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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0921513 | 01/05/2021 | WI | 58.0 | 58 | F | The evening after receiving the vaccine, at 2130 started with chills which advanced to sweats and chills through the night. Awoke Sunday morning with joint and body aches, headache and fatigue. Later that afternoon started with a fever- 100.3 and was not | Y | 01/02/2021 | 01/02/2021 | 0 | WRK | 2 | 01/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0924550 | 01/06/2021 | WI | 58.0 | 58 | M | Patient reported a fever and tingling to his face in the morning on 12/17/20. EHS followed up with him at 11:30 am on 12/17. He reported that the fever had resolved, and he was no longer having tingling to his face. He denied paralysis to his face, shortne | Y | 12/16/2020 | 12/17/2020 | 1 | PVT | 2 | 01/06/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0931185 | 01/09/2021 | WI | 55.0 | 58 | F | At about 1030 patient started feeling light headed & dizzy. Had patient tip down & elevated feet. Staff checked heart rate (within normal), O2 with pulse ox (within normal) and blood pressure (elevated - 160/112). Patient at first stated started to feel be | U | 01/05/2021 | 01/05/2021 | 0 | unknown | SEN | unknown | unknown | asthma, thyroid disease | 2 | 01/05/2021 | Y | onion | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0938344 | 01/12/2021 | WI | 58.0 | 58 | F | 01/11/2021 11AM Palpitations, increased pulse, feeling very hot, feeling like in a fog, and headache T=99.7, Staff monitored me for 45min.. 1230PM. I called out sick and had to use a vacation day because still had headache, fogginess, and temp of 98.8. | U | 01/11/2021 | 01/11/2021 | 0 | SEN | none | none | pre-diabetic, treated with metformin, no insulin | 2 | 01/12/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0941070 | 01/13/2021 | WI | 58.0 | 58 | F | I was having diarrhea and stomach cramps which last the whole day and night. | Y | 01/11/2021 | 01/11/2021 | 0 | none | PVT | none | none | hypertension essential , paroxysmal supra ventricular tachycardia, RBBB(right bundle branch block), Monoclonal gammopathy, Pulmonary hypertension, Hyperlipidema, and History of pulmonary embolism. | 2 | 01/13/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0948113 | 01/15/2021 | WI | 58.0 | 58 | F | reported symptoms of one wave of nausea (which quickly resolved) and a warm pulsing sensation to her left posterior hand from wrist distally to index finger. | 01/15/2021 | 01/15/2021 | 0 | PVT | 2 | 01/15/2021 | Duricef Dynacin Demerol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0951234 | 01/17/2021 | WI | 58.0 | 58 | F | Immediately after injection, felt itching. I had taken 400 mg ibuprofen prior to my injection. 12hrs later, stiffness in right upper trapezius and shoulder, took 440 mg naproxen and felt great! 24 hours after 2nd dose, redness. Itching and swelling at inj | N | 01/14/2021 | 01/15/2021 | 1 | None | PVT | Levothyroxin, Vitamin D, Glucosamine Chondroitin, curcumin, multi vitamin | None | Hashimotos hypothyroidism | Shingles vaccine 1st dose not until 24hrs later, very painful arm lasting 5 days. 9/8/2020 | 2 | 01/17/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0956479 | 01/19/2021 | WI | 58.0 | 58 | F | SWOLLEN LYMPH NODES, MINOR RASH, SHOULDER DISCOMFORT, ALL SYMPTOMS ARE CURRENTLY RESOLVING | N | 01/05/2021 | 01/12/2021 | 7 | NONE | SEN | CLARITAN, ALBUTEROL INHALER, ADVAIR, NASAL SPRAY, EPI PEN | NONE | ASTHMA, ALLERGIES | EVERY FLU VACCINE, UNKNOWN DATES OR BRAND | 2 | 01/19/2021 | Y | MORPHINE, CODEINE, DOXYCYCLINE, AUGMENTIN, SEASONAL ALLERGIES | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0956502 | 01/19/2021 | WI | 58.0 | 58 | F | SWOLLEN LYMPH NODES, SHOULDER/ARM DISCOMFORT, MINOR RED RASH, ALL SYMPTOMS ARE CURRENTLY IMPROVING | N | 01/05/2021 | 01/12/2021 | 7 | NONE | SEN | CLARITIN, ALBUTEROL INHALER, ADVAIR, NASAL SPRAY, EPI PEN | NONE | ASTHMA, SEASONAL ALLERGIES | STATES SHE REACTS TO ALL VACCINES THIS WAY | 2 | 01/19/2021 | Y | MORPHINE, CODEINE, DOXYCYCLINE, AUGMENTIN, SEASONAL ALLERGIES | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0957732 | 01/20/2021 | WI | 58.0 | 58 | F | swollen axillary lymph nodes, minor red rash around injection site, small 3 cm by 3 cm lump at injection site, body aches, all symptoms are currently improving | N | 01/05/2021 | 01/12/2021 | 7 | none | SEN | Claritin, Albuterol, Advair, Nasal Spray, Epi Pen | none | asthma, seasonal allergies | has symptoms after all vaccines | 2 | 01/20/2021 | Y | Morphine, Codeine, seasonal allergies, Doxycycline, Augmentin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0959094 | 01/20/2021 | WI | 58.0 | 58 | F | Left arm is itching, swollen, and burning | N | 01/12/2021 | 01/20/2021 | 8 | PUB | 2 | 01/20/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0959373 | 01/20/2021 | WI | 58.0 | 58 | F | I started out with an itchy chin. The itch then went to my forehead, scalp, cheeks and left ear pinna. The tip of my tongue also became numb. Symptoms lasted for 45 minutes. | Y | 01/20/2021 | 01/20/2021 | 0 | Noe done. | PVT | Levothyroxine, Paroxetine, Lisinopril, Metformin, Glipizide, Women's Multiple Vitamin | None | Type 2 Diabetic, HBP and Hashimoto's Thyroid | 2 | 01/20/2021 | Y | Family Hx of Malignant Hyperthermia | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961199 | 01/21/2021 | WI | 58.0 | 58 | F | Headache | Y | 01/20/2021 | 01/21/2021 | 1 | None | WRK | Atorvastatin, losartan, chlorthalidone | None | Asthma, pacemaker | 2 | 01/21/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0962859 | 01/21/2021 | WI | 58.0 | 58 | F | 10 days post vaccine red, warm, itchy area approx. 7.5 cm x 7.5 cm at the injection site. No s/s of cellulitis. | N | 01/06/2021 | 01/16/2021 | 10 | SEN | Coreg, HCTZ, Levothyroxine, metformin, Glucophage, potassium, furosemide, ASA 81, vitamin d, vitamin E, CoQ10, paxil | none | diabetes, HTN, previous CABG | 2 | 01/21/2021 | morphine, oxycontin, cats, dogs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0965713 | 01/22/2021 | WI | 59.0 | 58 | F | Has large warm/hot to touch redden area around the covid vaccine site. | 01/12/2021 | 01/16/2021 | 4 | PVT | 2 | 01/22/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0970353 | 01/25/2021 | WI | 58.0 | 58 | F | Headache, cough ,wheezing, stomach pain | Y | 01/07/2021 | 01/07/2021 | 0 | Covid swab negative | PVT | Synthroid Advair | Hypothyroidism, Asthma, Hodgkin Lymphoma, AICD | 2 | 01/25/2021 | Pcn IV contrast Zithromax | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0970880 | 01/25/2021 | WI | 58.0 | 58 | F | And pain in my arm and went into into my elbow down into the palm of my hand on the right side . The side I had my shot. It was painful when the shot was administered. Arm is very sore. | N | 12/23/2020 | 12/23/2020 | 0 | OTH | None | Migraines | None | 2 | 01/25/2021 | Morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0972657 | 01/25/2021 | WI | 58.0 | 58 | F | Red swollen area under the site, Tired | U | 01/23/2021 | 01/24/2021 | 1 | None | PHM | Vitamin D, vitamin C, Zinc, Multivitamin, Glucosamine. | Sinus infection | None | 2 | 01/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0975457 | 01/26/2021 | WI | 58.0 | 58 | F | Incorrect placement: bandage posterior on L arm at level of axillary fold | U | 12/19/2020 | 12/19/2020 | 0 | MIL | 2 | 01/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0981274 | 01/28/2021 | WI | 58.0 | 58 | F | Within 2 hours of receiving second dose of vaccine, severe injection site pain with inability to move arm without pain. Approx 12 hours later, nausea, extreme tiredness and diarrhea. Approx 20 hours later, severe headache, continued injection site pain, | 01/27/2021 | 01/28/2021 | 1 | PVT | none | none | none | 2 | 01/28/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0989330 | 01/31/2021 | WI | 58.0 | 58 | F | Chills, low fever, body /muscle aches lasting for over 2 days | N | 01/28/2021 | 01/29/2021 | 1 | PHM | Armour Thyroid 60mg Low Dose Naltrexone 4.5mg Flexirol 10mg | none | Ehlers Danlos Syndrome | 2 | 01/31/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0997998 | 02/03/2021 | WI | 58.0 | 58 | F | day one 3 hours after vaccine dizziness, headache, fatigue. day 2 migraine, vomiting, photophobia, nausea w/vomiting, fatigue and muscle aches. two episodes of facial, arm and leg numbness, top of head hurt to touch, ear and teeth sensitivity onl | N | 01/11/2021 | 01/11/2021 | 0 | OCT, retinal photos | OTH | Vitamin c, Vitamin D3, Total restore for gut health | none | tachycardia, asthma | 2 | 02/03/2021 | Y | seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1002572 | 02/04/2021 | WI | 58.0 | 58 | F | moderna covid-19 vaccine EUA--brain fog/weakness/joint pain/very tired/headache for about 8-12 hours when woke up the day after second vaccine, (first dose 1/6/2021 and second 2/3/2021) | Y | 02/03/2021 | 02/04/2021 | 1 | none | SEN | red rice yeast, fish oil, multivitamin, simvastatin, ibuprofen, unisom | no | asthma, sciatica, ovarian cyst | not sure | 2 | 02/04/2021 | mold/dust/cats (sinus allergies) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1005697 | 02/05/2021 | WI | 58.0 | 58 | F | Headache | U | 01/26/2021 | 01/27/2021 | 1 | PVT | 2 | 02/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1013287 | 02/08/2021 | WI | 58.0 | 58 | F | PATIENT AWOKE SATURDAY MORNING WITH A SORE ARM AND MILD PINK AREA SURROUNDING INJECTION SITE. OVER THE WEEKEND, THE SORENESS AND REDNESS HAVE INTENSIFIED TO PAIN LEVEL OF ABOUT 3 OUT OF 10 AND PT'S DENTIST ADVISED HER TO LET US KNOW ABOUT THE REACTION. PT' | N | 02/05/2021 | 02/06/2021 | 1 | PHM | NO | DIABETES, HYPOTHYROID, HIGH BLOOD PRESSURE, HIGH CHOLESTEROL | SMALL AREA OF REDNESS AND SORENESS FROM FLU SHOT SEPT 2020. ONLY TIME PT RECALLS THIS TYPE OF RXN TO FLU VACCINE | 2 | 02/08/2021 | MAYBE SULFA, BUT HAVE RECENTLY TAKEN SULFA DRUG W/O ISSUE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1017843 | 02/09/2021 | WI | 58.0 | 58 | M | Pt arrives to ED via EMS with c/o blood in the urine, pain, and weakness since this morning. Pt states the staff noticed the blood this morning in his urine; pt denies any pain while urinating. Pt is incontinent per his normal. Pt states he received is fir | Y | 3 | U | 01/26/2021 | 01/30/2021 | 4 | UNK | acetaminophen (TYLENOL) 325 MG tablet Take 650 mg by mouth every 6 hours as needed. ReasonsFever, Pain NOTE: Maximum recommended dose of acetaminophen from all sources is 4 g per day. aspirin (ECOTRIN) 81 MG enteric coated tablet Take 81 m | No | MS, TBI, TIA, Seizure, PE, DVT, BPH, HLD, depression, chronic pain, arthritis | 2 | 02/09/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1024131 | 02/11/2021 | WI | 58.0 | 58 | F | Very severe headache very severe body aches and appendecitis I am not sure if the appendicitis is related to the shot but I thought I should report that | Y | 1 | Y | 01/26/2021 | 01/26/2021 | 0 | Appendectomy | WRK | Lexapro, Protonix, vitamin D, prevastatin, claritin, | No | High cholesterol gastric reflux seaonal allergies | 2 | 02/11/2021 | Y | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1025615 | 02/12/2021 | WI | 58.0 | 58 | F | HEADACHES BODY ACHES FEVER | 02/09/2021 | 02/10/2021 | 1 | PVT | 2 | 02/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1027979 | 02/13/2021 | WI | 58.0 | 58 | F | Headache, body ache, low grade fever, fatigue - all for about 12 hours. Concerning - rapid pulse 96 and over for 19 hours. Lump under right arm forming. | Y | 02/11/2021 | 02/12/2021 | 1 | UNK | Levbid, Rovustatin, Fish Oil, D3 | High cholesterol | 2 | 02/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033091 | 02/16/2021 | WI | 58.0 | 58 | F | approximately 2.5 wks after vaccination, development of severe increasing back pain and chest pain and shortness of breath Dx acute moderately severe pericarditis with pericardial effusion, pneumonitis with bilateral small pleural effusions, hepatitis with | Y | N | 01/04/2021 | 01/22/2021 | 18 | Ct with PE protocol, EKG, labs, echo documented moderate to severe pericardial effusion no tamponade, documented pleural effusions with pneumonitis documented d dimer in the thousands and elevated CRP above 100, abnormal liver function tests and cbc. | PVT | Zinc, vit D3, vit C | None, was exposed to Covid 19 just prior to getting the vaccination | None | 2 | 02/16/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1038403 | 02/18/2021 | WI | 58.0 | 58 | F | admitted to hospital for a stroke | Y | U | 02/13/2021 | 02/15/2021 | 2 | PVT | 2 | 02/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039176 | 02/18/2021 | WI | 58.0 | 58 | F | nausea and lightheaded | Y | 02/18/2021 | 02/18/2021 | 0 | none | PVT | albuteral prn : Breo Fluticasone nasal spray,progesterone cream:/spironolactone:Vitamin D3 fish oil. | N/a | asthma-mild intermittent, allergic rhinitis, adrenal hyperplasia, hirsutism,hypothyroid,hypercholesterolemia, Gilberts syndrome | 2 | 02/18/2021 | ciloxin, crinone,lactose intol,mold ,dust, msg and sulfites | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041050 | 02/19/2021 | WI | 58.0 | 58 | F | FEVER, HEADACHE, DIZZINESS, JOINT PAIN, FATIGUE | U | 02/10/2021 | 02/11/2021 | 1 | PVT | 2 | 02/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041450 | 02/19/2021 | WI | 58.0 | 58 | F | Patient developed extreme fatigue 2 days following the COVID vaccine which caused a clinical relapse of MS. No new radiographic lesions, but patient was/is much weaker than baseline. | N | 12/21/2020 | 12/23/2020 | 2 | MRIs-12/29/2020 | PVT | gabapentin, baclofen, levothyroxine, multivitamin | None | Multiple sclerosis | 2 | 02/19/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1052565 | 02/24/2021 | WI | 58.0 | 58 | F | Pt developed symptoms 15 minutes after 1st dose of Moderna. Tiching, tongue tingling (denies swelling, troubles breathing or swallowing) Pt was brought back to treatment area, 1325 given diphenhydramine 50mg for itching, vitals taken- BP elevated (171/89 | U | 02/24/2021 | 02/24/2021 | 0 | PVT | Influenza | 2 | 02/24/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1052841 | 02/24/2021 | WI | 58.0 | 58 | F | Client reported that after receiving her vaccination in the morning, she noticed at 4pm that her right ear was red and hot. This was followed by her right cheek becoming itchy. At 5pm when she got home from work, she noticed that the right side of the back | Y | 02/19/2021 | 02/19/2021 | 0 | Did not seek medical treatment (just called urgent care who directed her to the ED, but she decided not to go). | PUB | Sudafed (OTC per MD), claritin, buspar | None Client reported she had onset of joint pain and swelling in June 2020, which went away on its own. This recurred in fall 2020 and in January 2021. In both instances the symptoms went away on their own. Client has sought medical attention for symptoms | Asthma, epilepsy, joint pain, migraines | Dose 2 of the Zoster (shingles) vaccine on 10/26/2020. She said she was in bed with body aches for several days following that v | 2 | 02/24/2021 | chlorahexadine (topical scrub for cleaning prior to surgery), seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1055244 | 02/25/2021 | WI | 58.0 | 58 | F | 1435- Received vaccine 1437- Pt developed ear and lower leg itching, no other symptoms 1440- Pt was brought back to assessment area. Vitals checked 1450- 142/82 1506- 133/90 Recommend diphenhydramine for symptoms- Pt refused treatment recommendation. Eme | U | 02/25/2021 | 02/25/2021 | 0 | PVT | 2 | 02/25/2021 | Itching ears with certain cheeses. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1072982 | 03/04/2021 | WI | 58.0 | 58 | F | between the first dose on 1/20/21 a week later I experience pain under my left rib cage and trouble catching my breath which I thought was due to shoveling heavy snow, then received my 2nd dose on 2/9/21 and on 2/14/21 I couldn't breathe and pain was so in | Y | 2 | N | 02/09/2021 | 02/14/2021 | 5 | The hospitalist and Dr my primary stated I had Fatty Necrosis of the Pericardium as had a Chest CT with contrast and EKG and stayed overnight. Pain medications didn't touch the pain, but the Anti-inflammatories and high dose of Prednisone started to give r | PVT | Allegra, Pantoprazole, Linzess, Prednisone 10 Mg, Vitamin B-12, Vitamin D, Probiotic | I was experiencing pain under left side rib cage and alittle shortness of breath after first vaccine on 1/20/21 | Liver inflammation (Autoimmune Cholangiopathy) Irritable Bowel syndrome | 2 | 03/04/2021 | Y | Y | Sulfa meds, Penicillin, Raspberries, Fire Ants | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1075668 | 03/05/2021 | WI | 58.0 | 58 | F | Fever; chills; fatigue. | 02/12/2021 | 02/12/2021 | 0 | PVT | 2 | 03/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091326 | 03/11/2021 | WI | 58.0 | 58 | F | Starting at 10:30 p.m. I experienced severe, shaking chills, fever, random tingling, some joint aches and a headache. I took advil p.m. and tried to sleep, but really couldn't sleep much. By 7 a.m. the symptoms subsided accept for a mild headache. I went t | Y | 03/09/2021 | 03/09/2021 | 0 | none | OTH | none | none | none | got the measles from too much live vaccine before going to college. Got over it in about 5 days. Bummer. Only time I've ever had | 2 | 03/11/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1094908 | 03/12/2021 | WI | 58.0 | 58 | F | Constant fatigue since one day post vaccine. Developed shingles 02-10-21. | N | 01/19/2021 | 01/20/2021 | 1 | UNK | H1 and H2 blockers | None | Environmental allergies | 2 | 03/12/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1101367 | 03/15/2021 | WI | 58.0 | 58 | F | 15 hours after vaccine - Tingling/swelling of lips and tongue, headache, back of neck stiff. Next day not as bad. Third day - intense tingling pinpricks on hands, feet, ankles, scalp. Large bumps on back of tongue and throat. Called COVID hotline. Take | Y | 03/08/2021 | 03/09/2021 | 1 | PVT | Omeprazole 40mg 1x/day, multivitamin, Aleve 1x/day discontinued 3 days prior | None | None | 2 | 03/15/2021 | Y | Sulfa allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1102263 | 03/15/2021 | WI | 58.0 | 58 | M | Next day: Headache, eye pain, cough, fatigue, tinnitus, some congestion. Current, as of 3/15/2021: Headache still persists almost daily, but seems to be lessening in severity. Eye pain, tinnitus occasionally, but improving. I did not receive the second in | N | 01/29/2021 | 01/30/2021 | 1 | N/A. | SEN | Multivitamin ginger tumeric | N/A | peripheral neuropathy hands, feet. | 2 | 03/15/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109147 | 03/17/2021 | WI | 58.0 | 58 | F | Head ache, body aches, chills, nausea, diarrhea | N | 03/16/2021 | 03/16/2021 | 0 | PUB | Pentasa, budesonide, trazadone, nortriptylin, potassium citrate, Prevacid, ferrous bisglycinate | Crohn?s disease, interstitial cystitis, psoriasis, arthritis , kidney stones | 2 | 03/17/2021 | Sulfa, codeine, compazine, azithromyacin, penicillins, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109231 | 03/17/2021 | WI | 58.0 | 58 | F | Hard red bump at injection site. Very itchy. | N | 03/10/2021 | 03/17/2021 | 7 | NA | WRK | Sertraline, atorvostatin | None | Obesity, arthritis | 2 | 03/17/2021 | Bee venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1118785 | 03/20/2021 | WI | 58.0 | 58 | F | 3/18 1pm headache, fatigue, sore arm. 3/19 2pm vomiting, headache, chills, body aches, upset stomach, sore arm. 3/20 8 am vomiting, headache, chills, body aches, upset stomach, sore arm | N | 03/18/2021 | 03/18/2021 | 0 | PVT | None | 2 | 03/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1119096 | 03/20/2021 | WI | 58.0 | 58 | F | Rash on arm at injection site, appearing 1-1/2 weeks after first injection. (Covid Arm) | N | 03/08/2021 | 03/20/2021 | 12 | UNK | None | None | None | 2 | 03/20/2021 | N/K | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1126358 | 03/23/2021 | WI | 58.0 | 58 | F | Patient received first dose Pzifer vaccine on 3/2/21. On 3/6/21, patient went to emergency room with right side body numbness, wheezing, and high anxiety. She was given nebulizer treatment , prednisone, and an albuterol inhaler. She was tested for covid | N | 03/02/2021 | 03/06/2021 | 4 | PHM | alprazolam, losartan, carvedilol, doxepin, venlafaxine, amlodipine | anxiety, high blood pressure, depression | 2 | 03/23/2021 | Y | Rexulti | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1126775 | 03/23/2021 | WI | 58.0 | 58 | F | redness, warmth, itching at injection site that started 3/20/2021, treated with po Zyrtec daily | U | 03/12/2021 | 03/20/2021 | 8 | none | PVT | Tylenol as needed Calcium 600-400mg BID vitamin B12 daily Levothyroxine 112 mcg daily Cozaar 110mg daily Aldactone 25 mg daily | none | HTN, RA | 2 | 03/23/2021 | Y | Wellbutrin Codeine Atorvastatin Naproxen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1128603 | 03/24/2021 | WI | 58.0 | 58 | F | After about 40 minutes after administration, developed left facial numbness and chest pain rating 2/10. First response called and patient taken to ER for further monitoring. | 03/24/2021 | 03/24/2021 | 0 | PVT | 2 | 03/24/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1131483 | 03/24/2021 | WI | 58.0 | 58 | M | Started to feel stiffness approximately 3 hours after injection and noticed large area of swelling at and around injection site. | U | 03/24/2021 | 03/24/2021 | 0 | PUB | Amlod/Benazepril Capsule 5-20MG, Equate Comete Multivitamin | None | High blood pressure | 2 | 03/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1132724 | 03/25/2021 | WI | 58.0 | 58 | M | Complains of redness, warmth and swelling at injection site. | U | 03/24/2021 | 03/25/2021 | 1 | PUB | Unknown | Unknown | Unknown | 2 | 03/25/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1133734 | 03/25/2021 | WI | 58.0 | 58 | M | I have had Post Acute Covid-19 syndrome since Nov 4, 2020. The first night after receiving my first vaccine I got the chills about 16 hours after my shot went away after a few hours. Woke of the next day with my post acute syndrome symptoms much worse t | Y | 01/21/2021 | 01/22/2021 | 1 | no tests done | PVT | Zinc, Vitamin C, D, Multivitamin, Baby aspirin, simvastatin | Post acute covid-19 syndrome(long hauler) | high cholesterol, Heart valve(mitral) replaced in 2019 | 2 | 03/25/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1134839 | 03/25/2021 | WI | 58.0 | 58 | F | Adverse event was administration error. Patient received their first dose of Moderna at the Clinic and then came to our clinic a week later where she received a dose of Pfizer. She filled out a questionnaire indicating she had not received a COVID vaccine | 03/09/2021 | 03/16/2021 | 7 | SCH | 2 | 03/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1145524 | 03/29/2021 | WI | 58.0 | 58 | F | Burning upon injection. After a few minutes the burning went down left arm. Then left cheek started to feel numb and flushed. Left cheek started swelling. Headache. Throat scratchy. Chest pain started 20 minutes after shot. Left arm felt heavy. Th | Y | 03/24/2021 | 03/24/2021 | 0 | Taken to ER. Tested for Heartattack. Given benadryl . | PVT | Nothing | None | Mild Asthma, Left Bundle Branch Block | Tetanus, 1991, anaphylactic. 29 yrs of age | 2 | 03/29/2021 | Y | Anaphylactic reactions to Tetanus and Bee Sting Gabapentin, Clindamycin, Albuterol, Sulpha, Codeine Eggs, Soy, MSG, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1156540 | 04/01/2021 | WI | 58.0 | 58 | F | Immediately following vaccine felt tingling, slightly pre-syncopal, exacerbated autonomic issue. Feeling week. Stayed seated in chair where vaccine received until initial feeling passed (about 5 minutes) then stayed in observation area for 30 minutes. | U | 04/01/2021 | 04/01/2021 | 0 | none. | PVT | aspirin, metoprolol. | none. | ulcerative colitis, Chron's, autonomic disorder. | 2 | 04/01/2021 | Levaquin, tamoxifen, Lamictal, Vicodin, Codeine. Lactose intolerant. Gluten allergy/issue. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1156857 | 04/01/2021 | WI | 58.0 | 58 | F | Raised red rash over arms and legs. Not too itchy, but sensitive to hot water. Started on thigh, and has now spread to calves and arms. Worse on left side, which is side I got shot on. | N | 03/23/2021 | 04/26/2021 | 34 | OTH | None | None | High cholesterol | 2 | 04/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1157187 | 04/01/2021 | WI | 58.0 | 58 | F | Patient had swollen lymphnodes the size of baseballs the next days and her kidney function decreased after getting the 1st dose. | Y | 03/23/2021 | 03/24/2021 | 1 | UNK | None | None | cancer survivor | 2 | 04/01/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1162858 | 04/02/2021 | WI | 58.0 | 58 | F | ?Vaccine arm? or ?Covid arm? itchy red swollen area at injection site, about 2? diameter and looks like one big hive. Appeared on day 8 after vaccine. Still red, swollen and itchy 10 hours later. | N | 03/26/2021 | 04/02/2021 | 7 | None | PVT | Sumatriptan taken 3/31/2021; daily: multivitamin, FlexoPlex glucosamine chondroitin joint supplement, 5000 IU vitamin D, Unisom, Protandim NRF2 herbal supplement; Tylenol on 3/31 and 4/1. | None | None | 2 | 04/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1169217 | 04/05/2021 | WI | 58.0 | 58 | F | Myalgia, malaise, headache, burning pain in right axilla for 3 days. Then, lymphadenopathy in right axilla | N | 03/31/2021 | 03/31/2021 | 0 | PVT | none | Unknown | 2 | 04/05/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1169248 | 04/05/2021 | WI | 58.0 | 58 | F | Patient received first dose of Pfizer vaccine on March 10 and was suppose to get her second dose on march 31st but was instead given Johnson and Johnson. Patient appears to be ok. States she was feeling lethargic the days following injection, along with a | Y | 03/31/2021 | 03/31/2021 | 0 | N/A | OTH | unknown | unknown | unknown | 2 | 04/05/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1169447 | 04/05/2021 | WI | 58.0 | 58 | F | Muscle aches, fever, rash, fatigue, fainting, sweats, throat tightening for 30 minutes, vomiting, inability to lift arms, jaw pain. | Y | 03/31/2021 | 04/01/2021 | 1 | Blood work taken. | PUB | Xarelto, metoprolol, potassium, vitamin D | No | A-fib | 2 | 04/05/2021 | Y | Reacted to a heart medication | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1171371 | 04/06/2021 | WI | 58.0 | 58 | F | Patient describes subjective tingling/swelling around lips and tongue. No difficulties with breathing. States this is similar to how she reacts when exposed to seafood. Patient was transferred to Urgent Care. She was given a single IV dose of diphenhyd | Y | 04/05/2021 | 04/05/2021 | 0 | PVT | 2 | 04/06/2021 | Y | Shellfish (anaphylactic reaction) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1173029 | 04/06/2021 | WI | 58.0 | 58 | F | Moderna COVID-19 Vaccine . During the night, I woke up in so much paid that I was screaming. It felt like my whole body was covered in needles. I would not find a comfortable position to sleep in. It hurt to have any type of clothing on. My arms, torso and | Y | 04/04/2021 | 04/05/2021 | 1 | April 5, 2021. Lab tests: CBC with Differential, Comprehensive Metabolic Panel, TSH with Reflex Free T4. Coronavirus, chest x-ray. | PHM | Fibromyalgia, osteoarthritis, thyroid. | Knee problems, lower back (fusion was completed a while ago). | 2 | 04/06/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1173331 | 04/06/2021 | WI | 58.0 | 58 | F | very sore right arm - felt like was hit with a baseball bat - started around 5 hours after injection (8pm) and lasted for 36 hours fever started around 8 hours post injection (12 midnight) and lasted for 41 hours body aches mimicked the fever started aroun | U | 04/03/2021 | 04/03/2021 | 0 | PHM | synthroid pantoprazole rasuvastatin vitamin e vitamin d fish oil CoQ10 potassium magnesium Natural D-Hist Vizion | Graves disease High cholesterol Diverticulitis | 2 | 04/06/2021 | walnuts cats pollen mold | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1182021 | 04/08/2021 | WI | 58.0 | 58 | F | Moderna Covid 19Vaccine EUA Chills Body Aches Pain in under arm and chest of the arm the shot was given tiredness | Y | 04/01/2021 | 04/07/2021 | 6 | N/A | PVT | Trazodone Synthroid Wellbutrin Doxepin Vitamin D Calcium Fish Oil Metamucil | N/A | N/A | 2 | 04/08/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1183218 | 04/08/2021 | WI | 58.0 | 58 | F | About 20-28 minutes after the injection, I was driving, I felt a little light headed, but didn't think much about it. I was waiting behind another car for light to turn green to turn left and the next thing I knew I was in the middle of the intersection a | Y | 04/08/2021 | 04/08/2021 | 0 | I did not seek medical attention as I did feel better after about 20 minutes | PVT | Breo inhaler taken in morning | COPD | 2 | 04/08/2021 | Tramadol, dalatid, sulfa, codeine, percidans, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1194974 | 04/11/2021 | WI | 58.0 | 58 | F | Headache and tired Friday night through Saturday, injection site painful through Sunday. Saturday through Sunday muscle /ligament ache right side SI joint to hip. Sunday morning ?night sweats?. | N | 04/09/2021 | 04/09/2021 | 0 | None. | OTH | Vitamin D | None | None | Yellow Fever, 30 years ago, joints swelled. | 2 | 04/11/2021 | Latex, pineapple | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1194976 | 04/11/2021 | WI | 58.0 | 58 | F | Low-grade fever/chills, headache, fatigue, nausea, neuralgia all over my body (skin hurt and hypersensitive to touch), extreme muscle, joint & bone pain ( focused primarily in knees, hips, shoulders, hands, neck, lower back & tailbone for 2.5 days followin | Y | 04/05/2021 | 04/06/2021 | 1 | None | PHM | Latanoprost eye drops, equate multi-vitamin for adults50+, calcium plus vitamin D, equate glucosamine & chondroitin complex, cholestoff plus, zinc, kyolic aged garlic extract tablet, solgar chromium picolinate, up & up powder lax (polyethy | None | Osteo arthritis, degenerative disc disease in back, rectoceles, glaucoma | 2 | 04/11/2021 | None. Intolerance to Biaxin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196418 | 04/12/2021 | WI | 58.0 | 58 | F | Potentially excessive doses. The Registry identified that the record of this patient had received a first dose of vaccine at a different clinic 1 week prior to receiving a first dose of Pfizer at our clinic. The other clinic was doing a community outreach | 04/06/2021 | 04/06/2021 | 0 | SCH | 2 | 04/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1201625 | 04/13/2021 | WI | 58.0 | 58 | F | severe body aches, muscle pain(injection site) very tired. dizzy spells, | N | 04/09/2021 | 04/09/2021 | 0 | PVT | metformin loratadine losartan lovastatin glimiperide insulin(Lantus) omeprazol aspirin multivitamin vitamin d | diabetes type 2 | 2 | 04/13/2021 | shell fish, iodine, Augmentine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1202534 | 04/13/2021 | WI | 58.0 | 58 | M | Pfizer vaccines given 1/21/21 and 2/11/2021 both in left arm - on 4/7/2021 client noticed open area at site he remembers receiving the vaccine - approximately 0.5 cm circular shape - shallow - dark center with red edge - describes it as itchy - no streaks | N | 02/11/2021 | 04/07/2021 | 55 | PUB | 2 | 04/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1203451 | 04/13/2021 | WI | 58.0 | 58 | F | Client received the Moderna COVID-19 Vaccine at the mass clinic site for The Health Department. After approx. 5 mins, client approached writer with complaints of HA, nausea and dizziness. Client was assisted into wheelchair, then assisted onto cot. Client | U | 04/13/2021 | 04/13/2021 | 0 | PUB | Client reports taking meds for hypertension and hyperlipidemia reported. | Hypertension and hyperlipidemia reported. | 2 | 04/13/2021 | Y | none reported | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1205447 | 04/13/2021 | WI | 58.0 | 58 | M | Immediately after receiving the shot, I could taste metal or the medicine in my mouth. After about 5 minutes, then my lips started to sting. This all lasted for about 1.5 hours. | Y | 03/22/2021 | 03/22/2021 | 0 | SCH | aspirin 81 MG chewable tablet prasugrel 10 MG Tab metoPROLOL tartrate 25 MG tablet atorvastatin 40 MG tablet | none | Coronary artery disease involving native coronary artery of native heart without angina pectoris Borderline glaucoma with ocular hypertension Otosclerosis of both ears History of adenomatous polyp of colon Clubbing of fingers | 2 | 04/13/2021 | Ticagrelor Lactose (Food Or Med) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1208362 | 04/14/2021 | WI | 58.0 | 58 | F | later in day extreme headache leg pain nauseous throwing up bile was on couch for 3 days headaches lasted for 2 and a half days throwing up 3 days leg pain first day third day extreme stomach and back pain. still 5 days later still have nausea slight heada | N | 04/09/2021 | 04/09/2021 | 0 | none did call urgent care for advice | PHM | Requip (restless legs). Xeljanj(stopped taking 2 days before and will not take for a week)Omeperarole,allergy medicine,pilocarpine(dry mouth | none | acid reflux, dry mouth, restless leg syndrome,rheumoid arthritis | 2 | 04/14/2021 | sulfa, cymbalta | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1208760 | 04/14/2021 | WI | 58.0 | 58 | F | 2 weeks after vaccine, felt heavy pressure in chest, slight tingling on left side of face, in the evening broke out in full rash on arms, legs and back. Next day chest pressure worsened, still had rash lighter in morning, full red and itchy in evening. 3r | N | 03/14/2021 | 03/14/2021 | 0 | OTH | Met Forman 1000mg, Metoprolol 25mg, Atorvastatin 40 mg, Paroxetine 40mg, Lisinopril 40mg, B-12 2500mg, Aspirin 81 mg | Diabetes | 2 | 04/14/2021 | Penicillin, Sulfa, shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209615 | 04/14/2021 | WI | 58.0 | 58 | F | Patient suffered a stroke that lead to an ER visit 11 days after dose #1. | Y | 03/24/2021 | 04/04/2021 | 11 | Not sure | PHM | Not sure | None | Not aware | 2 | 04/14/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1214077 | 04/15/2021 | WI | 58.0 | 58 | F | Nose bleeds, right nose only | 04/12/2021 | 04/13/2021 | 1 | PVT | Fluoxetine, Omezrapole, Ozempic, Lorsartin, Gabepentine | none | Diabetes, High Blood Pressure- both under control | 2 | 04/15/2021 | NSaids | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1225493 | 04/18/2021 | WI | 58.0 | 58 | F | Within 4 hours after receiving first dose of vaccine , I experienced tiredness , fatigue, headache, body aches , fever,chills and was extremely thirsty. These symptoms lasted about 8 hours after the onset. | Y | 04/17/2021 | 04/17/2021 | 0 | PVT | Simvastatin , Levothyroxin, Vitamin C , Vitamin D , Glucosamine, Calcium, Magnesium , Collagen , Complete Multi Vitamin, Omeprazole | 2 | 04/18/2021 | Allergic to all narcotic meds | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1230960 | 04/19/2021 | WI | 58.0 | 58 | F | could not hear with my left ear at all; hearing lots of noise in left ear; This spontaneous case was reported by a consumer and describes the occurrence of DEAFNESS UNILATERAL (could not hear with my left ear at all) in a 58-year-old female patient who rec | N | 03/25/2021 | 03/25/2021 | 0 | Test Date: 20210330; Test Name: hearing test; Result Unstructured Data: she has 90% of hearing lost | UNK | Medical History/Concurrent Conditions: No adverse event (No reported medical history) | USMODERNATX, INC.MOD20210 | 2 | 04/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1232398 | 04/20/2021 | WI | 58.0 | 58 | F | Noticed itching sensation 4days or so after vaccine, itching increased and noticed profound redness below injection site, 3 inches wide by 5 inches long, warm to touch and itchy | N | 04/08/2021 | 04/19/2021 | 11 | None | PUB | Vitamin c Omeprazole Lysine Leutin Glucosamine Probiotic B complex Vitamin D Magnesium Citalopram Hydrochlorithiazide Losartan | None | None known | 2 | 04/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1232924 | 04/20/2021 | WI | 58.0 | 58 | M | Sporadic weakness in left arm and lower leg with tingling. Tingling and numbness on left side of face. Tingling, numbness, and ringing in left ear. | N | 03/25/2021 | 03/26/2021 | 1 | None | PVT | None | None | None | 2 | 04/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1234225 | 04/20/2021 | WI | 58.0 | 58 | F | Client reported itchiness over entire body. Treated with 50 mg diphenhydramine. Monitored additional 30 minutes, and client's symptoms almost completely resolved. No redness/ hives/ rash. Client declined transport and left. | 04/17/2021 | 04/17/2021 | 0 | PUB | 2 | 04/20/2021 | propylene glycol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1237419 | 04/21/2021 | WI | 58.0 | 58 | F | Initial Complaint: Patient reported hives and redness on chest moving up into her scalp. 1452 Denies SOB, itchy throat, swollen tongue or difficulties breathing. Lung sounds evaluated, clear. Patient has a diagnosis of Mast Cell Activation Syndrome. | U | 04/08/2021 | 04/08/2021 | 0 | PUB | Tramadol Gabapentin Duloxetine Vitamin D Calcium Turmeric Synthroid Levothyroxine Benadryl Epi Pen | None reported by patient | Mast Cell Activation Syndrome | 2 | 04/21/2021 | Many allergies including: Tylenol NSAIDs Augmentin Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1240024 | 04/21/2021 | WI | 58.0 | 58 | M | Severe random headaches throughout my day every single day. | N | 03/26/2021 | 03/26/2021 | 0 | Complete blood panel and MRI with contrast at emergency room at hshs hospital | PUB | 10 mg warfarin daily | None | None | 2 | 04/21/2021 | Bee venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1242749 | 04/22/2021 | WI | 58.0 | 58 | F | This was my second dose which had scheduled 4 weeks apart even though it was supposed to be 3. About 36 hours after this second shot I began having incredible pain in my feet. (I do periodically have problems with my feet, but this episode which is still | N | 03/01/2021 | 04/01/2021 | 31 | None yet-chiropractor 4/26 and pcp in May | UNK | Hydroxyzine, compounded estrogen suppository, multi vitamins and minerals | None | Lupus, Lichen Sclerosis, inconclusive Lyme test | 2 | 04/22/2021 | Y | Gluten, Dairy, chicken, turkey, beef, beans | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1242811 | 04/22/2021 | WI | 58.0 | 58 | M | Rash began one day approx. 24 hours after receiving 2nd dose of Pfizer vaccine. Denied issues following 1st vaccine in series. Rash began evening of 04/09/21 and became increasingly worse Saturday 04/10/21. He initially believed rash to be a "yeast" rash f | N | 04/08/2021 | 04/09/2021 | 1 | No | PVT | Farxiga | No | Diabetes and Hypertension | 2 | 04/22/2021 | None Known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1242832 | 04/22/2021 | WI | 58.0 | 58 | F | First headache, then arm stiffness, then body aches within 24 hours. Within 36 hours vertigo, instability, nausea, vomiting, sweating still continuing just past the 72 hour mark but manageable with minimal activity. Not able to do regular work. Answering | Y | 04/01/2021 | 04/19/2021 | 18 | PVT | Venlafaxine 75 mg, Calcium-magnesium-zinc, multivitamin, b complex, slow iron, D, Omega 3 | None | Fibromyalgia | 2 | 04/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1259960 | 04/26/2021 | WI | 58.0 | 58 | F | PATIENT REPORTED NECK/THROAT SWELLING TO RN OBSERVER APPROX 15 MINUTES POST VACCINATION. LEAD VACCINATOR ADMINSITERED IM EPI AS STAT/EMERGENCY RESPONSE TEAM WAS ACTIVATED. VS BP 171/93 HR 90 RESP 18 SPO2 96 RA @ 0905. PT TRANSFERRED TO ED - CHART REV | Y | 04/24/2021 | 04/24/2021 | 0 | N/A | PVT | aspirin (ECOTRIN) 81 MG EC tablet Take 81 mg by mouth daily. escitalopram (Lexapro) 10 MG tablet Take 1 tablet by mouth daily. ALPRAZolam (XANAX) 0.25 MG tablet Take 1 tablet by mouth nightly as needed for Sleep or Anxiety. VITAMIN D PO Mu | UNKNOWN | Nasal polyposis J33.9 Low 2/6/2020 - Present Chronic frontal sinusitis J32.1 Low 1/2/2020 - Present Sinusitis chronic, ethmoidal J32.2 Low 1/2/2020 - Present Nasal septal deviation J34.2 Low 1/2/2020 - Present Class 1 obesity due to excess calories wit | 2 | 04/26/2021 | Y | Covid-19 Mrna Vacc (moderna) [ Covid-19 Mrna Vacc (moderna)] THROAT SWELLING High 4/24/2021 Augmentin [Amoclan] RASH Not Specified 2/23/2017 Zithromax [Azithromycin Dihydrate] HEADACHES, PRURITUS Not Specified 11/6/2012 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1260323 | 04/26/2021 | WI | 58.0 | 58 | F | No symptoms after 1st shot - Symptoms started after 2nd shot on 4/20 & some of the symptoms lasted for days - Sore left arm - Massive Headache - Body Aches - Nauseous - Felt like ice cold poison was racing thru my veins - chills like I have never had befor | Y | 04/20/2021 | 04/20/2021 | 0 | NA | OTH | Metformin, Montelukast, Atorvastatin, Lisinopril, Amlodipine, Flovent Daily Vitamin, D3 Vitamin, Generic Allergy pill, Baby Aspirin, Fish Oil | None | Asthma, Diabetes, High Blood Pressure, Obesity | 2 | 04/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266294 | 04/28/2021 | WI | 58.0 | 58 | F | 30 minutes after vaccination, client felt her cheeks feel "squishy", right greater than left. Face did not look abnormal to nurse. Client preferred to sit, instead of lying down on cot. Client stated she has had this feeling in the past with other aller | Y | 04/28/2021 | 04/28/2021 | 0 | none | PUB | none | none | denies any | 2 | 04/28/2021 | anaphalaxis to wine seasonal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268377 | 04/28/2021 | WI | 58.0 | 58 | F | Large red patch around injection site. About 3x5 inches in size. Flat not raised. Mild itching. Appeared 3 days after shot. Lasted about 3 days. Disappeared no further problems. | Y | 03/18/2021 | 03/22/2021 | 4 | None | PHM | Thyroid NP 120 GR LDN (low dose naltrexon) for Hashimoto?s Disease 4.5 mg | None | Under active thyroid Hashimoto?s Disease | 2 | 04/28/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268419 | 04/28/2021 | WI | 58.0 | 58 | F | Large red patch on arm at injection site. About 3x6 in size. Flat not raised. Warm to touch. Mild itch. Resolved after 3 days. | Y | 04/15/2021 | 04/18/2021 | 3 | None | PHM | Thyroid NP 120 GR; LDN ( low dose naltrexone) 4.5 mg for Hashimoto's Disease | None | Under active thyroid; Hashimoto's Disease | Same shot , first dose, same reaction. | 2 | 04/28/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268440 | 04/28/2021 | WI | 58.0 | 58 | M | Death due to cardiac arrest on 4/26/2021 | Y | 04/26/2021 | N | 03/31/2021 | 04/26/2021 | 26 | ABG-pH 6.97 PTT 13.8 sec INR 1.0 Troponin 26/CK 423/CK-MB 4.4 Platelets 198 D dimer 1.49 COVID negative Glucose 177 | PVT | unknown | Diabetic | Cardiac cath with angioplasty in 2001 | 2 | 04/28/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1272394 | 04/29/2021 | WI | 58.0 | 58 | F | Patient's arm was red around the area where the injection was given (similar to a bulls-eye rash). Patient stated it does not hurt. Patient stated it did start out as a bruise and progressed to the red rash. Discussed with patient to follow up with MD. | 04/20/2021 | 04/29/2021 | 9 | PHM | 2 | 04/29/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1278374 | 05/01/2021 | WI | 58.0 | 58 | F | Patient had panic attack about 10 minutes after receiving second dose of Pfizer. She said she had a hard time breathing, was asked if she felt her throat/tongue were swelling and she stated no. Patient was directed to take a seat and take deep breaths, rem | U | 05/01/2021 | 05/01/2021 | 0 | PHM | Escitalopram, Atorvastatin, Lisinopril | Unknown | High Blood Pressure, High Cholesterol, Anxiety | 2 | 05/01/2021 | Y | No Known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1285946 | 05/04/2021 | WI | 58.0 | 58 | F | Suffered several seizures in the weeks following the administration of first dose. | Y | 3 | U | 03/24/2021 | 04/01/2021 | 8 | PVT | Multi-vitamin, calcium supplement, Zyrtec for seasonal allergies | None | Blindness due to damaged optic nerve | 2 | 05/04/2021 | Y | Y | Yes, Myrbetriq | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1297291 | 05/07/2021 | WI | 58.0 | 58 | M | Discovery of sub therapeutic dose of vaccine. Pt received 0.3ml of Moderna vaccine; patient notified and returned to receive additional 0.2ml Moderna vaccine lot #002C21A; issue resolved | Y | 05/07/2021 | 05/07/2021 | 0 | PVT | 2 | 05/07/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1303514 | 05/10/2021 | WI | 58.0 | 58 | F | Client received Moderna #1 on Jan 8th and Moderna #2 on Feb 5th. She tested positive for COVID-19 on May 2nd and is asymptomatic. | 02/05/2021 | 05/02/2021 | 86 | PUB | 2 | 05/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1307715 | 05/11/2021 | WI | 58.0 | 58 | F | Let hand became stiff several hours after vaccination and knuckles on her left hand swelled to the point that she had difficulty bending fingers. Swelling resolved in a few days. | Y | 04/23/2021 | 04/24/2021 | 1 | UNK | 2 | 05/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1333815 | 05/20/2021 | WI | 58.0 | 58 | F | Persistent nausea - first week, post-eating; second ND and third weeks, constant | Y | 04/20/2021 | 04/22/2021 | 2 | None | PVT | Raltegravir, atazanavir, levothyroxine, melatonin, vitamin d, fish oil, co-Q10 | None | HIV+ fully suppressed >10 years Hypothyroid - managed with replacement | 2 | 05/20/2021 | Cipro, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1333871 | 05/20/2021 | WI | 58.0 | 58 | M | Patient tested positive for COVID-19 on 5/16/21. He is completely asymptomatic, and was only tested for pre op procedure. He reports that he received his first dose of Pfizer on Feb 14th, and second dose on March 7th | Y | 03/07/2021 | 05/16/2021 | 70 | Positive COVID-19 test | UNK | Unknown | Malignant neoplasm of prostate. | MS | 2 | 05/20/2021 | KNDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1334331 | 05/20/2021 | WI | 58.0 | 58 | F | Moderna COVID-19 Vaccine EUA. Friday, Sat and Sun flu-like symptoms sore left arm pain extending into hand fever, chills, headache lethargy. Mon May 17 above symptoms with dizziness, spinning in head, hard to think and talk, affects speech everything is | Y | 3 | N | 05/14/2021 | 05/14/2021 | 0 | Ct scan mri of brain and spine complete lab workup | PVT | calcium carbonate/vitamin D 250-125 mg unit, collagen hydrolysate, glucosamine-chondroitin, levothyroxine 100 mcg, magnesium, multivitamin with zinc, omeprazole 40 mg, simvastatin 40 mg, vitamin D3 2000 units, vitamin E complex | none | Post Viral Vagal Neuropathy | 2 | 05/20/2021 | Y | acetaminophen-hydrocodone, codeine, fentanyl, hydromorphone, morphine, oxycodone, tramadol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1337341 | 05/21/2021 | WI | 58.0 | 58 | M | Large swelling/fluid filled lump next to injection site. Still have it as of today. Visited Doctor today, who had not seen anything similar prior to me. Said it is fluid filled. Prescribed MethylPresnisolone steriods to take for 6 days (21 tablets). If d | N | 03/24/2021 | 03/24/2021 | 0 | None, just a Doctor examination on 5/21/21. See Item 18. | PUB | Amlod/Benzapril, Multivitamins, Lamisil tablet | None | high blood pressure, toenail fungus | 2 | 05/21/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1343395 | 05/24/2021 | WI | 58.0 | 58 | F | Experienced post menopausal bleeding for about 2 weeks after the first dose given on 4/15/21 and after the second dose, had more pronounced bleeding that lasted longer and is still experiencing spotting now. | N | 05/06/2021 | 05/07/2021 | 1 | None. | PUB | UNKNOWN | NONE | UNKNOWN | 2 | 05/24/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1346772 | 05/25/2021 | WI | 58.0 | 58 | F | Received Pfizer vaccines on 3/25/21 and 4/15/21. Tested positive for COVID-19 by PCR from Bronchoalveolar lavage on 5/20/21. Had been previously positive for COVID-19 by PCR in November 2020. Patient has underlying follicular lymphoma. Admitted to hospita | Y | 3 | Y | 04/15/2021 | 05/24/2021 | 39 | PVT | 2 | 05/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1350529 | 05/26/2021 | WI | 58.0 | 58 | F | Moderna COVID-19 Vaccine EUA Unknown to provider, client was at mass clinic site for second dose of vaccine. Client had received first dose of Pfizer vaccine on 04/18/2021 from the site. She received Moderna vaccine from us on 05/21/21. Client had no ad | Y | 05/21/2021 | 05/21/2021 | 0 | None | PUB | Unknown | Unknown | Unknown | 2 | 05/26/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1350606 | 05/26/2021 | WI | 58.0 | 58 | F | APPROXIMATELY 22 MIN. AFTER RECEIVING VACCINE, CLIENT BECAME LIGHT HEADED, DIZZY, SHORT OF BREATH, THROAT SWELLING, EYES WATERING, BLOOD PRESSURE DROPPED, TIGHTNESS IN CHEST. 911 CALLED. PARAMEDICS GAVE IV EPI. AND TRANSPORTED CLIENT TO HOSPITAL ER. MD DI | Y | Y | 05/22/2021 | 05/22/2021 | 0 | NONE | PHM | VIT. D 3 50,000 IU Q WK. MESALAMINE 800 MG Q DAY. | CHRONE'S DISEASE, ASTHMA | 2 | 05/26/2021 | Y | ALLERGIC TO NITRO AND IVP DYE. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1351377 | 05/26/2021 | WI | 58.0 | 58 | M | Patient received shot Monday and was fine throughout the 15 minute waiting period. I received a 3-way call today (wednesday) from the pt and his wife who was very concerned. The pt described feeling like he had been drinking and taking drugs without cons | U | 05/24/2021 | 05/25/2021 | 1 | PHM | Duloxetine 60mg 1qd, Gabapentin 300mg 2bid, Aspirin 81mg 1qd | 2 | 05/26/2021 | Y | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1354173 | 05/27/2021 | WI | 58.0 | 58 | F | I had the covid disease via a PCR test on dec 24th, 2020 and receive first dose of vaccine resulting in dizziness and vertigo not resolved presently after 7days. I will seek an Ent appointment next week if necessary | N | 05/19/2021 | 05/20/2021 | 1 | I have repeatedly done the epley maneuver daily without resolution. | PHM | None | None | None | 2 | 05/27/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1365456 | 06/01/2021 | WI | 58.0 | 58 | M | Since covid vaccination I developed A-Fib. My family practice Dr as well as the cardiologist I recently saw both believe that there could be a link between the Johnson & Johnson vaccine and possible inflammation that could be causing me to be having A-Fib. | Y | N | 03/26/2021 | 04/04/2021 | 9 | EKG's. My full lab panel shows I'm incredibly healthy. Waiting to see another Cardiologist on the course of action to correct the A-fib. | SCH | Levothyroxine, Testosterone gel | None | None | 2 | 06/01/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1368533 | 06/02/2021 | WI | 58.0 | 58 | F | Patient presented to the ED and was subsequently hospitalized for Pancytopenia due to antineoplastic chemotherapy within 6 weeks of receiving COVID vaccination. | Y | 11 | 04/14/2021 | 04/21/2021 | 7 | OTH | 2 | 06/02/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1385030 | 06/09/2021 | WI | 58.0 | 58 | F | I felt very fatigue and it was almost as worse as covid itself. | Y | 01/25/2021 | 01/26/2021 | 1 | Blood test- came back regular. | PVT | I was taking daily vitamins. | I have Covid the month before the first dose of my vaccine. | I have thyroid problems. | vsafe | 2 | 06/09/2021 | Y | No Allergies to medications, food, or other products. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1388631 | 06/10/2021 | WI | 58.0 | 58 | F | 6/8 Headache, Chills, Fatigue 6/9 Headache, Chills, Fatigue 6/10 Headache, Chills, Fatigue, cough, 1st dose was May headache, chills, fatigue, rash | U | 06/08/2021 | 06/08/2021 | 0 | Not yet | PHM | Centrum Women's multi Vitamins, Niacinamide 500mg, Zinc picolinate 22mg, Sunny Mood w/5-HTP 200mg, Elderberry Sambucus 1250mg, Iron 18mg. Bayer Back & Body extra strength 500mg as needed | N/A | N/A | 2 | 06/10/2021 | Cipro, Gluten, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1389171 | 06/10/2021 | WI | 58.0 | 58 | F | Started symptoms on 06/08/2021; cough, sore throat, headache, and nasal congestion. | N | 02/09/2021 | 06/08/2021 | 119 | SARS CORONAVIRUS-2 RNA, V; Detected | PVT | Unknown | Unknown | Unknown | 2 | 06/10/2021 | Y | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1391785 | 06/11/2021 | WI | 58.0 | 58 | M | Patient presented to the ED and was subsequently hospitalized for Cerebrovascular accident (CVA) due to occlusion of left middle cerebral artery within 6 weeks of receiving COVID vaccination. | Y | 7 | 04/01/2021 | 05/03/2021 | 32 | OTH | 2 | 06/11/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1395094 | 06/13/2021 | WI | 58.0 | 58 | F | At approx 6 pm on the date of my second vaccine, the left side of my face became numb, my vision in the left eye became weak, and I had a headache. I text my doctor that I work for and we decided to monitor, I had labs drawn on 2/17/21, ordered by Dr.. I s | Y | N | 02/04/2021 | 02/04/2021 | 0 | Labs 2/17/21, normal | OTH | Hydroxychloroquine 200mg BID Diclofenac 75mg BID Gabapentin 100mg BID Atenolol 25mg Daily Cyclobenzaprine 10mg TID Hydrocodone/APAP 5-325 TID | Lupus, Celiac Disease, PVCs, | Lupus, Celiac Disease PVCs | 2 | 06/13/2021 | Y | Psyllium, wheat, barley, rye oats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1399414 | 06/15/2021 | WI | 58.0 | 58 | M | Given too soon, 21 days after the first dose. | 06/03/2021 | 06/03/2021 | 0 | PUB | 2 | 06/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1406473 | 06/17/2021 | WI | 58.0 | 58 | M | Janssen vaccine vial was opened at 0800 on 6/16/2021 at start of clinic day. Patient was a walk-in 06/16/2021 to receive Janssen vaccine. He received his dose at 1530 on 06/16/2021 from the vial that was opened at 0800 that morning. Vial had been left in v | 06/16/2021 | 06/16/2021 | 0 | PUB | 2 | 06/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1417815 | 06/22/2021 | WI | 58.0 | 58 | M | Approx 16 hours post-vaccination (6:00 am): Severe headache over forehead, chills, pain in all joints except the feet, aching in all muscles, fatigue and mild confusion/dizziness, temperature of 100.2 which increased over the course of 2 hours to 102.4 and | Y | 04/12/2021 | 04/13/2021 | 1 | None | OTH | Meloxicam, Vitamin D | None | None | 2 | 06/22/2021 | Thimerosal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1437379 | 06/30/2021 | WI | 58.0 | 58 | F | On June the 10th stated she started to have aches, joint pains, fevers, chills, headaches, upset stomach, and felt very weak for six days and then it stopped for almost a week, and on June 21st the symptoms came back and got worse. Called her doctor and to | N | 06/08/2021 | 06/10/2021 | 2 | None. | PHM | Humira; Mecatroxy; Extoled; Folic Acid; Calcium; Magnesium | None | Arthritis | vsafe | 2 | 06/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1443041 | 07/02/2021 | WI | 58.0 | 58 | F | Multiple ED visits/Hospitalizations within 6 weeks of COVID vaccination. | Y | 9 | 04/16/2021 | 05/25/2021 | 39 | PVT | 2 | 07/02/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454639 | 07/07/2021 | WI | 58.0 | 58 | M | Pain inside the lower-left rib cage After injection #2, pain expanded to upper left chest and lower-right rib area upon exhale. Extremely painful when sneezing Worsens with a cough or breathing deeply. Feeling fatigued and sleepy | N | 03/05/2021 | 03/19/2021 | 14 | CT scan with contrast chest and abdomen - 6/30/2021 thoracentesis - July 6, 2021 multiple lab tests - multiple dates | PUB | warfarin, amiodarone, atorvastatin, entresto, metoprolol, (+2) | none | congestive heart failure | 2 | 07/07/2021 | Y | Y | urokinase, bleomycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1465361 | 07/12/2021 | WI | 58.0 | 58 | F | Metallic taste in mouth, lasting 2-3 weeks; symptoms of Urinary Tract Infection (urgency, burning, tender bladder area, frequency of urination). No treatments were provided by my doctor. | Y | 03/18/2021 | 05/01/2021 | 44 | Lab tests were done on a urine sample on May 3, 2021. Everything was negative. A culture was then ordered. Everything was negative again. | OTH | Simvastatin, Vitamin D, Fish Oil, CoQ10 | none | high cholesterol (controlled with medication) | 2 | 07/12/2021 | Reactions to Sulfa and Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1506509 | 07/27/2021 | WI | 58.0 | 58 | M | Skin rash on day 3 this report was done on day 4. Rash is still their. | U | 07/23/2021 | 07/26/2021 | 3 | none | UNK | Saw Palmetto 450 mg a.m. and p.m. ,Garlic 1,000 mg p.m. ,Grape Seed Complex 1 capsule p.m. ,Milk Thistle 175 mg p.m. ,Green Tea 500 mg p.m. ,Zinc 50 mg p. m ,Multivitamin p.m. | none | none | 2 | 07/27/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1509875 | 07/28/2021 | WI | 58.0 | 58 | M | Client came in to receive dose of Johnson and Johnson vaccine after receiveing his first dose of Moderna (lot #048C21A) at 4 days prior on Friday 7/16/2021. Client felt fine at clinic after immunization was given, was brought to staff's attention only thr | U | 07/22/2021 | 07/22/2021 | 0 | PUB | 2 | 07/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1509884 | 07/28/2021 | WI | 58.0 | 58 | M | Client came in to receive dose of Johnson and Johnson vaccine after receiveing his first dose of Moderna (lot #048C21A) at store 4 days prior on Friday 7/16/2021. Client felt fine at clinic after immunization was given, was brought to staff's attention onl | U | 07/22/2021 | 07/22/2021 | 0 | PUB | 2 | 07/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1523357 | 08/03/2021 | WI | 58.0 | 58 | F | throat started to feel tight sob ,headache | Y | Y | 06/29/2021 | 06/29/2021 | 0 | chest xray-ok ekg-ok cat scan- ok , labs -I think were ok | PVT | none | none | 2 | 08/03/2021 | Y | prednisone lidocaine sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1529217 | 08/05/2021 | WI | 58.0 | 58 | F | I received my vaccine on 4/20/2021 and almost immediately I began to fee the vaccine go into my body, shortly after I started feeling extremely dizzy and fatigued and my vision became spotty, I knew I needed to get off the road, I had to call my neighbor t | N | 04/20/2021 | 04/20/2021 | 0 | I had Covid-19 testes numerous times and all were negative. | PHM | Sertraline; Lasix; Amitiza; maxzide; potassium chloride; Topamax; Zetia; Protomix; Phenergan; Vitamin B2; Vitamin E; Zanaflex; Vitamin B12; Zyrtec; Rugby Stool Softener; Metformin; Antivert; Lotensin; Vitamin D3; Synthroid; Reyvow; gabapent | Migraines | Migraines; chronic kidney disease; obese; diabetic type 2; hypothyroid disorder; depression; allergies; GERD; IBS; Chronic constipation; Fibromyalgia; osteoarthritis; TMJ; chronic nerve pain/neuropathy | Flu shot, about 2016, I became very dizzy, but a later found out that my potassium was low and that could have caused the proble | vsafe | 2 | 08/05/2021 | Y | Morphine; fentanyl; lidocaine; chloralhydrate; Compazine; DHE; diphenoxylate-Atropine; temazepam; ranitidine; ergot Alkaloids; meloxicam; gadolinium contrast dye; Eletriptan HBR, diphenoxylate, ondansetron HCL, simvastatin, rosuvastatin, lurasidone; caripr | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1530047 | 08/06/2021 | WI | 58.0 | 58 | M | Deep Vein Thrombosis - Clots - Coughing up blood. | N | 04/06/2021 | 05/05/2021 | 29 | Chest Xray 5/10/2021 CT Scan with Contrast 5/18/2021 | PHM | None | None | None | 2 | 08/06/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1540370 | 08/10/2021 | WI | 58.0 | 58 | F | Recurring pain at site of Covid shot. | N | 04/05/2021 | 08/04/2021 | 121 | UNK | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1541392 | 08/10/2021 | WI | 58.0 | 58 | M | Mild chest pain after first vaccine. After second vaccine, two days later moderate chest pain and tightness. After three days severe chest pain and tightness. Went to ER July 18. Referred for stress test. Stress test 07/21 and failed bc of a spasming | N | 06/17/2021 | 06/18/2021 | 1 | Troponin <0.034 ng GFR >60 mL D-dimer 528.6 ng | PVT | None | None | None | 2 | 08/10/2021 | Y | PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1552018 | 08/13/2021 | WI | 58.0 | 58 | F | Itching; Redness; Swelling; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE PRURITUS (Itching), INJECTION SITE ERYTHEMA (Redness) and INJECTION SITE SWELLING (Swelling) in a 58-year-old female patient who rec | U | 01/27/2021 | 02/04/2021 | 8 | UNK | FISH OIL | Comments: The patient's past medical history included No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1567841 | 08/15/2021 | WI | 58.0 | 58 | F | Sinus infection; Runny nose; Scratchy throat; Fever; This spontaneous case was reported by a consumer and describes the occurrence of SINUSITIS (Sinus infection), RHINORRHOEA (Runny nose), THROAT IRRITATION (Scratchy throat) and PYREXIA (Fever) in a 58-yea | U | 02/08/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1567853 | 08/15/2021 | WI | 58.0 | 58 | F | congestion; fever blisters on lip; nose is constantly running; no sleep in 4 days; sick; slight fevers every night; headache; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of NASAL CONGESTI | N | 02/08/2021 | UNK | Comments: No Medical History was provided by the reporter. | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1574601 | 08/16/2021 | WI | 58.0 | 58 | M | Admitted to hospital on 7/31/2021 with SOB, cough and loss of taste and smell. Blood sugar 370 with no known history of diabetes. He had known exposures to Covid 19. Treatment recommendations indicated: remdesivir -Dexamethasone per the protocol which is | Y | U | 03/17/2021 | 07/31/2021 | 136 | 7/31/2021: CXR: bilateral perihilar ground glass and airspace pulmonary infiltrate Covid-19 positive by PCR | UNK | unknown | unknown | pyloric stenosis | 2 | 08/16/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591842 | 08/20/2021 | WI | 58.0 | 58 | F | Severe headache, body aches, and some chest pain that afternoon of 7/29 after COVID vaccine. Pt took medication for headaches and had no relieve. The next morning went to her daughters whom she was to babysit and was acting funny. Per ER report patient can | Y | Y | 07/29/2021 | 07/29/2021 | 0 | Admission on 07/30/2021, Discharged on 07/31/2021 Component Date Value Ref Range Status ? White Blood Cells 07/30/2021 6.47 3.8 - 10.8 K/uL Final ? Red Blood Cells 07/30/2021 4.68 3.90 - 5.11 M/uL Final ? Hemoglobin 07/30/2021 14.5 11.7 - 15.7 g/dL Fin | PVT | Fish oil 1200, Vitamin B complex, hydroxychloroquine 200mg, vitamin D | NONE | Lupus | 2 | 08/20/2021 | Y | Shellfish, penicillins, and sulfa antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1592335 | 08/20/2021 | WI | 58.0 | 58 | F | sore throat 6 days after vaccination | N | 08/14/2021 | 08/20/2021 | 6 | none | PHM | olanzapine, albuterol inhalation nebulizer solution | none | asthma | 2 | 08/20/2021 | penicillin--rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1608582 | 08/22/2021 | WI | 59.0 | 58 | F | Mild fever; Whole body pain; Chills; Headache; Nausea, gagging; Flu like symptoms; Body aches; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Mild fever), PAIN (Whole body pain), CHILLS (Chills), HEADACHE (Headach | U | 03/18/2021 | 04/15/2021 | 28 | UNK | Medical History/Concurrent Conditions: Milk allergy | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1611590 | 08/22/2021 | WI | 59.0 | 58 | F | patient woke up achy; hardness of arm; redness in between elbow, up the arm, to shoulder and neck; arm red and hot to touch; headache; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (patient woke up achy), VA | U | 04/23/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1613711 | 08/22/2021 | WI | 58.0 | 58 | M | appetite lost; mild fever; headache; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of DECREASED APPETITE (appetite lost), PYREXIA (mild fever), HEADACHE (headache) and FATIGUE (fatigue) in a 58-year-old male patient | Y | 05/01/2021 | 05/01/2021 | 0 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1615270 | 08/22/2021 | WI | 58.0 | 58 | M | Night sweating; He couldn't do activities; Fever; Chills; Muscle pain; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of NIGHT SWEATS (Night sweating), MOBILITY DECREASED (He couldn't do activities), PYREXIA (Fever), | Y | 03/28/2021 | 04/28/2021 | 31 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1616659 | 08/22/2021 | WI | 58.0 | 58 | F | threw up; minor headache; not felt well; Sick to my stomach; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (not felt well), ABDOMINAL DISCOMFORT (Sick to my stomach), VOMITING (threw up) and HEADACHE (minor headac | N | 05/12/2021 | 05/14/2021 | 2 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1617465 | 08/22/2021 | WI | 58.0 | 58 | F | Recombinanat vaccine--Itching, and burning over entire body, hives (on both arms), swollen lips | Y | 07/30/2021 | 07/31/2021 | 1 | Labs taken same time as vaccines were as follows: Vit B12 Cortisol Serum AM Panel CMP Panel Lipid Thyroid Stimulating Hormone CBC WITH DIFF Results: all normal. | PVT | Paxil Wellbutrin Pantoprizole Synthroid **Note: also had a Tetanus shot at same time as Shingles shot, other arm. Took 2 Aspirin 12 hours after Tetanus andShingles vaccinations d/t pain at sight of Tetanus shot, to help sleep. | None | GAD GERD Hypothyroid | 2 | 08/22/2021 | Y | Septra Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1651257 | 08/28/2021 | WI | 58.0 | 58 | F | Extreme chills, broke out in hives on arms and legs, vertigo, ringing in ears, blurred vision. | N | 06/08/2021 | 06/09/2021 | 1 | PHM | Vitamins, minerals | 2 | 08/28/2021 | Y | gluten, wheat, shellfish, cleosin, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1655891 | 08/30/2021 | WI | 58.0 | 58 | M | Ringing of the ear starting day after vaccine | N | 08/27/2021 | 08/28/2021 | 1 | PHM | 2 | 08/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1657439 | 08/30/2021 | WI | 58.0 | 58 | F | Patient reports getting sore and achy within hours of her vaccine, with headache, low grade fever. Called later to report she "lost the use of her arms and her head got floppy" She laid down and was fine when she woke up without any neurological deficit pr | Y | 04/02/2021 | 04/02/2021 | 0 | None | UNK | FluLaval in 10/2020 with similar reaction per patient. | 2 | 08/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1670157 | 09/03/2021 | WI | 58.0 | 58 | F | Client's husband reported client received a flu shot on 7/27/21 when symptoms began. ( does not indicate client received the influenza vaccine and last documented shot was given on 8/23/16.) Symptoms included fatigue, aches mostly in hip, dehydration, an | Y | 08/30/2021 | Y | 24 | 07/27/2021 | 08/07/2021 | 11 | UNK | MS | 2 | 09/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1684833 | 09/09/2021 | WI | 58.0 | 58 | F | Hospitalized for COVID-19. | Y | 3 | Y | 02/17/2021 | 09/06/2021 | 201 | PHM | 2 | 09/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696135 | 09/14/2021 | WI | 58.0 | 58 | M | Sweating/dizziness | Y | 09/13/2021 | 09/13/2021 | 0 | none | PHM | none | none | none | 2 | 09/14/2021 | penicillins- rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1707536 | 09/17/2021 | WI | 58.0 | 58 | F | Mild general pain / pain in the body; Pain in the arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Mild general pain / pain in the body) and PAIN IN EXTREMITY (Pain in the arm) in a 58-year-old female patient who | U | 08/08/2021 | UNK | USMODERNATX, INC.MOD20213 | 2 | 09/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1707541 | 09/17/2021 | WI | 58.0 | 58 | F | Back pain; Decreased appetite; chills; fever; Myalgia; General discomfort; Feeling hot; Pain; This spontaneous case was reported by a consumer and describes the occurrence of DISCOMFORT (General discomfort), FEELING HOT (Feeling hot), PAIN (Pain), BACK PAI | Y | 09/05/2021 | 09/06/2021 | 1 | UNK | USMODERNATX, INC.MOD20213 | 2 | 09/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1709149 | 09/17/2021 | WI | 58.0 | 58 | F | Night of shot: fever, chills, extreme headache and body aches ( like I have never had before in my life!), dizziness, inability to move well. These extreme symptoms lasted 2 days ( on couch). ( lost work). Sept. 20th started to get painful sores in mouth | N | 09/10/2021 | 09/17/2021 | 7 | WRK | fish oil, low dose aspirin, Glucosamine/Chondrotin | None | None | 2 | 09/17/2021 | Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1715624 | 09/20/2021 | WI | 58.0 | 58 | F | Beginning approx. 08/21/2020 I started having bladder infection or kidney stone symptoms which lasted straight thru until I saw the doctor finally on 09/07/2021. I was treated for an injection with sulfamethoxazole-trimethoprim 800-160 mg tablet for 3 da | Y | 03/18/2021 | 08/21/2021 | 156 | All on 09/07/2021 CULTURE - URINE Urogenital microbiota isolated. General Information Collected on 09/07/2021 1:18 PM (Urine) Resulted on 09/08/2021 2:58 PM Result Status: Final result WBC, URINE 22 /HPF <=5 /HPF H WBC CLUMPS Occasional RBC, URINE | PVT | escitalopram 10 mg tablet cholecalciferol 1,000 unit tablet cyanocobalamin 1,000 mcg tablet atenoloL 25 mg tablet | none | GAD (generalized anxiety disorder) Class 3 severe obesity due to excess calories without serious comorbidity with body mass index (BMI) of 45.0 to 49.9 in adult Primary osteoarthritis of both knees Anxiety | 2 | 09/20/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1727019 | 09/23/2021 | WI | 58.0 | 58 | F | gave meningococcal B vaccine instead of menactra. No symptoms | 06/18/2021 | 06/19/2021 | 1 | none | PUB | Multivitamin; 1000 IU Vitamin D | None | Moderate obesity | 2 | 09/23/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731307 | 09/24/2021 | WI | 58.0 | 58 | M | A couple months after the vaccine I developed a ringing in my left ear followed by hearing loss which I still have the loss to date. Was referred to an ENT who did an MRI and CT Scan but nothing was found on either as to the cause of the ringing and hearin | N | 04/13/2021 | 06/01/2021 | 49 | MRI; CT Scan; Hearing Test-significant hearing loss. | OTH | Melatonin;Loratadine; Pravastatin; finasteride; Aspirin; Vitamin D3; Metformin; Tamsulosin; Stironolactone; Citalopram; Furosemide. | No | Diabetes, Pulmonary Hypertension; Depression; Unspecified Edema; Asthma; Sleep Apnea; CHF; BPH; Morbid Obesity; Hypolipidemia; GA; Dentral Hernia; Enlarged Prostate-DPH | vsafe | 2 | 09/24/2021 | Y | Vitakidin; Environmental Allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731699 | 09/24/2021 | WI | 58.0 | 58 | M | Expired by one day, dose given was expired | U | 09/22/2021 | 09/22/2021 | 0 | None | PVT | NA | NA | NA | 2 | 09/24/2021 | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1736751 | 09/27/2021 | WI | 58.0 | 58 | F | On 9/17/21: Body aches, fever of 100.2, fatigue and waves of nausea, dizziness. Fatigue, waves of nausea/dizziness continued until 9/26/21. Continues to complain of pain between shoulder blades. | Y | 09/16/2021 | 09/17/2021 | 1 | None | PHM | Hydrochlorothiazide, losartan, acetaminophen | Seasonal allergies | Hypertension, seasonal outdoor allergies | Warm at injection site/body aches/vomiting from annual influenza vaccine (10 years ago) | 2 | 09/27/2021 | Zinc | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1745957 | 09/29/2021 | WI | 58.0 | 58 | M | Swelling in all joints especially hands, All joints experienced extreme pain. | Y | N | 05/05/2021 | 05/17/2021 | 12 | Complete blood work. Elevated sedimentation rate. | OTH | None | None | none | 2 | 09/29/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761935 | 10/05/2021 | WI | 58.0 | 58 | M | + COVID mild sx | Y | 04/09/2021 | 09/10/2021 | 154 | + swab for COVID | PVT | n/a | n/a | none | 2 | 10/05/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1783126 | 10/13/2021 | WI | 58.0 | 58 | F | Trouble Breathing, felt faint - now have pain in upper chest areas. The RN at the clinic monitored my blood pressure and pulse for approx. 40 minutes. I had several "episodes" of shallow, labored breathing when I came home from the clinic, as I write this | U | 10/13/2021 | 10/13/2021 | 0 | None Yet | UNK | None | None | Osteoarthritis | Flu Vaccine Shot in 2012 age: 49 Anaphylaxis with shock | 2 | 10/13/2021 | Shellfish, Sulfa-based Medications, Latex, 2012 Flu Vaccine - Anaphylaxis. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788629 | 10/15/2021 | WI | 58.0 | 58 | F | BREAKTHROUGH COVID INFECTION ONSET 10/12/21 REGEN IM TODAY. | N | 03/04/2021 | 10/12/2021 | 222 | COVID 19 POS 10/13/2021 AT CLINIC | PVT | COLACE, ANUSOL, NAPROXEN, OMEPRAZOLE, MIRALAX | NONE | CERVICAL RADICULOPATHY BILATERAL CARPAL TUNNEL | 2 | 10/15/2021 | Y | PENICILLIN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1790529 | 10/16/2021 | WI | 58.0 | 58 | F | She started having hot flashes after not having them for two or three years/She's been having hot flashes more frequently than before the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of HOT FLUSH (She started havin | U | 08/16/2021 | 08/17/2021 | 1 | UNK | Medical History/Concurrent Conditions: Hot flashes | USMODERNATX, INC.MOD20213 | 2 | 10/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1804565 | 10/21/2021 | WI | 58.0 | 58 | F | After the vaccine that evening I had a headache and sick to my stomach, really tired, nauseous. Better by the next day. In September, I had a pain in my belly button on the right side. It got worse and I went over a bump and it hurt. Went to urgent care. D | U | 04/16/2021 | 04/16/2021 | 0 | CT scan, inflamed lymph nodes in my stomach, Lab test, normal except gluconates was a bit elevated | PVT | Choosed to skip | No | Depression | Flu shot about 2001 and are arm swelled up red and hot | vsafe | 2 | 10/21/2021 | Y | 2 antibodics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1818156 | 10/26/2021 | WI | 58.0 | 58 | M | Patient is a 59 y.o. male with schizophrenia, anxiety, HLD, CKD, DM, hypothyroidism, and hx of CVA. He presents as a transfer after being found to have COVID19 at his group home. He is not able to provide any hx surrounding his current state due to cogni | Y | U | 02/24/2021 | 10/19/2021 | 237 | UNK | aspirin, atorvastatin, mirtazapine, paliperidone palmitate, sertraline | 2 | 10/26/2021 | Clozapine, Phenothiazines, Quetiapine, Troleandomycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1831817 | 10/30/2021 | WI | 58.0 | 58 | M | Pharmacist did not dilute the vaccine before administration. Patient received 0.3ml of undiluted vaccine. | U | 10/30/2021 | 10/30/2021 | 0 | PHM | singulair citalopram bupropion pramipexole lipitor metoprolol | 2 | 10/30/2021 | nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1836821 | 11/02/2021 | WI | 58.0 | 58 | F | Per Client, received second dose of Moderna COVID 19 vaccine in the left arm on 10/26/2021. Next day on 10/27/2021, left arm at site swollen and painful. Later in day on 10/27/2021, symptoms of fever, runny nose, slight loss of taste and smell, fatigue, i | N | 10/26/2021 | 10/27/2021 | 1 | PUB | Yes- Claritin | None | HTN | 2 | 11/02/2021 | Yes-Environmental | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1836997 | 11/02/2021 | WI | 58.0 | 58 | M | On 08/16/2021 at 04:00AM, I wear a living smart watch that detects A-fib. That is how I know that I went into A-fib at that point and time. I spoke with my doctor, he had me wear a heart monitor for 2 weeks. I had follow up appointment, then they performe | Y | 04/29/2021 | 08/16/2021 | 109 | heart monitor-indicated I was in A-fib the entire time. 09/23/2021 - heart version -performed about 08:00 indicated I was in normal rhythm and I was in normal rhythm since then. Sonogram to look at the heart before they do the heart version. It performed o | PUB | Xarelto 20 mg od, Aller clear, vitamin D 1000 iu, fish oil | no | I have 2 artificial knees and artificial hip, pre-diabetic, 2 - DVT deep vein thrombosis | vsafe | 2 | 11/02/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1837441 | 11/02/2021 | WI | 58.0 | 58 | F | On Oct. 27, noticed a few small blisters on right hand after potentially coming in contact with poison ivy. Later that morning, received the Covid booster. Did not have any reactions with the first 2. Later in day, blisters developing rapidly over hand and | N | 10/27/2021 | 10/28/2021 | 1 | none | WRK | Sertraline, lunesta, Wellbutrin | Poison Ivy | depression | 2 | 11/02/2021 | Y | Y | Sodium Pentathol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1844054 | 11/04/2021 | WI | 58.0 | 58 | F | Was to have gotten a dose of Fluzone Quad but was given Pfizer Covid Vaccine instead. It would have been her booster dose but given in error. | U | 11/04/2021 | 11/04/2021 | 0 | PHM | 2 | 11/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1857617 | 11/10/2021 | WI | 58.0 | 58 | F | From the History and Physical Exam on 11/05: Patient is a 58-year-old female with history of type 1 diabetes mellitus, CAD status post CABG 2012 PCI x5 most recently June 2021, HTN, fibromyalgia, current everyday smoker who quit 3 days ago presented in via | Y | 1 | 07/09/2021 | 11/05/2021 | 119 | PVT | hypertensive heart disease without heart failure, peripheral arterial disease, proliferative diabetic retinophathy Profliferative diabetic retinophaty associated with type 1 diabetes mellitus, ahterosclerosis of coronary artery bypass graft without angina | 2 | Adhesives, gadolinium-containing contrast media, prednisone, Shellfish, ibuprofen | 2021VAERSSYMPTOMS | 2021VAERSVAX |