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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 |
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0922441 | 01/06/2021 | MD | 63.0 | 63 | F | Fever, chills, nausea | N | 01/01/2021 | 01/06/2021 | 5 | PUB | Amlodipine, atorvastatin, cefuroxime | 2 | 01/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0937359 | 01/12/2021 | MD | 63.0 | 63 | F | She reported a mild lightheaded feeling. Declined a visit from the doctor. States has this feeling often and is not certain if it is anxiety or related to the vaccine. | Y | 01/12/2021 | 01/12/2021 | 0 | PVT | Hx severe allergies, Unknown | 2 | 01/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0937500 | 01/12/2021 | MD | 63.0 | 63 | F | After receiving my shot on Friday, my arm began to get sore, my ears felt like they were on fire. I woke up on Saturday and my arm soreness had increased. Later that evening I went to bed and was awoken with extreme pain in my back and neck. It felt as | N | 01/08/2021 | 01/09/2021 | 1 | None | PUB | Probiotic, Fish oil, cranberry, C vitamin, multi-vitamin, Vitamin D | Sinus infection | Lung cancer, compressed disk, gastric stomach | 2 | 01/12/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0937701 | 01/12/2021 | MD | 63.0 | 63 | F | I had an allergic reaction at the site of injection on my left arm. I applied alcohol and a new bandaid at 10:30 pm and went to bed. I woke up at 3 am with my left arm in serious pain. I removed the bandaid and the top skin was removed at the site of the b | N | 01/07/2021 | 01/08/2021 | 1 | none | PUB | Atenolol, Triamterene, Fish Oil, Vitamin C, Mutivitamin for Women 50+ | none | High Blood Pressure | 2 | 01/12/2021 | Allergic to Latex, adhesives and allergy medications, anti-itch meds, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0941468 | 01/13/2021 | MD | 63.0 | 63 | F | Starting on 1/8 she began having headaches and weakness in her legs. On 1/9 the headache got worse, she had a COVID test which was negative. On 1/11 she had vomiting for hours after taking Tylenol. On 1/13 she still has a headache, but also SOB and body ac | N | 01/05/2021 | 01/08/2021 | 3 | PVT | 2 | 01/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0943894 | 01/14/2021 | MD | 63.0 | 63 | F | one week following the vaccine, 1/11/2021 I noticed pain and swelling and itching on my left arm surrounding the injection site. The area was reddish and raised, - about 3 inches by 5 inches and was hot to the touch, itchy and sore. It kept me awake at n | U | 01/04/2021 | 01/11/2021 | 7 | Examined at my PCP office on 1/12/2021 | OTH | Levothyroxine | common head cold 12/8 that resolved after a couple of days- no fever or chills | none | flu like symptoms for a day after the 2nd of 2 Shingles Vaccines | 2 | 01/14/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0946254 | 01/15/2021 | MD | 63.0 | 63 | F | 12 hours post injection developed chills 14 hours post injection develop fever 99.9, which resolved by the next morning (27 hours post-injection) Did not have any adverse effects with first dose in series | Y | 01/04/2021 | 01/04/2021 | 0 | PHM | 2 | 01/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0951481 | 01/17/2021 | MD | 63.0 | 63 | F | achy body, slight chills, general malaise | N | 01/16/2021 | 01/17/2021 | 1 | PHM | Goli Apple Cider Vinegar Gummies Bayer low dosage aspirin Vitamin D Losartan/Hydrochlorothiazide | Hypertension | Flu vaccine often results in similar symptoms | 2 | 01/17/2021 | None that I am aware of | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0952211 | 01/18/2021 | MD | 63.0 | 63 | F | Rash at vaccine site, neck and torso (front and back) Red, itchy and burning, skin intact. | N | 01/07/2021 | 01/15/2021 | 8 | none. I went to a to an urgent care facility. They recommended taking Benadryl. I've been taking that and using calamine lotion and Tylenol with no apparent relief. I want to know if I can use prednisone. Please advise. | OTH | none | none | none | 2021 Shingles vaccine - fever and chills, mild nausea | 2 | 01/18/2021 | Y | Sulfa drugs, poison ivy, ciprofloxacin, azithromycin (all produce rashes) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0956292 | 01/19/2021 | MD | 63.0 | 63 | F | Following the injection (early morning of the next day), pain at site. This was followed by fever (up to 102 degrees) for one day, lower fever for several days afterwards, in concert with fatigue. There was also a slight rash along the arm. Of ongoing conc | N | 10/12/2020 | 10/13/2020 | 1 | PVT | None | Complex Regional Pain Syndrome | 2 | 01/19/2021 | Y | Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0962980 | 01/21/2021 | MD | 63.0 | 63 | M | admitted to shady grove hospital for ITP(immune mediated thrombocytopenia) plts were 1 on admission have not responded to typical ITP therapies, platelets still 4 today after 4 days in hospital workup shows ITP no other risk factors or history of itp or au | Y | Y | 4 | N | 01/07/2021 | 01/18/2021 | 11 | 1/18/21 cbc shows normal wbc, normal hb, plts 1k 1/19/21-plts 1k 1/20/21-plts 2k 1/21/21-plts 4k | PUB | rosuvatatin 10mg po daily lisinopril 10mg po daily metformin 750 mg po bid centrum MVI asa 81mg po daily | none | dm htn hyperlipidemia | 2 | 01/21/2021 | Y | penicillin sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0966973 | 01/22/2021 | MD | 63.0 | 63 | F | Fever, chills, headache, tender skin feeling | Y | 01/21/2021 | 01/21/2021 | 0 | OTH | Celexa, Wellbutrin, cozar, inflectra, trazadone | None | Hypertension, Crohn?s disease, depression | 2 | 01/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0973908 | 01/26/2021 | MD | 63.0 | 63 | M | Fever to 104 , severe chills , rash ; lasted about 9 days | Y | 01/08/2021 | 01/09/2021 | 1 | COVID Rapid Ag tested on day 3 and 10 , both NEGATIVE ( BD Veritor) ; PCR COVID19 test taken on day 10 POSITIVE | PVT | Azelastine Nasal Spray HS ; Tadalafil 5mg Qd ; Finasteride 5mg QOD | None | Mild BPH | 2 | 01/26/2021 | Penicillin; ASA; Ceftin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0979905 | 01/27/2021 | MD | 63.0 | 63 | F | Sudden onset of chills and shakes for about 6 hours, headache, stomach distress, muscle aches, | N | 01/26/2021 | 01/26/2021 | 0 | None | PVT | Amitriptylin, Bupropion, Metoprolol, Epicor, Melatonin, Fexofenadine, Turmeric Curcumin, Vit C, Vit B12, 81 mg aspirin | None | High blood pressure | 2 | 01/27/2021 | Keflex, Adipex, Hazelnut | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0982493 | 01/28/2021 | MD | 63.0 | 63 | F | 2 days after the injection she developed an itchy rash around the injection site. Symptoms are improving. | N | 01/21/2021 | 01/23/2021 | 2 | PVT | 2 | 01/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0982646 | 01/28/2021 | MD | 63.0 | 63 | M | One week after the vaccine his left great toe and foot became red, warm and swollen. He had difficulty walking for several days and is still experiencing swelling. He has been using ice, elevation and Motrin. | N | 01/13/2021 | 01/20/2021 | 7 | PVT | 2 | 01/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0984019 | 01/28/2021 | MD | 63.0 | 63 | F | 13 minutes after the injection, experienced an intense whole body hot flushing, increased perspiration which lasted 2-3 mins then resolved. Headache. Then felt "odd", BP was 92/47. drank 8 ounces fluid, BP slightly increased then dropped again. Felt very f | N | 01/20/2021 | 01/20/2021 | 0 | May see personal provider tomorrow. | PVT | NAC, synthroid, cytomel, adderall, hydrocodone, quercetin, bomelain, curcumin, JK, skullcap, red sage | none | autoimmune intestinal metaplasia, lyme disease, malabsorption, pernicious anemia | 2 | 01/28/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992195 | 02/01/2021 | MD | 63.0 | 63 | F | Starting 12 hours after the injection she had a fever of 101.5 degrees F lasting over 20 hours. She also experienced severe body aches, flank pain, bilateral groin and axillary nodal pain. | U | 01/26/2021 | 01/26/2021 | 0 | PVT | severe arthritis (type unspecified), asthma | 2 | 02/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1004973 | 02/05/2021 | MD | 63.0 | 63 | F | Fever of 104.3 degrees; chills; dizziness; exhaustion; headache. | Y | 02/02/2021 | 02/02/2021 | 0 | PUB | atorvastatin, Flonase | 1/5/2021; fever of 101.7; chills; fatigue; headache | 2 | 02/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1009796 | 02/07/2021 | MD | 63.0 | 63 | F | Moderna vaccine #2 was given on Friday, January 29 at 1 PM. She had no side effects that day. On Saturday she felt mildly achy and had a headache and stayed in bed. Sunday her heart was flip-flopping with palpitations. She noticed new dyspnea on exerti | N | 01/29/2021 | 01/30/2021 | 1 | none | PVT | buPROPion (WELLBUTRIN XL) 150 MG XL tablet Take 1 tablet by mouth every morning. estradiol (ESTRACE) 0.1 MG/GM vaginal cream Apply 1gram nightly vaginally for 2 weeks, then 2 times per week | none | Diagnosis Date ? Anxiety ? ASCUS of cervix with negative high risk HPV 12/06/2017 seeing Dr for GYN ? Atherosclerosis of aorta (CMS/HCC) 09/28/2020 on CT scan ? Colon polyp 06/2015 serrated, follow up 3 yrs ? Depression ? Dry eyes ? Encounter for hep | 2 | 02/07/2021 | Y | allergic to codeine; meloxicam; and sulfa antibiotics. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1011357 | 02/08/2021 | MD | 63.0 | 63 | F | Received the vaccine at 9:45 a.m. on 02/05/2021, felt fine until around 3:00 pm, when I noticed that my right arm started hurting and then my knees became very achy and by the time I got home, I was feeling pretty bad. I took Tylenol along with my regular | Y | 02/05/2021 | 02/05/2021 | 0 | None | PVT | Candesartan Cilexetil tabs, USP 8mg Meloxicam, 7.5 mg tabs Tramadol HCL, 50mg tabs Montelukast Sod 10mg tabs Loratadine, 10mg Omeprazole DR, 40 mg capsules 500/50 Advair, 2x dailey, a.m. and p.m. Spiriva Respimat, 1.25mcg, a.m. | None | arthritis asthma mitral valve regurgitation benign thyroid nodules | 2 | 02/08/2021 | scallops (not shellfish, just scallops) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1012726 | 02/08/2021 | MD | 63.0 | 63 | F | On the second day of vaccine I had a terrible headache & nausea, 3rd day till today I have been having severe dizziness & hear racing & palpitations along with nausea. | N | 02/01/2021 | 02/02/2021 | 1 | WRK | Nexium, lozartan | None | Asthma, CAD | 2 | 02/08/2021 | Demerol & compazine, citrus | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1012770 | 02/08/2021 | MD | 63.0 | 63 | F | After arriving home at 5:15 I became very fatigue and needing to lay down asap. I was awoken around 3:30am on the 6th with the shakes, chills, severe head and back ache and body aches. Urgent and frequent urination. This continued from that point all thro | Y | 02/05/2021 | 02/05/2021 | 0 | none | PVT | 2 Tylenol an hour before vaccine | none | High Blood Pressure | 2 | 02/08/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1015753 | 02/09/2021 | MD | 63.0 | 63 | F | Experienced severe cold chills whereas my body felt like pins and needles all over including body aches and fatigue. Woke up with night gown damp, so I probably had a low grade fever. | N | 02/08/2021 | 02/08/2021 | 0 | Have not had any test done. | SEN | Losartan Potassium 50Mg , Hydrochlorothiazide 25 Mg Vita fusion Women?s Multivitamin | None | HTN , Sarcoidosis not in active phase. | 2 | 02/09/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1027575 | 02/13/2021 | MD | 63.0 | 63 | F | Fever, myalgias, chills, and malaise (2nd dose). | N | 02/12/2021 | 02/12/2021 | 0 | No | PUB | None | None | None | 2 | 02/13/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1027592 | 02/13/2021 | MD | 63.0 | 63 | F | 1 week later red hot itchy rash aroud the injection site | U | 02/04/2021 | 02/12/2021 | 8 | OTH | Estrovil, zoloft (very low dose for hot flashes) Lipitor | none | none | 2 | 02/13/2021 | Penicillan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1029300 | 02/14/2021 | MD | 63.0 | 63 | U | flushed dizziness feeling soon after injection. obs without incident | Y | 02/14/2021 | 02/14/2021 | 0 | PUB | 2 | 02/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1030392 | 02/15/2021 | MD | 63.0 | 63 | M | 1. Lip rash began 7 hours after injection, fully erupted by the next morning. No treatment, cleared after 10 days; 2. Tiredness began 30 hours after injection, no treatment, lasted 10 days; 3. Skin rash on back and chest began 12 hours after injection, no | Y | 01/27/2021 | 01/27/2021 | 0 | None | OTH | Lipitor, Loratidine, low-dose aspirin, otc multi-vitamin | Chills two days prior to vaccination | high cholesterol, seasonal allergies (year-round) | 2 | 02/15/2021 | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1036156 | 02/17/2021 | MD | 63.0 | 63 | F | Patient came in 2/17/2021 complaining of a lump at the injection site and a scab on top. She said the swelling occurred right after the injection 10/30/2020 and was red and itchy, The redness went down but there is still a lump with a hard scab. She states | N | 10/30/2020 | 10/31/2020 | 1 | PHM | aspirin 81mg , melatonin and Tylenol when needed | none | 2 | 02/17/2021 | Y | sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1047748 | 02/22/2021 | MD | 63.0 | 63 | F | Covid arm Swelling redness and rash at injection site | 02/14/2021 | 02/22/2021 | 8 | PHM | Escitalopram oxalate Rosuvastatin Vit D3 Vit super B complex w folic acid and vit C Tylenol | None | None | 2 | 02/22/2021 | Tetracycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1052785 | 02/24/2021 | MD | 63.0 | 63 | M | Developed chills, mild headache, mild upset stomach within twelve hours of vaccination. Persisted until the morning of the 24th. | Y | 02/23/2021 | 02/23/2021 | 0 | PUB | ibuprofen 400mg prior to vaccination | 2 | 02/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1054957 | 02/25/2021 | MD | 63.0 | 63 | F | Patient possibly inadvertently received 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State notified | U | 02/24/2021 | 02/24/2021 | 0 | none | PUB | unknown | none at the time of vaccination | none listed | 2 | 02/25/2021 | none listed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1055092 | 02/25/2021 | MD | 63.0 | 63 | M | Patient possibly inadvertently received 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State was notified | U | 02/24/2021 | 02/24/2021 | 0 | none | PUB | unknown | none at the time of vaccination | none listed | 2 | 02/25/2021 | none listed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1056936 | 02/26/2021 | MD | 53.0 | 63 | U | Throat tightness | Y | 02/26/2021 | 02/26/2021 | 0 | UNK | 2 | 02/26/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1057751 | 02/26/2021 | MD | 63.0 | 63 | F | 7cm neck posterior lymphadenopathy on the left side, patient received the vaccine in left deltoid. Her CT scan showed diffuse matted necrotic lymphadenopathy with the largest one measuring 1.8cm. Patient is still symptomatic with diffuse myalgias, elevat | N | 02/17/2021 | 02/18/2021 | 1 | WBC 13 CRP and Sed rate over 50 | SEN | Antihypertensives | COVID 19 in January. Was given BAM therapy | Hypertension | 2 | 02/26/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1058312 | 02/26/2021 | MD | 63.0 | 63 | F | Fever, chills, uncontrolled shivering, sweating, nausea, dizziness, mostly in the order listed, starting about 9 hours after vaccine dose and completely gone by 24 hours after vaccine dose. | Y | 02/25/2021 | 02/25/2021 | 0 | OTH | Lisinopril 5mg daily, hydrochlorothiazide 6.25 mg daily, claritin daily, glucosamine 1500 mg chondroitin 1200 mg two tablets daily, multivitamin daily, calcium supplement 600 mg twice daily | None | Hypertension | 2 | 02/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063025 | 03/01/2021 | MD | 63.0 | 63 | F | Low grade fever (100.3) after one week with progressive weakness, fatigue and swallowing dysfunction analogous to exacerbation of her autoimmune disease (LUPUS) which had been in remission (on medication) for 5 years. | Y | N | 02/09/2021 | 02/25/2021 | 16 | Lab tests (2/25/21) 16 days after the injection: CRP 66 (previously 4 on 1/6/2021) CPK 7417 (previously 175 on 1/6/2021) WBC 12.4 (previously 6.3 on 1/6/ 2021) ESR 45 (previously 22 on11/11/2020) ALL VA | OTH | Prednisone 7.5 mg/day Celcept 2000mg/day Nexium 40mg/day | None | Systemic Lupus Erythematosus Polymyositis GERD | 2 | 03/01/2021 | Y | Heparin, Azithromycin, Dexilant, Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1067077 | 03/02/2021 | MD | 63.0 | 63 | F | This is the 2nd time since my 2nd shot my throat neck glands are big and sore & thyroid is swelled up & sore difficult to swallow. Extreme long lasting exhaustion. Body is weak & sore muscles & joints. I have not been ok since my 2nd shot. I had a hard mar | N | 01/26/2021 | 01/28/2021 | 2 | None | UNK | Pepcid Famotidine 40mg Clariten 10 mg | Hypogammaglobulinemia And Cell mediated immune suppression | Lyme | 2 | 03/02/2021 | Latex and many foods like milk, tomatoes, lettuce, wheat, casein snd corn. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1070022 | 03/03/2021 | MD | 63.0 | 63 | M | patient passed out while waiting in the observation area after the vaccine administration. He passed out briefly about 1 minute then regained consciousness. He then responded to pharmacist questions. 911 arrived and took him to the hospital | U | 03/03/2021 | 03/03/2021 | 0 | unknown. he was taken to the hospital | PHM | 2 | 03/03/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1082467 | 03/08/2021 | MD | 63.0 | 63 | F | Pt passed away on 3/6/21. | Y | 03/06/2021 | N | 02/17/2021 | 03/06/2021 | 17 | OTH | Mitral valve tear was reported by husband. | 2 | 03/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091835 | 03/11/2021 | MD | 63.0 | 63 | F | Patient may have inadvertently been given 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State of MD was notified | U | 02/24/2021 | 02/24/2021 | 0 | none | PUB | none listed | not at time of vaccination | none listed | 2 | 03/11/2021 | none listed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1093836 | 03/12/2021 | MD | 63.0 | 63 | F | Fever; pain; This case was reported by a nurse via call center representative and described the occurrence of fever in a 63-year-old female patient who received Herpes zoster (Shingrix) (batch number NP33H, expiry date 8th April 2022) for prophylaxis. Pr | Y | 07/22/2020 | UNK | USGLAXOSMITHKLINEUS202100 | 2 | 03/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1098689 | 03/14/2021 | MD | 63.0 | 63 | F | Headache over the left eye that caused caused stabbing pain in the left and eye was sensitive to touch like when you have a sinus headache. Took two ibuprofen and rested. Took two hous to gio away. | Y | 03/10/2021 | 03/12/2021 | 2 | None | OTH | atenolol 50 mg, Lotrel 5/10, Vitamin D3 2000 units, Omega-3, Farxiga, Janumet 100-1000and Zyrtec the night before | None | Diabetes, Hypertension | 2 | 03/14/2021 | Darvon, Codine, bananas and seasonal allergies. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1107538 | 03/17/2021 | MD | 63.0 | 63 | F | Right side face droop -Hospital stay 2 days . Cleared on own after 4 days | Y | 2 | Y | 03/12/2021 | 03/13/2021 | 1 | cat scan- ultra sound blood work, urine test all done by Medical Center 3/15/21 to 3/16/21 | PHM | Hydroxyzine 25 mg 4x day for anxiety sertaline 50 mg for dpression levothyroxin 88mcg | none | thyroid | flu shot - flue like symptoms | 2 | 03/17/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109761 | 03/17/2021 | MD | 63.0 | 63 | F | Mon. March 15 Day 8 after vaccine- Dizzy, stomach cramps, diarrhea, red rash on upper left arm Tues. March 17 Da y 9 - Fatigue, stomach cramps diarrhea, red rash on upper arm in a larger area We?d. March 18 Day 10 - Fatigue, stomach cramps, diarrhea, red | N | 03/08/2021 | 03/15/2021 | 7 | None | PVT | Levothyroxin Montelukast Zyrtec Dulcolax | Hypothyroidism Migraines Idiopathic anaphylaxis | None | 2 | 03/17/2021 | Idiopathic anaphylaxis, so no one knows the agent | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1114807 | 03/19/2021 | MD | 63.0 | 63 | M | Vasovagal, vitals normal after oral fluids but patient felt weak, flushed nauseated. Drove himself and did not feel comfortable driving home. Asked that we call ambulance | 03/19/2021 | 03/19/2021 | 0 | PUB | 2 | 03/19/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1116360 | 03/19/2021 | MD | 63.0 | 63 | M | Developed Shingles | N | 03/04/2021 | 03/07/2021 | 3 | PHM | None | None | None | 2 | 03/19/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1120024 | 03/21/2021 | MD | 63.0 | 63 | F | Lip tingling, SOB for few seconds that resolved prior to my evaluation, feeling jittery/anxious. Vitals taking, pt reassured, symptoms resolved within minutes | Y | 03/21/2021 | 03/21/2021 | 0 | BP: 169/89 HR: 59 SaO2:98% on RA | OTH | Valvular Disease (s/p mitral valve replacement) | 2 | 03/21/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130128 | 03/24/2021 | MD | 63.0 | 63 | F | shingles; This spontaneous report has been received from a lawyer, regarding a case in litigation and refers to a 63-year-old female patient. The patient's concurrent conditions, medical history and concomitant medications were not reported. On 24-SEP-2015 | Y | N | 09/24/2015 | 07/07/2016 | 287 | PHM | US0095075132103USA005505 | 2 | 03/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1140711 | 03/27/2021 | MD | 63.0 | 63 | M | Severe right knee pain. Outside of knee. Painful to extend or bend. | N | 03/26/2021 | 03/27/2021 | 1 | None | UNK | Atorvastatin | None | None | 2 | 03/27/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1141285 | 03/28/2021 | MD | 63.0 | 63 | M | Patient presented with vitals 160/79. Patient approached by clinical observer as a check-in and patient mentioned feeling dizzy. Patient walked to tent and stated dizziness did not worsen. After resting in chair for a few minutes, pt states he is feeling f | 03/27/2021 | 03/27/2021 | 0 | PVT | 2 | 03/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1142404 | 03/28/2021 | MD | 63.0 | 63 | F | PATIENT TESTED POSITIVE ON A PCR TEST ON 3/26/2021 DUE TO REQUIRED UNIVERSAL TESTING. REMAINED ASYMTOMATIC THROUGHOUT | Y | 03/06/2021 | 03/27/2021 | 21 | NONE | PUB | GERD AND CHOLESTEROL MEDS | NONE | NONE | 2 | 03/28/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1144587 | 03/29/2021 | MD | 63.0 | 63 | F | I stayed for about an hour for observation because of my allergy history. Immediately after getting shot -within minutes- i began developing several headaches, After about an hour, or aAbout 10-15 min after I left the observation site and exited the store, | Y | 03/25/2021 | 03/25/2021 | 0 | I called my provider (i have a PCP outside this facility but she's solo practice and harder to reach off hours plus nearing retirement so I have this as backup.) My provider there is an NP who used to work in an ER so she's good on allergies! We controlled | PHM | Synthroid 88 mcg, Atorvastin, Vitamin D. twice a year i get a prolio injection. No side effects or allergy. | mild thyroid, mild high cholesterol, osteoporosis. I hae some tendinitis, but dont take medication -- occasional ibuprofin. | Tetanus 40 years ago under unusual circumstances while studying in Guatemala | 2 | 03/29/2021 | Y | Had a highly unusual reaction to a tetanus shot 40 years ago but it was in Guatemala and we were never sure whether it was allergy or whether something was defective in the vaccine (because of erratic power supply, refrigeration, quality control etc). I h | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1144597 | 03/29/2021 | MD | 63.0 | 63 | F | Headache, Chills, Fever, and Difficulty keeping awake. Treatment: Tylenol and Ibuprofen | Y | 03/25/2021 | 03/26/2021 | 1 | None | PHM | Vitamins D and C, Black Seed Oil, and White Mulberry Tablets | None | None | 2 | 03/29/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1146434 | 03/30/2021 | MD | 63.0 | 63 | F | During the daytime, I was unusually tired. Then, at midnight, I woke up with vomiting, diarrhea, abdominal pain, and weakness. My stomach still bothers me, several days later. | N | 03/24/2021 | 03/25/2021 | 1 | None | OTH | Lisinopril, Levothyroxine, Metformin, Simvastatin, Estrogen | None | Diabetes, hypothroidism | 2 | 03/30/2021 | Ampacillin, amoxycillin, sulfa, keflex (iodine xrays) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1147563 | 03/30/2021 | MD | 63.0 | 63 | F | Day 1-within 4 lt. shoulder joint with "itchiness,tingling sensation on the left side from elbow through shoulder, back of neck down through trap /shoulder blade into serratous area of ribcage (treated with Tylenol, Aleve and Benadryl) Day 2- 24 hours late | N | 03/27/2021 | 03/27/2021 | 0 | n/a | OTH | Rx's: Atenolol, Synthroid, Vit. D , Sudafed, Janumet, Singulair, Combivent Inhaler, Epi-Pen, Ventolin (Rescue) Inhaler OTC: Alive, Tylenol as needed, Benadryl as needed, Pataday | Autonomic Instability, P.O.T.S., Ehlers-Danlos, Hypothyroidism, Type 2 Diabetic, Asthma, (over the last 6 months not absorbing Janumet and Vit. D properly) | Autonomic Instability, P.O.T.S., Ehlers-Danlos, Hypothyroidism, Type 2 Diabetic, Asthma, (over the last 6 months not absorbing Janumet and Vit. D properly) | Pneumonia Vax Fall 2017- severe swelling at site that went down entire arm to hand, fever, hives, bright red edematous arm, took | 2 | 03/30/2021 | Codeine, Talwin, Cipro, Sulfa, Ceftin, Penicillin, Latex, Hypoallergenic Tapes, Bandaids, Adhesives, Fiberglass, Wool, Lanolin, Dairy, Strawberries, Tomatoes, Pineapples, Kiwi, Harvey's Bristol Creme, Ivory Soap, Poinson Ivy, Sumac | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1149246 | 03/30/2021 | MD | 63.0 | 63 | F | The first few days often receiving the shot the site was red and sore but then went away. But March 29 in the evening my arm where the shot was given became itchy. The next morning the site was very swollen, very itchy, hard and red, much bigger then right | N | 03/22/2021 | 03/29/2021 | 7 | MIL | Advair, Allegra, Prilosec, Acidophilus, Mucinex as needed, Fluticasone Ipratropium/Bromide, Albruterol | Asthma, acid reflux, allergies | 2 | 03/30/2021 | Penicillin, nickel | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1154159 | 04/01/2021 | MD | 63.0 | 63 | M | Within 8 hours of injection, developed loud tinnitus. Woke up the next morning with almost total hearing loss in left ear and vertigo to the point where I was in bed except to go to the bathroom. Called Tele Doc but was unable to assists. Was able to g | N | 03/20/2021 | 03/20/2021 | 0 | MRI scheduled for 4/6 2021 Hearing tests on 3/24 and 3/31. Additional test scheduled for 4/8. | PVT | Lamotrigine ER 300mg 1/day Hydroxyzine HCL 10mg 1/day Montelukast Sodium 5mg 1/day Xolair | N/A | Epilepsy (well controlled by medication) Chronic Urticaria | 2 | 04/01/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1157736 | 04/01/2021 | MD | 63.0 | 63 | F | constant clearing of throat, tingling lips- to urgent care | 04/01/2021 | 04/01/2021 | 0 | PVT | Levothyroxine (LEVOTHROID/SYNTHROID) 50 mcg Oral Tab hydroCHLOROthiazide (ESIDRIX/HYDRODIURIL) 25 mg Oral Tab Azelastine (ASTELIN) 137 mcg (0.1 %) Nasl Aero Spray Naproxen (NAPROSYN) 500 mg Oral Tab Montelukast (SINGULAIR) 10 mg Oral Tab FL | HTN (HYPERTENSION) CHRONIC RHINITIS LUMBAR SPONDYLOSIS HYPERCHOLESTEROLEMIA THYROID NODULE LOW BACK PAIN OVERWEIGHT ADULT (BMI 25-29.9). SEBORRHEIC KERATOSIS LEFT BELLS PALSY LEFT ACQUIRED EYELID PTOSIS ALLERGIC REACTION MULTIPLE PULMONARY NODULES BILAT AG | HTN (HYPERTENSION) CHRONIC RHINITIS LUMBAR SPONDYLOSIS HYPERCHOLESTEROLEMIA | Zoster | 2 | 04/01/2021 | Y | Amlodipine Besylate Angioedema High Allergy 9/19/2018 Past Updates... Atorvastatin Calcium Angioedema High Allergy 2/20/2017 Past Updates... Angioedema//facial swelling Keflex [Cephalexin] Wheezing High Allergy 9/14/2018 Past Updates... Flagyl [Metr | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1159926 | 04/02/2021 | MD | 63.0 | 63 | M | No issues first 48 hours, however on day 3 Fever, fatigue, headache and Rash on chest/back and face developed. Felt run down with alternating chill and sweating for next 3 days then subsided but chills and fatigue remained for addiotnal 2 days. On Day 8 | Y | 03/24/2021 | 03/26/2021 | 2 | None felt needed | PHM | 50MG Losartan, Multi Vitamin, Biotin, 81MG low dose Aspirin, 1,000 MG Vitamin D | None Almost never get sick | Borderline Hypertension --Well controlled | 2 | 04/02/2021 | None Slight Hay fever allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1164154 | 04/03/2021 | MD | 63.0 | 63 | F | On Mar 31, low grade fever and chills began at 10:30 pm. Weakness began at 11:30 p.m. to the point that I could barely stand and couldn't walk without assistance. Also experienced headache and quick and shallow breathing. Extreme fatigue lasted until A | Y | 03/31/2021 | 03/31/2021 | 0 | none | OTH | Pepcid; Metoprolol Succ ER; Premarin; Budesonide Inhalation Susp; Flonase; Claritin D; Restasis eye drops; One-A-Day Women's 50+ multivitamin; Low-dose aspirin; Pravastatin; Calcium; Vitamin D3; Fish Oil | none | high blood pressure; GERD; Osteopenia | 2 | 04/03/2021 | Sulindac; Piroxicam; Norvasc | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1166379 | 04/04/2021 | MD | 63.0 | 63 | F | Raised, hot, red, itchy, blotchy rash (?Covid arm?). No pain | N | 03/26/2021 | 04/04/2021 | 9 | PUB | Multi-vitamin and vitamin D | None | None | 2 | 04/04/2021 | Avocado | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1166398 | 04/04/2021 | MD | 63.0 | 63 | F | I have pain, tenderness and swelling of the lymph nodes in the same arm of the injection, swelling (hardness), and redness | N | 03/25/2021 | 03/26/2021 | 1 | none | PVT | None | None | None | 2 | 04/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1168064 | 04/05/2021 | MD | 63.0 | 63 | F | Adhesive capsulitis of left shoulder - frozen shoulder | N | 01/18/2021 | 01/18/2021 | 0 | WRK | Levothyroxine Fluoxetine Krill Oil Vitamin D | Leukemia CLL | Leukemia CLL | 2 | 04/05/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1168581 | 04/05/2021 | MD | 63.0 | 63 | F | Hives on right thigh, left side of middle belly, left armpit about 7 days after vaccine. Hives resolved after about one day. Left armpit remains discolored. as of today. Numbness, swelling, and itching on bottom right lower lip 14 days after injection. Hiv | U | 03/18/2021 | 03/25/2021 | 7 | N/A | OTH | Atorvastatin 40mg, Hydrochlorathiazide 25mg, Klor-Con M20, Fexofenadine HCl 180 mg, Iron 65mg, Krill Oil 500mg, Vitamin B complex, Magnesium 500mg, Ubiquinol 100mg, Vitamin D3 1000iu, Multivitamin | N/A | High cholesterol, high blood pressure, obesity, type 2 diabetes | 2 | 04/05/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1169771 | 04/05/2021 | MD | 63.0 | 63 | M | Right after 48 to 72 hours later when I was feeling fine - had BP shoot up and also had palpitations. The BP settled down after 6 hours to so (took a lot of water and did some breathing). I am not concerned about what happened in the three days or so of th | 03/05/2021 | 03/09/2021 | 4 | None were done. | UNK | None | None | None | 2 | 04/05/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1170917 | 04/06/2021 | MD | 63.0 | 63 | F | RIGORS. | Y | 03/25/2021 | 03/26/2021 | 1 | NONE | PVT | Rigors and fever the morning after the vaccine, resolved with Ibuprofen and lasting 4 hours and followed be severe fatigue, headache and myalgias for 2-3 days. | No. | Inactive, mild intermittent asthma. Active Covid infection, 12/28/2020. | 2 | 04/06/2021 | Seasonal allergies only. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1176347 | 04/07/2021 | MD | 63.0 | 63 | F | Immediate popping in the ears approx. 15 minutes after injection, then brain fog with fatigue. .. Then the next day fatigue was increased and had to get in bed. Also had a fullness in the ears. Then 2 days later there was headache, neck ache, nausea and v | N | 03/25/2021 | 03/25/2021 | 0 | In the hospital- numerous EKG's, CT of head and abdomen and x-ray of the chest. Presently wearing a holter monitor. Numerous blood test. | PVT | Asmanex Vitamin D 50,000 U Pepcid TUMS Protonix prn | History of Lyme Disease-2009 GERD Ulcers | C5-C6 stenosis and arthritis Asthma | 2 | 04/07/2021 | Codeine, PCN-anaphylaxsis ?Dyes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1182083 | 04/08/2021 | MD | 63.0 | 63 | F | On the 7th day after receiving the Moderna shot (dose #1) at approximately 11:00 pm while watching television, I suddenly started hearing loud cricket sounds that I thought were coming from outside. Initially, I turned off the television then after a shor | N | 03/27/2021 | 04/03/2021 | 7 | To Be Determined. | MIL | Topical: Hydrocortison Valerate (0.2%) for ezema - Used daily during breakouts Tablet: Flexofenadine (Allegra EQ) for allergies - Taken as needed | None | Pneumonia in October 2019 (second occurrence [[first time in around 2010]) Compromised Immune system (easily catch common cold/influenza) | 2 | 04/08/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1182599 | 04/08/2021 | MD | 63.0 | 63 | M | POSSIBLE SYNCOPE-PT FELT DIZZY PULSE WAS 51, BP WAS 133/91. FRONT ASSOCIATE CALLED 911 AND AMBULANCE CAME AND REFUSED TO GO AND WAS ABLE TO GET UP AND WALK OUT | Y | 04/08/2021 | 04/08/2021 | 0 | PHM | TRAMADOL AND NAPROXEN | NONE | NONE | SYNCOPE | 2 | 04/08/2021 | PENICILLIN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1187488 | 04/09/2021 | MD | 63.0 | 63 | F | Patient's lips started to swell, itchy throat, back pain and stomachache, no fever, gave benadryl, called 911 after 30mins | U | 04/09/2021 | 04/09/2021 | 0 | n/a | PHM | Benadryl | Pt reacted to flu vaccine in 2012 | Heart and lung disease | 2 | 04/09/2021 | Y | Latex, Phenol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1189204 | 04/10/2021 | MD | 63.0 | 63 | F | Worst headache of my 63 years, starting in the night, still bad (though controlled by Tylenol Extra Strength) until about noon later that day, then faint headache for another day AND fog-brain, strange forgetfulness, almost dementia-like (both parents have | U | 04/06/2021 | 04/07/2021 | 1 | OTH | Estring - postmenopausal estrogen | None | None | 2 | 04/10/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1189878 | 04/10/2021 | MD | 63.0 | 63 | F | I'm estimating that it was in the late afternoon the day after my vaccination, the tinnitus in both ears became much louder, with the left ear particularly loud. It makes it difficult to sleep, even with a sound conditioner. On March 28, I sent a mess | N | 03/25/2021 | 03/26/2021 | 1 | 4/8/2021 - Hearing test - high frequency hearing loss in both ears; tinnitus - bilateral; Sensorineural hearing loss of both ears | PVT | Glucosamine, condroitin, Vitamins B-complex & D, Airborne Mult | none | intermittent cough-variant asthma, low-level tinnitus | 2 | 04/10/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1192487 | 04/10/2021 | MD | 63.0 | 63 | F | Started with extreme tiredness around 8 pm same day as vaccine. Woke up with fever and some confusion the next morning. Fever persisted with analgesics on board and hydration efforts for almost 15 hrs. | U | 04/09/2021 | 04/09/2021 | 0 | None | PHM | Lisinopril 2.5mg not for hbp. Jenumet .Vit D. Meloxacam . Centrum silver. Busprione. Cinnamon. Krill oil. Rouvastatin. | None. | Type 2 Disbetes x 40 yrs. controlled. | 2 | 04/10/2021 | Mycin class of drugs. Surgical Steel and surgical tape. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1193771 | 04/11/2021 | MD | 63.0 | 63 | M | Heavy nosebleed upon waking in the morning. First occurence ever. Blood pouring from nose, and down back of throat causing gagging. Duration 20 minutes or so. Applied pressure to nose, eventually stopped. | Y | 04/07/2021 | 04/11/2021 | 4 | none | OTH | Alprazolam 1mg tid Bupropion HCL SR 150mg tid Buspirone 15mg tid Methylphenidate 20mg did Multi-Vitamin Vitamin D Milk Thistle DHEA Plant-Based Sterols Ubiquinol | None | Obesity | 2 | 04/11/2021 | Penicillin Bee Stings | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1194336 | 04/11/2021 | MD | 63.0 | 63 | F | I experienced hip joint and leg pain on my left side at night typically commencing three hours into sleep cycle. In the first week after the vaccine, the pain was quite sharp and severe in my left hip. Over time the pain spread further down my leg and wa | N | 01/22/2021 | 01/23/2021 | 1 | I am considering mentioning this problem to my primary care physician as I am concerned I may have developed a long-term problem. | UNK | melatonin, vitamin D | Panic attacks that occur exclusively during sleep, infrequently | 2 | 04/11/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1202767 | 04/13/2021 | MD | 63.0 | 63 | M | I was fatigued badly the two days following the shot. Then after about 10 days, I got cloudy vision. | Y | 03/26/2021 | 03/27/2021 | 1 | PVT | None | None | None | 2 | 04/13/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1203796 | 04/13/2021 | MD | 63.0 | 63 | F | Chest pains/ shortness of breath | U | 04/09/2021 | 04/10/2021 | 1 | Chest x Ray 4/10 Troponins. 4/10 | OTH | Tradgenta, metformin, hydrochlorathiazide, armour thyroid, farziga, carvediliol, atrovastatin | None | Hypertension, type 2 diabetes, hypothyroidism, hypercholestrolemia | 2 | 04/13/2021 | Y | Y | Shellfish, cipro, codeine, sulfa , penicillin , Bactrim, amoxicillian, iodine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1207577 | 04/14/2021 | MD | 63.0 | 63 | M | Headache and back ache | N | 04/01/2021 | 04/13/2021 | 12 | He was told to go to the Emergency Room. | PVT | Zocor, Allopurinol, Olmesartan. | High cholesterol, gout, hypertension. | 2 | 04/14/2021 | Y | Penicillin, Lisinopril. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1215138 | 04/15/2021 | MD | 63.0 | 63 | F | Heart rate dropped to 40, extreme pain around chest and back, sweatng, throwing up,rash | U | 04/03/2021 | 04/08/2021 | 5 | 4/13/21 mri, sonogram, blood test | OTH | Depakote, tricor, serialize, protonix, topiramate, levothyroxine, verapamil, metoprolol | Diabetic, | 2 | 04/15/2021 | Penicillin, clindamycin, pravastatin, levofloxen, oxycodone, bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1218580 | 04/16/2021 | MD | 63.0 | 63 | M | heart pain and elevated heart rate | Y | Y | 3 | Y | 04/06/2021 | 04/06/2021 | 0 | xray stress test heart catherization | PUB | heart condition | 2 | 04/16/2021 | Y | onion peppers | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1220386 | 04/16/2021 | MD | 64.0 | 63 | M | After patient received this vaccine dose, it was discovered that the vial had been stored outside of the recommended temperature range calling into question its efficacy After conferring with immunization experts it was determined that this dose needs to | 04/07/2021 | 04/07/2021 | 0 | OTH | 2 | 04/16/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1227025 | 04/18/2021 | MD | 63.0 | 63 | F | Tightness in throat, difficulty swallowing. I took 1 or 2 capsules of benadryl 25mg and symptoms gradually subsided. | Y | 03/28/2021 | 03/28/2021 | 0 | None, I consulted with my doctor, and have requested an appt with allergist. | PUB | Loratadine, 10mg Rosuvastatin calcium, 5 mg Levothyroxine, 75mcg B12, 1000 Mcg Ristela, 1 tablet CoQ-10, 100 mg | None | Kidney stones | 2 | 04/18/2021 | Bee stings, Some antibiotics, Perhaps some nuts Seasonal pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1229457 | 04/19/2021 | MD | 63.0 | 63 | F | Headache within about 50 minutes of receiving shot; intense fatigue by six hours later. Day after shot, awoke with every joint in my body swollen. (literally - all). Entire week following, experienced excessive fatigue. Never experienced any muscle sorene | Y | 04/08/2021 | 04/08/2021 | 0 | none | PVT | Liothyronine Sodium Tab 5 MCG (4 daily) Metoprolol Succinate Er 24 hr 50 Mg Tab (1 day) | none | obese | 2 | 04/19/2021 | Penicillin; tomatoes, eggplant | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1229892 | 04/19/2021 | MD | 63.0 | 63 | F | I'm very worried my reaction could be worse after the 2nd shot-----+++In the past Ive had anaphylaxis to Cat Scan Dye- symptoms were immediate nose, ear blockages, hoarse voice, felt like breathing through a straw, chest tightness. ***on day of 1st shot I | Y | 03/30/2021 | 03/30/2021 | 0 | none | PVT | Plaquenil/hydroxychloriquin;;; Gabapentin;;; Atenolol;;; Aspirin 325mg;;; generic Vytorin;;; synthroid;; Nascobal spray- B12 RX nasal spray;;; tzantidine 1mg;;; Prednisone 10mg as needed- sometimes one per day, once or 2x week ****occasiona | I have Autoimmune Diseases(S)- - Undifferentiated Mixed Connective Tissue Disease;;; - Stroke in 2010-;;; MGUS- Monoclonal Gammopathy, Pre malignant Multiple Myeloma cells in bone marrow- ;;;Occasional--- Asthma;;; -Migraines-Receive botox ;;; -Cervical | SAME AS ABOVE | 2 | 04/19/2021 | CAT SCAN DYE;; SHELLFISH | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1230298 | 04/19/2021 | MD | 63.0 | 63 | M | Herpes zoster break out on the occipital & Left shoulder. | N | 03/31/2021 | 04/17/2021 | 17 | CBC Varicella zoster DNA PCR | PVT | Amlodipine, Atenolol, Lisinopril, Jardiance, Tamsulosin, | NONE | Hypertension, Hyperlipidemia, Diabetes | 2 | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1234129 | 04/20/2021 | MD | 63.0 | 63 | M | Within 1 or 2 minutes after getting the vaccine I started to feel like the left side of my face was becoming flushed. Then I felt my face, and especially my lips, tingle; then I seemed to be having a neurological reaction--it was like the left side of my | N | 04/15/2021 | 04/15/2021 | 0 | none | PUB | none | none | none | 2 | 04/20/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1236823 | 04/21/2021 | MD | 63.0 | 63 | F | patient received vaccine 3/24/21, presented to the hospital with pulmonary embolism | Y | Y | 2 | N | 03/24/2021 | 04/20/2021 | 27 | CTA demonstrated a small acute left upper lobe PE with extensive pulmonary fibrotic changes, and a cavitary focus in the right apex seen from prior CT from March, but now containing a small amount of fluid | PVT | 1. Azathioprine 100 mg daily. 2. Bystolic 5 mg daily. 3. Flovent 2 puffs BID. 4. Lasix 20 mg daily. 5. Ofev 150 mg BID. 6. Prednisone 10 mg daily. 7. Ramelteon 8 mg at bedtime. 8. Sildenafil 20 mg TID. 9. Tobramycin nebulizer 300 m | 1. Idiopathic pulmonary fibrosis, on chronic immunosuppressants and prednisone. 2. Pulmonary hypertension. 3. Depression and anxiety. 4. Hypertension. 5. pneumonia | see above | 2 | 04/21/2021 | Y | 1. HEPARIN, WHICH HAS CAUSED HIT. 2. LUNESTA. 3. FLUTICASONE. 4. (inaudible) . 5. MONTELUKAST. 6. OXYCODONE 7. TRAMADOL. 8. ZOLPIDEM. HAVE ALL CAUSED RASH. 9. AMOXICILLIN CAUSES DIARRHEA. 10. CLINDAMYCIN HAS CAUSED NAUSEA. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1237210 | 04/21/2021 | MD | 63.0 | 63 | F | Got shot on Tuesday 3/23/21 and Sat 3/27/2021 became dizzy | N | 03/23/2021 | 03/27/2021 | 4 | Blood work, Catscan 03/28/2021 and blood work again on 04/16/21 | PVT | Valsartan Hydrochlorothiazide, Metformin, Pravastatin, viatiam D3, Red yeast rice, antibiotic | Urinarytract infection | Hypertension, Diabetic, cholesterol | 63, 01/10/2021, arm welp up, flu shot | 2 | 04/21/2021 | None aware of | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1237941 | 04/21/2021 | MD | 63.0 | 63 | M | Patient presented to the ER with chest pain, non radiating, heavy weight. Patient was found to have acute DVT. | U | 03/16/2021 | 04/17/2021 | 32 | High-resolution venous duplex technique was used to investigate the right and left lower extremity venous systems where accessible to study. Chronic appearing thrombus is seen within the proximal, middle and distal portions of the right femoral vein. Clot | PUB | unknown | unknown | perforated PUD status post embolization and laparoscopic repair, previous alcohol abuse, alcoholic cirrhosis, hepatitis C, COPD, HTN, anxiety, chronic pain on methadone, chronic DVT/past PE post IVC filter, not on OAC. | 2 | 04/21/2021 | Y | codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1239320 | 04/21/2021 | MD | 63.0 | 63 | F | Heart is beating very fast Heaviness on chest | N | 04/21/2021 | 04/21/2021 | 0 | PHM | Metoprolol 50mg Amlodipine 10mg Valsartan 160mg Allegra Singular | None | Hypertension High cholesterol Pre diabetic | 2 | 04/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1242061 | 04/22/2021 | MD | 63.0 | 63 | F | Began Thur., 4/15/2021 --nausea,increased pain level, feeling ill, tired, weak. Began needing to nap each afternoon lasting 2-3 hours. Not finding food that would sit on stomach. Vomiting probably every other day. Headaches that feel like the top of my hea | N | 04/09/2021 | 04/15/2021 | 6 | OTH | Many! | Many stomach issues, N/V, RSD, COPD, asthma, seasonal allergies, sleep apnea, chronic pain, spinal disc problems, fibromyalga, rt. knee problems--no cartridge, arthritis, frequent falls, | 2 | 04/22/2021 | Many! | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1243221 | 04/22/2021 | MD | 63.0 | 63 | F | Immediately after the vaccine was administered the client felt nauseated and started developing a dull headache and feeling lightheaded. The nurse gave her a drink of water, took mask off to get fresh air. Started feeling better, sat there for 30 mins with | Y | 04/15/2021 | 04/15/2021 | 0 | PUB | multivitamin, metoprolol, estrogen, eylea injections in eyes every other month | Reactive Hypoglycemia, Cardiac Arrythmias- PVCs Migraines with Auras Metabolic Syndrome | 2 | 04/22/2021 | Bactrim, amoxicillin, lidicain, epinephrine, floxacin eye drops | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1245961 | 04/23/2021 | MD | 63.0 | 63 | F | Dizzy, lightheaded, sweating, headache, nausea, body aches, exhaustion. | Y | 04/21/2021 | 04/21/2021 | 0 | None | PVT | Bystolic Creator Aspirin | None | CAD | 2 | 04/23/2021 | Altace Rice, lettuce and oats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1252080 | 04/24/2021 | MD | 63.0 | 63 | F | Began severe chills and fever of unknown temperature 12 hours (10PM) after injection, severe joint and skeletal pain did not respond to ibuprofen. Mild headache began around 5AM. Symptoms resolved by 10 AM 04/22/2021. | Y | 04/21/2021 | 04/21/2021 | 0 | OTH | None | None | Frequently experience joint pain when sick or cold damp weather. | 2 | 04/24/2021 | Penecillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1258968 | 04/26/2021 | MD | 63.0 | 63 | F | mild asthma attack 10-15 minutes after shot while waiting in store. Light headed and richness in my chest. Used my levalbuterol inhaler, which resolved all my symptoms within 15 minutes. | Y | 03/13/2021 | 03/13/2021 | 0 | PHM | Synthroid, liothyronine, estrodial gel, progesterone, vitamin D3 | none | mild asthma, hypothyroid, achy knees, migraine headaches | mild asthma flare 15 minutes after H1N1 vaccine. | 2 | 04/26/2021 | gluten intolerance, mild pollen and mildew allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1260537 | 04/26/2021 | MD | 63.0 | 63 | M | Patient (per family member) received 1st dose of Pfizer COVID vaccine on 4/24/2021. On 4/26/2021 at 6 AM patient presented to hospital with chest pain for 2 hours. EKG showed inferior ST segment elevation myocardial infarction (a "heart attack") and the | Y | 04/26/2021 | Y | 1 | N | 04/24/2021 | 04/26/2021 | 2 | See above -cardiac catheterization | UNK | Unknown | None | Hypertension Atrial fibrillation with two prior ablations | 2 | 04/26/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268012 | 04/28/2021 | MD | 63.0 | 63 | F | Woke with chills about 9 hours after the vaccination. Chills, fever up to 102.4, and headache during the day, large red swollen lump at injection site. Temperature dropped below 100 by evening and was close to normal by mid-afternoon the 2nd day after. | U | 04/26/2021 | 04/27/2021 | 1 | PUB | Levothyroxine, Alendronate Sodium, Rosuvastatin, Curaphen (curcumin and boswellia herbal supplement for pain) | none | hypothyroidism, osteopenia, high cholesterol, psoriatic arthritis | 2 | 04/28/2021 | hayfever, bad reaction to Star Thistle pollen (in honey in California) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1268585 | 04/28/2021 | MD | 63.0 | 63 | M | tinnitis in both ears, still ongoing after 2 weeks | N | 04/15/2021 | 04/17/2021 | 2 | NA | PHM | Multi-vitamin, Vitamins B complex, B12, D3, Iron | None | Autoimmune metaplastic atrophic gastritis (AMAG); prostate BPH | 2 | 04/28/2021 | Allergy to doxycycline, gluten intolerance, lactose intolerance | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1270243 | 04/29/2021 | MD | 63.0 | 63 | M | Pt presents to ER with a 5 day history of left lower extremity swelling without significant pain. | Y | U | 04/13/2021 | 04/22/2021 | 9 | Doppler study demonstrates an extensive left lower extremity deep vein thrombosis. | UNK | 2 | 04/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1273089 | 04/30/2021 | MD | 63.0 | 63 | F | 4/28 started with extreme fatigue that evening, the next morning on 4/29 I had joint and muscle pain that got worse throughout the day. I had a sight headache and by afternoon I had a fever of 101 which lasted through most of the night. When I got awake | N | 04/28/2021 | 04/28/2021 | 0 | None, I did not go to the doctor. | PHM | Armour Thyroid Hydralazine | none | high bp Hashimotos hypothyroidism | 2 | 04/30/2021 | clavulanate sulfa cipro leviquin some nuts, some chocolate and some tomato based products metal soaps, make up, shampoo, deodorant | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1285145 | 05/04/2021 | MD | 63.0 | 63 | F | Rash at injection site. Mildly itchy. Lasted about a week. | Y | 04/01/2021 | 04/08/2021 | 7 | PHM | Multi-vitamin, Move Free, Magnesium, Claritin, occasional Meloxicam | None | Breast Cancer lumpectomy in 2017 | First dose of Shingrix. 2019. Intense flu-like symptoms. | 2 | 05/04/2021 | IVP dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1285728 | 05/04/2021 | MD | 63.0 | 63 | F | Patient began feeling nauseous and dizzy after injection. Husband pushed patient in wheelchair to car and drove her home approximately 80 minutes later. | U | 04/22/2021 | 04/22/2021 | 0 | PUB | Atenolol, Simvastatin, Lisinopril, Wellbutrin | Factor 5 Blood Disorder | 2 | 04/27/2021 | Sulfur, Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1286420 | 05/04/2021 | MD | 63.0 | 63 | F | Sunday May 2 awoke with my right arm itching and then my left. Got up and saw a rash all over my body and took Benadryl for the next 3 days. Contacted the dr. Wed., May 4th and am now taking prednisone and the rash and itching is going away. | Y | 04/28/2021 | 05/02/2021 | 4 | OTH | Vitamin D | None | None | 2 | 05/04/2021 | Y | react to Codeine, Macrobid, Macrodantin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289229 | 05/05/2021 | MD | 63.0 | 63 | F | Prolonged fatigue | N | 04/24/2021 | 04/28/2021 | 4 | none | UNK | Alive multivitamin | none | none | 2 | 05/05/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1292521 | 05/06/2021 | MD | 63.0 | 63 | F | Severe vertigo, nausea, faintness, clamminess, inability to focus eyes. Lasted for several hours through the night. I don't know if this vaccine was Tdap Adacel or Tdap (Boostrix), which is why I chose "other" above. | Y | 05/05/2021 | 05/05/2021 | 0 | PVT | None | None | None | 2 | 05/06/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1302641 | 05/10/2021 | MD | 63.0 | 63 | F | Shortness of breath, severe; heart palpitations; uncontrollable dry cough, gagging; hot flashes, chills, slight fever, sore throat, fatigue. | N | 04/07/2021 | 04/10/2021 | 3 | Walk in dr visit; Covid test, flu test; follow up with Dr one month later as symptoms were recurring; chest x-ray. | PHM | None | None | Heart arrhythmia-pvc | 2 | 05/10/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1302992 | 05/10/2021 | MD | 63.0 | 63 | M | This is ridiculous. Look, I signed up for daily Bd then weekly check ins after I received my 1st vaccine on April 5th. And indeed I was contacted by text everyday for a week, then weekly until my 2nd dose on May 3rd. After my 2nd dose, the only question I | Y | 05/03/2021 | 05/04/2021 | 1 | UNK | 2 | 05/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1307762 | 05/11/2021 | MD | 63.0 | 63 | M | Venous Duplex LE Lefts | U | 03/31/2021 | 04/27/2021 | 27 | April 27, 28,29, 30 2021 | UNK | None | None | None | 2 | 05/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1320724 | 05/15/2021 | MD | 63.0 | 63 | F | Severe fatigue, temperature spikes to 102 degrees, severe muscle, joint pain, headache, brain fog | N | 04/27/2021 | 04/28/2021 | 1 | COVID 19 test, May 11,2021 Lyme disease test, May 11, 2021 | PVT | Bupropion, Amitiza, Pantraprozole, Trazadone | Fibromyalgia, IBS with constipation | 2 | 05/15/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1321898 | 05/16/2021 | MD | 63.0 | 63 | M | patient died aprox 1 week after the 2nd dose . presumed cause of death stated by son was GI bleed. Not confirmed to be caused by the vaccine. Autopsy not performed according to the son. | Y | 05/07/2021 | N | 05/01/2021 | 05/07/2021 | 6 | PHM | unkmown. Son stated the pt not on blood thinners or aspirin or nsaids | unknown, son not aware of any | not to sons knowledge | 2 | 05/16/2021 | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327468 | 05/18/2021 | MD | 63.0 | 63 | F | She did not have control of her bowels when sneezed or coughing. She complained of trouble breathing and in a lot of pain. She passed away on April 3 with pneumonia | Y | 04/03/2021 | Y | N | 03/29/2021 | 03/30/2021 | 1 | UNK | Albuterol Fluticasone Prednisone Advair Hydrochlorothazide Theophylline Amolodipine besylate Baby aspirin Clopidoqrel Cetirizine Metoprolol tartrate Gabapentin Atorvastatin Incruse Famotidine Montelulcast | Copd | Copd Heart condition | 2 | 05/18/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1336668 | 05/21/2021 | MD | 63.0 | 63 | F | On or around May 7th I started to experience a significant decrease in blood glucose levels. Insulin requirements drastically were reduced over the following 7 days. Long acting insulin was reduced by 35% and short acting insulin by 75% within a 7 day peri | Y | 03/19/2021 | 05/07/2021 | 49 | C-Peptide - <0.1 | PVT | Humalog Insulin Basaglar Insulin Plaquenil 200mg Pravastatin 20mg Metanx Vitamin B Complex Levothyroxine 120mcg Valtrex 500mg Ubiquinol Pilocarpine 5mg | No illness at time of vaccination | Sjogrens Type 1 Diabetes Hypothyroidism | 2 | 05/21/2021 | No known allergies Sensitive to morphine and some antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1344618 | 05/24/2021 | MD | 63.0 | 63 | F | Measles-like rash all over my back. | Y | 04/21/2021 | 04/23/2021 | 2 | N/A | SCH | N/A | N/A | N/A | 2 | 05/24/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1358628 | 05/28/2021 | MD | 63.0 | 63 | M | Guillain-Barre syndrome Treatment -- 5-day course of IVIG Outcome - could not walk, or use arms; limited use of hands | Y | 28 | Y | 11/12/2020 | 01/15/2021 | 64 | 3 MRIs - 1/18/2021-1/19/2021 Lumbar puncture - 1/18/2021 | PVT | lipitor 81mg aspirin | Atrial fibrillation | 2 | 05/28/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1359036 | 05/28/2021 | MD | 63.0 | 63 | F | Myocarditis, pericarditis, pericardial effusion, pulmonary effusion | Y | N | 03/05/2021 | 04/08/2021 | 34 | CT of chest, echocardiogram | PUB | Lisinopril, Chlorthalidone, Synthroid, Ezetimibe, Crestor, Aspirin, Melatonin, Vitamin D, Metformin, Vitamin B12 | N/A | Hyperlipidemia, Hypertension, Type 2 Diabetes, Hypothyroidism, vitamin d deficiency, vitamin b12 deficiency | 2 | 05/28/2021 | Y | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1360849 | 05/29/2021 | MD | 63.0 | 63 | M | major headach, upset stomach, nausea, fever, aches, sore arm at shot | Y | 05/28/2021 | 05/29/2021 | 1 | PHM | symbicort 80/4.5 2 hits morn 2 hits eve, montelukast sodium 10 mg daily, levothyroxine 100 mcg daily, low dose aspirin, vitamin b12, glucosamine+chondr0itin, fish oil 1000mg twice daily, super b complex kirkland, calcium citrate magnesium a | none | asgthma | 2 | 05/29/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1360944 | 05/29/2021 | MD | 63.0 | 63 | F | Patient has history of polychondritis w recent flare of recalcitrant scleritis and painful lesions toes thought to be vasculitis and likely related to underlying polychondritis diagnosis; was under treatment for same w prednisone, humira. 4 days after 2nd | Y | 04/04/2021 | 04/08/2021 | 4 | cardiac echo including trans esophageal cardiac CTA | PVT | prednisone humira methotrexate amlodipine synthroid sulcrafate lansoprazole | scleritis vasculitis toes | polychondritis | 2 | 05/29/2021 | Y | vibramycin doxycycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1377470 | 05/29/2021 | MD | 63.0 | 63 | F | "Delayed skin hypersensitivity response". if cannot put in Urticaria or hives Per Dr. | N | 04/16/2021 | 04/26/2021 | 10 | None | UNK | HTN Rt Breast cancer Rosacea Mitra valve repair Hep C | 2 | Y | Lisinopril | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361854 | 05/30/2021 | MD | 63.0 | 63 | F | Patient had previously gotten 1st and 2nd dose from another location. She registered with us saying this was her 1st dose and we gave her the shot. When we tried to call her after to verify, she never returned any calls. | U | 05/29/2021 | 05/29/2021 | 0 | n/a | PHM | n/a | none reported | none reported | 2 | 05/30/2021 | none reported | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1371578 | 06/03/2021 | MD | 63.0 | 63 | F | Day after shot - Chills, Fever 100, Dizzy, Light headness 2 days treated with Tylenol once tylenol wore off symptoms would come back took tylenol for 24 hours every 6 hours. Swollen arm at injection sight, area welted and itched. Took benydryl for sympt | Y | 05/11/2021 | 05/12/2021 | 1 | None | PHM | metoprolol 50mg; chlorthalidone 25mg; amlodipine besylate 10mg daily - 1-day Womans 50+vitamin, Lactobacillus Gasseri 3 bil CFU 1 daily probioitic and Vitamin D-3 5,000 IU 1 every other day | none | High Blood Pressure, pre diabetic and breast cancer suvrivor treated with chemo/radiation and then double mastectomy. | 2 | 06/03/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1392874 | 06/11/2021 | MD | 63.0 | 63 | F | 1. Pain around left eye. Lasted 1-2 days following each vaccine dose. No treatment was necessary. 2. Elevated TSH detected 4/21/21 after several years of stable levels in the normal range. Treated with increased dosing of Synthroid. TSH is back in the | Y | 01/13/2021 | 02/10/2021 | 28 | TSH was 1.7 on 02/03/2021 TSH was 8.16 on 04/12/2021 TSH was 3.67 on 06/04/2021 (after dose increase of Synthroid starting mid April) | SCH | Synthroid, Restasis | Hashimoto's Thyroid Eye Disease | 2 | 06/11/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1400117 | 06/15/2021 | MD | 63.0 | 63 | F | I saw my doctor on April 6th, 2021 and he said that the vaccine was the reason I wasn't feeling well. | Y | 03/20/2021 | 03/27/2021 | 7 | OTH | Prescriptions Supplements | Diabetes High Blood pressure | vsafe | 2 | 06/15/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1400649 | 06/15/2021 | MD | 63.0 | 63 | F | I noticed on about 3/30 at about 5 PM, I started itching in the upper right chest area where I had had a mastectomy of the right breast. I scratched and thought it would relieve the itch, but it didn't. I looked and noticed there was a welt there. I put on | Y | 03/28/2021 | 03/30/2021 | 2 | No tests or lab work were done. They already had blood and urine samples from a recent routine check-up, so they didn't need any more samples. | PVT | Vitamin D, biotin, vitamin C, Tylenol 3 with codeine, cancer tab; I take a cancer maintenance drug called Anastrozole (1 mg tablet a day for life), oxybutynin, Allegra, an aspirin a day, Atorvastatin (1 tablet before bed), vitamin D-3 with | None. | Breast cancer survivor, spinal stenosis, stroke survivor, severe arthritis in right hip & le, bone spurs on right hip. I have severe arthitis in right hip and left knee. | 2 | 06/15/2021 | Y | Y | Penicillin, diflucan. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1403661 | 06/16/2021 | MD | 63.0 | 63 | F | I had a strong pepper feeling in my throat. It felt like a ball of pepper was in my throat. I was able to breath but I had to keep clearing my throat. My face, eyes, and throat started swelling up. I was rushed to the ER. My throat was dry. They immediatel | U | 04/01/2021 | 04/01/2021 | 0 | EKG MRI Other Tests | OTH | Hydrochlorothiazide 25mg, 1xday Montelukast 10mg, 1xday Vitamin D 2000units, 1xday Claritin 1xday Levothyroxine 50mcg, 1xday | High Blood Pressure Allergies | I had a similar reaction to the shingles shot. | vsafe | 2 | 06/16/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1404237 | 06/16/2021 | MD | 63.0 | 63 | F | Pt reports 3 weeks after her shot, she began feeling severe arm pain (throbbing). Was not present prior to this time. Pain is regional to injection site but radiates slightly. | N | 05/24/2021 | 06/15/2021 | 22 | advised pt to follow up with physician for further advice | PHM | welchol | 2 | 06/16/2021 | iodine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1406882 | 06/17/2021 | MD | 63.0 | 63 | F | 6/8/21 Pt was admitted to the hospital from ED with acute gastritis without bleeding. Per EUA guidelines, hospitalization is to be reported regardless of connection to vaccine. | Y | 4 | Y | 06/01/2021 | 06/08/2021 | 7 | PVT | 2 | 06/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407103 | 06/17/2021 | MD | 63.0 | 63 | F | Pt was hospitalized on 4/27/21 with pneumonia due to COVID-19 after receiving the first dose of Pfizer on 4/15/21. Per guidelines, all hospitalizations are to be reported. | Y | 5 | Y | 04/15/2021 | 04/27/2021 | 12 | PVT | 2 | 06/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407796 | 06/17/2021 | MD | 63.0 | 63 | F | Pt was admitted to the hospital from the ED for C.Diff infection on 4/16/21, after getting the second dose of vaccine on 4/14/21. Per guidelines, all hospitalizations should be reported. | Y | 10 | Y | 04/14/2021 | 04/16/2021 | 2 | PVT | 2 | 06/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1413257 | 06/20/2021 | MD | 63.0 | 63 | M | Dizzynies, loss of balance, loss of apitite, chils, redness, swelling, mild fever, altered sense of smell and taste, headache, joint pain, muscle aches and pain, cough, "brain fog", extreem fatigue, body aches, shortness of breath, difficulty concentrating | Y | N | 04/08/2021 | 04/08/2021 | 0 | PHM | Omeprazole, Amlodipine, Chlorthalidon-e, Losartan | None | High blood pressure, obesity. | 2 | 06/20/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1420583 | 06/23/2021 | MD | 63.0 | 63 | M | The patient began having body pain, diaphoresis, dyspnea, abdominal pain, and fatigue approx 14d post-COVID vaccine (2nd dose, Pfizer). He presented to our hospital on 6/18 with these complaints and was found to have significantly altered mentation, acute | Y | Y | N | 06/04/2021 | 06/15/2021 | 11 | Pertinent admission labs 6/18-6/19: platelets 14K, LDH 1,121 IU/L, haptoglobin <20 mg/dL, INR 1.1, ADAMTS-13 activity <5%. Serum creatinine 1.61mg/dL, troponin 0.370 ng/ml. Echocardiogram with intact EF and no regional wall motion abnormalities. Urine to | PVT | Carvedilol, hydralazine, HCTZ, lisinopril, metformin, sertraline, albuterol, amlodipine, aspirin, insulin glargine, pravastatin | None | Hypertension, diabetes, anxiety, CAD | 2 | 06/23/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1423714 | 06/24/2021 | MD | 63.0 | 63 | M | Muscle and joint pain, broke out in hives, hives turned into blisters in buttocks area. | N | 03/19/2021 | 03/21/2021 | 2 | PUB | Amlodipine, Linzess, Allopurinol, Azelastine, Lisinopril, Omeprazole, Vitamin C, B-12, Cetirizine, Ginger root, Magnesium, Naproxen Sodium, Triple Omega. | Obesity, High blood pressure, Arthritis. | 2 | 06/24/2021 | Y | Contrast dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1424256 | 06/24/2021 | MD | 63.0 | 63 | F | Rash began to appear on day five following first dose. Rash spread over extremities and torso and has continued to date of 6/24/2021. | N | 04/01/2021 | 04/05/2021 | 4 | None | PHM | Losartan, Armour thyroid, acyclovir, sulindac, lexapro | None | HTN, sleep apnea | 2 | 06/24/2021 | Y | PCN sensitive | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1429749 | 06/26/2021 | MD | 63.0 | 63 | F | Patient came in and asked for Pfizer vaccine, stated on consent she had not received a previous dose of COVID vaccine but in actuality had already received Moderna. Doctor had told her to go get Pfizer but she did not tell us till after. | Y | 06/26/2021 | 06/26/2021 | 0 | PHM | Lung issue | 2 | 06/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1431043 | 06/28/2021 | MD | 63.0 | 63 | F | Sunday, June 27th awoke at 2:30 a.m. with headache, body aches, nausea, fever, diarrhea, extremely tired and fatigues and shortness of breath. I slept the whole day getting up to only go to the bathroom. I did not eat or drink anything that day. I had | 06/26/2021 | 06/27/2021 | 1 | None | PHM | None | The reaction after my first injection 06-05-2021 | None | Amoxycillin for walking pneumonia in her 30s | 2 | 06/28/2021 | Penicillin, Amoxicillin, Ampicillin, bread mold, cold mold, pine pollen, flea soaps and powders. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1438003 | 06/30/2021 | MD | 63.0 | 63 | M | Patient received Janssen vaccine previously in March per Pharmacy. | U | 06/30/2021 | 06/30/2021 | 0 | PHM | 2 | 06/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1444145 | 07/02/2021 | MD | 63.0 | 63 | F | Constant muscle twitching starting under both eyes and then lower legs (shin, calves, feet) | 04/28/2021 | 05/07/2021 | 9 | TREPONEMA PALLIDUM, EIA W REFLEX, EXTERNAL LAB, METHYLMALONIC ACID, PLASMA VITAMIN B1 (THIAMINE), COPPER, PROTEIN ELECTROPHORESIS AND TOTAL PROTEIN, SERUM IMMUNOFIXATION, ERYTHROCYTE | OTH | BComplex, Multivitamin, Atorvastatin, Sumatriptan, Magnesium | Chronic migraines, high blood cholesterol | 2 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454357 | 07/07/2021 | MD | 63.0 | 63 | M | I bit down on a hard bit of crust on some macaroni and cheese and split my tooth (tooth no. 19, lower right mandibular first molar). I have no idea whether this was actually related to the vaccine and have no evidence that it was, other than the fact that | N | 03/31/2021 | 06/13/2021 | 74 | Oral exam and X-Rays. I don't have copies. | PVT | Fluoexetine (20mg), Trazadone (100mg), Atovastatin (10 mg), Multivitamin, Vitamin D-3, Fish Oil, Valerian. | Headache on the date of vaccination. | None. | 2 | 07/07/2021 | Y | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1459929 | 07/09/2021 | MD | 63.0 | 63 | F | Instant right fingertips numbness, Breast itch and have for days, the numbness in fingertips have not gone away. Shortness of breathe on and off. Headache the evening and next day after the shot. | N | 06/28/2021 | 06/28/2021 | 0 | None, don't have a primary yet. | OTH | Vitamin D3 2000iu Cranberry with Vitamin C 4200mg | None | Had Covid19 April 6 through May 20th, xray at ER revealed permanent left lung damage. Use inhaler now when needed. | 2 | 07/09/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1487561 | 07/20/2021 | MD | 63.0 | 63 | F | Patient developed a raised bump. The bump is on site of injection and is warm to touch, itching, and red.Patient sought medical attention via urgent care on Sunday after noticing symptoms not going away. She was treated with benadryl and a steroid cream. | Y | 07/14/2021 | 07/14/2021 | 0 | PHM | Unknown | Unknown | Unknown | 2 | 07/20/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1497940 | 07/23/2021 | MD | 63.0 | 63 | M | Patient called this office 7/21/21 and stated that on 5/3/21 he was found unconscious by his son just days after his second dose of Moderna and was taken by ambulance to the nearest hospital facility where he was stabilized and then transferred to another | Y | Y | 6 | Y | 04/27/2021 | 05/03/2021 | 6 | unknown | PUB | unknown | unknown | unknown | 2 | 07/23/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1519956 | 08/02/2021 | MD | 63.0 | 63 | F | Woke up on April 13 th with severe leg cramps . Jun 23 found several blood clots in lungs and 3 cloths in legs . admitted to hospital on ^/23/2021 | Y | 3 | N | 04/12/2021 | 04/13/2021 | 1 | Cat scan on 6/23 ultra sound 6/23 patient has been put on Eliquis | PHM | Amlodipine 10mg lisinopril 40mg | no | High Blood Pressure | 2 | 08/02/2021 | Y | Codine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1523288 | 08/03/2021 | MD | 63.0 | 63 | F | I had nausea, cramping in stomach, loss of appetite and diarrhea and severe pains in my stomach. The chills for 3-4 chills. | U | 04/29/2021 | 04/29/2021 | 0 | Lab work on diabetes - slightly alleviated and increased insulin and meds for stomach - Zofran 4 milligrams and antacid amocarzinen40 milligram | PUB | Carbatrol; Dilantin; phenobarbital; Percocet; Vitamin D; B12; Insulin Novolog | No | Epilepsy; diabetics - type 1; amputee - missing right hand and rist | vsafe | 2 | 08/03/2021 | Y | Iodine; shellfish; penicillin; rocephin; vancomycin; fluoroquinolones; Sulphur drugs; gabapentin; Seizures medications; Lamictal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1539812 | 08/10/2021 | MD | 63.0 | 63 | F | Arm is little hard; Arm is swollen; Arm is little red; Arm was hurting a lot; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 11-Jan-2021 and was forwarded to Moderna on 11-Jan-2021. | U | 01/02/2021 | 01/01/2021 | UNK | AMLODIPINE | Hypertension | USMODERNATX, INC.MOD20210 | 2 | 08/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1545502 | 08/11/2021 | MD | 63.0 | 63 | M | Constant Nasal Drainage In Throat Persistent Scratchy Cough Congestion in Chest Ear Infections Low energy due to infections in ears and lungs Lasted 8 weeks getting progressively worse over time Prescribed Standard Antibiotics (Pill and Ear Drops) which cl | Y | 04/27/2021 | 05/21/2021 | 24 | None | PVT | Oxycodone, Ibuprofen, Move Free, Vitamin E, Baby Aspirin | None | Back and Knee Pain | 2 | 08/11/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1552595 | 08/13/2021 | MD | 63.0 | 63 | F | Potassium level came back high; LDL came back high; HDL came back high; Total cholesterol came back high; This spontaneous case was reported by a consumer and describes the occurrence of BLOOD POTASSIUM INCREASED (Potassium level came back high), LOW DENSI | Y | 01/08/2021 | UNK | HYDROCHLOROTHIAZIDE; LOSARTAN; DILTIAZEM; ELIQUIS; LEVOTHYROXINE; PREVACID | Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1555303 | 08/13/2021 | MD | 63.0 | 63 | F | headache; very sore arm. She said my arm is hurting a little bit; Arm pain; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (headache), VACCINATION SITE PAIN (very sore arm. She said my arm is hurting a little bit) | Y | 02/04/2021 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1559749 | 08/15/2021 | MD | 63.0 | 63 | F | Bee sting sensations at random places on her body; Itching at random places on her body; This spontaneous case was reported by a consumer and describes the occurrence of PAIN OF SKIN (Bee sting sensations at random places on her body) and PRURITUS (Itching | U | 02/10/2021 | 02/10/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1569968 | 08/15/2021 | MD | 63.0 | 63 | F | Not feeling well, general malaise; Swelling on right Scapula; Uncomfortable feeling on right groin, felt blah; Left side clavicle area has large swollen glands; Left side glands are tender to touch; This spontaneous case was reported by a consumer and desc | U | 03/09/2021 | 03/14/2021 | 5 | UNK | MISOPROSTOL; OMEPRAZOLE; DEPAKOTE; MELATONIN; DIPHENHYDRAMINE; IMITREX DF | Allergy to metals (Allergic to nickel) | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1578990 | 08/17/2021 | MD | 63.0 | 63 | F | Constant muscle twitching starting under both eyes and then lower legs (shin, calves, feet) | 04/28/2021 | 05/07/2021 | 9 | TREPONEMA PALLIDUM, EIA W REFLEX, EXTERNAL LAB, METHYLMALONIC ACID, PLASMA VITAMIN B1 (THIAMINE), COPPER, PROTEIN ELECTROPHORESIS AND TOTAL PROTEIN, SERUM IMMUNOFIXATION, ERYTHROCYTE | OTH | BComplex, Multivitamin, Atorvastatin, Sumatriptan, Magnesium | Chronic migraines, high blood cholesterol | 2 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1580557 | 08/18/2021 | MD | 63.0 | 63 | F | mild Headache; severe fatigue; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (mild Headache) and FATIGUE (severe fatigue) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVI | N | 02/15/2021 | 02/16/2021 | 1 | UNK | ADEROLL | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1599771 | 08/21/2021 | MD | 63.0 | 63 | F | sore arm; Headache; coldness in the extremities; dizziness; fatigue; Nausea; itchiness arm; red arm; diarrhea; stomach cramps; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore arm), DIZZINESS (dizzine | Y | 03/08/2021 | 03/08/2021 | 0 | UNK | ZYRTEC [CETIRIZINE HYDROCHLORIDE]; MONTELUKAST; LEVOTHYROXIN; EQUATE GENTLE LAXATIVE | Anaphylaxis (Improved May 2015 when stopped Pantaprazole); Drug allergy (Pantoprazole (oral) and possibly others in PPI class); Hypothyroidism; Migraine | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1601408 | 08/21/2021 | MD | 63.0 | 63 | F | headache; sweats; chills; being sick; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (being sick), HEADACHE (headache), HYPERHIDROSIS (sweats) and CHILLS (chills) in a 64-year-old female patient who received mRNA-1 | U | 03/19/2021 | 03/19/2021 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1605160 | 08/22/2021 | MD | 63.0 | 63 | M | Unable to sleep; Headache; Sore shoulder; Sore neck; Sore arm; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of NECK PAIN (Sore neck), PAIN IN EXTREMITY (Sore arm), INSOMNIA (Unable to slee | N | 01/21/2021 | 02/19/2021 | 29 | UNK | LISINOPRIL; OMEPRAZOLE | USMODERNATX, INC.MOD20210 | 2 | 08/19/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1605666 | 08/22/2021 | MD | 63.0 | 63 | M | fever; chills; joint pain; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever), CHILLS (chills) and ARTHRALGIA (joint pain) in a 63-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COV | U | 04/09/2021 | 04/09/2021 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event. | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1612165 | 08/22/2021 | MD | 63.0 | 63 | F | Experienced chest pain and chest burning; Weak; Felt dizzy; Felt very sick; Ear pain; Shivering; Experienced pain all over her body; This spontaneous case was reported by a consumer and describes the occurrence of CHEST PAIN (Experienced chest pain and che | Y | 03/06/2021 | 03/06/2021 | 0 | Test Date: 20210306; Test Name: Blood pressure; Result Unstructured Data: Reported to be normal; Test Date: 20210306; Test Name: Body temperature; Result Unstructured Data: Reported to be normal | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1614200 | 08/22/2021 | MD | 63.0 | 63 | F | Tested positive for COVID-19; Chills; Aches; lingering cough; fever; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Chills), PAIN (Aches), COUGH (lingering cough), PYREXIA (fever) and COVID-19 (Tested positive for | U | 04/08/2021 | 04/11/2021 | 3 | Test Date: 20210416; Test Name: SARS-CoV-2 test; Test Result: Positive | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1616518 | 08/22/2021 | MD | 63.0 | 63 | F | This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Mildly sore arm) and VACCINATION COMPLICATION (Non-specific report reaction to vaccine) in a 63-year-old female patient who received mRNA-1273 (Moderna COVI | Y | 03/08/2021 | 03/15/2021 | 7 | UNK | ZYRTEC [CETIRIZINE HYDROCHLORIDE]; MONTELUKAST; LEVOTHYROXIN; EQUATE STOOL SOFTENER | Anaphylaxis (Idiopathic anaphylaxis Improved from May 2015 when stopped Pantaprazole); Constipation; Drug allergy (Pantaprazole (oral) and possibly others in proton pump inhibitors (PPI) class); Hypothyroidism; Migraine | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1619888 | 08/23/2021 | MD | 63.0 | 63 | M | Pain; Chills; Body aches; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Pain), CHILLS (Chills), MYALGIA (Body aches) and FATIGUE (Fatigue) in a 63-year-old male patient who received mRNA-1273 (Moderna COVID | U | 02/05/2021 | 02/05/2021 | 0 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1619890 | 08/23/2021 | MD | 63.0 | 63 | M | fluttering heart beat; night sweats (more common in the morning); blood pressure shot up and it took 6-7 hours to calm it back down.; since been having episodes of blood pressure changes that go up and down.; usual vaccine reactions which were slightly mor | N | 02/05/2021 | 03/05/2021 | 28 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1635057 | 08/26/2021 | MD | 63.0 | 63 | F | Mild allergic reaction; Swelling in tongue throat and ear area; Swelling in tongue throat and ear area; Sore arm; Swelling in tongue throat and ear area/Swelling of upper airway; Redness/erythema; Headache; Little chills; get the one-shot Johnson & Johnson | Y | 03/23/2021 | 03/05/2021 | UNK | ROSUVASTATIN; HYDROXYCHLOROQUINE; FAMOTIDINE; NASAL SPRAY II; PROLIA; LISINOPRIL; PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]; AZELASTINE;FLUTICASONE. | Allergy to moulds (throat, tongue swelling); Allergy to plants (hives from contact); Autoimmune disorder; Dust allergy (throat, tongue swelling); Environmental allergy; Fruit allergy (throat, tongue swelling); High cholesterol; Hypertension; Osteoporosis; | USMODERNATX, INC.MOD20210 | 2 | 08/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1635471 | 08/26/2021 | MD | 63.0 | 63 | M | Second dose given 46 days after first dose; This spontaneous case was reported by a consumer and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Second dose given 46 days after first dose) in a 63-year-old male patient who rec | Y | 03/05/2021 | 04/27/2021 | 53 | UNK | Blood pressure management; Hypercholesterolaemia | Medical History/Concurrent Conditions: Hip surgery | USMODERNATX, INC.MOD20211 | 2 | 08/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1637011 | 08/26/2021 | MD | 63.0 | 63 | F | Patient experienced a severe chest tightness a day after providing the vaccinations. Patient describe it as she was able to breathe but the tightness was very painful as she though twice about calling emergency number. She got headache, feverish and chills | Y | 08/16/2021 | 08/17/2021 | 1 | N/A | PHM | N/a | N/A | N/A | 2 | 08/26/2021 | N/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1674303 | 09/04/2021 | MD | 63.0 | 63 | M | Systemic: Lymph Node Swelling-Medium | U | 08/30/2021 | 08/30/2021 | 0 | PHM | 2 | 09/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1675165 | 09/05/2021 | MD | 63.0 | 63 | F | Patient reports swelling and redness at site of injection with onset one day after. Swelling has spread to axilla. Patient will follow up with provider if persists or worsens. | 09/03/2021 | 09/04/2021 | 1 | PHM | Previous breast cancer Lymphadenectomy | 2 | 09/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1689128 | 09/10/2021 | MD | 63.0 | 63 | F | Patient was mistakenly scheduled for, and received her second dose of the Moderna vaccine series 22 days following her first dose, earlier than the recommended 28 days and 4 day grace period per CDC. Called patient 9/9/21 immediately after mistake was rea | 09/09/2021 | 09/09/2021 | 0 | PVT | 2 | 09/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1689945 | 09/10/2021 | MD | 63.0 | 63 | F | I had received my Pfizer Covid vaccine on 8/2/21, between 10 am - 2:00 pm. Myalgias started around 8 pm. I took Trazadone 50 mg at about 9 pm, at which time I went to bed. ( I had taken Trazadone previously and had not had any adverse reactions.) I woke | N | 08/02/2021 | 08/03/2021 | 1 | CT of head was negative | PHM | Taken at about 7:00 pm on 8/2/21: Rosuvastatin 10 mg , Ezetimibe 10 mg, Co Q10 Trazadone 50 mg taken approximately 9:30 pm on 8/2/21 | none | osteoporosis, high cholesterol | 2 | 09/10/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1703997 | 09/16/2021 | MD | 63.0 | 63 | F | Increased genital herpes outbreaks. Extreme increase in genital herpes outbreaks. High White Blood Count - Infection, vertigo and extreme dizziness. | Y | 1 | Y | N | 04/02/2021 | 04/15/2021 | 13 | Hospitalization for infection - Blood Tests - MRI, CT | OTH | None | None | Asthma, allergies, genital herpes | 2 | 09/16/2021 | Dust mites, ragweed, hickory tree, pecan tree, elm tree, mountain cedar tree, maple tree, Cobalt dichloride, nickel sulfate, thimerosal, propolis | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1714955 | 09/20/2021 | MD | 63.0 | 63 | F | 09/16/21 pm hours noted right deltoid injection site painful to touch, site warmth and increase in upper arm size. late am 09/17/21 chest tightness episode. early am 09/18/21 worsening right deltoid injection site swelling, hard to touch and increased pa | N | 09/16/2021 | 09/16/2021 | 0 | None | PUB | Vitamins A B comples, C, D-3, Biotin, Uva Ursi | N/A | cancer survivor; no cancer present as per recent CA 125 | 2 | 09/20/2021 | latex, dyes, sulfites, saline solution, inset bites, bee/wasp stings, iodine, aversion to meds some spasmic responses | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1717937 | 09/21/2021 | MD | 63.0 | 63 | M | Had to stay in bed for two days; Chills; Mixed Pfizer's and Moderna's vaccines; This spontaneous case was reported by a consumer and describes the occurrence of BED REST (Had to stay in bed for two days), CHILLS (Chills) and INTERCHANGE OF VACCINE PRODUCTS | U | 03/05/2021 | UNK | USMODERNATX, INC.MOD20213 | 2 | 09/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1722207 | 09/22/2021 | MD | 63.0 | 63 | M | soreness of arm; soreness around the shot area; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (soreness of arm) and VACCINATION SITE PAIN (soreness around the shot area) in a 63-year-old male patient who received | U | 02/04/2021 | UNK | LEVOTHYROXINE | Comments: No Medical history was provided | USMODERNATX, INC.MOD20213 | 2 | 09/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1725350 | 09/23/2021 | MD | 63.0 | 63 | M | soreness around the shot area/soreness of arm more after the 1st dose then the 2nd dose; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (soreness around the shot area/soreness of arm more after the 1s | U | 02/04/2021 | 02/04/2021 | 0 | UNK | LEVOTHYROXINE; MULTIVITAMINS [VITAMINS NOS] | Comments: No medical history was reported by the reporter | USMODERNATX, INC.MOD20213 | 2 | 09/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1727049 | 09/23/2021 | MD | 63.0 | 63 | F | 9/16 2021 Lump behind the ear. Pain Radiating throughout the head and neck . | Y | 09/09/2021 | 09/16/2021 | 7 | Urgent care was given Anti Viral Med | PVT | metformin gluthzide | no | no | 2 | 09/23/2021 | Y | sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1752856 | 10/01/2021 | MD | 63.0 | 63 | F | Patient (self) felt burning immediately as vaccine dose was being injected into muscle. Arm became sore and stiff minutes later. Stiffness and soreness seemed to spread to elbow moments later. Stiffness in joints, shoulders and neck were experienced a f | N | 09/01/2021 | 09/30/2021 | 29 | Vaccine administered about 12 hours ago on 30 Sep 2021 | MIL | None | None | Osteoarthritis | 2 | 10/01/2021 | Allergic to corn and corn derivatives to include xanthan gum, erythritol, corn syrup, corn starch, maltodextrin, stevia; all grains except for rice; all nuts except for coconut; eggplant; eggs; dairy; codeine; cats. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1758981 | 10/04/2021 | MD | 63.0 | 63 | M | Develop TINITUS that is causing me a lot of issues, can not sleep!!! | Y | N | 03/01/2021 | 07/21/2021 | 142 | 09-28-21 - Brain Scan & other hearing testings | PVT | NONE | NONE | NONE | 2 | 10/04/2021 | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761230 | 10/05/2021 | MD | 63.0 | 63 | M | Patient marked on consent form that he had received 2 Pfizer doses at least 6 months ago. It was later discovered his first 2 doses were Moderna and his 2nd Moderna dose was in April. | U | 09/30/2021 | 09/30/2021 | 0 | PHM | 2 | 10/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1779199 | 10/12/2021 | MD | 63.0 | 63 | F | On 09/30/2021 I started with a sore throat. The next morning, I woke up with a really bad cold. I was supposed to go on a trip with friends. I got tested for Covid on Saturday. On Sunday the doctor called and said it was positive. I had cough, stuffiness, | N | 04/09/2021 | 09/30/2021 | 174 | 10/02/2021 Covid test, positive. Kidney stone and UTI. | OTH | Multivitamin; biotin; fish oil; B complex; magnesium; selenium; Synthroid; Armour; bupropion; Celebrex; Cetirizine; trazodone; inhaler; Flonase | None | Asthma; Hypothyroidism; Depression | vsafe | 2 | 10/12/2021 | Y | Pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1794872 | 10/18/2021 | MD | 63.0 | 63 | F | Headache, all over body aches, injection arm very sore, 99.6 temp, 4 days later arm still sore and head hurts when I stand up or bend over. | 10/14/2021 | 10/14/2021 | 0 | PHM | 2 | 10/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1795397 | 10/18/2021 | MD | 63.0 | 63 | F | Symptoms - Normal screening mammogram; diagnostic mammogram with ultrasound ;needle biopsy - breast cancer was confirmed at that point. Diagnosis was Invasive Ductal Carcinoma. I had a lumpectomy with removal of four lymph nodes at an outpatient center. No | N | 04/16/2021 | 09/14/2021 | 151 | see above plus CT scan; bone density test; labwork and others | PVT | Multi-Vitamin; Vit D; Fish Oil; Glucosamine & Chondroitin combo pill; Vit C; Vit E; Zinc; Garlic; Estrace Cream; Clobetasol; Metronidazole Gel; OC Eye drops (Refresh brand). | no | At time of vaccine: Glaucoma; Lichen sclerosis | vsafe | 2 | 10/18/2021 | Y | Allergies to antibiotics: Cephlex; Amoxicillin; CoTrimoxazole (I think it is Bactrim); Cephalexin; Bacitracin; Oxycodone; Romadidine; Dorzolamide | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1817922 | 10/26/2021 | MD | 63.0 | 63 | F | On 4/22/21 she developed moderately pruritic rash with petechial hemorrhage covering the forearm of the vaccinated arm. The erruption lasted 2 weeks, then gradually faded. | Y | 04/12/2021 | 04/22/2021 | 10 | None | PUB | Augmetin ER one twice a day Kdur 20mg twice a day Tirosint 88 mcg daily B12 injections | None. | chronic osteomyelitis of her ankle- on augmentin. Diabetes well controlled. Hypothyroidism, HTN, immunodeficiency | 2 | 10/26/2021 | Dairy, gluten, eggs, chocolate, onions, garlic, tomatoes. Duloxetine, Levimir insulin, fentanyl, other synthetic opiods, Aspirin- bleeding | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1826447 | 10/28/2021 | MD | 63.0 | 63 | F | no real adverse reactions symptoms the side effects listed for the vaccination- fever | U | 10/24/2021 | 10/25/2021 | 1 | PHM | 2 | 10/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1832999 | 11/01/2021 | MD | 63.0 | 63 | M | Fatigue, Shortness of breath, Atrial fibrillation, Tachycardia, elevated BNP, possible CHF. | N | 02/24/2021 | 04/01/2021 | 36 | 10/28/2021 BNP 194 range < 100 | OTH | None | None | None | 2 | 11/01/2021 | Y | Sulfa, IVP Iodine, not topical iodine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1833433 | 11/01/2021 | MD | 63.0 | 63 | F | NO ADVERSE EVENT REPORTED | N | 10/20/2021 | 10/30/2021 | 10 | PUB | N/A | N/A | N/A | 2 | 11/01/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1833463 | 11/01/2021 | MD | 63.0 | 63 | F | PT HAD MINOR BLEEDING THAT STOPPED WITHIN 3 SECONDS OF NEEDLE WITHDRAWAL; HOWEVER A WELT SOON FORMED THAT GREW TO MAXIMUM 1 INCH DIAMETER, 1CM HIGH WITHIN 30 SECONDS. PT WAS SAT BY PHARAMCY FOR OBSERVATION FOR 30 MINUTES AFTERWARDS. SHE INDICATED NO ADVERS | Y | 11/01/2021 | 11/01/2021 | 0 | NA | PHM | CRESTOR, AMBIEN | NA | HEART DISEASE | 2 | 11/01/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1860692 | 11/11/2021 | MD | 63.0 | 63 | F | Rash on face - a dark red welt in a straight line about 2 inches long on my face with red spots in - resembled shingles strongly. Did not hurt or itch. Lasted about 4 days. | Y | 11/04/2021 | 11/05/2021 | 1 | None | PVT | Lexapro, fish oil, calcium, zinc, Zyrtec, vitamin D | None | None | 2 | 11/11/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX |