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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0935547 | 01/11/2021 | HI | 61.0 | 61 | M | Upper lip swelling on date of vaccination 1/5/21 starting on 1/8/21, developed severe generalized urticaria - still active | N | 01/05/2021 | 01/05/2021 | 0 | none | OTH | Losartan, Atorvastatin, Colchicine, Febuxostat, Metformin, Naprosyn | None | HTN,DM, HIGH CHOLESTEROL, GOUT, OA OF KNEES S/P BILATERAL TKA | 2 | 01/11/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0941332 | 01/13/2021 | HI | 61.0 | 61 | F | the following week after my shot I started to feel itchy and when I scratched my skin it would welt up like hives. It would go away after awhile. I kept feeling itchy and would have hive like welts when I scratched my skin. I eventually went to the stor | U | 12/30/2020 | 01/01/2021 | 2 | None | PUB | Hydroxychloroquine (100mg 1 1/2 tabs); Red Yeast Rice; Vitamin D; Metformin (500 mg); Calcium; Fish Oil, Bioastin; chromium picolinate; Magnesium; COQ10; Tumeric; Breo Elliptica inhaler | none | Rheumatoid Arthritis; Asthma; Type 2 Diabetes | 2 | 01/13/2021 | Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0944684 | 01/14/2021 | HI | 61.0 | 61 | F | facial pain nerves | N | 01/03/2021 | 01/03/2021 | 0 | SEN | levothyroxine | none | none | 2 | 01/14/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0957546 | 01/20/2021 | HI | 61.0 | 61 | F | Slightly sore left deltoid, cleared up in a few days. 16 hours after shot, experienced the dramatic sensation of tilting while sitting on a couch. Had I been driving, this would likely have caused an accident. This is the first time I have ever experien | N | 01/04/2021 | 01/05/2021 | 1 | none | PVT | Escitalopram 20mg daily, Zolpidem 5mg nightly, Turmeric supplement 1000mg daily, Folic Acid 1mg daily, Fish Oil 1400mg daily, Calcium 600mg daily, Vitamin D3 800 IU daily, Shakley NutriFeron 500mg daily (contains- zinc oxide, copper carbona | none | none | 2 | 01/20/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0966687 | 01/22/2021 | HI | 61.0 | 61 | F | Sore arm | N | 01/22/2021 | 01/22/2021 | 0 | PVT | Lisinopril 10 mg daily | 2 | 01/22/2021 | Penicillin, sulfa, nitrofurantoin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0988814 | 01/30/2021 | HI | 61.0 | 61 | U | Chills, body ache, head ache, fever | Y | 01/01/2021 | 01/07/2021 | 6 | MIL | No | No | No | 2 | 01/30/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1002135 | 02/04/2021 | HI | 61.0 | 61 | F | Day 1 After - overall body aches Day 2 After- no ill effects until evening - noticed red rash on upper torso (front and some on back) Not itchy. No medical attention sought Day 3 After - rash persists and has spread to entire torso - front (Today is day | 02/01/2021 | 02/02/2021 | 1 | na | PVT | synthroid venlafaxine | migraine | hypothyroidism chronic migraine | 1984 | 2 | 02/04/2021 | unknown possibly some scents | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1002898 | 02/04/2021 | HI | 61.0 | 61 | M | Employee described malaise and body aches the day after receipt of the vaccination (1/13/21). The symptoms were bothersome enough to keep the the employee out of work for one day. | Y | 01/12/2021 | 01/13/2021 | 1 | WRK | 2 | 02/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1043009 | 02/20/2021 | HI | 61.0 | 61 | F | low grade fever, aches and pains, fatigue that lasted one full day. | Y | 02/17/2021 | 02/17/2021 | 0 | none | PUB | estrogen patch, progesterone, multivitamin, Fish oil | none | none | 2 | 02/20/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1047739 | 02/22/2021 | HI | 61.0 | 61 | F | 12:00PM 2/13/21 arm muscle pain (hard to lift arm) 10:00 AM 2/14 -16/21 mild headaches and exhaustion 3:30PM 2/19/21 severe lower back pain that went from the lower back (very sensitive to touch)to my toes (toes felt tingly and slightly numb) cannot lie on | N | 02/12/2021 | 02/13/2021 | 1 | OTH | Bupropion HCL Latanoprost Eye Drops Multivitamin Calcium D Flame Hyaluronic Acid Alpha Lipoic Acid Body Mint Bright Boost | none | none | 2 | 02/22/2021 | Y | mayonnaise kiawe wood celery corn rodent droppings roach droppings freshly cut grass | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1056044 | 02/26/2021 | HI | 61.0 | 61 | F | Tingling in Right hand. | Y | 02/25/2021 | 02/25/2021 | 0 | OTH | 2 | 02/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1059209 | 02/27/2021 | HI | 61.0 | 61 | F | Adverse reaction more than any vaccine I have experienced. Approx. 12 hours after injection, rash covering stomach, pounding headache, chills (average), severe dry mouth, body aches (average), loss of appetite. Rash on stomach is still there 60 hours afte | N | 02/24/2021 | 02/25/2021 | 1 | UNK | Trintellex (5mg 1X daily) , Multi vitamin, calcium, biotin, vitimin E, probiotic,melatonin, | none | none | 2 | 02/27/2021 | Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1064275 | 03/01/2021 | HI | 61.0 | 61 | M | Was find 1st and 2nd day. 3rd day morning dizzy and loss of energy. A little nausea caused me to lay down, stay home from work. Rested. Took Tylenol and slept throughout the day. Got up around 12:30pm, felt better, did decide to go for a jog to get | Y | 02/22/2021 | 02/24/2021 | 2 | N/A | OTH | Allopurinol 300 MG Esomeprazole Mag DR 20 MG Olmesartan Medoxomil 20 MG Atorvastatin 10 MG Bystolic 5 MG | None | None | 2 | 03/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1085284 | 03/09/2021 | HI | 61.0 | 61 | F | 12 hours after receiving the shot at approx 3:30 am I woke up with aching pain throughout my entire body and intense headache that persisted the entire next day. The 2nd day was 50% improved. Ibuprofen didn't help. Couldn't sleep for a couple of nights, ac | Y | 02/26/2021 | 02/27/2021 | 1 | none | PVT | Multivitamin | None | Recently diagnosed with Vitamin D deficiency | 2 | 03/09/2021 | Intolerant to gluten, dairy Allergic to Tylenol and azithromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1100211 | 03/15/2021 | HI | 61 | F | face looked droopy on the left side;; itchy; felt like my face had been punched on the left side; A spontaneous report was received from a consumer concerning a 60-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experience | U | 01/03/2021 | 01/03/2021 | 0 | UNK | Medical History/Concurrent Conditions: Bell's palsy (20 years ago) | USMODERNATX, INC.MOD20210 | 2 | 03/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1128088 | 03/23/2021 | HI | 61.0 | 61 | F | Pfizer-BioNTECH Covid-19 Vaccine EUA Upper arm ?shoulder pain. Shaking chills, Body aches. Started at 1 a.m. on 3/23/2021. Tylenol 1000mg taken at 5a.m . Chills and muscle aches lasted until 12 noon. Deeling tired and very mild muscle aches continue. Tylen | N | 03/22/2021 | 03/23/2021 | 1 | None | OTH | None | None | None | 2 | 03/23/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139958 | 03/27/2021 | HI | 61.0 | 61 | F | Upset stomach. Aches. Fatigue. Weak. | N | 03/26/2021 | 03/26/2021 | 0 | OTH | Calcium. Vitamins D K B12 C | 2 | 03/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163849 | 04/03/2021 | HI | 61.0 | 61 | F | Fever up to 99.7, chills, bodyache, muscle spasms or twitching in legs, weakness, head pain | U | 04/01/2021 | 04/01/2021 | 0 | None | UNK | Restasis eye drops, occasional CBD drops (for insomnia), Benefiber, flaxseed oil, daily vitamin, Adora calcium chocolates | Occasional vertigo and/or ear infection (untreated) | Occasional vertigo and insomnia | mild flu symptoms after annual flu shot | 2 | 04/03/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1170105 | 04/05/2021 | HI | 61.0 | 61 | F | "Received second at 1520 on 3/24/2021. At 3/25/2021 at 1600 spike a temp at 101, fever, chills, and mild nausea. Pt. took 1gm of Acetaminophen. Repeated at 0030 on 3/26/2021, "fever never broke." temperature went to 101'F and took another 1gm at that ti | Y | 03/24/2021 | 03/26/2021 | 2 | None. | SCH | N/A | none | Asthma | 2 | 04/05/2021 | Meto, Bixain, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1220571 | 04/16/2021 | HI | 61.0 | 61 | F | Tested positive for Covid-19 after being fully vaccinated. | 01/16/2021 | 04/10/2021 | 84 | UNK | 2 | 04/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1283476 | 05/03/2021 | HI | 61.0 | 61 | F | Patient had rash and itchiness around the face and neck later in the day. Patient called the PCP and went strait to the Emergency Department per PCP recommendation where she received prednisone and diphenhydramine. on 4/30, patient's rash was still not r | U | 04/26/2021 | 04/26/2021 | 0 | unknown | WRK | Unknown | Unknown | Unknown | 2 | 05/03/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1311732 | 05/12/2021 | HI | 61.0 | 61 | F | headache, injection site pain, diarrhea, fever | N | 05/11/2021 | 05/11/2021 | 0 | PVT | hydrochlorothiazide | blood pressure high | 2 | 05/12/2021 | codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327825 | 05/18/2021 | HI | 61.0 | 61 | F | The day (4/25) I received the 2nd vaccine, I was more tired than the first one. On the next day, Monday I felt really tired and little feverish, but no fever. I rested all day. I had vertigo that night I don't remember which side. The next day, Tuesday I w | U | 04/25/2021 | 04/26/2021 | 1 | none | PHM | Atorvastatin 40 MG tablet, Lipitor, 1 Amlodipine Besylate 2.5 mg, Norvasc, 2 Aller-tec 10mg, Cetrizine Hydrochloride, 1 Famotidine 40mg, Pepsid, 1 Ayr Saline Nasal Gel, Mist Refresh eye drops | none | Osteoarthritis, chronic kidney disease, hypertension, tinnitus | 2 | 05/18/2021 | Neosporin/Bacitracin - Sore does not heal Doxycycline 100mg - Hive reaction, red bumps on lower legs Levothroid 50mcg - Severe fatigue Synthroid 50mcg - Tightness in chest | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1333715 | 05/20/2021 | HI | 61.0 | 61 | F | Systemic: sneezing, runny nose, nasal congestion-Mild | Y | 03/29/2021 | 03/30/2021 | 1 | PHM | 2 | 05/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1358807 | 05/28/2021 | HI | 61.0 | 61 | F | Came in with a chronic cough (since January 2020), patient states her cough got worse since after getting the covid vaccination. Patient states she sees a pulmonologists on a regular basis, was diagnosed with asthma. | N | 05/04/2021 | 05/04/2021 | 0 | UNK | 2 | 05/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1386347 | 06/09/2021 | HI | 61.0 | 61 | F | Bell's Palsy | Y | 03/24/2021 | 04/03/2021 | 10 | OTH | Hydrochlorothiazide | 2 | 06/09/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1396800 | 06/14/2021 | HI | 61.0 | 61 | M | Patient received Moderna for 1st vaccine and received Pfizer in error | Y | 06/14/2021 | 06/14/2021 | 0 | PHM | N/A | NONE | NONE | 2 | 06/14/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1416191 | 06/21/2021 | HI | 61.0 | 61 | M | Legs ache/cramp when standing or walking. Unknown cause--not circulatory or nervous system. Taken off medication-Atorvastatin. Stopped taking the Vitamin D/Calcium. High Blood Pressure is being controlled. Using a CPAP machine (1 month now) for treatm | N | 03/12/2021 | 04/14/2021 | 33 | OTH | Atorvastatin 10 mg/day Propranolol 20 mg/day Vitamin D 800/Calcium 1200 Probiotic | High Blood Pressure Chronic Sleep Apnia | High Blood Pressure Depression | 2 | 06/21/2021 | Y | Latex (rash) Amoxicillin with Clavulanate Potassium | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1424373 | 06/24/2021 | HI | 61.0 | 61 | M | 30 minutes after vaccination he did not feel good, has droopy eyes , slurred speech, numbness of left arm. high blood pressure, headach, shortness of breath 2 days after vaccination he feels better but still has mild headache , pressure behind eye, Rt ey | N | 06/22/2021 | 06/22/2021 | 0 | EKG at ER 6/22/21 normal sinus rhythm, no ST-T change | PVT | multivitamin saw palmetto vitamin C biotin fish oil Ecklonia cava | chronic hepatitis B impair fasting glucose hyperlipidemia allergic rhinitis/ postnasal drip | 2 | 06/24/2021 | Y | Y | triple antibiotic topical | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1450487 | 07/06/2021 | HI | 61.0 | 61 | M | pain in joints and muscles over whole body, fatigue, starting 6 hours after vaccination, ending 48 hours after vaccination | Y | 06/18/2021 | 06/18/2021 | 0 | UNK | sinus congestion | 2 | 07/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1474057 | 07/15/2021 | HI | 61.0 | 61 | M | Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: red line going down arm-Medium, Additional Details: Pt reports dark red line going injection site down to bicep; no fever | U | 07/12/2021 | 07/14/2021 | 2 | PHM | 2 | 07/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1478476 | 07/16/2021 | HI | 61.0 | 61 | M | Fully vaccinated and tested positive for Covid-19 | 12/19/2020 | 07/14/2021 | 207 | PVT | 2 | 07/16/2021 | NkA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1527856 | 08/05/2021 | HI | 61.0 | 61 | M | Patient states he was immunized with Moderna vaccine, second shot in April, but he temporarily misplaced his COVID vaccination card and we do not have the lot numbers of his immunization on file. he developed symptoms of cough, fatigue, body aches, and so | 04/01/2021 | 07/28/2021 | 118 | He tested positive for COVID on 7/31/2021. | UNK | 2 | 08/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1531864 | 08/06/2021 | HI | 61.0 | 61 | F | Breakthru COVID infection | N | 04/21/2021 | 08/03/2021 | 104 | SARS-COV-2 PCR test positive 8/4/21 | PVT | DM2 HTN | 2 | 08/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1603070 | 08/21/2021 | HI | 61.0 | 61 | F | PATIENT CAME IN AND SAID SHE WAS HERE FOR HER SECOND COVID VACCINE. WHEN LOOKING AT VACCINE CARD, THE FIRST VACCINE DATE WAS INCORRECTLY SEEN, SO WE THOUGHT SHE WAS DUE FOR HER VACCINE. AFTER ADMINSTERING, WE REALIZED IT WAS 1 WEEK EARLY FOR THE VACCINE. O | 08/21/2021 | 08/21/2021 | 0 | PHM | NONE | NONE | NONE | 2 | 08/21/2021 | BACTRIM | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1611236 | 08/22/2021 | HI | 61.0 | 61 | F | Dizziness; Ears fullness and achy; Rash extended towards elbow; Swollen lymph node under right arm; Soreness at injection site; Developed a big rash in the injection arm; Nausea; Headache; Fatigue; Fevers up to 103; Body chills; Achy body; This spontaneous | Y | 03/19/2021 | 04/16/2021 | 28 | UNK | TRIAMTERENE HCTZ; ATORVASTATIN; VITAMIN D3; ALIGN | Drug allergy (Percocet); IBD (Microscopic Colitis) | USMODERNATX, INC.MOD20210 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1612785 | 08/22/2021 | HI | 61.0 | 61 | F | Allergic reaction; Rash around her mouth and all over the body; This spontaneous case was reported by a health care professional (subsequently medically confirmed) and describes the occurrence of ALLERGY TO VACCINE (Allergic reaction) and RASH (Rash around | Y | 04/26/2021 | 04/26/2021 | 0 | UNK | Comments: No relevant medical history reported. | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1628853 | 08/24/2021 | HI | 61.0 | 61 | M | Blockage in vein in left retina. Burst vessel and bleeding on corner of field of vision. | Y | N | 03/16/2021 | 05/06/2021 | 51 | Imaging of retina | PVT | None | None | Visual migraines | 2 | 08/24/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1635258 | 08/26/2021 | HI | 61.0 | 61 | F | left injection arm soreness; Felt dizzy; Ear pain; Covid arm; chills; Tiredness; headache; lymph node under the left injection arm was swollen; fever of 103F; sore left arm at injection site; This spontaneous case was reported by a patient (subsequently me | Y | 03/19/2021 | 04/16/2021 | 28 | Test Date: 20210416; Test Name: Body temperature; Result Unstructured Data: High | UNK | TRIAMTERENE HCTZ; ATORVASTATIN; VITAMIN D3; ALIGN | IBD (Microscopic Colitis) | USMODERNATX, INC.MOD20210 | 2 | 08/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1675323 | 09/05/2021 | HI | 61.0 | 61 | F | Saturday 7/31: Received Johnson & Johnson vaccine at Pharmacy around 7 pm. Waited 15 min. No immediate symptoms. Started hydrating as soon as left Pharmacy since had been at beach beforehand. Drink one and a half 16 oz bottles of Pedialyte, one of them the | 07/31/2021 | 07/31/2021 | 0 | PHM | Sodium ascorbate 1000 mg, MSM 3000mg, Ceterizine 10mg, FluticasonePropionate 50mcg;magnesium/Ahswagandha pdw in lemon water Noon: Quercitin 1000mg with zinc 30mg and elderberry200mg; Bromolain 500mg; astaxanthin 12mg, Vit Code raw B complex | reacting to mold in house - controling environment best as can | Pre-diabetes/diabetes; Fibromyalgia; Sleep Apnea | 2 | 09/05/2021 | amoxicillin; grass mix; weed mix 1,2; tree mix; cockroach; dog; cat; mold mix 1;mold mix3; variety of foods | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1719277 | 09/21/2021 | HI | 61.0 | 61 | M | I noticed that my endurance was diminished for two weeks and when I when I went to the hospital on 07/06/2021. I was diagnosed with multiple bilateral Pulmonary Emboli confirmed by ultrasound. I also had a DVT in my right leg slightly to the medial side of | Y | 2 | Y | 03/17/2021 | 06/22/2021 | 97 | CT Scan 07/06/2021 Ultrasound 07/06/2021 | PVT | Lisinopril 20mg; Loratadine 10mg | N/A | Hypertension | vsafe | 2 | 09/21/2021 | Y | Bactrim-hives; Seasonal Allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1738252 | 09/27/2021 | HI | 61.0 | 61 | F | Patient received vaccination early at 14 days instead of the 28 day interval. | Y | 09/10/2021 | 09/10/2021 | 0 | PHM | 2 | 09/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1854914 | 11/09/2021 | HI | 61.0 | 61 | F | sever itching from head to toe | Y | 03/26/2021 | 03/26/2021 | 0 | PVT | tirosint, cytomel, zetia, gabapentin, magnisium, d3, b complex | hypothyroidism sjogrens asthma rumitoid arthritis | 2 | Y | sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX |