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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0918093 | 01/04/2021 | WI | 65.0 | 65 | F | sore arm at injection site for about 1 day | Y | 12/18/2020 | 12/18/2020 | 0 | UNK | 2 | 01/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0920308 | 01/05/2021 | WI | 65.0 | 65 | F | Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect noted. | 12/26/2020 | 12/30/2020 | 4 | PVT | 2 | 01/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0930999 | 01/09/2021 | WI | 65.0 | 65 | F | Pain in right back arm and right breast. No rash | Y | 11/16/2020 | 11/20/2020 | 4 | None | PHM | Numerous | None | Rheumatoid arthritis, Graves? disease, | 2 | 01/09/2021 | Metamucil And Keflex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0936689 | 01/12/2021 | WI | 65.0 | 65 | F | I had body aches, headaches, and just felt tired. I took Tylenol extra strength every 6 hours for a 24 hour period. After that I felt fine. | Y | 01/08/2021 | 01/08/2021 | 0 | WRK | 2 | 01/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0939653 | 01/13/2021 | WI | 65.0 | 65 | F | Slight sore arm at injection site, headaches, body aches, fatigue | Y | 01/08/2021 | 01/08/2021 | 0 | WRK | 2 | 01/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0940174 | 01/13/2021 | WI | 65.0 | 65 | F | sore arm, body aches, headache, fatigue | Y | 01/05/2021 | 01/06/2021 | 1 | PVT | 2 | 01/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0951707 | 01/17/2021 | WI | 65.0 | 65 | M | Rash on forearm. Diphenhydramine 25mg tablet oral given. Monitored for 30 minutes. No additional adverse effects noted. | U | 01/17/2021 | 01/17/2021 | 0 | None. | SEN | 2 | 01/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0954097 | 01/18/2021 | WI | 65.0 | 65 | F | Chief Complaint: low blood pressure, tachycardia, SOB after last Friday's Covid shot. Pt. meeting SIRS criteria with elevated lactate, WBCs, and tachycardia. Given fluid bolus and IV ABX. | N | 01/15/2021 | 01/18/2021 | 3 | Heart Rate : 100?126 Resp Rate : 15?28 Blood Pressure : 102/89?131/84 SpO2 (%) : 98 % White Blood Cell Count: 16.8 (H) Lactate: 3.8 | PVT | alendronate (FOSAMAX) 70 mg tablet Take 1 tablet (70 mg total) by mouth every 7 (seven) days. cholecalciferol (Vitamin D3) 2,000 Unit capsule ? Take 1 tablet by mouth daily. ? estradioL (ESTRING) 2 mg (7.5 mcg / | N/a | Colitis Ulcerative Pancolonic Urticaria Chronic Malabsorption Glucose Neuritis Optic Bone Disorder | Shingrix (2/12/2018 and 5/25/2018) | 2 | 01/18/2021 | Y | Penicillins Experienced urticaria while taking penicillin. Sulfa (sulfonamide Antibiotics) Experienced urticaria while taking penicillin then was transitioned to Sulfa antibiotic and rash worsened along with fever. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0966238 | 01/22/2021 | WI | 65.0 | 65 | F | Patient became light headed and dizzy 5 minutes after shot was given. Was moved to the floor in the safety position. Given orange juice ice packs and wet compresses as temperature was elevated. BP was monitored and reading 100/40 HR was 46bpm. | Y | 01/22/2021 | 01/22/2021 | 0 | NA | PHM | unknown | none | none known | Same reaction yearly to influenza | 2 | 01/22/2021 | no known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0967225 | 01/22/2021 | WI | 65.0 | 65 | F | 30 seconds after receiving the vaccine, I experienced dizziness, and difficulty concentrating, which lasted 40 minutes. | Y | 01/21/2021 | 01/21/2021 | 0 | PUB | oxybutinin 5mg bid, vitamin d, calcium, glucosamine chondroitin | none | Hyper active bladder, interstitial cystic condition | Tetanus/diptheria about 25 years ago. Injection site reaction | 2 | 01/22/2021 | Tetanus diphtheria vaccine has given extreme redness at injection site lasting for several days. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0967328 | 01/23/2021 | WI | 65.0 | 65 | F | Sneezing fit for 10 minutes, nasal congestion, upper lip became slightly puffy and got a feeling of a lump in my throat. Subsided over a couple hours. | Y | 01/20/2021 | 01/20/2021 | 0 | PVT | Celebrex Synthroid Caltrate plus Butterbut Restasis | None | Arthritis Dry eyes Migraines Total thyroidectomy | 2 | 01/23/2021 | Sulfa Sulfites Cefotan Bluefish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0974346 | 01/26/2021 | WI | 65.0 | 65 | M | Received Moderna Covid Vaccine #1 on 12/26/20 in left arm. Had arm pain first few days. On 12/28/20 he began having right calf pain that worsened over the next few days. Was evaluated in Urgent Care and diagnosed with an extensive DVT. No history of p | U | 12/26/2020 | 12/28/2020 | 2 | PVT | Plavix, ASA | CAD | 2 | 01/26/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0979504 | 01/27/2021 | WI | 65.0 | 65 | M | 1ST EPISODE, 01-15-21 10AM, it happened at the hospital where I work. I was walking flight of steps when i felt i was not getting enough air, i went to sat down and was unable to recover and went to the therapy office to sit down, where a coworker said i d | U | 01/09/2021 | 01/15/2021 | 6 | EKG, LABWORK, CTA, CT WITH PERFUSION | PVT | Methylphenidete extra release40mg QAM, Abilify 2mg every three days, multi-vitamins, vitamin D, focus factor supplement | Mental health, depression and anxiety | vsafe | 2 | 01/27/2021 | Y | Sulfa, (gets a rash), Gluten, Dairy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1008824 | 02/06/2021 | WI | 65.0 | 65 | F | Vaccine 10 am- fine all day and evening. Awoke at 3:40 am and rolled off of arm where injection given and a wave of pain and nausea and malaise overwhelmed me. I passed completely out still lying in bed (so out that I wet myself in bed) and gradually came | Y | 02/05/2021 | 02/06/2021 | 1 | None | PVT | None | None | None | 2 | 02/06/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1012650 | 02/08/2021 | WI | 65.0 | 65 | F | Sore arm - difficult to use for 3 days Headaches for 3 days Overall body aches for 3 days Light headed for 3 days Very tired for 3 days Feeling better - but still tired | Y | 02/05/2021 | 02/05/2021 | 0 | NA | PVT | 81 mg aspirin 15mg escitilopram 100 mg losartan 10mg cetrizine 10mg montelukast 40mg pantropazole 2xday 1mg anastrazole 12.5mg HCTZ 1000 IU Vit D3 1200mg Calcium Prolia injection 2x year | None | high blood pressure osteoporosis | 2 | 02/08/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1012831 | 02/08/2021 | WI | 65.0 | 65 | M | Records review utilized to obtain information: Pt recieved his first dose of the Pfizer COVID-19 vaccine on 1/27/2021, unable to determine location that administered vaccine. Pt called to his PCP and indicated he was experiencing "intense, but intermitte | Y | 3 | U | 01/27/2021 | 02/05/2021 | 9 | 2/5/2021 - Positive SARS-CoV-2 per PCR testing | UNK | albuterol inhaler, amlodipine, aspirin, atorvastatin, folic acid, calcium carbonate, metoprolol, pantoprazole, prednisone | DM type 2, tubular adenoma of colon, gout, stable angina, PTSD, pancytopenia, nephrocalcinosis, MDRO recorded from 2017, leukocytosis, hypovitaminosis, HTN, ESRF on hemodialysis, dyslipidemia, diabetes, depression, CAD, CKD stage 4, anemia, agranulocytosis | 2 | 02/08/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1016739 | 02/09/2021 | WI | 65.0 | 65 | F | ITCHING AT VACCINATION SITE APPROXIMATELY A WEEK AFTER INJECTION. THEN REDNESS, SWELLING, HOT AND ITCHY, FOR THE NEXT SEVERAL DAYS. SPREADING DOWN AND AROUND ARM ALMOST TO ELBOW. STILL SPREADING. | 01/30/2021 | 02/06/2021 | 7 | PVT | 2 | 02/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1024584 | 02/11/2021 | WI | 65.0 | 65 | F | Over 24 hours of dizziness, headache, burning spine, muscle and joint pain, nausea, couldn't move arm, unable to sleep the night of injection, non functional the day after | Y | 02/10/2021 | 02/10/2021 | 0 | None | PUB | 25 mg sertraline | None | None known | 2 | 02/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1026194 | 02/12/2021 | WI | 65.0 | 65 | F | patient felt pressure and warmth across upper body within 15 min of injection, she complained of some facial swelling, benadryl po given at site, BP monitored after 30 min observation period patient was transported to ED for facial and tongue swelling afte | U | 02/11/2021 | 02/11/2021 | 0 | PVT | unknown | unknown | unknown | 2 | 02/12/2021 | Y | latex, glycerin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1028549 | 02/13/2021 | WI | 65.0 | 65 | M | Severe upper left quadrant tooth pain. Biting on meat or any hard food sent jabbing, radiating pain. Also accompanying head and neck pain. Pain duration 3 days | Y | 10/15/2020 | 10/17/2020 | 2 | PHM | Tomsilosin; Protonix | None | None | 2 | 02/13/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1030531 | 02/15/2021 | WI | 65.0 | 65 | F | Diarrhea started Wednesday 2/10 and continues, headache Saturday 2/13, muscle aches entire body Sunday 2/14. | N | 02/08/2021 | 02/11/2021 | 3 | PVT | Garlic, B-Complex | none | HBP, depression/anxiety, cholesterol meds | 2 | 02/15/2021 | pencillin, green peppers, pineapple. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1031756 | 02/15/2021 | WI | 65.0 | 65 | F | Stiff neck and muscle aches down left shoulder onto back, slight headache | Y | 02/13/2021 | 02/14/2021 | 1 | OTH | Calcium 1200 mg/day with D3 40mcg/day, vitamin D3 5000 u/day | Shingles | 2 | 02/15/2021 | Ceclor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1031813 | 02/15/2021 | WI | 65.0 | 65 | M | No adverse event reported. It was determined that only air was administered at time of vaccination. | Y | 02/12/2021 | 02/12/2021 | 0 | None | PHM | No Known | No Known | No known | 2 | 02/15/2021 | No Known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033735 | 02/16/2021 | WI | 65.0 | 65 | F | Only air was administered, no vaccine was given. No adverse event was reported. | 02/12/2021 | 02/12/2021 | 0 | PHM | 2 | 02/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1035983 | 02/17/2021 | WI | 65.0 | 65 | M | Developed COVID symptoms evening of COVID-19 immunization | U | 02/09/2021 | 02/09/2021 | 0 | COVID -19 PCR postive on 2/16/2021 | PVT | Developed symptoms consistent with COVID in the evening | HTN, CKD, DM type 2, Obese, | 2 | 02/17/2021 | Y | PCN, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1036621 | 02/17/2021 | WI | 65.0 | 65 | F | 2/16/2021, CLIENT NOTICED RIGHT EYE SWELLING WHEN RETURNED HOME FROM VACCINATION AT 1200 PM. EYE ALSO LOOKED BLOOD SHOT. CLIENT APPLIED COLD MOIST COMPRESS TO EYE. BY EVENING, SWELLING WAS GONE BUT SCLERA PINK AND LIGHT SENSITIVE. THIS AM, 2/17/2021 EY | N | 02/16/2021 | 02/16/2021 | 0 | HAS NOT SOUGHT MEDICAL TREATMENT WITH HER HEALTH CARE PROVIDER. CLIENT WAS ENCOURAGED TO SPEAK WITH HER HEALTH CARE PROVIDER. | PUB | LOSARTAN, PROPANOLOL, POTASSIUM, VITAMIN C, GINGER TEA | NONE | SJOGRENS SYNDROME, TYPE II DIABETES, THYROID EYE DISEASE | CLIENT STATED THAT SHE HAD A FLU SHOT 2 YEARS AGO AT WALGREENS AND THE SITE WHERE SHOT WAS GIVEN STILL HURTS. | 2021 002 | 2 | 02/17/2021 | NUTS, PCN, ERYTHROMYCIN, MS04, DEMEROL, PAIN KILLER, HYDROCODONE, FISH, SEASONAL ADHESIVE TAPE, GLUCONATE SWABS. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1038164 | 02/18/2021 | WI | 65.0 | 65 | F | A rash developed on my left arm surrounding the injection site. The rash is approximately 5" x 2" and itches only slightly. I have not taken anything for it. It occurred 8 days after I received the vaccine. The rash is still present today, day 9. | N | 02/09/2021 | 02/17/2021 | 8 | None | UNK | None | None | None | 2 | 02/18/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039446 | 02/18/2021 | WI | 65.0 | 65 | F | "THROWN HER BODY IN A LOOP." | U | 02/11/2021 | 02/12/2021 | 1 | PVT | 2 | 02/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1042936 | 02/20/2021 | WI | 65.0 | 65 | M | STARTING ON 16 FEB 2021 Through today (20 Feb). Bad flu symptoms. Headaches - from low to severe. Body aches from low to severe. Joint aches from low to severe. Severe chills. Severe sweating - soaking the bed nightly. Fever - Tends to be lower in A | N | 02/10/2021 | 02/16/2021 | 6 | None | PUB | Lisinopril, Atorvastatin, Co-Q10, Vitamin D, Advair Discus, Fluticasone | None | Asthma | 2 | 02/20/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1043123 | 02/20/2021 | WI | 65.0 | 65 | F | Death | Y | 02/06/2021 | N | 01/28/2021 | 02/06/2021 | 9 | PUB | Unknown | Positive COVID-19 PCR collected postmortem | Hypertension, COPD, T2DM, Obesity | 2 | 02/20/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1043456 | 02/20/2021 | WI | 65.0 | 65 | F | No adverse event reported. Only air was administered. Patient returned to get revaccinated. | 02/12/2021 | 02/12/2021 | 0 | PHM | 2 | 02/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1043503 | 02/20/2021 | WI | 65.0 | 65 | M | No adverse event reported. Only air was administered. Patient returned to get revaccinated. | 02/12/2021 | 02/12/2021 | 0 | PHM | 2 | 02/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1043891 | 02/20/2021 | WI | 65.0 | 65 | F | Very little arm soreness; a few hours of lightheadedness the day of and the day after. Nothing at all serious. | Y | 02/13/2021 | 02/13/2021 | 0 | none | PHM | ezetimibe, rosuvastatin, escitalopram, Vit. D. | none | high cholesterol, mild congenital heart murmur | second 2019 new shingles shot --- flu like aches, fatigue around 24 hours. | 2 | 02/20/2021 | bactrim, doxycycline, penicillin, erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1047537 | 02/22/2021 | WI | 65.0 | 65 | F | Nausea and vomiting; fatigue; headache; light sensitivity; muscle and joint pain; fever 99.1; chills; tenderness injection site | Y | 02/09/2021 | 02/10/2021 | 1 | None | PVT | Fluticasone prop/salmeterol 250/50 inhaler; multivitamin/minerals;Esomeprazole 20mg; vitamin d 5000iu; vitamin B12 50mcg; Clobetasol prop 0.05% topical solution/ cetaphil cream | None | Obesity, hyperlipidemia, GERD, vitamin d deficiency, prediabetes, diverticulosis | 2 | 02/22/2021 | Sensitivity to Cipro= hives and sore hip joints. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1047759 | 02/22/2021 | WI | 65.0 | 65 | M | Severe Headache, exhaustion | Y | 02/19/2021 | 02/19/2021 | 0 | PUB | Lisinopril, Verapamil, Simvastatin | None | High Blood Pressure | 2 | 02/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1054452 | 02/25/2021 | WI | 65.0 | 65 | F | Started on day 8 of Injection became very sore, itchy and hard. A red rash,ring appeared around injection. Into day 6 and still same symptoms. | N | 02/13/2021 | 02/20/2021 | 7 | None at this time | PHM | 2 | 02/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1055023 | 02/25/2021 | WI | 65.0 | 65 | M | He received his first dose of Pfizer COVID vaccine today at 12:30 PM. Has h/o Ancef allergy with hives. No h/o anaphylactic type allergies. Waiting in observation area for 15 min. After ~15 min, c/o feeling "shaky". Pt brought back to cot room. BP el | U | 02/25/2021 | 02/25/2021 | 0 | Blood sugar via finger stick: 210 | PVT | albuterol (PROVENTIL HFA;VENTOLIN HFA;PROAIR HFA) inhaler Inhale 2 puffs into the lungs Every 6 (Six) Hours As Needed Pharmacy to dispense brand covered by insurance. for Wheezing or Shortness of Breath. albuterol (PROVENTIL) 2.5 mg /3 mL | Benign neoplasm of lip Pure hypercholesterolemia (*) Reactive airway disease Type 2 diabetes mellitus, without long-term current use of insulin (*) Essential hypertension (*) Asymmetrical sensorineural hearing loss | Attention deficit disorder Benign neoplasm of lip Pure hypercholesterolemia (*) Impotence of organic origin Anxiety ED (erectile dysfunction) Reactive airway disease with acute exacerbation (*) PTSD (post-traumatic stress disorder) (*) Type 2 diabetes mell | 2 | 02/25/2021 | Y | Ancef [Cefazolin]Hives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1055424 | 02/25/2021 | WI | 65.0 | 65 | F | Headache chills nausea dry heaves extreme lethargy. Diarrhea cramping for 6 days | N | 02/18/2021 | 02/18/2021 | 0 | PVT | Alosetron. Losartan. Hydrochlorothiazide | IBS-D. ASTHMA hbp | Flu like after shingles vacc | 2 | 02/25/2021 | Y | Sulfa fish dust dander mold | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1058374 | 02/26/2021 | WI | 65.0 | 65 | F | Temperature, chills, extreme body ache, nausea, fatigue ,headache , extreme muscle pain | U | 02/01/2021 | 02/12/2021 | 11 | None | SEN | Multi vitamin Vitamin D3 | None | None | Flu and Shingles given together | 2 | 02/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1059311 | 02/27/2021 | WI | 65.0 | 65 | F | Patient was administered full vaccine dose, but when attempting to remove needle, it fell off and stayed in the patient's arm. Patient was taken to the ER for treatment. | U | 02/27/2021 | 02/27/2021 | 0 | OTH | 2 | 02/27/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1062642 | 03/01/2021 | WI | 66.0 | 65 | F | Injection site mass; Injection site swelling; Tenderness at the injection site; Joint ache; Muscle ache; Fever; Injected twice with the same syringe; A spontaneous report was received from a consumer concerning a 66 year-old female patient who received Mod | Y | 02/12/2021 | 02/12/2021 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event (No medical history reported) | USMODERNATX, INC.MOD20210 | 2 | 03/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063121 | 03/01/2021 | WI | 65.0 | 65 | M | sore arm, body aches, chills, low energy - symptoms for 2 days then all ok. did not seek medical attention | Y | 02/25/2021 | 02/26/2021 | 1 | PUB | ? atorvastatin 20 MG tablet ? cloNIDine 0.2 MG tablet ? furosemide 40 MG tablet ? potassium chloride SA 20 MEQ tablet ? doxazosin 4 MG tablet ? metFORMIN ER 500 MG XR tablet ? glipiZIDE 5 MG tablet ? doxycycline 100 MG capsule ? eplerenone | blood pressure type 2 diabetic | 2 | 03/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063810 | 03/01/2021 | WI | 65.0 | 65 | F | She said she had itching from her scalp to her toes starting the night of the vaccine. This was gone by Friday morning. She took Benadryl for the itching and it resolved. | Y | 02/25/2021 | 02/25/2021 | 0 | None. | SEN | None. | None. | None. | 2 | 03/01/2021 | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1066078 | 03/02/2021 | WI | 65.0 | 65 | F | I woke up 2/23/2021, 8 days after receiving the injection. Left arm was swollen, hot, hard and had an itchy rash. I was very tired for 2 days. All symptoms have left except redness and mild itching. | N | 02/15/2021 | 02/23/2021 | 8 | none | OTH | Dilt-XR 120mg, Atorvastatin 20mg, Sertraline 50mg, Vitamin D3 1000IU, Magnesium 250mg, Calcium 650mg | None | High blood pressure, high cholesterol, occasional heart racing | 2 | 03/02/2021 | Nausea from azithromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1068621 | 03/03/2021 | WI | 65.0 | 65 | F | Moderna Covid-19 Vaccine EUA Itching, swelling and heat at and around injection site | 02/16/2021 | 02/28/2021 | 12 | PVT | 2 | 03/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071581 | 03/04/2021 | WI | 65.0 | 65 | M | Woke up and the room was spinning, carefully walked to the bathroom for drink of water, had to sit and wait for the room to stop spinning. When I tried to lay down it started spinning again and I found I could not focus on single spot. At 9am The spinning | U | 03/03/2021 | 03/04/2021 | 1 | PVT | M.S. | 2 | 03/04/2021 | Penicillen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1077806 | 03/06/2021 | WI | 65.0 | 65 | M | Mild dizziness onset approximately 10 minutes status post vaccine administration. Patient reports history of issues like this after blood draws, but improved due to frequent lab draws. Possibly "slight headache." Mild, intermittent nausea (unchanged fr | Y | 03/06/2021 | 03/06/2021 | 0 | N/A | OTH | azaTHIOprine, Vitamin B, calcium carbonate-vitamin D3, celecoxib, coenzyme Q10, daily multivitamin, diazePAM, docusate sodium, dorzolamide-timolol ophthalmic, fluticasone propionate nasal, latanoprost ophtalmic, levothyroxine, lisinopril, m | Constipation, self-treated with extra Miralax last night that has resulted in multiple episodes of diarrhea this morning and intermittent nausea | Ulcerative Colitis, hypertension, anxiety, morbid obesity, obstructive sleep apnea, antiphospholipid antibody syndrome, hypothyroidism, chronic pain disorder, GERD, venous insufficiency, hepatic steatosis, onychocryptosis, retinal macular atrophy | 2 | 03/06/2021 | Mesalamine - paradoxical worsening of ulcerative colitis; sulfa (sulfonamides) - rash; Pollens - headache, cough, sneezing | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079347 | 03/07/2021 | WI | 65.0 | 65 | F | not sure if related but interesting. day after 1st shot i started having right side back pain. i referred to it as kidney pain to describe. have the pain still today, 03/07/2021. skin numb, itchy some pain. then last night 03/06/21 i noticed a patch of | N | 02/26/2021 | 02/27/2021 | 1 | none yet | OTH | simvastaton sertraline 81 mg asprin ibuprphen vicodin as needed | none | long time smoker stroke heart episode back and joint pain | site of shingles vaccine was very red, swollen and painful. whole top of right arm. lasted at least 2 weeks 60 yrs old. | 2 | 03/07/2021 | minocycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1085782 | 03/09/2021 | WI | 65.0 | 65 | M | 2/10/21 patient had been given COVID vaccine. Later in the evening he had cough and headache and felt run down. He then started with some shortness of breath and wheezing the next day. He then used his inhaler to get through the symptoms quicker and it | Y | 02/10/2021 | 02/11/2021 | 1 | PVT | 2 | 03/09/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1086510 | 03/09/2021 | WI | 65.0 | 65 | F | Fever of 3 degrees, muscle aches and pains, chills, some loss of hearing, brain processing slowness, headache, loss of appetite, dizziness.rash and itchiness of arm. | N | 02/27/2021 | 02/27/2021 | 0 | None | PVT | Lisinopril, levothroxine, omeprazole, Centrum Silver, vitamin D. | Sinus infection | Chronic fatigue syndrome, fibromyalgia, diabetes type 2, arthritis, migraines. | 2 | 03/09/2021 | Y | Codeine, penicillin, latex, erythromycin, ibuprofen, grass, molds, pollen. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1090666 | 03/11/2021 | WI | 65.0 | 65 | F | rash resembling shingles started next day after getting first vaccine dose | N | 03/05/2021 | 03/06/2021 | 1 | observed by medical doctor in clinic | UNK | aspirin, Norco, Nitrostat, Zoloft, zocor | chronic back pain | depression, chronic back pain, rosacea, smoking, heart disease | 2 | 03/11/2021 | minocycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091099 | 03/11/2021 | WI | 65.0 | 65 | F | intense back pain to the point worried about getting up the stairs from the parking garage about 30 minutes from shot this lasted about 30 minutes. Swollen tongue and lots of drainage down back of throat with metallic taste, and then a sore mouth and thr | Y | 02/26/2021 | 02/26/2021 | 0 | none. called dr and she said take benadryl and get your 2nd shot. Should I? | PHM | none. had vitamins day before -- multi, vit b, d3, zinc, and magnesium. | none | maybe a mild asthma? | 2 | 03/11/2021 | sulfas, cipro, latex, lots of food allergies -- severe is mangos, but others include mild to wheat, dairy, oranges, walnuts, peanuts, soy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091373 | 03/11/2021 | WI | 65.0 | 65 | F | Extreme increase in blood glucose despite pump therapy that adjusts to rises in blood glucose lasting for 4 days occurred shortly after vaccine despite not eating. Nausea and diarrhea beginning about 7 hours after vaccine and lasting for 6 days. Extreme | Y | 03/02/2021 | 03/02/2021 | 0 | reporting of blood glucose and pump therapy to reduce increased blood glucose | PVT | Levothyroxine, Lisinipril, Novolog, Atorvastatin, Atenolol, vitamin D, baby aspirin, xiidra, | Dry eye | Type 1 diabetes, orthostatic blood pressure, hypothyroid, v-tach | Tetanus 1989 unknown | 2 | 03/11/2021 | Y | Mercury preservatives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1095494 | 03/12/2021 | WI | 65.0 | 65 | F | Pain at site, then itching and extensive rash, 25x 22 cm red raised patch on left deltoid. Rash developed one week after shot | N | 02/26/2021 | 03/06/2021 | 8 | in progress | PHM | none | none | none | 2 | 03/12/2021 | penicillin, seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096081 | 03/12/2021 | WI | 65.0 | 65 | F | 1-28-2021 to 1-30-2021 very sore arm at injection site. 1-31-2021 to 2-2-2021 very itchy and hot arm at the vaccine site. Needed to use hydrocortisone, 2-8-2021 developed large rash around injection site area. It was hot to the touch and intensely itchy. I | 01/27/2021 | 02/08/2021 | 12 | PVT | vitamin D3, Vitamin K 2, magnesium threonate, astaxanthin, lutein | polio, age approximately 6-8 | 2 | 03/12/2021 | penicillin, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096100 | 03/12/2021 | WI | 65.0 | 65 | F | Second vaccine administered on 2-24-2021 at 4:45 appointment. Woke up during early morning hours drenched in sweat. On 2-25-2021 started to feel very tired by noon. Developed chills. At 4pm took temp and it was 100.5. Chills and temp that night. 2-26 felt | Y | 02/24/2021 | 02/24/2021 | 0 | PVT | Vitamin d3, Vitamin K, Magnesium threonate, lutein, astaxanthin, krill oil, red yeast rice. | Previous reaction of covid arm after first vaccine reported on separate form. | polio approximately age 6-8 | 2 | 03/12/2021 | penicillin, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108904 | 03/17/2021 | WI | 65.0 | 65 | F | Patient began to feel dizzy with a scratchy throat, felt better when she laid down. No significant medical hx | Y | 03/17/2021 | 03/17/2021 | 0 | None | OTH | N/A | N/A | N/A | 2 | 03/17/2021 | codeine, acetaminophen, alcohol, cephalexin, adhesive tape, bupropion, gluten | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109407 | 03/17/2021 | WI | 65.0 | 65 | F | Suddenly, 6 hours after receiving Dose 2 of the Moderna COVID-19 vaccine my injection site arm starting hurting. I took 1000 mg Tylenol and went to bed. For the next 48 hours I remained in bed with major flu like symptoms: fever, chills, severe body ach | 03/12/2021 | 03/12/2021 | 0 | UNK | 2 | 03/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1111516 | 03/18/2021 | WI | 65.0 | 65 | F | Approx 6 minutes after administration, pt complained of left arm tingling into hand and fingers, left elbow sharp pains and feeling flushed. As assessing pt, then complained of chest tightness. Denied SOB. | U | 03/18/2021 | 03/18/2021 | 0 | PVT | 2 | 03/18/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1112303 | 03/18/2021 | WI | 65.0 | 65 | F | No treatment. Constant chills began 12 hrs after receiving shot and continued for 18 hrs. Other reactions included slight nausea and unsteadiness throughout the same time period. This was followed by lack of energy for another 24 hours. After that was | Y | 02/25/2021 | 02/25/2021 | 0 | None | PUB | None | none | none | 2 | 03/18/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1112446 | 03/18/2021 | WI | 65.0 | 65 | F | Vaccination given 3/10/21.... On March 17, 2021 early evening injection site area became red, itchy, swollen and sore. Still the same today 24 hours later. | N | 03/10/2021 | 03/17/2021 | 7 | None | PVT | Vitamin C, Vitamin D3, Probiotics, Calcium Citrate, Alpha-Lipoic Acid, I- Vite, Cerovite Senior multi vitamin, Turmeric | None | Breast cancer 1998 and 2000 | 2 | 03/18/2021 | Tamoxifen, Fareston, Cephalexin , | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1116691 | 03/19/2021 | WI | 65.0 | 65 | F | Dizziness, nausea, blurred vision, elevated blood pressure, tightness in neck muscles | Y | 03/17/2021 | 03/17/2021 | 0 | PUB | None | None | None | 2 | 03/19/2021 | Y | Codeine, gluten, alcohol, adhesive tape | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1118023 | 03/20/2021 | WI | 65.0 | 65 | F | Flonase for nasal inflammation, Valsalva maneuver, Mini-epley maneuvers, Meclizine | N | 03/04/2021 | 03/05/2021 | 1 | PVT | Eliquis 5MG 2X Metoprolol ER Succinate 50 MG Levothyroxine 112 MCG Vitamin D3 4000IU Aspirin 81 MG Glucosamine Chondroitin 2 Tablets | Leiden Factor V High Blood Pressure | 2 | 03/20/2021 | Y | Morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1120246 | 03/21/2021 | WI | 65.0 | 65 | F | Body aches (arms, shoulders, armpits, hands, neck, back, butt, calves, feet), headache, brain fog, fatigue, skin sensitivity. Lasted through the evening and the full next day. Fine on 3rd day. | Y | 03/15/2021 | 03/15/2021 | 0 | PHM | EffexorXR 150mg & Clonazempam 0.5mg Vitamins B, C, D3, E, flaxseed oil, red yeast rice, ashwagandha, kelp, co-Q10, ginkgo biloba | Depression and anxiety (managed with medications) | 2 | 03/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1120640 | 03/21/2021 | WI | 65.0 | 65 | F | March11,12,13 injection site pain /March14 -21 tiredness,severe headache,muscle pain chills, joint pain, fever,nausea, feeling unwell | N | 03/11/2021 | 03/11/2021 | 0 | none | PVT | sertraline vitamin d3 move free calcium magnesium zinc ibuprofen melatonin | none | thyroid deficiency | 2 | 03/21/2021 | Pork spices chocolate wheat feathers dander horses | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1123743 | 03/22/2021 | WI | 65.0 | 65 | F | Patient reported she awoke the following morning after receiving her second dose of the Moderna vaccine and her left eye was "bloodshot". Patient denied pain or visual disturbances. | U | 03/10/2021 | 03/11/2021 | 1 | PUB | 2 | 03/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1129972 | 03/24/2021 | WI | 65.0 | 65 | F | Janssen Covid-19 vaccine EUA First 24 hours, tired and achy. 36 hours in at bedtime felt shivery and cold for a few hours then hot and sweaty for a few more hours. In the morning I felt fine. Very mild symptoms. | Y | 03/22/2021 | 03/23/2021 | 1 | UNK | 2 | 03/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1132457 | 03/25/2021 | WI | 65.0 | 65 | F | Patient received 1st dose COVID vaccine on 2/23/21. Presented at clinic for 2nd dose on 3/16/21. Reported "swollen glands that were achy in neck area and a sinus headache" after the first dose. Denied any rash, dyspnea, or other s/s allergic reaction or an | Y | 02/23/2021 | 02/23/2021 | 0 | None | PUB | Unknown | Unknown | Unknown | 2 | 03/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1132799 | 03/25/2021 | WI | 65.0 | 65 | M | Pt received 1st COVID-19 vaccine on 3/2/2021 (Pfizer). He was admitted to his local hospital earlier in the week with worsening respiratory status, progressed to needing intubation and was transferred to our hospital for a higher level of ICU care. On 3/ | Y | Y | N | 03/02/2021 | 03/23/2021 | 21 | 3/23/2020 - positive SARS-CoV-2 PCR NP swab | PVT | atorvastatin, azithromycin, eliquis, glipizide, hydrochlorothiazide, januvia, lisinopril, metformin, metoprolol, mycophenolate, omeprazole, prednisone, sulfamethoxazole-trimethoprim. | Sleep Apnea, interstitial lung disease, hypertension, hyperlipidemia, GERD, DM, connective tissue disease, obesity, arrhythmia. | 2 | 03/25/2021 | Y | Y | amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1142062 | 03/28/2021 | WI | 65.0 | 65 | M | joint pain, numbness/tingling | Y | 03/01/2021 | 03/04/2021 | 3 | PHM | brilinta, amlodipine,lisinopril,low dose aspirin,zoloft | none | joint pain, numbness/tingling in fingers | 2 | 03/28/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1142217 | 03/28/2021 | WI | 65.0 | 65 | F | I had my 2nd Moderna vaccine on 2/23/2021 and was told that being past one month after that vaccine, it was fine to get the 2nd pneumonia vaccine. Later in the afternoon my upper arm swelled up dramatically; there was a hard knob the size of a lemon, and i | Y | 03/25/2021 | 03/25/2021 | 0 | None yet | PUB | none | none | none related | headaches and exhaustion for 1/2 day after 2nd Moderna vaccine | 2 | 03/28/2021 | Y | Augmentin and codene | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1142303 | 03/28/2021 | WI | 65.0 | 65 | F | At 3:14a on Friday, 03/26, about fourteen hours after I received my second dose of Moderna, I awoke with terrible chills. [I felt fine before I went to bed. Worked until about 8:30p the day before.] My teeth were chattering so bad I thought they would b | N | 03/25/2021 | 03/26/2021 | 1 | None | OTH | None. | None. | Torn meniscus - both knees. | 2 | 03/28/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1146704 | 03/30/2021 | WI | 65.0 | 65 | F | pt stated that she had 3 days of headache after taking the vax. On the 11th day she had developed a 1 1/2 X 2 " red rash on the left arm at the injection site that was warm and itchy that lasted 5 days. Pt used cortisone cream to help w/ the itching. | Y | 03/12/2021 | 03/23/2021 | 11 | no | PVT | Prese vision, venlafaxine, Dexilant 60mg, vitamin D, Lisinopril bds, topiramate bds, estradiol, simvastatin, Omega 3+ Fish Oil, Multivitamin, magnesium, B Complex, Oasis eye drop, Patenol eye drop, | no | migraines, high cholesterol, HBP, chronic back problems, macular degeneration, stomach ulcers | 2 | 03/30/2021 | ceftin, shellfish, all contrast dyes, gadolinium, Augmentin , codeine, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1150105 | 03/31/2021 | WI | 65.0 | 65 | F | 12/29/2020 vaccination About 2 weeks later, I woke up with both of my hands and wrists hurting .It was to the point where I could barely hold a pen in my hand. No swelling nor redness. It went away after 1-2 days. It came back a couple of days later; more | Y | 12/29/2020 | 01/11/2021 | 13 | Blood panel; negative | PVT | rybelsus, januvia, metformin, ponazuril, strontium, aspirin | n/a | diabetes II | vsafe | 2 | 03/31/2021 | Y | *1 allergy but cannot remember the name | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155602 | 04/01/2021 | WI | 65.0 | 65 | F | FEVER , CHILLS, BODY ACHES, MILD SWELLING AND REDDNESS AT INJECTION SITE. | Y | 03/30/2021 | 03/30/2021 | 0 | NONE | PUB | MV, Vit D, Vit C, Reservatrol, Folic A., Calcium | None | None | 2 | 04/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1160982 | 04/02/2021 | WI | 65.0 | 65 | F | 3/24/2021 11:20am Was administered my 2nd dose of COVID vaccine. 3/24/2021 10:00pm Lightheaded, dizzy, fever, chills, severe stomachache, severe lower backache, severe head and neck pain, severe nausea, vomiting, dry heaves, chest pain, rib pain, heartbur | Y | 03/24/2021 | 03/24/2021 | 0 | None | PVT | None | No | None | 2 | 04/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1163902 | 04/03/2021 | WI | 65.0 | 65 | M | Pt had second Moderna vaccine around 1100. Because he had dizziness with the last vaccine it was requested that he wait 30 minutes. At the end of the 30 minutes the patient complained of severe dizziness. He also had nausea but stated that this was pres | U | 04/03/2021 | 04/03/2021 | 0 | PVT | 2 | 04/03/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1166072 | 04/04/2021 | WI | 65.0 | 65 | F | Dizziness after injection, High fever (104), chills for approximate one and a half days, severe injection site pain followed by swelling, heat , swollen lymph node under arm, pain for a few days, insomnia, appetite loss. 2 days after injection asthma exace | U | 04/01/2021 | 04/03/2021 | 2 | Reported to doctor. | PUB | Verapamil, Lorazepam, Mirtazapine, multi vitamin, vitamin D, As needed, ibuprofen, QVAR, albuterol. | Had asthma exacerbation two days after first Moderna vaccine that lasted about a week. | Migraine, asthma, allergies, obesity, prediabetes. | After first Moderna vaccine I had dizziness, fever 102, chills asthma exacerbation that lasted about a week. | 2 | 04/04/2021 | Quinoa, latex, Allergist says tests indicated I was allergic to everything except cockroaches! Nickel. Hydromorphone, morphine. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1167817 | 04/05/2021 | WI | 65.0 | 65 | M | Positive COVID Test 03/30/2021 with signs and symptoms of COVID. | Y | 03/04/2021 | 03/30/2021 | 26 | UNK | 2 | 04/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1171548 | 04/06/2021 | WI | 65.0 | 65 | M | Patient had covid vaccine and then 1 day later, developed worsening PVCs. Patient has a history of PVCs and Vtach for which he has a pacemaker. Patient is historically very symptomatic with his PVCs. These worsened over the course of a week which lead to w | Y | 1 | Y | 03/08/2021 | 04/06/2021 | 29 | Chest XR 3/9/2021: Stable chest, chronic changes 3/9/2021: Negative troponin, Stable anemia (hx of anemia), normal CMP 3/15/2021 and 3/16/2021: Negative troponin x2, negative covid test, normal hgbA1c, UA, TSH, magnesium. 3/15/2021 CMP showing creatinine | PVT | amLODIPine 2.5 mg tablet Take 1 tablet every day by oral route. Brilinta 90 mg tablet Take 1 tablet twice a day by oral route. Co Q-10 1 tablet daily 300mg ezetimibe 10 mg tablet Take 1 tablet every day by oral route. fenofibric aci | No acute illnesses at the time of vaccination or up to one month prior, see chronic illnesses below | anemia cardiac pacemaker in situ Premature ventricular complexes coronary arteriosclerosis in native artery elevated liver enzymes level gastroesophageal reflux disease hypertensive disorder lumbar spondylosis mixed hyperlipidemia paroxysmal atrial fibrill | 2 | 04/06/2021 | Y | Y | cedarwood mold Ragweed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1171590 | 04/06/2021 | WI | 65.0 | 65 | M | Patient was offered the vaccine today at the clinic he said yes, gave patient the dose monitored patient for 15 min. Patient had no reaction to the vaccine. Went to put the vaccine into system and noticed patient was already vaccinated. | Y | 03/05/2021 | 04/06/2021 | 32 | OTH | Insulin, Rosuvastatin, Asprin, Renvela, Metoprolol | Coronary atherosclerosia, deaf non speaking, essential hypertension, hermaturia, hyperlipidema, thrombocytopenia, type 2 diabetes. | 2 | 04/06/2021 | No Known Allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1173136 | 04/06/2021 | WI | 65.0 | 65 | F | Noted lt. arm soreness at 3 a.m. ( more than dose 1), noted chills at that time and body aches. Got up at approximately 8 a.m. and walked to the bathroom but felt nauseous. Sat on toilet, had diarrhea and felt like I was going to faint. I knew I needed to | Y | 03/31/2021 | 04/01/2021 | 1 | none. | PHM | Aubagio, Calcium w/ vit D,multi vitamin, Vitamin B12, travoprast eye drops | none | Multiple Sclerosis | 2 | 04/06/2021 | fish,seafood,dust, pollen,penicillian,latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1175434 | 04/07/2021 | WI | 65.0 | 65 | F | Hives all over chest, back , upper arms, upper legs Fever Body aches Hurt to breathe Headache Sick to stomach Fatigue | N | 04/05/2021 | 04/05/2021 | 0 | Mone | PVT | Ibuprofen | None | None | Shingles 1st dose | 2 | 04/07/2021 | Penicillin, ceclor, shingles vaccine, oxycodone, sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177519 | 04/07/2021 | WI | 65.0 | 65 | U | No reaction to a vaccine however we had a temp excursion with the unit the Moderna vaccine was stored in. We had lot numbers: 026B21A, 038B21A, 026B21A. The temp went up to 49.2 for approx 21 hours. The manufactor and CDC was contacted. They did deem the v | U | 04/06/2021 | 04/06/2021 | 0 | NA | PVT | 2 | 04/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177678 | 04/07/2021 | WI | 65.0 | 65 | F | Patient called health dept and complains of significant left knee swelling and difficulty moving post vaccination 48 hours later after both shots. She reports having an artificial knee replacement in December of 2019. She reports that her pain and movemen | N | 03/11/2021 | 03/31/2021 | 20 | Ortho MD aware, but no appt or tests at this time as known by submitter of this report. | PUB | Aleve PRN pain, hydrocodone 5-325 mg 1/2 tab daily, many supplements, medication for high BP | Lupus, LBP, osteoporosis | 2 | 04/07/2021 | Y | PCN , amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1185546 | 04/09/2021 | WI | 65.0 | 65 | M | There was no reaction. Patient had already received a Covid vaccine from another provider. | 04/06/2021 | 04/06/2021 | 0 | OTH | Coronary atherosclerosis, ESRD, HTN, Type 2 Diabetes | 2 | 04/09/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196041 | 04/12/2021 | WI | 65.0 | 65 | F | chills, fever, throwing up, joint pain, teeth pain, head ache, extreme fatigue, night sweats, duration- 6 days- still fatigued 14 days later | Y | 03/27/2021 | 03/28/2021 | 1 | 0 | UNK | hydrochlorot, vitamin D, simvastatin, pioglitazone, metoprol, losartan,metformin, asprin | none | diabetes 2, hypertension, obesity | 2 | 04/12/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1214754 | 04/15/2021 | WI | 65.0 | 65 | M | DVT | Y | 04/08/2021 | 04/10/2021 | 2 | HGA1C, CBC, CMP | PVT | Aspirin 325 mg QD, Gabapentin 800 mg QID, Metformin ER 500 mg QD, Albuterol sulfate 2.5 mg/3mL Q4 hours PRN. | Dysphagia, SOB, Oropharyngeal Candidiasis, | COPD, Neuropathy, Pulmonary Nodule, DM type 2, Hyperlipidemia, | 2 | 04/15/2021 | Y | Y | Codeine, Vasotec | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1214933 | 04/15/2021 | WI | 65.0 | 65 | M | Severe Fatigue. Then on 4/12/2021 developed Bells Palsy | N | 02/17/2021 | 03/03/2021 | 14 | None | PUB | Amlodipine; Atenolol; Losartan; Vitamin C; Omega 3; Vitamin D; Probiotic; Potassium; Gabatone; Zinc; Co Q 10; Selenium; Multivitamin; Probiotic; Melatonin | None | Hypertension | 2 | 04/15/2021 | Tamiflu | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1219157 | 04/16/2021 | WI | 65.0 | 65 | F | Patient experienced symptom onset on 4/9 of a low-grade fever, cough, congestion, and body aches. Patient subsequently received a PCR test for COVID-19 and the result was positive on 4/13. Symptoms persisted, so patient received a Monoclonal Antibody Trea | N | 02/03/2021 | 04/09/2021 | 65 | Positive PCR for COVID-19 on 4/13 | UNK | Unknown | Mild depression, hypercholestermia, hypothyroidism | 2 | 04/16/2021 | Y | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1219415 | 04/16/2021 | WI | 65.0 | 65 | F | Patient states she had fever, chills, fatigue for 24 hours post vaccination which resolved, however she reports she has continued until today, to have intense sweating and heat followed by chills. She denies having a temperature at this time. | N | 03/17/2021 | 03/20/2021 | 3 | PUB | 2 | 04/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1220090 | 04/16/2021 | WI | 65.0 | 65 | F | Patient reported that she had not received any COVID vaccines in the past. She requested a COVID-19 vaccine at the time of visit on 4/8/21. The Pfizer covid vaccine was administered after patient signed the consent, however when Database was update, it | Y | 04/08/2021 | 04/08/2021 | 0 | PVT | NONE | N/A | schizophrenia | 2 | 04/16/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238339 | 04/21/2021 | WI | 65.0 | 65 | F | Had moderate fatigue/malaise and mild progressive respiratory shortness of breath within 2 weeks of the first vaccine, then progressed to severe after the 2nd vaccine and was hospitalized on 4/9/2021 with acute pneumonitis for 2 days with steroid treatment | Y | 03/31/2021 | 03/31/2021 | 0 | CT scan with contrast. 4/9/21, revealed acute pneumonitis and inflammation. Oxygen levels, < 88, Covid SARs Negative, CMP 4/9/21, 4/10/21, 4/11/21, unremarkable except for elevated Glucose, GFR 61 CBC 4/9/21, 4/10/21, 4/11/21 X-ray 4/10/21, 4/11/21 A lot | OTH | Calcium Citrate 500mg Fish Oil 2000mg Vitamin D 2000 mg Magnesium 500mg Bupropion 150mg | The symptoms started with the first Moderna vaccine on 3/3 at 8am, fatigue, pain at injection. Respiratory symptoms were slight but noticeable within a week and worsened steadily and thought it was a respiratory sinusitis. | Osteo-arthritis Seasonal affective disorder | Influenza at age 11 | 2 | 04/21/2021 | PCN (Zocyn OK), Sulfa, Codeine dyes Red 40 - significant Sulfites - significant | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238415 | 04/21/2021 | WI | 65.0 | 65 | F | tinnitus | N | 03/13/2021 | 04/01/2021 | 19 | PHM | atenolol maxalt tylenol naproxen | none | migraines | 2 | 04/21/2021 | sulfa latex polysporin neosporin erythromycin omeprazole | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1241710 | 04/22/2021 | WI | 65.0 | 65 | M | Extreme muscle/joint pain/ extreme fatigue | N | 04/06/2021 | 04/06/2021 | 0 | Ekg blood tests urine tests 4/15 Basic vital sign checks 4/14 | PUB | Omeprazole | None | None | 2 | 04/22/2021 | Cefuroxime Ciprofloxacin Clarithromycin Lactose Neomycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1241868 | 04/22/2021 | WI | 65.0 | 65 | F | Minutes after I received the injection -- I felt a shiver/chill throughout my entire body. These shivers/chills are still happening daily -- about 5 times/day. I also have had very sore leg muscles and knee pain since the vaccine. I've had some soreness | N | 03/22/2021 | 03/22/2021 | 0 | None -- I have not seen a doctor as I have just now returned home and wanted to see my primary physician. I have discontinued statin for two weeks to see if that makes a difference and it hasn't | PHM | Synthroid and statin drug | none | none | 2 | 04/22/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1243813 | 04/22/2021 | WI | 65.0 | 65 | M | Horrible instant pain when give. Started to feel suck in two hrs . Still very sick, very weak and cant do anything . Get winded . | N | 04/06/2021 | 04/06/2021 | 0 | All blood tests done per ER were normal. Gave fluids. Just said to see a Dr. If persists. Has no Dr. At this time. | PVT | Omeprazole | None | None | 2 | 04/22/2021 | Triple antibiotic cream | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1257168 | 04/25/2021 | WI | 65.0 | 65 | M | Tingling at 5th cranial nerve, right side only. | N | 01/10/2021 | 04/05/2021 | 85 | PVT | None | Ankle fracture | DM type 2, HTN, depression | 2 | 04/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1270113 | 04/29/2021 | WI | 65.0 | 65 | F | Sore arm, chills, fever, headache | 04/28/2021 | 04/28/2021 | 0 | UNK | 2 | 04/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289700 | 05/05/2021 | WI | 65.0 | 65 | F | Fully vaccinated patient tested COVID-19- PCR positive pre-procedure. She is asymptomatic and has no known new exposures. | Y | 03/23/2021 | 05/03/2021 | 41 | COVID-19 PCR test. | PUB | Unknown | Unknown | Unknown | 2 | 05/05/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1302758 | 05/10/2021 | WI | 65.0 | 65 | F | pt experienced flu like symptoms beginning 6-7 hours after receiving the vaccine. She reported headache, body aches, chills, sore arm. Significant bruising the size of a tennis ball appeared 18 hours later around the area of injection and persisted for 10 | Y | 05/01/2021 | 05/01/2021 | 0 | PHM | simvastatin 20mg qd, chlordiazepoxide 5mg prn, baby ASA qod, MVI qd, Viactiv qd, Vitamin D 2,000u qod, Biotin qod, glucosamine/chondroitin qod | hypercholesterolemia, osteoporosis | Pneumovax 23 1/2021--pt claims to have had a very sore arm for 3 months | 2 | 05/10/2021 | mango--rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1304654 | 05/10/2021 | WI | 65.0 | 65 | F | Tinnitus has gotten much worse. I?ve had it at times but now it is constant and much louder. Also had bouts of Vertigo which had been reported previously. | N | 03/04/2021 | 03/18/2021 | 14 | PUB | Eliquis, Metoprolol, Levothyroxine, Vitamin D, Low dose aspirin | Arthritis, Leiden Factor V | 2 | 05/10/2021 | Morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1409975 | 05/12/2021 | WI | 65.0 | 65 | M | Right after the injection, I felt flushed. For the following 2 days, I felt: chills, headache, a light/dry cough, light nausea, balance was off, concentration was off, fatigue, and joint pain (esp. in hands and fingers). Symptoms cleared by 2/15/2021 exc | Y | 02/12/2021 | 02/13/2021 | 1 | MRI: (1) No evidence of edema, midline shift or recent ischemic changes, (2) mild parenchymal atropy appears age appropriate, (3) mucosal thickening is most notable within left ethmo | OTH | L-Thyroxine 100 mcg, Levetiracetam 500 mgx2/day, Symbicort 160 | Hypothyroidism, seizure, COPD | Hypothyroidism, Seizure, COPD | 2 | 05/09/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1317679 | 05/14/2021 | WI | 65.0 | 65 | F | COVID-19 positive lab result after considered fully vaccinated | 03/23/2021 | 05/01/2021 | 39 | UNK | 2 | 05/14/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1322986 | 05/17/2021 | WI | 65.0 | 65 | M | Client tested positive for COVID on 5/10/2021 after being fully vaccinated. States he started having a cough on 4/24, no other symptoms reported except for one episode of SOB on 5/13 while in the hospital (not for COVID). | U | 02/25/2021 | 04/24/2021 | 58 | Nasal NAAT swab performed on 5/10 | PUB | Unknown | Heart transplant 1/2016 Diabetes | 2 | 05/17/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327341 | 05/18/2021 | WI | 65.0 | 65 | F | Within one hour; my arm was sore. I started my day on 5/14 at 0500. I felt woozie so I sat down for a few minutes. When I got up, I passed out onto the kitchen floor. I got and and started to vomit. I went back to bed. I work every few hours to con | Y | 05/13/2021 | 05/14/2021 | 1 | None as of this date. | OTH | None | None known | None known | 2 | 05/18/2021 | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1330473 | 05/19/2021 | WI | 65.0 | 65 | F | Injection administered very near shoulder. Pain in shoulder joint and can't lift arm without pain. | N | 05/18/2021 | 05/18/2021 | 0 | none | PVT | Omeprazole calcium vit d multivit zinc | none | reflux | 2 | 05/19/2021 | Ketek penicillin demerol fosamax | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1337317 | 05/21/2021 | WI | 65.0 | 65 | F | She started itching, got hot, said her tongue felt funny. I sat with her asked her if was ok breAThing short of breath, she said no. I ASKED IF SHE WANTED A BENADRYL AND SHE SAID NO. MY TECH WAS AN EMT AND CAME OUT WHILE I WENT TO GET BLOOD PRESSURE CUFF, | Y | 05/21/2021 | 05/21/2021 | 0 | PHM | 2 | 05/21/2021 | VALSARTAN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1354356 | 05/27/2021 | WI | 65.0 | 65 | F | Patient completed covid vaccine series on 4/2/2021. Patient reported for pre-procedure covid testing on 5/24/21. Results of covid test returned positive on 5/25/21. | Y | 04/02/2021 | 05/25/2021 | 53 | Results of covid test returned positive on 5/25/21 after completing Pfizer covid 19 vaccine (doses on 3/12/21 and 4/2/21). | PVT | dabigatran 150mg BID Furosemide 20mg q AM Lisinopril 40mg q day Metformin 500 mg - 4 tabs BID Spironolactone 25mg - take 1/2 tab daily | None noted in electronic health record. | Afib HFpEF HTN Type II diabetes BRCA gene mututation positive in female OSA Albuminuria Dyslipidemia Class 1 obesity Osteopenia of multiple sites Nonrheumatic mitral valve regurgitation | 2 | 05/27/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1357887 | 05/28/2021 | WI | 65.0 | 65 | M | Patient tested positive for COVID-19 on 5/11/21. | U | 02/11/2021 | 05/11/2021 | 89 | 2019 novel Coronavirus NAAT = positive SARS-CoV-2 RNA Resp Ql NAA+probe = Positive (qualifier value) | PVT | Unknown | Unknown | None | 2 | 05/28/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1359907 | 05/29/2021 | WI | 65.0 | 65 | M | Adverse reaction or side effect experienced: None; Pneumococcal vaccine administered on 23-MAY-2013 and on 03-AUG-2015; This spontaneous report has been received from a lawyer, via a Plaintiff Fact Sheet from a case in litigation for Zoster Vaccine Live (Z | U | 05/23/2013 | 08/03/2015 | 802 | OTH | Prophylaxis | US0095075132105USA006390 | 2 | 05/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1363762 | 06/01/2021 | WI | 65.0 | 65 | F | below the injection site was red/had doubled in size/50 cent size area/spread further; inch below the injection site was/ swollen/had doubled in size/50 cent size area; tiny welt; It also felt hot.; She felt pain/ it stung like crazy; This case was reporte | N | 05/24/2021 | 05/24/2021 | 0 | UNK | USGLAXOSMITHKLINEUS202111 | 2 | 05/31/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1365382 | 06/01/2021 | WI | 65.0 | 65 | F | Day of the vaccine the body felt different, when home the arm was in pain for a day or two. By Friday even there was a headache and on Saturday it was worse. The doctor friend said to take Tylenol and lay down. On Sunday the left ear was swelling and the l | 03/07/2021 | 03/12/2021 | 5 | PUB | Atenol, vitamin c, d and Calcium, magnesium, zinc, Vitamin E, | 2 | 06/01/2021 | Y | Y | Penicillin, carpet, grass, animals like dogs and cats, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1371981 | 06/03/2021 | WI | 65.0 | 65 | F | I went to get my shot at 3pm. After being vaccinated I sat about 30 mins in waiting room and nothing happened. I then went home and when my husband and I were preparing to eat supper, I noticed I didn't have an appetite which was around 4:30 pm, We had our | Y | 02/03/2021 | 02/03/2021 | 0 | X-ray - Back needed to be aligned | PUB | Triamterene 75mg/HCTV 50mg- 1xdaily Metformin- 500mg - 1xdaily | none | Diabetes High Blood Pressure Replacement surgery in upper neck area in spine (7years ago) Incompetent Cervix | vsafe | 2 | 06/03/2021 | Y | Contrast Dye Black Mud Wasps Stings Minor Lactose Intolerance Anesthesia( Takes much longer than normal to wake from the sedation) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1395274 | 06/13/2021 | WI | 65.0 | 65 | F | hot flashes, dull headaches, severe and unusual belly bloating, anemia | N | 05/05/2021 | 05/11/2021 | 6 | none yet | PVT | Levothyroxin 125mcg | Hashimotos thyroiditis, UCTD (undifferentiated connective tissue disease), osteoporosis. | 2 | 06/13/2021 | Latex, cats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1403278 | 06/16/2021 | WI | 65.0 | 65 | F | PALPITATIONS AND SHORTNESS OF BREATH, PT WILL SEEK TREATMENT AT LOCAL WALK IN CLINIC FOR EVALUATION. | U | 06/04/2021 | 06/04/2021 | 0 | UNKNOWN | PHM | UNKNOWN | NONE | NONE | 2 | 06/16/2021 | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1405885 | 06/17/2021 | WI | 65.0 | 65 | M | Vertigo, dizziness, balance problems | N | 06/08/2021 | 06/11/2021 | 3 | None | PVT | Aspirin 325mg Metformin 1500mg Eztimibe 10mg Atorvastin 80mg Amlodipine/Olmes Medoxom 5-20mg Fish oil 1000mg Famotidine 20mg Glucosamine Chondroitin 2 tablets | None | None | 2 | 06/17/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1443102 | 07/02/2021 | WI | 65.0 | 65 | M | In May, I suffered transient ischemic attack TIA, as a result of that I started taking blood pressure medication. I was not taking blood pressure medication prior to the medication. | U | 03/25/2021 | 05/23/2021 | 59 | took blood pressure | OTH | apixaban multi vitamin vitamin D hawthorn extract turmeric capsules | no | blood clotting abnormality asthma border line hypertensive | Side effect from the Shingles Shot. It went away | vsafe | 2 | 07/02/2021 | Y | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454564 | 07/07/2021 | WI | 65.0 | 65 | F | Halfway down both legs below the knees had red welts that scratched so bad, i could have scratched it down to the bone. In the crook of the right arm, I had blisters that had skin peeling off and it burned so bad. | Y | 04/02/2021 | 04/16/2021 | 14 | He had me on steroids which did no good. he said to use a protopic on it. I used Neosporin on the arm and the protopic on the legs. I also used aloe Vera 100% gel and now the arm has cleared up and the legs are continuing to heal as well. | PVT | multivitamins. tacrolimus, salagen, hydroxychloroquine, pravastatin | no | sjogrens syndrome | 2 | 07/07/2021 | penicillan. bactrim, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1459837 | 07/09/2021 | WI | 65.0 | 65 | F | Heart palpitations starting shortly after the COVID vaccine. Patient called EMS to take her to emergency room. Patient states heart rate has been consistently around 124-125. Associated intermittent diaphoresis, a flushed appearance, and fatigue. Simil | Y | U | 07/06/2021 | 07/06/2021 | 0 | Labs - CBC, Urinalysis, BMP, Troponin, Magnesium, Blood Gas Venous EKG | PVT | Hydrocodone-acetaminophen 10/325mg 5x/Day, PRN for pain Acetaminophen 325mg 2 tabs TID, PRN for mild pain - not to exceed 3,000mg /day Albuterol CFC free 90 mcg/inh 2 puffs q4hr, PRN for wheezing Apixaban 5 mg BID Atorvastatin 10mg HS Carve | Hospitalized 6/17-6/21/2021 for acute hypoxic/hypercapnic respiratory failure, recurrent atrial flutter. | Type II Diabetes Smoker Erythrocytosis Hypertension Diabetic neuropathy Kidney disorder due to Diabetes Hydronephrosis Severely Obese Amputation of lower limb above knee COPD End stage renal failure on dialysis chronic anemia atrial flutter Chronic hypoxem | 2 | 07/09/2021 | Y | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1474799 | 07/15/2021 | WI | 65.0 | 65 | F | Chills, myalgias, arthralgias, headache within hours of injection. Since then has had persistent myalgias and arthralgias - "burning ache" - worse at night - interrupts sleep. Pain is generalized but worse in lower body and present most of the time. Also h | N | 03/21/2021 | 03/21/2021 | 0 | 7/14/21 CBC, CMP, ESR, CRP, TSH, CPK normal ANA, RF neg | PVT | Losartan Hydrochlorothiazide | Had mild Covid 1/18/21 | Hypertension | 2 | 07/15/2021 | Oxycodone - hives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1478441 | 07/16/2021 | WI | 65.0 | 65 | F | Breakthrough Case | U | 02/24/2021 | 07/06/2021 | 132 | COVID-19 PCR test - 7/14/21 | PVT | Not documented in . | Not documented in . | Diabetes, hypertension. | WEDSS DI#21074116 | 2 | 07/16/2021 | Not documented in | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1491008 | 07/21/2021 | WI | 65.0 | 65 | F | Immunizing technician inadvertently drew up/administered vaccine dose that had expired at 10pm on 7/20/21. Vial was taken out of fridge at 10am on 7/20/21 and punctured. Per manufacturer punctured vials are only good for 12 hours. | Y | 07/21/2021 | 07/21/2021 | 0 | PHM | 2 | 07/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1498652 | 07/23/2021 | WI | 65.0 | 65 | M | SARS-COV-2 RNA RESP QL NAA+PROBE performed on 7/20/21 at 14:56. Came back detected. Case investigation interview with patient has not been performed as of the time of this note. | U | 04/01/2021 | 07/20/2021 | 110 | PHM | 2 | 07/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1512402 | 07/29/2021 | WI | 65.0 | 65 | F | Pt received both doses of the Pfizer COVID vaccine, on 1/21/2021 and 2/11/2021. Pt then had unspecified symptoms of covid and was tested via clinic on 7/24/2021. Pt hasn't needed additional medical care at this time. | Y | 02/11/2021 | 07/24/2021 | 163 | OTH | Aspirin, calcium, coenzyme Q10, estradiol cream, fish oil, hydroxychloroquine, magnesium hydroxide, pravastatin, probiotics, vitamin D, multivitamin | Diverticulitis, heart murmur, hx of vertigo, hyperlipidemia, osteopenia, stress incontinence, vitamin D deficiency. | 2 | 07/29/2021 | Y | alendronate, rosuvastatin, lovastatin, fluconazole | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1518984 | 08/01/2021 | WI | 65.0 | 65 | M | Vertigo | N | 04/09/2021 | 05/23/2021 | 44 | SCH | Atorvastatin, HCl thiazides, | None | Hbp | 2 | 08/01/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1532037 | 08/06/2021 | WI | 65.0 | 65 | F | I was not overall feeling well. I was having abdominal pain and headaches. Those seemed to happen at the same time. They come and go. I do not have them daily. I have them sometimes in the afternoon or wake up in the morning with the symptoms. I am s | N | 01/29/2021 | 07/04/2021 | 156 | PVT | Fibromyalgia | vsafe | 2 | 08/06/2021 | Bananas | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1535122 | 08/07/2021 | WI | 65.0 | 65 | F | Immediately after the shot I got really dizzy. Then the severe dizziness continued for the next month. I was unable to eat, if I did I would throw it all up. I could sip on water and eat celery and watermelon. I did take Zofran ODT for the nausea, but it d | Y | 05/27/2021 | 05/27/2021 | 0 | You'll have to check my Medical Records at hospital | PHM | Esomeprazole 40mg, Azathioprine 50mg, Lamotrigine 225mg, Prednisone 15mg, Eliquis 5mg, SMZ/TMP DS 800-160, Vitamin B-2 100mg, Vitamin D3 400IU, Garlic Extract 1000mg. | Cryptogenic Organizing Pneumonia, Osteopenia, Migraine, Acid Reflux, Polymyalgia Rheumatica | Cryptogenic Organizing Pneumonia, Osteopenia, Migraine, Acid Reflux, Polymyalgia Rheumatica | 2 | 08/07/2021 | Levofloxacin, Loratadine, Ertapenem, Vancomycin, Azithromycin, Iohexol, Methocarbamol, Statins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1552144 | 08/13/2021 | WI | 65.0 | 65 | M | Hot to the Touch Injection Site; Pain Injection Site/ Tender Injection Site; Red Injection Site; Tender injection site; Delayed Injection Site Reactions; Fell sleep in a chair; Back Pain; Could hardly get up from a chair and move to the bed; Tense Back Mus | Y | 02/10/2021 | 02/10/2021 | 0 | UNK | Comments: No Medical History Information was reported. | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1552581 | 08/13/2021 | WI | 65.0 | 65 | F | Rash red; Hardness injection site; Redness circle; Pain at injection site; Headache; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of RASH ERYTHEMATOUS (Rash red), VACCINATION SITE INDURATI | N | 02/10/2021 | 02/10/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1556616 | 08/14/2021 | WI | 65.0 | 65 | F | Headache ever since I took the shot/had needles poking in the top of my head; Arm is sore; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache ever since I took the shot/had needles poking in the top of my he | U | 02/03/2021 | 02/03/2021 | 0 | UNK | Heart valve regurgitation (The patient had two leaky valves in her heart); Myopathy | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1562261 | 08/15/2021 | WI | 65.0 | 65 | F | Developed a raised rash patch that was a 2 inch patch across around the injection site; Developed a slightly raised rash patch that was itchy around the injection site; Developed a slightly reddish raised rash patch around the injection site; Just had a mi | Y | 02/16/2021 | 02/16/2021 | 0 | UNK | BABY ASPIRIN | Blood pressure | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1573986 | 08/16/2021 | WI | 65.0 | 65 | F | Developed fever (101.5), fatigue, headache, and dyspnea on exertion within a day of vaccination and symptoms continued until admission to hospital 4 days later | Y | 2 | Y | 08/10/2021 | 08/11/2021 | 1 | UNK | Tylenol, allopurinol, diclofenac gel, gabapentin, hydrocodone-APAP, ibuprofen, losartan-HCTZ, magnesium oxide, metoprolol succinate, multivitamin, rivaroxaban, rosuvastatin, vitamin D | hypertension, hyperlipidemia, pre-diabetes, history of pulmonary embolism, paroxysmal atrial fibrillation | 2 | 08/16/2021 | lisinopril | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1574553 | 08/16/2021 | WI | 65.0 | 65 | F | Patient has extensive history of autoimmune disorders. Received Moderna vaccine #1 on 3/13/21. Developed sore throat 3/15, progressing to oral lesions - went to urgent care on 3/22/21 and ED on 3/25/21 (diagnosed with stomatitis). Evaluated by ENT specia | Y | 08/10/2021 | Y | Y | 41 | N | 03/13/2021 | 03/15/2021 | 2 | Laryngoscopy 3/29/2021 Upper endoscopy 4/6/2021 | PVT | ? levothyroxine 25 MCG tablet ? B-D U/F PEN NEEDLE 31G X 5 MM Misc ? Forteo 600 MCG/2.4ML Solution Pen-injector ? midodrine (PROAMATINE) 10 MG tablet ? hydrOXYzine (ATARAX) 25 MG tablet ? metoPROLOL tartrate (LOPRESSOR) 25 MG tablet ? DULox | PERIPHERAL NEUROPATHY | 1. Autonomic dysfunction: moderate per auto lab testing. Mildly impr autonomic peripheral neuropathy. Mod impr cardiovagal and CV adrenergic function. Supine HTN with OH 2. Autonomic peripheral neuropathy: mild per auto lab testing in length-dependent p | 2 | 08/16/2021 | Y | Y | ? Norvasc [Amlodipine Besylate] HIVES ? Oxycontin [Oxycodone] Other (See Comments) Panic attacks after long term use ? Pseudoephedrine Other (See Comments) hallucinations ? Thiazide-Type Diuretics zaroxolyn caused nausea, diarrhea, hot flush | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1578163 | 08/17/2021 | WI | 65.0 | 65 | F | Hospitalization with Positive COVID Test | Y | 04/02/2021 | 08/15/2021 | 135 | Positive COVID-19 PCR test | PVT | history of severe COPD | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1581629 | 08/18/2021 | WI | 65 | F | having sweats; lethargy; body aches; low grade fever; joint pain; headache; muscle pain; chills; A spontaneous report was received from a Consumer concerning a 65- years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced | U | 02/24/2021 | 02/24/2021 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event (no reported medical history) | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1586644 | 08/19/2021 | WI | 65.0 | 65 | M | Visit to ED for pain medication - prescribed Hydrocodone 5/325 Return visit to PCP for muscle relaxant - cyclobenzaprine 10 mg TID PT | N | 08/04/2021 | 08/04/2021 | 0 | NO | PUB | acetaminophen, baby ASA, duloxetine, ezetimibe, benefibrate, HCTZ, levothyroxine, lisinopril, metformin, metoprolol, pravastatin | NO | Type 2 DM, hypercholeserolemia, HTN, hypothyroidism, nerve pain (right shoulder/neck/right hip) | 2 | 08/19/2021 | Y | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1602717 | 08/21/2021 | WI | 65.0 | 65 | F | Vaccine was administered outside of 12 hour room temperature expiration period. Vial was removed from refrigerator at 5 PM on Friday evening (8/20/21) and dose was given at approximately 10 AM on Saturday morning, ~5 hours past the 12 hour expiration perio | U | 08/21/2021 | 08/21/2021 | 0 | PHM | 2 | 08/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1617395 | 08/22/2021 | WI | 65.0 | 65 | F | At 3:30 p.m. August 15, I was outside getting my grill ready to cook dinner. I felt headache and heart beating rapidly. I wear a fitbit Inspire HR. My heart rate is usually 60 bpm at rest. It was up to 87. I finished cooking, and notice heart rate no | N | 08/15/2021 | 08/15/2021 | 0 | CBC with Differential, comprehensive Metabolic Panel TSH with Reflex Free T4, Tropnin I, Blood , EKG 12 lead All normal. | PHM | Multi vitamin, 200 mm Hydroxychlorquine | none | Dermatomyositis | 2 | 08/22/2021 | Y | Y | Sulfa drugs, latex, prednisone, polyethelyne glycol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1623527 | 08/23/2021 | WI | 65.0 | 65 | M | DVT, PE, MI diagnosed on 08/14/21. | Y | Y | 4 | Y | 08/11/2021 | 08/14/2021 | 3 | PUB | none | none | none | 2 | 08/23/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1625926 | 08/24/2021 | WI | 65.0 | 65 | M | arm is still sore; disrupts his sleep; This case was reported by a consumer via call center representative and described the occurrence of pain in arm in a 65-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. Previously adminis | N | 06/23/2021 | 06/24/2021 | 1 | UNK | USGLAXOSMITHKLINEUS202117 | 2 | 08/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1637841 | 08/26/2021 | WI | 65.0 | 65 | M | Patient reported dizziness during the post vaccine observation period. | Y | 08/26/2021 | 08/26/2021 | 0 | PHM | 2 | 08/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1641501 | 08/27/2021 | WI | 65.0 | 65 | F | Patient had received a dose of Moderna vaccine on 1/18/21 prior to dose of pfizer vaccine. No severe reaction was noted by patient. | U | 03/01/2021 | 03/01/2021 | 0 | PVT | B complex vitamins, biotin, CaCO3, vitamin D 3000 units, ritalin, omeprazole, effexor xr | not aware | Depression, ADHD, hyperlipidemia, sleep apnea | 2 | 08/27/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1670168 | 09/03/2021 | WI | 65.0 | 65 | F | Vaccine adminstered around 4 p.m on 2/23/21. At 7 p.m. I was feeling unusually tired. Symptoms on the 24th, 25th, 26th and 27th: weak, tired, nausea off and on. The afternoon of the 27th, I developed a fever and my heart rate increased. I went to bed | Y | U | 02/23/2021 | 02/27/2021 | 4 | UNK | Mirapex 0.5 -1.0 mg/day (low dose for RLS), daily multivitamin, magnesium, low-dose naltrexone 4.5 mg (for RLS), metoprolol 25 mg | None | Restless Leg Syndrome, diagnosed with Sjogren's 10+ years ago, hysterectomy and cholecystectomy 1999 | 2 | 09/03/2021 | gluten intolerance, seasonal allergies, allergy to mold | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1670546 | 09/03/2021 | WI | 65.0 | 65 | F | Pt completed Pfizer COVID-19 vaccine series on 1/26/21 and 2/16/21. Pt was transferred to reporting hospital by medical flight transport for ICU. Pt initially admitted to outside hospital on 8/29/21 with shortness of breath, dyspnea with exertion, producti | Y | N | 02/16/2021 | 08/29/2021 | 194 | COVID PCR NP swab positive 8/27/21 Chest X-ray 9/2/21 Re-demonstration of diffuse bilateral interstitial and alveolar airspace opacities with consolidation greatest within the periphery of the mid to lower right lung, consistent with Covid-19 pneumonia. Th | UNK | Albuterol 108, aspirin 81mg, tessalon, Calcium-Vitamin D, Coenzyme Q10, Voltaren 75mg, Levaquin 750mg, metaformin, ditropan-XL, KCL, Pravachol, zoloft, Vitamin D3 | asthma, obesity | Asthma, obesity (BMI 50), HLD, Hypothyroidism, Chronic low back pain due to degenerative scoliosis of lumbar spine | 2 | 09/03/2021 | Codeine, Niacin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1677154 | 09/07/2021 | WI | 65.0 | 65 | F | Gave a vaccine to two patients that was past the 12hr window; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Gave a vaccine to two patients that was past the 12hr window) in a 65-year-old fe | Y | 07/24/2021 | 08/21/2021 | 28 | PHM | Adhesive tape allergy (tape); Allergy to antibiotic (Amoxicillin) | Medical History/Concurrent Conditions: Allergy to antibiotic (Erythromycin) | USMODERNATX, INC.MOD20212 | 2 | 09/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1682908 | 09/08/2021 | WI | 65.0 | 65 | F | One day later, I suddenly had severe muscle spasm in the middle of my back, with nausea. Simultaneously all my teeth ached. it lasted for about 15 minutes. Since then, in the following 6 months, I have the same symptoms, but less severe intermittently a | N | 02/19/2021 | 02/20/2021 | 1 | It is not serious enough that I needed to seek help. | PUB | oxybutinin 5 mg bid, prilosec otc | Tetanus diphteria, and flu shots about 25 years ago Injection site swelling and redness lasting several days, fatigue | 2 | 09/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1683172 | 09/08/2021 | WI | 65.0 | 65 | M | Symptoms were extreme pain in lower legs. I could not stand in one location for more than a minute. At this point all of the pain was below my waist. The symptoms began on or around June 15th 2021. I took Tylenol trying to relieve the pain until my emer | Y | 14 | N | 04/08/2021 | 06/15/2021 | 68 | OTH | Warafin Daily, 5mg | no | Aorta heart valve replacement, 1992 | 2 | 09/08/2021 | Y | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1704268 | 09/16/2021 | WI | 65.0 | 65 | F | Pain in both thighs, altered sensation both lower legs, and slight numbness/tingling both feet lasting 2 days | Y | 09/06/2021 | 09/11/2021 | 5 | PHM | none | influenza vaccine | 2 | 09/16/2021 | influenza vaccine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1704843 | 09/16/2021 | WI | 65.0 | 65 | F | 3-8-21 Moderna Vaccine #1 a 3-18-21 phone call States after vaccine had fever 101 couple days-resolved. Was also very nauseated, decreased appetite. Could bearly eat anything. Had decreased urine output-improving. Now having increased shortness of breath A | Y | 7 | Y | N | 03/08/2021 | 04/12/2021 | 35 | Cardiac panels, Echo, Cardiac stress test. COVID tests. Chest xray, CT chest | MIL | Dosage traMADol (ULTRAM) 50 MG tablet Take 2 tablets by mouth 2 times daily as needed for Pain. cetirizine-pseudoephedrine (ZyrTEC-D Allergy & Congestion) 5-120 MG per tablet Take 1 tablet by mouth 2 times daily. naLOXone (NARCAN) 4 MG/0.1M | Left thigh pain Shortness of breath Chest pain Leg edema Other specified hypothyroidism Lymphedema of both lower extremities Chronic constipation OSA (obstructive sleep apnea) Overview Signed 8/19/2016 8:15 AM Intolerant of CPAP Previous Version Obesi | Left thigh pain Shortness of breath Chest pain Leg edema Other specified hypothyroidism Lymphedema of both lower extremities Chronic constipation OSA (obstructive sleep apnea) Overview Signed 8/19/2016 8:15 AM Intolerant of CPAP Previous Version Obesit | 65 | 2 | 09/16/2021 | Heparin High Other (See Comments) HIT Allergy Not Specified VOMITING Narcotic analgesics - lethargy Betadine [povidone Iodine] Not Specified Codeine Not Specified Iodine (environmental Or Med) Not Specified Latex (environmental) Not Specified M | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1715036 | 09/20/2021 | WI | 65.0 | 65 | M | I was tested positive for COVID June 28th, which resulted in aggravation of my gastro issues that involved the Opdivo medication. This drug is an auto-immune therapy drug. I'm just recovering from this now. December 2020 I started having GI issues, and th | Y | 03/16/2021 | 06/28/2021 | 104 | COVID test-positive, multiple blood tests, abdominal CT, PET scan These tests were done between June and September 2021 | PVT | Opdivo, Famotidine, lamotrigine, Tamsulosin, Probiotic, baby aspirin, multivitamin | post Cancer surgery Melanoma | none | Flu like symptoms FLU | vsafe | 2 | 09/20/2021 | Y | Y | Effexor, Methodate | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731278 | 09/24/2021 | WI | 65.0 | 65 | M | Patient had severe pain in left arm, unable to move it around, down to left elbow. Interesting he didn't have pain at injection site, but just distal to. Redness and swelling, adding nearly and inch in diameter to his arm circumference (by patient measur | Y | 09/21/2021 | 09/22/2021 | 1 | PVT | Omega 3 fatty acid supplement | unknown hyperkalemia in work up, otherwise nothing | Rosacea, BPH, hx hyperlipidemia which is no longer and issue and not on medication | 2 | 09/24/2021 | Y | Pencillin and Epoxy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1736688 | 09/27/2021 | WI | 65.0 | 65 | M | Fatigue starting 6 hours after receiving vaccine, followed by vomiting and diarrhera that continuing until 1:00AM. Fatigue continued through the following day. | Y | 09/23/2021 | 09/23/2021 | 0 | PHM | calcium+D3, Acetaminophen, Tamsulosin, Avorvastatin, Fenofibrate, Synthroid, Omeprazole, Prednisone, Testosterone, Asprin 81 | None | None | 2 | 09/27/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1749346 | 09/30/2021 | WI | 65.0 | 65 | F | breakthrough infection | N | 08/01/2021 | 09/29/2021 | 59 | positive PCR test 9/29/2021 | OTH | abatacept, cyclosporine, gabapentin, leflunomide, insulin, atenolol, lisinopril | diabetes, rheumatoid arthritis, hypertension | 2 | 09/30/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761799 | 10/05/2021 | WI | 65.0 | 65 | F | Patient contracted COVID after being fully vaccinated Cough, myalgia, fatigue, headaches, chills, congestion | 02/26/2021 | 10/04/2021 | 220 | PHM | albuterol q6hrs calcium-vitamin D cetirizine 10mg daily cholecalciferol 400IU daily fexofenadine 180mg daily fluticasone-salmeterol BID fluticasone nasal daily simvastatin 40mg HS triamcinolone topical daily | None documented | smoker, rheumatoid arthritis, osteopenia, hypercholesterolemia, insomnia, prediabetes, COPD with exacerbation, environmental allergies, sensorineural hearing loss bilateral. | 2 | 10/05/2021 | iodine - swelling lisinopril - cough seafood - swelling | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761809 | 10/05/2021 | WI | 65.0 | 65 | M | patient admitted with COVID on 28 Sept. Was in ICU shortly after admission, consult obtained due to high oxygen requirement. On NiPPV initially. Transferred to floor on 1 Oct on NiPPV 15/10 FiO2 80%- transitioned to high flow | Y | 03/31/2021 | 09/28/2021 | 181 | UNK | 2 | 10/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1762171 | 10/05/2021 | WI | 65.0 | 65 | F | Fever, increased Sob. Labs and chest x-ray normal. Hypoxia. Treated with Z-pack and prednisone 40 mg qd x 5 days. 3 Days later, symptoms worsened, seen in ER and admitted with hypoxia. Treated with IV Prednisone, antibiotics. | Y | 08/24/2021 | 08/26/2021 | 2 | Chest x-ray, CBC CMP, Covid testing 8/24 and 8/27. | PVT | Stiloto, Flovent, Prednisone, Duoneb, Norvasc, losartan, citalopram calcium/vit d | None | Lymphoma status post treatment with Rituxin , last treatment 8/29/2020. Hypertension. COPD/emphysema. Mood disorder. | 2 | 10/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1772213 | 10/08/2021 | WI | 65.0 | 65 | F | Tested positive for Covid Wednesday, pulmaory and monoclonal infusions. Bad head cold Tuesday night. I could smell and taste, major running nose. ER on 7Oct2021. | N | 09/28/2021 | 10/06/2021 | 8 | Covid - Positive; Bloodwork - normal | PHM | MUCINEX; prednisone; albuterol | No | Lung Disease; Bronchitis; Asthma; COPD | 2nd dose pfizer, muscle aches, fatigues and headaches. | vsafe | 2 | 10/08/2021 | Y | Augmentin; COMPAZINE; BIAXIN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1785546 | 10/14/2021 | WI | 65.0 | 65 | F | 10 hours after receiving shot - low grade fever, sore arm, extreme fatigue, no smell or taste. | N | 10/05/2021 | 10/05/2021 | 0 | Rapid Test - POSITIVE PCR - NEGATIVE | UNK | None. | None. | Type 1 diabetes | 2 | 10/14/2021 | Y | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1785716 | 10/14/2021 | WI | 65.0 | 65 | M | BREAKTHROUGH COVID INFECTION | N | 05/13/2021 | 10/13/2021 | 153 | POS COVID 19 TEST 10/13/21 | PVT | ALBUTEROL, PREDNISONE, ADVAIR, ELIQUIS, BUMEX, FERROUS SULFATE, CRESTOR, CYANOCOBALAMIN, METOPROLOL, MULTIVITAMIN, KDUR,FLOMAX | NONE NOTED | ATRIAL FIB, CONGESTIVE HEART FAILURE, CAD, GERD, BPH, ALLERGIC RHINITIS, ALLERGIES, HYPERCHOLESTEROL | 2 | 10/14/2021 | Y | DUST MITE, SMOKED FOODS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788031 | 10/15/2021 | WI | 65.0 | 65 | M | The booster dose was given to the patient, and after that, we found out that the time interval between the second dose and the booster is less than 6 months. No side effects or reactions happened to the patient. | Y | 10/13/2021 | 10/13/2021 | 0 | PHM | 2 | 10/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788221 | 10/15/2021 | WI | 65.0 | 65 | M | Patient contracted COVID after being fully vaccinated cough, chills, diarrhea, loss of taste, loss of smell, sore throat. | 03/09/2021 | 10/08/2021 | 213 | PVT | None Documented | None Documented | None Documented | 2 | 10/15/2021 | None Documented | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788522 | 10/15/2021 | WI | 65.0 | 65 | F | Aches, pains, fatigue for several hours, fever for 4 hours | Y | 10/08/2021 | 10/09/2021 | 1 | PVT | Sinusitis | COVID-19 | 2 | 10/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1797883 | 10/19/2021 | WI | 65.0 | 65 | M | covid arm, same night, lasted several weeks patch about the size of a fist on forearm, left arm, developed patch of same characteristics on crown of head | N | 03/12/2021 | 03/12/2021 | 0 | PHM | 2 | 10/19/2021 | fresh water fish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1800294 | 10/20/2021 | WI | 69.0 | 65 | M | "on and off dizziness"; Has a dull headache that throbs constantly at back of head; Experienced tiredness; Inappropriate schedule of vaccine administered; 3rd dose of Moderna vaccine administered by accident instead of flu vaccine was on 14Aug2021; This sp | Y | 08/14/2021 | 08/14/2021 | 0 | UNK | USMODERNATX, INC.MOD20213 | 2 | 10/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1800781 | 10/20/2021 | WI | 65.0 | 65 | M | patient admitted with COVID on 28 Sept. Was in ICU shortly after admission, consult obtained due to high oxygen requirement. On NiPPV initially. Transferred on 1 Oct on NiPPV 15/10 FiO2 80%- transitioned to high flow | Y | 10/11/2021 | Y | 13 | 03/31/2021 | 09/28/2021 | 181 | UNK | 2 | 10/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1818408 | 10/26/2021 | WI | 65.0 | 65 | M | Patient contracted COVID after being fully vaccinated Nausea, headache, cough, runny nose, fatigue, stomach ache, diarrhea, body aches. | 03/17/2021 | 10/18/2021 | 215 | PUB | Albuterol QID prn for wheezing and shortness of breath Multivitamin daily Fish Oil 1000mg BID | None documented | Post herpetic neuralgia, left inguinal hernia, vitamin d deficiency | 2 | 10/26/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1846350 | 11/05/2021 | WI | 65.0 | 65 | F | Severe abdominal pain led me to ER, after blood work and CT scan i was diagnosed with pancreatitis. | Y | 03/12/2021 | 03/24/2021 | 12 | 3-25-2021 ABD Pelvis CT scan, BLoodwork | PVT | metformin, baby aspirin, probiotic, metamucil, calcium, vitamin C | none | diabetes | flu shot with preservative | 2 | 11/05/2021 | sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1846811 | 11/05/2021 | WI | 65.0 | 65 | F | patient asked for 2 immunizations in the same arm, immunizer performed the task. A few days later patient developed redness and went to the local walk in to be evaluated on 11-3-21. She was diagnosed with cellulitis and given antibiotic. | U | 10/29/2021 | 11/03/2021 | 5 | PHM | NONE | UNKNOWN | UNKNOWN | 2 | 11/05/2021 | Y | CEPHALOSPORINS, SSRI | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1850410 | 11/08/2021 | WI | 65.0 | 65 | F | Nurse administered vaccine too high per patient. Says the moderna gave her a headache for a few hours within a few hours. However, within 2 hours from vaccination she had extreme pain, some bruising at injection site, difficult to lift arm up, was taking i | U | 11/04/2021 | 11/08/2021 | 4 | none | PUB | No prescriptions supplements- probiotic, she is vegetarian, B12 complex, flonaz, vitamin D | no | nope | 2 | 11/08/2021 | macrodantin 40 years ago px for bladder infection | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1853433 | 11/09/2021 | WI | 65.0 | 65 | F | Fatigue day of injection. Day 2-4 Fatigue, lightheadedness, sweating. Day 5- Continuous dizziness, nausea developed. Went to ED, in 2nd degree type 2 heart block, transferred to Level 1 facility, Placed on vasopressors, TTVP placed in right IJ. Cardiac cat | Y | Y | 4 | U | 10/29/2021 | 10/29/2021 | 0 | Available upon request | PVT | Aspirin 325 mg daily, Metoprolol 25 mg every 12 hours, Pravastatin 20 mg daily, trazadone 50 mg at bedtime. | none | CAD, hypertension, elevated cholesterol, | 2 | 11/09/2021 | Y | Lactose intolerance, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1857518 | 11/10/2021 | WI | 65.0 | 65 | F | Severe joint and muscle pain | N | 04/01/2021 | 06/01/2021 | 61 | PVT | Warfarin blood pressure | 2 | 11/10/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1862538 | 11/11/2021 | WI | 65.0 | 65 | F | SOB,headache,fatigue,chest heaviness | Y | N | 10/31/2021 | 11/05/2021 | 5 | Echo today shows EF of 18% Dilated Cardiomyopathy | PHM | Metformin | None | DM | 2 | 11/11/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX |