-section, severe fatigue, HA, exacerbation of POTTS disease | N | 07/17/2021 | 07/18/2021 | 1 | none | PHM | A long list of medications related POTTS disease - client couldn't name them | Nothing besides POTT'S disease | POTT'S disease | 2 | 08/04/2021 | Y | Client states "many" but couldn't name them | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1529141 | 08/05/2021 | WI | 53.0 | 53 | M | Hearing muffled in left ear. It feels like waterlogged, but not. Feels like I can breathe through my left ear. It is a weird sensation. I don't want to lose my hearing. | N | 08/04/2021 | 08/05/2021 | 1 | None Plan on seeing doctor this afternoon. | SCH | pre-focal seizure medication anti-depressant fish oil Omega 3 Vitamin D | None | None | 2 | 08/05/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1542460 | 08/11/2021 | WI | 53.0 | 53 | F | body aches; headache; fatigue; nausea; runny nose; sneezing; 99.2 fever; wheezing in the chest; This spontaneous case was reported by a patient and describes the occurrence of RHINORRHOEA (runny nose), WHEEZING (wheezing in the chest), SNEEZING (sneezing), | Y | 01/13/2021 | 01/13/2021 | 0 | UNK | METFORMIN; GLIMEPIRIDE; TRULICITY; CARVEDILOL; LISINOPRIL; FUROSEMIDE; PRAVASTATIN; FENOFIBRATE; BABY ASPIRIN | Asthma; Cholesterol; Diabetes; Heart attack; Heart disease, unspecified; Heart failure | Medical History/Concurrent Conditions: Hypertension | USMODERNATX, INC.MOD20210 | 2 | 08/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1545302 | 08/11/2021 | WI | 53.0 | 53 | F | Pt did receive 3 doses of Moderna vaccine. on 02/01/2021, 03/01/2021 and 07/19/2021 by error. pt signed up for Shingles shot but a pharmacist gave her a covid shot. We did file a claim to Corporate and DHS and was advised to submit a report. pt is complain | N | 07/19/2021 | 07/19/2021 | 0 | OTH | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1549161 | 08/12/2021 | WI | 53.0 | 53 | F | Pain in left leg, difficulty walking. Stent clogging | N | 05/08/2021 | 07/01/2021 | 54 | CT scan. 8/1/21 | WRK | Blood pressure, cholesterol, anti depression, baby aspirin, multivitamin | Stent in left leg | 2 | 08/12/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1564618 | 08/15/2021 | WI | 53.0 | 53 | F | nose started bleeding; high blood pressure; pounding headache; This spontaneous case was reported by a consumer and describes the occurrence of EPISTAXIS (nose started bleeding), HYPERTENSION (high blood pressure) and HEADACHE (pounding headache) in a 53-y | U | 03/10/2021 | 02/10/2021 | UNK | SYMBICORT | Medical History/Concurrent Conditions: Surgery (Had two liver surgeries) | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1567910 | 08/15/2021 | WI | 53.0 | 53 | F | Diarrhea; Body Aches; Nausea; Chills; Headache; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea), MYALGIA (Body Aches), NAUSEA (Nausea), CHILLS (Chills) and HEADACHE (Headache) in a 53-year-old female pa | Y | 03/12/2021 | 03/13/2021 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1570644 | 08/15/2021 | WI | 53 | F | skin infection; Itchiness; Hotness; Stiff shoulders; Swelling; Headache; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Itchiness), FEELING HOT (Hotness), MUSCULOSKELETAL STIFFNESS (Stiff shoulders), SWEL | U | 03/21/2021 | 03/21/2021 | 0 | UNK | TYLENOL; METFORMIN; VYVANSE; VIT D [COLECALCIFEROL]; ADVAIR; SPIRIVA; ALBUTEROL [SALBUTAMOL] | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1570950 | 08/15/2021 | WI | 53.0 | 53 | F | slight headache; hot to the touch; little tiny bumps on my upper right chest near my armpit; nausea; tender; The injection site was swollen about the size of a baseball; pain in my ankles; The injection site had a red mark; This spontaneous case was report | Y | 03/21/2021 | 03/21/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1601867 | 08/21/2021 | WI | 53.0 | 53 | F | Arm itching "like crazy"; "Huge red circle" on arm / "Softball size circle" on arm; Hot arm; Red arm; Fever; Chills; Flu-like Symptoms; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (Flu-like Sympto | Y | 03/10/2021 | 03/11/2021 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1604595 | 08/21/2021 | WI | 53.0 | 53 | F | Terrible pain in the arm; Cannot lift the arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Terrible pain in the arm) and HYPOKINESIA (Cannot lift the arm) in a 53-year-old female patient who received | U | 03/30/2021 | 03/30/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1616429 | 08/22/2021 | WI | 53.0 | 53 | F | Feel worse than when had COVID-19 after the 2nd dose; Diarrhea after the 2nd dose; Fatigued after the 2nd dose; Chills after the 2nd dose; Throwing up after the 2nd dose; Fever of up to 102 F after the 2nd dose; Worst headache ever after the 2nd dose; This | U | 04/15/2021 | Test Name: fever; Result Unstructured Data: 102 F; Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: positive | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1617392 | 08/22/2021 | WI | 53.0 | 53 | M | Chest pain-ER visit X3 (05-08-201)(06-17-2021)(08-09-2021) Nausea, fatigue, weight loss, insomnia Diagnosed with pericarditis on 08-09-2021 Multiple appointments with PCP | Y | 1 | N | 04/22/2021 | 05/08/2021 | 16 | 05-08-2021 (ER visit)EKG, cardiac enzymes, chest x-ray, full blood work-up 06-17-2021 (ER visit) (Ambulance) EKG, cardiac enzymes, chest x-ray, 7-28-2021 EGD 08-09-2021 (ER visit) (Ambulance) EKG, Echocardiogram, Cardiac Enzymes, Chest x-ray, full blood wo | PVT | Benadryl Melatonin Multivitamin | None | None | 2 | 08/22/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1628262 | 08/24/2021 | WI | 53.0 | 53 | F | Eye twitching that is not going away. It has been 4 days since I received vaccine. | N | 08/20/2021 | 08/20/2021 | 0 | none | PHM | losartan 75 daily, lansoprazole 30 mg daily, fluoxetine 20mg daily, magnesium citrate 250 daily, zinc 50mg daily, Vitamin B2 once daily | none | asthma, hypertension, depression | allergic reaction to influenza vaccine preservative (large painful, itchy rash) | 2 | 08/24/2021 | amoxicillin, ace inhibitors, Levaquin, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1642261 | 08/27/2021 | WI | 53.0 | 53 | F | I got the shot shortly after 9:00 a.m. and woke up with a very heavy menstrual cycle. I hadn?t had a period since April so thought I was going through menopause. The only time I have passed this much blood and clots was after giving birth. I went to the do | N | 08/17/2021 | 08/18/2021 | 1 | Pelvic Blood test | PVT | One a day vitamin, fiber, fish oil, probiotic, magnesium | Cold | None | 2 | 08/27/2021 | Y | Compazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1654315 | 08/30/2021 | WI | 53.0 | 53 | F | Severe ongoing headache in the lower back of head/neck and across forehead. Level. 7 continuous pain that is constant and pressure/vise-like. 24/7 x 6 weeks now with no reduction in pain level. | N | 07/20/2021 | 07/20/2021 | 0 | None | PHM | Allegra 24 hour Amitryptiline 25 mg nightly Testosterone 2 mg Progesterone Selenium 200 mcg Vitamin B-12 (methylated) 5000 mcg Liposomal Vitamin C 1000 mg (up to 4 grams 3 x a day) DHEA 25 mg Alpha Lipoic Acid 300 mg Glutathione (reduced) | Multiple Chemical Allergies (esp formaldehyde and fragrance) Allergic Contact Dermatitis Eczema Raynaud's Arthritis in knees Asthma Seasonal allergies Fluoroquinolone Toxicity Syndrome (severe ongoing adverse effects for many years) Hypoglycemia Neuropathy | See above. | 2 | 08/30/2021 | Y | Fluoroquinolones, sulfa-based meds, amoxicillin, penicillin, Amox-Clav, tetracycline, Benzoyl Peroxide, Benzylisothiazolinone, Benzyl Salicylate, Phenyl Salicylate, Octyl Gallate, Red Dye 5, Compositae Mix, Formaldehyde, Fragrance (including botanicals), | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1662663 | 09/01/2021 | WI | 53.0 | 53 | M | Developed Covid infection in august 2021 | Y | 04/06/2021 | 08/19/2021 | 135 | covid swab | PVT | Depakote, Claritin, Mobic, zantac, calan, Cymbalta | none | seizure disorder, fibromyalgia, seasonal allergies | 2 | 09/01/2021 | Y | cinnamon, codeine, ketchup | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1662999 | 09/01/2021 | WI | 53.0 | 53 | M | On June 20th I had a physical exam. I got wheezing. They did a breathing test, a pulmonary function test, medical diagnosis was COPD. They prescribed Albuterol inhaler and Stiolto Respimat. The wheezing and coughing its the worst part of it. | N | 02/24/2021 | 05/01/2021 | 66 | pulmonary function test- diagnosed me with COPD | PUB | Multivitamin; Atorvastatin; Prednisolone acetate, | None | None | vsafe | 2 | 09/01/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1675230 | 09/05/2021 | WI | 53.0 | 53 | F | within 4 hours after getting vaccine - I started to experience tingling in both lower arms, which spread to both feet/toes and both toes/hands over the next 24 hours - it has been almost 4 weeks since my vaccine and I am still experiencing tingling and als | N | 08/10/2021 | 08/10/2021 | 0 | Have had a lot of blood work done - all of which has been normal | PVT | TUMS, multivitamin, excedrin migraine | 7/10 - viral illness - sinus symptoms - tested negative for COVID - pcr test | 2 | 09/05/2021 | Y | Y | venlafaxine - gi symptoms | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1679332 | 09/07/2021 | WI | 53.0 | 53 | M | CLIENT REPORTS 13 DAYS FROM VACCINE DATE, HE BROKE OUT WITH CLEAR FILLED BLISTERS ON HIS LEGS. HE REOPRTS THEY TRAVELED FORM HIS CALVES, TO HIS THIGHS, AND THEN TO HIS ARMS. BLISTERS IMPROVED AND WENT AWAY AFTER 3-4 DAYS. BLISTERS WERE EXTREMLY ITCHY AND P | Y | 08/04/2021 | 08/17/2021 | 13 | CLIENT DID NOT SEEK MEDICAL ATTENTION AND FELT THERE WAS NO CONCERN TO SEE A PROVIDER. | OTH | "BLOOD PRESSURE MED, POTASSIUM, WATER PILL"- NAMES OF DRUGS KNOWN | NONE | HIGH BLOOD PRESSURE. DENIES OTHERS | 2 | 09/07/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1693788 | 09/12/2021 | WI | 53.0 | 53 | F | Woke at 6am the day after the 2nd covid dose, headache, numbness jow-neck-head pain, lathargic, nauseated, back pain, RHR 90, painful at injection site, stiff hands. Around 10 am ate 1/2 bagel, 1/2 banana and had been drinking water even though just rolli | N | 08/30/2021 | 08/31/2021 | 1 | At ER, CT, labs, EKG, 2 sets of pain meds and sent home once no fever and pain improved | PHM | anastrozole, vitamin D, zinc, multivitamin | none | March 2020 diagnosed with Breast cancer, ended chemo July 2020, ended immunotherapy treatment March 2021, last surgery May 2021 | 2 | 09/12/2021 | Y | Y | sulfa, kiwi | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1694408 | 09/13/2021 | WI | 53.0 | 53 | M | Long periods of headaches. Soreness. Some chest discomfort | N | 09/01/2021 | 09/11/2021 | 10 | PUB | Ibuprofen | 2 | 09/13/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1700776 | 09/15/2021 | WI | 53.0 | 53 | F | Instant headache. General malaise for a 36 hours. Primarily fatigue. 4 days later I experienced bright red vaginal bleeding. No clots. I had not had a bleed (period) for 7 months and none since. Bright red bleeding that lasted an hour. Then stopped. No cra | Y | 05/21/2021 | 05/26/2021 | 5 | PHM | Levoxythyrozine, compounded T3, Vitamin D | None | Thyroid | 2 | 09/15/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1707245 | 09/17/2021 | WI | 53.0 | 53 | M | muscle spasms; feeling fatigue; recurring headaches; sore arm; This spontaneous case was reported by a consumer and describes the occurrence of MUSCLE SPASMS (muscle spasms), FATIGUE (feeling fatigue), HEADACHE (recurring headaches) and MYALGIA (sore arm) | U | 08/30/2021 | UNK | LOSARTAN; ROSUVASTATIN | USMODERNATX, INC.MOD20213 | 2 | 09/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1715512 | 09/20/2021 | WI | 53.0 | 53 | F | Vaccination on Jan 6th 2021 had period on Jan 7th 2021. I haven't had a period since 7/2019 as I am in postmenopausal. I had incredible heavy bleeding and cramping till estimated Jan 25th. | Y | 01/06/2021 | 02/03/2021 | 28 | TSH CBC ECG COVID TEST GLYCOHEMOBLODBIN,CBC,,BMP, TYPE AND SCREEN-ENDOMETRIAL BIOPSY, PELVIC ULTRSOUND | PVT | Cymbalta 60mg and 20 mg, Adderall 5mg ,Clonazepam .5 , Triamterene hydrochlorothiazide 37.5-25, Zyrtec Cholecalciferol 25 mcq | Sinus, dry eyes ,muscle spams, Hyperthyrodism, parathyroid low back pain anxiety | PNEUMOCOCCAL | 2 | 09/20/2021 | Y | Compazine, Bactrim, yellow dye, benzoate, minocycline, paroxetine Pseuoephedrine, tetrachcline, Zoloft pcn | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1718966 | 09/21/2021 | WI | 53.0 | 53 | F | Symptoms 8/25 - 8/27 Extreme chills Very high fever 104.6 (with 2 Tylenols) Headache Irregular rapid heart palpitations Pulse reached 148+ beats/minute at sedentary status Sore injection site and arm on 8/27 injection site was red all around it (elongated | Y | 08/25/2021 | 08/25/2021 | 0 | none | PVT | Allegra but stopped few days before each vaccine dose | none | none | 2 | 09/21/2021 | Penicillin, cephalosporin, Anesthetics like Lydocain, Novocain Many food allergies: Honey, eggplant seeds, parmesan cheese + some aged cheeses, intolerance to cow milk (but not yogurt or cheese) Large swelling from mosquito & bee bites Skin allergies when | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1732979 | 09/24/2021 | WI | 53.0 | 53 | F | My menstrual flow began the next morning after the first dose and has continued through today. I have been fatigued and emotional ever since the first dose. The flow ranges from heavier then normal to light. After the 2nd dose, I had a very large lump unde | N | 08/16/2021 | 08/17/2021 | 1 | None | PHM | None | None | PCOS | 2 | 09/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1735499 | 09/26/2021 | WI | 53.0 | 53 | M | Wrist joint pain (both wrists), neck pain, shoulder joint pain, TINNITUS. | N | 09/25/2021 | 09/26/2021 | 1 | PHM | Finasteride, aspirin, prilosec otc | None | None | 2 | 09/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1757494 | 10/03/2021 | WI | 53.0 | 53 | F | Developed uncontrollable muscle twitching and spasms after 1st dose, after 2nd dose twitching and spasms got worse. Seen my PCP and she put me on tizanidine for spasms. Helps mostly at night when trying to sleep. | N | 08/17/2021 | 08/19/2021 | 2 | Labs drawn on 9/27/21 all came back normal. | PVT | Multivitamin, Sertraline, Alprazolam, Aspirin | 2 | 10/03/2021 | Y | Citalopram | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761915 | 10/05/2021 | WI | 53.0 | 53 | F | She states, "left arm and both hands left arm hurts, and feels sharp stabbing pain both hands go numb cramping in both legs knees to ankle wakes up from sleep ." | N | 08/27/2021 | 08/28/2021 | 1 | OTH | 2 | 10/05/2021 | reports sensitivity to flu vaccine and TB test solution. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1768803 | 10/07/2021 | WI | 53.0 | 53 | F | Intense headache, sore throat, sinus congestion, runny nose, cough, intense fatigue (slept 17 hours one day), muscle and joint pain | N | 09/23/2021 | 09/27/2021 | 4 | Covid test 10/1- positive result 10/2 | PHM | Venlafaxine Rx | None | Obesity | 2 | 10/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1771611 | 10/08/2021 | WI | 53.0 | 53 | F | lymph node under left arm became enlarged after 5 days of vaccine. 12 days after vaccine, lump became hard. | Y | 09/24/2021 | 09/29/2021 | 5 | went to urgent care, had a cbc lab done and was given antibiotic for possible infection starting. | WRK | none | none | no | 2 | 10/08/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1775296 | 10/09/2021 | WI | 53.0 | 53 | M | Extreme fatigue, which continued for two weeks. I went to Urgent Care who gave me a COVID-19 test which proved negative, I was so tired, I was sleeping 16 hours a day and needed a nap during the day too. After about a week I went to my PCP who gave me tic | U | 03/11/2021 | 08/13/2021 | 155 | As above. The dates are approximate, but you can contact my doctor for copies of my records if you wish. | PVT | Amlodipine 5 Mg Tablet, Levothyroxine 125 Mcg Tablet, Atorvastatin 20 Mg Tablet, Alpha Lipoic Acid, Multvitamin, Aspirin 81 Mg Tablet,delayed Release, Lisinopril 20 Mg Tablet, Metformin Er 500 Mg | Asthma, high blood pressure, diabetes, high cholesterol (all managed) | Only the usual influenza reactions. | 2 | 10/09/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1787894 | 10/15/2021 | WI | 53.0 | 53 | F | Within 30 days my blood pressure rose to 184/90. I was unaware that my blood pressure had risen, as i only had a constant headache and because I donate blood, I have my blood pressure checked every 60 days or so. I sought treatment from my physician and wa | Y | 04/03/2021 | 05/28/2021 | 55 | PHM | minocycline | 2 | 10/15/2021 | Y | sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788035 | 10/15/2021 | WI | 53.0 | 53 | M | Severe Chills, Sever Muscle cramps (leg), Joint Pain, Body ache, Headache, | Y | 02/11/2021 | 02/11/2021 | 0 | none | WRK | Omeprazole | none | none | 2 | 10/15/2021 | Pollen, cats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1793894 | 10/16/2021 | WI | 53.0 | 53 | F | Aches, chills, then later a headache on the first night; diarrhea the second day; two days later - better | 10/14/2021 | 10/14/2021 | 0 | UNK | 2 | 10/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1795351 | 10/18/2021 | WI | 53.0 | 53 | F | Client notified local health department on 10.18.2021 that she has been experiencing strange things since she received her first dose of pfizer on 9.29.2021. Client stated some symptoms began the evening she received the vaccine - that night she noticed he | N | 09/29/2021 | 09/29/2021 | 0 | PUB | dofetilide 125 MCG capsule Commonly known as: TIKOSYN Take 1 capsule by mouth 2 times daily. rOPINIRole 2 MG tablet Commonly known as: REQUIP Take 2 tablets by mouth nightly furosemide 40 MG tablet Commonly known as: LASIX Take 80 mg by m | CHF, cardiomyopathy, a-fib, diabetes | 2 | 10/18/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1795585 | 10/18/2021 | WI | 53.0 | 53 | F | Soreness upper right arm. Increased upper arm pain/weakness. Constant ringing/buzzing in both ears. 9/16 1st visit to Dr for ringing/buzzing in ears that had been going on for approx 2 weeks starting after vaccine. DX did not see anything wrong w/ears no | Y | N | 09/02/2021 | 09/04/2021 | 2 | ENT visit 10/13/21 DX: Abnormal Tympanogram, Type A Typanogram of left ear. Sensorineural hearing loss bilateral. Bilateral hearing loss-unspecified hearing loss. Tinnitus of both ears | PHM | Gabapentin, Women's Multi vitamin, Vitamin D gummy | Multinodular Goiter | Myalgia | 2 | 10/18/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1807857 | 10/22/2021 | WI | 53.0 | 53 | F | Discussion with patient about booster doses and she revealed that after her 2nd Moderna vaccine on 4/2/21 she developed a fever of 99-100', felt "woozy", was short of breath, and her BP was very high. She presented to the Medical Center- ER at approximat | Y | 03/24/2021 | 04/02/2021 | 9 | 4/4/21 CT Scan and EKG | OTH | Unknown | unknown | Factor V | 2 | 10/22/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1808389 | 10/22/2021 | WI | 53.0 | 53 | M | Client received vaccine on 10/18/2021 at 4:50 pm adverse reaction begin same date (10/18/2021) at 5:20 pm. Reaction of hives on arms, swelling and bubble bump on right hand. Right side of face, cheeks, and gums swollen. Rash underarms, groin area, and ab | N | 10/18/2021 | 10/18/2021 | 0 | Will have labs drawn on 10/26/2021 | PUB | None | None | Asthma | 2 | 10/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1813733 | 10/24/2021 | WI | 53.0 | 53 | F | headache, arm lot of pain swollen and hot, very dizzy , VERY exhausted VERY weak VERY hard to even just stand walking only few steps knees going VERY weak. Wheezing & hard to breath hard to speak chest heavy | 10/22/2021 | 10/22/2021 | 0 | PHM | Tylenol | none | lung cancer | both 1 & 2 covid 19 shots 12/23/2020 & 01/12/2021 Pfizer very sick for 3 days after each shot VERY bad sent to ER I would not | 2 | 10/24/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1825823 | 10/28/2021 | WI | 53.0 | 53 | F | Covid-19 Symptoms: Congested/runny nose, minor headache, loss of taste and smell Treatment: Monoclonal antibodies Course: Symptoms other than loss of taste and smell resolved within a week. Taste and smell began to return after about 10 days but took | Y | 04/26/2021 | 09/19/2021 | 146 | Covid-19 PCR Test Date: 9/21/21 Result: Positive | PUB | Multi-vitamin, omeprazol, acetaminophen | Acid reflux | Scoliosis, Hashimoto?s Thyroiditis, Back pain | 2 | 10/28/2021 | Y | Imiquimod | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1829398 | 10/29/2021 | WI | 53.0 | 53 | M | hospitalized from 9/17-10/20 for acute anoxic encephalopathy after unknown total downtime / cardiac arrest, respiratory failure, pneumonia, found to have MRI brain on 9/18 showing diffuse global anoxic injury, off all sedation since 9/21. On hospice, then | Y | N | 05/19/2021 | 10/25/2021 | 159 | Negative Covid Test 10/19. Positive Test 10/25 | UNK | LORazepam (ATIVAN) 2 mg/mL oral concentrate LORazepam (ATIVAN) 2 mg/mL oral concentrate MORphine sulfate 100 mg/5 mL (20 mg/mL) oral solution . atropine 1% (ISOPTO ATROPINE) 1 % Opht ophthalmic (EYE) solution bisacodyl (DULCOLAX) 10 mg R | COVID-19 08/22/2020 | 2 | 10/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1830770 | 10/30/2021 | WI | 53.0 | 53 | M | administered 0.5 mL of the Moderna COVID-19 Vaccine for booster dose; This patient had the Jensen and ended up giving the 0.5ml of Moderna; This spontaneous case was reported by a pharmacist and describes the occurrence of INCORRECT DOSE ADMINISTERED (admi | Y | 03/17/2021 | UNK | USMODERNATX, INC.MOD20213 | 2 | 10/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1838058 | 11/02/2021 | WI | 53.0 | 53 | M | Patient showed up to pharmacy to receive booster dose. Patient was a Janssen recipient (March 2021). Moderna vaccine administered at 0.5mL dose, instead of 0.25mL dose. Monitored patient; no reported adverse events. MD notified and aware of the error in do | U | 10/22/2021 | 10/22/2021 | 0 | N/A | PHM | None | None | N/A | 2 | 11/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1849454 | 11/07/2021 | WI | 53.0 | 53 | M | nausea and vomiting starting 2 days later with abdominal pain. Presented 4 days later to the ER, for nausea, vomiting, dehydration. He was found to be hypotensive, tachycardic. | Y | N | 11/03/2021 | 11/05/2021 | 2 | Lactate 3.8 WBC 12.8 with 28% bandemia Bilirubin 4.1 Creatinine 2.66 CT with microperforation of diverticulitis | PVT | Losartan Naproxen PRN | none | HTN intermittent diverticulitis | 2 | 11/07/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1854555 | 11/09/2021 | WI | 53.0 | 53 | M | It started with a tingling feeling above my right knee. After a few days, my whole quad was tingling/numb. My calf then felt like it wanted to cramp up, but never did. My root foot then became tingly/numb. After a month, parts of my leg continue to fee | N | 10/07/2021 | 10/08/2021 | 1 | None | PHM | multi-vitamins | None | None | 2 | 11/09/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX |