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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0921852 | 01/05/2021 | TN | 60.0 | 60 | F | Still have slight fever Headache Fatigue Chills | U | 01/04/2021 | 01/05/2021 | 1 | COVID TEST THIS MORNING AT 9AM | PVT | ELMIRON CELEXA TYLENOL XANAX BUPROPION HCL XL SELENIUM VIT D2 CALCIUM CITRATE DOXYCYCLINE BUSPIRONE HCL EYE VITAMIN CAPS SYSTANE PROLIA INJ | EYE CHALAZION INTERSTITIAL CYSTITIS | OSTEOPOROSIS INTERSTITIAL CYSTITIS DEPRESSION | 2 | 01/05/2021 | PENICILLIN MORPHINE BENADRYL | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0924257 | 01/06/2021 | TN | 60.0 | 60 | F | PATIENT DEVELOPED ITCHINESS AND WARM FLUSH ALL OVER BODY WIHTIN 20 MIUTE POST INJECTION, AND RECEIVED 50 MG BENADRYL ORAL AND 20 MG FAMOTIDINE ORAL, AND AFTER 30 MINUTES, ADVERSE REACTION HAS BEEN RESOLVED. | Y | 12/30/2020 | 12/30/2020 | 0 | OTH | PRE MEDICATED WITH BENADRYL 50 MG ORAL | 2 | 01/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0935227 | 01/11/2021 | TN | 60.0 | 60 | F | A couple of days after the injection I had a rash below the area of the shot. The rash was 4 inches by 2.5 inches and itches. Now at day 12 I still have a faint rash with itching. I also had a fever (100.1) and body aches for the first 2 days. Then later | 12/30/2020 | 01/01/2021 | 2 | None | UNK | Telmisartan/HCTZ, Multi Vit. , Omeprizole, Vitamin B 12, Super collagen with Vit C and Biotin, magnesium, Tessalon Pears as needed, Albuterol inhaler as needed. | None | Hypertension and GERD. | 2 | 01/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0938149 | 01/12/2021 | TN | 60.0 | 60 | M | PATIENT SAYS HE IS EXPERIENCING SORENESS AT THE INJECTION SITE THE FIRST FEW DAYS AFTER AND THEN RINGING IN THE EAR A WEEK AFTER, WHICH HAS NOT RESOLVED AS OF THE DAY OF THIS REPORT. HAD HAD NO OTHER CHANGES IN HIS MEDICATION REGIMEN. | U | 12/30/2020 | 01/05/2021 | 6 | PHM | ELIQUIS , MULTAQ, METOPROLOL ER SUCCINATE , LOSARTAN , DOXYCYCLINE | NONE KNOWN, | HYPERTENSION, ATRIAL FIBRILLATION | 2 | 01/12/2021 | NO KNOWN ALLERGIES | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0941276 | 01/13/2021 | TN | 60.0 | 60 | F | The day after my arm was very soar for at least 48 hours, no fever just laying around. I had low energy for about three weeks and I'm just now feeling better. Around the 26th my lymph nodes swelled up (three of them) . I called my PCP, he told me to take T | Y | 12/23/2020 | 12/25/2020 | 2 | WRK | Pepcid -2x day 20mg Omega 3 D3 Biotin Multi Vitamin | vsafe | 2 | 01/13/2021 | Augmentin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0947999 | 01/15/2021 | TN | 60.0 | 60 | F | 10 minutes after receiving vaccine pt. c/o severe itching on face and neck. No hives, shortness of breath or distress noted. Pt. declined to take Benadryl or Epinephrine - requested to go to hospital for evaluation. | U | 01/15/2021 | 01/15/2021 | 0 | Heart rate and respiratory rate WNL; declined to have blood pressure checked or to be evaluated outside of vehicle | PUB | Unknown | Unknown | Unknown | 2 | 01/15/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0948409 | 01/15/2021 | TN | 60.0 | 60 | F | Employee reported chills, muscle aches, headache, pain at injection site, fatigue, nausea, pruritus, and pressure on her upper back. She reported feeling anxious when she laid down. She went to see her doctor last week and was treated with benadryl. | Y | 12/30/2020 | 12/31/2020 | 1 | None | OTH | HTN medication (she did not know the name) | HTN, HCV | 2 | 01/15/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0958652 | 01/20/2021 | TN | 60.0 | 60 | M | 20 MINUTES AFTER INJECTION CLIENT COMPLAINED OF VISUAL DISTURBANCES. HE STATES THE WHITE TRUCK PARKED NEXT TO HIM APPEARED PINK FOR A SPLIT SECOND THEN RETURNED BACK TO LOOKING WHITE. CALLED EMS PER PROTOCOL MANUAL B/P 220/90, PATIENT THEN ALSO COMPLAIN | 01/20/2021 | 01/20/2021 | 0 | PUB | 2 | 01/20/2021 | Y | ANAPHYLAXIS TO BEE STINGS, SHELLFISH, TROPICAL IODINE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0960796 | 01/21/2021 | TN | 60.0 | 60 | M | Loss of concentration; small shingles outbreak/ persistent painful blistering rash on top of his head in his hair, on his face and in his ear/ diagnosed as herpes zoster; ears started "feeling funny"/ persistent painful blistering rash on top of his head i | U | 03/07/2015 | 03/01/2015 | PHM | rosuvastatin; metoprolol | Blood pressure high (dates of care: 2010 to present); Cardiac disorder; Cholesterol high (dates of care: 2005 to present); Non-tobacco user; Routine health maintenance | Medical History/Concurrent Conditions: Chickenpox (at approximately 9-10 years of age) | US0095075131503USA004588 | 2 | 01/21/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0979715 | 01/27/2021 | TN | 60.0 | 60 | F | PATIENT C/O NECK PAIN THAT STARTED GOING DOWN HER ARM WITH NUMBNESS AND TINGLING, THEN STARTED SHAKING VIOLENTLEY, SYMPTOMS JUST KEPT GETTING WORSE. | N | 01/27/2021 | 01/27/2021 | 0 | UNKNOWN CURRENTLY IN REGIONAL ER. | PUB | UNKNOWN | UNKNOWN | UNKNOWN | 2 | 01/27/2021 | UNKNOWN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0995936 | 02/02/2021 | TN | 60.0 | 60 | F | Lethargic. Fever. Chills Swelling of lymph gland under left arm | Y | 01/27/2021 | 01/28/2021 | 1 | None | PUB | Multi-vitamin. Turmeric. Fish Oil. Estriol Wellbutrin / had just started Chantex to stop smoking Clindamycin- for abscess tooth | None | None | 2 | 02/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0996338 | 02/02/2021 | TN | 60.0 | 60 | F | Fever, severe nausea, body aches fatigue headaches, chills, | N | 02/01/2021 | 02/01/2021 | 0 | PUB | Levothyroxin (thyroid) | none | thyroid and fybromyalgia | 2 | 02/02/2021 | sulpher and amitriptyline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0999253 | 02/03/2021 | TN | 60.0 | 60 | F | Redness and swelling at injection site | 01/25/2021 | 02/01/2021 | 7 | SEN | Thyroid compound, progesterone, low dose naltrexone, dextroamphetamine xr 5 mg, Wakix 7 mg, Estrogen cream, vitamin D, multivitamin | Narcolepsy, Hashimotos, psoriasis | Narcolepsy, Hashimotos, Psoriasis, celiacs | 2 | 02/03/2021 | Provigil, sulfa, codeine, Gabapentin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1012945 | 02/08/2021 | TN | 60.0 | 60 | F | Apps 3? diameter hot red area on arm at injection site, very warm to touch and lump under skin | N | 02/04/2021 | 02/05/2021 | 1 | None | PUB | Atenolol 37.5mg, Pravastatin 20mg, Cholecalciferol 50mcg, HCTZ 25/Triamterene 37.5mg, Sulfasalazine 2000mg, Acyclovir 400mg, Vitamin C time release 1000mg,Schiff Move Free Glucosamine + MSM 1500, Melatonin 9mg, B12 1000mcg, Ocuvite 50+ | None | Undifferentiated Connective Tissue Disease | 2 | 02/08/2021 | Penicillin, tape | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1017583 | 02/09/2021 | TN | 60.0 | 60 | F | Redness around injection site, extending down towards elbow. Fluid-filled blisters present below injection site within red area. | N | 02/05/2021 | 02/06/2021 | 1 | PHM | 2 | 02/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1019694 | 02/10/2021 | TN | 60.0 | 60 | M | back pain, Head ache, nausea and vomiting, States Fever but temp normal. | U | 02/08/2021 | 02/10/2021 | 2 | none | SEN | none | Diabetes Dialysis | 2 | 02/10/2021 | Y | latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1024516 | 02/11/2021 | TN | 60.0 | 60 | F | the top of my hands, the left side of my face and top of right of my eye lid all broke out in a rash. It was very itchy, red and rough. | Y | 02/05/2021 | 02/06/2021 | 1 | none | OTH | metformin, lisinopril ,atorvastatin, claritin , zinc, magnesium, turmeric, ozempic, dupixent, D3, vitamin c, | none | diabetic , high blood pressure | 2 | 02/11/2021 | codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1038798 | 02/18/2021 | TN | 6.0 | 60 | F | Pt states she "began to have a headache the evening she received the second COVID- 19 vaccine (02/01/2021)." States "I sat up all night and held my head because I could not lay my head down." Pt states the "pain was on the top of her head. " Pt states she | Y | 02/01/2021 | 02/01/2021 | 0 | N/A | PUB | esteadiol patch, sertaline, metoprolol | N/A | N/A | 2 | 02/18/2021 | Sulfa, penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1044511 | 02/21/2021 | TN | 60.0 | 60 | F | Patient states the day after vaccine received she has a headache and fever of 101.9 and hot flashes, She states she was attempting to go to bed and she felt hot, dizzy and passed out and fell and hit head. She states she was checked by her PCP the followin | Y | 01/22/2021 | 01/23/2021 | 1 | None | PUB | Medications for BP and HLD | None | HTN, HLD | 2 | 02/21/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1054173 | 02/25/2021 | TN | 60.0 | 60 | M | At 0600 on 23 Feb I woke up with a temp of 101.9 (normally, I am at 97.4) headache, stuffy head, body ache and a sore arm at the injection site. I had elevated temperatures for the next 24 hours. Headaches also lasted 24 hours. Also, this was accompanie | U | 02/22/2021 | 02/23/2021 | 1 | None | PVT | AVORSTATIN 80 MG; CLOPIDOGREL 75 MG; LOSARTAN/HCTZ 100/12.5 MG: FAMOTIDINE 20MG | A slight cold | High blood pressure- under control with medication TIA on 29 March, 2020 | 2 | 02/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1055163 | 02/25/2021 | TN | 60.0 | 60 | F | 1010 pt c/o eyes draining clear fluid, generalized tingling, redness Dr notified and assessed order received to administer po benadryl 25 mg po 1030 symptoms resolving continued to monitor for additional 30 min. 1100 pt stable and symptoms resolved left p | Y | 02/23/2021 | 02/23/2021 | 0 | OTH | 2 | 02/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1064067 | 03/01/2021 | TN | 60.0 | 60 | M | Had bad abdominal pains and diarrhea for 3 Days afterward. But the real issue is that now for the past week I've had diarrhea, bloating, abdominal pain and cramping, and some mild nausea. I don't know if this is related to the vaccine. That is my concern. | N | 02/09/2021 | 02/21/2021 | 12 | None | SEN | Metoprolol ER 100mg Lisinopril 40 mg Atorvastatin Calcium 40 mg Taltz 80 mg, monthly | None | Psoriasis Psoriatic arthritis Sleep apnea | 2 | 03/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1073095 | 03/04/2021 | TN | 60.0 | 60 | F | Shingles erupted on right hip/buttock | N | 02/22/2021 | 03/01/2021 | 7 | Description of rash/ pus and clear liquid; low fever | PVT | Clonazepam Effexor Atenelol Lisinopril Synthroid Advil Hydroxychloroquin | Trigeminal Neuralgia Diabetes Hashimoto?s Thyroiditis Arthritis | Trigeminal Neuralgia Hashimoto?s thyroiditis Arthritis diabetes type 2 | 2 | 03/04/2021 | Ampicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074875 | 03/05/2021 | TN | 60.0 | 60 | M | The described waking up around 9pm after going to be early the day after he received the vaccine. He said that his hands burned and itched. He took Benadryl and the symptoms eased after about an hour. He reports he had a similar experience after being ex | Y | 03/02/2021 | 03/03/2021 | 1 | PVT | 2 | 03/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1076824 | 03/05/2021 | TN | 60.0 | 60 | F | The patient called the health department this afternoon stating that 3 days ago she began noticing "light headed, dizziness". I encouraged an ER visit / assessment with MD. | N | 02/25/2021 | 03/02/2021 | 5 | PUB | states "I am in a wheelchair" | 2 | 03/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1086120 | 03/09/2021 | TN | 60.0 | 60 | F | She had a really bad and deep cough, bad headaches and extremely tired | N | 03/03/2021 | 03/03/2021 | 0 | no | OTH | BC Arthritis Powders, Vitamins C, D3 and Zinc | no | Emphysema, COPD, Sleep Apnea | 2 | 03/09/2021 | Sulfur | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091877 | 03/11/2021 | TN | 60.0 | 60 | M | Patient became hypoxic with chest pain. Wheezing noted throughout lung fields. SPO2 80% on room air. Tachycardic 115 with decreased level of consciousness. Admitted to hospital with diagnosis of COPD exacerbation with Hyperkalemia (6.2). Currently stabiliz | Y | Y | 2 | Y | 03/09/2021 | 03/10/2021 | 1 | Not available. Patient is inpatient at hospital. | OTH | flexeril, multivitamin, novolin-R/100, novolin70/30, odefsey, gabapentin, lactulose, metformin, albuterol, flomax, celexa, loxitane, cymbalta, simethicone, mag citrate, colace, metroprolol, aspirin | COPD, HIV, Neuropathy, CAD with stent placement, DM type II, BPH, PTSD, Anxiety, Constipation | COPD, HIV, Neuropathy, CAD with stent placement, DM type II, BPH, PTSD, Anxiety, Constipation | 2 | 03/11/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1094480 | 03/12/2021 | TN | 60.0 | 60 | M | Muscle neck and right arm became very tight and knee joints hurt started at 8 pm one day after .. My wife systems much worse fever, breathing Nausea headache. this lasted for two days no energy confusion sweats | U | 03/10/2021 | 03/11/2021 | 1 | PVT | No | no | @ 8 pm 3-11-2021 my shot was in left arm I was told it will hurt the next day !!! this did!! Problem Right arm and my neck became very tight Muscle could not move my head and arm very sore. also my knee joints ache . I used ice pads and heat pads most of t | 2 | 03/12/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1095514 | 03/12/2021 | TN | 60.0 | 60 | M | Moderna COVID-19 Vaccine EUA About 5 or 6 hours after the vaccine was given I developed inflamed toes on both feet. Puffy and red. itchy and slight burning. Three days later still have the symptoms. | N | 03/09/2021 | 03/09/2021 | 0 | OTH | none | none | none | 2 | 03/12/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1095738 | 03/12/2021 | TN | 60.0 | 60 | M | Nurse administering vaccine inadvertently gave 1ml dose to patient instead of 0.5ml dose | U | 03/11/2021 | 03/11/2021 | 0 | N/A | PUB | unknown | patient listed liver disease history | liver disease | 2 | 03/12/2021 | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096864 | 03/13/2021 | TN | 60.0 | 60 | F | Fever for 40 hours, chills, uncontrollable shaking for more than 3 hours, severe nausea for 36 hours, nausea continues now but at a much less severe amount, swollen glands around head and in right arm pit for more than 40 hours, pain in right eye started w | N | 03/11/2021 | 03/11/2021 | 0 | none | UNK | Chamomille Tea - 2 cups per day, multi vitamin, calcium supplement, vitamin D | none | none | 2 | 03/13/2021 | No Known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1098805 | 03/14/2021 | TN | 60.0 | 60 | F | Sore first few days. Then on 3/14, I developed itching and swelling and redness at the injection site. | N | 03/01/2021 | 03/06/2021 | 5 | None | PUB | None | None but Had a steroid shot in January for rotor cuff problem | None | Pneumonia shot | 2 | 03/14/2021 | The only allergic reaction I?ve ever had was last November when I had a pneumonia shot. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1101795 | 03/15/2021 | TN | 60.0 | 60 | M | About 54 hours after injection, I developed a fever, headache and stomach pain. | N | 03/12/2021 | 03/14/2021 | 2 | PHM | Xyzal, Bernedryl, BREO Ellipta | Severe allergies and Athsma | Shingrix Vaccine (same reactions) | 2 | 03/15/2021 | Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1105401 | 03/16/2021 | TN | 60.0 | 60 | F | Noticed itching Friday the 12th, progressed from Friday to Sunday, it became a 6*4 red patch that was swollen, red, and hot to the touch. | N | 03/04/2021 | 03/12/2021 | 8 | PHM | levothyroxine, metformin, wellbutrin XL, magnesium 400, vitamin d2 | no | thyroid disorder, diabetes. | 2 | 03/16/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1105949 | 03/16/2021 | TN | 60.0 | 60 | F | Pt received 1st dose of Moderna at community pharmacy, within 7 minutes developed dyspnea with stridor. Received epinephrine, methylprednisolone, and diphenhydramine by EMS then transported to MMC emergency department for additional treatment. | U | 03/16/2021 | 03/16/2021 | 0 | PVT | Sertraline, oxybutynin, rivaroxaban, pravastatin, pantoprazole | Asthma, GERD, arthritis, history of CVA, hyperlipidemia, hypertension, | Reported "nausea and vomiting with any shot" | 2 | 03/16/2021 | Y | beta blockers (stopped breathing) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1121066 | 03/21/2021 | TN | 60.0 | 60 | F | Very sore arm, fatigue, chills lasting 24 hours | Y | 03/18/2021 | 03/18/2021 | 0 | PHM | Metformin, prednisone, omeprazole, lisinopril, ezetimibe, duloxetine, atorvastatin, carvedilol,low dose aspirin, ocular vitamin | Fibromyalgia, Rheumatoid Arthritis, Obesity, Type 2 Diabetes, Hypertension | 2 | 03/21/2021 | Sulfa, codeine, kiwi | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1122278 | 03/22/2021 | TN | 60.0 | 60 | F | Pt complained of feeling dizzy after 12 minutes of post observation. Pt lost consciousness for brief period. Blood pressure dropped from 120/73 to 98/59. Pt regained consciousness and was able to give one word answers. EMS was called. IV was started a | Y | 1 | Y | 03/19/2021 | 03/19/2021 | 0 | Glucose Fingerstick 3/19/21. | PVT | Lisinopril 20mg daily, Atorvastatin calcium 10mg daily, Zyrtec 10mg daily, Tramadol 50mg daily, Hydrocodone-acetaminophen 7.5/325 daily | history of breast cancer, heart disease, hypertension | history of breast cancer, heart disease, hypertension | 2 | 03/22/2021 | azithromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1126839 | 03/23/2021 | TN | 60.0 | 60 | F | tingling on face, with numbness and increased heart rate for 5 minutes | Y | 03/15/2021 | 03/15/2021 | 0 | none | PUB | RX blood pressure RX trazalam for sleep RX diabetes RX cholesterol RX for restless legs | none | diabetes, HTN, high cholesterol,, restless legs, insomnia history of cancer cervical 1990 | 2 | 03/23/2021 | Allx Codeiene= heart race, dizziness | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1131971 | 03/25/2021 | TN | 60.0 | 60 | F | Arm was a little sore after injection but exploded into searing stabbing pain at the 2 week mark. The pinpoint soreness was vague and lingering until the middle of the night last night when the intense pain woke me from my sleep. It isn't bursa pain it i | N | 03/10/2021 | 03/25/2021 | 15 | none | OTH | none | none | none | 2 | 03/25/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1133674 | 03/25/2021 | TN | 60.0 | 60 | M | headache, low grade fever, muscle/joint soreness, fatigue for about a day and a half.l | Y | 03/21/2021 | 03/22/2021 | 1 | UNK | omeprazole allegra | 2 | 03/25/2021 | sulfa amoxicillan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1136116 | 03/25/2021 | TN | 60.0 | 60 | F | Within a minute of receiving the vaccine, pt reported itchy/tingly sensation in her mouth and throat. Initially stated she could breathe/swallow just fine but very quickly stated the swallowing was getting more difficult. 911 was called followed by 0.3 mg | U | 03/25/2021 | 03/25/2021 | 0 | Has a history of a severe reaction to prednisone. upon inquiring, patient stated it caused insomnia for about a year and was unable to work. No history of any sort of anaphylactic reaction. | PHM | unknown | unknown. none that we were aware of | unknown | 2 | 03/25/2021 | Y | prednisone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1152164 | 03/31/2021 | TN | 60.0 | 60 | F | Deceased 2/26/21 | Y | 02/26/2021 | N | 02/24/2021 | 02/26/2021 | 2 | unknown | PUB | unknown | unknown | unknown | 2 | 03/31/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1154425 | 04/01/2021 | TN | 60.0 | 60 | M | severe left side of face swelling, throat felt like it was closing, nausea, left arm sore | 03/31/2021 | 03/31/2021 | 0 | none. took 2 Benadryl tablets | UNK | lorsartan -25mg multi-vitamin - centrum for men diltiazem - 360 mg omeprazle - 40mg tadalafil - 5 mg fish oil | none | high blood pressure | shingles vaccine, Jan 2021 | 2 | 04/01/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155377 | 04/01/2021 | TN | 60.0 | 60 | F | Very tiny red spot at injection site,warm to touch ,bump at site - started on the third day. Soreness at site started the next day. Uncertain if related but have a small bump on scalp right side itched like crazy started 3/31/21 on 4/1/21 noticed rt side b | N | 03/29/2021 | 03/31/2021 | 2 | Have not sought treatment Took Extra Strength Tylenol 3/31/21 & 4/1/21 for sore spot on arm I rubbed some topical cream Willow Balm has Aspirin in it | OTH | Premerine,Triamterne, Levothyroxine,Diltiazem ER,Creator, Flexeril,Tramadol | UTI/ Kidney infection, Sinus infection | High BP, Mitral Valve Prolapse, Hypothyroidism | 2 | 04/01/2021 | Eggs, Chicken, Dairy, Rice Wheat, Oats, Corn,Blue Cheese Sulfa,Cipro,Proposal, Some adhesive, Dust,Trees,Weeds, Grasses,Ragweed giant & small | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155780 | 04/01/2021 | TN | 60.0 | 60 | M | Strange vivid dreams. Four nights in a row now after the shot. Hopefully they will stop soon. | U | 03/28/2021 | 03/29/2021 | 1 | PVT | Losartin, Propecia, Rosuvastatin, Vitamin B complex | Bicuspid Heart Valve and Cardiac Left Bundle Branch Block | 2 | 04/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1165167 | 04/03/2021 | TN | 60.0 | 60 | F | Large, painful lump formed under skin armpit in right arm where I had vaccination shot. Two days later a second, smaller lump formed. They have slowly grown. Was told this is a vaccine side-effect and wait but they do not seem to be going away. I?ve neve | N | 03/16/2021 | 03/19/2021 | 3 | None. I do not have insurance. | PHM | None | None | None | 2 | 04/03/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1167517 | 04/05/2021 | TN | 60.0 | 60 | F | chest pain beginning 11:00pm after vaccine given at 9:30am with subsequently confirmed cardiac ischemia. There was associated shortness of breath and fatigue. Patient waited to call on 4/2/2021 and was seen in the office and subsequently sent to the ER aft | Y | 2 | Y | 04/01/2021 | 04/01/2021 | 0 | Initial ECG showed mild ST elevation V3-V6 with T-wave inversions across the precordium. Initial troponin was elevated at 0.798 ng/mL. ECHO showed reduction of LVEF at 45% and severe left atrial enlargement with chordal rupture of mitral valve (chordal ru | PVT | Amlodipine, Atorvastatin, Doxazosin, Fenofibrate, Fluoxetine, Fluticasone, Lactulose prn, Lamotrigine, Linzess, Loratadine, Methadone, Pantoprazole, Polyethylene Glycol, sumatriptan prn | Allergic rhinitis due to pollen | angiomyolipoma of left kidney, aortic atherosclerosis, GERD with Barrett's esophagus, chronic alcoholism in remission, opioid dependence in remission, chronic constipation, chronic kidney disease stage 3, tortuous aorta, eczema, essential hypertension, hia | 2 | 04/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1168540 | 04/05/2021 | TN | 60.0 | 60 | F | Following the first vaccine on 2/3/21 I just had localized arm soreness. Following the second vaccine on 3/10/21 I experienced mild flu-like symptoms with chills, achiness, brain fog and fatigue. All of the symptoms have resolved except for fatigue. Fatig | N | 02/03/2021 | 03/11/2021 | 36 | I have not seen a doctor about this. I hope it will resolve in time. | PUB | Progesterone, Estrogen, Effexor, multi-vitamin, calcium | None. | Effexor helpful post-menopausal | vsafe | 2 | 04/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1168737 | 04/05/2021 | TN | 60.0 | 60 | F | Swollen, red heated rash on right arm just below the injection area. This began the second night after the vaccination. Today is day three of having the rash and it is still increasing in diameter, the arm is still swelling and it is very painful. This i | N | 04/02/2021 | 04/03/2021 | 1 | None, I haven't sought any medical treatment or taken any medication for it. I will photograph it for documentation. | PHM | Levothyroxine 0.05mg, Asprin 81mg, Pantoprazole 40mg , Escitalopram 20mg, Lisinopril 10mg, Topiramate 25mg 2xdaily, Phentermine 37.5mg | None | Obesity, Thyroid Nodules, High Blood Pressure | 2 | 04/05/2021 | Codine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1169933 | 04/05/2021 | TN | 60.0 | 60 | M | chills, joint pain, body aches, tired and sleepy, loose bowl | Y | 03/25/2021 | 03/26/2021 | 1 | PUB | 2 | 04/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1170416 | 04/05/2021 | TN | 60.0 | 60 | M | I had my second Moderna Covid-19 vaccine at noon on Thursday, April 1. I felt lethargic evening of injection, and injection site was sore to touch for next few days with a mild case of diarrhea. Sunday, April 3 I noticed that there was a large red circle w | Y | 04/01/2021 | 04/01/2021 | 0 | N/A | UNK | Daily Multi-vitamin and Atorvastatin 20 mg | N/A | N/A | 2 | 04/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1180669 | 04/08/2021 | TN | 60.0 | 60 | F | body and joint aches, fever (up to 101.4) with chills, tired. Symptoms lasted 30 hours. Then, like it never happened! Had started Tylenol ( 2 tablets) a few hours after shot. Took around the clock, every 6 hours until fever broke. Stayed in bed with | Y | 03/05/2021 | 03/05/2021 | 0 | PHM | 81 mg aspirin, 40 mg atorvastatin, fish oil one-a -day vitamin, elderberry gummies. zinc, vitamin D & B | heart stent Jan. 10, 2019 | 2 | 04/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1180889 | 04/08/2021 | TN | 60.0 | 60 | F | joint ( knees) aches Fever (100.2)-spiked at 3:00 pm day of shot. Tylenol seemed to control it. *Itchy, rised, red rash around injection site-- noticed at 10;00 pm day of shot. After 3 days fading, but still visible.* Began Tylenol--2 tablets at 12:00 n | N | 04/05/2021 | 04/05/2021 | 0 | PHM | 81 mg aspirin, 40 mg atorvastatin, fish oil one a day vitamins, Vitamin D & B, zinc elderberry gummies | heart stent Jan. 10, 2019 | 2 | 04/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1184861 | 04/09/2021 | TN | 60.0 | 60 | F | Reaction occured, about 2 hours after shot was received , had reported back to work site. Transported via EMT to Medical. | U | 04/09/2021 | 04/09/2021 | 0 | Unknown at this time | SCH | No noted | None noted | None noted | 2 | 04/09/2021 | Y | Shellfish, does not carry and epilepsy-pen b/c heat sensitive. States she tried but gave up. It was recommended that she checked with her PCP / Allergist to figure out an alternative so she can carry one. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1185126 | 04/09/2021 | TN | 60.0 | 60 | F | Vomiting, diarrhea, fever, headache that lasted 2 days. This was horrible, I very rarely ever get sick. I do not want to get the second shot, especially since it's been reported that the second shot is worse. | Y | 04/05/2021 | 04/08/2021 | 3 | OTH | levothyrocin | None | None | 2 | 04/09/2021 | penicillan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1191129 | 04/10/2021 | TN | 60.0 | 60 | M | The night after my first vaccine, I awoke at about 3:45AM with extreme aches and pains all over my body for about 4 hours, then I was okay. Twelve days later, I tried to go for a short walk with my wife and the pain in my left leg was horrible at times. | Y | 03/18/2021 | 03/30/2021 | 12 | 3/30/2021 Ultra-sound on main arteries showed to be clear. | PVT | Zoloft, Lunesta, Atorvastatin, Baby Aspirin, Vitamin C, D, and Multivitamin, Claritin, Omeprazole, | Bradycardia | Bradycardia | 2 | 04/10/2021 | Cipro | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1193720 | 04/11/2021 | TN | 60.0 | 60 | F | Stiff and Severe lower back and left hip pain, unable to stand up without significant difficulty. I am a runner and since the injection, have barely been able to get out of bed or chair or to walk. Today is Sunday and have started being able to move somew | N | 04/06/2021 | 04/08/2021 | 2 | PHM | Calcium, osteobiflex, turmeric, biotin, vitamin D, fish oil | No | No | 2 | 04/11/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1195153 | 04/11/2021 | TN | 60.0 | 60 | F | April 10th, pain at injection site, headache, chills, sore throat, runny nose, coughing, muscle aches, and fatigue. | N | 04/09/2021 | 04/10/2021 | 1 | PVT | Xanax, welbutrin, buproprion, multivitamin, vitamin D, elderberry, adderall | Runny nose | IBS | 2 | 04/11/2021 | Allergy to penicillin, demarol, codeine, hydrocodone and sulphuric drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1197188 | 04/12/2021 | TN | 60.0 | 60 | F | Redness, swelling, burning, itching, whelps at site, sore and hot to touch all at the site on left arm | Y | 04/01/2021 | 04/09/2021 | 8 | N/A | PVT | Triamtennel/HTCZ37.5/25mg metoprolol 50mg | None | HTN HX of Hep C | 2 | 04/12/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1210742 | 04/14/2021 | TN | 60.0 | 60 | M | Slight body aches and headache day of second injection. Moderate body aches and headache the day after injection. Night after second day had severe headache, severe confusion, severe dizziness, severe nausea, unable to walk unassisted. | N | 04/12/2021 | 04/13/2021 | 1 | 04/14/2021- Head CT, EKG, bloodwork done. No positive findings. | OTH | Ajovy, Amitryptyline, Prevacid, Insulin | none | Diabetes, Migraine, mild stroke | 2 | 04/14/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1213544 | 04/15/2021 | TN | 60.0 | 60 | M | Chills, fever, body ache, headache, sweating, teeth/gums sore and sensitive. | N | 04/13/2021 | 04/14/2021 | 1 | none | PHM | Blood Pressure, Allergies | none | none | 2 | 04/15/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222373 | 04/17/2021 | TN | 60.0 | 60 | F | itchy lips, then itchy scalp and feet. started 45min after shot. lips may have been swollen or may have seemed that way because of itchiness. I could not see them. lips issues ended within an hour from starting and the rest of itchiness ended after 2-3 hou | Y | 04/12/2021 | 04/12/2021 | 0 | none | UNK | none | none | none | 2 | 04/17/2021 | penicillin, some antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1225912 | 04/18/2021 | TN | 60.0 | 60 | F | Patient received Pfizer for her first dose on 3/17/21 and a moderna for her second dose on 4/8/21. She states at the 24 hour mark of receiving the moderna she experienced extreme joint pain and swelling. She states she has not been able to work when I cal | U | 04/08/2021 | 04/09/2021 | 1 | She had a visit with her PCP on 4/12/21 and was given a steroid shot. States she had no improvement form that steroid injection. I called our director. She spoke with office. Patient does not need to have repeated. Patient was told to continue to f/u wit | PUB | unknown | unknown | unknown | 2 | 04/18/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1230016 | 04/19/2021 | TN | 60.0 | 60 | F | Patient had her first covid vaccine injection at 0722 this am. She was escorted to the observation room where she told her nurse that she was experiencing tingling and numbness on the right side of her face from the nose down to the middle of her lip inc | Y | U | 04/19/2021 | 04/19/2021 | 0 | refer to admitting doctor | PVT | patient states she takes a beta blocker and another blood pressure medication, but couldn't remember the name. She states she took them both this AM. | none stated | patient states she has a history of TIA and an aneurysm in her spleen. She has chronic high blood pressure. | 2 | 04/19/2021 | Y | patient did not state any specific allergies, but did state o her paperwork that she does not have a history of severe allergies or serious reaction to vaccination in the past. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1237657 | 04/21/2021 | TN | 60.0 | 60 | F | I received my first vaccine on 3/17/21 and that was a Pfizer. When I went for my 2nd vaccine I was administered Moderna. They had scheduled me on the incorrect day. They didn't check my information to see which I had the first time. Since April 9th I h | Y | N | 04/08/2021 | 04/09/2021 | 1 | You will have to consult with my Physician he has completed 2 rounds of blood work. | PUB | Omeprazole 20mg, Escitalopram 10mg, Naproxen 500 mg (as needed) Levothyroxin 50 mcg. Multi Vitamin. | None | Mild Asthma | 2 | 04/21/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1243673 | 04/22/2021 | TN | 60.0 | 60 | F | Red rash mostly under right eye, but small place under left eye as well. Does not hurt or itch, just swollen and red. Also developed a fever blister/cold sore on upper lip at the same time. It's been about 23 days since first shot and I still have the rash | N | 03/30/2021 | 04/01/2021 | 2 | PHM | none | none | 2 | 04/22/2021 | codine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1251266 | 04/24/2021 | TN | 60.0 | 60 | F | Next day got extremely achy, mild headache, very hot/chills, didn?t have thermometer but felt worse than I remember flu being, I?m sure I had a fever. Slight sore throat. Felt bad enough to stay in bed. Felt horrible. Was told to start taking Motrin alter | N | 04/17/2021 | 04/18/2021 | 1 | None. 3 days later I called NP office and was told to fill out this form. I did not go to NP office to be checked only called. | PHM | Levithyroxin, pravastatin, Zyrtec, Flonase, magnesium, fish oil, vitamin D, prenatal vitamins (due to previous B12 level), melatonin, clonazepam | None | Hypothyroidism. My other meds like pravastatin are preventative. I have dry eyes. Environmental allergies. I had 2 miscarriages and it was found that my ANA was elevated but I don?t have lupus. Have not had ANA tested in many years | 2 | 04/24/2021 | Sentra, naprosyn, systane and soothe eye drops | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262847 | 04/27/2021 | TN | 60.0 | 60 | M | weakness, syncopal episode, hyperglycemia | U | 04/22/2021 | 04/25/2021 | 3 | glucose: 512 | PHM | Lamotrigine, Cymbalta | None | Depression | 2 | 04/27/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1263833 | 04/27/2021 | TN | 60.0 | 60 | M | Left deltoid IM injection was attempted, but suspect it was actually a SQ injection. Injection placed two to three cm below left acromion process. Met firm resistance with needle (1.5" 23 gauge needle) at a depth of approximately 1/2" and suspected that t | Y | 04/27/2021 | 04/27/2021 | 0 | None. | PVT | METFORMIN, SUBOXONE. | NONE. | DIABETES, OPIOID DEPENDENCE. | 2 | 04/27/2021 | NKDA. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1277707 | 05/01/2021 | TN | 60.0 | 60 | F | At 10 minutes, throat became scratchy and uncomfortable, became lightheaded. Throat discomfort eased at about 10 minutes later. Lightheadedness lasted about 15 more minutes. Was not as severe as anaphylacsis. | Y | 04/29/2021 | 04/29/2021 | 0 | none | PUB | one multivitamin | none | respiratory allergies | 2 | 05/01/2021 | thimeresol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1285669 | 05/04/2021 | TN | 60.0 | 60 | F | Client describes a tingling in her legs, feet and arms that started about 6-8 hours after receiving the shot. She also felt her face getting red and feeling hot and took Tylenol after going to bed. The next day, she had a rash on her forehead, scalp, neck, | N | 04/05/2021 | 04/06/2021 | 1 | She had a routine doctor's visit during this time and her doctor ordered routine tests. | PUB | Omeprazole; Levoxyl; Lisinopril; Levocertirizine; Sertraline Multivitamin, Vitamin E; low dose ASA; Healthy Eyes Tylenol at night | none | hiatal hernia with heartburn; decreased thyroid; HTN, seasonal allergies; anxiety | 2 | 05/04/2021 | Y | latex; "mycins", morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1287876 | 05/04/2021 | TN | 60.0 | 60 | M | Lymph node in armpit is still swollen after 10 weeks | N | 03/08/2021 | 03/11/2021 | 3 | UNK | Bystolic | None | None | 2 | 05/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289173 | 05/05/2021 | TN | 60.0 | 60 | F | Vaccine #1 Moderna given on Tuesday, March 30 at 10:00 am. Side effects were a sore left arm for about 5-7 days and a slight injection site reaction of itching and redness for 10 days. Vaccine #2 Moderna given on Thursday, April 29 at 9:00 am. Right arm in | N | 04/29/2021 | 04/30/2021 | 1 | None | PVT | No prescriptions. Long list of supplements. Will provide if specially needed. | None other than minor pollen allergies. Was not medicating for it | sciatica, diverticulosis | 2 | 05/05/2021 | Y | Penicillin, myacin meds (e-myacin, zpak, etc), Cleosin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1311691 | 05/12/2021 | TN | 60.0 | 60 | F | Developed squamous cell carcinoma in situ at exact vaccination site | N | 03/17/2021 | 03/31/2021 | 14 | Biopsy per Doctor | OTH | levothyroxine 88 mcg daily, Symbicort 1 inhalation daily, montelukast 10 mg daily, rosuvastatin, 10 mg daily, vivelle transdermal patch 0.05 twice weekly, Vit D 1000 mg daily, desoximometasone ointment daily, flucinolide ear drops daily, | None | Asthma, psoriasis, hypothyroidism Hashiomotos, vasospastic angina, allergies environmental | 2 | 05/12/2021 | Penicillin, polyethylene glycol in Mynx vascular closure device | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313526 | 05/13/2021 | TN | 60 | M | Itching, heart rate elevated | Y | 03/19/2021 | 03/19/2021 | 0 | PVT | 2 | 05/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313854 | 05/13/2021 | TN | 60.0 | 60 | M | Onset of chills followed by feeling not well. Not able to eat and get out of bed. Lasted 36 hours | Y | 05/07/2021 | 05/07/2021 | 0 | PUB | Levothyroxine 50 mcg once daily, Tadalafil 5 mg once daily, Low dose baby aspirin one daily | None | Over active bladder | 2 | 05/13/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1322322 | 05/16/2021 | TN | 60.0 | 60 | F | She was having joint pain | N | 05/11/2021 | 05/12/2021 | 1 | unknown -referred to dr if not resolved. | PHM | SYNTHROID, CRESTOR, ZOLOFT | UNKNOWN | THYROID | 2 | 05/16/2021 | PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1330612 | 05/19/2021 | TN | 60.0 | 60 | F | Severe redness and Minor swelling at the vaccine site that will not go away. At the time of swelling (05/18/2021) the site became itchy | N | 05/10/2021 | 05/18/2021 | 8 | N/A | PHM | Metformin 500mg , Potassium CL ER 10MEQ, Telmisartan 80mg, Rosuvastatin Calcium 10mg, Pantoprazole SOD DR 40MG, Hydrochlorothiazide 12.5mg, Glimepiride 1mg, Amlodepine Besylate 5mg, Ibuprofen 800mg. | N/A | Borderline Diabetic, Hypertension | 2 | 05/19/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1354601 | 05/27/2021 | TN | 60.0 | 60 | F | cardiomegaly, with significant bilateral lung abnormality. in addition, pulmonary edema with extensive bilateral multifocal pneumonia | Y | 05/07/2021 | Y | 13 | N | 04/08/2021 | 05/07/2021 | 29 | XR Chest view with above stated finding. in Addition, Elevated liver function panel, low hgb , hct, mcv, ch,and mchc as well as elevatec cr level. | PVT | Albuterol, Amlodpine, budesonide-formoterol, celecoxib, fluticasone-salmeterol, furosemide, hydrochlorothiazide -irbesartan, hydroxyzine, Pantoprazole, sertraline, venlafaxine | MILD CARDIOMEGALLY, RESPIRATORY DISTRESS PULMONARY EDEMA, AND EXTENSIVE BILATERAL MULTIFOCAL PNEUMONA, SHORTNESS OF BREATH | THN, ASTHAMA. RA/OA. GERD, ANIXIETY, AND SICKLE CELL TRAIT | 2 | 05/27/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361857 | 05/30/2021 | TN | 60.0 | 60 | F | DEATH, lethargic, migraines, tired | Y | 05/26/2021 | N | 04/26/2021 | 04/26/2021 | 0 | Unknown | OTH | OxyContin, oxycodiene, lyrica, goody powders, premarin | Migraines, lethargic and tired | Carpal tunnel, slipped herniated discs, osteoporosis, arthritis | 2 | 05/30/2021 | Morphine, gabapentin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1378755 | 06/07/2021 | TN | 60.0 | 60 | M | 24 Hours after - completely dibilitating lasted for 2 days. gradual recover to being able to somewhat function but still dizziness - vertigo - always a little bit but massive if moving head rapidly, | Y | N | 04/21/2021 | 04/22/2021 | 1 | all other health indicators OK - BP 120/80 | PHM | none | none | none | 2 | 06/07/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1378776 | 06/07/2021 | TN | 60.0 | 60 | F | Metal taste in mouth, especially after meals. | N | 04/19/2021 | 04/19/2021 | 0 | PHM | None | None | None | 2 | 06/07/2021 | Allergic to morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1381882 | 06/08/2021 | TN | 60.0 | 60 | F | I began having redness at the site of injection, or raise my arm above my elbow bend, and could not raise hand. The arm was slightly swollen. I still have the same issues with it, but can move it more. When I went to see my dr she said to keep moving it, a | N | 03/04/2021 | 03/05/2021 | 1 | no test were run | PUB | I was taking Lisinopril 10mg, Omeprazole 40mg, Atrobastiain 10mg. | None | None | vsafe | 2 | 06/08/2021 | Y | I am allergic to Dilantin, and tegratol. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1381904 | 06/08/2021 | TN | 60.0 | 60 | F | All symptoms from my first vaccine continued-swollen arm, redness, and not able to move arm below the elbow properly. | N | 03/07/2021 | 03/07/2021 | 0 | None | PUB | I was taking Lisinopril, omeprazole, and trapoxin. | None | None | vsafe | 2 | 06/08/2021 | Y | I am allergic to Dylantin and tegroltol. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1402957 | 06/16/2021 | TN | 60.0 | 60 | M | Symptoms started when waking up on Monday 6/14; headache, muscle ache, joint pain, tiredness, sore arm; started taking Ibuprofen throughout the day. Tuesday 6/15 experienced fever, chills, still aches and pains, headache. | N | 06/13/2021 | 06/14/2021 | 1 | PHM | Claritin | No | No | 2 | 06/16/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1410939 | 06/18/2021 | TN | 60.0 | 60 | F | patient started developing a rash 4 days after vaccine. Rashes are located in different locations such as wrist, forearm, underarm, each leg near knne, one on chest. Patient does not report any SOB or issues breathing. | N | 06/07/2021 | 06/10/2021 | 3 | PHM | lisinopril | high blood pressure, asthma | 2 | 06/18/2021 | PCN , shrimp | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1425190 | 06/24/2021 | TN | 60.0 | 60 | F | Patient experienced light-headedness minutes after receiving the vaccine during her 15 minute observation period - she briefly lost consciousness and fell out of her seat, striking her head on product shelving. She exhibited two minor lacerations approxima | Y | 06/24/2021 | 06/24/2021 | 0 | PHM | Unknown | Unknown | Unknown | 2 | 06/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1446354 | 07/03/2021 | TN | 60.0 | 60 | F | After approximately 5 minutes after receiving her second Moderna, Covid-19 vaccine, the patient reported have a dry mouth/throat and was coughing. We gave her a bottle of water and continued to check on her. About 5 minutes later she said her throat was | Y | 07/03/2021 | 07/03/2021 | 0 | None | PHM | None | None | Irritable bowel syndrome, arthritis, spinal problems | 2 | 07/03/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1457628 | 07/08/2021 | TN | 61.0 | 60 | F | Coughing, short of breath, spitting colored spit and blood, and vomiting | N | 04/05/2021 | 04/16/2021 | 11 | negative test, and bronchitis | PVT | pace maker | vsafe | 2 | 07/08/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1457643 | 07/08/2021 | TN | 60.0 | 60 | M | I started having pain in my lower back and shoulder. I had SOB. Pain in back that went up to my jaw. I went to the hospital. They did a cardiac work, came back negative for heart attack. The COVID-19 test came back negative. They did a chest CT scan to rul | N | 01/05/2021 | 01/25/2021 | 20 | COVID-19; Chest CT scan. | MIL | Metformin; Multivitamin; Lasix; Klor-Con; Lipitor; Alopurinol; Prevacid; Losartan; Nifedipine; Aspirin; Glargine; NovoLog. | Diabetic; High Blood Pressure; Sleep Apnea; Gait. | vsafe | 2 | 07/08/2021 | Y | Codeine. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1474610 | 07/15/2021 | TN | 60.0 | 60 | F | The injection was given into the shoulder joint rather than the deltoid muscle. This has resulted in an inflammatory process that has caused pain and injury to my left shoulder (e.g., tendons, ligaments, bursae, nerves). I now have persistent shoulder an | N | 07/01/2021 | 07/01/2021 | 0 | Had an appointment on July 15, 2021 with my primary care provider. I was diagnosed with Shoulder Injury Related to Vaccine Administration (SIRVA). They did an X-Ray (no results yet), and prescribed a short-term dose of steroids. Will have follow-up app | PHM | Metoprolol 200 mg once daily Lisinopril 10 mg once daily Pantoprazole 10 mg once daily Montelukast 10 mg once daily Methimazole 10 mg once daily Trazadone 50 mg as needed for sleep Vitamin D3 5000 IU 3x week Lutein 25 mg once daily | None | Cardio myopathy (rapid heartbeat) hyper-thyroid | 2 | 07/15/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1474999 | 07/15/2021 | TN | 60.0 | 60 | F | The patient was given the Janssen Covid vaccine on 7/1/21 and she called in on 7/15/21 to report her adverse event. She said she had been having awful shoulder pain ever since receiving the vaccine and it continued to get worse. She went to see her Doctor | N | 07/01/2021 | 07/01/2021 | 0 | The patient received an x-ray on 7/15/21, which the results are unknown as of now. | PHM | Trazodone, Pantoprazole, Lisinopril, Montelukast, Metoprolol ER, and Methimazole | No known illnesses | No known health conditions | 2 | 07/15/2021 | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1493750 | 07/22/2021 | TN | 60.0 | 60 | M | RED RASH | Y | 05/09/2021 | 05/09/2021 | 0 | WRK | 2 | 05/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1493849 | 07/22/2021 | TN | 60.0 | 60 | M | RED RASH | Y | 05/09/2021 | 05/09/2021 | 0 | WRK | 2 | 05/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1493855 | 07/22/2021 | TN | 60.0 | 60 | M | PATIENT HAD EXCESSIVE BLEEDING DUE TO TAKING A BLOOD THINNER. PLACED SOME GAUZE PRESSED FIRMLY TO STOP THE BLEEDING. BANDAGE THE INJECTION SITE . PATIENT FELT DIZZINESS DUE TO LOSS OF BLOOD. HAD PATIENT PUT HEAD BETWEEN LEGS. PATIENT TRIED TO STAND AN | 05/09/2021 | 05/09/2021 | 0 | UNK | 2 | 05/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501331 | 07/25/2021 | TN | 60.0 | 60 | M | The patient stated he started having tinnitus in one ear the morning after the 2nd Pfizer covid vaccine and has had it since. | N | 05/27/2021 | 05/28/2021 | 1 | PHM | 2 | 07/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1502329 | 07/26/2021 | TN | 60.0 | 60 | F | Knee pain 10+, flu symptoms, body hurt all over - unable to really describe it other than I hurt all over and it's indescribable. Spoke to internist and orthopedic doctor once I felt better | Y | 06/05/2021 | 06/06/2021 | 1 | PHM | I've had an inflammatory reaction tot he pneumonia vaccine where it attacked by knee that was inflamed and prior to a knee replacement. I woke up overnight to both knees in pain - scale 10+, had flu like symptoms during the day Sunday, 6/6 | Just gotten over an asthmatic and bladder event in the last few weeks. | total knee replacements on both knees, bladder/kidney issues. | inflammatory reaction to pneumonia and shingles vaccines | 2 | 07/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1502353 | 07/26/2021 | TN | 60.0 | 60 | F | flu like symptoms Sunday morning, knees hurt - by Sunday afternoon every thing hurt so bad I was crying and it was indescribable. Monday I was some better - not sure if would have been able to drive to work, Tuesday better - Wednesday all good. | Y | 06/26/2021 | 06/27/2021 | 1 | PHM | Zyrtec, allerga. panaporzale, genric Prozac. | total knee replacements - both knees, bladder/kidney issues | pneumonia and shingles | 2 | 07/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1515708 | 07/30/2021 | TN | 60.0 | 60 | F | Felt light headed right after injection. Hive started on my legs within 15 minutes. My skin was so sensitive that it bled when I scratched it. I felt like I had the flu within an hour of injection. Sunday morning I woke up with severe stomach cramps and di | N | 07/24/2021 | 07/24/2021 | 0 | PHM | Fish Oil, Zinc, Vitamin D, Vitamin C | None | None | 2 | 07/30/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1532023 | 08/06/2021 | TN | 60.0 | 60 | F | Soreness at injection site/ chills on 1st day . 36 hours after shot, my face/ lips swelled and chills. Took Benadryl(1). 24 hours later, swelling returned in left side of face and mouth, weakness in left arm/fingers of left hand, chills. Took 1 Benadryl. | N | 07/25/2021 | 07/26/2021 | 1 | Went to a walk-in clinic about symptoms on 8/1. Physician did no tests. Gave prescription for steroids to help with hives. I have not taken the steroids because the doctor stated this would decrease the effectiveness of the vaccine. | PHM | Levothyroxine | None | No thyroid due to thyroid cancer. | 2 | 08/06/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1534793 | 08/07/2021 | TN | 60.0 | 60 | F | Patient felt like she was going to pass out- sycope | Y | 08/07/2021 | 08/07/2021 | 0 | PHM | Clonazepam, tramadol, metoprolol, pravastatin | Multple Sclerosis | Syncope | 2 | 08/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1555839 | 08/14/2021 | TN | 60.0 | 60 | F | Hives on her chest; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (Hives on her chest) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The patient' | Y | 02/05/2021 | 02/06/2021 | 1 | UNK | Medical History/Concurrent Conditions: No adverse event (no historical condition was reported) | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1559757 | 08/15/2021 | TN | 60.0 | 60 | M | back pain; Diarrhoea; stomach hurting; HEADACHE; NAUSEA; Vomiting; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (back pain), DIARRHOEA (Diarrhoea), ABDOMINAL PAIN UPPER (stomach hurting), HEADACHE (HEADACHE) an | U | 01/11/2021 | 02/09/2021 | 29 | UNK | Blood pressure; Heart disorder | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1562370 | 08/15/2021 | TN | 60 | M | They feel like their face is on fire; had like a sunburn mostly their face; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (They feel like their face is on fire) and SUNBURN (had like a sunburn mostly their fac | U | 03/02/2021 | 03/03/2021 | 1 | UNK | DOXYCYCLINE | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1565369 | 08/15/2021 | TN | 60.0 | 60 | F | Shivering; patient can not walk; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Shivering) and GAIT DISTURBANCE (patient can not walk) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccin | U | 03/11/2021 | 03/11/2021 | 0 | UNK | Medical History/Concurrent Conditions: Multiple sclerosis (Patient has 20 years history of Multiple Sclerosis.) | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1566182 | 08/15/2021 | TN | 60.0 | 60 | F | Swollen bone; swollen joints; Very sick condition; Swollen muscles; Body aches; Lymph nodes were swollen; Very tired; Achy muscles; This spontaneous case was reported by a consumer and describes the occurrence of BONE SWELLING (Swollen bone), JOINT SWELLIN | U | 03/10/2021 | 03/11/2021 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1566671 | 08/15/2021 | TN | 60.0 | 60 | F | knot in injection site; injection site again red; itching in injection site; sore arm; redness in injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE MASS (knot in injection site), PAIN IN EXTRE | Y | 03/05/2021 | 03/05/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1567302 | 08/15/2021 | TN | 60.0 | 60 | F | electrical shock going through her left arm/tingling in her left arm; opening and closing her left hand hurts; the joints in her left hand hurt; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA (electrical shock | U | 03/15/2021 | 03/16/2021 | 1 | UNK | Medical History/Concurrent Conditions: No adverse event (No medical history reported.) | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1569530 | 08/15/2021 | TN | 60.0 | 60 | F | Shingles; Red spots on patients eyelids and forehead; Severe headache lasting 8 days/ diagnosed as cluster headache; This spontaneous case was reported by a consumer and describes the occurrence of HERPES ZOSTER (Shingles) and CLUSTER HEADACHE (Severe head | Y | 03/09/2021 | 03/11/2021 | 2 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1574091 | 08/16/2021 | TN | 60.0 | 60 | F | I received my first shot on July 27, 2021. After receiving my first shot I stood up and felt warmth throughout my left side, from my arm to my foot. I left within two minutes it was gone. | Y | 07/27/2021 | 07/27/2021 | 0 | NONE | PHM | none | No. I had lung surgery on my left side June 29th, it's still tender. I also had my first shot on my left side. | No. | WARMTH THROUGH MY LEFT SIDE | 2 | 08/16/2021 | Allergies to shrimp. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1582478 | 08/18/2021 | TN | 60.0 | 60 | F | fever, chills, body aches, headache, sore arm 24 hrs after vaccine 2 days after vaccine, swollen arm at vaccine site with red splotches, 3rd day, red circular rash, hot to the touch | U | 08/14/2021 | 08/15/2021 | 1 | PHM | lisinopril lovastatin prempro tresibia fiasp | diabetic celiac disease | 2 | 08/18/2021 | pcn cephalexin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1586361 | 08/19/2021 | TN | 60.0 | 60 | F | On May 8, 2021 I experienced vaginal bleeding. I have been menopausal for 8 or more years. The bleeding was light, but lasted all that day. I went to my clinic to see my doctor on May 27, 2021. I had a PAP smear and ultrasound. All were negative. No explan | Y | 02/01/2021 | 05/08/2021 | 96 | PAP Smear, UA/UC, Ultrasound of pelvic region. | PVT | Noflex, Trileptal, Orphedrine, APAP/Hydrocodone, APAP, MVI, Omega 3, Vit D3, Calcium Citrate, Symbacort, Proair | none | Asthma, Osteoarthritis, Degenerative disc disease, fibromyalgia, peripheral neuropathy. | 2 | 08/19/2021 | Y | Morphine, Cymbalta, Lyrica, Tape Adhesive | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1600563 | 08/21/2021 | TN | 60.0 | 60 | M | This spontaneous case reported by a consumer, describes the occurrence of vaccination site pain (pain on the injection site) and myalgia (muscle pain in the right thigh) in a 61-year-old male patient who received mRNA-1273 (Moderna COVID-19 vaccine, batch# | Y | 03/24/2021 | 03/24/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1604044 | 08/21/2021 | TN | 60.0 | 60 | F | feeling like she was about to break out in hives but she never did; itchy; feeling like she was about to break out in hives but she never did; itchy; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (feeling like s | U | 03/16/2021 | 03/16/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1613720 | 08/22/2021 | TN | 60.0 | 60 | F | tested positive for Covid-19 and was symptomatic; This spontaneous case was reported by a nurse and describes the occurrence of COVID-19 (tested positive for Covid-19 and was symptomatic) in a 60-year-old female patient who received mRNA-1273 (Moderna COVI | Y | 04/02/2021 | 04/08/2021 | 6 | Test Date: 20210408; Test Name: COVID-19; Test Result: Positive ; Result Unstructured Data: was symptomatic.; Test Date: 20210429; Test Name: COVID-19; Test Result: Negative ; Result Unstructured Data: Normal | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1614410 | 08/22/2021 | TN | 60.0 | 60 | F | Hives; Itchy; Full body rashes; Missed 2nd dose, recommended interval; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PRURITUS (Itchy), URTICARIA (Hives), PRODUCT DOSE OMISSION ISSUE (Mis | U | 03/23/2021 | 03/23/2021 | 0 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1614446 | 08/22/2021 | TN | 60.0 | 60 | F | Vaccinaiton site pain; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Vaccinaiton site pain) in a 60-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination | Y | 04/19/2021 | 04/20/2021 | 1 | UNK | LETROZOLE; AVENCEF; LEVOTHYROXINE; ATORVASTATIN; EFFEXOR | Medical History/Concurrent Conditions: Cancer | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1616132 | 08/22/2021 | TN | 60.0 | 60 | F | Numbness in the fingers; Pain from the elbow to shoulder; Joint pain on the left side; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA (Numbness in the fingers), PAIN (Pain from the elbow to shoulder) and ARTH | N | 04/27/2021 | 05/04/2021 | 7 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1622441 | 08/23/2021 | TN | 60.0 | 60 | F | Hot; Injection Site is Inflamed; Itching; Red; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Hot), VACCINATION SITE INFLAMMATION (Injection Site is Inflamed), VACCINATION SITE PRURITUS (Itching) a | U | 04/07/2021 | 04/16/2021 | 9 | UNK | USMODERNATX, INC.MOD20212 | 2 | 08/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1627934 | 08/24/2021 | TN | 60.0 | 60 | F | pain at vaccine site, fever, muscle pain, hot flashes, swollen lymph nodes | Y | 07/28/2021 | 07/30/2021 | 2 | none | UNK | glucosamine with chondrotin | MVP, asthma, hypothyroidism | 2 | 08/24/2021 | Codeine, hydrocodone, valium, versed, sulfa, cardizem | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1628860 | 08/24/2021 | TN | 60.0 | 60 | F | After receiving the vaccination I experienced warmth on the left side of body. | Y | 07/27/2021 | 07/27/2021 | 0 | I did visit the ER days later and labs were performed at this time I don't know what the results were. | PHM | No medications; over the counter medications, dietary supplements or herbal remedies at the time of vaccination. | No illnesses at the time of vaccination and up to one month prior. | No chronic or long standing health conditions. | vsafe | 2 | 08/24/2021 | Y | Shrimp; lobster. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1636931 | 08/26/2021 | TN | 60.0 | 60 | M | After second injection, fever, muscle aches, fatigue followed by a large inflamed lymph node under left arm. Enlarged lymph node lasted ~2 weeks. Otherwise healthy yet had an ischemic stroke on 22Aug2021. | Y | Y | 3 | Y | 05/03/2021 | 08/22/2021 | 111 | CT, Angiogram, MRI, echocardiogram, lab tests. Two day stay in ICU. tPA administered. Outcome recovering and prognosis from stroke good as he reached emergency care within one hour of the onset of symptoms. | PHM | doTERRA, Lifelong Vitality vitamins, OnGuard supplement Meloxicam | Orthopedic hand surgery in Dec 2020 - follow up | None - very active and healthy | 2 | 08/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1641426 | 08/27/2021 | TN | 59.0 | 60 | M | Hospitalized for 3 days then discharged home, weaned off oxygen. Had acute hypoxic respiratory failure secondary to COVID-19 infection. | Y | 3 | Y | 04/25/2021 | 08/19/2021 | 116 | Glucose 800 on arrival, 4 L supplemental oxygen. Chex x ray 8/23 with mild cardiomegaly and subsegmental bibasilar atelecstasis | UNK | Unknown | Unknown | HTN,DM2 | 2 | 08/27/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1653751 | 08/29/2021 | TN | 60.0 | 60 | M | Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Patient noticed a half-dollar sized lump/red area that is hot to touch and gradually grew to palm-sized lump/red ar | U | 08/25/2021 | 08/25/2021 | 0 | PHM | 2 | 08/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1653995 | 08/29/2021 | TN | 60.0 | 60 | F | A two to three inch diameter circular red rash at the injection site for over a week post 3rd booster shot. Pt reported having similar side affects with the 3rd shot as the other two, but the severity of symptoms has been getting worse. Red rash is very wa | N | 08/23/2021 | 08/24/2021 | 1 | No w | PUB | 2 | 08/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1655750 | 08/30/2021 | TN | 60.0 | 60 | F | Onset of fever, shaking chills, headache and severe joint pain. Onset apps 9.5 hours after vaccination. Fever persisted for 18 hours, joint pain improved but right knee pain since the vaccination has persisted. Ice, NSAIDS and knee brace have been used co | N | 08/06/2021 | 08/06/2021 | 0 | PHM | multivitamin, Co-Q10 and probiotic | None | None | 2 | 08/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1659705 | 08/31/2021 | TN | 60.0 | 60 | F | NA administered dose that wasn't diluted properly | U | 08/31/2021 | 08/31/2021 | 0 | none | PHM | 2 | 08/31/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1679110 | 09/07/2021 | TN | 60.0 | 60 | F | Arm sore for 3-4 days, subsided, then on day 8, rash developed and has spread; pt reports shooting pains, itching, hot to touch; no fever reported; has been taking Benadryl and using hydrocortisone cream; has gotten a little better; still has nerve pain -- | N | 08/27/2021 | 09/04/2021 | 8 | PHM | no known medications | n/a | 2 | 09/07/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1679337 | 09/07/2021 | TN | 60.0 | 60 | F | Patient was without symptoms at 16 min mark- Patient left- Came back about 10 minutes later with symptoms of "arm tingling". She described a headache at VAS score of 4-5 on left sinus area. No tongue swelling but after 40 minutes, she described slight ti | U | 09/07/2021 | 09/07/2021 | 0 | 1:26pm Pulse Ox- 97 BP- 118/79 Pulse 79 1:41pm Pulse ox 96 BP 130/81 Pulse 81 Patient left on her own accord | PHM | None Known | 2 | 09/07/2021 | Contrast Dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1685606 | 09/09/2021 | TN | 60.0 | 60 | M | continuous ringing in his ear | N | 05/17/2021 | 05/18/2021 | 1 | PHM | no | no | no | 2 | 09/09/2021 | Y | codeine, penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1689990 | 09/10/2021 | TN | 60.0 | 60 | F | Injection site was hot, sore and swollen within 8 hours. I had fever between 101-102 until taking tylenol the next day. Most concerning was a maculopapular rash that appeared suddenly on my neck, upper chest, abdomen and back - it was red, raised and not | U | 08/23/2021 | 08/25/2021 | 2 | PHM | Methotrexate (halted for 2 weeks for vaccine administration), prednisone, folic acid, multivitamin | Rheumatoid arthritis | Moderna Covid 19 on 2/5/2021 - fever, localized reaction and later development of superficial thrombophlebitis | 2 | 09/10/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1707039 | 09/17/2021 | TN | 60.0 | 60 | M | The wheals are all over the body; Broke out with rashes all over his body primarily on buttocks, groin area and back.; This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (The wheals are all over the body) and RASH (B | U | 09/03/2021 | 09/03/2021 | 0 | UNK | USMODERNATX, INC.MOD20213 | 2 | 09/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1723809 | 09/22/2021 | TN | 60.0 | 60 | F | High blood pressure spikes, shortness of breath, shaky, dizziness and weakness started exactly one week after 2nd vaccine shot. Had fever of 102 for 3 days after vaccine. | Y | N | 09/09/2021 | 09/16/2021 | 7 | PHM | Losartan-50mg, Multi vitamin, curcumin, Advil pm | Tremors in legs while standing, no official diagnosis yet. | 2 | 09/22/2021 | Y | Morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731889 | 09/24/2021 | TN | 60.0 | 60 | F | My joints swelled up. I had lumps in my elbow and behind my knee. | Y | 04/06/2021 | 04/07/2021 | 1 | PHM | FLUMADINE; ATIVAN | High blood pressure | vsafe | 2 | 09/24/2021 | Phoxims; hydrocodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761015 | 10/05/2021 | TN | 60.0 | 60 | M | Transverse Myelitis Numbness from T2 to feet, Lhermitte's sign. Tinnitus and diminished hearing. Abnormal MRI. Hospitalized for 5 days, evaluated, and treated with IV steroids. | Y | 03/31/2021 | 04/14/2021 | 14 | 4/2021 Cervical MRI - No cord lesions 4/2021 Thoracic MRI - Abnormal cord signal T2-T6, T7 and T11. 6/7/2021 MRI brain - Small T1 and T2 hyperintense areas along peripheral right cerebellum and bilateral 8th nerve complexes | PVT | Ibuprofen Sildenafil | Dyspepsia Lower back pain Erectile Dysfunction | None | 2 | 10/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1765019 | 10/06/2021 | TN | 60.0 | 60 | F | NOTE: This was the booster shot Standard: body aches, low grade fever, tiredness, pain at injection site - same as last time. This is resolved except for injection site (Oct 6) Not standard: 1) My neck hurt REALLY bad, the Tylenol did not relieve it (2- | N | 10/04/2021 | 10/05/2021 | 1 | None; I didn't notify anyone (except you!) | PHM | Victoza, Lisinopril, Metformin, Omeprazole, Atrovastatin, B-12, daily vitamin, low dose aspirin, D-3. | Obesity, Diabetes, High Blood Pressure | Yes, with 2 other doses - standard symptoms - low grade fever, body aches, tiredness | 2 | 10/06/2021 | none (used to be latex, but I haven't had problems in a long while) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1766876 | 10/07/2021 | TN | 60.0 | 60 | F | Itchy Red Hives appeared on the Trunk ,stomach, back, legs and arms; Itchy Red Hives appeared on the Trunk ,stomach, back, legs and arms; Itchy Red Hives appeared on the Trunk ,stomach, back, legs and arms; Sore Left Leg; Tingling Left leg; Back of her | U | 07/25/2021 | 07/25/2021 | 0 | UNK | Levothyroxin | Medical History/Concurrent Conditions: Thyroid cancer; Thyroidectomy (Thyroids were removed) | USMODERNATX, INC.MOD20212 | 2 | 10/06/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1771893 | 10/08/2021 | TN | 60.0 | 60 | F | I normally wouldn't have a period and I started on 04/05/21 and I started spotting and on 04/06/2021 it was an actual period which again is abnormal for me to have one because I've been 3 years menopausal. I contacted my gynecologist because it was time fo | U | 03/30/2021 | 04/05/2021 | 6 | Hysterectomy; Biopsy; Ultrasound | PVT | Rosuvastatin; Aspirin; Senior women's multivitamin; Biotin, Lutein multivitamins; Eye drops and Ointment at night. | None | Arthritis, Dry Eyes | vsafe | 2 | 10/08/2021 | Y | Celebrex, Pravachol, Plavix; I have severe nausea and vomiting to Codeine; Morphine, and Ultram; bees. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1782597 | 10/13/2021 | TN | 60.0 | 60 | F | On 09/28/2021 I had congestion, chills, fever, headache consent, diarrhea, nausea. Still having headache and nausea to the present date 10/13/2021. | N | 08/19/2021 | 09/28/2021 | 40 | 09/28/2021 Covid test negative, both rapid and PCR | PUB | I take BP med-Olmsarten | No | Lupus; Fibromyalgia; Asthma. | vsafe | 2 | 10/13/2021 | Y | Anything with aspirin in it; all Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1784603 | 10/14/2021 | TN | 60.0 | 60 | F | Vertigo, hearing loss, dizziness | N | 09/07/2021 | 10/10/2021 | 33 | PHM | Zoloft Singulair Flonase Krill oil Fiber capsule Zyrtec Multivitamin | None | None | 2 | 10/14/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1789948 | 10/16/2021 | TN | 60.0 | 60 | M | Small hives occurred on the left forearm and the forearm started to itch, approximately 6 hours after the shot was administered at 3:10 PM. The itching progressed on the left forearm and started on the right arm over the next 20 to 30 minutes. If you put | N | 10/15/2021 | 10/15/2021 | 0 | None at this time. | PUB | Vitamin C & D daily | None | None | 2 | 10/16/2021 | Aspirin, ASA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1801752 | 10/20/2021 | TN | 60.0 | 60 | M | Atypical CIDP, diagnosed 10/19/21. Patient just started on IVIg today (10/20/21). Symptoms include severe sensory gait ataxia and mild proximal upper and lower extremity weakness | Y | N | 08/01/2021 | 08/01/2021 | 0 | EMG/NCS showing signs of demyelinating polyneuropathy | OTH | Atorvastatin, Bisoprolol | None | Hypertension, Hyperlipidemia | 2 | 10/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1801760 | 10/20/2021 | TN | 60.0 | 60 | M | Patient received COVID vaccine 7/15/21 and 8/14/21, developed symptoms about 1 week after the 2nd vaccine, including tongue and facial numbness and decreased smell and taste. After that he also began to notice some numbness and tingling in his fingertips a | Y | Y | N | 07/15/2021 | 08/21/2021 | 37 | 10/19/21 Electromyography (EMG) reading: This is an abnormal study. Distal latencies are extremely affected and prolonged the upper and lower extremities. Compound motor action potential amplitudes are severely reduced and conductions are also reduced. | UNK | Lipitor 20 mg, Ziac 10/6.25 mg | hypertension, GERD | 2 | 10/20/2021 | Y | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1813600 | 10/23/2021 | TN | 60.0 | 60 | M | Swollen rashes, itchy over various parts of body. | N | 09/27/2021 | 09/30/2021 | 3 | N/A | OTH | None | None | N/A | 2 | 10/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1814835 | 10/25/2021 | TN | 60.0 | 60 | F | Patient requested the Moderna Booster. She had previously received the J&J as her first series. Instead of giving her the 1/2 dose Moderna booster, we gave her a 1/2 dose of J&J. I called CDC and they recommended to give the other 1/2 dose in the opposit | Y | 10/25/2021 | 10/25/2021 | 0 | none | PVT | 2 | 10/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1818014 | 10/26/2021 | TN | 60.0 | 60 | F | Hospitalization | Y | N | 03/13/2021 | 10/25/2021 | 226 | Positive COVID-19 Test | PVT | Bactrim Methocarbamol Omega-3 Fatty Acids/Fish Oil Pravastatin Prazosin Alprazolam Aspirin Duloxetine Eszopiclone Gabapentin Lamotrigine Olanzapine Percocet Trazodone Ca Carb/Vit D3 Breo Ellipta Pantoprazole Dapagliflozin Tresiba Oxybutynin | Anxiety PTSD Bipolar disorder Chronic back pain History of TBI Recurrent falls HTN Pre-diabetes | 2 | 10/26/2021 | Ciprofloxacin Pregabalin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1818141 | 10/26/2021 | TN | 60.0 | 60 | M | Diagnosed with COVID-19 on 8/23/2021 and experienced shortness of breath, pneumonia. | Y | 08/30/2021 | N | 04/17/2021 | 08/30/2021 | 135 | Tested on 8/23/2021 SARS coronavirus+SARS coronavirus 2 Ag: Detected and 2019-NCOV RNA PNL XXX NAA+PROBE: Detected | PUB | Unknown | COPD, HIV, Hypertension, Tobacco use | 2 | 10/26/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1818204 | 10/26/2021 | TN | 60.0 | 60 | M | Symptomatic on 09/18/2021: headache and myalgia | Y | 09/20/2021 | N | 07/22/2021 | 09/20/2021 | 60 | Tested positive on 9/18/2021 SARS-CoV-2 Ag Resp Ql IA.rapid | PHM | Unknown | Unknown | Substance abuse, OSA, BPH, HTN, Depression, A-fib, CAD, Tobacco use, COPD, Dementia | 2 | 10/26/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1819672 | 10/27/2021 | TN | 60.0 | 60 | M | Fever of 102 degrees, excessive nausea | N | 10/25/2021 | 10/26/2021 | 1 | PHM | na | na | Marfan's aneurysm, repaired | 2 | 10/27/2021 | na | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1829863 | 10/29/2021 | TN | 60.0 | 60 | F | IM injection given at 1 pm on 10/26. Approximately 8 pm sharp pain abruptly began at injection site along with oval red rash, initially 1" in size then enlarged to approximately 3.5" in length. Domed swelling at and around injection site, very sensitive | Y | 10/26/2021 | 10/26/2021 | 0 | None | PHM | .0375 mg Estrogen patch 100 mg Progesterone | None | GERD | 2 | 10/29/2021 | Welbutrin Darvon | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1837229 | 11/02/2021 | TN | 60.0 | 60 | M | Shot intended to be IM went into sub-Q tissue instead. Patient had a visible knot on the left deltoid muscle. After research, medical director and myself determined that we should give another injection in right arm to ensure patient was protected with t | U | 11/02/2021 | 11/02/2021 | 0 | None necessary | PVT | 2 | 11/02/2021 | Codeine-rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1843239 | 11/04/2021 | TN | 60.0 | 60 | F | Redness, firmess, swelling at injection site. Painful to touch with intermittent itching. Started ~24 hours post injection-still there currently, still tender to touch, itching subsiding. ~ 2" in diameter. | N | 11/01/2021 | 11/02/2021 | 1 | None | PHM | Welbutrin/Omeprazole/Multivitamin (gummy), Vitamin D3 (gummy), Tylenol PRN | none | Obesity, Hx HTN ( not current), Depression, arthritis | 2 | 11/04/2021 | PCN, erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX |