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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0920436 | 01/05/2021 | WI | 63.0 | 63 | M | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect reported. | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0923816 | 01/06/2021 | WI | 63.0 | 63 | M | Patient reported the tip of his tongue feeling "tickly" 10 minutes post injection. Denied any other complaints or concerns. At 20 minutes post injection, he reported it was starting to get better. Denied any other complaints or concerns at that time as wel | Y | 01/06/2021 | 01/06/2021 | 0 | none | PVT | budesonide, zyrtec, pepcid, fenofibrate, levothyroxine, lidocaine, lisinopril, lorazepam, minoxidil | none | hypertension, hyperlipidemia, GERD, Anxiety, Hypothyroidism, contact dermatitis, seborrheic keratosis, left sided tinnitus | 2 | 01/06/2021 | lipitor, pollen, simvastatin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0926416 | 01/07/2021 | WI | 63.0 | 63 | F | Patient reported onset of chills, aches, fatigue, nausea, dizziness within 24 hours of receiving 1st dose of Moderna COVID-19 vaccine. Post COVID-19 infection onset 12/24/2020. Had been released back to work and sx free 01-04-2021. | 01/06/2021 | 01/06/2021 | 0 | PVT | 2 | 01/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0928426 | 01/08/2021 | WI | 63.0 | 63 | F | fever, muscle aches,headache | Y | 01/04/2021 | 01/05/2021 | 1 | none | PVT | atorovastin,Bupropion,Fluoxitine,Protonix,Lantus,Iron,Ocuvitr,Multivitamins,Montulukast Metformin,Lisinopril,Ozempic,Vit d | none | Asthma, Hypertension,Type 2 Diabetic,Hypothroid | 2 | 01/08/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0932121 | 01/10/2021 | WI | 63.0 | 63 | F | Waking up at 02:00 on 01/08/21 with chills. all 4 extremities where shaking I was that cold.. temp of 100.4. weak. stayed home from work. then on 01/09/21 I spent all day in bed as well. very tired. my arm was VERY painfull when touched or would try to us | Y | 01/07/2021 | 01/08/2021 | 1 | SEN | multi vitamin | None | None | Shingles vaccine. 07/2020, | 2 | 01/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0940787 | 01/13/2021 | WI | 63.0 | 63 | F | Received COVID vaccine on 1/6. On 1/7 had body aches and chills, which resolved. On 1/13 had nausea and diarrhea which resolved. | 01/06/2021 | 01/13/2021 | 7 | PVT | 2 | 01/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0950073 | 01/16/2021 | WI | 63.0 | 63 | M | On 1/15/2021 at 1800, resident noted to be lethargic and shaking, stating "I don't care." repeatedly. C/O head and neck pain. T100.6. Given Tylenol with no relief of pain. Order received for Aleve and administered.. Assisted to bed as usual in evening. Mon | Y | 01/16/2021 | N | 01/15/2021 | 01/15/2021 | 0 | Mantoux given 1/12/21 with negative results on 1/14/21 | SEN | Amlodipine, Aspirin, Atenolol, Chlorthalidone, Dexamethasone, Fluconazole, Multivitamin with Minerals, Probiotic, Acyclovir, Topiramate, Cefpodoxime, levetiracetam, Potassium, Acetaminophen, Aleve, Lisinopril | Non-Hodgkin Lymphoma, Rhabdomyolysis, Anemia, Acute Kidney Failure, Chronic Embolism and Thrombosis of Lower Extremity | Epilepsy, Hypertension, Atrial Fibrillation, Anxiety | 2 | 01/16/2021 | Lisinopril, Losartan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0952763 | 01/18/2021 | WI | 63.0 | 63 | F | Fever started the day of vaccination ranges from 99.0 to 99.9. Has not taken any fever-reducing medication. | N | 01/07/2021 | 01/07/2021 | 0 | WRK | Tylenol, Gabapentin, Metformin, Fish Oil | No | Diabetes | 2 | 01/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0957026 | 01/19/2021 | WI | 63.0 | 63 | F | Later in the afternoon after receiving her vaccine her arm started to ache. She used ice and Tylenol but the pain persisted for five days to the point where she was unable to raise her arm over her head. She had Covid illness two months prior to receiving | Y | 12/30/2020 | 12/30/2020 | 0 | PVT | unknown | Covid two months prior | 2 | 01/19/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961511 | 01/21/2021 | WI | 63.0 | 63 | F | shot given on the 4th Went in on Friday the 15th and had prolia injection. was given in the right arm as a sub Q the injection sites were a good 8 inches apart. after the injection i didn't have any redness. on Monday i started having right ear pain, run | Y | 01/04/2021 | 01/18/2021 | 14 | EKG, chest xray , CMC, BMP- everything came back normal. | PUB | Calcium D twice a day, Lisinopril 10 mg daily, Ambien 5 mg at bed time as needed. | high blood pressure, and Arthritis, Osteoporosis | 2 | 01/21/2021 | Y | Penicillin, lorabid, Clindamycin, metals | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0968849 | 01/24/2021 | WI | 63.0 | 63 | F | Moderna Covie-19 Vaccine EUA I had extreme left arm soreness for 24 hours and got progressively better taking advil. I was more tired than normal, sleeping 10 hours at night for 2 nights. I had some head pain the next day that resolved. | Y | 01/19/2021 | 01/19/2021 | 0 | none | WRK | Vitamin multi, D, B12, Fish oil, calcium, potassium, cranberry, berberine | none | nonw | 2 | 01/24/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0974207 | 01/26/2021 | WI | 63.0 | 63 | F | Chills, fever 100.2, and body aches | U | 01/25/2021 | 01/26/2021 | 1 | N/A | OTH | 2 | 01/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0974335 | 01/26/2021 | WI | 63.0 | 63 | F | Diarrhea and abdominal cramping 1 hour after second dose of Covid vaccine. Took OTC medication, Imodium, motrin, soft bland diet. Six + episodes of diarrhea in one hour on 1/21/2021 with significant cramping. Went to ER. Received fluids and IV Zofran. | N | 01/19/2021 | 01/26/2021 | 7 | ER visit 1/21--IV fluids, lab work, IV Zofran Stool samples collected on 1/25/2021. Ct of abdomen scheduled for 1/27/2021. | PVT | Prilosec, HCTZ, Amlodipine, Zoloft, occuvite, ASA 81 mg., Vitamin D , Motrin prn | None | None | 2 | 01/26/2021 | Y | Y | Codeine, nickel, betadine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0977756 | 01/27/2021 | WI | 63.0 | 63 | F | SHORTNESS OF BREATH, TROUBLE SWALLOWING | Y | 11/12/2020 | 11/12/2020 | 0 | UNKNOWN | PVT | UNKNOWN | UNKNOWN | UNKNOWN | 2005- RASH, FEVER, LETHARGY, NAUSEA | 2 | 01/27/2021 | Y | UNKOWN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1002234 | 02/04/2021 | WI | 63.0 | 63 | F | Left lower lid eye edema,itching and hives on body. Slight wheeze. Took a 25mg Benadryl p.o. Used my Proventyl inhaler. Relief within 30-45 minutes. NOTE; I had been to my beauty salon to have highlight treatments to my hair that day also. (2/02/21.)I ha | Y | 01/27/2021 | 02/02/2021 | 6 | None needed. | PUB | 0lmesartan 10mg. Metropolol 50mg. Omeprazole 20mg Lexapro 5mg Aspirin 80mg Zocor 20mg | No | Asthma | 2 | 02/04/2021 | NKA NKFA All environmental eg molds pollen cats evergreens | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1016068 | 02/09/2021 | WI | 63.0 | 63 | F | Developed a rash erythematous and mildly painful and pruritic on right upper arm. Discomfort noted on 2/5/21 and noticed on 2/8/21 | N | 01/28/2021 | 02/05/2021 | 8 | None | PVT | Vit D | 1/11/21 treated with oral Amoxicillin for 5 days for a sinus infection | RA, gluten and lactose intolerance, PVC?s controlled with Metoprolol | 2 | 02/09/2021 | Gluten and lactose intolerance Digoxin, Plaquenil | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1016214 | 02/09/2021 | WI | 63.0 | 63 | F | I was woken up from sleep at 11:30 with swelling of my tongue. It was getting hard to breath, so I got ice and sucked on it for awhile, then I put a cold cloth on my face, tried to relax and the swelling seemed ok. I stayed up all night because I was afr | Y | 02/05/2021 | 02/05/2021 | 0 | I did not go to the hospital. I did everything at home. They have enough going on they didn't need me there. | PUB | Nabumetone,Gabapentin,Baclofen,Hydrocodone, B-12, Biotin,81mg baby asprin, | Extreme nerve damage to my back, which effects all of my nerves head to toes. Can not stand for long periods of time, | 2 | 02/09/2021 | Not tested allergies, but my throat swells if I drink coffee, I throw up if I eat cream cheese. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1020644 | 02/10/2021 | WI | 63.0 | 63 | F | Large red painful rash at injection site. Hot to the touch. Went to Walk In clinic to get it looked at. Pain at the site from the beginning and rash, heat, pain and itching came later. | N | 01/28/2021 | 02/08/2021 | 11 | None | WRK | Thyroid Blood pressure Vit. D3 Citalipram | None | Antibiotics | 2 | 02/10/2021 | Antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1025636 | 02/12/2021 | WI | 63.0 | 63 | F | FEVER, NAUSEA BODY ACHES | 02/09/2021 | 02/10/2021 | 1 | PVT | 2 | 02/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1026872 | 02/12/2021 | WI | 63.0 | 63 | F | Adverse Event: Injection site pain. Fever 101 oral, Body Ache and headache on 2/11/21. Treatment: Tylenol, Tramadol and rest. Outcome: Fever resolved on 2/12/21 | Y | 02/10/2021 | 02/11/2021 | 1 | None | PVT | triazolam 0.25 MG tablet HS amLODIPine 5 MG tablet Daily montelukast 10 MG tablet HS atorvastatin 10 MG tablet Daily clopidogrel 75 MG tablet Daily tiZANidine 4 MG tablet prn esomeprazole 40 MG capsule BID Estradiol 10 MCG Tabs Twice per w | Fibromyalgia, Asthma, HTN, GERD, Migraines, NSTEMI (Dec 13, 2020) | Fibromyalgia, Asthma, HTN, GERD, Migraines, NSTEMI (Dec 13, 2020), DJD | 1/20/21, Mild reaction, Chills and fatigue one day | 2 | 02/12/2021 | Morphine, Percocet, Vicodin Dust, Mold | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1031972 | 02/15/2021 | WI | 63.0 | 63 | F | Severe Headache, body aches | Y | 02/04/2021 | 02/07/2021 | 3 | none | PVT | Tylenol Metoprolol 12.5mg Atorvastatin Calcium 40 mg | None | None | 2 | 02/15/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033598 | 02/16/2021 | WI | 63.0 | 63 | F | Severe headache with light sensitivity. Nausea and vomiting and severe diarrhea | U | 02/11/2021 | 02/12/2021 | 1 | PUB | Levothyroxine, hctz,spironolactone,simvastatin,monolukast,vit D and cetirazine | No illness prior to vaccination | Hypothyroidism water retention and allergies to dust | 2 | 02/16/2021 | Y | Drug allergies clindamycin amoxicillin and sulfa food allergies honey | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1050153 | 02/23/2021 | WI | 63.0 | 63 | F | At 11am on 2/16, my arm began to get sore. I took Advil at 4pm and it wasn't so bad. At about 10pm when I went to bed, I had issues falling asleep because my heart felt like it was pounding through my chest. That pounding came off and on during the nex | Y | 02/16/2021 | 02/16/2021 | 0 | none | WRK | Multi-vitamin with mineral, vitamin D with K, krill oil, potassium, calcium, berberine | none | none | 2 | 02/23/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1060071 | 02/27/2021 | WI | 63.0 | 63 | F | Extreme night sweats and night terrors over the course of three nights. | Y | 02/10/2021 | 02/10/2021 | 0 | none | PVT | Atorvastatin, venlafaxine, omeprazole, spironalactone, lasix, levothyroxine, metopralol, amlodipine, prempro. | none | arthritis, thyroid cancer, | 2 | 02/27/2021 | penecillin, diazepam | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1066665 | 03/02/2021 | WI | 63.0 | 63 | F | 6 days after receiving the vaccine, I had pretty crazy itching at the injection site. The site then became red, inflamed and warm to the touch.. The itching went away after about 36 hours. The redness and swelling lasted about 5 days. | Y | 02/14/2021 | 02/20/2021 | 6 | None | PVT | Gabapentin (600 mg 3x/day), Multi-vitamin (daily), Vitamin D (5,000/week), B12 | none | arthritis, sciatica | 2 | 03/02/2021 | Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1069098 | 03/03/2021 | WI | 63.0 | 63 | F | patient experiencing diplopia 3 diopter left hypertropia | U | 02/17/2021 | 02/18/2021 | 1 | medical eye exam | PVT | WELLBUTRIN,MTV,CLARITN, MUCINEX, CRESTOR ,ZOFRAN ,PRILOSEC, CYMBALTA, CALCIUM, SYMBICORT, WELLBUTRIN ,ALPHAGAN LATANOPROST, PATANOL, SINGULAIR | ALLERGIES. GLAUCOMA, HIGH CHOLESTEROL, DRY EYES, SLEEP APNEA MORBID OBESITY, ANXIETY,DEPRESSION, | 2 | 03/03/2021 | SULFA, CODEINE, CIPRO | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074339 | 03/05/2021 | WI | 63.0 | 63 | M | Mild headache | Y | 03/02/2021 | 03/02/2021 | 0 | none | PUB | bupropion | none | none | 2 | 03/05/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1077684 | 03/06/2021 | WI | 63.0 | 63 | F | Moderna vaccine EUA. Fever, headache, chills, fatigue, muscle aches,nausea. Happened 18 hours after vaccine | Y | 03/04/2021 | 03/05/2021 | 1 | None | PHM | Calcium tablets. Vitamin B tablets | None | None | 2 | 03/06/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1085170 | 03/09/2021 | WI | 63.0 | 63 | F | About 9 days after receiving the 1st shot on 1/15/21 a rash appeared on my chest area. Raised bumps and non spreading. I have now received my second dose on 2/11/21 .Had reactions that occurred the next day of chills, muscle and body aches, slept for 14 | N | 01/15/2021 | 01/24/2021 | 9 | None at this time/Did talk to Dr. on 3/9/21 | WRK | Venlafaxine / Omeprazole/Allegra/Vitamin D3/B12/Cranberry/E | None | S/P barriatric surgery(sleeve) Gerd/RSD/ Renaud's | 2 | 03/09/2021 | Morphine, Toradol, Wool, Pine, Gnats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1087900 | 03/10/2021 | WI | 63.0 | 63 | F | The nurse gave me shot however did not get in muscle was in subcutaneous area. Left large bruise and swelling and moderate bleeding after shot. My concern is did I get enough of the vaccine in me Since this was administration error. | U | 03/03/2021 | 03/03/2021 | 0 | None | PUB | None | None | Diabetes | 2 | 03/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091871 | 03/11/2021 | WI | 63.0 | 63 | F | When patient came in for second dose she said the first dose of the vaccine was given too high stating it was right up by her bone. She said she did not have any side effects from the vaccine and stated that her arm was not sore. | Y | 02/11/2021 | 03/11/2021 | 28 | PHM | 2 | 03/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1093440 | 03/12/2021 | WI | 63.0 | 63 | F | Vaccine was administered on 2/4/2021. Hair was colored 2/5/2021 to cover gray. When hair was cut on 3/5 there was barely any gray. Hair had only slightly grown during the month. This has never happened. | U | 02/04/2021 | 03/11/2021 | 35 | None | UNK | Lisinopril Metoprolol | None | Arthritis | 2 | 03/12/2021 | Y | Bee sting | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1107963 | 03/17/2021 | WI | 63.0 | 63 | F | Muscle aches, chills, general malaise, very sore injection site | N | 03/16/2021 | 03/16/2021 | 0 | None | PVT | None | None | None | Similar response to dose 1 of Shingrix. Dose 2 was worse in terms of symptoms. | 2 | 03/17/2021 | Seasonal allergies; pollens. Also allergy to latex. Person who administered the vaccine was wearing nitrile gloves. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1115965 | 03/19/2021 | WI | 63.0 | 63 | F | Pt developed a new onset, acute deep vein thrombosis approximately 6-7 days after vaccination in the R lower extremity with extreme pain and inability to bear weight. | Y | N | 03/10/2021 | 03/17/2021 | 7 | Lab tests (on 3/17) did demonstrate leukocytosis with WBC of 23.5. Normal coagulation studies. Complete metabolic panel demonstrated slight acute renal injury. | PVT | Telmisartan Levothyroxine Duloxtine Tizanidine Omega 3 Turmuric Boswellia Magnesium Cetirizine MVI B complex vitamins Ginger Guaifenisin | No new illnesses | Fibromyalgia Allergic rhinitis Essential hypertension Hypercholesterolemia Hypothyroidism | 2 | 03/19/2021 | Y | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1116604 | 03/19/2021 | WI | 63.0 | 63 | M | Patient called and reported that he had nearly constant body fatigue, unsteadiness on his feet, throbbing headache and hard to raise his left leg at times. He stated that the symptoms have persisted but have started to decrease as of 3/19/21 | N | 03/12/2021 | 03/13/2021 | 1 | PHM | TYPE 2 DIABETES HEART DISEASE | 2 | 03/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1122682 | 03/22/2021 | WI | 63.0 | 63 | M | Client received 1st dose of Moderna vaccine on 3/17/21. Client began experiencing itchy hives on his stomach and right side near his belt line on Friday 3/19/21. On 3/22/21 client is still experiencing these hives. Client reports the hives have remained th | N | 03/17/2021 | 03/19/2021 | 2 | none | PUB | celebrex | unknown | arthritis | WIA3601 | 2 | 03/22/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130816 | 03/24/2021 | WI | 63.0 | 63 | F | First felt coldness in elbow region and a little itchy. Nausea about 30 minutes later and coldness crept up arms, back and neck | Y | 03/24/2021 | 03/24/2021 | 0 | none | PVT | Simbacort, | sinus congestion | Copd, autoimmune deficiency | 2 | 03/24/2021 | Nsaids, Morphine, Red Dye, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1136749 | 03/26/2021 | WI | 63.0 | 63 | F | Mid-morning the day after the injection (3/25/21), I noticed slight swelling and moderate tenderness in my underarm area on my left side. By this morning (3/26/21), the swelling is about as large around as a softball and is very tender. That seems to be | N | 03/24/2021 | 03/25/2021 | 1 | None | PUB | None | None | None | Generally have a sore arm the day after flu vaccine, but nothing serious. Get annual flu vaccine in the fall of each year (last | 2 | 03/26/2021 | Sulfa, ragweed/hayfever, mold | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1138260 | 03/26/2021 | WI | 63.0 | 63 | F | Felt "hot" and dizzy 5 minutes after receiving vaccine. | Y | 03/26/2021 | 03/26/2021 | 0 | accu check =102 | PVT | 2 | 03/26/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1143656 | 03/29/2021 | WI | 63.0 | 63 | M | Pt received first Moderna COVID-19 vaccine on 3/15/21. Starting 3/27, patient began to have acute onset dizziness, muffled hearing, loss of consciousness and sinus congestion. On 3/28, this dizziness lead to a fall in which he hit his head and was sent t | Y | N | 03/15/2021 | 03/28/2021 | 13 | 3/28/2021: SARS-CoV-2 PCR NP swab, resulted positive | PHM | atenolol, lisinopril, multivitamin, turmeric | Rotator cuff Syndrome, OSA, Nonalcoholic fatty liver disease, left bicipital tenosynovitis, IBS, Hypertension, elevated PSA, depression. | 2 | 03/29/2021 | Y | Codeine, Bee venom, penicillins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1151121 | 03/31/2021 | WI | 63.0 | 63 | F | Severe Headache started within 4 hours and lasted about 28 hours. I started with Aleve, also tried Tylenol, and eventually took Sumatriptan. Chills and low grade fever and muscle aches (100.2 - after taking Aleve 3 hrs prior) started about 10 hours after | Y | 03/29/2021 | 03/29/2021 | 0 | None | PHM | Multivitamin, Vitamin D3, Levothyroxine, Buproprion | None | Hypothyroidism, Raynaud's | Shingles vaccine, fatigue and muscle aches. | 2 | 03/31/2021 | Demoral, Sensitivity to Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1154652 | 03/31/2021 | WI | 63.0 | 63 | F | Upper arm became inflamed, itchy, hot for approximately 4 days, then gradually subsided | Y | 03/20/2021 | 03/27/2021 | 7 | PVT | Omeprazole, Glucosamine One a Day Vitamin Vitamin D Elderberry | None | None | 2 | 03/31/2021 | Amoxycillin Erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1161231 | 04/02/2021 | WI | 63.0 | 63 | M | The patient stated he felt fine the day he received the vaccine. However, starting the day after, he developed dizziness, achiness and a headache. These symptoms progressively worsened over the course of several days. On day 6 after receiving the vaccine, | Y | Y | 3 | Y | 03/12/2021 | 03/12/2021 | 0 | PHM | Patient stated he is on a blood thinner (patient would not specify which one), metformin, atorvastatin and "blood pressure" medications | None reported by patient | Patient stated he has history of gout, high blood pressure and diabetes. He has also had a stent put in place several years ago | 2 | 04/02/2021 | Y | Y | No Known Drug allergies per patient | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1180230 | 04/08/2021 | WI | 63.0 | 63 | M | fever, neck tightness, swollen ankles, muscle and body aches | Y | 03/19/2021 | 03/20/2021 | 1 | n/a | PHM | n/a | n/a | n/a | 2 | 04/08/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1191128 | 04/10/2021 | WI | 63.0 | 63 | F | low grade fever, headache, body aches, fatigue began 18 hours after vaccination. All symptoms were mild but I was not able to do my regular things. Needed to nap and rest. Approximately 55 hours after vaccination majority of symptoms gone. Some fatigue | Y | 04/07/2021 | 04/08/2021 | 1 | OTH | Bupropion, fluoxetine, cetirizine | no | none | 2 | 04/10/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196810 | 04/12/2021 | WI | 63.0 | 63 | F | I?m having a more severe allergic reaction this time. I had no side effects with the first one. My arm is swollen, blotchy red, and very itchy. I did have fever and chills, no appetite on Thursday and Friday. The itching in the arm started Saturday aft | N | 04/07/2021 | 04/10/2021 | 3 | none | PUB | none | none | none | 2 | 04/12/2021 | Y | trace metals, adhesive | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1200639 | 04/13/2021 | WI | 63.0 | 63 | F | Pfizer-BioNTech COVID-19 Vaccine EUA Developed a swollen gland on the left side of neck, headache and runny nose. | N | 04/02/2021 | 04/12/2021 | 10 | no tests | PVT | .5mg/.1mg estradiol norethindrone acetate, 20 mg omeprazole Cosamin DS (1500mg glucosamine 1200 mg chondroitin sulfate) 1200 mg/40mcg calcium+vitamin D3 ibuprofen as needed | None | None | 2 | 04/13/2021 | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1201760 | 04/13/2021 | WI | 63.0 | 63 | M | Developed bilateral DVT with right sided PE within 2 days of vaccine. Clinically stable. | Y | Y | 2 | Y | 04/01/2021 | 04/01/2021 | 0 | PVT | Lisinopril 10mg Atorvostatin 20mg | None | Hypertension Hypercholesteroemia OSA CVA | 2 | 04/13/2021 | Wasp Stings | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1204055 | 04/13/2021 | WI | 63.0 | 63 | F | Right shoulder aching the first two days, fairly extreme stomach pain still felt on day 3, fatigue thru day 2 and a little into day 3, minor headache | U | 04/10/2021 | 04/10/2021 | 0 | PUB | Levothyroxin, Citalopram, Claritin, Vit C, Vit D, Multi-Vit | Hypothyroid | 2 | 04/13/2021 | Hay allergy, allergic to misc food unknown & incl. melon | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1207698 | 04/14/2021 | WI | 63.0 | 63 | M | Feeling tired, muscle aches, nausea, vomiting, difficulty breathing, dizziness, weakness, heartburn Medications given: NaCl 0.9 %, ondansetron (ZOFRAN) Rx for ZOFRAN ODT | N | 04/12/2021 | 04/13/2021 | 1 | BASIC METABOLIC PANEL TROPONIN I EKG-ELECTROCARDIOGRAM | PVT | Hydroclrothiazide, Lisiniprol, Doxazosin | None | Sleep Apnea | 2 | 04/14/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209646 | 04/14/2021 | WI | 63.0 | 63 | F | Pt rec'd Pfizer COVID vaccine @1457. At 1522, Pt c/o feeling dizzy, heavy chest, and SOB". VS WNL. Reports Hx asthma, states current s/s "unlike asthma attacks which she gets every spring when the dogwood's bloom and which she feels in her throat". Takes d | Y | 04/14/2021 | 04/14/2021 | 0 | None | PUB | Reports multiple meds for BP, cardiac meds, asthma, duloxetine | Unknown | Hx: asthma, HTN, env. allergies, brain tumor | 2 | 04/14/2021 | Reports multiple meds and environmental | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1211372 | 04/14/2021 | WI | 63.0 | 63 | F | After patient received vaccine she was accompanied by RN to observation area. In observation area patient was sitting in the chair with her head against the wall. RN asked patient if she was alright, patient stated, "she was not well". She was noted to be | U | 04/14/2021 | 04/14/2021 | 0 | Unknown | PVT | unknown | unknown | unknown | 2 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1212689 | 04/15/2021 | WI | 63.0 | 63 | F | Developed a migraine headache and extreme exhaustion on April 13 and 14, 2021. Took Tylenol and bed rest. Felt better on April 15, 2021. | Y | 04/08/2021 | 04/13/2021 | 5 | None. | PVT | Trikafta, Zenpep, Synthroid, Metoprolol, Nexium, Vitamin D, Vitamin B2, Miralax, Beano. | None. | Cystic Fibrosis, Pancreatic Insufficiency, Hashimoto's Thyroiditis, Migraines. | 2 | 04/15/2021 | Hyoscyamine Sulfate, Oxycodone, Hydrocodone, Verapamil, Misoprostol, Ursodiol, Celebrex, Sugar Substitute. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1212966 | 04/15/2021 | WI | 63.0 | 63 | M | Pain in bones and joints (one day) Migraine headaches (for four days straight) Had to go to emergency room. No real relief from side effects. Just had to suffer until it was over which would 4/15/21 | Y | 04/01/2021 | 04/10/2021 | 9 | All tests came back normal | MIL | Ensure | Prostate cancer | Pain bones and joints Severe non stop migraines for four days straight Emergency Room visit No real help Today is the first I feel like self with return of appetite | 2 | 04/15/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1213241 | 04/15/2021 | WI | 63.0 | 63 | F | At time of injection, pain at site of injection. Later that evening, developed burning sensation and muscle soreness. Increased with second dose. Gradual increase of pain and burning sensation in left arm over time. Gradual decrease in range of motion | N | 12/29/2020 | 12/29/2020 | 0 | None | WRK | Unknown | Unknown | Unknown | 2 | 04/15/2021 | Y | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1214422 | 04/15/2021 | WI | 63.0 | 63 | M | Blood clots in left leg, hip, bilateral lungs; treated with blood thinners; was admitted to hospital from 4/1-4/3; discharged to home, stable | Y | 2 | U | 03/10/2021 | 03/29/2021 | 19 | PUB | Metformin Jardiance Gabapentin Atorvastatin Lantus | Diabetes Hyperlipidemia | 2 | 04/15/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1214953 | 04/15/2021 | WI | 63.0 | 63 | F | Acute Pulmonary Embolism-Bilateral , Hypertensive Crisis | Y | 1 | Y | 04/01/2021 | 04/02/2021 | 1 | Chest X-Ray, CBC, CMP, D-Dimer, BNP, Troponin, TSH, CTA, Echo, | PVT | Multivitamin, Prilosec, Calcitrate, Magnesium | None noted | GERD, Hyperlipidemia | 2 | 04/15/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1215971 | 04/15/2021 | WI | 63.0 | 63 | F | Injection site pain, chills, general muscle aches, fatigue | N | 04/14/2021 | 04/15/2021 | 1 | None | PUB | Hydrochlorothiazide, levothyroxine, travatan | No | Mild hypertension, overweight | 2 | 04/15/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1216595 | 04/16/2021 | WI | 63.0 | 63 | F | 4 1/2 hours of severe body tremors and spasms, accompanied by chills. Followed by severe migraine, bodyaches and fever. Vomiting and diarrhea began approximately 9:00 AM on April 2, and lasted six hours. Extreme exhaustion and weakness continued until app | Y | 04/01/2021 | 04/01/2021 | 0 | None | PVT | Pravastatin; baby aspirin; Vitamins C, D, E; Multi vitamin; Calcium; Magnesium; Zinc; Probiotic; Fish oil | None | Fibromyalgia; migraines | 2 | 04/16/2021 | Iodine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1219355 | 04/16/2021 | WI | 63.0 | 63 | F | Felt dizzy 15 minutes after the shot and dizzy throughout the day on Friday, April 9, 2021 On Saturday, April 10, 2021 felt extremely dizzy in morning and passed out in a back room. Fell backwards on the floor and couldn't get up. Was yelling and screami | Y | 4 | Y | 04/09/2021 | 04/09/2021 | 0 | Had blood drawn. Had an IV inserted in case the hospital needed it. I had xrays of chest area; also had a CAT scan, They were going to do an MRI and was taken to the test area & I told the technician i am allergic to the contract dye so the test was | PVT | ascorbic acid 1000 mg baclofen 0.5 mg twice a day cal-mag tabs - 2 tablets twice a day cetirizine 10 mg (Zyrtec) liquid gel Vitamin D3 5000 I.U Evening primrose oil caps 1,3000 mg once daily gabapentin 300 Mg. caps twice a day ibuprofen 40 | Lymphedema of both lower legs | Multiple Sclerosis | 2 | 04/16/2021 | Y | Sulfa Latex Doxycycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222307 | 04/17/2021 | WI | 63.0 | 63 | F | Lightheaded x 1 week, Fevers 101-101 x 1 week, lack of appetite x 3 days, fatigue x 10days, severe headache, diarrhea | N | 04/08/2021 | 04/08/2021 | 0 | 4/17/21: elevated d-dimer, elevated glucose 351, 13.8WBC, T-alk149, alt 56, | PVT | 2 | 04/17/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1223679 | 04/17/2021 | WI | 63.0 | 63 | M | Acute right lower lobe subsegmental pulmonary embolism. Patient presented with right-sided, intercostal chest pain and shortness of breath. CT angiogram revealed a PE with small infarct, no heart strain. Patient started on pain medication and anticoagulati | Y | 1 | U | 04/15/2021 | 04/17/2021 | 2 | CT angiogram and echo 4/17/2021 | PVT | B complex vitamin, lisinopril, ursodiol, vitamin D | None known | Hypertension, hyperlipidemia, chronic kidney disease stage III, recurrent choledocholithiasis, ileus, and depression. | 2 | 04/17/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1223751 | 04/17/2021 | WI | 63.0 | 63 | F | I received Moderna COVID-19 Vaccine on April 15, 2021. On 04/16/2021 I had some pain in the deltoid region of my shoulder where the injection was given. On 04/17/2021 at 06:00am, I noticed I had blotchy red hives on my upper chest. At 11:00 am the redness | N | 04/15/2021 | 04/17/2021 | 2 | None. I have not sought treatment at this time. | OTH | Magnesium Oxide, Fish Oil, Glucosamine, Loratadine, Vitamin D, aspirin, | none | impaired kidney function | 2 | 04/17/2021 | Penicillin, atavan, adhesives used on medical products (e.g. bandaids, tape), shell fish, Iodine, molds, mildew, pollens, horse dander. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1230522 | 04/19/2021 | WI | 63.0 | 63 | F | HEADACHE,WEAKNESS, NAUSEA, CHEST PRESSURE LASTING 4 DAYS UP TO AND INCLUDING TIME OF ER VISIT. ALSO COMPLAINED OF DYSPNEA ON EXERTION. | U | 03/18/2021 | 04/08/2021 | 21 | NO SIGNIFICANT CHANGES NOTED ON EKG. APPARENT 1CM OPACITY PROFECTING OVER THE RLL REPRESENTS THE ANTERIOR COSTOCHONDRAL JUNCTION OFF OF THE 5TH RIB. NO NODULE WAS IDENTIFIED IN THIS LOCATIONON COMPARISON STUDY WITH CT ABDOMEN AND PELVIS DONE 03/08/2021. TR | UNK | UNKNOWN TO WRITER | UNKNOWN TO WRITER | UNKN OWN TO WRITER | 2 | 04/19/2021 | Y | UNKNOWN TO WRITER | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1242588 | 04/22/2021 | WI | 63.0 | 63 | M | Pt received the first dose of the Moderna COVID-19 vaccine on 4/5/2021. On 4/14/2021, he tested positive for SARS-CoV-2 via PCR. On 4/21/2021 he was ill enough to go to the ED due to COVID symptoms and was admitted to the general medicine floor of our ho | Y | N | 04/05/2021 | 04/21/2021 | 16 | PHM | Allopurinol, amlodipine, duloxetine, famotidine, hydrochlorothiazide, loratadine, multivitamin, Omega 3 vitamin, pregabalin, Vitamin D. | OSA, hx prostate cancer, obesity, hypertension, GERD, depression, colon polyp, CHF, bladder tumor, asthma | 2 | 04/22/2021 | Y | Pollen, tree extract | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1249765 | 04/24/2021 | WI | 63.0 | 63 | F | Red rash and pain. | N | 04/21/2021 | 04/22/2021 | 1 | OTH | Vitamin D, vitamin B 12, mesalamine, multi-vitamin, probiotic, atorvastatin, montelukast, escitalopram and metoprolol suc | Na | High blood pressure, crowns and environmental allergies. | 2 | 04/24/2021 | Augmentin,cechlor, bactrum, penicillin, sulfa drugs and adhesive | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1252356 | 04/24/2021 | WI | 63.0 | 63 | M | The first day after the vaccine I felt a total lack of energy as well as muscle soreness and general aches. By the second I was pretty good. On the 11th day It all came back and more. Dry and soar throat, headache , total loss of energy, no apatite, muscle | N | 04/08/2021 | 04/19/2021 | 11 | 2 negative covid tests | PHM | 2 | 04/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1259414 | 04/26/2021 | WI | 63.0 | 63 | F | One week after injection it started with pain in left armpit, chills at night, swelling in injection site, itching and pain at injection site. Next day I started to get joint pain in shoulders, neck, elbows, fingers. Next day the joint pain was severe and | N | 04/12/2021 | 04/19/2021 | 7 | Lyme test-blood was taken on Friday April 23rd. Negative results were reported back to me on Monday 4/26/21. | PVT | b-12 5000mcg, Pepcid Complete, Pantoprazole 40mg, Tramadol 50mg, Azathioprine 50mg, Lialda 1.2gm, Levothyroxine 50 mcg. | Undifferentiated connective tissue disease, Ulcerative colitis, low thyroid | UC, inflammatory arthritis (Undifferentiated connective tissue disease), low thyroid | 2 | 04/26/2021 | Y | sulpha, mupirocin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1260277 | 04/26/2021 | WI | 63.0 | 63 | M | Pulse 52. Fever 99.9 injection site pain body aches and nausea | Y | 04/24/2021 | 04/24/2021 | 0 | Pulse 52. Temp 99.9 done at home | WRK | Tylenol, stool softener,baby aspirin | None | Congestive heart failure, prostate cancer and metal plates in my leg | 2 | 04/26/2021 | MRI Dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1263742 | 04/27/2021 | WI | 63.0 | 63 | M | AE = PE/DVT. Difficult to say if vaccine played an ancillary role (very short time course). Treatment = anticoagulation with apixaban. Outcome = patient discharged from hospital in good condition after 2 days. | Y | Y | 3 | Y | 04/01/2021 | 04/03/2021 | 2 | Imaging on 4/3/21: Acute DVT of posterior tibial vein in the upper calf. 4/5/21 venous doppler CT appearance of mild to moderate pulmonary emboli bilaterally, most prominently of RIGHT lower lobe pulmonary arteries snd CT findings suggestive of mild pulm | PVT | aspirin, atorvastatin, lisinopril | none | HTN, obstructive sleep apnea. Patient was found to have be heterozygous for Factor V Leiden after more testing after the event. | 2 | 04/27/2021 | Y | Y | wasp stings | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267217 | 04/28/2021 | WI | 63.0 | 63 | M | Patient had Pfizer vaccine #2 on April 22, 2021, at pharmacy. He presents to the office today with fairly sudden left facial droop that started around noon today, April 28, 2021. He has normal vision, normal hearing, and has incomplete paralysis of the l | N | 04/22/2021 | 04/28/2021 | 6 | PHM | 2 | 04/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1270301 | 04/29/2021 | WI | 63.0 | 63 | M | Patient presented with a swollen hand | 04/06/2021 | 04/29/2021 | 23 | PVT | Eliquis, tramadol, omeprazole, lasix, entresto, metoprolol vitamin b12, vitamin D3 | bradycardia, back pain, etoh abuse, hypertension, | 2 | 04/29/2021 | Y | Nsaids, Hayfever | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271202 | 04/29/2021 | WI | 63.0 | 63 | F | Tested positive for COVID 3/15/2021 | U | 02/18/2021 | 03/15/2021 | 25 | 3/15/21- SARS CoV-2, PCR, Rapid, V detected | PVT | 2 | 04/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289515 | 05/05/2021 | WI | 63.0 | 63 | F | Severe psoriasis outbreak over the entire body roughly three weeks following the second dose of Pfizer vaccine. | N | 04/01/2021 | 04/22/2021 | 21 | none | PUB | voltaren, vitamin C, vitamin D | none | psoriasis | 2 | 05/05/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289634 | 05/05/2021 | WI | 63.0 | 63 | F | Patient presented for her 2nd Covid-19 Vaccine today and when screened with the question if she experienced an anaphylactic reaction to a vaccine or injectable medication she stated that she had itchy throat, throat closing off, hives on neck and chest aft | Y | 04/05/2021 | 04/05/2021 | 0 | PVT | leukemia | 2 | 05/05/2021 | Patient states she has allergy to polyethylene glycol but it is not on her chart. also states allergy to flu vaccine. Beta Blockers [Beta Adrenergic Blockers]Unknown Candida AntigenAnaphylaxis Cefzil [Cefprozil]Unknown DoxycyclineUnknown DustRash, Anaphyla | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1296384 | 05/07/2021 | WI | 63.0 | 63 | F | Client admitted to the hospital on 4/26/2021 with Covid symptoms, body aches, SOB and chest pain. Diagnosed with Covid -19 pneumonia. Antigen test positive for Covid-19 on 4/26/2021. Subsequent admission on 5/4/2021 with cardiac arrest secondary to hypovo | Y | 05/05/2021 | Y | N | 04/13/2021 | 04/26/2021 | 13 | UNK | Unknown | Unknown | Unknown | 2 | 05/07/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1299785 | 05/08/2021 | WI | 63.0 | 63 | F | After a life time and family history of normal to low blood pressure, my blood pressure skyrocketed and has remained high. I discovered this two days after the shot at a normal visit to my medical doctor. | Y | N | 04/19/2021 | 04/21/2021 | 2 | Blood pressure checks | PHM | Insulin, NP Thyroid, Krill oil, Vitamin d3 | none | diabetes, hypo thyroid | 2 | 05/08/2021 | Y | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1301423 | 05/09/2021 | WI | 63.0 | 63 | M | Severe bilateral Tinnitus. On no treatment. | N | 12/29/2020 | 03/19/2021 | 80 | None yet. | UNK | Terazosin 5 mg daily. Omega 3s. Turmeric Vitamin C and Zinc | None | BPH | 2 | 05/09/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1302226 | 05/10/2021 | WI | 63.0 | 63 | M | Right sided Bells Palsy with right facial droop and right eye ptosis. Also had headache. Currently on prednisone. Mild improvement noted | N | 04/16/2021 | 04/29/2021 | 13 | CT of the head negative | PVT | None | No | DM 2, Hypertension, atrial fibrillation, coronary artery disease, diastolic dysfunction | 2 | 05/10/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1310790 | 05/12/2021 | WI | 63.0 | 63 | F | Migraines with dizziness, eye pain, light sensitivity, room spinning, fever, chills, very ill feeling, high and low blood pressure events, severe fatigue, trouble walking due to dizziness, hoarse throat, body aches like a flu. | Y | 04/29/2021 | 04/29/2021 | 0 | None. | PVT | Metoprolol, Synthroid, Zyrtec, Vitamin B2 and D, Zenpep, Beano, Trikafta, Nexium. | None. | Cystic Fibrosis, Pancreatitis, Low BP, Migraines, Hashimotos Thyroiditis. | migraines, dizziness, light sensitivity. | 2 | 05/12/2021 | Y | Already reported. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313862 | 05/13/2021 | WI | 63.0 | 63 | F | Chills, muscle aches for 16 hours, fever (102), headache, fatigue lasting 3 days | Y | 04/01/2021 | 04/02/2021 | 1 | none | PHM | 20 mg omeprazole daily, multi-vitamin, fish oil EPA & DHA, Lycopene, Quercetin, Resveratol, Ginko Biloba, Tumeric, Bilberry, Devil's Claw, Ginger Root, Chokeberry, Angelica Gigas, Lactobacillus and Bifidobacterium | none | none | Shingrix | 2 | 05/13/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1314841 | 05/13/2021 | WI | 63.0 | 63 | F | left arm swelling, skin warm to touch; red rash noted below injection site | U | 05/11/2021 | 05/13/2021 | 2 | none | PVT | extr STRENGTH tylenol | none | rhinitis | 2 | 05/13/2021 | amoxicillin questionable reaction to latex and epinephrine/lidocaine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1320798 | 05/15/2021 | WI | 63.0 | 63 | F | Received the Pfizer vaccine on April 13, 2021 (10 am) in the right arm. Woke up the next day with a numb hand. The numbness resolved temporarily, but a few days later experienced numbness and tingling in the entire arm as well as in the 4th and 5th finge | N | 04/13/2021 | 04/14/2021 | 1 | April 26, 2021 - Ultrasound of Upper Extremity Veins (right) - Negative for Thrombus May 1, 2021 - Ultrasound of Lower Extremity Veins (left) - Negative for Thrombus | PVT | none | none | none | 2 | 05/15/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1322225 | 05/16/2021 | WI | 63.0 | 63 | F | Within in one hour burning sensation of the lips and tip of tongue Within 60 hours burning sensation increased throughout mouth and traveled down throat and mucusol system. | N | 04/16/2021 | 04/16/2021 | 0 | 4/19/21 Doctor office recommended going to the ER ER tests on 4/19 included: EKG Chest XRay D Dimer Quantative Troponin 1 Complete Blood work | PVT | Synthroid vitamins alendronate sodium | n/a | hypothyroidism | 2 | 05/16/2021 | Y | Y | Allergic to animal dander | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1337424 | 05/21/2021 | WI | 63.0 | 63 | M | Patient tested PCR positive for COVID on 5/20/2021. He is asymptomatic and was fully vaccinated for 8 days prior to test. Test was conducted pre-procedure. | N | 04/22/2021 | 05/20/2021 | 28 | None | PUB | Unknown | None | Unknown | 2 | 05/21/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1337614 | 05/21/2021 | WI | 63.0 | 63 | F | Patient with hx of multiple sclerosis presented to ED on 5/20/21 with bilateral lower extremity weakness. Patient got her 2nd COVID vaccine on 5/19/21 (Pfizer), and since that time she developed bilateral lower extremity weakness. She generally uses a whee | Y | N | 05/19/2021 | 05/20/2021 | 1 | UNK | atorvastatin (LIPITOR) 10 MG tablet Take 10 mg by mouth nightly. diazepam (VALIUM) 2 MG tablet Take 2 mg by mouth 2 (two) times daily. diazepam (VALIUM) 2 MG tablet Take 2 mg by mouth daily as needed for Anxiety. Take in the aft | multiple sclerosis, neurogenic bladder with chronic indwelling catheter, hyperlipidemia, restless leg syndrome, anxiety/depression | 2 | 05/21/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1343173 | 05/24/2021 | WI | 63.0 | 63 | F | delayed urticaria | Y | 04/22/2021 | 05/21/2021 | 29 | PVT | famotidine 40mg 1 tablet PO BID | no | sleep disorder | 2 | 05/24/2021 | Y | No known food, drug or medication allergies. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1347168 | 05/25/2021 | WI | 63.0 | 63 | F | Patient received third dose of Covid vaccine. No treatment given, patient told to report adverse events to pharmacy. Patient reported tiredness, headache, joint pain, high blood sugars and chills | Y | 05/21/2021 | 05/21/2021 | 0 | none completed | PHM | rosuvastatin, hydrochlorothiazide, glipizide, lisinopril, omeprazole, jardiance | none | diabetes, hypertension, GERD | 2 | 05/25/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1364583 | 06/01/2021 | WI | 63.0 | 63 | M | Patient presented to the ED on 4/28/2021for COPD exacerbation. Patient presented to the ED on 5/11/2021 and was subsequently hospitalized for 3 days. These visits are within 6 weeks of receiving COVID vaccination. | Y | 3 | 04/20/2021 | 04/28/2021 | 8 | OTH | 2 | 06/01/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1367878 | 06/02/2021 | WI | 63.0 | 63 | F | I did not go to the doctor nor did I call the clinic. My feet/heels started itching slightly that I would itch them into the carpet. As the itching got worse I checked my feet and there was skin that was loose, looked like a lg blister but it wasn't. Th | Y | 03/25/2021 | 03/28/2021 | 3 | NONE as I didn't report it to doctor so no tests or treatment | OTH | Tylenol 500 mg Ex-St, Albuterol, Amitriptyline 2%-gabapentin 6%-lidocaine 5% in vanicream, calcium citrate-Vitamin D3, cetirizine 10 mg, cholecalciferol, clobetasol, dextroamphetamine-amphetamine, diazepam, diclofenac odium 1% 1% gel, fluti | none out of the ordinary...I had stayed home and away from anyone so that I would not catch anything. | Pain ..Fibromyalgia, foot pain, arthritis in left leg and #10 vertebra in back, chronic back pain, neuropathy of hands and feet, frequent falls, eye sight damage d/t car accident, many skin issues especially with itching and get hives frequently, painful s | the shingles shot | 2 | 06/02/2021 | not sure of what they are....a couple very very old pain medications over 40 yrs ago taken, dyclomine? antibiotic, tetrocycline an antibiotic...not sure of the spellings nor if the first antibiotic is correct... | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1367886 | 06/02/2021 | WI | 63.0 | 63 | F | Sore arm, tiredness, some shivering, nausea, rapid heart rate (80) | N | 06/01/2021 | 06/01/2021 | 0 | N/A | PHM | Lisinopril 30 mg tab Sertraline HCL 50 mg tab | N/A | N/A | Body ache, severe chills, sore are; 62 yrs old, 3/18/2021 & 4/22/2021; Covid-19 vaccine; Moderna | 2 | 06/02/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1368464 | 06/02/2021 | WI | 63.0 | 63 | M | Pulmonary Embolism in both lungs | Y | 3 | U | 04/19/2021 | 04/20/2021 | 1 | x-rays, MRI's and ultra sound | UNK | Insulin Atenolol lisinopril levothyroxine simvastatin | N/A | Diabetic | 2 | 06/02/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1375918 | 06/04/2021 | WI | 63.0 | 63 | F | rash and hives after first week, got worse after second shot. two days after second shot, rash and bumps under breast, about 50 of them. since then rashes and welts on arms, breast, stomach, back, buttocks, neck, head, legs. tried local over counter cre | N | 04/01/2021 | 04/22/2021 | 21 | no testing | PVT | none | none | none | 2 | 06/04/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1377774 | 06/07/2021 | WI | 63.0 | 63 | F | Headache, dizziness, chills, fever, eye movement, nausea, chest pain, muscle weakness and pain, falls. | U | 05/04/2021 | 05/04/2021 | 0 | Cat Scan, Eye exam. | PHM | Loratidine, Oxybutin, Simvastatin, Levothyroxine, Metoprolol, Pantoprazole | No | High blood pressure, High cholesterol, Obesity | localized swelling at injection site. | 2 | 06/07/2021 | Y | Y | Neomycin, Erythromycin, Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1394840 | 06/13/2021 | WI | 63.0 | 63 | F | Headache, nauseous, swelling, pain, small lump, rash, dizziness | N | 06/12/2021 | 06/13/2021 | 1 | PHM | Lisinipril, nexium, atorvastatine, linzess, Tylenol, sertralin | Asthma | 2 | 06/13/2021 | Erythromycin, penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1402669 | 06/16/2021 | WI | 63.0 | 63 | M | Acute bilateral pulmonary embolus and right lower extremity DVT. No typical risk factors such as recent trauma or surgery and no personal history of DVT/PE. Received Moderna COVID-19 vaccination series in February and March of this year. | Y | 3 | Y | 03/27/2021 | 06/04/2021 | 69 | 6/9/2021: Ultrasound Venous Duplex Lower extremity R: IMPRESSION: Right lower extremity deep vein thrombosis involving the proximal femoral vein through to the posterior tibial veins. Associated superficial thrombophlebitis involving the proximal to | PUB | amlodipine, loratadine, losartan, magnesium oxide, melatonin, meloxicam, omeprazole | none | GERD, hypertension, osteoarthritis | 2 | 06/16/2021 | Y | Shellfish (anaphylaxis), tetracycline (angioedema) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407161 | 06/17/2021 | WI | 63.0 | 63 | F | chest pain, difficulty breathing, day following shot. ER hospital, admitted, pericarditis, discharged 05/04/2021 | Y | 4 | N | 04/30/2021 | 05/01/2021 | 1 | stress test, echocardiograph ekg, Cath lab, , xrays, mri | PVT | amlodipine boselyte simvastatin omeprazole | none | high blood pressure, high cholesterol, acid reflux | 2 | 06/17/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407846 | 06/17/2021 | WI | 63.0 | 63 | F | Two hours after receiving the vaccine I started having heart palpitations and SOB that lasted until 09:00PM that night. On Friday, I experienced the same thing. Saturday, it started earlier in the day and it lasted until I went to bed at 11:00PM. On Sunday | Y | 04/01/2021 | 04/01/2021 | 0 | I had blood work, a urinalysis and an EKG. | PVT | I was taking a baby aspirin, a multivitamin and lutein. | I did not have any other illnesses. | I do not have any chronic health conditions. | vsafe | 2 | 06/17/2021 | Y | I am allergic to morphine, lidocaine and oxycodone. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407875 | 06/17/2021 | WI | 63.0 | 63 | F | The morning after I received the second dose, I started having severe chills and excruciating pain across my back. I was sitting in my house with blankets on and freezing, but it was like summer outside. This last for two days. On the third day, the chills | Y | 04/30/2021 | 05/01/2021 | 1 | I did not have any tests performed. | OTH | I take a multivitamin, baby aspirin and lutein. I was given trazadone for anxiety, but I stopped taking it because it did not work. | I do not have any other illnesses. | I do not have any chronic health conditions. | I had an adverse event after receiving the first dose of the Moderna vaccine. I received it 04/01/2021. I had heart palpitations | 2 | 06/17/2021 | I am allergic to morphine, lidocaine and oxycodone. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1408210 | 06/17/2021 | WI | 63.0 | 63 | M | Received second dose above on 1/8/21. Developed a blood clot in left leg early February, Went to doctor after a week or so on February 8. Bad Swelling in left calf | Y | 12/21/2020 | 02/08/2021 | 49 | Ultrasound confirmed blood clot Treatment was Xarelto for six months | PVT | Verapamil SR, Lisinopril HCTZ, Tamsulosin HCL, Metformin, Celecoxib, Simvastatin | none | high blood pressure, cholesterol, Type 2 Diabetes | 2 | 06/17/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1446642 | 07/04/2021 | WI | 63.0 | 63 | M | Patient's wife stated he has been suffering from blood clots and is currently being treated with anticoagulants. | U | 05/28/2021 | 06/27/2021 | 30 | PHM | 2 | 07/04/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1459933 | 07/09/2021 | WI | 63.0 | 63 | F | On June 28th, I woke up at 3:45AM with extensive chest pains. I sat up in bed for quite some time hoping they would go away, but they did not. I moved myself to another bedroom in my house and eventually the pain subsided. I called and left a mychart messa | U | 03/30/2021 | 06/28/2021 | 90 | I had an EKG performed. The EKG did not find anything abnormal. | SCH | I was taking omeprazole 20mg, losartan 100mg, a woman's multivitamin, D3 softgel, metformin, Metamucil and pravastatin. | I did not have any illness. | I am diabetic and I have high blood pressure. | vsafe | 2 | 07/09/2021 | Y | I am allergic to naproxen, Tylenol 3 with codeine and morphine. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1466526 | 07/13/2021 | WI | 63.0 | 63 | F | Numbness , Tingling in my feet, severe leg cramps and now i can't walk came to the ER on June 22 2021 still here in rehab July 13th 2021 | Y | 25 | Y | N | 05/13/2021 | 05/20/2021 | 7 | Cat scan blood tests 2 MRIs spinal tap intravenous immunoglobuiln therapy | PVT | Levothyroxine omeprazole | None | Thyroid | 2 | 07/13/2021 | Y | Codine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1478463 | 07/16/2021 | WI | 63.0 | 63 | F | Daily headaches- in process of treatment | Y | 13 | N | 05/06/2021 | 05/10/2021 | 4 | Hospital Course summary: Patient is a 63 y/o F with past medical history of paroxysmal A. fib, CAD s/p several stenting, CKD stage III with baseline creatinine 1.1- 1.4, hypertension, COPD, diastolic heart failure, anxiety. Patient admitted with chest pai | PVT | Tylenol, Albuterol,Brilinta, Clopidogrel, Diltiazem, Furosemide,Metoprolol,Pantoprazole, Spironolactone | Hospital Course summary: Patient is a 63 y/o F with past medical history of paroxysmal A. fib, CAD s/p several stenting, CKD stage III with baseline creatinine 1.1- 1.4, hypertension, COPD, diastolic heart failure, anxiety. Patient admitted with chest pai | Cardiac and Vasculature Paroxysmal atrial fibrillation (ZARLING) CAD (coronary artery disease) (ZARLING) (*) HTN, goal below 130/80 (*) Pericardial effusion Acute on chronic diastolic (congestive) heart failure (*) Chest pain Abnormal EKG Thrombus of left | 2 | 07/16/2021 | Y | Lisinopril | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1497201 | 07/23/2021 | WI | 63.0 | 63 | F | Neuropathy; intermittent numbness in fingers; nerve pain; feeling pins and needles sensation going into limbs including both arms and legs; nerve pain, muscle pain, and joint pain at the site where she received her vaccine; joint pain; Muscle pain; This s | U | 04/08/2021 | 04/16/2021 | 8 | UNK | CALCIUM AND VITAMIN D; FOSAMAX | Allergy to antibiotic (Erythromycin); Allergy to antibiotic (Bactrim); Fibromyalgia; Osteoporosis | Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20210 | 2 | 07/22/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1501767 | 07/26/2021 | WI | 63.0 | 63 | F | Tinnitus | N | 03/30/2021 | 04/01/2021 | 2 | None | PHM | Fluxetine, Atorvastatin, Montelukast, Levothyroxine, Atenolol, Allerclear, Vitamin D3 | None | COPD | 2 | 07/26/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1509500 | 07/28/2021 | WI | 63.0 | 63 | M | The first symptoms were a headache and then breathing problems. I was having more intense headaches that they were becoming more frequent. About 4 weeks ago I had a 10-day period of headaches, but I needed to seek medical attention. The doctor diagnosed | N | 04/22/2021 | 04/22/2021 | 0 | OTH | 2 | 07/28/2021 | Y | Penicillin Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1510161 | 07/28/2021 | WI | 63.0 | 63 | M | 10 days after initial vaccine, broke out in raised rash at elbow which then progressed to other arm also at elbow area. Rash progessed slowly down the arm to the wrists on both sides. Rash slowly resolved by the time I received 2nd dose of COVID vaccine. | N | 12/30/2020 | 01/09/2021 | 10 | None | UNK | Humalog Insulin, Clopidogrel, Aspirin, Nexium, Acyclovir, Vitamin C, Polyethelene Glycol | None | Type 1 Diabetes Coronary Artery Disease High Cholesterol | 2 | 07/28/2021 | Y | Intolerant to all statins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1523904 | 08/03/2021 | WI | 63.0 | 63 | M | Came down with a sinus infection on 07/04/2021 ! After consulting with walk in clinic doctor I decided to have a COVID-19 test to make sure it was not part of the problem! It was negative on test results was give antibiotics and my problem went away in abo | Y | 04/23/2021 | 07/04/2021 | 72 | Covid-19 test ,negative | PVT | Rosuvastatin10mg,Metoprolol 50mg,AmLODIPine 5mg,Hydrochlorothiazide 50mg. Multivitamin, Glucosamine/chondroitin,fish oil,D3 | None | High blood pressure,High cholesterol,and have an aortic valve replacement with a bovine valve | 2 | 08/03/2021 | Seasonal allergies and penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1525928 | 08/04/2021 | WI | 63.0 | 63 | M | loud ringing in his ear later that night after he rcvd the shot | N | 08/01/2021 | 08/01/2021 | 0 | no | PHM | no | no | no | 2 | 08/04/2021 | prilosec | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1536443 | 08/09/2021 | WI | 63.0 | 63 | F | swollen arm, large red patch appeared 1 day following injection. Also itching | N | 08/03/2021 | 08/04/2021 | 1 | PHM | Claritin | none | none | 1st Moderna vaccine I had 3 weeks of severe brain fog | 2 | 08/09/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1536596 | 08/09/2021 | WI | 63.0 | 63 | F | 1st Moderna vaccine 4/10/2021, 2nd was 5/8/2021. Headaches started between 5/1 and 5/4/2021. patient thinks the headaches were triggered by the vaccine. they started about 2-3 weeks after the 1st dose. o Onset 10-14 days ago. Entire right side of head. | Y | 05/10/2021 | 05/01/2021 | n/a | PVT | atorvastatin, losartan, hctz, citalopram, Vit D, probiotic, Multivit, Estrace vag cream, | none | HTN, pre-diabetes, hyperlipidemia, depression. remote history of migraines (1980-1999) | 2 | 08/09/2021 | Y | sulfa -> headaches codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1549122 | 08/12/2021 | WI | 63.0 | 63 | F | This client came to the clinic, denied having a vaccine card and stated she presented for her first Pfizer vaccine. She was looked up in the and the staff missed looking at the record correctly and that she was already fully immunized with 2 doses of Mode | Y | 08/11/2021 | 08/11/2021 | 0 | PUB | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1551556 | 08/13/2021 | WI | 63.0 | 63 | F | Dizziness; Flu- like symptoms; Tiredness; This spontaneous case was reported by a nurse and describes the occurrence of DIZZINESS (Dizziness), INFLUENZA LIKE ILLNESS (Flu- like symptoms) and FATIGUE (Tiredness) in a 63-year-old female patient who received | U | 02/11/2021 | 02/22/2021 | 11 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1557423 | 08/14/2021 | WI | 63.0 | 63 | F | Rash around the injection site measuring about 3.5 x 5 cm, irregularly shaped.; Area of the injection hurt; This spontaneous case was reported by a physician and describes the occurrence of VACCINATION SITE PAIN (Area of the injection hurt) and VACCINATION | U | 01/28/2021 | 02/05/2021 | 8 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1562641 | 08/15/2021 | WI | 63 | F | Arm was just a little sore; Has been tired since then; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Arm was just a little sore) and FATIGUE (Has been tired since then) in a 63-year-old female patie | U | 02/04/2021 | 02/04/2021 | 0 | UNK | CALCIUM; VITAMIN D NOS; ASPIRIN (E.C.); OMEPRAZOLE; CRESTOR; ADVAIR | Asthma | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591995 | 08/20/2021 | WI | 63.0 | 63 | M | hospitalized with PE and COVID 19 | Y | 4 | 08/02/2021 | 08/16/2021 | 14 | UNK | 2 | 08/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1598803 | 08/21/2021 | WI | 63.0 | 63 | F | Sore arm; Fever; Vomiting; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), PYREXIA (Fever ) and VOMITING (Vomiting) in a 63-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vacc | U | 03/24/2021 | 03/25/2021 | 1 | Test Date: 20210325; Test Name: Body temperature; Result Unstructured Data: Body temperature increased to 100.9?F | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1601253 | 08/21/2021 | WI | 63 | F | site of injection is hard; site of injection is itchy; site of injection is red; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE INDURATION (site of injection is hard), VACCINATION SITE PRURITUS (site of in | U | 03/18/2021 | 03/26/2021 | 8 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1601663 | 08/21/2021 | WI | 63.0 | 63 | M | Diarrhea; Chills; Body aches; Vomiting; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea), CHILLS (Chills), MYALGIA (Body aches) and VOMITING (Vomiting) in a 63-year-old male patient who received mRNA-127 | U | 03/30/2021 | 03/30/2021 | 0 | UNK | Medical History/Concurrent Conditions: COVID-19 | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1602698 | 08/21/2021 | WI | 63.0 | 63 | F | Consistent Diarrhea for 8 weeks, none stop Thyroid tests showed extreme elevated count, like never before & still dealing with that. Vaginal yeast Severe weakness, sleeplessness, body flushes, hair loss, weight gain, head fog & heaviness | N | 02/11/2021 | 02/19/2021 | 8 | Not needed | PVT | Thyroid medicine, Allergy medicine, vitamin C, Probiotic, baby aspirin, magnesium | Hypothyroidism | Hypothyroidism | 2 | 08/21/2021 | Y | Egg whites, hair dye, lavender, Annectine (Anesthesia) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1610602 | 08/22/2021 | WI | 63.0 | 63 | M | he has red rash at injection site of 3inch in size; he has red rash at injection site of 3inch in size; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE RASH (he has red rash at injection site of 3inch in si | U | 04/20/2021 | 04/20/2021 | 0 | UNK | Chemotherapy | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1611855 | 08/22/2021 | WI | 63.0 | 63 | M | slight fever (99.3 F); chills and other stuff; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (slight fever (99.3 F)) and CHILLS (chills and other stuff) in a 63-year-old male patient who received mRNA-1273 (Modern | U | 04/22/2021 | 04/27/2021 | 5 | Test Date: 20210427; Test Name: body temperature; Result Unstructured Data: increased 99.3 | UNK | ROZLYTREK; ELIQUIS | Medical History/Concurrent Conditions: Lung cancer (two years ago) | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1614210 | 08/22/2021 | WI | 53.0 | 63 | F | burning sensation all over inside the body; diaphoretic; This spontaneous case was reported by a nurse and describes the occurrence of BURNING SENSATION (burning sensation all over inside the body) and HYPERHIDROSIS (diaphoretic) in a 53-year-old female pa | U | 04/07/2021 | 04/07/2021 | 0 | UNK | Seafood allergy (Febreze.) | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1614225 | 08/22/2021 | WI | 63.0 | 63 | F | Shoulder is swollen; Under armpit is swollen; sore shoulder; Some swelling underneath and in my shoulder; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Shoulder is swollen), LYMPHADENOPATHY (Under arm | U | 04/05/2021 | UNK | Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1617964 | 08/22/2021 | WI | 63.0 | 63 | F | Patient received a 3rd dose of Moderna Covid-19 vaccine; This spontaneous case was reported by an other health care professional and describes the occurrence of EXTRA DOSE ADMINISTERED (Patient received a 3rd dose of Moderna Covid-19 vaccine) in a 63-year- | Y | 05/21/2021 | 05/21/2021 | 0 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1628216 | 08/24/2021 | WI | 63.0 | 63 | M | Pt. states that after receiving the 2nd dose of Shingrix 08/19/2021, started experiencing symptoms 08/19/2021 of fatigue, muscle ache, nausea, and arm pain. Lasting 24hrs, no noted lingering side effects. No noted Primary visit. | Y | 08/19/2021 | 08/20/2021 | 1 | N/A | PHM | Losartan, Pantaporsal, Gabapentin, Perroxicam, Allopurinol | N/A | Gout, HBP, Acid-Reflux, Spinal Issues, Neuropathy | 2 | 08/24/2021 | Pennicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1637003 | 08/26/2021 | WI | 63.0 | 63 | M | Pt received first dose of Moderna COVID-19 vaccine on 4/3/21, second dose on 5/1/21. Lot numbers not specified in electronic medical record (EMR). Pt was admitted to hospital 8/21/21 after initial COVID diagnosis via ER on 8/8/21. Pt admitted with intermit | Y | 3 | Y | 05/21/2021 | 08/21/2021 | 92 | COVID-19 PCR via NP, 8/12/21 Positive Chest x-ray (performed prior to admit to this hospital), 8/21/21 with mild patchy diffuse ground glass opacities | UNK | Lisinopril tab daily Multivitamin daily Pravastin Sodlum (Pravachol) tab daily | N/A | Essential hypertension Hyperlipidemia Hypogonadism | 2 | 08/26/2021 | Y | Y | Atorvastatin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1690668 | 09/11/2021 | WI | 63.0 | 63 | M | THE INTENDED VACCINE WAS SHINGRIX. THE ADMINISTERED VACCINE WAS COVID-19. NO SYMPTOMS WERE EXPERIENCED AND NO TREATMENT WAS NECESSARY. | Y | 09/09/2021 | 09/09/2021 | 0 | PHM | TRAZODONE, OLANZAPINE, METOPROLOL | NO KNOWN OTHER ILLNESSES | HYPERTENSION, INSOMNIA, MOOD DISORDER | 2 | 09/11/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1694897 | 09/13/2021 | WI | 63.0 | 63 | F | about 2 weeks after 2nd vaccination patient reported excessive heartburn and vomiting. No prior history of heartburn. Reports her daughter who had J&J vaccine had a similar experience. Heartburn continues approx. 5 months after vaccination. Also experi | N | 04/22/2021 | 05/12/2021 | 20 | Blood work. | PUB | inhalers for COPD | None | COPD | 2 | 09/13/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1700622 | 09/15/2021 | WI | 63.0 | 63 | F | It started around 07/05/2021 it was a dry cough, body aches, nasal congestion, and headaches. I did not have a fever. It was below 100. It started out like a cold but then I felt a lot worse. The people I were with got sick so I thought I picked up the sam | Y | 03/22/2021 | 07/05/2021 | 105 | Covid test 07/07/2021 negative | SCH | Mobic; Prevacid; Metoprolol; Eliquis; Flecainide; Hydrochlorothiazide; Cymbalta; Tylenol; Vicodin; vitamin D; vitamin C | None | Osteoarthritis; Atrial fibrillation; GERD; sleep apnea; high blood pressure; anxiety | vsafe | 2 | 09/15/2021 | Y | Ceclor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1713918 | 09/19/2021 | WI | 63.0 | 63 | M | Burning in scrotom, difficulty breathing, chest pain mimicking heart attack symptoms, headache, nausea, vomiting, muscle aches, shortness of breath, dizziness, fatigue all began by 8 a.m. 9/14 (the morning after the injection) Started feeling better by m | N | 09/13/2021 | 09/13/2021 | 0 | 9/14/2021: Rushed to the emergency room at where I had an EKG, Chest X-Ray, A bag of fluids and Zofran administered via IV. Also received 1000 mgs of Tylenol tablets. EKG was normal, chest X-Ray showed an irregularity in lower left lobe which will have a | PHM | Tamsulosin, Atorvastatin, Multi vitamin, | Arthritis | Dose 1 of the Shingles Vaccine 2019 61 years of age | 2 | 09/19/2021 | Allergic to All NSaids (i.e. aspirin, ibuprofen, naproxen sodium) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731168 | 09/24/2021 | WI | 63.0 | 63 | M | Dehydration HISTORY OF PRESENT ILLNESS He a 63 y.o. male with past medical history including: COVID-19 infection on 9/17/21, Malignancy, secondary metastases to liver, kidney mass, urinary retention, secondary malignancy to the lung, obesity, dys | Y | U | 03/18/2021 | 09/17/2021 | 183 | Coronavirus 2 PCR Detect, V symptomatic POSITIVE | UNK | 2 | 09/24/2021 | Y | adhesaives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1745411 | 09/29/2021 | WI | 63.0 | 63 | M | Patient walked in to the Health Department to receive what was supposed to be their first Johnson & Johnson vaccine. They filled out the necessary paperwork, and their immunization record was supposed to be checked for previous COVID-19 vaccination but was | U | 09/29/2021 | 09/29/2021 | 0 | PUB | N/A | N/A | N/A | 2 | 09/29/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1745759 | 09/29/2021 | WI | 63.0 | 63 | M | The patient had a breakthrough covid diagnosis on 9/27/2021 despite having received covid vaccination on 8/19/21 and 9/16/21 | N | 08/19/2021 | 09/22/2021 | 34 | +covid test on 9/27/21 | OTH | flomax and omeprazole | none | gastric reflux, benign prostate hypertrophy, stage 3 chronic kidney disease, elevated cholesterol | 2 | 09/29/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1753711 | 10/01/2021 | WI | 63.0 | 63 | M | Patient contracted COVID after being fully vaccinated low grade fever | 03/01/2021 | 09/27/2021 | 210 | PHM | acetaminophen 650mg q4hr prn cholecalciferol 2,000IU daily furosemide 20mg daily ibuprofen 400mg prn levothyroxine 25mcg daily paroxetine 20mg daily quetiapine 25mg HS | 2.19.2021 Bilateral Edema | Down Syndrome, hyperlipidemia, hypothyroidism, obesity, venous insufficiency, osteoarthritis, GERD, chronic edema, chronic kidney disease stage 3, vitamin d deficiency, depression | 2 | 10/01/2021 | penicillin - rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1754209 | 10/01/2021 | WI | 63.0 | 63 | F | Admitted to Memorial Hospital on 8/19/2021 with cough, SOB, weakness, hypoxia. Admitted to Hospital and Clinics on 8/27/2021 with dx: COVID-19 Pneumonia-ARDS with severe hypoxemic/hypercarbic respiratory failure. She died on 9/4/2021 of ACUTE HYPOXIC RESPI | Y | 09/04/2021 | Y | N | 03/26/2021 | 08/19/2021 | 146 | 8/19/2021 CXR bilateral infiltrates 8/19/2021 SARS Cov-2 Detected per PCR | UNK | unknown | unknown | kidney/liver transplant, CKD stage III, hypothyroidism, CAD | 2 | 10/01/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1757527 | 10/03/2021 | WI | 63.0 | 63 | F | Difficulty focusing eyes, vomiting, sticky eyes, inability to concentrate, head pain | N | 09/12/2021 | 09/12/2021 | 0 | None | PHM | Serevent Diskus, Flovent, Montelukast, Ritual +55 | None | Asthma | 2 | 10/03/2021 | Y | Penicillin, pineapple, vinegar, sulfa, msg, gluten | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1798395 | 10/19/2021 | WI | 63.0 | 63 | F | After the vaccine , I did have a cough and COVID test and felt it was allergies. Transient global amnesia in 24 hrs for 2-3 weeks on 23 Jun2021. I was on a field trip, I was coming back and felt weird and I could not remember some details. When I having di | Y | 04/19/2021 | 06/23/2021 | 65 | Every test were normal. EKG EEG CT scan MRI | PVT | Lisinopril -10 milligrams; Vitamin D; Half Imodium; Atorvastatin - 20 milligrams; Omeprazole- 20 milligrams | no | High Blood Pressure; GERD; High Cholesterol; Bowels | vsafe | 2 | 10/19/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1799338 | 10/19/2021 | WI | 63.0 | 63 | M | Developed a bilateral lower extremity peripheral neuropathy several weeks after vaccination. Confirmed by recent EMG/NCS. | N | 04/10/2021 | 05/01/2021 | 21 | EMG/NCS 10/14/2021 | OTH | Tamsulosin HCL 0.4 mg, one a day Omeprazole 10 mg, one a day Ropinerole 0.5 mg 2 a day | None | Obstructive sleep apnea Esophageal reflux Restless leg syndrome Benign prostatic hypertrophy | 2 | 10/19/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1800284 | 10/20/2021 | WI | 63.0 | 63 | F | malaise; dizziness; "I am not myself"; dull headaches; received 3 dose accidental of Moderna instead of Flu shot; This spontaneous case was reported by a consumer and describes the occurrence of MALAISE (malaise), DIZZINESS (dizziness), FEELING ABNORMAL (" | Y | 02/24/2021 | 08/14/2021 | 171 | UNK | USMODERNATX, INC.MOD20213 | 2 | 10/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1815381 | 10/25/2021 | WI | 63.0 | 63 | M | BREAKTHROUGH COVID INFECTION. CONSIDERING REGEN-COV AT TIME OF SUBMISSION. | N | 03/18/2021 | 10/24/2021 | 220 | POS COVID-19/ABBOTT | PVT | APIXABAN, ASA 81 MG, ATORVASTATIN 80 MG, FEROSOL, LOSARTAN, METOPROLOL XL 25 MG, PANTOPRAZOLE ER 25 MG, SPIRONOLACTONE 25 MG, TAMSULOSIN 0.4 MG. | none listed | CHF, RIGHT SIDED HEART FAILURE, HISTORY ATRIAL FIB, CARDIAC ARREST, ACUTE STEMI,, CARDIOGENIC SHOCK, ALL IN 2019. HYPERLIPIDEMIA, ESSENTIAL HTN. | 2 | 10/25/2021 | Y | Macadamia nut oil | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1838823 | 11/03/2021 | WI | 64.0 | 63 | F | 3rd dose administered to non-immunocompromised patient; This spontaneous case was reported by a pharmacist and describes the occurrence of OFF LABEL USE (3rd dose administered to non-immunocompromised patient) in a 64-year-old female patient who received m | Y | 03/19/2021 | 06/13/2021 | 86 | UNK | USMODERNATX, INC.MOD20213 | 2 | 11/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1843404 | 11/04/2021 | WI | 63.0 | 63 | M | Continual vomiting, intense shivering (teeth chattering), intense joint spasms, feeling extremely fatigued. | N | 11/03/2021 | 11/03/2021 | 0 | PVT | Insulin | Diabetic and arthritis | 2 | 11/04/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1844064 | 11/04/2021 | WI | 63.0 | 63 | M | Patient given COVID-19 vaccine by Pfizer in error. He intended to get a Fluzone vaccine. | U | 11/04/2021 | 11/04/2021 | 0 | OTH | 2 | 11/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX |