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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0928667 | 01/08/2021 | TN | 64.0 | 64 | F | None stated. | 01/06/2021 | 01/07/2021 | 1 | PUB | OTC Zinc 50mg 1/day OTC D3 125 mg 1/day OTC Vitamin C 100mg 1/day Bupropion XL 300mg 1/day Amlodipine 5 mg 1/day Simvastatin 20mg 1/day Metoprolol ER 50mg 1/day Verapamil ER 240 mg 1/day | arthritis | 2 | 01/08/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0929710 | 01/08/2021 | TN | 64.0 | 64 | F | on day 10 after the vaccine my L arm got red and hot and about the size of a half dollar, now it is day 13 and the redness is larger about 3x5 in size still red and hot and a bit sore. | N | 12/26/2020 | 01/05/2021 | 10 | PUB | trulicity,metformin,lisonipril,baby asprin,zoloft,nexium | no | diabetic type 2 | 2 | 01/08/2021 | no known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0945375 | 01/14/2021 | TN | 64.0 | 64 | F | about 20 minutes later, cheeks felt flushed and turned bright red, slight itching around the face and upper body | Y | 01/14/2021 | 01/14/2021 | 0 | PUB | lisinopril, prozac, vitamin D, 325mg aspirin | none | none | 2 | 01/14/2021 | Cervidil (dinoprostone) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0952689 | 01/18/2021 | TN | 64.0 | 64 | F | After I received the vaccine went home rested temp went up one time 99.0. The next day woke up heart was pounding check my BP 150/80 laid back down. I woke up around 5pm my BP had elevated to 160 (don't remember diastolic reading) pulse rate normal limits. | Y | 2 | N | 12/28/2020 | 12/29/2020 | 1 | 2 EKG,CT Scan, Chest X-ray, 2 sets bloodwork | PVT | Estrogen, Vit D, Multivitamin, Elderberry | UTI (one month prior) | Arthritis (left knee) | vsafe | 2 | 01/18/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0955090 | 01/19/2021 | TN | 64.0 | 64 | F | uticaria and pruritis with papules present, started day 8 after injection, and continues currently although uticaria are beginning to fade. | N | 01/07/2021 | 01/15/2021 | 8 | OTH | losartan, amlodipine, levothyroxine | no | Hypertension, hypothyroidism | 2 | 01/19/2021 | allergy to morphine - migraines and vomiting | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0972070 | 01/25/2021 | TN | 64.0 | 64 | F | She experienced headache, dizziness and SOB. Later she developed diarrhea, then swelling in her both feet and right knee. She was admitted to the hospital for tests last Friday night and was discharged with gout. They drew fluid from her knee and left ankl | Y | N | 01/14/2021 | 01/21/2021 | 7 | SEN | 2 | 01/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0996926 | 02/03/2021 | TN | 64.0 | 64 | F | headache, joint and muscle aches, chills, fatigue, nausea | N | 01/31/2021 | 02/01/2021 | 1 | SEN | Dose 1 Covid 19 Moderna | 2 | 02/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1002279 | 02/04/2021 | TN | 64.0 | 64 | F | Shortly after the vaccination I developed a really bad headache for the first 2 days. Stopped for a day and returned for another day and went away on its own. I had inside body chills, felt weak and tired and had a little sinus pressure but no fever which | U | 01/20/2021 | 01/20/2021 | 0 | no | PVT | Clonodine, 81 mg Aspirin, Hydralazine, Lorizipan, Lasix, Rena-Bite | bracycardia | Hypertension, Renal issues | vsafe | 2 | 02/04/2021 | Penicillin, Percocet | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1003465 | 02/04/2021 | TN | 64.0 | 64 | F | 9 days after injection, swelling, redness, itching and heat at injection site. All symptoms increased in the next 24 hours. Swelling advanced to elbow and rash spread across upper arm from front to back. Center of rash became mottled and peeled. No pain bu | N | 01/22/2021 | 02/02/2021 | 11 | Went to Walk in clinic the next day. Doctor was not sure of the source of the response but prescribed Clindamycin (450 mg 2x/day) and Betamethasone Topical ointment (0.05%) 2x/day. | OTH | Lexipro 7.5 mg, Omeprazole 40 mg | None | None | Rash on chest after first Shingrix vaccine. No adverse response after 2nd shot. | 2 | 02/04/2021 | Y | Penicillin, Cipro, Shellfish, Fosamax, Sulfa Drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1008361 | 02/06/2021 | TN | 64.0 | 64 | F | I developed a headache, muscle aches and fatigue the day after the vaccine. The symptoms dissipated after Motrin, but kept returning. I tested positive for Covid on 1/2/21. | Y | 12/30/2020 | 12/31/2020 | 1 | Covid PCR tesst | PUB | Zyrtec, Astelin, Flonase Sensimist, Calcium 500mg, Vitamin D 2000 units, Estradiol patch 0.05mg, Progesterone 100 mg | None | None | 2 | 02/06/2021 | Penicillin, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1012256 | 02/08/2021 | TN | 64.0 | 64 | F | Obtained 1st Moderna Covid Vaccine on 2/4/21, about 9 minutes c/o tingling all over and not feeling good. 2:24pm-Alert, HR 179, BP 170/78, O2 sat 97%. 2:25 p.m. - Benadryl 50mg Im given R deltoid. HR 94, 2:28pm-HR 98, O2 sat 94%. 2:29pm-HR 88. 2:31pm-HR 88 | 02/04/2021 | 02/04/2021 | 0 | PUB | Unknown | Unknown | Unknown | 2 | 02/05/2021 | Y | PCN years ago per patient. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1027321 | 02/12/2021 | TN | 64.0 | 64 | F | Severe back pain emanating from spine to left ribs with movement of leg and raising/reaching with arm, rating pain a 10 out of 10. I grimaced out loud with any movement. It felt like a vise grip that would break my back apart. Initially, it began as slight | U | 02/10/2021 | 02/11/2021 | 1 | I scheduled appointment with my orthopedic doctor for 2/17/21 | WRK | Omeprazole, multi-vitamin, vitamin D3, glucosamine chondroitin | None | seasonal rhinitis, spondylothesis L4-L5 | Zostavax, age 60 in 2016. Left arm swollen beyond the injection site, redness, pain. I contacted my PCP. | 2 | 02/12/2021 | Y | penicillen, bactrim, keflex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1038100 | 02/18/2021 | TN | 64.0 | 64 | M | Chills started 9:00pm day of shot. Chills, headache and fever throughout the night. Following day of vaccine: Chills, fever 100.8 , slight headache | 02/17/2021 | 02/17/2021 | 0 | PUB | Levothyroxine, Atorvastatin, Folic Acid, Lorsartan | None | Polymyalgia Rheumatica (takes methotrexate 4 x 2.5 weekly) | 2 | 02/18/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1050173 | 02/23/2021 | TN | 64.0 | 64 | F | Pt complained of swelling of left side of face and feeling as if her throat was swelling. | U | 02/23/2021 | 02/23/2021 | 0 | PUB | 2 | 02/23/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1053074 | 02/24/2021 | TN | 64.0 | 64 | M | Fever, chills, dizzy | N | 02/23/2021 | 02/24/2021 | 1 | PHM | To many to count | Covid | Asthma, Minimal change disease | Flu shot | 2 | 02/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1067299 | 03/02/2021 | TN | 64.0 | 64 | F | set on fire inside | U | 02/23/2021 | 02/23/2021 | 0 | PUB | vitron c, esomeprazole magnesium 40 mg, alprazolam, metformin 500 mg, trazodone, gabapentin 300mg, Januvia | diabetes | 2 | 03/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079105 | 03/07/2021 | TN | 64.0 | 64 | F | Within 10-15 minutes of receiving the shot, my face and ears became very flushed and hot; I felt as if I had a large dose of a Medrol Dose-pak/steroid. I did not have any difficulty breathing, nor did I feel my throat constricting or other symptoms of anap | Y | 03/02/2021 | 03/02/2021 | 0 | None | OTH | I can provide a detailed list, if needed. (I take many) | Hypertension, IBS and Chronic migraines | 2 | 03/07/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1082602 | 03/08/2021 | TN | 64.0 | 64 | F | Moderna COVID-19 Vaccine EUA Symptoms: fever of 101 degrees, bad body aches, nausea, sore arm , fatigue ; and this was first vaccine Had Covid 12-31-2020 and lasted 2 weeks with fever off and on | U | 03/05/2021 | 03/06/2021 | 1 | PHM | Nexium, Atorvastatin, alendronate sodium | Reflux | New shingles vaccine, age 62 | 2 | 03/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1084752 | 03/09/2021 | TN | 64.0 | 64 | F | Severe muscle spasms (requiring a muscle relaxer); low grade fever (99.3) and chills. | N | 02/24/2021 | 03/08/2021 | 12 | None | PUB | Centrum Silver multivitamins | None | None | 2 | 03/09/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1086320 | 03/09/2021 | TN | 64.0 | 64 | F | After shot on 24th, tightness in left side of face and can't blink left eye normally, cornea drying out. | Y | N | 02/24/2021 | 02/24/2021 | 0 | PHM | 2016, February had shingles which was diagnosed incorrectly and later developed Ramsey Hunt , left side of face dropped. after acupuncture for several months improved and could blink normally, but have some weakness in left side of face. | 2 | 03/09/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1090186 | 03/11/2021 | TN | 64.0 | 64 | F | blood pressure was 286/89/blood pressure was so high; rapid heartbeat; severe inflammatory reaction; fever; headaches; body was in a weakened state; pain in arm; swelling up her arm/swelling in hands; had a severe reaction; swelling at injection site; hot; | N | 02/18/2021 | 02/18/2021 | 0 | Test Date: 20210220; Test Name: blood pressure measurement; Result Unstructured Data: 286/89; Test Date: 20210220; Test Name: test; Result Unstructured Data: severe inflammatory reaction | UNK | TIZANIDINE; FLUVOXAMINE; SYNTHROID; VITAMIN D [COLECALCIFEROL]; VITAMIN C [ASCORBIC ACID]; FISH OIL | Lung disorder (lung function compromised); Penicillin allergy (Allergy to Penicillin and Sulfa drugs); Pseudobulbar affect; Sulfonamide allergy; Vitamin D deficiency | Medical History/Concurrent Conditions: Brain swelling (swelling on back of brain stem); Memory loss; Pneumonia; Speech disorder (problems with speech); Traumatic brain injury | USMODERNATX, INC.MOD20210 | 2 | 03/08/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1090730 | 03/11/2021 | TN | 64.0 | 64 | F | pt states that when she woke up next day after taking vax she was extremely tired, felt like she has diarrhea (but did not actually have it), chills, and shaking. Her left arm is hurting from the injection site to her neck and down to her elbow. Pt says | N | 03/10/2021 | 03/11/2021 | 1 | no | SEN | vitamin C 1000 un, vitamin D 5000 un, B12 2000mg, Zinc 50mg, Turmeric 1000mg, potassium chloride ER 10mg, atorvastatin 80mg, losartan HC 100 12.5 mg, levothyroxine 88mcg, | no | HBP, Low Thyroid, high Cholesterol, low potassium, | 2 | 03/11/2021 | some of the "statin" meds | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1097409 | 03/13/2021 | TN | 64.0 | 64 | F | Within 5 minutes of injection my eyes begin burning, my head started swimming and I could not focus my vision ,my heart was racing. I had no breathing issues and was able to get through it as it only lasted 6 to 7 minutes. But I'm very concerned as to taki | Y | 03/11/2021 | 03/11/2021 | 0 | I did not report at the time as they were extremely busy and I felt fine after the episode passed. | PVT | None | None | Overweight,hypertension | 2 | 03/13/2021 | Latex, plants and molds | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1097655 | 03/13/2021 | TN | 64.0 | 64 | F | pt was vomiting, near syncope, tremors, laid pt down and put her in trending burg, pt responded well BP was 112/62 911 was called. pt recovered and was able to verbalize how she was feeling and was transported to ER for further evaluation. | U | 03/13/2021 | 03/13/2021 | 0 | none | PVT | amLODIPine 5 mg tablet TAKE 1 TABLET BY MOUTH ONCE DAILY chlorthalidone 25 mg tablet TAKE 1 TABLET BY MOUTH ONCE DAILY cloNIDine HCL 0.1 mg tablet stopped by hospitalist clotrimazole 1 % topical cream APPLY TO THE AFFECTED AND SURROUN | chest pain CATH 9/4/19: Normal Coronary arteries, Nl LV function. Echo 4/2019: EF 65-70%, Grade 2 DD, mild eccentric MV regurgitation chronic obstructive lung disease Normal PFT (8/17/20) on chronic medications. Sleep apnea a consideration per PFT report. | 2 | 03/13/2021 | Y | Beta-Blockers (Beta-Adrenergic Blocking Agts) bradycardia, severe citalopram other, moderate QT prolonged Compazine other, mild to moderate twtiching reported with it's use morphine OxyContin tuberculin, purified protein derivative | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1098202 | 03/14/2021 | TN | 64.0 | 64 | F | Saturday night around 9:45 my hands and arms began itching. Then i noticed they had broken out in a red rash with whelps beginning on my arms. It then began breaking out on my face and legs. I took 25 mg of benadryl. The rash continued to spread so I | 03/07/2021 | 03/13/2021 | 6 | PVT | Probiotic GX, Vitamin | none | pre-diabetic | 2 | 03/14/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1104084 | 03/16/2021 | TN | 64.0 | 64 | F | Admitted to hospital- Acute severe progressive hypoxic respiratory failure- intubated, trach placed, COVID-19 pneumonia, Afib Patient treated at primary care office 01/13/2021 for respiratory illness (tested negative for COVID at this time), had vaccine 01 | Y | Y | 43 | N | 01/20/2021 | 01/20/2021 | 0 | patient admitted 01/29/2021 through 03/12/2021 and now in rehab facility. Many tests done including labs, imaging. COVID-19 testing done on 01/21/2021 at urgent care. CT Chest 01/31/2021 findings: Multifocal infiltrate, presumed infectious pneumonia | PUB | Metformin, Folic Acid, Ambien, Hydrocodone, Lipitor, Buspirone, Gabapentin, Effexor, Lisinopril, Pantoprazole, Synthroid, Baclofen, Diclofenac | treated by PCP office on 01/13/2021 for cough, shortness of breath and sore throat | Diabetes, Hypertension, Obesity, Hypothyroid, Chronic pain | 2 | 03/16/2021 | Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1104821 | 03/16/2021 | TN | 64.0 | 64 | M | MILD ITCHING: OVERALL BODY ITCHING MANIFESTED APPRX. 4 HOURS AFTER INJECTION ESPECIALLY AT FEET, EYES, HANDS AND ARMS. NO RASH. PATIENT TOOK DIPHENHYDRAMINE FOR ITCHING. ITCHING LASTED APPRX. 24 HOURS. AUDITORY SENSITIVITY: MINOR SOUNDS SEEMED AMPLIFIE | U | 03/09/2021 | 03/09/2021 | 0 | NONE | PHM | TRAZADONE, CELEBREX, FINASTERIDE, PANTOPROZOLE, ASMANEX, FLONASE, CETERIZENE, CYMBALTA, AZELASTINE, TAMSULOSIN, FAMOTIDINE, PROAIR RESPICLICK, ZINC+VITAMIN C, TUSSIN CF. | ASTHMA, ENVIRONMENTAL ALLERGIES (POLLEN, GRASS, MOLD) | ASTHMA, ENVIRONMENTAL ALLERGIES (POLLEN, GRASS, MOLD), OBESITY, GERD. | 2 | 03/16/2021 | CODEINE, HYDROCODONE, ORAL STEROIDS, OPIATE PAIN RELIEVERS, TYLENOL, COCONUT, CINNAMON, TREE NUTS, MSG. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108712 | 03/17/2021 | TN | 64.0 | 64 | M | Patient reports muscles aches, joint aches, fever, chills | Y | 02/18/2021 | 02/18/2021 | 0 | PVT | UNKNOWN | UNKNOWN | UNKNOWN | 2 | 03/17/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108925 | 03/17/2021 | TN | 64.0 | 64 | F | Small blisters in mouth along with pain in jaw and severe headache on left side began approximately 1 hour after taking the vaccine. Arm sore, headache and pain continues on left side of neck and jaw on the left side along with feeling fatigue. Took ibup | N | 03/16/2021 | 03/16/2021 | 0 | None | PHM | Lyrica, vitamins, | None | Arthritis Basilar Artery Disorder Asthma Diabetes Type 2 Meniere?s Disease Bloods Clots in legs previously x2 79-80 Herniated Disk--foot drop remains on R side Trigeminal Neuralgia Neuropathy in legs worse on rt side | 2 | 03/17/2021 | Drug Reaction Latex Anaphylactic reaction Steroids Extreme muscle atrophy Bee Stings Anaphylactic reaction Gluten Asthma/Upper respiratory Tylenol Extreme Headache EEG (Erythromycin) As | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1115973 | 03/19/2021 | TN | 64.0 | 64 | M | Developed slight tingle/numbness in right cheek area, like a very mild Bells Palsey | 03/19/2021 | 03/19/2021 | 0 | NONE | PUB | NONE | NONE | NONE | 2 | 03/19/2021 | Most Sulfa Drugs and Celebrex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1121307 | 03/21/2021 | TN | 64.0 | 64 | F | About 14 hours after the injection I began running a high fever- the highest was 103. Along with severe body shaking, chills, body aches and pain, mild headache, earache, sore throat, coughing, and loss of emotional control. Used Tylenol and ice packs for | Y | 03/19/2021 | 03/19/2021 | 0 | None | OTH | Estradiol, Sertraline, Simvastatin, Meloxicam, Montelukast, Lisinopril, fish oil, multi vitamin, Allegra, Turmeric, Percocet. | Recovering from torn rotator cuff surgery on February 3, 2021. | Depression, high blood pressure, high cholesterol, arthritis. | 2 | 03/21/2021 | Penicillin, TB skin test | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1137875 | 03/26/2021 | TN | 64.0 | 64 | F | Arm red and swollen from injection site to elbow. Red patches on arm Headache over 48 hours Flu like symptoms | N | 03/01/2021 | 03/25/2021 | 24 | None | PHM | CellCept Cymbalta Flexeril Primidone Ropinirole Restoril | Fibromyalgia Autoimmune Hepatitis/overlaping PBC Osteoporosis Asthma Right Aortic Valve Stenosis | 2 | 03/26/2021 | Azathioprine Pregabalin Gabapentin Sinemet Medrol Dose Pack Penicillin Vitamin D2 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139705 | 03/27/2021 | TN | 64.0 | 64 | F | Moderna COVID-19 Vaccine EUA. Several red streaks above the injection site | Y | 03/15/2021 | 03/16/2021 | 1 | None | OTH | Ibuprofen the evening of the vaccination for pain at the injection site. | None | Hip Bursitis, FFA (Frontal Fibrosing Alopecia) | 2 | 03/27/2021 | Y | IV dye, K-flex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1143261 | 03/29/2021 | TN | 64.0 | 64 | F | Large volume obstructive PEs with bilateral pleural and pericardial effusions | Y | Y | N | 03/12/2021 | 03/28/2021 | 16 | CT Chest | PVT | Synthroid | None | Hypothyroidism | 2 | 03/29/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1144956 | 03/29/2021 | TN | 64.0 | 64 | F | patient's arm swollen slightly around injection site, and warm to touch, no other symptoms, believed to be normal immune response, advised to see a dr and let her know we would report | N | 03/20/2021 | 03/29/2021 | 9 | na | PHM | not available | none reported | not available | 2 | 03/29/2021 | Y | none listed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1145224 | 03/29/2021 | TN | 64.0 | 64 | F | AT 109 PM C/O TIGHTENING OF THROAT, EPI X 3 SEPERATED BY 5 MINUTES ADM IM. BENADRYL 50 MG IM ADMINISTERED ALSO. EMS TRANSPORTED TO ER AT 1:24 PM. | U | 03/29/2021 | 03/29/2021 | 0 | PUB | 2 | 03/29/2021 | Y | SULFA CAUSE RASH CIPRO AND BACTRIM CAUSE ITCHING AND SWELLING TO FACE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1146985 | 03/30/2021 | TN | 64.0 | 64 | M | dry cough, chills, and at that time he tested positive to COVID-19. symptoms have progressively worsened with diarrhea, fever with T-max of 101?, loss of taste and smell sensations | Y | 2 | N | 03/12/2021 | 03/23/2021 | 11 | PVT | Methotrexate 20mg weekly, provigil 200mg QAM, Hyzaar 100/25mg bid, Metformin 1g BID, Lofibra 134mg daily, Zocor 20mg daily, Norvasc 10mg daily, Celexa 20mg daily, Flexeril 10mg daily, Amaryl 4mg daily, Flomax 0.4mg daily, Gabapentin 300mg T | nothing acute, just comorbidities | hypertension, asthma, morbid obesity, non insulin-dependent diabetes with peripheral neuropathy, BPH, chronic pain, OSA on CPAP, PVD, prior DVT s/p IVC filter, severe DJD of cervical and thoracolumbar areas, and rheumatoid arthritis on DMARDs | 2 | 03/30/2021 | Penicillins, soap (From BETADINE), povidone-iodine (From BETADINE), adhesive | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1147828 | 03/30/2021 | TN | 64.0 | 64 | M | ?Covid Arm? rash soreness | N | 03/22/2021 | 03/30/2021 | 8 | PVT | Vitamin D 2000 units daily | None | None | 2 | 03/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1148467 | 03/30/2021 | TN | 64.0 | 64 | F | redness and heat at injections site | 03/21/2021 | 03/30/2021 | 9 | UNK | 2 | 03/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1152061 | 03/31/2021 | TN | 64.0 | 64 | F | 3/17/21-Pattern of red bumps (rash) in a circular pattern, itch and I applied alcohol at 9:30pm 3/18/21-Contacted Physician because of welping that occurred on the site Dr viewed via Zoom session and sent in a prescription of Prednosone (5) pills, suggeste | N | 03/13/2021 | 03/17/2021 | 4 | No medical tests performed | SCH | Trulicity, Januvia, Metformin, Atorvastatin,lisinopril, Omega 3, vitamin D | None | Diabetes | 2 | 03/31/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1160158 | 04/02/2021 | TN | 64.0 | 64 | F | That morning, I woke up with a red circle on right thigh was extremely itchy and hot and it was a little bit raised - on the 7th at 09:00 am. By 7 pm that night, it had more than doubled in size - three times that size by the evening. From 2 inches to 6 in | Y | 01/06/2021 | 01/07/2021 | 1 | no | OTH | Labetalol; Xyzal; Atorvastatin; Vit D: Women's Multi-Vitamin; Salmon oil; Calcium | Bi-lateral Mastectomy in September 2020 so I had the vaccine in my thig because I was suffering from lymphedema in my arms. | Breast Cancer in September 2020 | vsafe | 2 | 04/02/2021 | Y | yes - allergies to Iodine CAT Scan Dye; sulpha antibiotics; Levofloxacin; Ciprofloxacin; Iodinated diagnostic contrast dyes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1168271 | 04/05/2021 | TN | 64.0 | 64 | F | Moderna COVID-19 Vaccine EUA | N | 04/01/2021 | 04/01/2021 | 0 | PUB | generic claratin, estradiol, sertraline | none | none | 2 | 04/05/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177444 | 04/07/2021 | TN | 65.0 | 64 | F | 04/05/2021 Received the Pfizer vaccine does one at 10:10 am Reaction 1) at 11:00am I started experiencing a very bad taste in my mouth. it was very metallic . It was not relieved by oral intake or mouthwash or teeth brushing. It lasted about 7 hours Rea | Y | 03/29/2021 | 04/05/2021 | 7 | No tests were done | MIL | Chlorthalidone, potassium,magnesium, Advair, Singulair, multivitamins, as needed albuterol, nasonex allegra | No concurrent illness at the time of vaccine | Asthma, hypertension, high cholesterol , allergic rhinitis | 2 | 04/07/2021 | Ace inhibitors, calcium channel blockers, statins, antibiotics, Cipro, Penicillin, Septra, environmental allergies -trees, grasses etc | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179718 | 04/08/2021 | TN | 64.0 | 64 | F | Two weeks after receiving the vaccine I went to the ER with excruciating pain in my chest. Was diagnosed with a pulmonary embolism. My son who is 33 yes old had the same result after his first Pfizer vaccine in the exact same time frame - yesterday. | Y | Y | N | 03/15/2021 | 03/30/2021 | 15 | 3/30/21: EKG, chest x-ray, blod work, ct scan, sonograms. | OTH | pravastatin 20 mg 3x/week | none | heterozygous for factor V Leiden clotting disorder | 2 | 04/08/2021 | Y | mild allergy to avacado/red skins & few other foods. mild allergy to penicillin - sometimes get a rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1179744 | 04/08/2021 | TN | 64.0 | 64 | M | Received 1st does of Pfizer vaccine on 1/16 and 2nd dose on 2/8/21, tested positive for COVID-19 on 4/5/21 during a routine screening test, reported asymptomatic | U | 02/08/2021 | 04/05/2021 | 56 | SARS-COV-2 QUALITATITIVE PCR- DETECTED | PVT | NA | NA | Hypertension | 2 | 04/08/2021 | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1180479 | 04/08/2021 | TN | 64.0 | 64 | M | Embarrassing event to say the least. Both of my male breasts around nipple are very sensitive to the touch. Pain incurrs if say for instance I roll over in bed, pick up a pet, or wash the affected area in the shower. | N | 03/08/2021 | 04/04/2021 | 27 | none | UNK | Astorvastatin 40mg daily ? Vit D2 1.25mg every Monday and Thursday ? Pristig 100 mg daily ? loratine 10mg OTC allergy med daily ? Eliquis 5mg twice daily Cardizem 120 daily ? furosemide 40 | none | heart bypass 3 years ago. healthy now. | 2 | 04/08/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1182139 | 04/08/2021 | TN | 64.0 | 64 | M | Patient was inadvertently given 0.3 mL of vaccine instead of 0.5 mL. Per our regional Doctor, patient did receive valid dose since dose administered was over half of CDC recommended dose. Regional doctor instructed that patient should be notified of incide | N | 04/08/2021 | 04/08/2021 | 0 | None | PUB | N/A | None | None | 2 | 04/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1182196 | 04/08/2021 | TN | 64.0 | 64 | M | Patient was inadvertently given 0.3 mL of vaccine instead of 0.5 mL. Per our regional Doctor, patient did receive valid dose since dose administered was over half of CDC recommended dose. Regional doctor instructed that patient should be notified of incide | Y | 04/08/2021 | 04/08/2021 | 0 | None | PUB | None | None | None | 2 | 04/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1183583 | 04/09/2021 | TN | 64.0 | 64 | M | Dizziness, difficulty breathing for 3 days, fever in excess of 101.6 for 2 days, loss of taste, loss of appetite, severe fatigue, body aches especially in neck and chest, | Y | 04/01/2021 | 04/01/2021 | 0 | OTH | Depakote, lasics, dytalazin, synthroyd, medformin, gilipermided, ravostatian, Buspar, welbutren, pradaxa | High Blood Pressure, Afib, CHF, | 2 | 04/09/2021 | Peanuts, coding, morphine, beta blockers, feldine, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1186416 | 04/09/2021 | TN | 64.0 | 64 | F | Patient received Pfizer #1 on 3/18/21. Patient registered for second dose Moderna pod on 4/9/21 Contact was attempted and unsuccessful on 4/8/21 to inform patient she had registered for the wrong pod. Patient came to Moderna pod on 4/9/21 and inadvertently | 04/09/2021 | 04/09/2021 | 0 | PUB | N/A | 2 | 04/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1193305 | 04/11/2021 | TN | 64.0 | 64 | F | Tasted vaccine in throat, throat closed briefly, ringing in ears began immediately, hearing loss/stuffiness in right ear occurred immediately, foggy brain occurred immediately. The tinnitus is constant and persists along with the hearing loss . | Y | N | 03/11/2021 | 03/11/2021 | 0 | Hearing tests 3-16-2021, 3-26-2021, 4-2-2021 | OTH | Metropolol, amlodopine, Losartan, liothyronine , levothyroxine | Chronic inflammatory response syndrome | 2 | 04/11/2021 | Y | Sensitive to vanvomycib, Cipro, epinephrine Titanium allergy, medical grade plastic allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1200255 | 04/13/2021 | TN | 64.0 | 64 | F | First dose had mildly sore arm only. Second dose felt great initially, even exercised. Then about 14 hours after injection developed chills followed in a couple of hours by fever as high as 100.9, nausea without vomiting, and severe headache which felt li | Y | 03/29/2021 | 03/30/2021 | 1 | None | PVT | ASA 81mg qd, B12 1000u qd, D3 1000u bid, levothyroxine 0.05mg qd, Valsartan 160mg bid | Hypertension, hypothyroid, Factor V Leiden (heterogenous), migraines | Shingrix, age 64 | 2 | 04/13/2021 | Sulfa--rash only | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1203922 | 04/13/2021 | TN | 64.0 | 64 | F | Fever and Chills for 24hrs. Nausea for 32hrs. Headache for 48hrs.Rightside body ache from head to toe for 12hrs. Cold sore appears 3 days after. | Y | 04/09/2021 | 04/10/2021 | 1 | None | PVT | Multi-vitamin,calcium,vitamin D | None | None | 2 | 04/13/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1204211 | 04/13/2021 | TN | 64.0 | 64 | F | extreme shortness of breath after one week and admitted to hospital with blood clots in both lungs and a collapsed lobe in right lung within two weeks | Y | Y | 7 | N | 03/17/2021 | 03/24/2021 | 7 | Multiple tests at ER and at hospital-CAT Scan/X-ray/Blood test/urine test | PHM | Benzonotate, calcium, citalopram, cyclobenzaprine, d3, fish oil, gabapentin, losartan, lumigan, meloxican, mucus DM, potassium chloride, quetiapine, spriva, symbicort as needed | COPD, Pneumonia 6 weeks prior | COPD, asthma, Breast cancer survivor | 2 | 04/13/2021 | Y | Y | augmentin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1208593 | 04/14/2021 | TN | 64.0 | 64 | F | Woke up ion middle of night. Wet with sweat. No fever. Have felt bad since. Feel like I have a pressure in top of my head. No headache . Feel like I have a band around my head | N | 03/30/2021 | 03/31/2021 | 1 | UNK | Liothyronine, metoprolol, dyazide. Aspirin, osteo Biflex, centrum multivitamin hair skin and nails, flax oil capsules, magnesium, | Breast cancer Hypothyroidism Hypertension | 2 | 04/14/2021 | Quinolones | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1217824 | 04/16/2021 | TN | 64.0 | 64 | M | Noticeable increase in volume of existing tinnitus. I used to only be able to hear the ringing if the room was quiet and I actually listened for the tinnitus. Now I hear it all the time. Even so, it is not debilitating and can be ignored if there is extra | N | 03/22/2021 | 04/04/2021 | 13 | None | PVT | Vitamin D 2000 IU | None | None | 2 | 04/16/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1219338 | 04/16/2021 | TN | 64.0 | 64 | F | Soreness at injection site both times, fatigue, mild chills, and mild headache. Took no medications for symptoms. All had passed by next morning after a night of rest. | Y | 04/14/2021 | 04/15/2021 | 1 | none | PUB | Edarbi, Ventolin, Trelogy | none | COPD, Hypertension | 2 | 04/16/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1221016 | 04/16/2021 | TN | 64.0 | 64 | M | MODERATE ITCHING FOLLOWING FIRST AND SECOND VACCINATIONS. ITCHING LASTED 24 HOURS AFTER FIRST SHOT. TREATED WITH BENADRYL. ITCHING LASTED ABOUT 4 HOURS FOLLOWING SECOND SHOT. TREATED WITH BENADRYL. TINNITUS AND AUDITORY SENSITIVITY BEGAN WITHIN 6 HO | N | 04/06/2021 | 04/06/2021 | 0 | HAVE NOT SOUGHT MEDICAL TREATMENT. HAD HOPED TINNITUS WOULD SUBSIDE AS THE ITCHING DID BUT IT HAS WORSENED. WILL PROBABLY CONSULT MY DOCTOR FOR ADVICE. | PHM | TRAZADONE, ASMANEX, FLUTICASONE, FINASTERIDE, CELEBREX, CYMBALTA, PANTOPRAZOLE, TAMSULOSIN, FAMOTIDINE, TUSSIN CF | NONE | REFLUX, ASTHMA. | 2 | 04/16/2021 | CODEINE, HYDROCODONE, OPAL STEROIDS, TYLENOL. CINNAMON, COCONUT, TREE NUTS, MSG. POLLEN, GRASS, DOG, MOLD, SMOKE, STRONG ODORS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1225310 | 04/18/2021 | TN | 65.0 | 64 | F | Body ache, head ache, chills, sleepy | U | 04/01/2021 | 04/18/2021 | 17 | none | UNK | Metformin, Levothyroxine, Novolin 70/30,Symbacort, zyrtec, Novasic, | none | Diabetic 2, Hay Fever, High Blood pressure | 2 | 04/18/2021 | Penniciallan, Flovaise, Hay Fever | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1233518 | 04/20/2021 | TN | 64.0 | 64 | F | Patient complained of headache, diarrhea, and left arm pain that is ongoing since 4/6/2021. She contacted the clinic on 4/19/2021 with her symptoms. The patient was advised to go the the ER. | N | 04/06/2021 | 04/09/2021 | 3 | WRK | 2 | 04/20/2021 | Y | Adhesive, Aspirin, Azithromycin, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1235470 | 04/20/2021 | TN | 64.0 | 64 | M | Numbness and tingling in left side of face. Pt reports onset about 45min to 1 hour after injection. | U | 04/20/2021 | 04/20/2021 | 0 | Monitored and checked vital signs. Neuro exam. | PVT | Trazodone 50mg Sumatriptan 50mg | 2 | 04/20/2021 | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1237825 | 04/21/2021 | TN | 64.0 | 64 | F | Under my Chin and Neck turned scarlet red. A rash or hives covered my chest. On the left side of my neck hives or a rash developed and crossed my shoulder down to the injection sight on my left arm. | Y | 03/10/2021 | 03/10/2021 | 0 | PHM | Norco, Adderall, Naltrexone, Amitriptyline, Cymbalta, Wellbutrin, Pilocarpine, Lasix, Protonix, Estradiol, Geodon, Timolol eyedrops, Xanax, and thera tears eye drops. | Anorexia Nervosa, Mitral Valve Prolapse, Iron deficiency Anemia, Ulcers.etc, Minieres Disease. | 2 | 04/21/2021 | Adhesive tape, silk tape, band aids, etc. Ibuprofen and Morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1237847 | 04/21/2021 | TN | 64.0 | 64 | M | pale, clammy, sweating, lightheadness, possible absence seizure after 2nd shot. He waited his 15 minutes, and was waiting on his wife's 15 minutes, when he started to feel badly. Ambulance came to make sure he didnt have a seizure and his vitals were okay. | Y | 04/19/2021 | 04/19/2021 | 0 | none | PHM | none known | none known | none known | 2 | 04/21/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1242821 | 04/22/2021 | TN | 64.0 | 64 | F | Confusion and memory loss. Lasted about a week. Very obvious to me and to those around me. | Y | 03/22/2021 | 03/23/2021 | 1 | OTH | Simvastatin Levoxyl Calcium Vitamin D3 | None | None. | 2 | 04/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246572 | 04/23/2021 | TN | 64.0 | 64 | F | 7 day coarse of steroids | Y | 03/09/2021 | 03/22/2021 | 13 | None | PVT | Severe muscle pain, severe body aches hot and cold swears, nausea and diarrhea! Called my physician after 4 days and was given a 7 day coarse of steroids. I continue to have muscle soreness in both my thighs | None | Hla27 positive | 2 | 04/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1247272 | 04/23/2021 | TN | 64.0 | 64 | M | He got the vaccine, by 6:00 he was running a little bit of fever, and took some Tylenol and took some more and went to bed with a little headache and a little fever. The next morning he woke up with a little headache, and by that evening his stomach start | Y | 03/25/2021 | 03/25/2021 | 0 | None. | OTH | Arthritis pill, sinus pill. | None. | Arthritis. | 2 | 04/23/2021 | Seasonal allergies. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1251426 | 04/24/2021 | TN | 64.0 | 64 | M | extreme tiredness | Y | 04/21/2021 | 04/22/2021 | 1 | OTH | Vitamin D, zinc, Flomax, fluticisone spray | allergic rhinitis, prostate cancer radiation treatment completed 10-31-20 | 2 | 04/24/2021 | Aspirin, grass and tree pollens | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1262575 | 04/27/2021 | TN | 64.0 | 64 | M | Unusual muscle pain in arms, shoulder blades, sides of neck, feet | N | 03/29/2021 | 04/06/2021 | 8 | office visit 04/20/21 | PVT | Advair diskus, botox, bystolic, clonazepam, multivitamin Cyclobenzaprine, escitalopram, flonase, gabapentin, hydrochlorothiazide Ketoconazole, magnesium oxide, montelukast, myrbetriq, nabumetone osteo bi-flex, proair hfa, q-sorb co q-10, ub | asthma, migraine, high blood pressure, restless legs syndrome, muscle spasms depression, allergic rhinitis, neuropathic pain, urinary frequency, osteoarthritis vitamin/mineral supplementation | 2 | 04/27/2021 | Y | sulfa neosporin adhesive tape | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1264185 | 04/27/2021 | TN | 64.0 | 64 | F | I went to bed a healthy person and did not wake up until Sunday Afternoon. I ached everywhere, couldn?t stay awake had fever and a cough that felt like my head was going to blow off if I didn?t hold it. I had a slight UTI Friday which I was going to treat | N | 04/16/2021 | 04/17/2021 | 1 | UTI test 4/24 and 4/26 strep test 4/24 flu test 4/24. COVID test 4/20 | PUB | Thyroid, omeprazole, rosuvastatin, bupropion xl, celecoxib, spironolactone | UTI | Diabetes | Shingles | 2 | 04/27/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1277693 | 05/01/2021 | TN | 64.0 | 64 | M | Recurrence of distal muscle weakness in LEs>UEs and worsening of length dependent sensory loss/paresthesias consistent with recurrent acute polyneuropathy. EMG/NCS testing consistent with acute demyelinating polyneuropathy. | N | 04/01/2021 | 04/03/2021 | 2 | PHM | Amitriptyline 25 mg 1 tablet one daily aspirin 81 mg chewable--1 tablet(s) every day by oral route. DULoxetine 60 mg capsule,delayed release-1 capsule(s) every day gabapentin 400 mg capsule---Two capsules three times daily glimepiride | He had developed Guillan Barre Syndrome in the fall of 2020 following the influenza vaccine but had recovered very well with minimal deficits | hyperlipidemia, diabetes mellitus, hypertension | Prior similar reaction to influenza vaccine in the fall of 2020 | 2 | 05/01/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1279717 | 05/02/2021 | TN | 64.0 | 64 | F | Patient began to "feel weird" during 15 minute monitoring time after receiving vaccine (reported this at 3:20pm). Provider obtained patient's vital signs and continued to monitor patient with no other complaints until 3:40pm. At that time patient reported | U | 04/15/2021 | 04/15/2021 | 0 | no medical or diagnostic test performed at vaccine site | PUB | Unknown | Unknown | Unknown | 2 | 05/02/2021 | Y | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1290142 | 05/05/2021 | TN | 64.0 | 64 | M | Patient blood sugars have became uncontrolled since receiving Moderna vaccine. | N | 04/08/2021 | 04/10/2021 | 2 | A1C | PUB | Was on Truceba 39 units daily. After vaccination patient is on Metformin 500 mg bid as well as Truceba 25 units daily. Amlodipine, Lisinopril, zinc, vitamin c, multivitamins | no | Diabetics, Hypertension | 2 | 05/05/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1296607 | 05/07/2021 | TN | 64.0 | 64 | F | Pt called on 5/7/2021 to report that she developed gout symptoms in her toe 'a few days' after both doses of her Covid vaccine. Last dose was 3 weeks ago. Describes redness, swelling, and pain in right great toe. States her last flare was 'several years ag | N | 04/16/2021 | 04/19/2021 | 3 | None | PVT | amlodipine, carbidopa-levodopa, glimeperide, metformin, probiotic, vitamin B12, glucosamine | none reported | diabetes Type II, hypertension, herpes simplex, osteoarthritis, hypercholesterolemia | 2 | 05/07/2021 | Y | Steven-Johnson's syndrome with Feldene. Rash with NSAIDs. Cough w/ ACE-I. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1307836 | 05/11/2021 | TN | 64.0 | 64 | F | Patient received 1st dose Pfizer vaccine 03/18/2021 Lot ER8727. Returned to be vaccinated on 03/30/2021 and received 2nd COVID vaccine brand Moderna Lot 020B21A. The wrong brand was administered to the patient and the elapsed time between vaccinations was | Y | 03/30/2021 | 03/30/2021 | 0 | None required. | PUB | N/A | N/A | COPD, OBESITY, CHF | 2 | 05/11/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313829 | 05/13/2021 | TN | 64.0 | 64 | F | 5/1- weakness, woozy, queazy 5/2-continued same 5/3-better but still no energy 5/5- mid day sudden violent vomitting and full body muscle spasm 5/6-nausea gone but finger tips numb, scalp tingly, cold inside, itchy all over 5/7-seriously sharp chest/back p | Y | 04/01/2021 | 05/01/2021 | 30 | none | UNK | Magnesium supplement | constipation | none | 2 | 05/13/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327007 | 05/18/2021 | TN | 64.0 | 64 | M | Reports experiencing complete hearing loss in his right ear 2-3 weeks after his first COVID vaccine. It has not resolved. | N | 03/09/2021 | 04/21/2021 | 43 | Saw PCP initially and was treated with antibiotics. No improvement so then referred to ENT. Had MRI yesterday. No results yet. | PUB | Unknown | Unknown | Unknown | 2 | 05/18/2021 | Y | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1341894 | 05/23/2021 | TN | 64.0 | 64 | F | Customer has developed soreness at the injection site and itching that has gotten worse in the past week. | N | 05/14/2021 | 05/21/2021 | 7 | PHM | 2 | 05/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1346877 | 05/25/2021 | TN | 64.0 | 64 | F | Pt states she broke out in hives 1 week after vaccine, lasted 1 day, then resolved. At the time her 2nd vaccine was due, she had sore throat, ear ache, URI, vomiting, severe HA, body aches. Tested for covid 3 times- All negative. Completed steroid and z pa | N | 04/07/2021 | 04/14/2021 | 7 | unknown | PUB | unknown | none known | diabetes | 2 | 05/25/2021 | Y | Y | Bactrim: mild throat swelling/wheezing, Wellbutrin: hives, iv dye: anaphylaxis, Keflex: rash, thermisol in contact: itchy, red eyes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1347539 | 05/25/2021 | TN | 64.0 | 64 | F | The day following each vax, BOTH arms felt like they had been punched.. it subsided after first vax. However now 3 weeks after 2nd vax I have continued to have this ache/ pain in both arms frequently and sometimes alternating knees off and on. Both ar | N | 05/06/2021 | 05/07/2021 | 1 | have not contacted any medical | PUB | severe poison ivy... had been given steroid shot 10 days before first moderna covid vaccine April 8 | 2 | 05/25/2021 | severe allergy to Naprosyn (aleve) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1371055 | 06/03/2021 | TN | 64.0 | 64 | F | Patient was administered a vaccine that had been in the refrigerator for 37 days. | U | 06/02/2021 | 06/02/2021 | 0 | n/a | PVT | n/a | n/a | n/a | 2 | 06/03/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1374640 | 06/04/2021 | TN | 64.0 | 64 | F | After receiving Pfizer 0.3ml IM in left deltoid, patient states could feel it traveling down her arm to her hand. Patient has raised spongy spot about the size of a quarter that appeared within minutes. B/P was 130/76 at 10:56. After waiting 15 minutes pat | N | 06/04/2021 | 06/04/2021 | 0 | PUB | Levothyroxine | multiple sclerosis, Rheumatoid Arthritis | same | 2 | 06/04/2021 | Y | mold, pain medications can only take tylenol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1377786 | 06/07/2021 | TN | 64.0 | 64 | F | The day I got it I had Headache body aches fever, chills, urine smelled like sewer fever went up to 104 in the night my legs couldn't hold me up I was hallucinating and thought I was going to die. Next day Tylnol kept fever to 101. still had Headache and b | Y | 06/03/2021 | 06/03/2021 | 0 | None | PHM | Baby Aspirin,1 daily. Plavix 75 mg, 1 daily. Bupopion HCL SR 150mg 2 daily. Metphormin HCL 500mg 2 daily. Buspirone HCL 10 MG 2 daily. Carvedilol 25mg 2d daily. Cyclobenzaprine 10 mg 3 times daily. Protonix 40 mg 1 daily. Lipitor 40 mg 1 da | Diabetes Heart ,degenerative disc n neuropathy | DegenerativHearn sc causing pain n neuropathy. Heart have a stint and internal defibrillator Jan was diagnosed a diabetes | 2 | 06/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1420577 | 06/23/2021 | TN | 64.0 | 64 | M | In March IBS started which I?ve never had before. Everything I ate turned into what felt like rocks , I got so constipated I couldn?t use the bathroom. I started to become nauseated every day. I was up every hour of the night. I tried drinking water to flu | U | 02/21/2021 | 03/21/2021 | 28 | IV CT Scan Bloodwork Enema Lower GI Scope | PUB | Omeprazole ( 20mg 1xday ) Aller-tec ( 10mg 1xday ) Rosuvastatin (10mg 1xday ) Testosterone SUP- 1.62% Gel ? ( 1X DAY ) Cabergoline ? 1 x week .5mg ( since January 2020 ) | NA | Acid Reflux Disease Brain Tumor | vsafe | 2 | 06/23/2021 | Y | Y | NA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1429612 | 06/26/2021 | TN | 64.0 | 64 | M | numbness and tingling to right arm x 1 month. Prescribed Diclofenac topical. Referred to Ortho. | N | 05/30/2021 | 05/30/2021 | 0 | none | PVT | Amlodipine | none known | HTN | 2 | 06/26/2021 | Y | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1443088 | 07/02/2021 | TN | 64.0 | 64 | M | 15 min. after receiving vaccine in left arm, felt tingling in left hand. Two weeks later left arm went completely numb, temporary loss of fine motor control, ok after a couple days. About a week later arm went numb with an icy cold prickly feeling. Lasted | N | 04/01/2021 | 04/15/2021 | 14 | June 30, 2021 had left leg ultrasound which found the DVT's, and bloodwork was done in the ER. | PHM | Lisinopril Metformin Glipizide | None | Type 2 Diabetes Mellitus Irregular Heartbeat | 2 | 07/02/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1460081 | 07/09/2021 | TN | 64.0 | 64 | F | SOB and pneumonia | N | 06/23/2021 | 06/24/2021 | 1 | CXR | PHM | protonix | GERD | 2 | 07/09/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1470221 | 07/14/2021 | TN | 64.0 | 64 | M | On the midnight of April 29, 2021, I got fever at 100.4 degree. On the morning of May 1, the fever was gone; in the afternoon, I suddenly felt back pain. The pain lasted for about a month. During the time, I didn't see doctor and didn't take any medicine. | N | 04/29/2021 | 05/01/2021 | 2 | None | PHM | None | None | None | 2 | 07/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1512788 | 07/29/2021 | TN | 64.0 | 64 | M | I went to the doctor in June and the doctor said that I have a very low count of white blood cells. | N | 04/21/2021 | 07/15/2021 | 85 | Blood work. | PVT | Cinapro. | None. | High Blood Pressure. | vsafe | 2 | 07/29/2021 | Y | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1536813 | 08/09/2021 | TN | 64.0 | 64 | M | Diarrhea; Nausea; Vomiting; Soreness at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea), NAUSEA (Nausea), VOMITING (Vomiting) and VACCINATION SITE PAIN (Soreness at the injection sit | N | 12/27/2020 | 12/27/2020 | 0 | Test Name: blood glucose | UNK | INSULIN; ELIQUIS | Diabetes; Hypertension | USMODERNATX, INC.MOD20200 | 2 | 08/07/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1540628 | 08/10/2021 | TN | 64.0 | 64 | F | PT. WAS VACCINATE . SHE EXPERIENCED DRY COUGH,BODY ACHES,PLEURITIC CHEST PAIN 15 MINS. AFTER TAKING THE VACCINE.NO MEDICAL CARE GIVEN ON SITE. | N | 05/28/2021 | 05/28/2021 | 0 | FLU/COVID TESTED NEG ON JUNE 9,2021 | PUB | METFORMIN,PROZAC,TRIAMTERENE, LOVASTATIN,LEVOTHYROXINE,PEPCID,IBUPROFEN | NONE | DIABETES,HLD,THYROID DISEASE,ARTHRITIS,VIT D DEFICIENCY | 2 | 08/10/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1554248 | 08/13/2021 | TN | 64.0 | 64 | F | Pt became shaky, feeling weak, unsteady on her feet, difficulty breathing, speaking and tongue swelling approximately 15 minutes after receiving the injection. We called 911 and the paramedics came and transferred her to a local hospital. Paramedics did | Y | 08/12/2021 | 08/12/2021 | 0 | PHM | unknown | unknown | 2 | 08/13/2021 | Y | penicillin latex contrast medium | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1564937 | 08/15/2021 | TN | 64.0 | 64 | F | Redness around injection site (left arm); It itches around injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (Redness around injection site (left arm)) and VACCINATION SITE PRURITUS ( | Y | 02/25/2021 | 03/01/2021 | 4 | UNK | Drug allergy (Daypro); Drug allergy (Aspirin) | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1566317 | 08/15/2021 | TN | 64.0 | 64 | F | jittery; This spontaneous case was reported by a consumer and describes the occurrence of FEELING JITTERY (jittery) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 016M20A) for COVID-19 vaccination. No Medic | U | 02/05/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1587024 | 08/19/2021 | TN | 64.0 | 64 | M | Stay there 20 minutes after vaccine. Right after I left started to feel strange stopped at the store down the street went inside for 40 minutes until it passed. Was like doing 4 shots of tequila in 2 minutes. Leaned up against shelf and my shopping cart | Y | 08/19/2021 | 08/19/2021 | 0 | N/A | PVT | Bisoprolol, Alopurinol, Zyrtec | Dermatitis, Tinea Corporis | Moderate Hypertension | 2 | 08/19/2021 | Yes | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591251 | 08/20/2021 | TN | 64.0 | 64 | F | SOB AND COUGH | 04/15/2021 | 08/19/2021 | 126 | POSITIVE COVID TEST | PVT | PROVENTIL ASPIRIN LIPITOR COREG VITAMIN D2 BASAGLAR LISPRO LISINOPRIL PERCOCET PROTONIX LYRICA PRIMIDONE REQUIP ZOLOFT SIMVASTATIN TIZANIDINE TOPAMAX | DIABETES COPD HTN | 2 | 08/20/2021 | Y | Y | CARISOPRODOL NAPROXEN ETODOLAC HYDROMORPHONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591565 | 08/20/2021 | TN | 64.0 | 64 | F | presents with progressively worsening shortness of breath, very aggressive cough, subjective fevers on the background of her COVID-19 Treated w/ Roceph, Zith, Vit E 1200 iu daily, vit D weekly, po thiamine | Y | 4 | Y | 04/27/2021 | 08/09/2021 | 104 | PVT | severe morbid obesity, CKD and history of grade 1 diastolic dysfunction | 2 | 08/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1597093 | 08/21/2021 | TN | 64.0 | 64 | F | Noticeably more sensitive this morning; this morning painful to the touch; Site where injection was given is extremely itchy; site where injection was given started to swell; Site where injection was given, turned red/ area of redness was twice the size; T | U | 03/01/2021 | 03/09/2021 | 8 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1597416 | 08/21/2021 | TN | 65.0 | 64 | F | Chronic cough; soreness of left arm; This spontaneous case was reported by a consumer and describes the occurrence of COUGH (Chronic cough) and PAIN IN EXTREMITY (soreness of left arm) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-1 | U | 02/05/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1599166 | 08/21/2021 | TN | 64.0 | 64 | M | Ttiredness; Diizziness when patient stands; Sleepiness; Lack of energy; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (Ttiredness), DIZZINESS (Diizziness when patient stands), SOMNOLENCE (Sleepiness) and ASTHENIA | N | 03/03/2021 | 03/03/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1610224 | 08/22/2021 | TN | 64.0 | 64 | F | fever; fatigue; headache; Chills; nausea; vomiting; Muscle pain; Joint pain; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (Muscle pain), ARTHRALGIA (Joint pain), PYREXIA (fever), FATIGUE (fatigue) and HEADACHE (h | Y | 03/16/2021 | 04/14/2021 | 29 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1612230 | 08/22/2021 | TN | 64.0 | 64 | F | Blood pressure had gone up; Her injected arm hurts on and off; got real dizzy; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (got real dizzy), HYPERTENSION (Blood pressure had gone up) and PAIN IN EXTREMITY (Her | U | 03/17/2021 | 04/26/2021 | 40 | UNK | high blood pressure; ATENOLOL | Comments: no medical history was reported | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1612578 | 08/22/2021 | TN | 64.0 | 64 | F | Loss of about 40 to 45% of hair progressively beginning 2 days after second vaccine shot; Twitching in the right upper eye lid; This spontaneous case was reported by a consumer and describes the occurrence of ALOPECIA (Loss of about 40 to 45% of hair progr | U | 03/10/2021 | 03/12/2021 | 2 | UNK | METFORMIN; GLIPIZIDE; ATORVASTATIN; LOSARTAN; SPIRONOLACTONE; CARVEDILOL; AMITRIPTYLINE; FUROSEMIDE; TYLENOL; ACYCLOVIR ABBOTT VIAL; DICLOFENAC; PENTOSAN POLYSULFATE; GABAPENTIN; MELOXICAM; OMEPRAZOLE; BUSPIRONE; TOLTERODINE; ASCORBIC ACID; | Comments: No medical history was provided by the reporter | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1613354 | 08/22/2021 | TN | 64.0 | 64 | M | blood sugar is out of control/like a roller coaster/blood sugar fluctuates from 50-300mg/dL/has chosen not to get the second dose because of blood sugar issues; This spontaneous case was reported by a patient and describes the occurrence of BLOOD GLUCOSE F | U | 04/08/2021 | 05/03/2021 | 25 | UNK | METFORMIN ER; LISINOPRIL; AMLODIPINE; TRESIBA; VITAMIN D [VITAMIN D NOS]; ZINC; VITAMIN C [ASCORBIC ACID]; FISH OIL; MULTIPLE VITAMIN | Diabetic | USMODERNATX, INC.MOD20211 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1632511 | 08/25/2021 | TN | 64.0 | 64 | M | Pt. states that after receiving the 2nd dose of Moderna 08/09/2021, started experiencing symptoms 08/10/2021 of lose stool, weakness, chest pain, fatigue, chills, and A-fib (2 Valve replacement 07/19/2021). Primary visit 08/17/2021. Cardiologist appt. 08/ | N | 08/09/2021 | 08/10/2021 | 1 | EKG 08/23/2021 | PUB | Fluid pill, Alpurol, Elaquix, Lasitapril, Matrolapal, Trazadone, Prazalam, Potassium Chloride | N/A | HBP | 2 | 08/25/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1658463 | 08/31/2021 | TN | 64.0 | 64 | M | squamous cell carcinoma 8 days after 3 inches below site. Required surgery to remove but did not require MOHS | Y | 05/03/2021 | 05/03/2021 | 0 | PHM | zortress prednisone nifedipine zetia zoloft abilify veltassa aspirin 81 flomax cardelvilol | kidney transplanted since july 1 1984 (2 kidneys, but never had to dialyze) | 2 | 08/31/2021 | Y | shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1685263 | 09/09/2021 | TN | 64.0 | 64 | M | 8/29/21 TESTED POSITIVE FOR COVID . 9/1/21 ADMITTED TO HOSPITAL. WITH FEVER, OXYGEN SATS IN THE 80S. REPORTS NECK PAIN AND ACHING ACROSS LOW BCK. DX. COVIDWITH PREDOMINANT GI SYMPTOMS, MILD HYPOXIC. DISCHARGED ON 9/5/21 HOME | Y | 5 | U | 03/04/2021 | 08/29/2021 | 178 | 8/29/21 SARS COV SARS COV-2 AG RAPID IMMUNOASSAY = POSITIVE AT URGENT CARE | OTH | UNKNOWN | UNKNOWN | CHRONIC KIDNEY DISEASE ON DIALYSIS | 2 | 09/09/2021 | Y | Y | CEPHALEXIN, FLGYL, KEFLEX, LEVOFLOXACIN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1689511 | 09/10/2021 | TN | 64.0 | 64 | F | I came home and I was feeling very dizzy. I have been having to watch my blood pressure very closely. I was pretty nauseated. I checked my BP and it was 88/44. It was odd because I have always been hypertensive but never hypotensive. It did that about 12-1 | N | 08/12/2021 | 08/12/2021 | 0 | Blood work | PHM | Hydrochlorothiazide - 25mg/1xday Candesartan Silesetil - 4mg/2xday Levothyroxine - 100mg/1xday Vitamin Strip - 1xday (Gold) Vitamin C - 1xday Vitamin D - 1xday Fish oil - 1xday Vitamin B - 1xday | Asthma Hypertension | When I worked in school and the H1N1 virus was real bad, I received the vaccination for it at the school. I broke out in hives a | vsafe | 2 | 09/10/2021 | Y | Codeine Sulfa some antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1711133 | 09/18/2021 | TN | 64.0 | 64 | F | Just haven't felt well; Very fatigued; Temperature of 101.9 F/ low-grade temperature in the 100s for two other days; Diarrhea; Could not move around at all; very painful; Aches; Very sore arm and it is sore right now; This spontaneous case was reported by | N | 08/24/2021 | 08/24/2021 | 0 | Test Date: 20210825; Test Name: Body temperature; Result Unstructured Data: High; Test Date: 202108; Test Name: O2 saturation; Result Unstructured Data: Low. | UNK | INSULIN | Diabetes; Hypertension | Medical History/Concurrent Conditions: COVID-19 | USMODERNATX, INC.MOD20213 | 2 | 09/17/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1719143 | 09/21/2021 | TN | 64.0 | 64 | F | Jittery, short of breath, and ?felt like my throat was closing? for 2 weeks after vaccination. States that shortness of breath has persisted for 3 weeks | 09/01/2021 | 09/01/2021 | 0 | PHM | Autoimmune | Autoimmune | 2 | 09/21/2021 | Y | Ace inhibitors | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1723155 | 09/22/2021 | TN | 64.0 | 64 | F | Case fully vaccinated with Pfizer vaccine. Tested positive for COVID on 9/15/2021. Admitted to hospital on 8/24/2021. Tested positive for COVID while hospitalized and expired on 9/21/2021. | Y | 09/21/2021 | N | 06/15/2021 | 09/15/2021 | 92 | PUB | 2 | 09/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1744412 | 09/29/2021 | TN | 64.0 | 64 | F | I tested positive for Covid-19 and I had a fever, congestion, coughing, sore throat and exhaustion for about one week. I lost my sense of smell and taste during that time as well. The loss of smell and taste has continued to this day still. The coughing la | N | 03/29/2021 | 08/12/2021 | 136 | Covid 19 test - positive results - August 14, 2021 | PHM | Metformin ER 500MG, Benazepril 10MG, Omeprazole, Singular, Atorvastatin 20mg, Lodine 400mg | n/a | Chronis Asthma, Pre-Diabetes, Obesity | vsafe | 2 | 09/29/2021 | Y | N/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1744731 | 09/29/2021 | TN | 64.0 | 64 | F | Tingling and numbness in both arms, hand went numb, feet went numb . Horrible pain and numbness in spine, affected all the nerves in body. Very limited mobility, affecting bodily function. 16 days after first hospital stay, was re-admitted into hospital. | Y | 30 | Y | N | 04/26/2021 | 05/10/2021 | 14 | Cervical CT w/ contrast, neurological evaluation, neurosurgical evaluation, blood work | SCH | Prozac, Linisipril, Nexium, Adderral, Clonazetam, Hydroprodone | None | High blood pressure, Chronic pain syndrome, Complex radialsympathetic dystrophy, peritheral neuropathy, Fibromyalgia | 2 | 09/29/2021 | Y | Biaxin, Seroiquel, Geodon, Lamictal | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1749541 | 09/30/2021 | TN | 64.0 | 64 | F | Arm pain, injection site pain, tiredness, headache, muscle pain, chills, joint pain, fever (100.6), swelling, redness, feeling unwell, decreased appetite, diarrhea TREATMENT: 2 Ibuprofin OUTCOME Feeling better, decreased fever | N | 09/29/2021 | 09/30/2021 | 1 | PUB | None | None | None | 2 | 09/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1757441 | 10/03/2021 | TN | 64.0 | 64 | F | Rigors, body aches, extreme fatigue, started abruptly about 10 hours after injection, (slept for 18 hours), treated with hot baths, ibuprofen, Tylenol, still very fatigued, extreme body pain. | Y | N | 10/02/2021 | 10/02/2021 | 0 | None | PHM | Valsartan HCTZ Claritin Bupropion Zolpidem Omeprazole Carafate Multivitamin Atorvastatin | None | Crohns HTN Gastric reflus | 2 | 10/03/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1764010 | 10/06/2021 | TN | 64.0 | 64 | F | A little tired; Arm was sore; COVID-19 positive test; Drug ineffective; This spontaneous case was reported by a patient and describes the occurrence of SARS-COV-2 TEST POSITIVE (COVID-19 positive test), DRUG INEFFECTIVE (Drug ineffective), FATIGUE (A littl | U | 02/04/2021 | 08/20/2021 | 197 | Test Date: 20210820; Test Name: SARS-CoV-2 test; Test Result: Positive; Result Unstructured Data: Positive | UNK | Medical History/Concurrent Conditions: CLL | USMODERNATX, INC.MOD20212 | 2 | 10/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1765248 | 10/06/2021 | TN | 64.0 | 64 | F | Not certain if this is an adverse event but ... since this is a new vaccine I thought I should report this On 3/09/21, I received my first Covid vaccine. No abnormal reactions. On 03/31/21 I started having pain on my lower back with blisters appearin | Y | 03/30/2021 | 04/07/2021 | 8 | PVT | Olmesartan medox/hctz, Duloxetine, Esomeprazole, Oxybutynin, Vit D, Vit C, Omega 3 | none | obesity, high blood pressure past history of melanoma and breast cancer | 2 | 10/06/2021 | codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1771886 | 10/08/2021 | TN | 64.0 | 64 | F | Arthritis in the mid-foot, left foot. | N | 09/24/2021 | 10/01/2021 | 7 | X-ray on the foot in A-P with weight baring. | PHM | Prescription Diclofenac Sodium, prescription Lisinopril and Prescription Estradiol | None | None | 2 | 10/08/2021 | Y | Allergic to Bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1776888 | 10/11/2021 | TN | 64.0 | 64 | M | Patient hospitalized for COVID-19 after fully vaccinated | Y | N | 02/22/2021 | 10/11/2021 | 231 | Positive COVID-19 test | PVT | Tamsulosin Ferrous Sulfate Aspirin Zinc Famotidine Lantus Vitamin D Multivitamin Finasteride | Sacral decubitus ulcer | BPH Diabetes | 2 | 10/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1785331 | 10/14/2021 | TN | 64.0 | 64 | F | 12/22/2020 rec'd SARS-CoV-2 Pfizer 1/12/2021 rec'd SARS-CoV-2 Pfizer 10/8/2021 rec'd SARS-CoV-2 Pfizer (booster) At 11PM on 10/8/2021 I started feeling my right arm still and aching all over. Woke up at 7:30 AM on 10/9/2021 and looked in mirror and my | Y | 10/08/2021 | 10/08/2021 | 0 | None | PVT | Lantus, Humalog, Jardiance, Lisinopril-hydrochlorothiazide, Atorvastatin, Vitamin D | None | Type 2 Diabetes, Elevated Blood Pressure | on 2nd dose, extremely weak, headache, all muscles ached | 2 | 10/14/2021 | Darvon | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1785772 | 10/14/2021 | TN | 64.0 | 64 | F | There was no adverse event to report. Patient received the Covid Vaccine instead of the flu vaccine. | Y | 10/13/2021 | PHM | TRAMADOL, GABAPENTIN, CELECOXIB, MONTELUKAST, VALSARTAN, TOLTERODIN, DOXYCYCLINE | 2 | 10/14/2021 | nkda | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1793570 | 10/16/2021 | TN | 64.0 | 64 | F | Swelling and pain at the base of my neck at the shoulder on the left hand side. Same side the injection was on. | N | 10/14/2021 | 10/15/2021 | 1 | None | OTH | sertraline, losartan potassium levothyroxine, omeprazole | None | Fibromyalgia | 2 | 10/16/2021 | dermabond, rhinocort | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1800582 | 10/20/2021 | TN | 64.0 | 64 | M | Presented to hospital on 9/28 with worsening shortness of breath. Diagnosed with COVID-19 pneumonia. Received dexamethasone and remdesivir with Vapotherm support. Saturations continued to decrease and was intubated. Also received PICC line and vascular ca | Y | 10/16/2021 | N | 04/07/2021 | 10/16/2021 | 192 | PVT | Hypertension, hyperlipidemia, depression, insomnia, intellectual disability, chronic bilateral lower extremity pain | 2 | 10/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1802395 | 10/20/2021 | TN | 64.0 | 64 | F | Developed anticubital fossa bright red and hot rash after COVID vaccine injection #1. Rash turned bright red and very hot to the touch, forming a circular patch around left inner elbow. Rash lasted for several days, developing red bumps within the bright r | N | 03/09/2021 | 03/13/2021 | 4 | PVT | FENTANYL, CLONIDINE, SOMA, ZYRTEC, SINGULAIR, WELCHOL, FENTANYL, CLONIDINE, SOMA, ZYRTEC, SINGULAIR, WELCHOL, vitamin B12, vitamin C, vitamin D, zinc, quercitin, flaxseed oil, famotidine, amitriptyline, elderberry, Preservision, Colace, Na | NONE | Mast Cell Activation Disorder Pain Neuropathic Neuralgia Occipital Complex Regional Pain Syndrome ASPIRIN, Azithromycin, Ciprofloxacin, Clindamycin, Codeine, Hydromorphone, Doxycycline, Hydrocodone, Iodine, Cephalexin, Morphine, NSAIDS, Oxycodone-Acetamin | 2 | 10/20/2021 | Y | ASPIRIN, Azithromycin, Ciprofloxacin, Clindamycin, Codeine, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1810307 | 10/23/2021 | TN | 64.0 | 64 | F | Immediately killed her arm/arm got so bad/she could not use it or anything; Maybe needle went in wrong spot/needle went pretty high; Felt like HCP stabbed a rock in her arm; Arm in pain, could not use her arm; This spontaneous case was reported by a consum | N | 08/17/2021 | 08/01/2021 | UNK | SYNTHROID | USMODERNATX, INC.MOD20213 | 2 | 10/21/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1810310 | 10/23/2021 | TN | 64.0 | 64 | F | Patient received first dose on 17Aug2021, second dose on 12Oct2021; sweats; headache, splitting headache; Fever; felt exhausted, really tired; a lump in her arm, that was red, swollen and itchy. It felt like she had a knot in her arm.; This spontaneous cas | Y | 08/17/2021 | 10/01/2021 | 45 | UNK | SYNTHROID | USMODERNATX, INC.MOD20213 | 2 | 10/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1826056 | 10/28/2021 | TN | 64.0 | 64 | F | Mostly my arm was sore; slight headache - right after the vaccine - lasted about 24 hours; Health event in October: Started with a sore throat; I went to a walk-in clinic and they said I had an ear infection. They gave me an antibiotic ear drop to put in f | Y | 04/28/2021 | 10/08/2021 | 163 | Walk-In clinic Strep test - negative result | OTH | Simvastatin; Antacids; calcium | no | no | vsafe | 2 | 10/28/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1829255 | 10/29/2021 | TN | 64.0 | 64 | F | Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Body Aches Generalized-Severe, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Medium | U | 10/26/2021 | 10/26/2021 | 0 | PHM | 2 | 10/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1832320 | 10/31/2021 | TN | 64.0 | 64 | M | Tendonitis in injection arm since June. | N | 06/09/2021 | 06/09/2021 | 0 | PHM | 2 | 10/31/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1836767 | 11/02/2021 | TN | 64.0 | 64 | M | Shortly after my first vaccination I developed a rash on both arms. On 4/13/2021 I thought I maybe having a heart attack and went to the ER. Doctor ordered an electrocardiogram and determined my heart was okay. He observed the the rash on my right arm and | Y | 03/24/2021 | 04/13/2021 | 20 | Electrocardiogram on 4/13/2021 and the results were good. no problem evident. Vital signs taken were all with in normal range. Hematology and Chemistry were all with in normal range on 4/13/2021. | PHM | Allopurinol 300mg, Bystolic 10mg, Montelukast 10mg and Rosuvastatin 5mg. Azelastine 0.1% | None. | Hay Fever, High blood pressure control by medication. High Cholesterol controlled by medication. | 2 | 11/02/2021 | Augmentin. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1844715 | 11/04/2021 | TN | 64.0 | 64 | F | 3 cm liver enlargement in months following Moderna 2nd dose administered on 02/16/2021 | U | 02/16/2021 | 04/01/2021 | 44 | Liver ultrasound October 26, 2021 compared to ultrasound April/2021: ?The liver is moderately echogenic and heterogeneous and is enlarged measuring about 19.8 cm as compared to previous 16.8 cm. No focal lesion is seen. Portal vein is patent.? | PUB | Clopidogrel 75 mg every other day Aspirin 81 mg every other day Pantoprazole every day Multivitamin 1 tablet every day Metamucil 1 teaspoon every day as needed Estradiol | None | Chronic vena cava stenosis thought to be congenital. Gastroesophageal reflux(controlled) | 2 | 11/04/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1851051 | 11/08/2021 | TN | 64.0 | 64 | F | Chills, fever. | Y | 11/05/2021 | 11/06/2021 | 1 | UNK | Tylenol. | None. | Diabetes. | 2 | 11/08/2021 | Sulfa, Penicillin. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1857550 | 11/10/2021 | TN | 64.0 | 64 | M | Invalid dose, vaccine exposed to a temperature excursion. Attempted to notify patient by phone without success. Mailed a letter to notify patient that the dose received is invalid and needs to be repeated. Plan to follow up in 1 week if no response from le | 10/15/2021 | 10/21/2021 | 6 | PUB | 2 | 11/10/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX |