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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0936006 | 01/11/2021 | HI | 57.0 | 57 | F | left sided axillary and cervical lymphadenopathy | N | 12/17/2020 | 12/17/2020 | 0 | PVT | 2 | 01/11/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992749 | 02/01/2021 | HI | 57.0 | 57 | F | Patient reported slight dizziness after receiving the vaccine but resolved after 30 min observation; employee denied experiencing any trouble breathing, difficulty swallowing, dizziness, fainting, On 1/29/2021 (7 days post vaccine), she started experienci | N | 01/22/2021 | 01/29/2021 | 7 | None | OTH | Unknown | None | Unknown | 2 | 02/01/2021 | Y | shell fish, sulfa, dairy manifested as rash requiring occasional use of diphenhdyramine. No history of anaphylaxis. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0996422 | 02/02/2021 | HI | 57.0 | 57 | M | Staff was noted to have extreme chills after receiving vaccination. Unknown duration. | Y | 01/12/2021 | 01/12/2021 | 0 | PVT | 2 | 02/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1018261 | 02/09/2021 | HI | 57.0 | 57 | F | Lymph node swelling in the left supraclavicular area with both injections. The swelling started the second day after injection and remained swollen for 2+ weeks. Confirmed with Ultrasound after 1st injection. Follow-up Ultrasound scheduled for May. | U | 12/24/2020 | 12/26/2020 | 2 | Ultrasound of left supraclavicular node on Tuesday, January 26, 2021. High-resolution ultrasound of the left supraclavicular region performed. In the subcutaneous fat, there is a 6 x 18 x 18 mm lymph node with fatty hilum and borderline thickened cortex m | PUB | None | None | None | 2 | 02/09/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1028794 | 02/14/2021 | HI | 57.0 | 57 | F | Upon arrival to post vaccination area, reported feeling dizzy and light headed. Stated didn?t eat breakfast this morning. 1023 VS: BP132/90 P71. 1030 VS: 110/70 P72 Reports to feeling better, lightheadedness dissipating. 1054 Patient reports feeling at bas | Y | 02/12/2021 | 02/12/2021 | 0 | None | OTH | Enbrel, Cymbalta, Topamax, One-a-day, Calcium, Body Mint | None | None | 2 | 02/14/2021 | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1051548 | 02/24/2021 | HI | 57.0 | 57 | F | Patient had swelling of the upper lip. No other symptoms - no difficulty breathing, patient talking fine. Vital signs were stable. Patient shared she was burping. Patient decline Epi-Pen. Patient then stated that she "felt something in her throat." Epi-Pen | U | 02/23/2021 | 02/23/2021 | 0 | OTH | 2 | 02/23/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1103538 | 03/15/2021 | HI | 57.0 | 57 | F | Swelling, pain, and rash on upper arm followed by approx 36 hours of intense flu-type symptoms: headache, body ache, high fever, and finally swelling of lymph node in left arm (which is the only ongoing symptom five days later). | N | 03/10/2021 | 03/10/2021 | 0 | None | PUB | None | None | None | 2 | 03/15/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1116428 | 03/19/2021 | HI | 57.0 | 57 | F | NO ADVERSE REACTIONS. | 03/17/2021 | PUB | Prescription Medication: (all tablets) JANUMET XR (100 mg) IRBESARTAN & HYDROCHLOROTHIAZIDE (300 mg) INVOKANA (300 mg) Dietary/Vitamin supplements: (All Melaleuca products) NUTRAVIEW (vision support) ACTIVATE | TENDINITUS (Left arm), currently being treated by physical therapist. | NONE | 2 | 03/19/2021 | ASPARTAME | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1165596 | 04/04/2021 | HI | 57.0 | 57 | M | Sudden Sensorineural Hearing Loss in the left ear, including tinnitus and diplacusis. Treated 24 hours after onset with 500mg IV methylprednisolone from Dr. Repeated 45 hours after onset with 500mg IV methylprednisolone. Prescription of 500mg Trental q.d | Y | 05/22/2014 | 05/23/2014 | 1 | Medical examination, hearing test on May 26, 2014 | PVT | QD: aspirin 100mg, Vitamin C, 20mg Mevacor, Methyl Salicylate ointment | Strained shoulder blade earlier on the day of adverse event. | For 2 years: problems with sleep maintenance | 2 | 04/04/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1174389 | 04/07/2021 | HI | 57.0 | 57 | F | Initially my left gland in my neck was swollen for about three days. About 10 to 14 days later I discovered 2 pea-sized lumps in my neck, left side. I have a doctors appointment two get ultrasound on Thursday, April 8. | U | 03/16/2021 | 03/30/2021 | 14 | Pending. | OTH | None | None | None | 2 | 04/07/2021 | Y | Past allergy to mango | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209121 | 04/14/2021 | HI | 57.0 | 57 | M | 3/29/2021 Pfizer COVID vaccine #1. Reports feeling poorly since that day. 4/3/2021 ED visit for complaint of SOB, fever, body aches. Admitted for sepsis. 4/4 intubated. 4/12 extubated. 4/14 remains hospitalized. Workup negative for infectious cause. Onc | Y | N | 03/29/2021 | 03/29/2021 | 0 | CXR clear. All cultures negative. Abnormal labs. High WBC count. Low platelet count. Electrolyte imbalances. High BUN/creat. High AST/ALT. | OTH | Aspirin, Atorvastatin, Carvedilol, Ticagrelor | NA | Hx Rectal CA in 2016, recovered. | 2 | 04/14/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1269233 | 04/28/2021 | HI | 57.0 | 57 | F | Two days after vaccination the patient woke up with extreme tinnitus. It is so severe and constant the is disruptive of her daily activities and sleep. She is still experiencing tinnitus with no improvement after two different physician examinations. | N | 04/08/2021 | 04/10/2021 | 2 | Hearing tests have been completed. | PHM | None that were noted by patient or profile. | None noted by patient or profile. | None noted by patient or profile. | 2 | 04/28/2021 | Y | None noted by patient or profile. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1333254 | 05/20/2021 | HI | 57.0 | 57 | F | Have had a little, very light, tinnitus before, but it became noticeably louder after 2nd Moderna Vaccine. I am 6 days post 2nd vaccination and it is still very loud. Still thankful for the Covid vaccine and would do it again, but would have a little conce | 05/14/2021 | 05/16/2021 | 2 | PVT | Nexium, Vitamin D, Vitamin C | Acid Reflux (or LPR), mild Sensory Motor Neuropathy, WPW (extra electrical pathway on heart), Erythromelalgia, Rosacea. | 2 | 05/20/2021 | Penicillin, Amoxicillin, Macrobid | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1352785 | 05/27/2021 | HI | 57.0 | 57 | F | Vacine administered on 8 April 2021. Adverse event began at 8 PM ops 10 April 2021. Loud ringing sound woke me up in the evening. Subsequently diagnosed as tinnitus. No prior history of condition. Ringing has been constant, with some days worse than others | N | 04/08/2021 | 04/10/2021 | 2 | 21 April 2021 - audiology test at clinic. High pitch hearing loss. | PHM | Nothing | Bladder infection that was undiagnosed at time of vaccination, impacted left ear wax undiagnosed at time of vaccination. | None | 2 | 05/27/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1396684 | 06/14/2021 | HI | 57.0 | 57 | M | on Sunday 6-13-2021 10:45am Had a stroke and blood cot in head. Was take to emergency and is still currently there. | Y | Y | 2 | N | 05/01/2021 | 05/29/2021 | 28 | Cat scan and MRI was taken under doctors order blood thinner was submitted. | MIL | None | None | None | 2 | 06/14/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1404260 | 06/16/2021 | HI | 57.0 | 57 | F | Low grade fever,abdominal pain and nausea,vomiting,body aches | Y | 06/13/2021 | 06/14/2021 | 1 | PHM | Vitamin C,B12,Biotin, | None | Bronchitis,asthma,pylori bacterial ulcer | 2 | 06/16/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1537799 | 08/10/2021 | HI | 57.0 | 57 | F | chest pains heart palpitations | N | 07/31/2021 | 08/04/2021 | 4 | PHM | milk thistle, omega,calcium, vit D with vit K, Vit C | none | none | 2 | 08/10/2021 | Erythromycin, gluten and dairy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1750116 | 09/30/2021 | HI | 57.0 | 57 | F | March 29 to present (still occuring): back of neck tightness, stiff and soreness; contributing to ulnar nerve issues on right hand July 5-Aug 10: Left breast mass - intraductal papilloma & left breast - Fibrocystic change w/ductal epithelial hyperplasia us | N | 03/27/2021 | 08/01/2021 | 127 | March-May 2021: Physical Therapy (started Sept 2020 for ulnar nerve but immediately after the 2nd vaccination, PT focus on neck/shoulder June 2021: nerve test, shows pinched ulnar nerve at the elbow and moderate carpal tunnel on right arm/hand July 5-Aug | PHM | Livalo, Amlodipine, Nexletol, Rybelsus, Nasonex, Olopatidine | Nose bleed (2/1/21) and ulnar nerve issues | Cholesterol, Hypertension, obesity | 2 | 09/30/2021 | Y | Allergies to dust, mold, mites | 2021VAERSSYMPTOMS | 2021VAERSVAX |