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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0919044 | 01/04/2021 | MD | 65.0 | 65 | F | low fever, chills, aches, foggy head and fatigue | Y | 12/31/2020 | 01/01/2021 | 1 | none | WRK | metoprolol, levothyroxine, multi vit and zinc | none | hypo thyroid, Arvd | flu vaccine | 2 | 01/04/2021 | adhesive | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0919567 | 01/04/2021 | MD | 65.0 | 65 | F | Headache, Sore throat gradually increasing over the past 3 days | N | 12/29/2020 | 01/02/2021 | 4 | None | MIL | Premarin Synthroid | Hashimoto's Thyroiditis Retinitis Pigmentosa | 2 | 01/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0922067 | 01/05/2021 | MD | 65.0 | 65 | M | Felt fine initially. Went to get something to eat. Came home and laid down for a while. Felt tightness in chest and gasping for air. and headache and little dizzy, like a burning pain in his chest. | N | 01/05/2021 | 01/05/2021 | 0 | no | PUB | Flomax, Allopurinol, Hydrochlorothiazide, Simvastatin, Hydrocodone | no | no | flu vaccine, got sick | 2 | 01/05/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0925456 | 01/07/2021 | MD | 65 | F | Following day after vaccine in the morning I experienced Fatigue, Low grade fever 100.5, Chills and muscle ache. I was also very Tired. I took some tylenol. 1/7/21 Im feeling better temp 99.8 | Y | 01/05/2021 | 01/06/2021 | 1 | no | WRK | Calcium, prolee injection | no | osteoporosis | 2 | 01/07/2021 | sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0931182 | 01/09/2021 | MD | 65.0 | 65 | F | red, swollen, itchy blotch around injection site most notable 8 days after injection, reaction developed slowly over the course of the 8 days | N | 12/31/2020 | 01/07/2021 | 7 | none | OTH | azelastine nasal ceturuzine docusate-senna fiber fluticasone nasal pseudoephedrine zolipidem | none | 2 | 01/09/2021 | iodine adhesive sulfa drugs penicillins tetracycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0933872 | 01/11/2021 | MD | 65.0 | 65 | F | I developed rigors with high fever 39.4 C. I was coughing, non-productive cough, pain at the base of my lungs from coughing, running nose, muscle pain, GI problems- vomited once and stool foul smelling, loose. I developed hematuria- visit to Patient firs | Y | 12/22/2020 | 12/30/2020 | 8 | Hematology, chemistry, Urine culture, Chext X-ray, Cat scon of chest and abdomen | WRK | Losartan 25 mg qd ASA 81 mg qd Synthroid 125 mcg qd x 6 days/week Crestor 10 mg qd. | CAD Hypothyroidism Seasonal allergies | CAD Hypothyroidism Moderate Sleep apnea Seasonal allergies Periodical UTIs | 2 | 01/11/2021 | Lipitor - muscle pain Ranozaline- lip and tongue swelling | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0942362 | 01/13/2021 | MD | 65.0 | 65 | F | About 2 x 3 inch slightly red raised area. This reaction was first noticed one week after the injection. | N | 01/06/2021 | 01/13/2021 | 7 | OTH | Turmeric, Vit. D, Vit. C | 2 | 01/13/2021 | Macrodantin, Sulfa Drugs, Teramycin, Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0950802 | 01/16/2021 | MD | 65.0 | 65 | F | Nausea, vomiting, diarrhea (explosive and extensive over a period of ~10 hours) | N | 01/14/2021 | 01/16/2021 | 2 | N/A | PUB | Levothroid Lisiniptol Atorvastatin | N/A | N/A | 2 | 01/16/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0952166 | 01/18/2021 | MD | 65.0 | 65 | F | Moderna Vaccine Reaction: 12/30/2020 vaccinated Moderna vaccine at 2:15pm ? no issues 12/31/2020 experienced chest tightness at 8am resolved with albuterol 1/1/2021 awakened from a nap at 3 pm with hot itching rash across front of chest & back of neck. Ey | Y | 12/30/2020 | 12/31/2020 | 1 | NONE | OTH | metformin ER, sertraline, zyrtec, vitamin D, Prolosec | None | prediabetes, asthma, sleep apnea, GERD, iron def anemia, seasonal allergie hypothryoidism, vitamin D def, depression, | 2 | 01/18/2021 | cephalosporins, IV benadryl, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0953412 | 01/18/2021 | MD | 65.0 | 65 | F | PT REPORTED ON 1/18/2021 TO ME THAT SHE STILL HAD MUSCLE PAIN IN THE LEFT DELTOID WHERE THE FLUZONE HD WAS GIVEN ON 10/20/2020. SHE ALSO HAS LIMITED RANGE OF MOTION IN THAT ARM & OCCASIONALLY HAS A SHOOTING NERVE PAIN DOWN HER ARM TO HER WRIST. SHE DID | N | 10/20/2020 | 10/20/2020 | 0 | NONE NOTED | PHM | NONE NOTED | NONE NOTED | NONE NOTED | ALWAYS HAS MUSCLE PAIN AND ADVERSE EFFECT WITH FLU IMZS | 2 | 01/18/2021 | PENICILLIN ALLERGY, IMIDAZOLE ANTIFUNGALS, MACROLIDES (BUT OK TO TAKE Z-PAK), AND QUINOLONES | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0961386 | 01/21/2021 | MD | 65.0 | 65 | F | Neck felt hot and swollen within day. Noticed this when reading and reading phone. Sore throat got worse over few days. At first thought it might be GERD but was severe and realized it may be from vaccine. Had slight mucous discharge, in throat and slig | U | 01/14/2021 | 01/15/2021 | 1 | None | PUB | Neck felt hot, slightly swollen with very red, sore throat, some mucous draining, some difficulty swallowing. After week, starting to get better. | None | High cholesterol GERD Previous allergies | 2 | 01/21/2021 | Sulfa, some PPI drugs, pollen Previous allergies to seafood, peanut, bees but negative tests (blood, scratch, challenge) in last ten years. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0962588 | 01/21/2021 | MD | 65.0 | 65 | F | Day 2, red erythematous rash, non blanching multiple fingers, pain, swelling. Dermatologist evaluation suggested consistent with "COVID Fingers and Toes" rash. Symptoms increased over 3 weeks and are now abating Day 7: Fever 101.5, Head ache, malaise, musc | N | 12/31/2020 | 01/02/2021 | 2 | Rapid and PCR (x2) COVID testing and influenza testing negative on day 2 of symptoms PCR COVID testing on day 5 negative | WRK | Synthroid, Ventolin, Dulera, Gammagaurd, Allegra | none | asthma Common variable immune deficiency, hypogammaglobulinemia | Lymrix vaccine: Giannati Crosti syndrome | 2 | 01/21/2021 | Y | Y | latex, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0969602 | 01/25/2021 | MD | 66.0 | 65 | F | pneumonia; This spontaneous report was received from a lawyer referring to a 66-year-old female patient. Drug reactions/allergies and concomitant medication were not reported. In June 2011, the patient was vaccinated with pneumococcal vaccine, polyvalent | U | 06/01/2011 | UNK | Medical History/Concurrent Conditions: Chickenpox (at the age of 10); Smoker (Half a pack a day) | US0095075132101USA009933 | 2 | 01/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0970231 | 01/25/2021 | MD | 65.0 | 65 | F | Arm sore for several days. about a week later 4" redness and very itchy started has not stopped yet. | N | 01/16/2021 | 01/22/2021 | 6 | PVT | sinimet amlodopime losartan celexa metropolol lipitor vit d | none | parkinsons | same with shingrix | 2 | 01/25/2021 | shell fish occasionally | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0971270 | 01/25/2021 | MD | 65.0 | 65 | M | Severe shivering lasted several hours Passive urination Giddiness | Y | 01/22/2021 | 01/24/2021 | 2 | None | OTH | None | None | Diabetes, Blood pressure, Heart blockage but under control through daily yoga practices and diet | 2 | 01/25/2021 | Latex and pollen allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0981368 | 01/28/2021 | MD | 65 | F | No immediate reaction aside from sore arm after shot on 1/13/21. Then on 1/22/21 injection site became red with a 4" diameter raised reaction that was hot, tender and itchy. I called PCP and she saw me right away. She gave me Methylprednisolone tablets | N | 01/13/2021 | 01/22/2021 | 9 | N/A | OTH | None | No | None | 2 | 01/28/2021 | Y | Bee venom, Cephalosporin antibiotic, Dilaudid. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0983211 | 01/28/2021 | MD | 65.0 | 65 | F | weakness, chills, severe headache, low grade temp to 100.5, nausea, fatigue, severe joint pain, muscle aches lasting acutely x 48hrs and sub-acutely to present day. | Y | 01/25/2021 | 01/25/2021 | 0 | WRK | Singulair, hydrochloroquine, cevimeline, restasis eye drops, xiidra eye drops | None | Sjogrens syndrome, asthma | 65 yo w/ Moderna #1: very mild vaccination site pain, joint pain lasting less than 24hrs | 2 | 01/28/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0983396 | 01/28/2021 | MD | 65.0 | 65 | F | I ached and had a headache, very bad body aches. It lasted till that Sunday. I called hospital number and they set me up with an NP and to get Covid tested. Test came back negative. I had Covid back in June, and Covid is much worse than the vaccine. | Y | 12/28/2020 | 12/30/2020 | 2 | Covid | WRK | Blood pressure medications Vitamin D, B12 Injection- Aimovig | hypertension | vsafe | 2 | 01/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0984385 | 01/29/2021 | MD | 65.0 | 65 | F | Muscle aches; This case was reported by a consumer and described the occurrence of muscle pain in a 65-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 31st December 2020, the patient received Shingrix. On 4th January 202 | N | 12/31/2020 | 01/04/2021 | 4 | UNK | USGLAXOSMITHKLINEUS202100 | 2 | 01/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0987913 | 01/30/2021 | MD | 65.0 | 65 | F | The vaccine was given high up on my left arm approximately 1" below the top of my shoulder. I had an unusual sensation as the shot was going in like a filling up sensation. Then in the afternoon of that same day I could not lift my left arm. It was very p | N | 01/28/2021 | 01/28/2021 | 0 | PVT | Fish Oil, Multi-Vitamin for over 50, Ocuvite Adult 50, Osteo-Bi-Flex | None | Osteoarthritis-Knee | 2 | 01/30/2021 | Y | Seasonal Allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0989249 | 01/31/2021 | MD | 65.0 | 65 | F | 10 minutes after the Moderna vaccine, she felt shaky, dizzy and dry mouth. Her tongue felt slightly large. She was given Diphenhydramine. She rested an additional 20 minutes and was able to go home. Her husband drove her home. She is ok 3 hrs later. | Y | 01/30/2021 | 01/30/2021 | 0 | PHM | Hctz, Quinapril, Rosuvastatin, Restasis | none | high blood pressure, high cholesterol, dry eyes | 2 | 01/31/2021 | Sulfa, penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1015177 | 02/08/2021 | MD | 65.0 | 65 | M | Noticed a rash on entire top body, back and front and sides | N | 02/05/2021 | 02/08/2021 | 3 | None | OTH | Aspirin (81mg)? Niacin ER 1000 mg, Simvastatin 20 mg - Terazosin (10mg) , Myrbetriq (50mg), Vitamin B12 (1000) ,Vitamin Whole Earth&Sea Men?s 50+, Fiber capsules' Zolpidem (5 mg), Tramadol HCL 50 mg | None | Overall fine | 2 | 02/08/2021 | Y | Mo | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1031133 | 02/12/2021 | MD | 65.0 | 65 | F | Patient received vaccine via standard administration technique in left deltoid. Aftercare instructions [massage/lotion] and medication options were provided following the vaccination. Patient experienced localized discomfort at the injection site. She foll | Y | N | 11/19/2020 | 11/19/2020 | 0 | none | PHM | Latanoprost Ophthalmic Soln. | None | Unknown | 2 | 02/12/2021 | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1030607 | 02/15/2021 | MD | 65.0 | 65 | F | Hx of anxiety. Became anxious, legs shaking and felt like her throat was closing immediately after getting the vaccine. Pulse ox originally 91% on RA but improved to 95% on 2L. Patient fully recovered after 30 minutes with no medications. | N | 02/15/2021 | 02/15/2021 | 0 | OTH | 2 | 02/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041079 | 02/19/2021 | MD | 65.0 | 65 | F | Moderna COVID?19 Vaccine EUA Vaccination #1 Event: Sore arm and body aches lasting 36 hours Treatment: Ibuprofen Vaccination #2 Immediate event - sore arm and generalized body achiness Treatment: Ibuprofen Event #2 occurred 6 days later: Diarrhea, diaphore | Y | 02/09/2021 | 02/16/2021 | 7 | none | PVT | Chelated Magnesium Riboflavin CoQ10 Vit D3 Famotidine Vit B12 | none | Status migrainosis | 2 | 02/19/2021 | None Known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041352 | 02/19/2021 | MD | 65.0 | 65 | M | 65 y.o. man was in excellent health until episode on 2/13. At 11:30 PM he drove from his home to do work in a cow barn. His wife joined him to help at about 12:15 AM and she found him to be disoriented and confused. He has no memory of what happened during | Y | 2 | Y | 02/13/2021 | 02/13/2021 | 0 | Head CT and MRI showed an incidental 6 mm colloid cyst in the 3rd ventricle. EEG normal. ECG and telemetry normal. Complete blood count and comprehensive chemistry panel were normal. | PHM | aspirin 162 mg daily | None | None | 2 | 02/19/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1050144 | 02/23/2021 | MD | 65.0 | 65 | F | First vaccine on 1/30, 10 days later started with a few hives. Thought it was new medication, took benadryl but lasted on and off for 10 days. Didn't think it was related to the vaccine. On 2/18 had more severe hives called my dr. She didn't see a reason | Y | 02/20/2021 | 02/21/2021 | 1 | Blood work, cardiac monitoring for 2 hours. | PUB | Gabapentin Synthroid Xarelto Celexa lipitor losartan onglyza | none | Diabetes type2, obesity, hypothyroidism, htn, chronic kidney disease Stage 3, neuropathy, osteoporsis | 2 | 02/23/2021 | Y | dilaudid, ace inhibitors, sulfa, ceftin, zanaflex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1054437 | 02/25/2021 | MD | 65.0 | 65 | F | None stated. | Y | 02/01/2021 | 02/25/2021 | 24 | PUB | None | Hypertension | 2 | 02/25/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1057339 | 02/26/2021 | MD | 65.0 | 65 | F | Red rash & itch on left upper arm Covid arm I notified pharmacy & Dr To | 02/13/2021 | 02/26/2021 | 13 | PHM | Hydrochlorothyazide 12.5 mg Dorzolamide HCL eye drop Vit D | None | Glaucoma right eye due to injury Reactive arthritis in remission | 2 | 02/26/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1058017 | 02/26/2021 | MD | 65.0 | 65 | F | Site: Itching at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium | N | 02/13/2021 | 02/26/2021 | 13 | PHM | 2 | 02/26/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1059459 | 02/27/2021 | MD | 65.0 | 65 | F | "COVID Arm" - red, slightly itchy rash, about 1.5" wide by 3" long, appeared on 2/26/2021 - 11 days after vaccination was administered. Not painful or swollen. Appears to be resolving. | N | 02/15/2021 | 02/26/2021 | 11 | None | PHM | Alendronate 70mg weekly, Atorvastatin 40mg daily, Sertraline 75mg daily, fish oil, calcium citrate, one-a-day vitamins. | None | Osteoporosis | 2 | 02/27/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1068858 | 03/03/2021 | MD | 65.0 | 65 | F | Itchy slightly raised rash around the injection site 9 days after injection. Also joint pain all over the day after the injection which resolved in a couple days. | Y | 02/20/2021 | 03/02/2021 | 10 | PVT | montelukast, nortryptiline, simvastatin, vitamin C, vitamin D, vitamin E, krill oil, multivitamin, iron, potassium | none | allergies, asthma, migraines | 2 | 03/03/2021 | latex, opiates, perfumes - particularly musk based, cashews/urushiol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1069203 | 03/03/2021 | MD | 65.0 | 65 | F | that night i got up about 12:00 AM my face was swollen, red, eyes was red and sowllen , and felt sick all over. Call doctor in morning to let him know what was going on. Nurse said the it was a side effect and should going away. Call back on wed. becasue | U | 03/01/2021 | 03/01/2021 | 0 | PHM | NO | NO | Mitral Valve,Prolapse, Cardiac Dysrythmias with perods APC'S and PVC'S mild Aoria Valve Insufficiency Meniere's Vertigo Anxiety Fibomyalgia | papers at time | 2 | 03/03/2021 | Y | Dogoxin Sulfur Tetanus Augmentin Braxin Penicillin All Constract Martial | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1070523 | 03/03/2021 | MD | 65.0 | 65 | F | Hives, throat got sore and felt itchy and tight | Y | 02/25/2021 | 02/25/2021 | 0 | N/a | OTH | Rosuvastin, Valsartin, Carvedilol | N/a | Diabetes, kidney stones, blood pressure | 2 | 03/03/2021 | Latex,penicillan, dulaidid, codiene,sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071332 | 03/04/2021 | MD | 65.0 | 65 | F | Site: Pain at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypertension-Mild, Additional Details: pt got vaccine at 1115a. complained of fast HR and dizzziness. Was given benadryl. pt vitals were stable u | Y | 03/02/2021 | 03/02/2021 | 0 | PHM | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071402 | 03/04/2021 | MD | 65.0 | 65 | M | Moderna COVID-19 Vaccine EUA 8 day after vaccine an itchy red rash appeared at injection site. Resolved in 5 days. Size approximately 2"x2" round. | Y | 02/15/2021 | 02/22/2021 | 7 | none | PHM | Rosuvastatin lisinopril bystolic prolia | none | Osteoporosis, High blood pressure | 2 | 03/04/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1073734 | 03/04/2021 | MD | 65.0 | 65 | F | NUMBNESS IN SIDE OF FACE WHERE VACCINE WAS GIVEN | 03/04/2021 | 03/04/2021 | 0 | PHM | MANY | REACTION TO FIRST VACCINE BUT THOUGHT IT WAS TMJ | RA | 2 | 03/04/2021 | Y | PENECILLIN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074329 | 03/05/2021 | MD | 65.0 | 65 | F | Site: Itching at Injection Site-Medium, Additional Details: PATIENT HAD UPPER SKIN REACTION (REDNESS OF BOTH ARMS BUT LEFT ARM WAS MORE, ITCHIING AND LATER USED THE RESTROOM. SHE REPORTED OK IN UNDER 30 MINUTES AND LEFT THE FACILITY. i CALLED AFTER WORKING | Y | 03/04/2021 | 03/04/2021 | 0 | PHM | 2 | 03/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074640 | 03/05/2021 | MD | 65.0 | 65 | F | The day after the second dose of moderna Covid 19, pt developed scattered urticaria with pruritis to bl arms and legs, less concentrated to the trunk | U | 03/03/2021 | 03/04/2021 | 1 | SCH | Multivitamin; Vitamin D; Biotin; benadryl (last dose 3/2/21) | Right eye puffiness | No past medical history | 2 | 03/05/2021 | Y | Penicillins (not sure of what the reaction is) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074679 | 03/05/2021 | MD | 65.0 | 65 | F | Patient presented 2/17 with left side bells palsey, left sided facial droop, facial paresthesia and diffuse headache. No acute findings on CT or MRI. Patient discharge 2/18. , hospitalizations are to be reported irrespective of attribution to the vaccine | 02/17/2021 | 02/17/2021 | 0 | PVT | HLD, DM2, GERD, and Acoustic Neuroma s/p Gamma knife radiation | 2 | 03/05/2021 | Y | nkda | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1077341 | 03/06/2021 | MD | 65.0 | 65 | F | Feet & calves extremely warm, no fever. Upset stomach, malaise, slight difficulty breathinh | N | 03/05/2021 | 03/06/2021 | 1 | None, also history of epolrpsy | SCH | Anti-depressant, anti-anciety, insulin, met forming, thyroid rx, cholesterol Rx | None | Diabetes. Anxiety, depression, stones in gall bladder, thyroid | No but my son died from. Peryes as a child don't recall which h one.. .y son died from pertussis vCcine | 2 | 03/06/2021 | Ritalin, statins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1077560 | 03/06/2021 | MD | 65.0 | 65 | M | Swollen Lymph nodes left armpit | N | 03/04/2021 | 03/06/2021 | 2 | just the 2nd covid shot on 3/4/21 | PVT | Pravastatin 20 mg tablet, Janumet XR 50-1000MG | none | none | 2 | 03/06/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079076 | 03/07/2021 | MD | 65.0 | 65 | M | Vertigo or dizziness. Symptoms are mild. They became evident 30 hours after inoculation. I will remain home for the day and see how I feel tomorrow. | N | 03/05/2021 | 03/07/2021 | 2 | Medical System | OTH | Vyvanse 70 mg Cap Oxcarbazepine 300 mg Tab Finasteride 5 mg Tab ? ? of a tablet taken daily Atorvastatin 40 mg Tab Famotidine 40 mg Tab Metoprolol Tartrate 25 mg Tab Losartan-hydrochlorothiazide 50-12.5 mg Tab Omeprazole 20 mg Cpdr sr cap B | n/a | ? Hypertension (High Blood Pressure) o Added 8/21/2015 ? Hyperlipidemia (High Blood Fats) o Added 8/21/2015 ? ADHD o Added 2012 ? Bipolar Disorder o Added 2012 ? Edema (Swelling) Leg ? Added 8/21/2015 ? ATHEROSCLEROSIS OF AORTA o Added 11/15/2016 ? OBESITY | 2 | 03/07/2021 | Lisinopril | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1084426 | 03/09/2021 | MD | 65.0 | 65 | F | Patient reported that she felt "dizzy." This had never happened to her before. She had breakfast this morning. She was on no medications and reported no allergies. Orthostatic BPs were as follows: Lying-95/50, Sitting-103/71, Standing-101/69. She remained | Y | 03/09/2021 | 03/09/2021 | 0 | PUB | None reported | None | None | Reports "cold like symptoms" with seasonal flu vaccine | 2 | 03/09/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1084607 | 03/09/2021 | MD | 65.0 | 65 | M | Per the EUA, cases of COVID-19 vaccination that result in hospitalization or death are to be reported. This patient received Pfizer vaccine on 2/26/2021. Patient is admitted for sepsis secondary left diabetic foot ulcer. | Y | 4 | 02/26/2021 | 03/05/2021 | 7 | PVT | 2 | 03/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1085751 | 03/09/2021 | MD | 65.0 | 65 | M | Janssen COVID-19 Vaccine EUA. Side effect has been getting tired with little exertion. | N | 03/07/2021 | 03/08/2021 | 1 | None | OTH | On many prescription medications | None | Heart disease (4 stents), type 2 diabeties, psoriatic arthritis | 2 | 03/09/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1090736 | 03/11/2021 | MD | 65.0 | 65 | M | Pt was possibly inadvertently given 1cc of Moderna vaccine instead of 0.5cc. Patient was notified. State of MD was notified. | U | 02/24/2021 | 02/24/2021 | 0 | none | PUB | unknown | none at time of vaccination | none listed | 2 | 03/11/2021 | none listed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1094044 | 03/12/2021 | MD | 65.0 | 65 | M | Within six hours: fatigue, aches overall of body Six to 24 hours: fatigue, aches overall of the body, especially along the spine, and in joints. 24-48 hours: fatigue, reduced aches overall of the body, but aches in hips and knees remained, especially prono | Y | 03/09/2021 | 03/09/2021 | 0 | None | PHM | None | None | None | 2 | 03/12/2021 | Penecillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1095014 | 03/12/2021 | MD | 65.0 | 65 | M | Injection site red and swollen, also experienced achy body | U | 03/10/2021 | 03/12/2021 | 2 | None | OTH | Asa 81 mg Testosterone Cypionate 200mg/IM Self injected q2 wks Diltiazem 180 mg QD Indomethacin 50 mg Q8 hrs PRN Lisinopril 20 mg QD Pravastatin 10 mg QD Allopurin | None | hypercholesterol HTN | 2 | 03/12/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1095377 | 03/12/2021 | MD | 65.0 | 65 | F | mild headache, sore arm, fatigue | Y | 03/11/2021 | 03/11/2021 | 0 | None | OTH | Amitriptyline 30 mg, Metoprolol 25 mg, Pulmicort 2 puffs twice a day, Mutivit, B12, Vit D, Focalin ER 10 mg, Fish oil, CoQ10, Melatonin 3 mg, Allegra 180 mg, Calcium Citrate 400 mg, allergy shots monthly maintenance. | None | asthma, migraine headaches, seasonal allergies | Shingrix, 63 y.o., fatigue and muscle aches, both doses | 2 | 03/12/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096451 | 03/13/2021 | MD | 65.0 | 65 | F | Extreme chills (teeth chattering) Fatigue low-grade fever Sleeplessness Shortness of breath during exersion | Y | 03/08/2021 | 03/08/2021 | 0 | UNK | hypothyroidism | 2 | 03/13/2021 | milk sensitivities | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096800 | 03/13/2021 | MD | 65.0 | 65 | F | I noticed a red rash on my legs, arms, and torso at about 8 pm yesterday, March 12; it is red blotches (no hives) and feels more like a sunburn . There is a burning sensation with mild itching and red blotches/spots. I contacted my physician who recommen | N | 03/08/2021 | 03/12/2021 | 4 | None | OTH | Carbamazepine XR 200 mg. daily vitamin, vitamin C, magnesium, glucosamine, calcium supplements (all long-term meds) | None known | Seizure disorder (under good control) | 2 | 03/13/2021 | Mold, pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1097998 | 03/14/2021 | MD | 65.0 | 65 | M | Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Additional Details: patient was very anxious prior to shot. | Y | 03/13/2021 | 03/13/2021 | 0 | PHM | 2 | 03/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1101981 | 03/15/2021 | MD | 65.0 | 65 | F | The first day I just had soreness in my arm, slight body aches and a headache. I took Motrin. The following day I had to same symptoms and was fatigued, along with other symptoms. Tuesday, I was lightheaded, dizziness, chills body aches, a headaches. I cal | U | 01/23/2021 | 01/23/2021 | 0 | COVID, negative | WRK | Vitamin C Vitamin D Omega 3 B12 Zinc | vsafe | 2 | 03/15/2021 | Y | Strawberry Coconut Almond Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1104038 | 03/16/2021 | MD | 65.0 | 65 | F | Fever (100F) started evening of 3/12/21 and has continued to this date.. Using Tylenol extra strength. | N | 03/11/2021 | 03/12/2021 | 1 | PVT | 3600 mg fish oil capsules 1000U vitamin D 15 mg meloxicam 50mcg levothyroxine Vytorin 10/40 | 23 years old, 1979, tetanus toxoid | 2 | 03/16/2021 | Tetanus toxoid Sulfa compounds Keflex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1104370 | 03/16/2021 | MD | 65.0 | 65 | F | Patient called pharmacy saying that she had severe pain in left arm following administration of vaccine. She describes it as severe bursitis resulting in an inability to move rotator cuff for 2 days post administration. Consult with orthopedic surgeon resu | N | 03/09/2021 | 03/09/2021 | 0 | PHM | 2 | 03/16/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1105859 | 03/16/2021 | MD | 65.0 | 65 | F | Fever over 100?F, body aches, chills, fatigue starting about 16 hours after injection | U | 03/15/2021 | 03/16/2021 | 1 | UNK | Tradodone, 50 mg, Hydrochlorothiazide 25 mg, propranolol 20 mg, celecoxib 200 mg, Sr. women's multivitamin, D-3, B-12, Vitamin C 500 mg, iron supplement | None | HBP, arthritis, anxiety, insomnia | 2 | 03/16/2021 | Lisinopril, sulfa antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108216 | 03/17/2021 | MD | 66.0 | 65 | M | Extreme ringing in ears Numbness in cheeks Slight vision blur | 03/17/2021 | 03/17/2021 | 0 | OTH | Nexium Prevastatin | 2 | 03/17/2021 | Dried trail mix. Medicine containing floxins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108694 | 03/17/2021 | MD | 65.0 | 65 | F | Almost exactly 6 hours after receiving the vaccine I came down with severe chills, pretty severe headache, and nausea. I took 3 Advil which helped with the headache . All of these symptoms lasted for another 6 hours at which time I was able to fall aslee | Y | 03/06/2021 | 03/06/2021 | 0 | PVT | none | high blood pressure | 2 | 03/17/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109008 | 03/17/2021 | MD | 65.0 | 65 | F | 5-7 days after her vaccine, pt woke up with tingling to the L arm and L side of face/cheek; Has since had a few episodes of tingling to the L cheek w/o weakness, speech change, vision change. Pt's vaccine card does not have the lot # written on it. | Y | 03/05/2021 | 03/10/2021 | 5 | PHM | levothyroxine, trelegy, famotidine, benzonatate, vitamin c, d3, zinc, potassium, hydrochlorothiazide, loratadine | new diagnosis of asthma | hypothyroidism, asthma, hypertension | 2 | 03/17/2021 | Y | no allergies to meds, foods. + allergy to ragweed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109257 | 03/17/2021 | MD | 65.0 | 65 | F | Mild right sided Bell's Palsy 10 days after 2nd Moderna vaccine. My daughter recently got Bell's palsy 2 months after her 2nd dose of Pfizer vaccine. She also submitted a VAERS report Might the Bell's palsy be a reaction to the vaccine? Might there be a | N | 03/05/2021 | 03/15/2021 | 10 | PVT | Xylotan eye drops b12 inj 1000 ugm im q 2 wk | none | glaucoma B12 deficiency-controlled | 2 | 03/17/2021 | ceftriaxone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109306 | 03/17/2021 | MD | 65.0 | 65 | F | 1st day after-fatique/headache/weakness/chills 2nd day- better 3rd day- dizziness started late night, subsided next morning. 4th day- same as 3rd 5th day- extreme dizziness at night, continued next day with sick feeling, stomach pain, leg weakness. Heart | U | 02/21/2021 | 02/24/2021 | 3 | EKG, bloodwork, chest xray, ct scan of brain, heart monitor (at hospital stay and also at cardiologist 2 days later). ENT visit to rule out vertigo. | OTH | None | None | Moderate aortic valve leak LBBB Cervical stenosis GERD | 2 | 03/17/2021 | Lactose intolerance Caffeine sensitivity | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109557 | 03/17/2021 | MD | 65.0 | 65 | F | Burning eyes & swollen eyelids, numbness in left temple, pain in left jaw, swelling in left cheek & around eyes, numbness in chin | N | 02/02/2021 | 02/10/2021 | 8 | C-reactive protein & ESR - 2/24/21: normal MRI orbit, face & neck - 3/13/21: extensive edema | PVT | multi-vitamins, ibuprofen | none | seasonal allergies (ragweed) | 2 | 03/17/2021 | Y | scallops | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109693 | 03/17/2021 | MD | 65.0 | 65 | F | muscle joint stiffness lower back and legs, loss of appetite, cramping in back thigh muscles | N | 03/12/2021 | 03/12/2021 | 0 | SEN | none | none | none | penicillin | 2 | 03/17/2021 | penincillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1110179 | 03/18/2021 | MD | 65.0 | 65 | M | high fever 102 for 48 hours. muscles and joint ache. head ache pain and swelling at injection site chills | Y | 02/12/2021 | 03/12/2021 | 28 | PHM | none | none for a decade | none | 2 | 03/18/2021 | shell fish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1111021 | 03/18/2021 | MD | 65.0 | 65 | F | fever 3 days after vaccine, daily fevers since | U | 03/11/2021 | 03/15/2021 | 4 | PVT | cholecalciferol (VITAMIN D3) 1,000 unit tablet, Take 1 tablet daily ? ezetimibe-simvastatin (VYTORIN) 10-40 mg per tablet, Take 1 pill QD ? LEVOthyroxine (SYNTHROID) 50 MCG tablet, TAKE ONE TABLET BY MOUTH EVERY DAY ? meloxicam (MOBIC) 1 | Benign neoplasm of colon Hypothyroid Vitamin D deficiency Mixed hyperlipidemia Obesity Depression Obstructive sleep apnea malaise and fatigue Tear of meniscus of right knee Arthritis of right knee Decreased vision Age-related cataract of | 2 | 03/18/2021 | Y | Guaifenesin Hives Sulfa (sulfonamide Antibiotics) Hives Erythromycin Diarrhea, Nausea and vomiting Keflex [Cephalexin] Diarrhea, Nausea and vomiting | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1112093 | 03/18/2021 | MD | 65.0 | 65 | F | Within 2 days of vaccination, I began to experience moderate constitutional symptoms: headache, low grade fever of 99, and mild chills. Sunday AM I noted the onset of intense vaginal itching and burning. By the evening, I was clearly having an HSV2 outbre | Y | 03/04/2021 | 03/06/2021 | 2 | None | PHM | Estradiol; coQ10; UC-II; vitamin D; digestive enzymes | None | Chronic pain and neurologic issues d/t MVA | Within 48 hrs of receiving the swine flu vaccines in 1976 (age 20) and 2009 (age 53), I developed a 103 degree plus fever, arth | 2 | 03/18/2021 | PCN; phenothiazines and chemically related; MSO4 inj.; NSAIDS except ASA; iodine; adhesive; mold and dust in past | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1114831 | 03/19/2021 | MD | 65.0 | 65 | F | My tinnitus increased for about 24 hours. **Increased tinnitus. | Y | 03/01/2021 | 03/17/2021 | 16 | PVT | ginger supplement | None | None | 2 | 03/19/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1118108 | 03/20/2021 | MD | 65.0 | 65 | F | Noticed my left armpit was slightly swollen a few hours after getting 2nd vaccine. I woke up the next day and it is visibly swollen and uncomfortable. Took Advil before bedtime but no change noted. | N | 03/19/2021 | 03/19/2021 | 0 | None | PVT | Amlodipine, Asmanex Twisthaler, Vitamin D supplements | None | Asymptotic Sarcoidosis since 1984 | 2 | 03/20/2021 | Allergy to codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1125320 | 03/23/2021 | MD | 65.0 | 65 | F | Bump at injection site, itching and small red blotches below was noticed on Sunday, March 21. I applied cortisone 2 times on Monday. Tuesday morning noticed small blotches were now one big red blotch and swelling. | N | 03/13/2021 | 03/21/2021 | 8 | PVT | Furosemide 20 mg Losartan 25 mg Atorvastatin 20 mg Vitamin D 50,000 unit Carvedilol 6.26 mg Low dose aspirin | None | Cardiomyopathy Congestive heart failure | 2 | 03/23/2021 | Beta blockers | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1125392 | 03/23/2021 | MD | 65.0 | 65 | M | Hives and lip swelling | N | 03/22/2021 | 03/22/2021 | 0 | Patient was seen in the ED on 3/23/2021 | SCH | N/A | N/A | N/A | 2 | 03/23/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1125991 | 03/23/2021 | MD | 65.0 | 65 | F | Woke with intermittent but very sore left knee pain. Might have been a little warm to touch but not sure. No past h/o of knee pain or injury. To date, still experiencing intermittent left knee pain - not red, warm or swollen. Today (3/23) left shoulder is | N | 03/18/2021 | 03/19/2021 | 1 | OTH | Daily: Micardis Simvastatin Ibuprofen (one dose daily) PRN: Vitamins | Denies | Hypertension Hyperlipidemia Issues with low back pain | 2 | 03/23/2021 | Codeine Lotril | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130982 | 03/24/2021 | MD | 65.0 | 65 | F | Shingles (self diagnosis - have had shingles 2 times prior.) | U | 03/20/2021 | 03/22/2021 | 2 | NA | OTH | none | none | none | 2 | 03/24/2021 | codine and jelly fish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1136643 | 03/26/2021 | MD | 65.0 | 65 | M | 65 yr old male who took his meds this morning, Moderna vax given @ 0840; had reaction to vaccine with HA, change in mentation, and diaphoresis, EMS called and pt transferred to ER; pt has SOB with POX down to 94 percent; went to 91 percent; with epi pe | U | 03/25/2021 | 03/25/2021 | 0 | MIL | 2 | 03/26/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1143062 | 03/29/2021 | MD | 65.0 | 65 | M | On 3/28 I had Arm pain, Chillis/Shakes/Dizziness , My glucose what from AM reading of 129 (7am) to 200 (7pm), my BP went from 110/70 (7am) to 155/90 (7pm). On 3/29 (7am) my glucose is 126, BP 117/73, arm hurts just alittle | Y | 03/27/2021 | 03/28/2021 | 1 | None | UNK | Farxiga 10 mg once a day, Metformin HCL R 500 once a day, Atorvastatin 10 once a day, Valsartan-HCTZ 32012.5 once a day, Trulicity 1.5 once a week. Latanoprost .005% multivitamin, ibuprofen, Flonase | Seasonal Allergies | High BP, Diabetes, High eye pressure | 2 | 03/29/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1143908 | 03/29/2021 | MD | 65.0 | 65 | F | 3 inch rash around injection site | N | 03/10/2021 | 03/27/2021 | 17 | PHM | propranolol zolpidem zoloft aspirin Buspar Vitamin D | GAD | 2 | 03/29/2021 | Iodine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1147048 | 03/30/2021 | MD | 65.0 | 65 | F | She got the vaccine, had no reaction at the injection site. She went home and took it easy and went to bed. She woke up the next morning around 7:00 AM and while brushing her teeth started vomiting, blood in color. She then started diarrhea, and the sto | N | 03/18/2021 | 03/19/2021 | 1 | None. | PHM | Centrum silver, vitamin E, Cymbalta, Losartan, Propranolol, Pantoprazole. | None. | High blood pressure, depression, GERD. | 2 | 03/30/2021 | Codeine, Demerol, Flexeril. Mold, dust, perfumes, Down (pillow - throat shuts). | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155185 | 04/01/2021 | MD | 65.0 | 65 | F | Very large red, warm to the touch, somewhat bumpy at the site of the injection (Moderna arm) | Y | 03/03/2021 | 03/10/2021 | 7 | N/A | PHM | Ibesartan HCTZ 300-12.5, Zrytec, Calcium, Vitamin D, Vitamin C, Nexium, Multivitamin | N/A | N/A | 2 | 04/01/2021 | Pencillian, Sulpha, Avocado a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155808 | 04/01/2021 | MD | 65.0 | 65 | F | Excess tiredness/ sleepiness. Headache. Mouth Ulcer on roof of mouth. | N | 03/23/2021 | 03/23/2021 | 0 | PVT | yes | N/A | Breast Cancer, Hypertension, Rhematoid Arthritis | Shingles | 2 | 04/01/2021 | Sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1158931 | 04/02/2021 | MD | 65.0 | 65 | F | 4/1/21: patient presented with chief compliant of left-sided epistaxis (nose bleeding). Patient states she has had epistaxis on and off for the past 5 days. Stated she feels nauseas from the blood in the back of her throat. Significant active heavy bleedi | Y | 03/22/2021 | 04/01/2021 | 10 | PVT | Breast cancer, COPD, DM, HTN, Acute leukemia (in remission) | 2 | 04/02/2021 | Sulfa - hives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163848 | 04/03/2021 | MD | 65.0 | 65 | F | onset of chills and fever and fatigue and headache 6 hours following injection; improvement by next morning, although fatigue and slight headache remain | U | 04/02/2021 | 04/02/2021 | 0 | none | OTH | Estradiol/progesterone HRT Thyroid NP 90 mg XYZal | 2 | 04/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1164284 | 04/03/2021 | MD | 65.0 | 65 | M | Patient was in the observation area after his second Pfizer COVID-19 vaccine dose. Shortly after, patient was observed to be shaking and then fell out of his chair and hit his head on the ground. Patient sat up immediately afterwards. Patient was cohere | Y | 04/03/2021 | 04/03/2021 | 0 | 4/3/21 Initial BP 182/94, manual HR 48 4/3/21 Subsequent BP 145/81, HR 53 | WRK | BCC of right lateral canthus | 2 | 04/03/2021 | Y | sulfonamide antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1166378 | 04/04/2021 | MD | 65.0 | 65 | M | Tinnitus in both ears | N | 02/28/2021 | 03/05/2021 | 5 | None yet | PHM | Zyzel | None | Allergies | 2 | 04/04/2021 | Y | Pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1168235 | 04/05/2021 | MD | 65.0 | 65 | M | Pain and persistent tingling throughout arm and hand after first and second dose of vaccine. The tingling in my left arm and hand persisted after the first dose, and increased after the second dose. The tingling in my arm has persisted for 4 weeks now. The | N | 04/03/2021 | 04/03/2021 | 0 | None | PHM | None | None | None | 2 | 04/05/2021 | Amantadine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1176867 | 04/07/2021 | MD | 65.0 | 65 | M | Fever, chills, muscle contractions in lower back and stomach for two days. Loss of appetite, lower back pain. My urine was deep orange in color and bowel movements were very loose (not formed). Extreme fatigue for almost 8 full days before I felt any sense | Y | 03/28/2021 | 03/29/2021 | 1 | None | PVT | Maxalt ? MLT; 10mg - As needed on the onset of a Migraine Pantoprazole SOD DR 40mg; 2/day ? Barrett?s Esophagus, Acid Reflux and Heartburn Atorvastatin (Lipitor) 40mg; 1/day ? Cholesterol Telmisartan 80mg; 1/day - Blood Pressure Carveddilol | None | Neuropathy, chronic pain, nerve damage from surgery. | 2 | 04/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177569 | 04/07/2021 | MD | 65.0 | 65 | F | In the evening of Day 1, the patient experienced tachycardia which she described as heart racing. In the afternoon of day 2, she experienced a brief episode of blurred vision and a sharp shooting pain in her arm that lasted about 2 minutes. Later that ev | N | 03/25/2021 | 03/25/2021 | 0 | None | PHM | Multivitamin, Vitamin B, Vitamin D, Biotin | None | None | 2 | 04/07/2021 | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1190202 | 04/10/2021 | MD | 65.0 | 65 | F | I received my fist dose of Moderna vaccine on 2/4 My platelet count was 186 on 2/17 I received my second dose of Moderna on 3/9 My platelet count dropped to 73 when checked on 3/12/2021 My platelet count dropped to 33 when checked on 3/29 I received a 2- | Y | U | 03/09/2021 | 03/12/2021 | 3 | Noted in Item 18 | PHM | revlimid | multiple myeloma | 2 | 04/10/2021 | Y | codeine and percocet | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1198051 | 04/12/2021 | MD | 65.0 | 65 | F | Patient had mild fever 101 body aches and pains all over and difficulty sleeping as well as reported a very sore arm. Patient said symptoms lasted 24 hours before they subsided. | Y | 04/06/2021 | 04/06/2021 | 0 | PHM | 2 | 04/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1201100 | 04/13/2021 | MD | 65.0 | 65 | F | Headache, mild nausea, muscle aches, mild dizziness, soreness in left shoulder. Lasted all day on 4/10/2021. Felt all better on 4/11/2021, except shoulder soreness which still persists as of 4/13/2021. | Y | 04/09/2021 | 04/10/2021 | 1 | None | PUB | Diltiazem, Meloxicam, Omeprazole, Lactase Enzyme, Calcium Citrate | None | Tachycardia, Osteoarthritis | 2 | 04/13/2021 | Lemongrass | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1205764 | 04/13/2021 | MD | 65.0 | 65 | M | On or around March 19 developed a dry cough with shortness of breath. Was hospitalized on March 23 and diagnosed with interstitial lung disease and is currently on a ventilator. The diagnosis is unknown but suspected amiodorone toxicity or Sjogrens. Bo | Y | Y | 21 | Y | N | 03/09/2021 | 03/18/2021 | 9 | Ct scan, x rays ,bronchial scope, blood work up all done since he was admitted to hospital . Covid 19 tests all negative. All other tests inconclusive. | PVT | Eliquis 5 mg bid Amiodorone. 200 mg Coreg 25 mg 2 bid Crestor 40 mg Effient 10 mg Uliric 40 mg | Sinus congestion | Heart disease | 2 | 04/13/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1210365 | 04/14/2021 | MD | 65.0 | 65 | F | left knee swollen: x-ray done on 3/15/21, showing nothing wrong, doppler test done on 3/19/21- no blood clots, MRI done on 4/14/21, waiting on results: shortness of breath started on 3/12/21 and lasted about 3 weeks. | N | 03/08/2021 | 03/11/2021 | 3 | left knee swollen: x-ray done on 3/15/21, showing nothing wrong, doppler test done on 3/19/21- no blood clots, MRI done on 4/14/21, waiting on results: shortness of breath started on 3/12/21 and lasted about 3 weeks. | PVT | Synthroid | none | none | 2 | 04/14/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1215073 | 04/15/2021 | MD | 65.0 | 65 | F | On 4/10/21 to Urgent Care. Found blood clots in my lungs and Pneumonia, Clots removed at Hospital on 4/11/21. Hospitalized until 4/13/21. Treatment - blood thinners (enoxaparin, heprin and steroids), azithromycin, Advair disk, albuterol, Spiriva, Sym | Y | Y | 3 | N | 03/10/2021 | 04/10/2021 | 31 | Medical Test = blood drawn, x rays and CT Scan | PHM | Buspirone, losartan, propranolol, hyoscyamine, B12, tumeric, cetirizine, AZO cranberry, ashwagundha, cbd oil, vitamin d3 | high heart rate | low back pain | 2 | 04/15/2021 | Y | Y | Shell fish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222227 | 04/17/2021 | MD | 65.0 | 65 | F | vertigo-like symptoms (extremely dizzy) appearing in early morning week later after shot-lasted into next morning. Extreme dizziness then lessened...experienced fatigue next several days. | Y | 03/16/2021 | 03/23/2021 | 7 | none | PHM | Chlorthalidone, Bystolic, daily multivitamin | none | high blood pressure | 2 | 04/17/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1226973 | 04/18/2021 | MD | 65.0 | 65 | F | Arm pain, which was not noted as unusual post-vaccination, initially. The arm soreness persisted over the next few weeks and never subsided. It gradually become worse and caused increasing pain and subsequent decrease of mobility to my left arm and should | N | 12/31/2020 | 12/31/2020 | 0 | MRI without contrast Left shoulder 3/11/2021, Orthopedics consultation 3/16/2021, Start of physical therapy 3/18/2021-still ongoing. | MIL | Multivitamin, Vitamin D, Biotin 5000 mcg, Cholestoff (cholesterol lowering supplement) | None | Osteoarthritis, Hyperlipidemia | 2 | 04/18/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1227996 | 04/19/2021 | MD | 65.0 | 65 | F | vein engorgement - arms, hands, legs, feet, chest; nose bleeds, calf pain; elevated blood pressure; bruising | N | 03/03/2021 | 03/03/2021 | 0 | none | OTH | Nyquil, vitamin D, benadryl, mucinex, xyzal, singulair, crestor | none | allergic rhinitis, asthma, hyperlipidemia, gerd | tetanus as a child, specifics unknown | 2 | 04/19/2021 | Y | tetanus | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1233942 | 04/20/2021 | MD | 65.0 | 65 | F | pain developing in left axilla radiating to left breast. Very painful to touch , cannot wear a bra due to pain | N | 03/31/2021 | 04/03/2021 | 3 | Mammogram and breast ultrasound are schedule for 04/22/2021 | PHM | MEDICATIONS Pregabalin 300 mg BID Telmisartan 40 mg Q AM Zoloft 100 mg Q AM (Sertraline) Alprazolam 1 mg Q HS (.5 mg) Propanolol 20 mg bid Cyclobenzaprone 30 mg Q HS Fluticasone Nasal Spray Q HS Estrace Cream topical Q HS Hydrocodone/Ac | n/a | depression, hypertension, type 2 diabetes, fibromyalgia | 2 | 04/20/2021 | Y | Y | ALLERGIES Sulfa--hives Codeine--hives, diaphragm spasms Ultram--hives Fioricett--hives Darvocet-N--hives NSAID--GI bleed, GERD | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1237209 | 04/21/2021 | MD | 65.0 | 65 | F | Patient experienced low blood pressure within 15 minutes of receiving the second Moderna vaccine and became confused. | U | 04/20/2021 | 04/20/2021 | 0 | OTH | Blood thinner | 2 | 04/21/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238505 | 04/21/2021 | MD | 65.0 | 65 | M | Fever with wet sneezing ( may have been aggravated by 2 days of hard mountain biking). Improving after 3 days. | N | 04/13/2021 | 04/18/2021 | 5 | UNK | none | none | none | 2 | 04/21/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238688 | 04/21/2021 | MD | 65.0 | 65 | F | Rash on forehead, cheeks, chin, beneath chin, neck, chest, back, stomach, left arm. Swelling on face, swelling of uvula. Benadryl taken on 04/17/2021. Emergency room visit on 04/18/21, due to the swelling. Benadryl and steroid as treatment given at hos | N | 04/07/2021 | 04/16/2021 | 9 | Blood work on 04/18/2021 at hospital. | OTH | Losartan Potassium, vitamin D | 2 | 04/21/2021 | Y | Penicillin, sulfa drugs. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1252354 | 04/24/2021 | MD | 65.0 | 65 | F | Today at the site of injection it is itching and although I am not scratching it my husband says the spot is about half dollar size red and hot. Both feet are experiencing more numbness than usual. | N | 04/13/2021 | 04/24/2021 | 11 | PVT | Levothyroxin glipizidejardiance lisinopril ursodiolvitamin D | Diabetes type 2, asthma, NAFLD. MTHFR, osteoarthritis, Hypothyroidism | 2 | 04/24/2021 | Diazepam Bee stings | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1270647 | 04/29/2021 | MD | 65.0 | 65 | F | FIRST TWO DAYS-NORMAL ACHES, FEVER, NERVE PAIN WHICH SUBSIDED. THIRD EVENING STARTED WITH SEVER DIARRHEA THAT LASTED TWO MORE DAYS ACCOMPANIED BY NAUSEA AND DIZZINESS. THE NAUSEA AND DIZZINESS PERSISTED FOR SIX DAYS AT WHICH TIME I WAS SENT TO THE EMERGENC | N | 04/11/2021 | 04/14/2021 | 3 | AT THE ER THEY PERFORMED THREE BLOOD TESTS AND EKGS BEFORE I WAS SEEN BY NEUROLOGY TEAM. THEY RULED OUT BRAIN SWELLING AND SAID THAT THE SYMPTOMS MAY BE RELATED TO COVID VACCINE. THAT WAS ON 4/20/21. TODAY IS 4/29/21 AND THE NAUSEA IS GONE BUT I STILL HA | OTH | VALSARTAN 160MG, HZT 12.5MG, BACTRIM | NEUROMYELITIS OPTICA, COMPROMISED IMMUNE SYSTEM, HYPERTENSION | 2 | 04/29/2021 | Y | PERCOCET, SHELLFISH | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1273239 | 04/30/2021 | MD | 65.0 | 65 | F | Fever x 1 day Chillsx2 days Body aches x 4 days Malaise x 4 days Painful hand joints continues | Y | 04/21/2021 | 04/22/2021 | 1 | PVT | Sotolol,Eliquis, | nine | High blood pressure | 2 | 04/30/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1276939 | 05/01/2021 | MD | 65.0 | 65 | M | General ache, tiredness. Injection site sensitivity. Tinnitus in both ears started a couple of days after the first injection. Continues to date. | Y | N | 02/28/2021 | 03/05/2021 | 5 | COMPREHENSIVE HEARING Test 4/22/21 Nornal hearing. | PHM | Xyzel Flownase | None | Joint pain. Mainly inside elbows. | 2 | 05/01/2021 | Y | Pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1277623 | 05/01/2021 | MD | 65.0 | 65 | M | First Moderna dose on 3/30/2021 had no apparent adverse effects. Patient has persistent low platelet count, which dropped then recovered after the first dose without causing ITP symptoms. Second dose on 4/27/2021: significant muscle pain at injection sit | Y | 04/27/2021 | 04/27/2021 | 0 | CBC Platelets: 3/6/2018:145K/ul, 9/6/2018:126, 3/14/2019:134 2/22/2021:104, 3/16/2021:94, 4/1/2021:78, 4/16/2021:112, 4/30/2021:78 | WRK | irbesartan | 2 | 04/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1278040 | 05/01/2021 | MD | 65.0 | 65 | F | dvt- gastrocnemius vein right leg | N | 02/10/2021 | 03/12/2021 | 30 | duplex iltrasound | UNK | magnesium, vita. d wellbutrin allergra | none | none | 2 | 05/01/2021 | azirheomax | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1280444 | 05/02/2021 | MD | 65.0 | 65 | F | Chronic fatigue even though it has been 3 weeks since the vaccination . It was my 2nd dose. | N | 04/01/2021 | 04/09/2021 | 8 | Na | OTH | Calcium | None | None | 2 | 05/02/2021 | Sulfa, morphine, codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1285677 | 05/04/2021 | MD | 65.0 | 65 | F | Syncope, Diaphorisis, Loss of concscienceness | Y | 04/29/2021 | 04/29/2021 | 0 | reffered to Hospital | PHM | unknown | unknown | unknown | 2 | 05/04/2021 | Y | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1295101 | 05/07/2021 | MD | 65.0 | 65 | F | Dizziness, lost of balance, vertigo, vomitting | N | 05/04/2021 | 05/06/2021 | 2 | Emergency room- blood work, cat scan of head, ekg on 05/06/21 | PUB | Tylenol extra strength | Sinus headaches | None | 2 | 05/07/2021 | Y | Shellfish, penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1300115 | 05/08/2021 | MD | 65.0 | 65 | F | multiple symptoms: shaking chills, headache, tinnitus, weakness, fatigue, somnolence, nausea. Onset at 9:30 AM May 8, 2021. No treatment other than bed rest and fluids incl. oral electrolytes. Symptoms fully resolved by 4:00 PM of the same day with the exc | Y | 05/07/2021 | 05/08/2021 | 1 | none | PHM | Magnesium oxide supplements Daily multivitamin Vitamin B6 | Kidney stone active, passed on 05/01/2021. History of kidney stones since 2013. | mild asthma MVP migraine kidney stones allergies (hay fever) | 2 | 05/08/2021 | fluoroquinolines (e,g,, Cipro) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1304663 | 05/10/2021 | MD | 65.0 | 65 | F | I received the Covid vaccine on 3/9/2021 and was exposed to the Covid virus around March 31. I tested positive for Covid on 4/6/2021. I had runny nose, low grade fever thinking it was seasonal allergies until April 5 when my temperatures was 102. My Gra | U | 03/09/2021 | 04/05/2021 | 27 | OTH | Fish oil, probiotics, Centrum vitamin, Levothroxine 100 mcg, Metoprolol ER 25mg, D3, Elderberry Gummies | None | COPD, Hypothyroid, high blood pressure | 2 | 05/10/2021 | Benedryl | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1310690 | 05/12/2021 | MD | 65.0 | 65 | M | Itchy rash on right forearm and right shin. Treating with an anti itch cream. | N | 04/15/2021 | 04/19/2021 | 4 | UNK | NovoLIN R , 75 units 3 times a day., Levemir U, 85 unites2 times a day, potassium chloride 20 mEq TbER, 3 tabs a day. tamsulosin 0.4 mg Cap 24 hr capsule, 2 a day, carVEDILOL 80 MG 24 hr capsule, 1 a day, chlorthalidone 25 MG tablet, 1 a | none | Diabetes, hypertension | 2 | 05/12/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1314362 | 05/13/2021 | MD | 65.0 | 65 | M | Patient reported feeling lightheaded. No shortness of breath or difficulty breathing. Patient advised to lie flat and to stay hydrated. Patient instructed to notify medical staff or worsening symptoms. patient left site with resolved symptoms after a few m | 05/13/2021 | 05/13/2021 | 0 | UNK | 2 | 05/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1324124 | 05/17/2021 | MD | 65.0 | 65 | M | Site of injection (left shoulder) was slightly sore after about 4 or 5 hours. Shot was administered at 8:05AM. Felt fine until about 6:45PM. Noticed aches and painst beginning in neck, shoulders, and a slight headache which came and went. at 8PM, was v | Y | 05/12/2021 | 05/12/2021 | 0 | N/A. I did not go to the doctor because I felt fine after two days. | PVT | Levothyroxine tablet, Alfuzosin HCL tablet, Berberine | N/A | PVC's, Ingrown hairs | 2 | 05/17/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1337796 | 05/21/2021 | MD | 65.0 | 65 | M | that night got a 102.7 fever / Trouble breathing / very bad chest pains . My wife called 911 , went to hospital next morning at 6:30 am , came home that afternoon then 8:30 pm that night called 911 again , was in 3 different hospitals for next 19 days . | Y | Y | 19 | N | 03/25/2021 | 03/26/2021 | 1 | to many to list | UNK | 12 prescriptions / 3 supplements | none | reoccurring Poly Chondritis - arthritis | 2 | 05/21/2021 | Y | Remicade | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1343328 | 05/24/2021 | MD | 66.0 | 65 | F | 2nd shot. Work up next morning severe headache, fuzzy vision. Had reoccurrence of black floaters in both eyes still happening on day 5 no sign of them leaving. These floaters have been gone for 2 years. Day 1: floaters vision issues, headaches, slept 21 | N | 05/01/2021 | 05/20/2021 | 19 | None. | PHM | Synthroid Contrave | None | None. Obese but no other issues. Some osteo arthritis in joints due to aging | Flu | 2 | 05/24/2021 | Opioids, Codiene, flu shots | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1343563 | 05/24/2021 | MD | 65.0 | 65 | M | Chill, headache, dizziness, sore muscles, nauseated, tired. for 2 days. Milder headache & dizziness for 2 more days so far | U | 05/20/2021 | 05/24/2021 | 4 | PUB | N/A | N/A | N/A | 2 | 05/24/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1350526 | 05/26/2021 | MD | 65.0 | 65 | M | Patient reports light headedness, mild dizziness and nausea. Vitals 98% and heart rate 79. Patient asked to lay down. Cold water offered. Observed patient for 15 minutes. He became fine and was able to drive home. | 05/26/2021 | 05/26/2021 | 0 | UNK | 2 | 05/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1351433 | 05/26/2021 | MD | 65.0 | 65 | F | Initially, experienced swelling in left foot, leg, progressive pain, difficulty walking. Referred for test, after seeing doctor on 4/21/21, progressive pain, gradual and increasing shortness of breath. Went to Urgent care on 4/26/21. Recommended Emerg | Y | Y | 4 | N | 04/02/2021 | 04/14/2021 | 12 | ECHO EKG Chest x ray Multiple Lab work | UNK | Hydrochlorothiazide | Hypertension Diabetes | NA | 2 | 05/26/2021 | Na | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1356307 | 05/27/2021 | MD | 65.0 | 65 | F | Flare-up of Lyme including flu-like symptoms, fatigue, malaise, no stamina, dysesthesia (burning, tingling, stinging, tickling, cold, numbness and pain), swollen lymph nodes, swollen knees and ankles, hand and knee pain, numbness (buttocks, and thighs), ex | N | 03/20/2021 | 03/23/2021 | 3 | OTH | none | none | Lyme | 2 | 05/27/2021 | Y | latex, codeine and jelly fish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1366127 | 06/01/2021 | MD | 64.0 | 65 | M | 1st Vaccine, April 1, Thursday ~5 pm had 1st Moderna vaccine, Lot# 021B21A April 2, Friday, During the day felt tired, by the end of the day very tired and achy, went to to bed early. April 3, Saturday, Felt just as bad as when I had Covid 19, stayed in be | Y | 04/01/2021 | 04/02/2021 | 1 | None | PHM | Alfuzosin HCL 10 mg, Atorvastatin 5 mg, daily vitamin | Covid 19 positive test on 3/16/2021 | None | 2 | 06/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1366130 | 06/01/2021 | MD | 64.0 | 65 | M | 2nd Vaccine, April 29, Thursday ~5 pm had 2nd COVID vaccine, Lot# 045B21A; April 30, Friday, Feeling very achy and sore muscles, feeling achy more quickly than 1st vaccine. Spent day in bed. April 31, Saturday, Feeling terrible, just as bad as worse part o | Y | 04/29/2021 | 04/30/2021 | 1 | None | PHM | Alfuzosin HCL 10 mg, Atorvastatin 5 mg, daily vitamin | Covid 19 positive test on 3/16/2021 | None | 2 | 06/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1398668 | 06/15/2021 | MD | 65.0 | 65 | F | Sudden severe dizziness with severe vision changes and vomiting within about 20 minutes after injection. I called 911 and quickly felt better, so did not go to hospital, but light headedness remained for almost 2 weeks. Not sure if it is completely gone. I | U | 05/31/2021 | 05/31/2021 | 0 | Paramedics took my blood pressure and pulse rate and oxygen level and said all were good. 5-31-2021 | PHM | None | Migraine, Hashimoto's | Migraine, Hashimoto's | No idea | 2 | 06/15/2021 | Bactrim DS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1414416 | 06/21/2021 | MD | 65.0 | 65 | F | I had "Covid Arm" and I put ice on my arm to reduce the redness, itching and swelling. | Y | 03/18/2021 | 03/26/2021 | 8 | No medical tests were done. | SEN | I took Tylenol; vitamin D; biotin. | No illnesses at the time of vaccination. | I have hypertension; type 2 diabetes; degenerative disc disease; obesity. | TD vaccine | vsafe | 2 | 06/21/2021 | Y | I am allergic to ace inhibitors. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1420688 | 06/23/2021 | MD | 65.0 | 65 | F | COVID Vaccinaton Shot#1-- Took Pfizer- May 14th-- Mild illness; diarrhea; stomach craps, sleepy ( lasted 2-3 days). COVID Vaccination Shot#2-- Took Pfizer- June 4th--Around 6/10- 6/12 began to feel pains in legs; cramps intermently; Following week constan | N | 06/04/2021 | 06/12/2021 | 8 | 6/14-- Blood test done at Urgent Care Center ruled out glucose/Sugar level; no known issues found in my Blood work. 6/17/21-- PCP referred me to do a Fasting Blood Work up. | PHM | None | None | None | 2 | 06/23/2021 | Y | Y | None Known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1430096 | 06/27/2021 | MD | 65.0 | 65 | F | Hives started 4 days after vaccination and I still have them as of June 27, 2021. Went to an allergist, he prescribed antihistamines, they are not working. Waiting to see another doctor to get Xolair shots. | N | 03/24/2021 | 03/27/2021 | 3 | UNK | atorvostatin - 40 mg, Irebesartan - 150 | none | aortic regurgitation | 2 | 06/27/2021 | pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1431152 | 06/28/2021 | MD | 66.0 | 65 | M | About a month after 2nd vacine started to get headaches, light headed, dizzyness, with diarrhea. Lated for about 10 minutes. occured several time a day. When getting up from a chair became dizzy and lightheaded. Currently waiting for doctor exam. | N | 01/06/2020 | 03/15/2021 | 434 | none | SEN | none | none | none | 2 | 06/28/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1450034 | 07/06/2021 | MD | 65.0 | 65 | M | My problems began with a bad case of diarrhea, fever and high blood pressure of 170. I could not walk and unfold my hands. I lost strength in my legs , arms, and hands. My most severe problems lasted for two weeks. I laid in bed and took aspirin. After | Y | 04/21/2021 | 04/22/2021 | 1 | none | PVT | Amlodipine and Olmesartan Medoxomil Tablets For High Blood pressure | none | High blood pressure | 2 | 07/06/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1457418 | 07/08/2021 | MD | 65.0 | 65 | F | I had fever, chills, lack of appetite. I slept a lot. Main thing was the fever. I experienced that for 2 and a half days. | Y | 04/05/2021 | 05/19/2021 | 44 | No | SCH | High blood medicine acid reflux esomeprazole vitamins EZ Zinc, Biotin | no problems prior to the vaccine | High blood pressure | 2 | 07/08/2021 | I am allergic to peach and kiwi fuzzy skin. Can't touch it. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1464155 | 07/12/2021 | MD | 65.0 | 65 | F | After four days of flu-like symptoms which began on evening of second Pfizer vaccine experienced hearing loss and tinnitus. DIAGNOSIS: SUDDEN RIGHT-SIDED HEARING LOSS AND TINNITUS (ICD-H91.20 AND ICD-H93.11) TREATMENTS: Primary Care Doctor, Dr., 3/4/21, | Y | N | 02/16/2021 | 02/16/2021 | 0 | MRI WITH CONTRAST, 3/19/21, NEGATIVE FOR ACOUSTIC SCHWANNOMA AUDIOLOGIC EVALUATIONS, 3/18/21, 3/25/21, 4/6/21, 5/10/21, 5/12/21, 6/9/21, MODERATELY SEVERE SNHL. | PVT | SYNTHROID, CYTOMEL, BUPROPRION | NONE | NONE | 2 | 07/11/2021 | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1478336 | 07/16/2021 | MD | 65.0 | 65 | M | Patient states that he was at the Janssen COVID-19 Clinic on 3/13/21 hosted by Pharmacy and received his single dose of the vaccine. Two weeks later, he noticed leg pain and numbness in both arms. He went to the hospital and then to see his regular pract | N | 03/13/2021 | 03/27/2021 | 14 | PHM | 2 | 07/16/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1500917 | 07/24/2021 | MD | 65.0 | 65 | F | Patient received COVID19 (Moderna) vaccines on February 13, 2021 and March 13, 2021. Routine blood tests performed on July 9, 2021 showed a TSH of 7.2, indicating hypothyroidism. Patient was prescribed levothyroxine to treat the low thyroid condition. P | N | 03/13/2021 | 07/09/2021 | 118 | Blood test performed on July 9, 2021 showed a TSH of 7.2, indicating hypothyroidism. | PUB | None | None | None | 2 | 07/24/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1545245 | 08/11/2021 | MD | 65.0 | 65 | M | PATIENT PREVIOUSLY RECEIVED JANSSEN VACCINE IN FEBRUARY. NO SYMPTOMS PRESENTED AFTER ADMINISTRATION | U | 07/22/2021 | 07/22/2021 | 0 | PHM | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1553282 | 08/13/2021 | MD | 65.0 | 65 | M | Pink area the size of a baseball at injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (Pink area the size of a baseball at injection site) in a 65-year-old male patient who received m | U | 02/13/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1565029 | 08/15/2021 | MD | 65.0 | 65 | F | Stiffness; Achiness; This spontaneous case was reported by a consumer and describes the occurrence of MUSCULOSKELETAL STIFFNESS (Stiffness) and MYALGIA (Achiness) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-1 | U | 03/10/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1566480 | 08/15/2021 | MD | 65.0 | 65 | M | Diarrhea; Had queasiness and nausea; Throwing up; Really bad nausea; Stomach was bothering him; Loose stool several hours later; Felt super tired, on and off sleeping all day; Felt super tired, on and off sleeping all day; Sore arm; This spontaneous case w | N | 02/27/2021 | 02/27/2021 | 0 | UNK | Medical History/Concurrent Conditions: Colonoscopy; COVID-19 | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1566846 | 08/15/2021 | MD | 65.0 | 65 | M | left calve and foot swelled up; lower back pain between kidneys; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (left calve and foot swelled up) and BACK PAIN (lower back pain between kidneys) in a 65-y | Y | 03/01/2021 | 03/03/2021 | 2 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1587410 | 08/19/2021 | MD | 65.0 | 65 | M | Heart attach-like symptoms within a week's time of the vaccine injection, ER visit with admission for observation at hospital. An echocardiogram revealed heart ejection fraction at only 20%, down from a previous low of 40%. The patient was placed into th | Y | 7 | Y | N | 03/10/2021 | 03/18/2021 | 8 | You'll have to ask the Doctors and Healthcare Professionals at hospital for all the details. | MIL | None | July 17, 2020, Covid diagnosis. Squamish cell throat cancer diagnosis Jun 2015. Chemo/Radiation treatments Oct 2015-Jan 2016, surgery Feb 2016 to remove the final mass from the left side of the neck along with lymph nodes and saliva glands. | Hypertension, congestive heart failure, left bundle branch blockage, 40% low heart ejection fraction. | 2 | 08/19/2021 | Y | No known medication allergies. Alergic to fish and mangos. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1594984 | 08/21/2021 | MD | 65.0 | 65 | F | Tested positive for COVID-19 after 1st dose of the vaccine; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (Tested positive for COVID-19 after 1st dose of the vaccine) in a 65-year-old female patient who received | U | 01/26/2021 | 02/10/2021 | 15 | Test Date: 20210210; Test Name: Coronavirus test; Test Result: Positive ; Result Unstructured Data: Tested positive for COVID-19 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1597129 | 08/21/2021 | MD | 65.0 | 65 | F | Arm started hurting right after vaccine/arm hurts a lot and patient is in agony; Cannot move arm; Shoulder hurts a lot; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm started hurting right after vacc | N | 03/09/2021 | 03/09/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1600166 | 08/21/2021 | MD | 65.0 | 65 | M | Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm) in a 65-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 031M20 and 014M20A) for COVID-19 vaccination | Y | 02/25/2021 | 02/25/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1600212 | 08/21/2021 | MD | 65.0 | 65 | M | pulling sensation on right arm and right leg; sick; tired; headache; This spontaneous case was reported by a consumer and describes the occurrence of LIMB DISCOMFORT (pulling sensation on right arm and right leg), ILLNESS (sick), FATIGUE (tired) and HEADAC | Y | 02/25/2021 | 03/25/2021 | 28 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1600919 | 08/21/2021 | MD | 66.0 | 65 | F | Pain in left arm; Tenderness on injection site; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Pain in left arm) and VACCINATION SITE PAIN (Tenderness on injection site) in a 66-year-old female patient w | U | 03/29/2021 | 03/29/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1603154 | 08/21/2021 | MD | 65.0 | 65 | M | Bruising at injection site about 3 inches in diameter; Red spot at injection site; Pain to touch at injection site; Fatigue; This spontaneous case was reported by a non-health professional and describes the occurrence of VACCINATION SITE BRUISING (Bruising | Y | 03/20/2021 | 03/21/2021 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1607386 | 08/22/2021 | MD | 65.0 | 65 | M | redness below the injection site/redness became the size of baseball; itchiness; swelling; hardness; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE MASS (hardness), ERYTHEMA (redness below the injection si | U | 03/12/2021 | 04/09/2021 | 28 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1609172 | 08/22/2021 | MD | 65.0 | 65 | F | Chills; Fever; shortness of breath; shortness of breath; not feeling great; Headache; Fever; joint pain; Muscle pain; shortness of breath; not feeling great; Headache; Fever; joint pain; Muscle pain; This spontaneous case was reported by a consumer and des | Y | 02/15/2021 | 02/15/2021 | 0 | Test Date: 20210328; Test Name: flu test; Test Result: Negative; Test Date: 20210328; Test Name: COVID test; Test Result: Negative; Test Date: 20210331; Test Name: COVID test; Test Result: Negative. | UNK | SYNTHROID | Hypothyroidism | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1609194 | 08/22/2021 | MD | 65.0 | 65 | F | Sore arm; This spontaneous case was reported by an other health care professional and describes the occurrence of PAIN IN EXTREMITY (Sore arm) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 013L20A) for COVID-1 | U | 01/18/2021 | UNK | SYNTHROID | Hypothyroidism | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1609808 | 08/22/2021 | MD | 65.0 | 65 | F | This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (slight headache) and MYALGIA (body soreness) in a 65-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 036B21A) for COVID-19 vacci | U | 03/23/2021 | 04/20/2021 | 28 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1610822 | 08/22/2021 | MD | 65.0 | 65 | F | Left leg became very swollen due to lymph node swelling; This spontaneous case was reported by an other health care professional and describes the occurrence of LYMPHADENOPATHY (Left leg became very swollen due to lymph node swelling) in a 65-year-old fema | N | 04/02/2021 | 04/14/2021 | 12 | Test Date: 20210422; Test Name: Ultrasound; Result Unstructured Data: showed the swelling was due to lymph node swelling | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1619553 | 08/23/2021 | MD | 65.0 | 65 | F | flu-like symptoms; pain and achiness all over; incredible fatigue/extreme fatigue for at least 2-3 days every week/felt so tired all the time; fever of 101.5 degrees Fahrenheit; This spontaneous case was reported by a consumer and describes the occurrence | U | 02/09/2021 | 03/09/2021 | 28 | Test Date: 20210309; Test Name: body temperature; Result Unstructured Data: fever of 101.5 degrees Fahrenheit | UNK | CRESTOR; MULTIVITAMINS [VITAMINS NOS]; VITAMIN D [VITAMIN D NOS] | Seasonal allergy | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1632852 | 08/25/2021 | MD | 65.0 | 65 | M | Expired Vaccine 24 August 2021 | Y | 08/25/2021 | 08/25/2021 | 0 | PUB | NKDA | Expired medication LOT number 025A21A of Moderna. Expired 24 August 2021 | NKDA | 2 | 08/25/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1641810 | 08/27/2021 | MD | 65.0 | 65 | F | Around the time of my vaccination I started to have trouble with belching. I saw my doctor who treated it as GERD. When it continued despite the antacids she suggested I have an endoscopy. All seemed fine and the doctor suggested I increase the pantopra | N | 01/25/2021 | Blood tests Stool test Abdomen ultrasound Endoscopy Colonoscopy | PVT | quart sertraline wellbutron aller tec fluticasone furoate Atorvastatin | mild asthma depression cholestrol | 2 | 08/27/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1681618 | 09/08/2021 | MD | 65.0 | 65 | M | patient received a dose of the vaccine from an expired vial; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (patient received a dose of the vaccine from an expired vial) | U | 08/25/2021 | 08/25/2021 | 0 | UNK | USMODERNATX, INC.MOD20212 | 2 | 09/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1682191 | 09/08/2021 | MD | 65.0 | 65 | F | Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild. | N | 09/04/2021 | 09/06/2021 | 2 | PHM | 2 | 09/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1685989 | 09/09/2021 | MD | 65.0 | 65 | M | Patient reported to the pharmacy on 9/9 and stated that he had been experiencing health issues he believes are related to his COVID vaccine. I asked if he had tried to seek medical attention for these effects and he has not. The day after the vaccine, he | N | 06/15/2021 | 06/16/2021 | 1 | NA | PHM | LISINOPRIL 10MG, FENOFIBRATE 165MG | NA | HYPERLIPIDEMIA, HYPERTENSION | 2 | 09/09/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1697771 | 09/14/2021 | MD | 65.0 | 65 | M | Gross hematuria resulting in blood clots in the bladder that blocked the urethra.(Note: on 29 April I did about 2 hours of lifting bags of topsoil, pushing wheel barrow and digging holes for plants. No hematuria until the morning of 30 April.) RN and doct | Y | 5 | Y | 03/27/2021 | 04/30/2021 | 34 | CBC and H&H daily while hospitalized. | OTH | 1 ibuprofen, 200mg daily 1 loratadine daily men's daily multi-vitamin | None | None | 2 | 09/14/2021 | Y | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1721351 | 09/22/2021 | MD | 65.0 | 65 | F | fever; chills; Paralyzed right diaphragm and breathing difficulty; Paralyzed right diaphragm and breathing difficulty; This spontaneous case was reported by a consumer and describes the occurrence of DIAPHRAGMATIC PARALYSIS (Paralyzed right diaphragm and b | N | 04/01/2021 | 05/17/2021 | 46 | UNK | Asthma | USMODERNATX, INC.MOD20213 | 2 | 09/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1736864 | 09/27/2021 | MD | 65.0 | 65 | F | the following day after taking the vaccine she notice that evening a swelling on left side of her neck with a lump | N | 09/24/2021 | 09/25/2021 | 1 | PUB | no | no | no | previously filed a report on her 1st Moderna Vaccine | 2 | 09/27/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1744302 | 09/29/2021 | MD | 65.0 | 65 | M | Two months ago I started having a rash on my leg and went to a Dermatologist and put on a varied things. He wasn't sure what it was. A couple of weeks ago I got another rash now on my back. Dr. said no clear diagnosis. Currently it's a annoying rash in a l | N | 03/19/2021 | 07/01/2021 | 104 | No laboratory testing done regarding this rash, Dr. said it would not be useful given the nature of what he saw. | OTH | Nothing substantial I can remember | No | Nothing major | vsafe | 2 | 09/29/2021 | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1750073 | 09/30/2021 | MD | 65.0 | 65 | M | Woke up with vertigo about 12 hours after injection, which led to nausea but not vomiting. Vertigo eventually gave way to unsteadiness, which is now moderating at 24 hours post-injection. No treatment except rest and low level of activity. | N | 09/29/2021 | 09/30/2021 | 1 | None | PHM | baby aspirin and 40 mg atorvastatin daily | None | sleep apnea | 2 | 09/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1769695 | 10/07/2021 | MD | 65.0 | 65 | F | Pharmacist accidentally punctured patient's right arm with empty syringe. Patient had mild bleeding from injection needle. Upon discovery of event, pharmacist administered new syringe and needle with Pfizer COVID-19 vaccine into patient's right arm. | 10/07/2021 | 10/07/2021 | 0 | PHM | 2 | 10/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1775751 | 10/10/2021 | MD | 65.0 | 65 | F | fatigue, headache, achy, sore throat. | Y | 04/02/2021 | 04/03/2021 | 1 | PVT | metformin, farxiga, ozempic, glimiperide, synthroid, aciphex, lipitor, wellbutrin, singulair, benicar, advair, pro air hfa, flonase, azelastine, lyrica, cyclobenzaprine, restasis, omega 3, biotin, turmeric, cinnamon, probiotic, d3, b12, v | Type 2 diabetes, high blood pressure, thyroid (hashimotos),fibromyalgia, neuropathy, sleep apnea, anxiety, asthma | see above | 2 | 10/10/2021 | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1779402 | 10/12/2021 | MD | 65.0 | 65 | F | Patient arrived for second dose, told the immunizer that she was there for her second dose of Pfizer, the immunizer got the patient registered and went through the pre vaccination checklist questions. The Pfizer dose was given, and the patient pulled out h | U | 10/08/2021 | 10/08/2021 | 0 | None | PUB | Unk | Unk | Unk | 2 | 10/12/2021 | Shell fish allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788127 | 10/15/2021 | MD | 65.0 | 65 | F | 10-15 minutes after receiving vaccination began to feel hot, fainted, loss of balance, severe headaches, and had dizziness. | N | 04/29/2021 | 04/29/2021 | 0 | PHM | None | None | High blood pressure, Diabetes | 2 | 10/15/2021 | Y | Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1794094 | 10/17/2021 | MD | 65.0 | 65 | M | The patient was administered Pfizer dose two instead of Moderna dose two. Patient previously received Moderna dose one 4 weeks prior. | Y | 10/15/2021 | 10/15/2021 | 0 | PHM | Immune condition undisclosed | 2 | 10/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1794319 | 10/17/2021 | MD | 65.0 | 65 | F | Following symptoms also experienced after the first dose of Shingrix, 3 months prior, but not reported: sleepy, body aches, lethargy, low grade fever, chills, slight nausea, no appetite, lasting 24 hours | Y | 10/13/2021 | 10/13/2021 | 0 | PHM | 2 | 10/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1794429 | 10/18/2021 | MD | 65.0 | 65 | F | low grade fever; bad headache; severe chills; diarrhea; flu like symptoms; Initial information received on 11-Oct-2021 regarding an unsolicited valid non-serious case received from a via consumer non health care professional under reference number: US-SANO | Y | 10/07/2021 | 10/09/2021 | 2 | UNK | Reaction to preservatives | USSA2021SA338847 | 2 | 10/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1801770 | 10/20/2021 | MD | 65.0 | 65 | M | At the time I got the second dose I had a slight soreness of the injection area and then went to bed I had a lot of fatigued, tiredness and it felt like I had the flu but I didn't. Another symptoms I notice I had some floaters in my eyes, it comes and goes | Y | 02/02/2021 | 06/19/2021 | 137 | None | PVT | Amlodipine; besylate; fish oil; vitamin D3; COQ10; magnesium; vitamin B complex. | No | Blood pressure; Cholesterol; Prostate Cancer | vsafe | 2 | 10/20/2021 | Y | Neosporin; Flomax; all Lipitor drugs; lisinopril; cinnamon. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1815696 | 10/25/2021 | MD | 65.0 | 65 | F | Badly swollen red arm - 4 days - iced it for 2 days Pain in chest that would come and go for 3 days Rattling sound in chest for 3 days Ached all over body - 2 days Persistent cough for 3 months | Y | 06/01/2021 | 06/02/2021 | 1 | None | PHM | Lisinopril 10 mg PreserVision AREDS 2 | None | EOE hiatal hernia | 2 | 10/25/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1816136 | 10/25/2021 | MD | 65.0 | 65 | F | Patient said the pharmacist did not administer the vaccine in the deltoid muscle. | U | 10/24/2021 | 10/24/2021 | 0 | PHM | 2 | 10/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1818743 | 10/26/2021 | MD | 65.0 | 65 | F | High blood pressure. My dose had been 1 irbesartan 150 mg. Everyday. October 9 my dr increased irbesartan 2 tablets, one morning and the second pm. October 26 my blood pressure was still uncontrolled and my doctor added another medication amipdipine 5 mg | N | 10/01/2021 | 10/09/2021 | 8 | Blood pressure readings at dr office | PHM | Celebrex, irbesartan,, atrovent inhaler, Allegra. . Flovent inhaler | Asthma. Osteoporosis. High blood pressure | Asthma. Osteoporosis. High blood pressure | 2 | 10/26/2021 | Not to my knowledge | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1825348 | 10/28/2021 | MD | 65.0 | 65 | F | Swollen lymph node under arm, severe headaches, and arm pain since vaccine | N | 10/25/2021 | 10/26/2021 | 1 | PHM | 2 | 10/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1832488 | 11/01/2021 | MD | 65.0 | 65 | M | accidently administered a dose from last year Fluzone quadrivalent that expired with no reported adverse event; Initial information regarding an unsolicited valid non-serious case was received from Pharmacist via Medical Information (Reference number- 008 | U | 10/21/2021 | 10/21/2021 | 0 | UNK | USSA2021SA352704 | 2 | 10/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1836526 | 11/02/2021 | MD | 65.0 | 65 | M | In July he was admitted for a 3 week history of worsening CHF symptoms and was found to have a severe dilated cardiomyopathy. Pt had never had a problem with cardiac issues prior to this; and previous Cholesterol levels were normal. Dr., cardiologist, is | Y | Y | 5 | N | 03/29/2020 | 06/25/2021 | 453 | Echocardiogram done 11 October shows dilated LV with 10-15% EF/ | UNK | Adderall 10 mg, Alprazolam 0.5 mg, Amitriptyline 25 mg, Arthrotec, Aspirin 81 mg, Donepezil 10 mg, Duloxetine 60 mg, Fish Oil supplement, Lidoderm patch, Metoprolol 25 mg, Nasonex spray, Paxil 20 mg, Suboxone, Varenicline 1 mg, Tiotropium i | Emphysema, tobacco use, hypertension, anxiety, depression. | See Item 11. | 2 | 11/02/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1853650 | 11/09/2021 | MD | 65.0 | 65 | M | numbness developed right lip and advanced to sagging right side and right eye would not close late day after injection, (Note I also received the flu vaccination in my left arm same day.) Symptoms worsened over weekend. Went to ER on Monday. Saw Dr. ver | Y | N | 11/04/2021 | 11/05/2021 | 1 | Steroids Getting blood test tomorrow | PHM | Adderall 20 Prozac Synthroid Gabapentin Lomotrigine Lipitore Hyzar vitamin D | none | None | on first moderna injection 3.13.2021 felt slight tightness right side of lip but was minor and went away the next day. | 2 | 11/09/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1860248 | 11/11/2021 | MD | 65.0 | 65 | M | Administered dose past the manufacture expiry date; Full 3rd dose of 0.5 mL was administered on accident instead of 0.25mL; This spontaneous case was reported by an other health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED | Y | 10/22/2021 | 10/22/2021 | 0 | UNK | USMODERNATX, INC.MOD20213 | 2 | 11/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX |