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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0916820 | 01/01/2021 | TN | 55.0 | 55 | M | Approximately 12 hours post vaccination employee reported hives consisting of raised, itchy whelps from their waist to their ears. Hives reported as moderate to severe - kept employee up all night due to severe itching. Employee reports no increased heart | Y | 12/30/2020 | 12/30/2020 | 0 | None | PVT | Unknown | None reported | None reported | 2 | 01/01/2021 | None reported | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0917809 | 01/03/2021 | TN | 55.0 | 55 | M | HEAD ACHE AND LOW GRADE FEVER WITHIN 24 HOURS OF VACCINATION. ORAL TEMP 101.5 F. I ALSO DEVELOPED A PRODUCTIVE COUGH AND STUFFED SINUSES | N | 01/02/2021 | 01/03/2021 | 1 | NONE | OTH | COVID-19 ON 11/19/2020 | 2 | 01/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0917956 | 01/03/2021 | TN | 55.0 | 55 | F | 7 days after vaccine, a red, swollen, warm, hard rash appeared on right arm. It quickly spread to cover upper arm. Went to urgent care facility Received Rocephin shot and steroid shot Sent home on Prednisone 4mg dose pack (21 total) and 7 days of Amoxicill | 12/23/2020 | 12/30/2020 | 7 | PVT | None | None | None | 2 | 01/03/2021 | Y | Avocado | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0918482 | 01/04/2021 | TN | 55.0 | 55 | F | Fever of 103.5 that would not go down with acetaminophen for over 6 hours. | N | 01/02/2021 | 01/03/2021 | 1 | N/A | PHM | None | None | COVID 10/23/20 | 2 | 01/04/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0918840 | 01/04/2021 | TN | 55.0 | 55 | F | I am a nurse and received the Moderna COVID19 vaccine as part of my facility's COVID clinic. CVS Pharmacy staff came to my facility to administer vaccines to staff and residents. Pharmacist notified of my reaction and recommended reporting on this website | Y | 01/03/2021 | 01/03/2021 | 0 | None | WRK | Vitamin D 2000 IU PO daily, Ferrous Sulfate 325 mg PO daily , B12 1000 mcg PO daily. | None | None | 2 | 01/04/2021 | Diflucan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0919677 | 01/04/2021 | TN | 55.0 | 55 | F | Severe chills, fever, headache, diarrhea Starting approx. 8:30 PM on 12/30/2020 until approx. 12:30 am 01/01/2021. | Y | 12/29/2020 | 12/30/2020 | 1 | None | PVT | Gabapentin 600mg once at night | None | None | 2 | 01/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0921520 | 01/05/2021 | TN | 55.0 | 55 | F | noted swollen lymph node left armpit area, slightly tender | U | 12/23/2020 | 12/31/2020 | 8 | PVT | vitamin D | none | sleep apnea, vitamin d deficiency | 2 | 01/05/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0926967 | 01/07/2021 | TN | 55.0 | 55 | F | Initially arm sore and swollen on 2nd day. Had body aches, chills, diarrhea, tiredness day 3-5 with continued arm site swollen and sore. On 1/5/20, swelling was decreased to about size of nickel and less sore. On 1/6, arm became more sore, noticed increas | N | 12/30/2020 | 01/06/2021 | 7 | none | WRK | Lisinopril, Atorvastatin, ASA, Fish Oil, Magnesium, Zinc, Vit D, MVI, St John's Wart, Proair MDI PRN | None, I was fine until had immunization | Asthma, HTN, cholesterol, Vit D deficiency | dT - swelling and redness to arm that happened within hours, went away on own within 3 days | 2 | 01/07/2021 | Tetanus/Diptheria, Honey, Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0932487 | 01/10/2021 | TN | 55.0 | 55 | F | Chills/Fever (103 at the highest) This started around 10:00pm, so I took 600 mg of ibuprofen and the chills continued for 3 hours. Muscle aches and right arm stiffness occurred and remained for a couple days. The second day, my fever was hovering around 10 | Y | 01/08/2021 | 01/08/2021 | 0 | I am going to be tested for Covid today as a precautionary measure. | WRK | Amlodipine 5mg Clonidine patch 0.1mg Multivitamin (Alive) D3 Zyrtec Aspirin 80 mg | None | DTP in left arm; polio drops under tongue;MMR in right arm When the third vaccination was given (DTP), I blacked out. My arm swe | 2 | 01/10/2021 | Erythromycin Tetnus Gluten sensitive Shell fish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0945335 | 01/14/2021 | TN | 55.0 | 55 | F | Saturday 1/9/21: Saturday around noon I started having nausea and internal heat through out my body, sleep interruption and cold sweats during the night. Sunday 1/10/21: the same as Saturday. Sunday around noon I had internal heat through out my body, | N | 01/07/2021 | 01/11/2021 | 4 | I did not seek medical attention. | SEN | Vitamin C Tylenol | None | Thyroid Disease HTN Depression | 2 | 01/14/2021 | Allergy to the Antibiotic Avelox | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0945479 | 01/14/2021 | TN | 55.0 | 55 | F | Not adverse. Side effects. Instant pain in arm upon injection. All of the typical side effects listed plus a large rash on arm. Symptoms happened over a course of three days. Day 1, tiredness and headache. Day 2 feverish, tireness, day 3 upset stoma | Y | 01/11/2021 | 01/11/2021 | 0 | None | WRK | None | None | None | 2 | 01/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0952100 | 01/18/2021 | TN | 55.0 | 55 | M | golf ball size lump in axillary area | 01/16/2021 | 01/18/2021 | 2 | WRK | ibuprofen | None | 2 | 01/18/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0986578 | 01/29/2021 | TN | 55.0 | 55 | F | chills, fever, mild temp, body aches, headache, 1/28/ redness and itching continues on today, loss of appetite. | N | 01/25/2021 | 01/26/2021 | 1 | n/a | UNK | vitamin c, vitamin d, motrin, tylenol | n/a | n/a | Covid 01/25/21 Shingrix 12/19 | 2 | 01/29/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1006652 | 02/05/2021 | TN | 55.0 | 55 | F | Headache, fatigue, muscle ache, tachycardia, sore throat (mild), severe pain at injection site limiting movement, eye pain and blurring. All began approximately 12 hours after vaccination. Did report to the ER at Summit Medical Center 2/3/2021 . Labs wer | Y | 02/02/2021 | 02/02/2021 | 0 | Labs (unsure specifics) drawn 2/3/2021 were 'within normal limits' per MD. EKG tachycardia, NSR 2/3/2021 CXR 2/3/2021 negative CXR & EKG - done to rule out pneumonia and a-fib as I had both in March when admitted to Vanderbilt with Covid in March 2020. | OTH | None taken within 7 days of vaccination | None | ADHD Depression/anxiety | 2 | 02/05/2021 | Y | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1006997 | 02/05/2021 | TN | 55.0 | 55 | F | Pt stated she could not swallow as well as she normally does. Pt did not complain of SOB. | U | 02/05/2021 | 02/05/2021 | 0 | PUB | 2 | 02/05/2021 | Y | PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1022147 | 02/11/2021 | TN | 55.0 | 55 | U | some of the vaccine trickled down arm; A spontaneous report was received from a consumer concerning a 55-year-old patient who received Moderna's COVID-19 vaccine and experienced "some of the vaccine trickled down arm". The patient's medical history was no | Y | 01/29/2021 | 01/29/2021 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event (no reported medical history.) | USMODERNATX, INC.MOD20210 | 2 | 02/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033837 | 02/16/2021 | TN | 55.0 | 55 | F | fever, chills, headache, nausea | Y | 02/04/2021 | 02/05/2021 | 1 | OTH | none | none | none | 2 | 02/16/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041321 | 02/19/2021 | TN | 55.0 | 55 | F | Flu-like symptoms, face going numb, right side weakness, double vision in right eye, migraine headache. Stroke like symptoms | Y | 3 | Y | N | 01/01/2021 | 01/01/2021 | 0 | CT Scan, MRI, | PUB | All medications that I currently take are prescribed by my physician. | No illnesses was taking place at the time of the vaccine. | Fibromyalgia | 2 | 02/19/2021 | Pencillin, Keflex, IV Contrast with dye, bee stings | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1049134 | 02/23/2021 | TN | 55.0 | 55 | F | Severe headache woke me from sleep around 12:05 am - started taking extra strength Tylenol every 4 hours. This lasted roughly 12-14 hours after onset. Swelling of left side of neck, shoulder, and under left arm with noticeable inflammation of the Subraclav | N | 02/20/2021 | 02/21/2021 | 1 | None at this time | OTH | Levothyroxine 0.075 mg Lovastatin 10 mg Liothyronine 5mcg | None | Hypothyroidism Oesteoarthritis | Had mild swelling along collar bone and supraclavical lymph node | 2 | 02/23/2021 | KNA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063404 | 03/01/2021 | TN | 55.0 | 55 | F | severe pain and swelling in left lower leg. Diagnosed with 2 DVTs 3 days later in emergency room. | U | 01/27/2021 | 01/27/2021 | 0 | emergency room visit with ultrasound. Then saw PCP who sent me to a hematologist. Started Xarelto blood thinner and will have more blood tests after 6 months of Xarelto. | PUB | probiotic, multivitamin | none | none | 2 | 03/01/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1066406 | 03/02/2021 | TN | 55.0 | 55 | F | Day 3-6 Extremely painful blisters in mouth, on hard palate, small yellowish bumps/blisters. Resolved with warm salt water gargles. total time period 3-4 days | Y | 01/24/2021 | 01/27/2021 | 3 | none | PUB | estradiol, synthroid, gabapentin, Vit D, Vit B complex, fish oil, zyrtec | Covid 1/6/21 | hypothyroidism, crohns | 2 | 03/02/2021 | sulfa, eugenol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1077676 | 03/06/2021 | TN | 55.0 | 55 | F | 1.5 in spot around injection site that is itchy, red, swollen. Pt told to take benadryl, use compress and topical antihistamine as needed. | N | 02/26/2021 | 03/06/2021 | 8 | PHM | 2 | 03/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1084238 | 03/09/2021 | TN | 55.0 | 55 | F | Started running fever of 101 with chills. Body aches, nausea, headache. Blood pressure raised to 148/101 with dizziness | Y | 03/08/2021 | 03/09/2021 | 1 | PHM | Estradiol, Cardizem, Ambien, Hydrocodone | 2 | 03/09/2021 | Seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108966 | 03/17/2021 | TN | 55.0 | 55 | F | Patient received 2nd dose of Moderna COVID vaccine during the day. Patient had soreness at injection site but no other symptoms. That evening woke up with extreme thirst, drank multiple glasses of water but did not void. The next day had tingling sen | Y | Y | 03/01/2021 | 03/01/2021 | 0 | none in electronic record | PVT | Epi pen | none | history of anaphylaxis | 2 | 03/17/2021 | Y | cipro - anaphylaxis metronidazole - anaphylaxis bactrim - swelling macrobid - swelling | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1110209 | 03/18/2021 | TN | 55.0 | 55 | M | Hospitalization for Bradycardia | Y | 4 | Y | 02/12/2021 | 02/15/2021 | 3 | WRK | Regularly Prescribed Physician Medications | None | Hypertension, Diabetes Type 2, GERD | 2 | 03/18/2021 | Allergy to Penicillin and Biaxin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1114410 | 03/19/2021 | TN | 55.0 | 55 | M | fever much worse than when i actually had COVID, tiredness. loss of appetite. The day was as bad or worse of any of the days i had Covid | Y | 03/16/2021 | 03/16/2021 | 0 | none | WRK | losartan, pravastatin, saw palmetto, daily vitamin, metamucil daily. | none | none | 2 | 03/19/2021 | Ibuprofin, and oysters | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1125073 | 03/23/2021 | TN | 55.0 | 55 | F | flare of transverse myelitis; flare of transverse myelitis; nauseous; sore throat; headache; A spontaneous report was received from a retired physical therapist who was also a 55 year-old female patient who was administered Moderna's COVID-19 vaccine (mRNA | U | 03/04/2021 | 03/04/2021 | 0 | UNK | PENTASA | Myelitis transverse | USMODERNATX, INC.MOD20210 | 2 | 03/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1129042 | 03/24/2021 | TN | 55.0 | 55 | F | First , started out with normal side effects : headache, mild chills and fever of 100.4. Symptoms resolved after 12 hours. Then I had fatigue on the third day. On the fifth day after vaccine, I began having pain and tingling sensation in extremities, ba | N | 03/10/2021 | 03/10/2021 | 0 | Blood work 3/21/2021....awaiting results | UNK | Atenolol, Montelucast, Budesonide, Xanax | SHingles | Collagenous Colitis, Asthma, COPD, Migraines, Vestibular Dysfunction | 2 | 03/24/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1131903 | 03/25/2021 | TN | 55.0 | 55 | F | Covid arm | 03/11/2021 | 03/11/2021 | 0 | PHM | Met Forman, Trulicity, exetimibe, multi vitamin, | 2 | 03/25/2021 | Dairy and gluten sensitivities | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1152303 | 03/31/2021 | TN | 55.0 | 55 | F | First night, I was okay until about 10 pm - chills - my teeth was chattering I had never experienced , hot, threw up all night and I had to miss work. I was really sick for the next few days. I was tired, too. The reflux made me go to the doctor - a coupl | Y | 03/13/2021 | 03/13/2021 | 0 | no | OTH | Spiriva Inhaler - use every day ; Loratadine; Vitamins - Centrum one a day; Omeprazole | no | Acid reflux - something to do with my allergies | vsafe | 2 | 03/31/2021 | Y | sulpha drugs - hives (have an epi-pen for it) Oxy Cordon - can't take Cordon Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155561 | 04/01/2021 | TN | 65.0 | 55 | F | After receiving the 1st dose Moderna vaccine rec'd on 3/3 at 10am and by 1pm I had a headache, I got chills, then that evening I had an acid stomach, and on 3/4 I had little tiny blisters around my lips and as time passed it spread and popped up a few tim | N | 03/03/2011 | 03/04/2021 | 3654 | no | PUB | Zanex, reflux pills, Levothyrox , tums later in the day | no | Asthma, Anxiety, Silent reflux, Hypothyroidism | 2 | 04/01/2021 | seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1157016 | 04/01/2021 | TN | 55.0 | 55 | F | Patient received first Covid vaccine around 2:30pm. At 2:42 pm this nurse called out to patients vehicle who is c/o difficulty breathing. Patient reports her mouth feels like 'cotton mouth and tongue feels numb'. Patient appears to be very short of brea | Y | 04/01/2021 | 04/01/2021 | 0 | PUB | none | none | high blood pressure | 2 | 04/01/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1162722 | 04/02/2021 | TN | 55.0 | 55 | F | Rash near injection site started early on day 15 and has gotten larger / more red as day wore on. | N | 03/18/2021 | 04/02/2021 | 15 | PVT | Benicar HCT, Simvastatin, methylphenidate, temazepam, prilosec, tylenol, multivitamin | Hypertension, depression, chronic kidney disease, insomnia, heartburn | 2 | 04/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1166702 | 04/04/2021 | TN | 55.0 | 55 | F | Chills, headache, muscle aches, flushed, hot flashes, insomnia | Y | 04/03/2021 | 04/03/2021 | 0 | SCH | Multivitamin and calcium supplement | No | None | 2 | 04/04/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1175114 | 04/07/2021 | TN | 55.0 | 55 | F | The patient has reported severe arm soreness for the last 6 days, large red spot at the inject site that has grown, but the inject site is not warm to the touch and is not itching. I have sent the patient to her PCP to be evaluated | U | 04/01/2021 | 04/02/2021 | 1 | Unkown | PHM | Crestor, Buspar, Levothyroxine, Zoloft, Topamax | None | Migraines, Hyperlipidemia, Anxiety | 2 | 04/07/2021 | Y | Unkown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177271 | 04/07/2021 | TN | 55.0 | 55 | M | He got the vaccine, no reaction to the vaccine injection site. On coming into work this morning he feels like he is having a manic episode from his depression. Arthritis is feeling better after the injection. His manic episode consists of being overly a | N | 04/06/2021 | 04/07/2021 | 1 | None. | PHM | Amlodipine, Amitriptyline, Buspirone, Meloxicam. | Flu 2 weeks ago, mild case. | Manic depression, hypertension, osteoarthritis. | 2 | 04/07/2021 | Y | Penicillin, Keflex, Clindamycin, Lisinopril, Hydrochlorothiazide. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179546 | 04/08/2021 | TN | 55.0 | 55 | M | No adverse reaction First dose given on 3/9/2021 and second dose given on 3/29/2021 given to soon. No signs and symptoms. | 03/29/2021 | 03/29/2021 | 0 | No adverse reaction First dose given on 3/9/2021 and second dose given on 3/29/2021 given to soon. No signs and symptoms. | OTH | none | none | HTN HLD | 2 | 04/08/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179867 | 04/08/2021 | TN | 55.0 | 55 | F | CHILLS, FEVER, BODY ACHES, MUSCLE ACHES, HEADACHE, PAIN AT INJECTION SITE, ITCHING AT INJECTION SITE, BRAIN FOG, ALL SYPTOMS DISAPPEARED WITHIN 24 HOURS EXCEPT SOME HEADACHE, BRAIN FOG, PAIN AND ITICHING AT INJECTION SITE, WEIRD DREAMS | Y | 03/29/2021 | 03/30/2021 | 1 | UNK | LISINTIPRIL, METROPROL, HYDRALAZINE, AMLODIPINE, METFORMIN, ROSVASTATIN, PRO-BIOTIC, VITAMIN D, HYDROLAUNIC CAPSULE, COQ-10, Albuterol | I had Covid about 30 days prior. I also had an ear infection 3 days after Covid signs diminished and I was treated with Steroids. Albuterol - because of Covid to treat the shortness of breath. | High Blood Pressure, Sugar Diabetes Type II, Obese. Anemic. | 2 | 04/08/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1180615 | 04/08/2021 | TN | 55.0 | 55 | M | No adverse reaction. Moderna 1st dose was given on 3/9/2021 and 2nd dose was given on 3/29/2021 too soon. | 03/29/2021 | 03/29/2021 | 0 | No adverse reaction. Moderna 1st dose was given on 3/9/2021 and 2nd dose was given on 3/29/2021 too soon. | OTH | NONE | NONE | HTN | 2 | 04/08/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1192567 | 04/10/2021 | TN | 55.0 | 55 | M | High fever of over 104.9 for 7hours and headache for 48 hours | Y | 04/08/2021 | 04/08/2021 | 0 | None | PHM | Tramadol, Lisinopril | None | None | 2 | 04/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1197775 | 04/12/2021 | TN | 55.0 | 55 | M | within 24 hours of vaccine, minor swelling of left upper eyelid and upper lip, lasting around 12 hours. Two weeks after vaccine, minor swelling of lower lip, lasting around 12 hours. Just under 4 weeks after vaccine, minor swelling of lower lip, lasting a | Y | 03/16/2021 | 03/17/2021 | 1 | n/a | OTH | montelukast, Vitron C, Vitamin D, Men's Multivitamin for over 50 years of age. | n/a | allergy related asthma | 2 | 04/12/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1198113 | 04/12/2021 | TN | 55.0 | 55 | M | I have not started my Period since receiving my first dose. I was ovulating on the day I got my first vaccine on 3/9/2021. I was supported to start my menstrual cycle on March 23rd. I have not started. It?s 3 weeks late. I have taken 3 pregnancy tests and | N | 04/12/2021 | 04/12/2021 | 0 | OTH | 2 | 04/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1201642 | 04/13/2021 | TN | 55.0 | 55 | M | pt states he told them he was on blood thinner so they had him stay 30 minutes before leaving after taking the vax. At this time he became nauseated. He went home and laid down and fell asleep. When he woke up he called his PCP because he wasn't feelin | Y | Y | 2 | N | 04/08/2021 | 04/08/2021 | 0 | EKG, Lab tests | PVT | none | no | osteoporosis, hypokalemia, hypoglycemic, congestive heart failure, Uvulitis, Peripheral neuropathy, ischemic heart disease, asthma, chronic obstruction primary disease, peripheral artery disease, peripheral vascular disease, hyperlipemia, hypertension, an | 2 | 04/13/2021 | penicillin, NSAIDS, codeine, steroids | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1202304 | 04/13/2021 | TN | 55.0 | 55 | F | Patient called stating that she started experiencing muscle weakness in her arms, legs, and back about 3 days after getting her first COVID vaccine. She reports that she has had difficulty walking and it became so bad that she went to the emergency room. S | N | 03/23/2021 | 03/26/2021 | 3 | unknown. Patient went to the ER 4/10/2021 | PUB | unknown | unknown | unknown | 2 | 04/13/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1203354 | 04/13/2021 | TN | 55 | F | at about 7 am 4/8/2021 I had a fever of 100 and began to feel flulike, headache, body aches, very dry skin, felt bad, dizzy thought maybe had covid, also upset stomach and diarrhea | Y | 04/01/2021 | 04/08/2021 | 7 | took covid 19 test it was negative, symptoms persisted for 48 hours to the minute then I was fine | OTH | lisinopril hcgtz, levothyroxin, clorcon. | none | underactive thyroid | 2 | 04/13/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209873 | 04/14/2021 | TN | 55.0 | 55 | F | The day after receiving the first dose of the Pfizer vaccine, she developed a headache behind her right eye that never went away. Then on Wednesday morning, March 31st (two weeks after receiving the first dose), she was found in bed by my mother, unable to | Y | 04/02/2021 | Y | 2 | N | 03/15/2021 | 03/31/2021 | 16 | I am unsure what tests and labs were taken while she was hospitalized, but I am sure the records can be retrieved. | PUB | I am her brother reporting for her because she died. She was taking a blood thinner, high blood pressure medication, gabepentin, and an antidepressant, I believe. | Chronic pain. She had had an ischemic stroke in 2009 (12 years ago), but had almost completely recovered. | 2 | 04/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1213224 | 04/15/2021 | TN | 55.0 | 55 | M | After the Covid-19 Vaccine on Mar 26, 2021 I had an adverse reaction to something that may or may not be related. On Friday, Apr 2, at 2:00pm I felt a weird case of Vertigo that lasted approximately 3 mins. The next day, Sat. Apr 3, at around 9:30pm I ha | Y | 03/26/2021 | 04/02/2021 | 7 | PVT | Multi-Vitamin, Zyrtec, D-4000iu, Calcium Supliment, Iron Supliment | None | None | 2 | 04/15/2021 | Y | Some dairy (milk) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1214992 | 04/15/2021 | TN | 55.0 | 55 | F | PATIENT HAS HAD BLOTCHED SKIN RASH ON THE ARM OF THE INJECTION SITE AND SHORTNESS OF BREATH. PATIENT NOTICED THIS THE DAY AFTER AND IT IS STILL LINGERING. PATIENT STARTED A HEADACHE THREE DAYS AGO. | 03/30/2021 | 04/01/2021 | 2 | PHM | 2 | 04/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222540 | 04/17/2021 | TN | 55.0 | 55 | M | Instant onset Sharp headache, spiked fever, cramping, nausea, with all adverse events intensifying over a 30 minute period | Y | 04/14/2021 | 04/15/2021 | 1 | PHM | None | None | None | 2 | 04/17/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1227362 | 04/18/2021 | TN | 55.0 | 55 | M | Shingles | N | 03/10/2021 | 03/31/2021 | 21 | UNK | Hiv | 2 | 04/18/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1227993 | 04/19/2021 | TN | 55.0 | 55 | F | Night after vaccine started to have chills, headache, coughing, muscle aches, some difficulty breathing and swallowing, lack of appetite. Still having symptoms. Calling clinic today | N | 04/14/2021 | 04/15/2021 | 1 | None yet | PHM | Trulicity, lisinopril, atorvastatim, pioglitazone, amlodipine, glipizide, furosimide, aspirin | None | Diabetes, high blood pressure, cholesterol | 2 | 04/19/2021 | Y | None that I know of | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238437 | 04/21/2021 | TN | 55.0 | 55 | F | I have developed terrible Tinnitus ringing in my ears. | Y | N | 03/18/2021 | 03/21/2021 | 3 | I have had medical and hearing checks. The Tinnitus will not stop! | PUB | Losartin and Levothroxine | None | Thyroid and Blood Pressure issues | 2 | 04/21/2021 | Y | Sulfa Drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1245415 | 04/23/2021 | TN | 55.0 | 55 | F | Vomited for an hour; light headed; broke out in a cold sweat; body cramped up; nauseus; Sore left Arm; convulsions; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of SEIZURE (convulsions) an | Y | 3 | Y | 02/26/2021 | 04/06/2021 | 39 | Test Name: lactic acid raised; Result Unstructured Data: increased; Test Name: potassium level dropped; Result Unstructured Data: decreased; Test Name: blood pressure dropped; Result Unstructured Data: decreased; Test Name: body temperature; Result Unstruc | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 04/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1247977 | 04/23/2021 | TN | 55.0 | 55 | F | Patient received second dose of Pfizer on 3/30/21. On 3/31/21 patient states arm was itchy , red, and swollen. She is still having arm pain and continues to itch 3 weeks later. | N | 03/30/2021 | 03/31/2021 | 1 | PUB | metformin and hydrochlorothiazine, glipizide, cardedivol, aspirin | no | htn and dm | 2 | 04/23/2021 | latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1248850 | 04/23/2021 | TN | 55.0 | 55 | M | At 2:15 am the day after the vaccine, I woke up with a sore left arm (injection site), redness on the left arm, muscle aches, body pain and discomfort, along with a temperature of 101 to 102 that lasted for about 3 days. I stayed in bed and drank liquids, | Y | 03/26/2021 | 03/27/2021 | 1 | PVT | Calquence Acalabrutinib Temezepam Oxycodone Ensure High Protein Milk | CLL - blood cancer | See above - diagnosed 12/03/20 | 2 | 04/23/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1256569 | 04/25/2021 | TN | 55.0 | 55 | F | 5 minutes after having vaccine I felt lightheaded. Paramedics checked vitals 30 minutes after vaccine and felt it was anxiety. This is day 5 after having vaccine and every day I feel lightheadedness and feel as if I am going to faint. I have called my prim | N | 04/20/2021 | 04/20/2021 | 0 | Went to urgent care on 4/20 the afternoon of my vaccine around 3:30. Just checked vitals and saw Nurse Practitioner | PVT | None | Seasonal allergies | Previous Bladder Cancer in 2010-2011 and treated with BCG immunotherapy | 2 | 04/25/2021 | Botox, Cypro | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1258899 | 04/26/2021 | TN | 55.0 | 55 | M | I received the 2nd dose of the Moderna Vaccine for Covid 19 at 2:15 pm on 4/23/21. I woke up on 4/24/21 around 4:15 am with the following adverse reactions: 103* temperature, extreme body aches and muscle pain, a headache, a fast heartbeat and chills. I | Y | 04/23/2021 | 04/24/2021 | 1 | PVT | Calquence Acalabrutinib Ensure Plus Drink Supplement Oxycodone Temazepam | CLL blood cancer | Same reaction and side effects on the 1st dose of the Moderna vaccine - taken on 3/26/21 | 2 | 04/26/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1259243 | 04/26/2021 | TN | 55.0 | 55 | F | Rx technician administered the vaccine and reported that a tine amount of vaccine leaked out of patient's arm. Patient was concerned that she did not get the full dose | 03/31/2021 | 03/31/2021 | 0 | UNK | 2 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267333 | 04/28/2021 | TN | 55.0 | 55 | F | The day after the 2nd vaccine, there was widespread rash over trunk of body - front and back. This started about one week after the first vaccine, with a few areas on the abdomen; I did not connect this with the vaccine, until after the 2nd dose. The are | N | 02/03/2021 | 02/04/2021 | 1 | There was a biopsy done of one area on 2/23/21; it returned as being guttate psoriasis. I did not fit the usual criteria for developing this. There was an eye exam done on 4/5/21; the Ophthalmologist believed the cause of the double vision to be related t | WRK | Armour Thyroid | none | Graves Disease | 2 | 04/28/2021 | Y | Macrodantin. Latex sensitivity | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267421 | 04/28/2021 | TN | 55.0 | 55 | M | RECEIVED 2ND DOSE PFIZER AT 4:17 PM. @ 4:37 PM REPORTED FEELING "LIGHT HEADED AND SLIGHTLY NAUSEATED, B/P 120/92 HR 68 RESPIRATIONS18 AT 4:37 PM. NURSE STAYED WITH PATIENT ASSESSING FOR SYMPTOMS. NO WORSENING OF SYMPTOMS REPORTED. WAS FEELING BETTER AND | Y | 04/22/2021 | 04/22/2021 | 0 | PUB | 2 | 04/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267718 | 04/28/2021 | TN | 55.0 | 55 | F | COVID Arm Itchy, swollen, and red at injection on 4/24. Now red rash half moon under injection spot | N | 04/15/2021 | 04/24/2021 | 9 | PVT | Rosuvastatin | 2 | 04/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268346 | 04/28/2021 | TN | 55.0 | 55 | M | Error: Incorrect Reconstitution | U | 04/25/2021 | 04/25/2021 | 0 | PHM | 2 | 04/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1280212 | 05/02/2021 | TN | 55.0 | 55 | M | Numbness in left fingers | N | 04/30/2021 | 05/02/2021 | 2 | PHM | none | none | none | 2 | 05/02/2021 | zonc | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289645 | 05/05/2021 | TN | 55.0 | 55 | F | Pfizer-BioNTexh COVID-19 Vaccine EUA On the evening of my 2nd vaccine my lips and face began to itch. Within an hour my whole body was itching. I don?t see hives or a rash. It continued all night and is still itching just as bad today. | N | 05/04/2021 | 05/04/2021 | 0 | PUB | Type 2 diabetes, sarcoidosis, hemochromatosis, monoclonal Gammopathy of undetermined significance, restless leg syndrome, fibromyalgia, coronary artery disease, hypertension | 2 | 05/05/2021 | IVP contrast, shellfish, azithromycin, metformin, doxycycline, Demerol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289677 | 05/05/2021 | TN | 55.0 | 55 | F | My left arm is locked in a paralyzed stage where I haven't been able to lift it no more than a few inches since the second week that I got the Pfizer shot three weeks ago. The left side of my shoulder and neck was stiff like I had a muscle spasm for about | N | 04/15/2021 | 04/23/2021 | 8 | none | PVT | xarelto, metformin, gabapentin, amitriptyline HCL, vitamin B-12, iron supplement, magnesium, vitamin D3, turmeric, omega-3, cod liver oil | breast cancer, diabetic, anemic, thyroid, peripheral neuropathy, history of blood clog in legs | breast cancer, diabetic, anemic, thyroid, peripheral neuropathy, history of blood clog in legs | 2 | 05/05/2021 | Y | watermelon, pineapples | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1296182 | 05/07/2021 | TN | 55.0 | 55 | F | Patient started having unilateral shoulder pain 2 weeks following dose 1 of Pfizer injection, then progressed to bilateral hip pain. Received 2nd dose and the following day had severe pain in arm, extensive lymphadenopathy. Pain in shoulders and hips incre | N | 02/02/2021 | 02/15/2021 | 13 | Autoimmune blood panel ordered, imaging of shoulders. Ongoing treatment at this time to determine diagnosis and treatment | PUB | Vitamin D, Magnesium, Ambien - PRN only | None. Recieved dose 2 of Shingrix 12/29/2020 | None. Healthy 55 year old, very active, exercises regularly, no prior history of autoimmune disorder | 2 | 05/07/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1300221 | 05/08/2021 | TN | 55.0 | 55 | F | Below is a description of the events from the incident at the event where we know that 1 individual was given an inappropriate vaccine. The client, requested a vaccine and was assisted by the staff with filling out the consent form. The client denied eve | U | 04/28/2021 | 04/28/2021 | 0 | unknown | OTH | unknown | unknown | unknown | 2 | 05/08/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1303517 | 05/10/2021 | TN | 55.0 | 55 | F | Patient has 1 1/2 in L x 2 in W red circle with a 1/2 in W x 1/2 in L blister in the center. Oddly this red whelp (not raised) with blister is about an inch above the actual injection site itself (almost to the point of the shoulder). The patient noticed | N | 05/03/2021 | 05/10/2021 | 7 | None | PHM | Propranolol 20mg, clonidine 0.1mg, Benazepril/HCTZ 20-25mg, Diclofenac 75mg, Famotidine 40mg, Hydrocodone/APAP 10-325mg, Alprazolam 0.25mg, Docusate sodium 100mg, Bisacodyl 5mg, Multivitamin, Zinc, Vitamin D, Probiotic | None | High blood pressure, degenerative disc disease, arthritis, chronic sinusitis/rhinosinusitis | 2 | 05/10/2021 | Y | dust, pollen, mold | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1310298 | 05/12/2021 | TN | 55.0 | 55 | F | Day after vaccine..feet and hands have* tingling sensations* Every day since then.. Went to local Fast Pace clinic because of this and had blood work done...and have another appt with family doctor on May 17th. Symptom or side effect.continues 24/7 | N | 04/09/2021 | 04/10/2021 | 1 | Blood work... 4-27-21 =Low iron..and b-12 | OTH | Mirapex Metropolol Tanzanidine | No | Hi Blood.pressure RLS Mood.disorder | 2 | 05/12/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1317306 | 05/14/2021 | TN | 55.0 | 55 | M | Mild, overall, but definitely result of the vaccination. Just providing as an FYI. Soreness at the site of injection on my left arm starting several hours after and lasting through the next day. Took a Tylenol. Extreme lethargy/tiredness about five hours | Y | 03/24/2021 | 03/24/2021 | 0 | N/A. | PHM | none | none | none | 2 | 05/14/2021 | dairy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1317360 | 05/14/2021 | TN | 55.0 | 55 | M | Mild overall, but more pronounced than the first vaccination in the series, and definitely the result of the vaccination. Reporting just as an FYI. Soreness at the site of injection on my right arm starting several hours after, (Friday), and lasting throu | Y | 04/16/2021 | 04/16/2021 | 0 | none. | PHM | none | dairy | none | Arm soreness & tiredness, 3/24/2021, Covid, Pfizer. | 2 | 05/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1324160 | 05/17/2021 | TN | 55.0 | 55 | M | Shortly after patient received his 2nd dose of Pfizer, the patient's wife reported that he passed out in the car at the waiting area. The wife started blowing the horn and yelling for help around 12:20PM. Paramedic on duty in waiting area reported to find | U | 05/17/2021 | 05/17/2021 | 0 | None. | PUB | None reported | None reported | None reported | 2 | 05/17/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1330637 | 05/19/2021 | TN | 55.0 | 55 | M | Having nerve/muscle pain in right upper arm. Pain with certain movements of arm and difficulty using arm due to pain with use. Awaiting appointment with VA to have issue evaluated. | N | 02/03/2021 | 02/05/2021 | 2 | Awaiting appointment with VA to have issue evalutaed | OTH | Metformin, Pravastatin, Fish Oil, One a Day Vit, Vit D supplement | None | Type 2 Diabetes, High Cholesterol | 2 | 05/19/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1331074 | 05/19/2021 | TN | 55.0 | 55 | M | 3:05 Presented for Moderna Covid Vaccine-1st Dose 3:15 Moderna Lot# 020B21A given in the R deltoid given 3:36 Began to have ? scratchy throat and racing heart 3:36 O2 sat 97% and HR 84-will continue to monitor for an additional 15 minutes. No history of an | U | 05/19/2021 | 05/19/2021 | 0 | Unknown after transport to ER | PVT | Lisinopril | Unknown | Prostrate CA | 2 | 05/19/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1337957 | 05/21/2021 | TN | 55.0 | 55 | F | Patient came to conference room shortly after receiving her first dose of the Pfizer vaccine with complaints of tingling in her face and said she felt like she was going to pass out. She denied chest pain, shortness of breath or difficulty swallowing. She | Y | 05/21/2021 | 05/21/2021 | 0 | 2 sets of vital signs were taken. 1 at 0908: heart rate 90 BPM, RR 17, BP 200/120 manual, PO2 94%. 2nd set at 0915: heart rate 97 BPM, RR 17, BP 200/110 manual, PO2 98% | PUB | unknown | unknown, denied diabetes and hypertension | unknown | 2 | 05/21/2021 | Y | no known food or drug allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1347472 | 05/25/2021 | TN | 55.0 | 55 | F | Immediately after the vaccination, Patient stated her heart was racing and she felt like she was SOB. Vital signs obtained. No abnormal findings in the objective assessment by staff. After obtaining vital signs, patient stated she felt better. Pt was adv | U | 05/07/2021 | 05/07/2021 | 0 | 05/07/2021 VITAL SIGNS: B/P-112/72 R-20 HR-72 | PUB | 2 | 05/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1357740 | 05/28/2021 | TN | 55.0 | 55 | M | Error: Wrong Dose of Vaccine - Too Low | U | 05/27/2021 | 05/27/2021 | 0 | PHM | 2 | 05/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361588 | 05/30/2021 | TN | 55.0 | 55 | F | I am breaking out in hives on both arms and on legs | N | 05/27/2021 | 05/29/2021 | 2 | UNK | Prozac, Lisinopril, Seroquel, Atorvastatin | None | High blood pressure, meniere's disease, depression, high cholesterol | 2 | 05/30/2021 | Sulfur based medications | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1368449 | 06/02/2021 | TN | 55.0 | 55 | F | Patient said that their arm felt like they had a pulled muscle starting 5/10/2021. She said it has become worse as time goes on. She said that she can barely pick up a spoon without it hurting. She is going to the doctor to have it evaluated soon she said | N | 05/07/2021 | 05/10/2021 | 3 | PHM | 2 | 06/02/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1388141 | 06/10/2021 | TN | 55.0 | 55 | F | After the second dose, I started feeling like I had the flu for 24 hours, I missed a day of work. Then I noticed my heart racing continuously. Starting in the beginning of May 2021, I started having chest pain. I went to my primary care Dr. office on May | U | 12/01/2020 | 05/01/2021 | 151 | ecocradiogram, labs ,ct scan | WRK | Alegra, Nasal Cort Sinus spray | none | none | 2 | 06/10/2021 | Pennicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1390206 | 06/10/2021 | TN | 55.0 | 55 | F | Very large hand size bruise, very dark about 2 inches below injection site. Lasted a complete 3 weeks. | Y | 05/11/2021 | 05/12/2021 | 1 | N/A | PHM | None | None | None | 2 | 06/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1403258 | 06/16/2021 | TN | 55.0 | 55 | M | Right ear ringing, and pain. | N | 05/17/2021 | 05/28/2021 | 11 | PHM | 2 | 06/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1411082 | 06/18/2021 | TN | 55.0 | 55 | F | Patient had severe urticaria, skin rash/irritation over a large area of her body (back, chest, sides) . She went to the doctor and they prescribed a oral steroid. | U | 06/15/2021 | 06/17/2021 | 2 | PHM | Duloxetine, Pregabalin, Pantoprazole | N/A | N/A | 2 | 06/18/2021 | Y | Pencillin, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1418360 | 06/22/2021 | TN | 55.0 | 55 | F | Chills - experienced different times for approximately 1 month Severe Fatigue - lasted approximately 1 month Headache - lasted approximately 1 month Muscle pain - lasted approximately 1 - 2 months Swollen lymph nodes - ongoing with slight pain with tende | N | 04/10/2021 | 04/14/2021 | 4 | MRI completed on 04/13/2021 determined I had adhesive capsulitis. Prescribed Physical Therapy 04.21.21 through 05.28.21. Issue not resolved. | OTH | Multi-vitamin Amlodipine 5 mg | High Blood Pressure Obesity | 2 | 06/22/2021 | Y | Allergic to Vancomycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1426741 | 06/25/2021 | TN | 55.0 | 55 | F | I had really bad chills and fever I lost my taste and smell and started feeling extremely fatigued. I could not get out of bed. I went got 2 covid test, I got a rapid and a send off both came back negative. I stayed in bed for a week. | N | 03/25/2021 | 03/27/2021 | 2 | Covid test both were negative. | SCH | vsafe | 2 | 06/25/2021 | Y | Codeine drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1449980 | 07/06/2021 | TN | 55.0 | 55 | F | Patient has been experiencing arm soreness/pain described as being more in the muscle than the shoulder since the vaccination occurred. Patient has been doing exercises and has seen her MD regarding the soreness. Has not improved significantly with time. | N | 04/15/2021 | 04/16/2021 | 1 | PHM | 2 | 07/06/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1459791 | 07/09/2021 | TN | 55.0 | 55 | F | A few days after taken the vaccine are became swollen with a big knot under it and turning red | Y | 04/24/2021 | N | 04/20/2021 | 04/22/2021 | 2 | PHM | unknown | unknown | breathing problems, bone pains, COPD | 2 | 07/09/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1459876 | 07/09/2021 | TN | 55.0 | 55 | M | elevated blood pressure of 216/99; received telephone order to administer 0.1 mg clonidine and patient to hold next dose of midodrine. | N | 07/07/2021 | 07/08/2021 | 1 | PVT | Ascorbic Acid 500 mg Oral 2 times daily Aspirin 81 mg Oral Daily Atorvastatin Calcium 40 mg Oral Daily Clotrimazole-Betamethasone 1-0.05 % Topical 2 times daily, Apply to affected area on penis twice daily. Cyanocobalamin 1,000 mcg Intramus | Cellulitis and necrosis of penis Diabetes mellitus with gastroparesis Chronic liver failure without hepatic coma Diabetic peripheral neuropathy Medication management Anemia of chronic renal failure, stage 5 Mixed hyperlipidemia Hypothyroidism due to | Cellulitis and necrosis of penis Diabetes mellitus with gastroparesis Chronic liver failure without hepatic coma Diabetic peripheral neuropathy Medication management Anemia of chronic renal failure, stage 5 Mixed hyperlipidemia Hypothyroidism due to | 2 | 07/09/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1498207 | 07/23/2021 | TN | 55.0 | 55 | F | Patient presented to our Vaccine Clinic and indicated she was here for her first Covid Vaccine dose. She signed a consent form indicating this. She received her vaccine and was monitored without incident for standard 15 minutes. When we entered her vaccina | Y | 07/22/2021 | 07/22/2021 | 0 | PVT | unknown | HIV positive, schizophrenia | HIV positive, schizophrenia | 2 | 07/23/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1500606 | 07/24/2021 | TN | 55.0 | 55 | F | Swelling of the lymph nodes in neck-on the right side; Face started to swell; woke up in the middle of the night; Angioedema/lips started to swell after the injection/face started to swell; Felt pressure on the chest; This spontaneous case was reported by | N | 07/16/2021 | 07/16/2021 | 0 | UNK | CLARITIN-D; PANTOPRAZOLE; BACLOFEN; SINGULAIR; LORAZEPAM | USMODERNATX, INC.MOD20212 | 2 | 07/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1502063 | 07/26/2021 | TN | 55.0 | 55 | F | Around April 22 2021 smelled trash/garbage (like rotting vegetables), lasted almost two weeks, then off and on. First of June began smelling electrical burning smell for a week. Following week began to smell ashes like those from a cigarette (no one smok | N | 04/09/2021 | 04/22/2021 | 13 | CT- Sinus July 15 2021 - Result showed nothing and only mild deviated septum. | PVT | Crestor 20mg 1xday / Ezetimibe 10 mg 1xday | None | CAD - Single bypass in May 2016 | 2 | 07/26/2021 | Y | Contact Allergy - Carba-Mix and Nickel and Quarternium-15 Medicine Allergy - Depa-Medrol (unsure if reallyallergic-foot swelled when got a shot in toe 2013) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1505389 | 07/27/2021 | TN | 55.0 | 55 | F | nausea and headache starting after dose 1. headache persisted. after dose 2 complains of increase in severity of headache, fever and bodyaches lasting 2 weeks, vomitting and diarrhea lasting 6 days, confusion and significant fatigue, large cyst - possibly | N | 04/13/2021 | 04/13/2021 | 0 | Labs performed without significant findings- 28 cardiac monitor placed and pending results. | PHM | Multivitamins, Metformin, Clonidine, Zetia, Pristiq, Hydrochlorothiazide, Spironolactone | None | Hypertension, Migraines, GERD, Hyperglycemia, Thyroid Nodule | 2 | 07/27/2021 | Y | Lisinopril, Codeine, Hydrocodone, NSAIDS, Crestor, Lipitor, Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1512676 | 07/29/2021 | TN | 55.0 | 55 | M | Sniffles, body aches and pains, nausea, diarrhea, light headed, profuse sweating, headache and increased BP for 7+ days | N | 07/23/2021 | 07/24/2021 | 1 | None | PUB | Prozac, Carvedilol, Losartan, Warfarin, Plavix, Crestor, Humira, Tylenol | CHF, Ankylosing Spondylitis, High BP, Stroke, Heart Attack (3) | 2 | 07/29/2021 | Pennicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1519117 | 08/01/2021 | TN | 55.0 | 55 | F | tingling, pain, burning and weakness in ankles and feet, worst at inside of heels where nerve bundles run down heel of foot and burning to toes , Took naproxen over period of time...symptoms persisted for over a month and continued to present mainly in hee | N | 01/20/2021 | 03/01/2021 | 40 | PUB | magnesium,mvi,omega 3 fish oil, vit b complex, zinc, coq10, Synthroid, Prempro | none | hashimotos thryoiditis, hypothyroid | MMR 8/7/1994 | 2 | 08/01/2021 | Y | nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1529283 | 08/05/2021 | TN | 55.0 | 55 | M | Vomiting Vertigo High Fever Headache | 08/03/2021 | 08/03/2021 | 0 | PHM | Rosuvastatin Ramipril Farxiga Metformin Amlodipine Metoprol Vitamin D | None | Blood pressure, pre diabetes | Shingles | 2 | 08/05/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1535054 | 08/07/2021 | TN | 55.0 | 55 | F | FIRST THE SITE SWELLED, APPROXIMATLY 2" WELT. FOLLOWED BY NAUSEA AND DIARRHEA THE NEXT DAY AND A FEVER OF 101.0, CHILLS AND THE SWELLING INCLEASED AND MY ARM BECAME WARM AND TENDER TO THE TOUCH. THE 3RD DAY I STILL HAD THE FEVER AND CHILLS, NO MORE NAUSE | N | 08/04/2021 | 08/04/2021 | 0 | N/A | PHM | HCTZ, LISINOPRIL, HYDROXIZINE HCL, MONTELUKAST, BIRTH CONTROL, BUPROPION, MULTI VITAMIN, VIT D, BLACK COHASH, ESTROVAN. | DIABETES TYPE 2 (DIET CONTROLED), CELIACS | DIABETES TYPE 2 (DIET CONTROLED), CELIACS | 2 | 08/07/2021 | ANTIBACTERIALS, ANTIFUNGALS, QUINOLINE COMPOUNDS, NICKLE, NEOMYCIN, GLUTEN, SULFA DRUGS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1536249 | 08/09/2021 | TN | 55.0 | 55 | F | Approximately 4 days after receiving J & J vaccine, patient develops erythematous, pruritic, raise migratory rash. She is hypertensive at 174/95. Patient has been taking diphenhydramine 75mg per dose , famotidine and loratadine at home, but rash contin | U | 04/30/2021 | 05/03/2021 | 3 | no tests, no labs | UNK | none | none | 2 | 08/09/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1540396 | 08/10/2021 | TN | 55.0 | 55 | M | Anxiety, Fatigue, Forgetfulness | N | 05/14/2021 | 05/25/2021 | 11 | EKG, wore heart monitor for 4 days, eco Cardiogram, -All showed no issues with heart | PHM | Metformin, Advair, glipizide, fish oil, Multivitamin | NONE | Asthma | 2 | 08/10/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1542027 | 08/11/2021 | TN | 55.0 | 55 | M | COVID in February 2021 / hospitalize for maybe 2 months; This case was reported by a pharmacist via call center representative and described the occurrence of covid-19 in a 55-year-old male patient who received Herpes zoster (Shingrix) (batch number AG7M9, | Y | 60 | U | 10/19/2020 | 02/01/2021 | 105 | UNK | USGLAXOSMITHKLINEUS202116 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1542293 | 08/11/2021 | TN | 55.0 | 55 | F | Tested positive for COVID-19; Extreme nausea; Fatigue; Headache; Head spinning; Numbness in arms and hands; Severe diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Severe diarrhea), VERTIGO (Head spinnin | N | 12/30/2020 | 12/31/2020 | 1 | Test Date: 20210105; Test Name: COVID-19 test; Test Result: Positive ; Result Unstructured Data: Positive | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1552249 | 08/13/2021 | TN | 55.0 | 55 | F | His head is hurting so bad to the point where he can't lay down; Diarrhea; Fever; Nausea; This spontaneous case was reported by a consumer and describes the occurrence of HEAD DISCOMFORT (His head is hurting so bad to the point where he can't lay down), DI | U | 02/13/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1553458 | 08/13/2021 | TN | 55.0 | 55 | F | Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: Patient is having trouble with range of motion. redness is moving down arm to the fingers from the injection site. Mos | N | 08/07/2021 | 08/07/2021 | 0 | PHM | 2 | 08/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1569684 | 08/15/2021 | TN | 55 | F | jetlag comes 100; not been sleeping; This spontaneous case was reported by a consumer and describes the occurrence of INSOMNIA (not been sleeping) and CIRCADIAN RHYTHM SLEEP DISORDER (jetlag comes 100) in a 55-year-old female patient who received mRNA-1273 | U | 03/17/2021 | 03/16/2021 | UNK | Medical History/Concurrent Conditions: No adverse event (no medical history reported) | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1573914 | 08/16/2021 | TN | 55.0 | 55 | F | Fatigue, insomnia, decreased concentration, brain fog - still ongoing on day 11 after vaccine. | N | 08/05/2021 | 08/06/2021 | 1 | UNK | Metformin, Lisinopril, Fluticasone, Zyrtec | Vaginal candida | Hypertension, metabolic syndrome, hyperproteinemia | 2 | 08/16/2021 | Y | Sulfa, corticosteroids | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1574878 | 08/16/2021 | TN | 55.0 | 55 | M | 5 days following second dose of Pfizer covid vaccine started experiencing pressure around both eyes. Pressure was so severe that it popped a blood vessel in the left eye and had irritation and heavy pressure on the right eye. Also had a mild congestion hea | Y | 08/05/2021 | 08/10/2021 | 5 | PHM | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1577245 | 08/17/2021 | TN | 55.0 | 55 | F | Gi issues, diarrhea after eating; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of DIARRHOEA (Gi issues, diarrhea after eating) in a 55-year-old female patient who received mRNA-1273 (Moder | N | 04/27/2021 | 04/28/2021 | 1 | UNK | Medical History/Concurrent Conditions: No adverse event (No medical History Reported.) | PVIUS2021001062 | 2 | 08/16/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1582657 | 08/18/2021 | TN | 55.0 | 55 | M | A WEEK AGO STARTED FEELING TIRED, BODY ACHES, WEAKNES | N | 03/04/2021 | 08/11/2021 | 160 | COVID POSITIVE TEST | PVT | TYLENOL MAALOX VENTOLIN ASCORBIC ACID ASPIRIN TESSALON COREG VITAMIN D3 FUROSEMIDE HUMULIN LISINOPRIL METFORMIN ZOFRAN | DIABETES HTN DIVERTICULITIS CHF | 2 | 08/18/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1583822 | 08/18/2021 | TN | 55.0 | 55 | F | Patient received a dose of Moderna COVID vaccine that was past the 12 hour expiration date. | U | 08/16/2021 | 08/16/2021 | 0 | PVT | 2 | 08/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1588571 | 08/19/2021 | TN | 55.0 | 55 | F | HEART PALPATATIONS, FACIAL NUMBNESS. | N | 02/09/2021 | 04/20/2021 | 70 | PUB | MULTI VITAMIN; CALCIUM CITRATE; VITAMIN D; COLOZAPAN | CATARACT | RESTLESS LEG SYNDROME; GASTRIC BYPASS; DIABETES | MEASLES HAD RASH | vsafe | 2 | 08/19/2021 | Y | PENICYLLIN; LISINOPRIL | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1598045 | 08/21/2021 | TN | 55.0 | 55 | F | Arm is swollen, hot, red, sore; Arm is swollen, hot, red, sore; Headache; Arm is swollen, hot, red, sore; Arm is swollen, hot, red, sore; This spontaneous case was reported by an other and describes the occurrence of VACCINATION SITE SWELLING, VACCINATION | U | 03/13/2021 | 03/20/2021 | 7 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1598857 | 08/21/2021 | TN | 55.0 | 55 | M | both ankles swollen; This spontaneous case was reported by a consumer and describes the occurrence of JOINT SWELLING (both ankles swollen) in a 55-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The pat | N | 03/03/2021 | 03/05/2021 | 2 | UNK | Medical History/Concurrent Conditions: Gout | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1603993 | 08/21/2021 | TN | 55.0 | 55 | F | infection; This spontaneous case was reported by a consumer and describes the occurrence of INFECTION (infection) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031L20A) for COVID-19 vaccination. No relevan | U | 02/25/2021 | Test Date: 202010; Test Name: COVID-19 TEST; Test Result: Positive ; Result Unstructured Data: Positive | UNK | METFORMIN; LISINOPRIL; ZYRTEC ALLERGY; ASPIRIN (E.C.); FISH OIL; LANTUS; NITROGLYCERIN; ATORVASTATIN; METOPROLOL TARTRATE; ISORBIDE [ISOSORBIDE MONONITRATE]; BRILINTA; DEXILANT; JARDIANCE; CYCLOBENZAPRIN; ESTRADIOL; MAGNESIUM; TRAZODONE | Medical History/Concurrent Conditions: COVID-19; Comments: No relevant medical history was provided . | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1622361 | 08/23/2021 | TN | 55.0 | 55 | F | minimal soreness; 2nd dose given beyond 35 days of 1st; crystal clear vision that lasted for 30 minutes; This spontaneous case was reported by a consumer and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (2nd dose given beyon | Y | 04/27/2021 | 06/07/2021 | 41 | UNK | Chronic fatigue syndrome | USMODERNATX, INC.MOD20212 | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1657801 | 08/31/2021 | TN | 55.0 | 55 | F | Patient received 1ml instead of .5ml; This spontaneous case was reported by a pharmacist and describes the occurrence of ACCIDENTAL OVERDOSE (Patient received 1ml instead of .5ml) in a 55-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vac | Y | 08/17/2021 | 08/17/2021 | 0 | UNK | USMODERNATX, INC.MOD20212 | 2 | 08/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1682999 | 09/08/2021 | TN | 55.0 | 55 | F | Patient report that at midnight after the vaccine she started having Fast heartbeat & body vibrations , also she had soreness on the back of her neck and fever and sore arm... | N | 09/07/2021 | 09/08/2021 | 1 | n/a | PHM | no | no | no | 2 | 09/08/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1693716 | 09/12/2021 | TN | 55.0 | 55 | F | Sore throat, cough, congestion, fatigue/ lethargic, fluid in ears, headache, low grade fever, loss of taste and smell. Treated with Prednisone and promethazine-dextromethorphan , doxycycline. Prednisone and doxycycline did help. Almost 2 weeks later s | N | 07/29/2021 | 08/11/2021 | 13 | During this I have had 3 Covid viral 4 plex tests which were all negative ( tests were done 8-12, 8-14, 8-17). I also had a PCR test (as requested by my employer) 8-19-21 and it was also negative. Lab tests show low WBC, Chest x-ray which was norma | PHM | 2 | 09/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696048 | 09/14/2021 | TN | 55.0 | 55 | F | Supraventricular tachycardia 115-130 heart rate and complete cognitive "Brain fog" Paralysis on the left, piercing pain all over, Metalic taste in mouth, , nausea and vomiting. Tingling, numbness, no feeling in legs, random nerve failures. Hand motor nerve | N | 04/18/2021 | 04/18/2021 | 0 | 9/9/2021 blood work, 06/28 Lupis labwork, check for blood clots on 4/26 | PVT | Levothyroxine, Amlodipine, Gabapentin, Cimetidine, Hydroxychloroquine, Aspirin 81mg, Claritin | Lupus. Raynaud, osteoarthritis | vsafe | 2 | 09/14/2021 | Y | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1700766 | 09/15/2021 | TN | 55.0 | 55 | F | 1 day after vaccine pt reported uncontrollable shaking , difficulty speaking and thinking . This continued and pt came into office on 03/30/2021. | Y | 03/19/2021 | 03/20/2021 | 1 | Sent for CT of Head ( normal) and symptoms finally resolved in 2 weeks for a total of 5 weeks | SCH | simvastatin 20mg 1 po at hs Vistaril 25 every 8 hours prn for itching | HLP DM Arthritis | 2 | 09/15/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1704133 | 09/16/2021 | TN | 55.0 | 55 | M | Shingles. | U | 04/13/2021 | 04/14/2021 | 1 | No | PVT | Yes | No | Asthma | 2 | 09/16/2021 | Y | Insulin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1710202 | 09/18/2021 | TN | 55.0 | 55 | F | I started having an reaction after about 6 hours from injection and ended up in the ER. I saw the doctor the same or next morning after dose two with swelling of my left side of neck and shoulder area with headache and nausea. Some heart palpitations. I | N | 05/11/2021 | 05/12/2021 | 1 | CT Scan of chest and neck 5/2021-cannot remember actual date-1 set of xrays US and Mammogram done at on 5/20/2021 Stress test 8/5/2021- mildly abnormal Repeat CT scan of chest and neck on 8/25/2021 to see if lymph nodes and swelling have improve Repeat Str | PVT | Prescription medication, vitamins taken hours after the vaccine was given. No medication taken that morning of the second dose of Pfizer. Vit D, Vit C, protonix, lozol, bystolic daily. Miralax as needed, Linzess twice a week if constipated. | None | Hypertension, GERD, IBS, SVT | 2 | 09/18/2021 | Y | Y | Nubain, toradol, stadol, nitroglycerin SL, some PCN, an provera | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1737162 | 09/27/2021 | TN | 55.0 | 55 | M | one day after vaccine patient suffered acut retinal artery occlusion due to embolus resulting in total and permanent unilateral vision loss | Y | N | 08/16/2021 | 09/17/2021 | 32 | MRI brain no stroke consutation with retinal specialists | PVT | lisinopril, clopidegril, aspirin,pravastatin, ezetimibe, | atherosclerosis and coronary artery disease | hypertension, mixed dyslipidemia | 2 | 09/27/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1737470 | 09/27/2021 | TN | 55.0 | 55 | F | There was an opened unlabeled vial of Moderna in the VFC fridge. There had not been any mentions on the group chat of an open Moderna vial (as when we open each vial we let everyone in the chat know) . I grabbed the open vial along with an unopened vial of | 09/24/2021 | 09/24/2021 | 0 | PVT | 2 | 09/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1741705 | 09/28/2021 | TN | 55.0 | 55 | F | Case fully vaccinated with one dose of Janseen vaccine on 3/10/2021. Tested positive for COVID on 8/18/2021. Case was admitted to hospital on 8/22/2021 and expired on 9/24/2021 while still hospitalized. | Y | 09/24/2021 | N | 03/10/2021 | 08/18/2021 | 161 | PUB | 2 | 09/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1745370 | 09/29/2021 | TN | 55.0 | 55 | F | Took shot on Friday, 9/24/2021. Woke up 9/25/2021 unable to smell or taste and with headache, body ache and fatigue. Progressively got worse. Unable to go to work. Took home test for Covid on 9/28/2021 and was negative. Talked to nurse through my insurance | N | 09/24/2021 | 09/25/2021 | 1 | 9/28/2021 at home Covid test negative 9/29/2021 rapid test at dr office negative | PVT | Levothyroxine, Estradiol, Trintellex, magnesium, Iron, multi vitamin, cranberry | N/A | Pacemaker for sick sinus syndrome Hypertension | 2 | 09/29/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1768715 | 10/07/2021 | TN | 55.0 | 55 | F | On the 11th day following my first dose, I have a knot come up at the injection site. The site is swollen, you can feel the knot under the skin. It is hard. The skin is read and has heat in it. | U | 09/25/2021 | 10/06/2021 | 11 | none. I checked with the pharmacist that gave me the vaccine and they said to just report the adverse reaction. | PHM | Losartan-HCTZ 100-25mg Allopurinol 300mg Venlafaxine ER 37.5mg Gabapentin 600mg Janumet XR 100-1000 Mg Levothyroxine 75mcg Aspirin 81mg | none | Erythromelalgia Hypothyroidism High Blood Pressure - maintained with medication | 2 | 10/07/2021 | neomycin thimerisol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1776413 | 10/11/2021 | TN | 55.0 | 55 | M | PATIENT GIVEN THE VACCINE TOO EARLY. SECOND DOSE NOT DUE UNTIL 10/19/2021 | Y | 10/11/2021 | 10/11/2021 | 0 | PUB | 2 | 10/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1779392 | 10/12/2021 | TN | 55.0 | 55 | F | Symptoms started 4-6 hours post vaccination. Chills, sinus pressure, headache, fatigue, itching to soles of feet. Symptoms progressed over next several days to include fever 102.3, sore throat, dry cough, laryngitis. Symptoms still present today, 7 days p | N | 10/05/2021 | 10/05/2021 | 0 | 10/11/2021 negative for COVID, influenza, strep 10/11/2021 CBC, CMP unremarkable | PVT | Multivitamin | None | Congenital heart anomaly absent right SVC with persistent left SVC Global anhidrosis | 2 | 10/12/2021 | Y | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1794023 | 10/17/2021 | TN | 55.0 | 55 | F | Itchy skin rash | N | 09/22/2021 | 10/04/2021 | 12 | PHM | Methimazole, Pantoprazole, Propranolol | Graves Disease, Hashimotos, Vitiligo | 2 | 10/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1801286 | 10/20/2021 | TN | 55.0 | 55 | F | Horrible headache, chills, fever, nausea, diarrhea for 3-4 days about 6 hours after I got my first vaccine | Y | 03/12/2021 | 03/12/2021 | 0 | PVT | Rizatriptan, Propanol, Advil, Benadryl, vitamins A E B+, Centrum Silver and Flaxseed oil | Chronic pain syndrome from failed neck and back surgeries | 036A21A | 2 | 10/20/2021 | Levaquin, latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1818063 | 10/26/2021 | TN | 55.0 | 55 | M | Body (arms, shoulders, sides, back) aches and headache, as well as occasional odd discomfort in left side of chest, that started during the late evening of 10/14/21 and continued until the early morning of 10/16/21. Occasional mild cough that began after | N | 10/14/2021 | 10/14/2021 | 0 | PHM | none | none up to 1 month prior, but had COVID infection 2 months pri | none | 2 | 10/26/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1822138 | 10/27/2021 | TN | 55.0 | 55 | F | My right leg developed a itch and the itch turned in little blisters and raised places on my leg. | N | 09/24/2021 | 10/01/2021 | 7 | Biopsy was performed and I waiting on the results. I am waiting to rule out a Bullous Pemphigoid auto-immune skin disease. | PVT | Levothyroxine; Trintellix; Estradiol; Vitamin D3 | No | Thyroid, A Pace maker and anxiety. | vsafe | 2 | 10/27/2021 | Y | Lisinopril | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1828769 | 10/29/2021 | TN | 55.0 | 55 | M | Extreme joint pain, started in hips moved to all other joints | N | 05/29/2021 | 07/12/2021 | 44 | None at this time | PHM | Robaxin Eliquis Lyrica | None | L4-L5 fusion | 2 | 10/29/2021 | NKDA or Foods | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1836778 | 11/02/2021 | TN | 55.0 | 55 | M | Patient received Jansen Covid vaccine on 3/31/21. He presented to clinic on 10/25/21 for booster vaccine. He was administered fill dose (0.5mL) of Moderna vaccine as booster instead of 0.25mL dose. | Y | 10/25/2021 | 10/25/2021 | 0 | None. Patient did not report any negative reaction to this dose, but PCP reporting because of dose error | PVT | Atorvastatin, Audagio, Dicyclomine, Escitalopram, Glipizide, Hydroxyzine, Lisinopril, Metformin, Primidone, Victoza | None | Type 2 diabetes, multiple sclerosis, depression, hyperlipidemia, acid reflux | 2 | 11/02/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1857578 | 11/10/2021 | TN | 55.0 | 55 | F | I experienced itching around my lip, broke out with hives, my lips became swollen with pain I could barely talk. | Y | 04/23/2021 | 04/23/2021 | 0 | PVT | Yes | vsafe | 2 | 11/10/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX |