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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0916903 | 01/01/2021 | TN | 54.0 | 54 | M | Tightness of chest hard to breathe. Given two shots of morphine | Y | 12/23/2020 | 12/23/2020 | 0 | Blood drawn, EKG | PUB | None | 2 | 01/01/2021 | Stadol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0917158 | 01/02/2021 | TN | 54.0 | 54 | F | Within 24 hours of receiving vaccine, I became very dizzy , had severe weakness, nausea, severe headache, muscle and joint pain, chills, fever (temperature-102.8),and exhaustion. Redness, pain, and swelling at injection site that has continued to worsen e | N | 12/30/2020 | 12/30/2020 | 0 | None | PVT | Thyroid, lisinopril/hctz, vit, D, multivitamin, alpha lipoic acid, cymbalta, mobic, protonix, Gabapentin. | Recovered from covid. Tested positive on December 2nd. | History of thyroid cancer with thyroidectomy (2007), HTN, degenerative disc disease, CRPS/RSD. | 2 | 01/02/2021 | Insect stings/venom, environmental allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0917394 | 01/02/2021 | TN | 54.0 | 54 | M | Chest tightness and squeezing sensation; SOB; chills; low grade fever; quivering of legs; | Y | 12/23/2020 | 12/23/2020 | 0 | Went to ER; EKG; blood labs; all labs and EKG were reported normal; COVID test which was normal | PVT | metoprolol, lisinopril, paxil, zocor | none | anxiety, hypertension, high cholesterol | 2 | 01/02/2021 | Y | stadol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0918936 | 01/04/2021 | TN | 54.0 | 54 | F | Injection site became very red, swollen, hot to the touch and soreness returned 10 days after vaccination. Called my healthcare provider and he prescribed Cephalexin 500 MG to be taken three times a day for seven days. Three days after starting antibiot | Y | 12/23/2020 | 01/01/2021 | 9 | none | PUB | clonazapam | none | none | 2 | 01/04/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0925149 | 01/07/2021 | TN | 54.0 | 54 | M | Approx: 12 hours after vaccination, started with severe headache extreme cold chills with fever of 101.8, extreme body aches along with Nausea. Treatment of Tylenol as directed by medication suggested dose and time. NOTE: I had a positive COVID test on | N | 01/04/2021 | 01/04/2021 | 0 | None | UNK | Metformin, Glimepiride, Metoprolol, Lipitor | Tested positive for Covid-19 on December 9th with symptoms starting the night before | Diabetic | 2 | 01/07/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0925497 | 01/07/2021 | TN | 54.0 | 54 | F | Pt stated she felt dizzy and lightheaded. She laid down and VS were taken. BP 120/85, HR 67. Pt recovered and left. | Y | 01/07/2021 | 01/07/2021 | 0 | OTH | auto immune disorder | 2 | 01/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930455 | 01/08/2021 | TN | 54.0 | 54 | F | Onset January 7.,2021 of nausea, diarrhea, chills and body aches that lasted about 18 hours. Noticed on vaccination arm an area of about 2x2 inches that looked like red petechial hemorrhage that is sore to palpation. | Y | 12/29/2020 | 01/07/2021 | 9 | none | PVT | Neurontin, Trazadone, Effexor XR, Premarin, Calcium | None | no | 2 | 01/08/2021 | Bactrim-Gi upset EES-Gi upset Lexapro-muscle aches | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0933620 | 01/11/2021 | TN | 54.0 | 54 | F | Upper arm itch on January 9th. Woke up January 10th with a rash on the upper left arm muscle. Also felt warm to the touch and muscle felt hard. I took 25mg of diphenhydramine on the morning of the 10th. By the evening, the rash was gone except for an o | Y | 01/02/2021 | 01/09/2021 | 7 | PUB | Vitamin B complex, Calcium , and Vitamin D | None | None | 2 | 01/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0935113 | 01/11/2021 | TN | 54.0 | 54 | F | 12/29/2020 | Received Flu vaccine 10/16/20. Has experienced left shoulder pain that intensifies. Patient is now unable to lift left arm due to extreme shoulder immobility, muscle is very tense. | N | 10/16/2020 | 10/16/2020 | 0 | n/a - patient contacting PCP 12/29/20 | OTH | UNK | ezetimibe, levothyroxine | none | hypothyroidism | 1 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0938965 | 01/12/2021 | TN | 54.0 | 54 | F | Overnight early am 7th woke up to shaking chills fever >101, muscles, joints aches, headache, nausea sinus congestion Treated fevers for 3 days. Felt horrible missed 3 days wrk and call due to symptoms. Tested for COVID-19 was negative on01- 11-21 F | N | 01/06/2021 | 01/07/2021 | 1 | See above | PVT | Allegra 180mg q pm, Duloxetine 60mg,q pm Gabapentin 100x2 up to 3xday Alprazolam 0.5 XR q pm, Took 1 Aleve tablet before appointment | On 12-18 Mild concussion head contusion while working injury treated, light duty, then released to FD | Celiac disease, eczema, Iron deficiency Anxiety | 2 | 01/12/2021 | Shellfish seafood latex sensitive rash Gi intolerance to Eurythromycin, Levaquin Dilaudid tachycardia | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0945192 | 01/14/2021 | TN | 54.0 | 54 | F | Chills, Headache, Fatigue, Injection Site Soreness (Shot 2 Only) | Y | 01/12/2021 | 01/13/2021 | 1 | n/a | PVT | K2-D3 Supplement | n/a | n/a | 2 | 01/14/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0945636 | 01/14/2021 | TN | 54.0 | 54 | M | About an hour after receiving the Moderna shot, I became extremely dizzy. It felt like cold water surged through my body from my fingertips to the tips of my toes. It lasted about one minute. I thought someone should know. | U | 01/14/2021 | 01/14/2021 | 0 | none | OTH | Lexapro Crestor Singulair Multivitamin | none | none | 2 | 01/14/2021 | mold and pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0946561 | 01/15/2021 | TN | 54.0 | 54 | F | I waited for 30 minutes; I walked to my car and didn't feel well; I thought maybe I was hungry I ate 1/2 banana and drank some water. I started to drive home. It felt like a huge cold railroad spike was being driven up the top of my shoulder to my neck, i | Y | 12/30/2020 | 12/30/2020 | 0 | EKG 12/30/2020 follow up with family physician 12/31/2020 | PVT | 100 mg motrin, 125 mg tylenol prior to going in for vaccine prozac ~ 3mg, Claritin ~ 4 mg taken day before | essential tremors anxiety/depression history of vertigo | 2 | 01/15/2021 | Y | sulfa drugs- SOB paxil-body tremors cymbalta | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0953222 | 01/18/2021 | TN | 54.0 | 54 | F | Extreme tiredness began the evening I took the vaccine. The next morning on 1/16/21 I had a severe dizziness, flu-like symptoms of nausea, fatigue, fever, lack of appetite. Symptoms improved somewhat the next day. On 1/18/21 I still have dizziness and fat | N | 01/15/2021 | 01/15/2021 | 0 | N/A | UNK | Meloxicam 15mg, Vesicare 10mg, Hydrochlorathiazide 50mg | Tested positive for Covid-19 on 12/23/20. Symptoms dated back to 12/18/2020 | Arthritis, asthma (mild) | 2 | 01/18/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0958777 | 01/20/2021 | TN | 54.0 | 54 | F | On Sunday, January 17, 2021 I started having severe joint pain in my wrists, elbows, knees, hips and shoulders. Along with aching all over. Over the course of the day, I started to feel bad. Then on Monday January 18, 2021, in addition, to the joint pain, | Y | 01/11/2021 | 01/17/2021 | 6 | My PCP ran lab tests on 1/18/2021 which were all normal. | WRK | Metoclopramide 5mg, Gabapentin 300mg, Ondansetron 8mg (PRN), Estrogen-Methyltestos 1.25-2.5MG TB, Metamucil, Atorvastatin | None | Asthma, gastroparesis, reflux | 2 | 01/20/2021 | Codeine, Demerol, and Prednisone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0977563 | 01/27/2021 | TN | 54.0 | 54 | M | Onset of SVT, resolving after 10 day; worsening of hypertension; first occurrence of shingles (herpes zoster recurrence) | Y | 12/21/2020 | 12/30/2020 | 9 | Holter monitor 1/6/21-1/8/21 Intermittent SVT, Echocardiogram 1/11/21 normal, Calcium score 1/27/21 normal. Chemistry analysis and thyroid functions normal. | PVT | lisinopril 10 mg daily | none | hypertension | 2 | 01/27/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0999279 | 02/03/2021 | TN | 54.0 | 54 | F | On 1/28/2021, I woke from my sleep with legs cramps and muscle pain. I went to the toliet to urinate and began to have multiple bowel movement. I began to feel nauseated and very cold with shortness of breath and my heart racing. I cleaned up, washed my | U | 01/27/2021 | 01/28/2021 | 1 | MIL | Multiple Vitamin with iron Vitamin C Vitamin D Vitamin B Zinc Drops Probiotic Gastric Enzyme Super Hair Herbs | None | None | 2 | 02/03/2021 | Y | Sulfa Drugs - Bactrim - Tongue Swell, Itching, Hives and Rash Macrobid - Tongue Swell, Itching, Hives and Rash Benadryl - Hallucination | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1006699 | 02/05/2021 | TN | 54.0 | 54 | F | Patient started to have chest pain, SOB, dizziness, and feeling as if tongue were swelling 5 minutes after receiving 1st Moderna dose. | Y | 01/29/2021 | 01/29/2021 | 0 | EKG normal 1/29/21 by EMS | PUB | 2 | 02/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1008534 | 02/06/2021 | TN | 54.0 | 54 | F | Patient Called 02/06/21 and said she was running a fever and chills from the shingrix vaccine | Y | 02/05/2021 | 02/06/2021 | 1 | PHM | 2 | 02/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1014475 | 02/08/2021 | TN | 54.0 | 54 | F | patient had swelling of left eyelid and itching. Administered 50mg IM Bendaryl | Y | 02/08/2021 | 02/08/2021 | 0 | none | PUB | None Documented | None documented | Unknown | 2 | 02/08/2021 | None documented | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1026352 | 02/12/2021 | TN | 54.0 | 54 | F | Heart palpitations on day 2 and 3 after shot day, so far. | 02/09/2021 | 02/10/2021 | 1 | PHM | 2 | 02/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041957 | 02/19/2021 | TN | 54.0 | 54 | F | Rash began on day 5. itching and redness. whelts, no blisters. | N | 02/05/2021 | 02/10/2021 | 5 | none | PVT | Spirnolactone, Contrave, provera, estrogen, testosterone, ASA, Vitamin D | none | Hx. Of Asthma | 2 | 02/19/2021 | Y | Shellfish, Dilaudid | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1064418 | 03/01/2021 | TN | 54.0 | 54 | F | Rash with pain at injection site | 02/17/2021 | 02/27/2021 | 10 | PUB | Lichen plannus, htn, neuropathy | 2 | 03/01/2021 | Pcn, sulfa, keflex, erythromycin, cipro, diflucan, biaxin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1066692 | 03/02/2021 | TN | 54.0 | 54 | F | Received 1st dose 2/27/21. Fever of 102F started 2/28/21 with chills, resolved with tylenol. Redness at injection site started 2/27/21, then had spread to "the size of 2 half dollars." Not getting any bigger now on 3/2/21. Injection site was itchy too. 2/2 | Y | 02/27/2021 | 02/27/2021 | 0 | PVT | Unknown | Had COVID19 previously, a mild case. | Unknown | 2 | 03/02/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074501 | 03/05/2021 | TN | 54.0 | 54 | M | (R) thumb numbness. Weird (medicine like) taste in my mouth | N | 03/03/2021 | 03/04/2021 | 1 | SCH | None | None | None | 2 | 03/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1078377 | 03/06/2021 | TN | 54.0 | 54 | F | Moderate amt redness.& Itching to site and knot the size of a ping pong ball initially. At this time now the size of a marble with small amt itching. | N | 02/23/2021 | 03/25/2021 | 30 | None | PUB | Advair, prilosec, singulair, cymbalta, amlodipine, synthroid, estradiol, progesterone, nabumetone, docusate, naproxen, multivitamin, xanax, budesonide neb | None | Asthma, arthritis, obesity | 2 | 03/06/2021 | Sulfa drugs, latex, succinylcholine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079122 | 03/07/2021 | TN | 54.0 | 54 | F | got the shot on my left bicep muscle. By night, extremely sore and had a large red square where I got the shot. The area was also hot. I applied ice and gave some comfort. Now, 10 days, later, it's very itchy, still warm and has raised bumps. A little | N | 02/23/2021 | 02/23/2021 | 0 | none yet | OTH | desvenlafaxine (PRISTIQ) 50 mg 24 hr tablet - estradioL (CLIMARA) 0.025 mg/24 hr - progesterone (PROMETRIUM) 200 mg | none | none | 2 | 03/07/2021 | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1082231 | 03/08/2021 | TN | 54.0 | 54 | F | day of vaccine: sore left arm, dizzy/light headed for several hours, nausea/upset stomach for several hours. By end of day: body aches, fatigue, chills, which continued to next day. About a week after I experienced episodes of vertigo, and a lower thres | N | 02/16/2021 | 02/16/2021 | 0 | n/a | PVT | provided upon request | n/a | chronic migraine trigeminal neuralgia/ trigeminal neuropathic pain hypertension | 2 | 03/08/2021 | shell fish, pollen Rx allergies provided upon request | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1087691 | 03/10/2021 | TN | 54.0 | 54 | F | Very sevier palpitations. BP up . Very weak up to 5 days now | N | 03/04/2021 | 03/05/2021 | 1 | UNK | Sinus Tachycardia High BP | 2 | 03/10/2021 | Y | No steroids Argument | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1088041 | 03/10/2021 | TN | 54.0 | 54 | F | Continuous intermittent sharp pains in my head on the left side above left ear causing intense pain and blurred vision. | N | 03/08/2021 | 03/09/2021 | 1 | None | OTH | Synthroid morning of vaccination-Propranolol (evening) | None | Migraine Headaches controlled with Propranolol-Thyroid | 2 | 03/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1089340 | 03/10/2021 | TN | 54.0 | 54 | F | This individual received a Moderna vaccine instead of a second Pfizer dose. There were no apparent side effects. | 03/09/2021 | 03/09/2021 | 0 | UNK | 2 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1094883 | 03/12/2021 | TN | 54.0 | 54 | F | APPROXIMATELY 15 MINUTES AFTER MODERNA DOSE #1 PATIENT COMPLAINED OF HEAD FEELING DIZZY, METALLIC TASTE IN MOUTH AND NUMBNESS TO THROAT. THEN PATIENT SAID THROAT FELT "TIGHT". EPI AND BENADRYL IM WAS ADMINISTERED ON SITE. PATIENT REPORTS FEELING SOME RE | Y | 03/12/2021 | 03/12/2021 | 0 | PUB | 2 | 03/12/2021 | Y | WALNUTS- MAKES THROAT SWELL | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096993 | 03/13/2021 | TN | 54.0 | 54 | F | Moderna COVID-19 vaccine EUA Headache - 18 hours after Fever - 100.5 (26 hours after) Arm soreness | N | 03/12/2021 | 03/13/2021 | 1 | N/A | PHM | Rosuvastatin, Omeprazole, montelukast, escitalopram, pramipexole, zolpidem ER, gabapentin, atomoxetine HCL,, Estradiol, Progesterone, amoxicillin, diflucan, Turmeric Curcumin Gummy, One A Day Women's VitaCraves Multivitamin Gummies, B-12 | Ear infection, yeast infection | Degenerative Joint Disease - diagnosed 2013 Sleep Apnea - diagnosed 2012. No CPAP used. ADHD - diagnosed 2007 Alcoholism - diagnosed 2007. Sober since 02/16/08. Mitral valve prolapse - diagnosed 1997 Sinus tachycardia - diagnosed before 2010 HPV - diagnos | 2 | 03/13/2021 | Bacitracin, Neosporin, sulfa drugs, neomycin, eggplant. hazelnuts | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1098033 | 03/14/2021 | TN | 54.0 | 54 | F | I Started running a fever at night. I woke up at 5am to use the restroom. Both of my arms and hands were tingling. I broke out in a cold sweat and started feeling nauseous and seeing black spots. My heart was not racing, but I felt as though I was going to | Y | 03/12/2021 | 03/13/2021 | 1 | None | SEN | Tylenol or Ibuprofen as needed | None | High cholesterol | 2 | 03/14/2021 | Morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1102392 | 03/15/2021 | TN | 54.0 | 54 | F | SHORTNESS OF BREATH ,PRESSURE IN CHH EST, NAUSEA, FEVER 101-102, SWOLLEN NECK GLANDS | Y | 03/13/2021 | 03/13/2021 | 0 | N/A | PUB | MONTELUKAST, ARMOUR THYROID, LOW DOSE ASPIRIN, ZYRTEC, MULTIVITAMINS | POST COVID BRONCHITIS | ASTHMA, HYPOTHYROIDISM | 2 | 03/15/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1121062 | 03/21/2021 | TN | 54.0 | 54 | M | Chronic Diarrhea for five days, fever of 102 degrees, severe chills, sweats, severe abdominal pain, dizziness, horrible side effects like I experienced were not listed on any other website. I am fearful now to schedule a 2nd shot. Please advise, thank you | N | 03/16/2021 | 03/17/2021 | 1 | UNK | HIV Positive, Aids related complex, Asthma, COPD, Anxiety. | 2 | 03/21/2021 | Sulfates | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1126025 | 03/23/2021 | TN | 54.0 | 54 | F | Patient received first dose of Pfizer and started having tingling in her hands and feet. EMS responded and took Vital Signs, BP 130/80, O2 sats 99, HR 105. Patient had taken her personal albuterol inhaler prior to EMS response she stated. Patient refused a | Y | 03/23/2021 | 03/23/2021 | 0 | PUB | 2 | 03/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1129550 | 03/24/2021 | TN | 54.0 | 54 | M | >50% of vaccine leaked down arm - dose repeated | Y | 03/24/2021 | 03/24/2021 | 0 | none | SCH | medicines | none | none | 2 | 03/24/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130237 | 03/24/2021 | TN | 54.0 | 54 | F | Could not wake up, could not move and spent a day and half in the bed | Y | 03/02/2021 | 03/03/2021 | 1 | none | WRK | heart dieabetis | metformin pcn | 2 | 03/24/2021 | metformin pcn | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1150617 | 03/31/2021 | TN | 54.0 | 54 | F | 7 days after vaccine I got a rash on left arm at injection site that was red itchy swollen hard and tender to touch. I looked it up and it showed it was covid arm and normal so I treated it at home. Only other unusual symptom was aching In the wrist on | N | 03/22/2021 | 03/30/2021 | 8 | None treated at home | PHM | Lyrica, diclofenac , flexeril, dexilant , vit D | 2 | 03/31/2021 | Azithromycin, sulfa, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1162914 | 04/02/2021 | TN | 54.0 | 54 | F | Extreme soreness and sensitivity to touch at injection site, slight headache, slight nausea, extreme fatigue, mental fog, unusually strong appetite, chills, mild fever, hot flashes. I took ibuprofen for fever and headache. I slept as much as possible. I di | Y | 03/30/2021 | 03/31/2021 | 1 | PUB | Celexa 40mg, losartan 20mg, Flonase, Genius sleep aid 2 capsules at bedtime | None | Overweight, mild high blood pressure | 2 | 04/02/2021 | Erythromycin, Penicillin, Augmentin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177731 | 04/07/2021 | TN | 54.0 | 54 | M | Right ankle/foot swelling the day following vaccination. No redness, tenderness, or itching. The reaction only lasted 24 hours from vaccine. | Y | 04/03/2021 | 04/04/2021 | 1 | PHM | 2 | 04/07/2021 | No Known Allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1183343 | 04/08/2021 | TN | 54.0 | 54 | F | Vertigo / Dizziness | N | 04/06/2021 | 04/08/2021 | 2 | N/A | PHM | Triampterene | N/A | Pre-hypertension | 2 | 04/08/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1183618 | 04/09/2021 | TN | 54.0 | 54 | F | Swelling of lips, tongue and neck within 15 minutes of injection. Was monitored for 30 minutes. Swelling did not progress and went down throughout the day. Lost sense of taste for a day. Arm became very sore the day after receiving injection. Felt li | N | 12/22/2020 | 12/22/2020 | 0 | My PCP has only recently become aware of my long lasting adverse reactions to the vaccines. I have a visit scheduled on 05/04/2021 to discuss my condition and possible testing. | PVT | Lexapro; Lisinopril; Myrbetriq; Levothyroxine; Mobic; Pepcid | None | Arthritis; Hypothyroid; GERD; HTN; Depression | 2 | 04/09/2021 | Y | Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1186563 | 04/09/2021 | TN | 54.0 | 54 | F | headache, chills, 101+ temperature, muscle aches, joint aches, nausea, dizziness, lump/heat/redness at injection site. on 4/9/21 still feeling unwell and vaccine site still red and inflamed. | Y | 04/05/2021 | 04/05/2021 | 0 | none | PUB | metropolol 25mg, oxybutynin 15 mg, atorvastatin 20 mg, fluticasone 50 mcg | 2 | 04/09/2021 | codiene, latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1187373 | 04/09/2021 | TN | 54.0 | 54 | F | Red, itchy, swollen at injection site | N | 04/01/2021 | 04/08/2021 | 7 | UNK | Multivitamin Vitamin D Vitamin C Hair, skin & nails gummies | None | None | 2 | 04/09/2021 | Penicillins Beef, shrimp, wheat, oats, pineapple, oranges, sesame Trees & grasses Mold Dogs & Cats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1190454 | 04/10/2021 | TN | 54.0 | 54 | F | The afternoon following my shot I crashed. Fatigue, body aches, could barely lift the arm I got the shot in. Sudden head ache, sore throat, burning eyes, fever of 100.3, runny nose. Felt like I had the regular flu. I took Advil about five hours in to t | 04/07/2021 | 04/08/2021 | 1 | PHM | multivitamin, plus vitamins C, D, E, Biotin and Turmeric. Ambien for sleep. | recently have had inconclusive bloodwork showing a low blood cell count, getting rechecked on April 19. | no | 2 | 04/10/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1191283 | 04/10/2021 | TN | 54.0 | 54 | F | SUPRACLAVICULAR ADENOPATHY - SWOLLEN, TENDER LEFT SHOULDER, NECK, EARACHE, TOOTHACHE | N | 04/01/2021 | 04/06/2021 | 5 | OTH | VITAMIN C, VITAMIN D, MAGNESIUM, VITAMIN B12, MULTIVITAMIN, LEVOTHYROXIN | NONE | THYROID | 2 | 04/10/2021 | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1191337 | 04/10/2021 | TN | 54.0 | 54 | F | Neuroretinitis, right eye, with symptoms noticed 1 week after vaccination. Vision OD decreased to 20/200 associated with optic nerve head edema and macular star exudates. No afferent pupillary defect. OS normal exam. Empirically Rx'd 3/31/2021 with azit | Y | 1 | Y | N | 02/26/2021 | 03/05/2021 | 7 | 3/9/2021: Normal MRI of head & orbits. ESR=22. Normal WBC & CRP. 3/18/2021: Negative testing for TB, cat scratch disease. lyme disease, RPR, ANA, anti-DNA. | PVT | escitalopram, atorvastsatin, MVI, fish oil, D3 | None. | 2 | 04/10/2021 | Y | Y | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1191367 | 04/10/2021 | TN | 54.0 | 54 | F | None stated. | 03/29/2021 | 04/05/2021 | 7 | PVT | Green tea extract | 2 | 04/10/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1193334 | 04/11/2021 | TN | 54.0 | 54 | F | Tinnitus, blocked hearing in right ear. | N | 04/08/2021 | 04/10/2021 | 2 | OTH | Met form in, hydrochlorothyazide, Potassium Citrate, multivitamin, melatonin, Aimovig, Qudexy | None | Migraine | 2 | 04/11/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1202551 | 04/13/2021 | TN | 54.0 | 54 | M | I suffered two heart attacks. First heart attack was on the 6th day after the vaccine, second heart attack was on the 9th day of vaccine. Both heart attacks woke me up from sleep. I went to the emergency room and was hospitalized each time. I suffered ches | Y | Y | 5 | Y | N | 03/10/2021 | 03/16/2021 | 6 | Heart catheterization showed only 20 to 30% blockage and the doctor said that was not the cause of the heart attacks. | PVT | Lisinopril 5 mg | None | I do not have a spleen. | 2 | 04/13/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1206022 | 04/13/2021 | TN | 54.0 | 54 | M | Burning at injection site for several hours following shot. Slight headache 1-2 hrs after. Body aches & chills 16 hrs after injection. Symptoms subsided after taking advil dual action. 29 hrs after injection Symptoms returned stronger than previousl | N | 04/12/2021 | 04/12/2021 | 0 | PHM | 2 | 04/13/2021 | Tramadol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1206369 | 04/14/2021 | TN | 54.0 | 54 | M | Fever 102.4 day after vaccine. Joint and muscle aches, headache, fatigue and brain fog day after vaccine and continues. Vaccination site pain for 4 days after vaccine. Eyes burning, painful, sensitive to light, floaters and occasional blurriness from 3r | N | 03/13/2021 | 03/14/2021 | 1 | PUB | Cosentyx, methotrexate, sulfasalazine, diclofenac, folic acid, vitD, magnesium, phospha neutral | psoriatic arthritis, palmo-plantar psoriasis | psoriatic arthritis, palmo-plantar psoriasis | Reaction similar to current event minus uveitis, June 2 2009, Anthrax, unknown brand name. | 2 | 04/14/2021 | Y | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1213501 | 04/15/2021 | TN | 54.0 | 54 | F | Patient self-scheduled second dose COVID appointment for Pfizer to be administered on 4/14/21. Patient came and was asked in three different locations if she was here for second dose Pfizer, patient states "yes" and showed her vaccine card. Failed to see t | Y | 04/14/2021 | 04/14/2021 | 0 | N/A | PUB | N/A | N/A | N/A | 2 | 04/15/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1219381 | 04/16/2021 | TN | 54.0 | 54 | F | Patient developed eight hematoma on the left lower leg starting on day 5 or 6 after the initial injection. These are tender to the touch. Pt contacted the office on 4/13/2021. Pt was sent to a testing facility for a venous doppler study which came back ne | N | 03/31/2021 | 04/06/2021 | 6 | Venous doppler study on April 14, 2021 | PHM | None | None | None | 2 | 04/16/2021 | Y | IVP Dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1229160 | 04/19/2021 | TN | 54.0 | 54 | F | Approximately 10 hours after the injection.. I started having very bad and frequent heart palpitations. Nearly every other beat was a palpation. Was made worse by lying down. Continued thru the next day about the same intensity. The third morning.. I a | N | 04/08/2021 | 04/08/2021 | 0 | Unknown at this point. Seeing a cardiologist on 04/20/2021 | PHM | Plaquinel etodalac hydrochlorothiazide vitamin B complex glucosamine and chondroitin | Osteo and rheumatoid arthritis | 2 | 04/19/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1229418 | 04/19/2021 | TN | 54.0 | 54 | M | Five days after receiving the vaccine, he started noticing spots on his back with severe itchiness - his doctor recommended Allegra which he took with some success - the spots pop up in different places everytime. He is now taking allergy medicine twice d | N | 04/01/2021 | 04/06/2021 | 5 | none | PVT | Lisinopril, fenofexidine, metformin, oxycodone, methocarbamal, ASA, diclofenac | none | HTN, diabetes, depression/anxiety, knee problems | 2 | 04/19/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238154 | 04/21/2021 | TN | 54.0 | 54 | F | nausea, fever, myalgias, headache, syncope. Patient is treated with normal saline fluids. | U | 03/24/2021 | 03/26/2021 | 2 | EKG- normal sinus rhythm, CBC (normal), BMP--anion gap = 6.4, serum creatinine = 1.14, glucose = 120; Urine analysis--urine appearance is slightly cloudy, trace amout of leukocyte esterase | UNK | Hydroxyzine, prazosin, buspirone, methocarbamol, oxycodone/acetaminophen, venlafaxine, hydrocodone/chlorpheniramine, promethazine | post traumatic stress disorder | post traumatic stress disorder; patient states she passes out when she gets dehydrated | 2 | 04/21/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246857 | 04/23/2021 | TN | 54.0 | 54 | F | Intense Flu-like symptoms for five days...low grade fever...one month later (beginning April 20) intense joint pain and soreness. Does not improve with 600 mg ibuprofen. | N | 03/27/2021 | 03/29/2021 | 2 | PVT | Armour Thyroid 120mg Calcium, Vit C, zinc, fish oil, iodine, | None | Hashimotos thyroiditis | 2 | 04/23/2021 | Sensitivity to dairy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1247098 | 04/23/2021 | TN | 54.0 | 54 | F | Petechia on arms, legs, breast, chest, stomach. Noticed on 4/19. Day nine after shot. Read about side effects of J&J's clotting and thrombocytopenia symptoms. Petechia was event that said seek urgent medical care. Went to the ER at 3am that morning. | N | 04/10/2021 | 04/19/2021 | 9 | CBC and platelet check thru blood draw on April 19, 2021 at ER | PUB | Metoprolol tartrate, fish oil, niacin, Vit C, Vit B (multi and B6), zinc, Florastor, L-lynsine, calcium, potassium, Vit D | none | none | 2 | 04/23/2021 | Morphine, Levaquin, bleach, adhesive/latex, turmeric | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1250970 | 04/24/2021 | TN | 54.0 | 54 | M | My arm in not longer sore from the injection , However I continue to have a tingling from the injection spot down my left arm into my fingers . It feels like a nerve problem in my arm. It has been over a month and the problem has not gone away | Y | N | 03/22/2021 | 03/22/2021 | 0 | none | PHM | ozempic, jardiance , mulit- vitamin | none , | I am diabetic | 2 | 04/24/2021 | Y | sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1260745 | 04/26/2021 | TN | 54.0 | 54 | M | swollen lymph nodes at left color bone area (Acute onset supraclavicular lymphadenopathy) | N | 04/12/2021 | 04/14/2021 | 2 | Blood test results are normal. CT scan of chest for cancer is negative. Planning to do biopsy sometime this week. | PUB | None | None | Elevated cholesterol and Triglyceride. | 2 | 04/26/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266522 | 04/28/2021 | TN | 54.0 | 54 | F | Fatigue, rash, itching, soreness at injection site | Y | 04/13/2021 | 04/16/2021 | 3 | None | PVT | 2 | 04/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268179 | 04/28/2021 | TN | 54.0 | 54 | F | Error: Incorrect Reconstitution | U | 04/23/2021 | 04/23/2021 | 0 | PHM | 2 | 04/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1287399 | 05/04/2021 | TN | 54.0 | 54 | F | I have had both doses of Moderna. I now have Bell?s Palsy on the right side of my face within two weeks of the second dose. Had to go to ER, as I thought I might be having a stroke. On steroids and antivirals. Face paralysis, neck and head pain. | N | 04/20/2021 | 05/03/2021 | 13 | ER doctor used facial problems with movement to diagnose. All vitals were good. No lab tests done. | PUB | Zyrtec, Nasacort, Arnuity-Ellipta | Urinary tract infection | Asthma and allergies | ER visit after SECOND Shingrix vaccine due to heart issues. | 2 | 05/04/2021 | Y | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1290433 | 05/05/2021 | TN | 54.0 | 54 | F | I had mild anaphylaxis immediately after receiving the second dose. I did not make too much of it as I have a lot of allergies and carry an epi-pin that I have never had to use. Approximately an hour later I suspect I had a seizure at home. I got my alle | N | 03/09/2021 | 04/09/2021 | 31 | None. I asked my allergist about the vaccine reaction and he said to see how it goes. I have not reported the adverse reaction to my allergy shots to him. (I have been getting allergy shots for years and have never had any reaction.) | PUB | Atorvastatin 80mg, Ezetimibe 10 mg, bupropion HCL xl 150mg, Levothyroxine 225 mg, Claritain, Fluticasone Propionate/Salmeterol Diskus inhalation powder 250/50, Albuterol Sulfate HFA Inhalation Aerosol. | I got my first shot three weeks prior with no reaction. I get allergy shots every few weeks. | Allergy and asthma. | 2 | 05/05/2021 | I have severe allergies to plants, grass, mold, dust, pollen, and more. No food or medicine allergies. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1295437 | 05/07/2021 | TN | 54.0 | 54 | F | Angioedema limited to R lower lip, no intraoral involvement. Positive hx of same with ACE/ARB in the past. | Y | 05/06/2021 | 05/06/2021 | 0 | none | PVT | none | DM, HTN, CHF, Afib | 2 | 05/07/2021 | Angioedema to ACEs and ARBs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1295797 | 05/07/2021 | TN | 54.0 | 54 | F | Patient received J&J Covid-19 vaccine on 4/9/21. Patient developed upper respiratory symptoms, fever, chills, nausea, vomiting, diarrhea, anorexia on 4/15/21. Patient tested positive for Covid-19 rapid test on 4/19/21. Patient presented to emergency depart | Y | 04/09/2021 | 04/15/2021 | 6 | Scr - 23.7, BUN - 179, K - 5.4 (5/2/21) | UNK | losartan-HCTZ, acetaminophen, diphenhydramine | none | hypertension, hyperlipidemia | 2 | 05/07/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1302716 | 05/10/2021 | TN | 54.0 | 54 | F | Extreme itch began by April 19; exact date of start not noted. Noticed the rash the following Saturday, already fully established; it had probably been present for several days. The rash is consistent with Shingles. It progressed from itching, to later | N | 04/13/2021 | 04/19/2021 | 6 | Observation by a nurse practitioner at the company's Medical group. No tests were conducted. | OTH | Multivitamin, calcium supplement, glucosamine, ibuprofen | None. | Some history of asthma. | 2 | 05/10/2021 | Y | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1303440 | 05/10/2021 | TN | 55.0 | 54 | F | Pt received both Moderna Vaccines, on 1/12/2021 and on 2/9/2021. She was seen in office today due to exposure, body aches and runny nose. She tested POSITIVE for Covid-19 today. She also was given the BAM infusion today to prevent possible hospitalization. | N | 01/12/2021 | 05/06/2021 | 114 | Covid-19 SARS CoV-2 by | PVT | anastrozole, alprazolam, Retin-A | unknown | hyperlipidemia, hypertension, Breast CA 9/2020, insomnia, ADD | 2 | 05/10/2021 | Y | nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1303599 | 05/10/2021 | TN | 54.0 | 54 | F | 3/10 ? Extreme dizziness and imbalance. Could not work. 3/11 ? Sinus drainage, ear fullness ? Seen at Clinic -Exam, UA, EKG, CBC, BP ? all within normal limits. DX -ear/sinus fluid/infection- 7 day antibiotic, decongestant, allegra, nose spray. 3/24 ?Extre | N | 03/08/2021 | 03/10/2021 | 2 | 3/11 ? Exam, UA, EKG, CBC, BP ? all within normal limits. 4/5 - Exam, BP, CBC - all within normal limits. 4/23 - Exam, Hearing and ear pressure test - all within normal limits. No hearing loss. | PUB | Allegra, flonase, b-12 OTC | season allergies | migraine | 2 | 05/10/2021 | Y | Tegaderm and surgical tape adhesive | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1323948 | 05/17/2021 | TN | 54.0 | 54 | F | Patient got 2nd dose of the moderna vaccine and within the 5mins, both ear felt clogged and could not hear. At night the day of the vaccine, the right side cleared and she was able to hear again. Left side still cannot hear. | N | 05/07/2021 | 05/07/2021 | 0 | No test or lab preformed yet | PHM | Blood pressure, cholesterol, iron | no illnesses at the time of vaccination and up to one month prior | nothing that would affected this | 2 | 05/17/2021 | no allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1334535 | 05/20/2021 | TN | 54.0 | 54 | F | Approximately 15 minutes after receiving vaccine, patient began to complain of a deeper sounding voice than usual. Patient states that she did not have any difficulty breathing or swallowing. Patient stated that her eyes were watering also. EMS called. Ini | Y | 05/17/2021 | 05/17/2021 | 0 | PUB | N/A | N/A | N/A | 2 | 05/20/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1337838 | 05/21/2021 | TN | 54.0 | 54 | F | Hematuria/blood in urine started the day following the 2nd dose of Moderna injection. Has persisted for 3 1/2 months | N | 02/08/2021 | 02/09/2021 | 1 | CT Abdomen- negative findings; urinalysis + occult blood and RBC | PVT | Nasonex | None | Vitamin D deficiency, Menopause | 2 | 05/21/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1341942 | 05/23/2021 | TN | 54.0 | 54 | M | Error: Wrong Dose of Vaccine - Too High | Y | 05/22/2021 | 05/22/2021 | 0 | PHM | 2 | 05/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1345657 | 05/25/2021 | TN | 54.0 | 54 | F | Got so sick from the flu shot that it almost killed her / came to see her; Got so sick from the flu shot; This case was reported by a consumer via other manufacturer and described the occurrence of near death experience in a adult female patient who receiv | Y | U | 12/08/2016 | PUB | Medical History/Concurrent Conditions: Measles (experienced measles after measles vaccine); Mumps (experienced mumps after mumps vaccine) | USGLAXOSMITHKLINEUS2021AM | 2 | 05/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1360918 | 05/29/2021 | TN | 54.0 | 54 | F | Had stomach ache. Ended up in the hospital with appendicitis. Had it removed in surgery. Went home the next day. | Y | 1 | Y | 04/20/2021 | 04/30/2021 | 10 | They took a CT with dye of my abdomen. | PVT | Beta Blocker 25mg | None | Left bundle branch of heart. That?s it. | 2 | 05/29/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361770 | 05/30/2021 | TN | 54.0 | 54 | F | N/A | N | 05/28/2021 | 05/29/2021 | 1 | PHM | Lexapro 20 mg QD Plaquenil 200mg, BID Lotrel 5-20 mg, QD Sulfasalazine 500 mg BID | N/A | Rheumatoid Arthritis, high blood pressure, depression | 2 | 05/30/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1362581 | 05/31/2021 | TN | 54.0 | 54 | M | Sudden onset tinnitus and hearling loss 30 days after second injection. Loud ringing in my ears that varies in degree from low to loud. Gets worse as the day progresses. Sounds like after effects of a loud fire cracker going off in small room. | Y | N | 03/31/2021 | 05/01/2021 | 31 | ENT did ear exam. Had large was build up in right ear and ENT cleaned it out. Performed full hearing test on May 20, 2021 by Dr. He diagnosed a hearing loss in low frequency range. | PVT | Vitamin D3 | None | None | 2 | 05/31/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1379540 | 06/07/2021 | TN | 54.0 | 54 | M | Shingles area appeared two days after the second shot. Didn't connect what it was thought maybe an insect sting. After a week of getting worse I went to a clinic and said it was shingles. Was prescribed Valtrex and later developed gout flare-up and sores i | U | 05/06/2021 | 05/08/2021 | 2 | PHM | None other than daily vitamin which was not taken that day. | none | Lower back pain, gout occasionally, kidney stones twice, Meniere's disease. | 2 | 06/07/2021 | Y | Allergic to penicillian | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1388410 | 06/10/2021 | TN | 54.0 | 54 | F | It flared up my left hip joint the evening I got it. It still flares up on a daily basis. It had gotten a little better but following the second dose it reignited. I don't know if getting the shingrix vaccine is the reason it still flares. I got the shingr | N | 12/21/2020 | 12/21/2020 | 0 | No | PVT | Allergy shots, claritin, baby aspirin | No | Atrial fibrillation | vsafe | 2 | 06/10/2021 | Yes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1388441 | 06/10/2021 | TN | 54.0 | 54 | F | Left hip joint pain and right shoulder pain. Both were old injuries that completely flared after the 2nd dose. 3 months into it, I got this trigger thumb that was very random. I had never had anything like it. In the past week it has gone but the joint was | N | 01/11/2021 | 01/12/2021 | 1 | No | PVT | Allergy shot, claritin, baby aspirin | No | Atrial fibrillation | vsafe | 2 | 06/10/2021 | Y | Yes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1392470 | 06/11/2021 | TN | 54.0 | 54 | F | I had chills, muscle pain, joint pain but the reason I am reporting is I had a fever of 101 degrees Fahrenheit. | Y | 06/10/2021 | 06/11/2021 | 1 | PHM | warfarin 7.5 mg 3 days/week and 3.75 mg 4 days/week | blood disorder | 2 | 06/11/2021 | Hydrocodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1392909 | 06/11/2021 | TN | 54.0 | 54 | F | Dizziness and numbness in one arm | U | 06/11/2021 | 06/11/2021 | 0 | PHM | Diabetes | 2 | 06/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1397229 | 06/14/2021 | TN | 54.0 | 54 | M | BLACKED OUT WHILE DRIVING THE DAY AFTER VACCINE ADMINISTERED - CAUSED CAR ACCIDENT | U | 06/13/2021 | 06/14/2021 | 1 | PHM | UNKNOWN | NO | NO | 2 | 06/14/2021 | Y | NO | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1410136 | 06/18/2021 | TN | 54.0 | 54 | F | After about an hour my palpitations started and they continued for about two weeks. My dr increased the medication I take, and they did slow the episodes down. | Y | 03/26/2021 | 03/26/2021 | 0 | none | PUB | I take Atenolol and a baby aspirin | none | I have reflux in the left chamber of my heart | vsafe | 2 | 06/18/2021 | Y | I am allergic to sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1440858 | 07/01/2021 | TN | 54.0 | 54 | F | Fist even was a mild reaction of soreness at sight, odd metallic taste for about a week. Second dose I began with with pain and swelling in my lymph glands under the arm where injection was given. I went to the clinic after several days of this worsening. | N | 03/30/2021 | 03/31/2021 | 1 | N/A | PVT | Bio-TE(DIM SGS+,ADK 10, Methyl Factors+), Collagen supp, Omega | N/A | N/A | 2 | 07/01/2021 | Y | Lactose intolerant, egg yolks | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1485132 | 07/19/2021 | TN | 54.0 | 54 | F | Patient said she was having trouble breathing soon after she went to the post dose waiting area. An epi pen was administered as her breathing was labored. She was helped to the floor as she stopped responding and went limp. Her breathing was shallow un | Y | 07/02/2021 | 07/02/2021 | 0 | N/A | PHM | Not provided by patient. | Not provided by patient. | Diabetes | Tetanus | 2 | 07/19/2021 | Y | Gluten, peanuts, latex. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1486802 | 07/20/2021 | TN | 54.0 | 54 | F | Shingrix 50MCG INJ(IM)SNGDSE VL 10PK Fever, shaking, teeth chattering for approximately 1 hour. Nausea and fever for approximately 24 hours. | Y | 07/18/2021 | 07/19/2021 | 1 | None | PHM | Atorvastatin 10mg | None | None | 2 | 07/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1490297 | 07/21/2021 | TN | 54.0 | 54 | F | Leg pain, persistent cough | N | 03/30/2021 | 04/01/2021 | 2 | OTH | Vitamins C, D | 2 | 07/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1505857 | 07/27/2021 | TN | 54.0 | 54 | F | Sick all night of first night, body aches, fever, chills, throwing up; Next day, tongue and lips swelled up; Next week, hair started falling out in clumps for a month; After the month of loss of hair, now have brittle hair | Y | 05/17/2021 | 05/18/2021 | 1 | PHM | Omesartan | 2 | 07/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1523101 | 08/03/2021 | TN | 54.0 | 54 | F | Excruciating shoulder pain in Left shoulder. (opposite arm from injection site.) Lasting 3 days. Seven days later, (Friday Feb 19) excruciating pain in opposite (RIGHT)shoulder. Lasting approximately 3 days with gradual improvement. Seven days after that, | Y | N | 02/11/2021 | 02/12/2021 | 1 | SEN | Levothyroxine 50mcg 1po QD | None | Hypothyroidism | 2 | 08/03/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1525576 | 08/04/2021 | TN | 54.0 | 54 | M | Dizzy ness, body aches, head ache, really sore inj site. And knot on left side of my neck. Lymph node swelled I assume | N | 08/04/2021 | 08/04/2021 | 0 | None | OTH | Caesar tan 80 mg daily | Left knee injury. No medication | High bp | 2 | 08/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1526090 | 08/04/2021 | TN | 54.0 | 54 | F | Swelling and soreness in the arm of the injection site on 04/16/2021. On 05/22/2021 severe knee pain and joint pain in the left knee. I saw Dr. on 05/25/2021, he thought it was arthritis. Pain medication- tramadol hcl 50 mg, every 6 hrs. as needed, cream | 04/16/2021 | 05/22/2021 | 36 | x-ray- decrease cartilage and inflammation in the knew, thought that is what was leading to the pain | PHM | Celecoxib 200 mg od; atorvastatin calcium 10 od; lisinopril 10 mg od; metformin hcler 5 mg bd; Rybelsus 7 mg od; multivitamin; glucosamine over the counter | no | diabetes; bursitis in the hip | vsafe | 2 | 08/04/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1526211 | 08/04/2021 | TN | 54.0 | 54 | F | Patient reports had chest pain from chest into back ( I thought I was having a heart attack). Patient reports this pain lasted for 6 hours the night she received her COVID 19 vaccine. Patient also reports had nausea and vomiting for 2 hours the night of he | Y | 07/16/2021 | 07/16/2021 | 0 | None. | PUB | Unknown | Unknown | Unknown | 2 | 08/04/2021 | Gluten Allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1535920 | 08/09/2021 | TN | 54.0 | 54 | F | Phone call from patient stating she had lymphedema on left side. Patient diagnosed by primary care physician. through appointment. Patient stated she just called her PCPs office and described the symptoms. Swelling went into her left breast. Patient had | Y | 07/13/2021 | 07/14/2021 | 1 | No | PUB | Metoprolal, Amalodipin, Clopidogrel | None | Afib, Stroke - 10 years ago | 2 | 08/09/2021 | Y | Penicillin, Arithromycin, Bactrim, Codeine, Valium, Torodal, Rocephin, Keflex, Levaquin,Aspirin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1559923 | 08/15/2021 | TN | 54.0 | 54 | F | fever (101.3F; chills (violently shaking and lasted about 1.5 hours, hard to talk and walk; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever (101.3F) and CHILLS (chills (violently shaking and lasted about 1.5 | Y | 02/26/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1562589 | 08/15/2021 | TN | 53.0 | 54 | F | blood in the urine; Aches; chills; This spontaneous case was reported by a consumer and describes the occurrence of BLOOD URINE PRESENT (blood in the urine), PAIN (Aches) and CHILLS (chills) in a 53-year-old female patient who received mRNA-1273 (Moderna C | U | 02/08/2021 | 02/08/2021 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1563058 | 08/15/2021 | TN | 54.0 | 54 | F | ear pain above my ear on my head/ear pain; ear infection in both ears but left is worse; fever of 101.2; body aches; This spontaneous case was reported by a nurse and describes the occurrence of EAR PAIN (ear pain above my ear on my head/ear pain), EAR INF | N | 01/04/2021 | 02/05/2021 | 32 | UNK | Comments: No relevant concomitant medications reported No relevant medical history was reported. | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1569514 | 08/15/2021 | TN | 54.0 | 54 | F | Severe case of brain fog; Itchy tiny little red bumps at injection site , red mark; Itchy tiny little red bumps at injection site , red mark; itchy tiny little red bumps at injection site , red mark; Fatigue; This spontaneous case was reported by a consume | Y | 03/09/2021 | 03/10/2021 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1571759 | 08/16/2021 | TN | 54.0 | 54 | F | arm felt tender and like she was being punched; Body aches in the elbows; arm ached for days and she could hardly use the arm because it hurt so bad, arm pain lasted much longer; Fever; This spontaneous case was reported by a nurse and describes the occ | Y | 12/29/2020 | 12/29/2020 | 0 | UNK | SYNTHROID | Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1580969 | 08/18/2021 | TN | 54 | F | tenderness; pain at injection site; This spontaneous case was reported by a health care professional and describes the occurrence of INJECTION SITE PAIN (pain at injection site) and TENDERNESS (tenderness) in a 54-year-old female patient who received mRNA- | Y | 01/04/2021 | 01/05/2021 | 1 | UNK | Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1587219 | 08/19/2021 | TN | 54.0 | 54 | F | fever X 2 days (as high as 102.4), swelling X 4 days, nausea X 2 days, diarrhea X 2 days, redness at injection site X 4 days, tingling in extremity that still continues as of today (ongoing) | N | 08/11/2021 | 08/12/2021 | 1 | PHM | escitalopram | NONE | DM, depression | 2 | 08/19/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1597173 | 08/21/2021 | TN | 54.0 | 54 | M | Headache on the next morning/ Another headache; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache on the next morning/ Another headache) in a 54-year-old male patient who received mRNA-1273 (Moderna COVID-1 | N | 03/09/2021 | 03/10/2021 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1599074 | 08/21/2021 | TN | 54.0 | 54 | F | Soreness on the right arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Soreness on the right arm) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031A21A) | U | 03/17/2021 | 03/01/2021 | UNK | METHADONE; HYDROXYZINE; LISINOPRIL; LIPITOR; BABY ASPIRIN; LORAZEPAM; NEXIUM [ESOMEPRAZOLE SODIUM]; DULCOLAX [BISACODYL] | Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1603187 | 08/21/2021 | TN | 54.0 | 54 | M | Feels terrible; Lightheaded when walking around; Worried; Missed two days of work; Could not leave the bed; Strained muscles in my abdomen and pectoral; Vomitted; Fever; Violent chills/ Severe chills (violently shaking); Completely fatigue; Dry heaves; Sev | N | 03/30/2021 | 03/31/2021 | 1 | Test Name: Temperature; Result Unstructured Data: 103 F; Test Name: Temperature; Result Unstructured Data: 100 F; Test Date: 20201211; Test Name: Nasopharyngeal PCR; Test Result: Positive ; Result Unstructured Data: Positive, Nasopharyngeal PCR | UNK | TAMSULOSIN; BABY ASPIRIN; MELOXICAM; TESTOSTERONE | Obesity (Considered obese due to height and weight) | Medical History/Concurrent Conditions: COVID-19 | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1611836 | 08/22/2021 | TN | 54.0 | 54 | M | Positive covid-19; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Positive covid-19) in a 54-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 017B21A) for COVID-19 vaccination. | U | 03/26/2021 | 04/09/2021 | 14 | Test Date: 20210409; Test Name: SARS-COV-2 test; Test Result: Positive ; Result Unstructured Data: positive | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1616254 | 08/22/2021 | TN | 54.0 | 54 | M | Flu; Dry heaves; Violent chills; Vomiting; Fever; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA (Flu), RETCHING (Dry heaves), CHILLS (Violent chills), VOMITING (Vomiting) and PYREXIA (Fever) in a 54-year-old mal | N | 03/30/2021 | 03/31/2021 | 1 | Test Date: 20211112; Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: Nasopharyngeal PCR | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1628174 | 08/24/2021 | TN | 54.0 | 54 | M | Muscle twitching-fasciculation, predominantly in the legs. Onset not until about 9 days after vaccine. Continuing 5 days after onset and at time of this submission. General fatigue, sore lymph areas (under arms, side of neck). | N | 08/10/2021 | 08/19/2021 | 9 | Blood work today with doctor (red blood cell count, myopathy) | PHM | levothyroxine (thyroid 112mcg), atorvastatin (10mg) | None | thyroid, high cholesterol, arrhythmia | 2 | 08/24/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1636719 | 08/26/2021 | TN | 54.0 | 54 | F | positive covid test | Y | N | 01/17/2021 | 08/25/2021 | 220 | PVT | 2 | 08/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1636956 | 08/26/2021 | TN | 54.0 | 54 | M | Pt. given dose. NO lot number in our vaccination system, pt. passed from COVID19 on 8/22/2021. | Y | 08/22/2021 | N | 04/28/2021 | 08/22/2021 | 116 | PUB | COPD, Diabetes, Obesity | 2 | 08/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1639296 | 08/27/2021 | TN | 54.0 | 54 | F | ear pain above my ear on my head; This spontaneous case was reported by an other health care professional and describes the occurrence of EAR PAIN (ear pain above my ear on my head) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 V | U | 01/04/2021 | 01/04/2021 | 0 | UNK | Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20212 | 2 | 08/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1655721 | 08/30/2021 | TN | 54.0 | 54 | M | Covid + August 2 nad had been hospitalized elsewhere for 2 days and discharged on rooma ir and decadron. Presented to Medical Center on 8/16/21 with )2 sat of 50% on room air. Admitted and completed course of decadron and 5 day course of remdesivir. Aslo | Y | 08/26/2021 | N | 06/17/2021 | 08/02/2021 | 46 | PVT | 2 | 08/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1685505 | 09/09/2021 | TN | 54.0 | 54 | M | Fever. Sweating. Felt like body on fire. Threw up and then dry heaved all night. Bad h/a. Hurt all over. Disoriented. Room spinning. Dizzy. Severe stomach pain. Felt like going to die. | N | 09/08/2021 | 09/08/2021 | 0 | UNK | Omeprazole, Paxil, meloxicam, Xanax | None | Arthritis | 2 | 09/09/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1717919 | 09/21/2021 | TN | 54.0 | 54 | F | vaginally blood spotting; This spontaneous case was reported by a consumer and describes the occurrence of VAGINAL HAEMORRHAGE (vaginally blood spotting) in a 54-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 052E21A) | Y | 08/12/2021 | 08/13/2021 | 1 | UNK | USMODERNATX, INC.MOD20213 | 2 | 09/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1718144 | 09/21/2021 | TN | 54.0 | 54 | F | Arm has swollen up as big as a softball/swell up; Extremely hot; Big bruise; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Arm has swollen up as big as a softball/swell up), FEELING HOT (Extremely hot | U | 08/12/2021 | UNK | USMODERNATX, INC.MOD20213 | 2 | 09/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1721573 | 09/22/2021 | TN | 54.0 | 54 | M | Felt really bad; had fever/Running a fever; Kinda tired; Headache; Chilling (chills); knees hurt (when he does not have knee pain normall); felt sick to stomach and still does; Congestion in throat; This spontaneous case was reported by a consumer and desc | N | 09/07/2021 | 09/01/2021 | Test Date: 20210908; Test Name: Body temperature; Result Unstructured Data: 101.8 | UNK | USMODERNATX, INC.MOD20213 | 2 | 09/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1722676 | 09/22/2021 | TN | 54.0 | 54 | F | My body aches continuously. I used to be able to sleep on my sides and I can no longer do so because of pain. My neck and back hurts all the time. My hips hurt and back hurts continuously. My fingers ache and the joints. It's hard for me to bend my fingers | N | 06/18/2021 | 07/16/2021 | 28 | None done. | PVT | C vitamins, multi-vitamin, Divalproex Sodium Dr 250 mg - 2 daily, Quetiapine Fumarate 25 mg 1 to 2 at night, Adderall 30 mg in morning, 20 mg at 3 pm | Had major back surgery in january 2021 due to a severe spinal cord injury from two herniated discs. | nerve pain from waist down from spinal injury. balance issues due to same. numbness in both legs and feet and saddle area | 2 | 09/22/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1723190 | 09/22/2021 | TN | 54.0 | 54 | F | Case fully vaccinated with Moderna vaccine. Tested positive for COVID on 9/8/2021. Admitted to Medical Center on 8/29/2021 and expired while still hospitalized on 9/19/2021. | Y | 09/19/2021 | N | 03/05/2021 | 09/08/2021 | 187 | PUB | 2 | 09/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731932 | 09/24/2021 | TN | 54.0 | 54 | F | The first vaccine I got covid arm after 7 days it went away in 4 days and I did fine. Second vaccine It was sore a few days warm to touch and a knot then next few weeks kept getting more sore and I called the pharmacy who said it might have triggered a aut | N | 04/19/2021 | 04/19/2021 | 0 | Contact pharmacy no results, contact primary provider no results, emergency room visit no results except to tell primary provider test that needed run. As for now no results | PHM | (diclofenac sodium enteric-coated tablets) - 75 mg 2 x day, lyrica 75 mg 1xday, flexeril 10 mg 1xday, Dexilant 60 mg 1xday , vitD 50,000 units once week | Neuropathy, Degenerative disc disease, muscle spasms | Neuropathy, Degenerative disc disease, muscle spasms | 2 | 09/24/2021 | Y | Y | Sulfa drugs, Erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1753467 | 10/01/2021 | TN | 54.0 | 54 | F | 03/30/2021- 6:41 Vaccine; 07:01 PM weird taste in my mouth , 07:02PM arm soreness, 10:15PM immune system activation, a weird feeling in my body that I started feeling sick, feeling like my immune system was revving up, sickening in my throat and a slight h | Y | 03/30/2021 | 03/30/2021 | 0 | No, I waited for it to subside. It did not feel life threatening. I just thought it would go away with time and it did. | OTH | Synthroid 50/ 75 mcg alternating od B-12 1000 mcg 3 x week | no | thyroid problems | arm soreness- flu shot | vsafe | 2 | 10/01/2021 | Y | latex (rash) sulfur compounds sulfate, sulfite benzoyl peroxide h2 blockers ( angioedema) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1753506 | 10/01/2021 | TN | 54.0 | 54 | F | 03/02/2021- the day of the vaccine-07:28pm arm was sore, minimal headache, 07:34pm weird taste in my mouth, Later in the evening migrating joint pains. 03/03 headaches, occipital headache. 03/04 occipital headache and nasal nasopharynx felt swollen, fatigu | Y | 03/02/2021 | 03/02/2021 | 0 | No | OTH | Synthroid; B-12 | No | Thyroid; Back pain from a car wreck | Flu shot - arm pain and a little fatigue/usually not. | vsafe | 2 | 10/01/2021 | Y | Latex; H2 blockers; Sulfur compounds; Benzoyl peroxide | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1775682 | 10/10/2021 | TN | 54.0 | 54 | F | I have been fatigued and achy all over since 6:00 PM on the day I received the shot. It has been eight days. My lymph nodes at my collarbone and under my arm on my left side or swollen. That began the day after, Sunday, October 3. They are currently smalle | N | 10/02/2021 | 10/02/2021 | 0 | PHM | Microgestin 24 fe once daily Prozac 20 mg once daily | I had COVID-19 in January 2021. Staph infection in my nose about 6 weeks prior to vaccination. | endometriosis which I take the birth control for, and anxiety and depression for which I started taking Prozac beginning September 21, 2021. | 2 | 10/10/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1782708 | 10/13/2021 | TN | 54.0 | 54 | F | I had fever, fatigue, loss of taste and smell, mental fog, breathing issues, and cough. I got tested for Covid and it came back positive. I took a lot of vitamins, I used my inhaler, and I got the Regeneron injection. I was sick for about 10 days. | Y | 04/06/2021 | 08/19/2021 | 135 | Covid test- positive | OTH | Gabapentin, Repatha | None | High cholesterol, obesity, osteoarthritis | vsafe | 2 | 10/13/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1784909 | 10/14/2021 | TN | 54.0 | 54 | M | A week or so after getting the shot, my blood pressure started moving all over the board. I went to Cardiologist and PCP to try to find the cause. All tests were good result. Blood pressure would be real high one day and normal the next. Numerous time | Y | 04/06/2021 | 04/13/2021 | 7 | I dont have the dates but did a stress test, ultra sound of heart and visits to cardiologist. Everything seemed to be fine. | PHM | Quinapril, Amplopadine, Hyrdrochlorothiazide | none | HBP-very controlled with medication | 2 | 10/14/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1785486 | 10/14/2021 | TN | 54.0 | 54 | F | There was a malfunction with they syringe. Upon injection the syringe detached and the content spilled on patient arm and clothes. I cannot estimate the exact amount, but suspect more than 50 percent. Patient said she believes she did not get any of t | Y | 10/12/2021 | 10/12/2021 | 0 | none | PHM | N/A | N/A | N/A | 2 | 10/14/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788619 | 10/15/2021 | TN | 54.0 | 54 | F | After I had acute left side abdominal small intestinal - bloating and gas. There was acute pain. It felt like it was CEBO - but it hit fast and hard. All on the left side and with the unusual pain that came with it. Cramping that was unusual. The next day | N | 09/17/2021 | 09/21/2021 | 4 | blood work on Wednesday night - 29th of September - results were clear; and dropped off the fecal sample - no results yet. | PHM | insulin - Novolin 70/30; Novolin R; Glimepiride - 4 mg BID; Sternalactone 100 mg BID; Benadryl 50 mg at night; Zyrtec once a day; High Dose Aspirin - 325 mg - no less then 2, twice a day (most of the time this) - and up to 2, four times | I had a relapse of a CIBA - small bacterial intestinal overgrowth - I had treated it 6 weeks over the vaccine and was fine. | Type 2 Diabetes; Idiopathic Intracranial Hypertension; connective tissue disease - soft tissue arthritis; Reactive airwaves disease | COVID 1 & 2 doses - initiated an autoimmune response - connective tissue disease response - so arthritis symptoms - in my join | vsafe | 2 | 10/15/2021 | Y | Ibuprofen; Naprosyn (Aleve); Avandia; Levomir- analog insulin; Jardians; Victosa Severe adverse reactions to other drugs: Feldine; Topamax; Metformin; Percocet; Tirosint; Tradjenta Allergies for mold and dust - get shots for these Cantaloupe | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1793833 | 10/16/2021 | TN | 54.0 | 54 | M | a serve asthma attack, | N | 09/28/2021 | 09/28/2021 | 0 | PUB | asthma | 2 | 10/16/2021 | Y | some foods | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1795986 | 10/18/2021 | TN | 54.0 | 54 | F | 9/11 3:00 p.m. Became extremely exhausted, laid down, woke up to flu like symptoms. Ran fever, aches, chills, headache. developed anxiety type symptoms over the next week with tightening in chest, tired easily. Over the two weeks post vaccination, bloo | Y | 09/10/2021 | 09/20/2021 | 10 | Covid-19 positive - October 1, 2021 | PHM | Losartan /hctz, Metformin, crestor, vitamin B, vitamin D, vitamin C, Zinc | none | hypertensive (under control with meds), borderline diabetic, slightly elevated cholesterol | 2 | 10/18/2021 | no known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1797772 | 10/19/2021 | TN | 54.0 | 54 | M | Muscle pain, severe pain at injection site, flu like symptom, fatigue, headache. muscle weakness, difficulty concentrating, body as a whole pain , I only mention these because the pharmacist said they had no record of any negative side-affects from the P | N | 10/18/2021 | 10/19/2021 | 1 | planning on visiting my primary care physician if symptoms continue. | PHM | Rosuvastatin Centrum Silver Plavix Atenalol Crestor Xanax Trintillix suboxone | A1C - 5.9 Pancriatits - induced by medication (I dont drink) | three-four days of severe flu like symptoms | 2 | 10/19/2021 | Iodine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1798202 | 10/19/2021 | TN | 54.0 | 54 | F | Shot was given subcutaneous instead of IM. | 10/19/2021 | 10/19/2021 | 0 | PHM | 2 | 10/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1800254 | 10/20/2021 | TN | 55.0 | 54 | F | Mild headache and then went away; This spontaneous case was reported by a nurse and describes the occurrence of HEADACHE (Mild headache and then went away) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A | Y | 02/25/2021 | 02/25/2021 | 0 | Test Date: 20201124; Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: Rapid Test Positive | UNK | ESTROGEN; LEXAPRO; CRESTOR; VITAMIN D NOS; VITAMIN B12 [CYANOCOBALAMIN]; GABAPENTIN; LAMICTAL | Bipolar disorder; Insomnia; Restless legs syndrome | Medical History/Concurrent Conditions: COVID-19 | USMODERNATX, INC.MOD20213 | 2 | 10/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1800261 | 10/20/2021 | TN | 54.0 | 54 | F | mild headache and then went away; This spontaneous case was reported by a health care professional and describes the occurrence of HEADACHE (mild headache and then went away) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) | Y | 02/25/2021 | Test Date: 20201124; Test Name: SARS-CoV-2 test; Test Result: Positive ; Result Unstructured Data: POSITIVE | UNK | ESTROGEN; LEXAPRO; CRESTOR; VITAMIN D [VITAMIN D NOS]; VITAMIN B12 [CYANOCOBALAMIN]; GABAPENTIN; LAMICTAL | Bipolar disorder; Restless leg syndrome | Medical History/Concurrent Conditions: Insomnia | USMODERNATX, INC.MOD20213 | 2 | 10/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1800263 | 10/20/2021 | TN | 54.0 | 54 | F | It is interfering with her work; took too much ibuprofen and now she has a stomach upset; daily headache she cannot get rid off; This spontaneous case was reported by an other health care professional and describes the occurrence of IMPAIRED WORK ABILITY ( | Y | 02/25/2021 | 09/30/2021 | 217 | Test Date: 20201124; Test Name: COVID-19 screening; Test Result: Positive | UNK | ESTROGEN; GABAPENTIN; LEXAPRO; CRESTOR; Vitamin D; Vitamin B12 | Bipolar disorder; Insomnia; Restless leg syndrome | Medical History/Concurrent Conditions: COVID-19; Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20213 | 2 | 10/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1801981 | 10/20/2021 | TN | 54.0 | 54 | F | Had a metallic taste in my mouth about 3 minutes after injection. About 30 minutes later my heart rate was elevated and blood pressure was elevated. Went to the ER for evaluation as I did not feel well. Evaluated for approximately 4 1/2 hours. I continu | Y | 12/29/2020 | 12/29/2020 | 0 | EKG, lab work, telemetry and pulse ox monitoring | PVT | Lisinopril, Estrace, montelukast, wixela, proair , CBD, Zyrtec | Hypertension, allergy induced asthma | 2 | 10/20/2021 | Y | Sulfa, Flagyl, Floxin, Keflex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1804518 | 10/21/2021 | TN | 54.0 | 54 | F | Prolonged hospitalization with eventual patient death. Acute respiratory failure with hypoxia secondary to COVID pneumonia. BiPAP, hasd previous hospitalization requiring ICU placemtn on Vapotherm and BiPAP, discharged home then hospitalized again with acu | Y | 10/12/2021 | Y | 27 | N | 04/22/2021 | 09/16/2021 | 147 | 9/16 Chest x ray with worsening interstitial and airspace lung infiltrates concerning for pneumonia. | PVT | Unknown | Unknown | Diabetes, HTN, Asthma | 2 | 10/21/2021 | Penicillin, Aspirin, Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1809010 | 10/22/2021 | TN | 54.0 | 54 | M | Body akes all night. Left-arm hurt. Had sweats and was unable to sleep all night. | Y | 10/06/2021 | 10/06/2021 | 0 | PHM | VD, zink, VC | 2 | 10/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1851630 | 11/08/2021 | TN | 54.0 | 54 | M | On 09/17/2021, exactly 8 days after patient's first injection of Pfizer Covid-19 vaccine, the patient suddenly had numb hands and left side of face was droopy. I called 911. Patient became unresponsive in the ambulance and required intubation. CT results | Y | 09/18/2021 | N | 09/09/2021 | 09/17/2021 | 8 | CT of brain | PHM | metformin, losartin, plavix, eloquis, glimepiride, sertraline, tizanidine, insulin, metoprolol, amlodipine, atorvanstatin, pantoprazole, phenergren, | high bp, diabetes, dioverticulosis | 2 | 11/08/2021 | sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX |