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VAERS_ID | RECVDATE | STATE | AGE_YRS | CAGE_YR | CAGE_MO | SEX | RPT_DATE | SYMPTOM_TEXT | DIED | DATEDIED | L_THREAT | ER_VISIT | HOSPITAL | HOSPDAYS | X_STAY | DISABLE | RECOVD | VAX_DATE | ONSET_DATE | NUMDAYS | LAB_DATA | V_ADMINBY | V_FUNDBY | OTHER_MEDS | CUR_ILL | HISTORY | PRIOR_VAX | SPLTTYPE | FORM_VERS | TODAYS_DATE | BIRTH_DEFECT | OFC_VISIT | ER_ED_VISIT | ALLERGIES | Link 1 | Link 2 |
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0916928 | 01/01/2021 | MD | 66.0 | 66 | F | patient developed red papules on arm. no itching, swelling or respiratory symptoms. instructed to monitor and take benadryl 25mg prn. (Patient left vac clinic with no reaction and came back next day to report rash.) | U | 12/29/2020 | 12/30/2020 | 1 | PVT | patient is taking blood thinner | 2 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0938384 | 01/12/2021 | MD | 66.0 | 66 | F | Jan 8: chills, low grade fever Jan 9: Itching skin and hives on extremities Jan 10: Hives on back and stomach, sensation of thickening throat Hives are bad in evening and at night; lesson during the day | U | 01/08/2021 | 01/08/2021 | 0 | None | PHM | Synthroid, 25 mcg per day Calcium citrate, 315 mg per day vitamin D3, 5,000 IU, per day | UTI, given nitrofurantoin for one week, Dec 16 till Dec 21 | Osteoarthritis | 2 | 01/12/2021 | sulfa eye ointment, possible cipro, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0953797 | 01/18/2021 | MD | 66.0 | 66 | F | Large blotchy red rash on upper left arm. Slightly itchy, raised and warm. Symptoms began on 1/16/21 and are continuing through today. | N | 01/08/2021 | 01/16/2021 | 8 | PUB | Vit D Estradiol Cream 0.01% | None | None | 2 | 01/18/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0968585 | 01/24/2021 | MD | 66.0 | 66 | F | Received shot 1/21/2021. Sore arm that evening. Progressively got very sore, muscle pain until 1/24/2021. Diarrhea 1/22 and 1/23/2021. So very tired, felt like I didn?t want to wake up. | Y | 01/21/2021 | 01/21/2021 | 0 | PVT | Hydrocodone for broken foot Amoxicillin-Clav for sinus infection | 2 | 01/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0971778 | 01/25/2021 | MD | 66.0 | 66 | M | Intractable nausea and vomiting | Y | 01/05/2021 | 01/22/2021 | 17 | N/A | PVT | Vyvnase 30mg aspirin 81mg, Zyrtec 10mg | None | High cholesterol | 2 | 01/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0974880 | 01/26/2021 | MD | 66.0 | 66 | F | 12 hours post vaccination - Rigors 22 hours post vaccination - Nausea, syncope, loss of consciousness for ~ 1 minute Treatment - Tylenol Observed by husband (physician) | Y | 01/25/2021 | 01/26/2021 | 1 | None | PUB | Atenolol, lisinopril | None | Migraines, hypertension | 2 | 01/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0979606 | 01/27/2021 | MD | 66.0 | 66 | M | Explosive diarrhea occurred four and one half hours after receiving 2nd vaccination. Single event (so far... its now 6 hours since vaccination). Diarrhea is not a common health event for me. It is not listed as one of the common side effects so I thou | U | 01/27/2021 | 01/27/2021 | 0 | None. | UNK | Lisinopril 2.5mg; Atorvastatin 40mg; Clopidogrel 25mg; Metoprolol 25mg; Aspirin 81mg. | None. | Cardiovascular disease, high blood pressure, high cholesterol (all controlled by medication/exercise) | 2 | 01/27/2021 | Shell fish (shrimp, lobster); pitted fruits. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0983565 | 01/28/2021 | MD | 66.0 | 66 | F | After drawing up the vaccine, I pushed the plunger down when I was administering and when I did the vaccine came out of the top of the syringe below the needle. This was as if the needle was not on the syringe tightly. This actually happened twice with two | 01/28/2021 | 01/28/2021 | 0 | PHM | 2 | 01/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0986471 | 01/29/2021 | MD | 66.0 | 66 | M | 2 hours after shot, severe and fast angioedema in left hand and 4 hours later, mild angioedema in left foot. Swelling stabalized and appears to be going down slowly - 6 hours after shot. | U | 01/29/2021 | 01/29/2021 | 0 | PVT | myrbetriq, leflunomide, valacyclovir, tamsulosin, hizentra | HAE, Hypogammaglobulimia, rhuematoid arthritis | see above | 2 | 01/29/2021 | ammoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992761 | 02/01/2021 | MD | 66.0 | 66 | F | Moderna COVID-19 Vaccine EUA For the first 8 days, I experienced no reaction to the vaccine. On day 9, I developed a rash on my right arm surrounding the vaccination site. I was also flushed and my eyes were red. And, I experienced diarrhea. I began t | U | 01/19/2021 | 01/28/2021 | 9 | PUB | zolpedin 10mg (at bedtine), guaifenesin 400mg (1/day), vitamin d 2,000 iu (3/day) | Fibromyalgia, Arthritis (mild) | Fibromyalgia, Arthritis (mild) | 2 | 02/01/2021 | allergic to dye used in contrast @ 1985; no allergies but I am untable to tolerate many medications (due to side effects including nausea, dizziness, etc.) prescribed over the years to address my Fibromyalgia | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0995962 | 02/02/2021 | MD | 66.0 | 66 | F | 1/30/21 booster rec'd approx 8:30am 5p onset body aches, joint and back pain, Chills 9:15p oral temp 101.7F 10:47p oral temp 102.9F 10:48p took ibuprofen 400mg 11:40p oral temp 102.0F 1/31/21 10:15 am oral temp 100.2F 12:20p oral temp 100.0F 1:50p ibuprof | N | 01/30/2021 | 01/30/2021 | 0 | None | WRK | Ibuprofen 400mg at 10:48p | None | Glaucoma, osteopenia | Shingrix booster | 2 | 02/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0996946 | 02/03/2021 | MD | 66.0 | 66 | F | Immediately my left arm bleed at the injection site so much that the person administering the injection stated "Oh Oh NO Oops a Daisy" It took four ETOH swabs to clean the blood running down my arm. A nodule welled up on my arm the size of 50 cent piece | Y | 01/20/2021 | 01/21/2021 | 1 | N/A | OTH | Norvasc 5.0 mg QD Chlorthalidone 12.5 mg QD | N/A | High Blood Pressure Controlled | Moderna 013L20A | 2 | 02/03/2021 | ASA; PCN; ERYC 333; Codeine Injectable; ACE Inhibitors; Feldene; Flagyl; Cortizone Injection; Lexapro; Metal Allergy; Adhesive Tape; IVP DYE; | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0998750 | 02/03/2021 | MD | 66.0 | 66 | F | Message from patietn: Due to other vaccine reactions I had to wait for 30 minutes after my shot. All was okay, until I got in the car to drive home. My tongue began to tingle and headaches began. I immediately took an antihistamine as a tingly tongue f | U | 02/02/2021 | 02/02/2021 | 0 | none. | UNK | crestor, ventolin, allegra, epi pen | none | allergy induced asthma, hyperlipidemia | pneumovax 23 localized redness, swelling up into armpit and shoulder, slight tingling of tongue | 2 | 02/03/2021 | peanuts, environmental, sulfa, doxycycline, flonase, dilaudid, proventil, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1001053 | 02/04/2021 | MD | 66.0 | 66 | F | Chills, fever, followed by extreme fatigue | Y | 02/02/2021 | 02/02/2021 | 0 | none | PVT | Metropolol, Latanoprost | None | None | 2 | 02/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1014444 | 02/08/2021 | MD | 66.0 | 66 | F | 10 days post injection itchy, non-raised rash. Just below the injection site about the size of a tennis ball. | N | 01/29/2021 | 02/08/2021 | 10 | WRK | Synthroid, rosuvastatin, Vitamin D, multivitamin, turmeric, cinnamon, fish oil, CoQ10, baby aspirin | Essential thrombocythemia, leg ulcer | Essential thrombocythemia, hypothyroidism, osteoarthritis (minor), | Shingrex - second shot, rash at injection that lasted about a week, late 2019 | 2 | 02/08/2021 | Compazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1019811 | 02/10/2021 | MD | 66.0 | 66 | F | arm sore, shoulder pain down to elbow, lymph nodes under arm sore, fever 100.3 lasting one day | N | 02/07/2021 | 02/08/2021 | 1 | PVT | Atenolol 50 mg, Hydrochlorothiazide 12.5 mg | A week before scheduled date-pt had a cold. | High Blood Pressure | 2 | 02/10/2021 | Lisinopril | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1020282 | 02/10/2021 | MD | 66.0 | 66 | F | Delayed cutaneous hypersensitivity, red, raised, itchy, painful area near vaccine site. | N | 02/01/2021 | 02/10/2021 | 9 | None | OTH | Calcium, vitamins B, C, D, E | None. | Osteopenia. | 2 | 02/10/2021 | Allergic to penicillin; rashes with erythromycin, tetracycline, sulfa drugs; c. diff with keflex. No food or other allergies. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1021490 | 02/10/2021 | MD | 66.0 | 66 | F | Received Vaccine on Friday Morning. 2/5/21. on Sat Morning 2/6/21 12N developed blisters on all tops of toes on both feet. Very painful. Soaked feet and elevated Sat & Sunday Called Monday morning saw Primary care Dr. on Tuesday they referred me to a D | N | 02/05/2021 | 02/06/2021 | 1 | Dr office did both rapid covid Negative and reg Covid which was negative. 2/9. Tried to aspirate one blister with sterile needle | PUB | Atorvastatin 10mg Esomeprazole 20mg Fosamax every Monday Triamterene-hydrochlorothiazide 37.5-25 mg Tumeric Multivitamin Motrin 800mg | None | Osteoporsis IBS Hypertension | 2 | 02/10/2021 | Y | Biaxin uset stomach Dust Mold Mildew | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1023067 | 02/11/2021 | MD | 66.0 | 66 | F | 3 Weeks after vaccine injection site hot and red circle big as an orange | N | 01/27/2021 | 02/10/2021 | 14 | none | PHM | Daily multivitamin , Vitamin C, calcium, turmeric, aller-tec allergy pill | none | none | 2 | 02/11/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033009 | 02/16/2021 | MD | 66.0 | 66 | F | COVID-19 Vaccine EUA; Chills, Sweats, fever, Vomiting, headache, joint pain, muscle pain | N | 02/15/2021 | 02/15/2021 | 0 | None | PVT | HCGT Lisinopril Metformin Claritan Prilosec | none | none | 2 | 02/16/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1035732 | 02/17/2021 | MD | 66.0 | 66 | M | Shivering and stomach pain. Time 10:30 pm 2/16/21 - 5:00 am 2/17/21 | Y | 02/16/2021 | 02/16/2021 | 0 | PHM | Vitamin D | None | None | 2 | 02/17/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039334 | 02/18/2021 | MD | 66.0 | 66 | F | I immediately broke out in a herpes outbreak. Itchy around my neck. Doctor advised that I do not get my second vaccine. Blood pressure has been all over the place. A lot of thick mucous in my throat. BP Feb 3rd 105/51 Feb 13th 147/56 the lowest my diast | N | 02/03/2021 | 02/06/2021 | 3 | None | PVT | losartin potassium 100mg daily (discontinued 2/18/2021) (fluid pill) chlorthalideone 25 mg daily (discontinued 2/18/2021) omaprazole 40 mg daily atenolol 25 mg daily vitamin d2 1.25 mg atrovostatin 10 mg daily aprazolam 1 mg 2x daily t | chronic stage 3b kidney diseases Greys disease Barrett's esophageal osteo arthritis degenerative joint disease pt. only has one lung | 2 | 02/18/2021 | Y | penicillin ancef percoset | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1042857 | 02/20/2021 | MD | 66.0 | 66 | F | Arm had been itching since the vaccination, but last last night the itching was so bad it woke me up. When I looked at it it was very red and swollen, about 2 1/2" round, very hard, and hot to the touch. It appears to be lower than the injection site, but | N | 02/12/2021 | 02/19/2021 | 7 | PHM | Multi vitamin | None | None | 2 | 02/20/2021 | Penicillin, Bovine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1043035 | 02/20/2021 | MD | 66.0 | 66 | U | Red rash and itchiness on the injection site 7 days after the initial injection. The size of the rash is about 3 1/8 inches x 3 3/4". Upon filling out this application I am only one day out of the reaction. It has not yet resolved. I am assuming this local | N | 02/12/2021 | 02/19/2021 | 7 | none | PHM | none | osteoporosis, vulvar lichen planus | 2 | 02/20/2021 | iodine contrast dye, dust | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1045768 | 02/22/2021 | MD | 66.0 | 66 | F | Itchy sore red patch about 2 1/2 inches round on arm at injection site. Also experiencing itchy mouth which I get when I eat something I to which I am allergic. | N | 02/09/2021 | 02/19/2021 | 10 | None | PHM | Loratadine | None | None | Flu like symptoms following flu shot | 2 | 02/22/2021 | Strawberries, sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1048745 | 02/23/2021 | MD | 66.0 | 66 | F | Death on February 12, 2021 acute cardiac tamponade | Y | 02/12/2021 | N | 02/08/2021 | 02/12/2021 | 4 | Autopsy performed February 18, 2021 | MIL | Aspirin 81 MG Calcium Carb 600mg Loratadine 10 Mg Multivitamin Lisnopril 10 MG Mirtazapine 30 MG at bed for mood Simvastatin 20 MG | Allergic rhinitis benign essential hypertention Depression Generalized Anxiety Hip Pain Total revision of left hip | 2 | 02/23/2021 | Gabapentin- Pain in eye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1052900 | 02/24/2021 | MD | 66.0 | 66 | F | None stated. | N | 02/23/2021 | 02/24/2021 | 1 | PVT | Probiotics Calcium Vit B Pravastatin 40 mg sodium Losartan Potassium and hydrochloride 100 mg A mlopidine Besylate 5 mg | None | None | Shingles | 2 | 02/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1054066 | 02/25/2021 | MD | 66.0 | 66 | F | Sudden sensorineural hearing loss in right ear with pure tone average of 72 dB and word recognition score of 24%, from baseline of normal hearing. No vertigo. | N | 01/21/2021 | 02/21/2021 | 31 | Audiogram. | UNK | Rebif; Nitrofurantoin; Oxybutynin; Hydrochlorothiazide | Multiple sclerosis, well controlled; Diabetes Type 2; Obesity | Multiple sclerosis, well controlled; Diabetes Type 2; Obesity | 2 | 02/25/2021 | Y | Wheat | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1057964 | 02/26/2021 | MD | 66.0 | 66 | F | Left are at the injection site was itchy 1 week after injection. Upon a closer look the area around the site injection is slightly red and tender. At the time of completing this form on 2/25/21 it is now 10 or 11 days after the injection on 2/15/21. | N | 02/15/2021 | 02/22/2021 | 7 | PHM | Occasionally a Zertec, Nightly Melatonin | Psoriasis | 2 | 02/26/2021 | Mild adverse reaction to most all medications | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1059782 | 02/27/2021 | MD | 66.0 | 66 | F | None stated. | Y | 02/27/2021 | 02/27/2021 | 0 | UNK | Prior diagnosis of L ong QT and a fib in 2016. On medications of beta blocker and blood thinners Approximately 45 minutes after receiving second moderna shot experienced tingling in lower lip on face. This was followed by going into a fib | None | Long qt Hypothyroidism A fib Internal defibrillator | 2 | 02/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1068897 | 03/03/2021 | MD | 66.0 | 66 | M | Presented to the ED on 3/1/21 with progressively worsening SOB with cough for past 1.5 weeks. He also reported having bright red blood per rectum for the past 6 months. He denied fever, N/V, abdominal pain, etc. He reports that he stopped smoking ~2 weeks | Y | 02/09/2021 | 03/01/2021 | 20 | PVT | Atrial fibrillation, COPD, CKD, hx of cancer | 2 | 03/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1068991 | 03/03/2021 | MD | 66.0 | 66 | M | Patient presented to ED after he became dizzy while shooting pool and felt his defibrillator fire. Patient underwent diagnostic cardiac cath and it was deemed that there would be no intervention at this point. Patient was discharged with plans to follow up | Y | 2 | Y | 02/05/2021 | 02/28/2021 | 23 | PVT | Cardiomyopathy, atrial fibrillation (has ACID) | 2 | 03/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071410 | 03/04/2021 | MD | 66.0 | 66 | F | Pt presented to the ED with complaints of constipation and vomiting. Of note, patient has a hx of colon cancer with metastasis and is s/p right hemicolectomy. She is being treated with radiation and transitioning to a new chemotherapy regimen. Patient stat | Y | 02/04/2021 | 03/03/2021 | 27 | PVT | HTN, hypothyroidism, colon cancer with metastasis | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071682 | 03/04/2021 | MD | 66.0 | 66 | F | Hives on upper arm 1 week after the vaccine. | U | 02/24/2021 | 03/03/2021 | 7 | PHM | levoxyl, estradiol, multi vitamins | none | non functioning thyroid from Graves Disease | 2 | 03/04/2021 | seasonal, penicillans and their carriers, dyes, contrast dye for MRIs, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071950 | 03/04/2021 | MD | 66.0 | 66 | M | Gave second dose 3 days early. | Y | 03/04/2021 | 03/04/2021 | 0 | PUB | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1072853 | 03/04/2021 | MD | 66.0 | 66 | M | Patient was admitted for confusion and difficulty getting words out. Imaging studies showed a lesion in the left frontal lobe and neurosurgery was consulted. Neurosurgery believed lesion was possible an acute/subacute infarct however morphology was unusual | Y | 5 | 02/05/2021 | 02/25/2021 | 20 | PVT | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1075743 | 03/05/2021 | MD | 66.0 | 66 | F | Sore arm 1st two days Afterwards severe ache and could not lift arm for 3 days Reddish sore on my foot. Very painful. Cannot put weight on it | N | 02/27/2021 | 02/28/2021 | 1 | About to go to the ER put instructions from my Dr. | OTH | None | None | High Blood Pressure Arthritis | 2 | 03/05/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079100 | 03/07/2021 | MD | 66.0 | 66 | F | ,nausea, sleepy and some loss of appetite | N | 03/05/2021 | 03/06/2021 | 1 | none | PUB | citalopram, Vit. B-12,esomeprazole, hydrocortisone, levothyroxine, losartan, oxcarbazepine, folic acid, Vit. D3,and Calcium, prolia and Tylenol. | none | pituitary tumor, arthritis, high blood pressure,and intellectual disability | 2 | 03/07/2021 | none aware of | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1085568 | 03/09/2021 | MD | 60.0 | 66 | F | At 2:50 patient reported feeling dizzy and felt like she was going to "pass out" BP taken- 111/75, HR- 107, POX 98%. Patient was asked by RN to remove sweater and mask. Patient reported feeling better, however feeling a little dizzy and nauseated. Patient | Y | 03/09/2021 | 03/09/2021 | 0 | PUB | 2 | 03/09/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1088221 | 03/10/2021 | MD | 66.0 | 66 | F | watery eyes, dizziness, headache BP 140/61 HR 90 Pulse ox 96%on RA | Y | 03/10/2021 | 03/10/2021 | 0 | none | OTH | COPD, borderline DM | 2 | 03/10/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1090938 | 03/11/2021 | MD | 66.0 | 66 | F | Pt reported difficulty breathing and feeling hot, mask removed, monitored for 30 mins, Stating 98% on pulse ox, HR 77, lung sounds clear | Y | 03/11/2021 | 03/11/2021 | 0 | PUB | Unknown | Asthma | Flu vaccine, 1970 and 1990, anaphylactic shock | 2 | 03/11/2021 | Flu vaccine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091274 | 03/11/2021 | MD | 66.0 | 66 | M | Patient may have inadvertently been given 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State was notified | U | 02/24/2021 | 02/24/2021 | 0 | none | PUB | none listed | not at time of vaccination | none listed | 2 | 03/11/2021 | none listed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091688 | 03/11/2021 | MD | 66.0 | 66 | F | dizziness described as spinning while in bed on Tuesday morning associated with episodes of diaphoresis, and chills. This morning she awakened and noted left facial swelling and left lip swelling | N | 03/08/2021 | 03/10/2021 | 2 | Elevated troponin | PHM | she states that she did not take any medications on and after the vaccination | Hypertension | 2 | 03/11/2021 | Y | Nifedipine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091720 | 03/11/2021 | MD | 66.0 | 66 | F | A few small blisters on roof of my mouth. Bloody nose - mild | N | 03/09/2021 | 03/10/2021 | 1 | None | PUB | Hyzaar, Lipitor, Metoprolol, Amitriptyline, Calcium, and Vit D | None | Mild Obesity | 2 | 03/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1093917 | 03/12/2021 | MD | 66.0 | 66 | F | Within 2.5 hours post injection - severe itching, swelling, redness across both hands at knuckles. Arm, shoulder and neck soreness/ache increased overnight. About 20 hours post injection - Fever - 101.5 (my normal is 97.8); severe chills; severe fatigue | U | 03/09/2021 | 03/09/2021 | 0 | None | PVT | Warfarin, Remicade, Vitamin D-2, Pantoprazole, Vitamin B-12, | Crohn's disease, Gerd, Arthritis | Crohn's Disease, Gerd, Arthritis, PortaCath (rt. subclavian placement) | 2 | 03/12/2021 | Pennicillin, erthromycin, vancomycin, lactose sensitivity | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1094348 | 03/12/2021 | MD | 66.0 | 66 | M | Rash and Hives began at 12:30 Pm 3/11/2021. Started at ears then abdomen and in 6 hours spread over entire body. Went to Urgent Care approx 6:30pm. Rec'd Diphenhydramine (25mg) tablets, Prednisone (20mg) if this worsens and 2 Epinephrine pens. Diphenlh | N | 03/09/2021 | 03/11/2021 | 2 | None | PUB | Rapatha, Ramipril, Metoprolol Succer, Clopidogrel, Tamsulosin, Mesalamine , Daily Vitamin Centrex | None | Heart Disease, Mild Hypertension, Colitus (under remission for many years) | 2 | 03/12/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1094702 | 03/12/2021 | MD | 66.0 | 66 | M | On 3/10/2021 the patient presented to the ED with chest pain and fatigue. The patient was found to be hyponatremic. His sodium was repleted and his BP medications were adjusted. Per EUA, hospitalizations must be reported due to recent vaccine administrati | Y | 3 | 03/02/2021 | 03/10/2021 | 8 | PVT | Metoprolol tartrate, lansoprazole, vitamin D3, amlodipine, lisinopril/HCTZ | arthritis, GERD, COPD, prostate cancer, afib, HTN | 2 | 03/12/2021 | celecoxib, moxifloxacin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1095013 | 03/12/2021 | MD | 66.0 | 66 | M | Had the vaccine and 5 hours later had vertigo, unsteadiness, headache. Cannot walk stably due to weaving around. Has no reaction to the vaccine site. The vertigo seems to be steady or getting worse, but is very dizzy. He took some Ibuprofen for the hea | N | 03/11/2021 | 03/11/2021 | 0 | None. | OTH | Gabapentin, hydrocodone, Tazanidine, Trazadone, Duloxetine, Suloxetine, one a day vitamin, fish oil, potassium, Vitamin B12, D3 and vitamin C. | None. | Neuropathy in back and feet caused by back injury and surgery, removal of brain tumor. | 2 | 03/12/2021 | Clams, Wellbutrin, Zoloft. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1095221 | 03/12/2021 | MD | 66.0 | 66 | M | The patient presented yesterday to an urgent care center on 3/11/2021 with chest pain, jaw pain, and shortness of breath. He reports multiple occurrences over the past week. He was sent to the ED, where he was then admitted for hypertensive urgency/emerge | Y | 3 | 03/09/2021 | 03/11/2021 | 2 | PVT | lisinopril and organ concentrates (Prostate oral) | unknown | hypertension | 2 | 03/12/2021 | Naproxen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096414 | 03/13/2021 | MD | 66.0 | 66 | F | Received second dose of Moderna vaccine afternoon of Feb 25, 2021. (had no significant reaction to first dose 4 weeks earlier). Patient is handicapped with severe Lupus neuropathy but lives alone. Around 1 AM of Feb 27 fell when arising from chair. Cal | Y | 3 | Y | 02/25/2021 | 02/27/2021 | 2 | urine and blood cultures negative | PUB | Robaxin 500 mg qid Synthroid 0.137 mg qd Prednisone 10 mg qd Seroquel 200 mg qs Rispiridone 1 mg qd Cogentin 0.5 mg bid Pravastatin 80 mg qhs Melatonin 3 mg qhs Aspirin 81 mgm qd Ativan 0,5 mg q8hr PRN Bystolic 5 mg qd CoQ10 100 m | Systemic Lupus Erythematosis Anti-phospholipid antibody syndrome Depression Neuropathy | 2 | 03/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1099178 | 03/14/2021 | MD | 66.0 | 66 | F | a 66 yr old female In observation area began c/o dry throat, itchiness in eyes, diaphoresis and dizziness @17-20 minutes post Moderna COVID vaccine. Prior to this pt was interacting with RN doing V safe registration. Pt requested Water, drank 8 ounces of | Y | 03/14/2021 | 03/14/2021 | 0 | N/A | OTH | unknown | Circulatory CHEST PAIN Endocrine VITAMIN D DEFICIENCY Nervous MIGRAINE HX OF STROKE Digestive DIVERTICULOSIS OF COLON VILLOUS ADENOMA, COLON INTERNAL HEMORRHOID ADENOMATOUS POLYP, COLON Mental Health PANIC DISORDER PERSISTENT DEPRESSIVE DISORDER Reproducti | 2 | 03/14/2021 | ampicillin, aspirin, erythromycin, flagyl, iodine, NORTRIPTYLINE penicillin, Venlafaxine Hclz, Vioxx [Rofecoxib] | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1101765 | 03/15/2021 | MD | 66.0 | 66 | F | I rec'd my first Covid vaccine shot on 3/3/21 in my right arm. I had soreness in the arm for 2 days afterwards. On Wednesday, March 10, 2021, I got severe pain behind my left ear and down the left side of my neck. Saturday morning, March 13,2021 my lips | N | 03/03/2021 | 03/10/2021 | 7 | At this time, I do not have the results of the blood tests and I have not yet started taking the medications. | PVT | L-Thyroxine (synthroid), Omeprazole, pravachol, losartan, metformin, centrum silver multi vitamin, CoQ10, 81mg aspirin, viactive calcium plus | diabetes, high blood pressure, gerd, hashimoto disease | 2 | 03/15/2021 | Y | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1104549 | 03/16/2021 | MD | 66.0 | 66 | F | 3/12/2021 Presented to the ED with left wrist pain and cat bite. Admitted for IV antibiotics for left wrist cellulitis. | Y | 2 | 02/19/2021 | 03/11/2021 | 20 | PVT | 2 | 03/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1105334 | 03/16/2021 | MD | 66.0 | 66 | M | 03/13/2021: Presented to the emergency department for profuse diarrhea, tachycardia, and diffuse wheezing. Patient hypoxia was most likely secondary COPD exacerbation was started on IV steroids and transition to p.o. prednisone. Medication changes led to | Y | 3 | 03/05/2021 | 03/13/2021 | 8 | PVT | Afib, CHF, COPD | 2 | 03/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1105621 | 03/16/2021 | MD | 66.0 | 66 | F | On March 10th I noticed my right arm was itchy. Also, my knees were throbbing. On the evening of March 11th my right arm had a warm, red patch of 3 x 4 inches at the injection site. Each day the patch grew and today (3/16/21) is over 6 x 8 inches. The | N | 03/04/2021 | 03/11/2021 | 7 | OTH | brief soreness | 2 | 03/16/2021 | Amoxycillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1107597 | 03/17/2021 | MD | 66.0 | 66 | M | 03/15/2021: Presented to the emergency department with general malaise, polydipsia, polyuria, and dizziness. The patient was found to have blood glucoses in the 500s and a hemoglobin A1C of 12. The patient was admitted and improved with metformin, long act | Y | 3 | 03/05/2021 | 03/15/2021 | 10 | PVT | 2 | 03/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1107799 | 03/17/2021 | MD | 66.0 | 66 | F | Developed a rash around injection area in left arm 9 days after injection. | N | 03/08/2021 | 03/17/2021 | 9 | none | PUB | Levothyroxin 112 mcg, atenol/chlor 50-25, gabapentin 300 mg 2 tab 3 x day, 81 mg aspirin | no | neuropathy in feet and lower legs | 2 | 03/17/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1107888 | 03/17/2021 | MD | 66.0 | 66 | F | Tinnitus in both ears happened approximately on February 28, 2021. Still present as if March 17, 2021 | N | 02/25/2021 | 02/28/2021 | 3 | Audiology exam, ear examination | PHM | Too many to mention | Migraines, gastroparesis, hypothyroidism, fibromyalgia, osteoarthritis, arteriosclerosis | High cholesterol, high triglycerides, and see above | 2 | 03/17/2021 | Aldomet, Sulfa, Lactose, Fructan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108021 | 03/17/2021 | MD | 66.0 | 66 | F | 03/16/2021: Presented to the emergency department with chest pain. The patient was admitted for chest pain observation. There are no acute ischemic ECG changes and her first 2 troponins are normal. | Y | 2 | 03/01/2021 | 03/16/2021 | 15 | PVT | T2DM, CAD with stent placement (November 2020), non-Hodgkin lymphoma (currently in remission) | 2 | 03/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109581 | 03/17/2021 | MD | 66.0 | 66 | M | achyness, shaving fever and chills for 1st day diarrhea x 1 first day lesst fever and chills and achyness 2nd day small amount of achyness and fever 3rd day resolved by 4th day | Y | 03/08/2021 | 03/09/2021 | 1 | none | SCH | none | HBP | always get fever and chills, but not this bad | 2 | 03/17/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1110035 | 03/18/2021 | MD | 66.0 | 66 | F | On 3/4 approximately 24 hours after receiving first dose started shaking while standing as if I had parkinsons disease. The heaviest shaking was of the right arm and hand which was where the vaccine was administered. Made my way to bedroom on my walker to | Y | N | 03/03/2021 | 03/04/2021 | 1 | None conducted to date, Will be contacting my doctor and neurologiust, | PHM | Ateolol-100mg daily Atorvastin (Lipitor) 80mg Ciprorogel Bisulfate (Plavix)-75mg Diltiazem HCL ER (CD) 180mg HCTZ 25mg Thyroxine (Synthroid 125mcg Desloratadine 5mg Vitamins: (Daily) B12 | Seasonal allergies was active | Obesity High Blood Pressure Underactive thyroid Abdominal Aortic Aneurysm (AAA) OA /RA | 2 | 03/18/2021 | Y | Contrast Dye Sulfur Iodine Latex Dairy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1112300 | 03/18/2021 | MD | 66.0 | 66 | F | About 5 minutes after the vaccine, pt develop left arm weakness and left facial numbness. States she has no pain in her arm. Denies chest pain, dizziness, swelling, itching, rash or sob. | N | 03/18/2021 | 03/18/2021 | 0 | none | OTH | None | none | none | 2 | 03/18/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1113604 | 03/18/2021 | MD | 66.0 | 66 | F | anaphylaxis, asthma attack, heart racing, dizziness, severe headache, pain in left side from shoulder to waist, numbness in both hands, pain in right arm from shoulder to hand with numbness and tingling sensation. Inabiltiy to walk or stand, red eyes, swol | Y | 03/11/2021 | 03/11/2021 | 0 | SEN | Vitamin C, Vitamin D3 | none | asthma, chronic sinusitis, chronic bronchitis, high blood pressure, high cholesterol, diabetes 2, Fibromyalgia, Rotary Cuff Tear Left and Right Shoulder, | hives, shin rash, runny nose, fever, headaches, muscle aches, stomach cramping, nausea, dizziness, swelling of tongue,, sore thr | 2 | 03/18/2021 | Iodine, Shellfish, Codeine, Demerol, Penicillin, Erythromycin, Pork Heparin, pollen, milk, relafen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1120194 | 03/21/2021 | MD | 66.0 | 66 | M | Tinniitus - Ringing in ears: Annoyance level varies daily and hourly. Maximum level in left ear 5 out of 10. Maximum level in right ear 3 out of 10. | N | 03/12/2021 | 03/14/2021 | 2 | PHM | Eliquis, Coreg, Lucinapril, Crestor Lovanza Caps & Aspirin 91mg | coronary artery disease | 2 | 03/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1121690 | 03/22/2021 | MD | 66.0 | 66 | F | Extreme confusion, symptoms similar to stroke, legs weak, could not stand or walk. Difficulty forming words. Words were very garbelled. Extremes sweatness. chills. | Y | 03/01/2021 | 03/01/2021 | 0 | PUB | Trimaterene, Metropol Tartrate, Synthroid, Humalog mix | None | Diabetes, hypertension, bulging disc, underactive thyroid | 2 | 03/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1122030 | 03/22/2021 | MD | 66.0 | 66 | F | Swelling and soreness in mouth - gums - checks. Very dry. As of 3/22/21 sores almost gone but dry mouth has not. No issues prior to having vaccine. | N | 03/09/2021 | 03/10/2021 | 1 | None - Seen by dentist, confirmed reaction. | PHM | Asprin 80mg, probiotic, Vit D - Lipitor | none | none | 2 | 03/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1122364 | 03/22/2021 | MD | 66.0 | 66 | F | Chills, aches, fatigue, nausea | Y | 03/20/2021 | 03/21/2021 | 1 | None | OTH | Opiates, cholesterol, blood pressure, thyroid | Chronic pancreatitis Alopecia aerata Hypothyroid | Chronic pancreatitis | 2 | 03/22/2021 | Sulfa drugs Many antibiotics Vancomycin - Stevens Johnson Oxycodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1123647 | 03/22/2021 | MD | 66.0 | 66 | F | I started getting chapped lips and the 13th and I applied Chapstick - within two days, they became water blisters (like what you get with a sunburn) on both top and bottom of lips. On inside of lips there were more blisters. It started affected eating. My | Y | 01/09/2021 | 01/13/2021 | 4 | no | PUB | Glucosamine Clonidine MSM; B12 - 100 mcg - 1 every morning: Centrum - one a day; Calcium - 600 mg - 1 per day. Vitamin C - 1000 mg - 1 per day. Lexapro - 20 mg; Naproxen - 500 mg - once a day; Release A dietary supplement - GOLO. | no | Depression; Shingles - 3 outbreaks of shingles 14 years ago; 5 years ago; and about two years ago. | vsafe | 2 | 03/22/2021 | Sulpha drugs; adhesives; dietary reaction to onions and cabbage family | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1123965 | 03/22/2021 | MD | 66.0 | 66 | F | I got my vaccine around 3:00 pm, on March 16, everything seemed fine until around 2 or 3 am, the following morning, I woke up unable to breathe through my throat nor my nose, My throat was complete closed, this reaction lasted about 15to 20 seconds, | U | 03/16/2021 | 03/17/2021 | 1 | none | SCH | Sertraline 50mg, once day. Synthroid 150mg once a day. Cytomel 5mg once a day. Vitamin D 3000 mg a day. Calcium, Ginger, Turmeric. | none | none | 2 | 03/22/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1128355 | 03/24/2021 | MD | 66.0 | 66 | F | Chills about 12 hours after vaccine, and fever of 100.8 a few hours later | U | 03/23/2021 | 03/23/2021 | 0 | SEN | None | 2 | 03/24/2021 | Various antibiotics-amoxicillin, keflex, ciproflaxin, doxycycline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130674 | 03/24/2021 | MD | 66.0 | 66 | F | Hip pain, unstable walking, headache, increased tremors | N | 03/19/2021 | 03/20/2021 | 1 | OTH | Lantus, Metformin, Repaglinide, Levothyroxine, Amantadine, Lisinopril & Xanax | Hypothyroidism, Hypertension, Diabetes & Parkinson's | 2 | 03/24/2021 | Y | Prednisone, Biaxcin, Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1136866 | 03/26/2021 | MD | 66.0 | 66 | F | Symptoms: tingling on right side of body--face, arm and hand, foot First event on 3/22/2021 starting at about 4:15 pm, lasted about 15 minutes Second event on 3/23/2021 starting at about 10:15 am, lasted over an hour. Went to ER during this event; had add | Y | Y | 2 | Y | 03/08/2021 | 03/22/2021 | 14 | 3/23/2021 - blood work, head CAT scan, chest xray, MRI; stroke diagnosed 3/24/2021 - echocardiogram, normal results | PUB | levothyroxine 88mcg 1x daily | none | hypothyroidism | 2 | 03/26/2021 | Y | fish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1137282 | 03/26/2021 | MD | 66.0 | 66 | M | 03/24/21: Patient presented and was admitted through emergency department for Altered mental status and Suicidal ideations. PMH Charcot foot requiring multiple surgeries in the past, paroxysmal afib on Eliquis, stage III CKD, type II DM, HTN, HLD, previous | Y | 03/15/2021 | 03/24/2021 | 9 | PVT | 2 | 03/26/2021 | Y | Hydromorphone (Rash) Vit E-Nonoxynol 9-Aloe Vera (Rash) Tree Nuts | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1138380 | 03/26/2021 | MD | 66.0 | 66 | F | About 10am started having chills and fever, took 2 tylenol 10:30-11:30am - threw up 4 times 11:30-230pm - fever and chills, headache 5pm - fever and chills stopped Very low energy thru Friday 3/26 | Y | 03/22/2021 | 03/23/2021 | 1 | PHM | Tagamet 200, Loratadine 10 mg, Levothyroxine Sodium 25 mcg, Diltiazem ER 240 mg | high blood pressure, gerd, | 2 | 03/26/2021 | z pac | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1141477 | 03/28/2021 | MD | 66.0 | 66 | F | Severe fatigue and flu like symptoms. Tongue pain | Y | 02/03/2021 | 02/01/2021 | PHM | 2 | 03/28/2021 | Y | Quinolones, Sulfa Antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1141729 | 03/28/2021 | MD | 66.0 | 66 | F | The day after the vaccine, I had extremely sore shoulders and arm muscles and could not raise my arms above my shoulders. I also had swollen glands in the neck and jaw. One week after the vaccine, on March 10, and again on March 13, I had severe vertigo an | N | 03/03/2021 | 03/04/2021 | 1 | PHM | Premarin vaginal cream, fenofibrate, synthroid, calcium, vitamin D, retinol gel topical, xyrtec | none | low thyroid, fatty liver, intermittent vertigo | 2 | 03/28/2021 | Y | Penicillin, shellfish, topical vitamin E--tocephorol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1147438 | 03/30/2021 | MD | 66.0 | 66 | F | 1) lump in left armpit (golf ball size) day 3 2) swelling, redness, itching (post card size around injection site) day 5 Not/not worrying now that I researched and found that these are common after effects of the Moderna vaccine. Just reporting to help sc | N | 03/26/2021 | 03/28/2021 | 2 | none necessary | PUB | too many to name but all with knowledge of GP | no | Chronic Lymphocytic Leukemia (CLL) | 2 | 03/30/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1148130 | 03/30/2021 | MD | 66.0 | 66 | F | Dizziness intermittent | N | 03/24/2021 | 03/27/2021 | 3 | None | OTH | None | None | None | 2 | 03/30/2021 | Ibuprofen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1152482 | 03/31/2021 | MD | 66.0 | 66 | M | 3/17/21: patient presented and was admitted through ED for chest pain. Patient had recent event of NSTEMI and stent was placed last Friday. Per the EUA, hospitalizations are to be reported irrespective of attribution to vaccine. | Y | 03/09/2021 | 03/17/2021 | 8 | PVT | Hypertension and Thromboembolism. | 2 | 03/31/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1159540 | 04/02/2021 | MD | 66.0 | 66 | F | 3/30/21: Patient presented and was admitted for abnormal labs, nausea and dry heaving x 1 week. On admission, patient was found to be hypokalemic (K 2.2), creatinine of 4.81. Patient received second dose of COVID vaccine this morning. Patient was tested p | Y | 03/30/2021 | 03/30/2021 | 0 | PVT | PMH COPD on 2 L home O2 at baseline, diastolic CHF, stage IV CKD, HTN, HLD, RLS, osteoporosis | 2 | 04/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1160511 | 04/02/2021 | MD | 66.0 | 66 | F | itching and swelling on arm, softball sized | 03/19/2021 | 03/28/2021 | 9 | SCH | elidel, multivitamin, bp support, garlic extract, calcium magnesium, vitamin c | hives | 2 | 04/02/2021 | bactrim, cephalexin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1164387 | 04/03/2021 | MD | 66.0 | 66 | F | Tinnitus Sore left arm | N | 02/25/2021 | 03/01/2021 | 4 | Audiology exam Ear exam | PHM | Too many to mention. | Diabetes type 2 Hypertension Hyper cholesterol Hyper triglycerides Gastroparesis Hypothyroidism Osteoarthritis Chronic headaches Dry Eyes Bunion | See above | 2 | 04/03/2021 | Aldomet Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1169191 | 04/05/2021 | MD | 66.0 | 66 | F | 7 hours after the vaccination, muscle aches, chills and fever started. By 10 hours, the fever was 102+ and stayed high for the next 10 hours. The muscle aches, chills and fever made it almost impossible to sleep. Also my sinuses ached. I was extremel | Y | 04/01/2021 | 04/01/2021 | 0 | OTH | 1st Moderna dose: prolonged injection site reaction | 2 | 04/05/2021 | Amoxycillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1190261 | 04/10/2021 | MD | 66.0 | 66 | F | Day after having my second vaccine I have experienced Tinnitus. Some times it sounds almost like a siren is going off and will last several minutes. I have had it in both ears. It wakes me up at night and I can?t get back to sleep. Have had to use a white | N | 02/26/2021 | 02/27/2021 | 1 | PUB | Metoprolol Succ ER 25mg 1xday Alprazolam .25mg as needed Pro Air as needed Centrum multi gummy vitamin Flonase as needed | NA | Asthma Burning tongue syndrome | 2 | 04/10/2021 | Penicillin Avelox Clarithormycin Ceftin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1202540 | 04/13/2021 | MD | 66.0 | 66 | M | Blood clot in right leg, with pain and swelling. Treatment with warfarin therapy | N | 03/08/2021 | 03/12/2021 | 4 | ultrasound revealed a blood clot on04/24/2021 | PVT | amlodipine 5mg. hydrochlorothiazide 25mg. pantoprazole 40mg. tramadol50mg. | none | chronic pain hypertension | 2 | 04/13/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1210583 | 04/14/2021 | MD | 66.0 | 66 | M | On 4-1 2021 My husband started with lightheadedness and unsteady on feet went to AAGH ER in Annapolis MD ruled out a stroke and diagnosed with ataxia and given antivert. Two days later 4-3-2021 he developed right side of face drooping . MRI was re-done | N | 03/09/2021 | 04/08/2021 | 30 | As above MRI on 4-1-2021 and MRI with and without contrast on 4-3 - 2021. Normal labs drawn no abnormalities slightly high WBC on 4-1-2021. | UNK | Zyrtec qd Simvastatin 10 mg qd HCTZ 25 mg qd Losartan 25 mg qd Carvedilol 12.5 mg bid Januvia 100 mg qd Glyberide/metformin 5mg/500mg bid | None | Diabetes Type II Hypertension | 2 | 04/14/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1212706 | 04/15/2021 | MD | 66.0 | 66 | F | On March 18th I work up with injection site very sore #8 out out of 10. It lasted 5 days which made sleeping difficult. When the arm pain left I got #* out of 10 pain in my right back shoulder blade. The pain was not surface pain it felt deeper. It would | Y | 03/17/2021 | 03/18/2021 | 1 | none. The day the pain started to ease up I was going to go to the doctor. I am a person who rarely goes to the doctor. | PHM | none | none | none | 2 | 04/15/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1214107 | 04/15/2021 | MD | 66.0 | 66 | F | Received 2nd Covid vaccine yesterday at 2 pm; Signs/symptoms started around 11 pm last night; Was feeling fine then suddenly a "rush" over her body; Fluttering got worse in her chest, hx of chronic fluttering; Chest tightness, Shortness of breath, her HR | U | 04/14/2021 | 04/14/2021 | 0 | none | PVT | azelastine (ASTELIN) 137 mcg (0.1 %) nasal spray 2 spray, 2 times daily calcium carb-vit D3 600 mg(1,500mg) -200 unit per tablet 1 tablet, Daily cetirizine (ZYRTEC) 10 MG tablet 10 mg, Daily cholecalciferol, vitamin D3 | none | Osteoporosis Moderate major depression Dislocation of intraocular lens, subsequent encounter Ectrodactyly Corneal epithelial and basement membrane dystrophy Neovascular glaucoma Tremor Fibromyalgia H/O: hysterectomy History of bilateral salpingo-oophorecto | 2 | 04/15/2021 | Y | Buproprion Lexapro Brimonidine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1218464 | 04/16/2021 | MD | 66.0 | 66 | F | EMS was dispatched to patient's home for "non breathing." EMS found patient on the floor in the kitchen with sheet already over her. No pulse, patient cold to the touch, jaw was locked shut. Patient's family members stated the last time they saw the pat | Y | 03/19/2021 | N | 03/13/2021 | 03/19/2021 | 6 | none | PVT | folic acid, gabapentin, hydrochlorothiazide, continued page 2 | back pain, neuropathy, tremor, gallstone, anemia | hypertension, seronegative rheumatoid arthritis, lumbar disc disease, GERD, gastric ulcer, depression, continued pg 2 | 2 | 04/15/2021 | sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222243 | 04/17/2021 | MD | 66.0 | 66 | F | Started with general malaise in early evening day of shot, then chills, 101.5 fever, nausea, vomiting, and then next day developed diarrhea. Unable to eat normally until Friday evening without feeling nauseous. Unable to resume normal work duties until Fri | N | 04/13/2021 | 04/13/2021 | 0 | none-have not contacted Doctor | PHM | Chlorthalidone, Bystolic, multivitamin | none | high blood pressure | 2 | 04/17/2021 | Dilaudid (forgot to report in first report with first shot) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222796 | 04/17/2021 | MD | 66.0 | 66 | F | Swelling , pain and knot or lump in my neck on same side as vaccine | N | 04/16/2021 | 04/17/2021 | 1 | PHM | Amlodipine, complex B, Qunol coq 10, D3, multi vitamin | Hypertension | 2 | 04/17/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1223512 | 04/17/2021 | MD | 66.0 | 66 | M | Heart Attack 2hrs after | Y | Y | 2 | Y | 04/14/2021 | 04/14/2021 | 0 | Hospital Stint | PHM | Cetirizine 10mg omeprazole 20mg | none | high colesteral | 2 | 04/17/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1247123 | 04/23/2021 | MD | 66.0 | 66 | M | pt says on 4/8/21 he got chills and dry cough. On 4/9/21 day he got body aches and pain w/chills. He had loss of appetite and had no taste. On 4/10 he developed night sweats. By 4/11/21 he was not able to control his bladder. On 4/12/21 he had diarhea. | N | 04/07/2021 | 04/08/2021 | 1 | Blood work Covid Test X-RAY | PHM | do not wish to disclose | AFIB, High White Platelet count | 2 | 04/23/2021 | Y | nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1256365 | 04/25/2021 | MD | 66.0 | 66 | F | Low blood sugar =90 Blood sugar increased to 105. Seen by Paramedic and released Recorded by RN | U | 04/25/2021 | 04/25/2021 | 0 | OTH | 2 | 04/25/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1273947 | 04/30/2021 | MD | 66.0 | 66 | M | tinnitus (both ears) | N | 02/05/2021 | 02/12/2021 | 7 | 3/24/2021 - tinnitus NOT a result of middle ear problem | PUB | Enbrel Ibuprofen D2 B12 | None | Psoriatic arthritis | 2 | 04/30/2021 | Y | Sulfa Lactose Celebrex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1275732 | 04/30/2021 | MD | 66.0 | 66 | F | I developed a very bad headache on 2/27/2021. The following day, 2/28/2021, the headache was a little better but I noticed a loud sound that I thought was a jet plane or machinery running outside. After checking outside and seeing nothing in site, I realiz | N | 02/15/2021 | 02/28/2021 | 13 | Scheduled for an MRI on May 3, 2021 for the headaches. No relief or concrete guidance for the tinnitus. | OTH | Vitamin C 500 - 1,000 mg; Calcium 600 mg; Vitamin D3 20 mcg; refresh eye drops. | N/A | Profound hearing loss from birth. | 2 | 04/30/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1286193 | 05/04/2021 | MD | 66.0 | 66 | F | Tingling sensation in extremities and mild itching on right flank; symptoms began approx. 20 minutes after vaccinates and self-resolved after 5 minutes without medication administration | Y | 05/04/2021 | 05/04/2021 | 0 | None | OTH | Albuterol, Asmanex, ProAir, Fluticasone, Ciprofloxacin, Ondansetron, Daily Multivitamin, Fish Oil Supplement, Vitamin E Supplement | See Below | Asthma, Sarcoidosis, Ankylosing Spondylitis | 2 | 05/04/2021 | Valacyclovir, Advil, Naproxen, Allegra, Aleve, Percocet, Penicillin, Morphine, Codeine, Ampicillin, Erythromycin, Levaquin, Amoxicillin, Doxycycline, Tetracycline, Metronidazole | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1299935 | 05/08/2021 | MD | 66.0 | 66 | F | Pt c/o tingling , swelling left side of mouth, sharp left arm pain, heart racing. RN could not visualize swelling of lips/tongue. Heart rate 70's and regular. 25 PO Benadryl given. EMS notified to eval pt. EMS directed pt needs ER eval. Pt declined. | 05/07/2021 | 05/07/2021 | 0 | UNK | 2 | 05/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1300413 | 05/08/2021 | MD | 66.0 | 66 | F | I believe on 5/4/2021 I noticed my mouth my tongue felt numb when I ate or drank. I could taste but numbness was noticeable. Wednesday, May 5 it was still numb and I had a headache. Thursday, numbness remains headache is worsening. . On Friday, May 7, s | U | 05/01/2021 | 05/03/2021 | 2 | CAT Scan and MRI was performed, negative for blood clot . Diagnosed with Bells Palsy and released with prescription for Prednisone, 20mg, 3 times a day for 5 day At this writing I have only taken 1 tablet. Second one will be taken | PHM | Lexapro, pravaststin, buspirone,omeprazole, loratadine, vagefem Fish oil, ginger, turmeric, CbD oil, cranberry capsules, probiotic, CoQ10, calcium, ocuvite for healthy eyes, | None | Ra00319 | 2 | 05/08/2021 | Ibuprofen, naxoprine, iodine, gapbapen Allergic to shellfish. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313709 | 05/13/2021 | MD | 66.0 | 66 | F | Fever of 99.6, muscle aches, severe headache, chills, nausea | N | 05/12/2021 | 05/13/2021 | 1 | None | PHM | Nexium 40mg QD, Buproprion 150mg XL QD, Synthroid 100mcg QD, Liothyronine 5mg QD | None other than seasonal grass and tree pollen allergies | GERD, Osteoarthritis, Interstitial Cystitis, IBS-C, | 2 | 05/13/2021 | Levaquin: aphasia and ataxia Augmentin: Type 4 Delayed Drug reaction lasting 4 months after 3 episodes of anaphylaxis | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1321809 | 05/16/2021 | MD | 66.0 | 66 | M | fever, shaking chills, fatigue for 4 days, starting the evening of the shot | Y | 04/05/2021 | 04/05/2021 | 0 | none | OTH | BP meds, statin, aspirin, flonase | pacemaker | none other | Every flu shot I receive, I get fevers and chills, but not as much as with this COVID vaccine | 2 | 05/16/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1327381 | 05/18/2021 | MD | 66.0 | 66 | M | Within 2 hours I was throwing up, my chest hurt, my head hurt, and I could hardly get up. This lasted for 3.5 days. Day 4, and I still have a mild headache. | N | 05/14/2021 | 05/14/2021 | 0 | None | PVT | Metformin, Novolog, Tresiba,, Tricor, | None | Asthma, Type 2 Diabetes, | 2 | 05/18/2021 | Penacillin, Shell fish, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1331100 | 05/19/2021 | MD | 66.0 | 66 | F | 5/17 - diarrhea /headache - 7:00 am - 12:00 pm also get woozy and off all day and tired 5/18 - severe arthritis attack every joint hands excruciating pain and headache - 6:00 am - 1:00 pm also tired all day 5/19 stomach cramping diarrhea & headache - n | U | 05/14/2021 | 05/17/2021 | 3 | None | OTH | Prevacid LoSartan HCTz Oxycodone Excedrin Vitamin C Medical Marijuana Edibles | None | Arthritis Degenerative Disk Ulcers | 2 | 05/19/2021 | Ampicillin Depokote | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1347414 | 05/25/2021 | MD | 66.0 | 66 | F | Severe vomiUrinalysn and bleeding from rectum diarrhoea, follwed by chest pai | Y | U | 05/14/2021 | 05/15/2021 | 1 | Blood work Urinalysis EKG | PVT | Amitriptyline Aspirin Atorvastatin Baclofen Buspirone Carvedilol Vitamin D Famotadine Glyburide Lisinopril Melatonin Nifedipine Oxycodone/acetaminophin | Type 2 diabetes Asthma CAD Hypertension | 2 | 05/25/2021 | Ampicillin Amoxicillin Penicilin Sulfa drugs Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361673 | 05/30/2021 | MD | 66.0 | 66 | F | After the vaccine I had a headache. With the headache I became nausea and had serve diarrhea. I was always hot or cold and ran a fever. and also experienced chills. I also did not have a appetite. | Y | 03/25/2021 | 03/25/2021 | 0 | None. | PVT | I was taking B12 and B6, and I was taking Zolpidem a sleep medication. | I had normal allergies. | I have arthritis and hernia disc back problems. | I get headaches and sore arms with the seasonal flu vaccine. | vsafe | 2 | 05/30/2021 | I am allergic to seafood and eggs. I am allergic to contrast dye needles. I am allergic to Motrin and Advil. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1364956 | 06/01/2021 | MD | 66.0 | 66 | M | Patient admitted to referring hospital on 5/18/2021 for fatigue and SOB, found to have pulmonary embolism (CT with central pulmonary emboli with right heart strain), alteplase was given at referring hospital and was admitted to ICU for continued monitorin | Y | U | 04/24/2021 | 05/18/2021 | 24 | 5/17/21: CT angiogram Chest - Central pulmonary emboli with large clot burden and evidence of right heart strain 5/20/21: LE duplex - Acute occlusive and nonocclusive DVT of the right lower extremity, Acute nonocclusive DVT of the left popliteal vein 5/28 | UNK | Ascorbic Acid | None reported | No chronic health conditions reported | 2 | 06/01/2021 | Non known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1365939 | 06/01/2021 | MD | 66.0 | 66 | F | Very soon after receiving the vaccine, my arm began to feel very sore and a bruise appeared to the side of the injection site within an hour. Over the course of the next few hours, the arm became significantly more sore to the point that I could not use it | N | 06/01/2021 | 06/01/2021 | 0 | none at this stage (same for item 21?too soon to know if it will resolve on its own) | PHM | montelukast, synthroid, calcium, vitamin D, artificial tears | none | thyroid disease (Graves, treated), osteoporosis, asthma | 2 | 06/01/2021 | allergic to fish, tree pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1371607 | 06/03/2021 | MD | 66.0 | 66 | M | he felt achey and weak for a day or two then had syncope then he had syncope again this morning. found to have NSTEMI. received PCI with a DES x1. recovered and discharged home | Y | 5 | Y | 03/31/2021 | 04/08/2021 | 8 | troponin: 4/8 18.27 4/8 13.91 4/8 16.12 4/8 17.1 4/9 12.92 | PVT | atorvastatin 40 mg, buspirone 15 mg BID, levothyroxine 75 mcg, meloxicam 15 mg, mirtazapine 15 mg, olmesartan 40 mg, omeprazole 40 mg, multivitamin | depression, hypothyroidism, HTN, HLD, GERD | 2 | 06/03/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1389008 | 06/10/2021 | MD | 66.0 | 66 | F | Patient with history of COPD/asthma heavy smoker presents to ED with cough and chills and difficulty breathing for 2 days. tested negative for Covid-19 via PCR. Patient was put on nasal cannula oxygen therapy. Discharged on azithromycin, guaifenesin, pr | Y | 9 | Y | 03/30/2021 | 04/06/2021 | 7 | PVT | 2 | 06/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407591 | 06/17/2021 | MD | 66.0 | 66 | M | Pt was admitted to Medical Center on 4/21/21 from the ED for COPD exacerbation. 11 days after receiving the second dose of vaccine. Per guidelines, all hospitalizations are to be reported. | Y | 4 | Y | 04/10/2021 | 04/21/2021 | 11 | PVT | 2 | 06/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1408985 | 06/18/2021 | MD | 66.0 | 66 | F | Approximately 1-1/2 weeks after vaccination broke out with fever blisters around mouth. Treated once with Valacyclovir and a MethylPrednisolone decreasing dosage w/o any results. Am now being treated again with a 10 day run of Valacyclovir and Decrasing | N | 04/28/2021 | 05/07/2021 | 9 | chem 12, CBC (6/17/2021) | PVT | levothyroxine 12.5 mcg PO daily losartan 25 mg PO daily venlafaxine HCL ER 150 mg PO daily Trazadone 50 mg PO at hs | None | Hypothyroidism HTN | 2 | 06/18/2021 | PCN Ultram Codeine Peridium Shrimp | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1410442 | 06/18/2021 | MD | 66.0 | 66 | F | Pt was admitted to hospital from ED for COPD exacerbation on 4/4/21, after receiving the 2nd dose of vaccine on 4/1/21. Per guidelines, all hospitalizations are to be reported | Y | 3 | Y | 04/01/2021 | 04/04/2021 | 3 | PVT | 2 | 06/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1410795 | 06/18/2021 | MD | 66.0 | 66 | M | Pt was admitted to hospital from the ED with GI bleeding on 4/4/21 after receiving the 2nd dose of vaccine on 3/30/21. Per guidelines, all hospitalizations are reported. | Y | 7 | 03/30/2021 | 04/04/2021 | 5 | PVT | 2 | 06/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1417832 | 06/22/2021 | MD | 66.0 | 66 | F | Fever, aches, pains, nausea, headaches, fatigue, muscle pains | N | 04/05/2021 | 06/15/2021 | 71 | x-ray of hand | PVT | Synthroid 350 micrograms Isosorbide Mononitrate 60mg per day | none | RSD, osteoporosis, osteoarthritis, hypothyroidism, angina, degenerative disc disease | Swine Flu Vaccine, Shingles Vaccine | 2 | 06/22/2021 | Y | Levaquin Opioids Ciprofloxacin Levofloxacin Tylenol Naproxen Selsa Trimethoprim Soy, tomatoes, Benadryl, grass, pollen, gelatins and food coloring | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1437459 | 06/30/2021 | MD | 66.0 | 66 | F | CVA- 4 BLOCKAGES IN SEPARATE LOBES ON LEFT SIDE OF BRAIN, OCCURRED IN TEMPORAL, THALAMUS, OCCIPITAL LOBES HAS EXTREME WEAKNESS ON THE RIGHT SIDE OF BODY, UNABLE TO USE RIGHT ARM AT TIME OF SUBMISSION, CAN MOVE RIGHT LEG MINIMALLY, CAN STAND WITH ASSISTANCE | Y | 14 | Y | N | 06/11/2021 | 06/13/2021 | 2 | PVT | ADVIL, TYLENOL | NONE | NONE | 2 | 06/30/2021 | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1449996 | 07/06/2021 | MD | 66.0 | 66 | F | arm began to swell with rash 2 days post injection and has been prolonged for 4 days post injection and is now starting to resolve. The patient did self treat with OTC topical hydrocortisone to resolve | N | 06/29/2021 | 07/01/2021 | 2 | PHM | QUINAPRIL 5MG ST JOHNS WORT OTC POTASSIUM OTC MAGNESSIUM OTC IRON OTC COQ OTC MUTLIVITAMIN OTC VITAMIN B COMPLEX OTC | NONE; PATIENT STATED ON THE DAVY SHE RECEIVED THE VACCINE THAT HER PLATELETS ARE LOW | HYPERTENSION LONG STANDING | 2 | 07/06/2021 | PERCOCET | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1457304 | 07/08/2021 | MD | 66.0 | 66 | F | I hurt like heck and I was in bed for a day, the day after dose 2, I went to my Cardiologist on 06/29/2021 and am now being treated for AFIB-he gave me Metoprlol-ER. | N | 04/05/2021 | 05/29/2021 | 54 | I had an EKG on 06/29/2021 AFIB was detected. | PUB | I take Novolog, Tresida, Xarelto, Lipitor, Lysonbro-hyzrochlorthizie, Tricor, VD2, Folic acid, VB12, Tramadol, Tylenol, Cymbalta. | none | I am a diabetic, high BP, high cholesterol, a clotting disorder. | second does of Shinglet for shingles, at the age of 62/severe pain | vsafe | 2 | 07/08/2021 | Y | I am Amoxicillin. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1457637 | 07/08/2021 | MD | 66.0 | 66 | M | Five sites about 3-4 inches in diameter appeared on limbs that were sensitive (mild pain) and warm to the touch for five days following their appearance the day after the vaccine was administered. | Y | 04/06/2021 | 04/07/2021 | 1 | None | OTH | Calan-SR, Allopurinol, Synthroid, Lisinopril, HCTZ, Multi-Vitamin, D supplement | None | Environmental allergies, asthma | Polio vaccine when very young | 2 | 07/08/2021 | Prozac, Oxycodone, Librax | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1467231 | 07/13/2021 | MD | 66.0 | 66 | F | I noticed that in both of my ears there was an extremely high-frequency hissing sound. I still have this problem. It occasionally becomes tolerable, but most of the time it is intolerable. I am due to get hearing aids for both ears on 7/21/2021. The only r | N | 02/25/2021 | 02/28/2021 | 3 | ABR test--tested negative for auditory nerve tumor. Hearing test--showed that at certain frequencies, my left ear has 15-20% hearing loss. Not as much loss in right ear. | PHM | Tylenol; Xanax; aspirin; Lipitor; buspar; bystolic dexilant; Lexapro; Pepcid; bromide nasal solution; hyoscyamine; Janumet XR; Levemir; levothyroxine; loperamide; Losartan; Maxalt; Myrbetriq; Tramadol; trazodone; verapamil; Cequa eye drops; | None. | Type II diabetes; hypothyroidism; fibromyalgia; frequent headaches; osteoarthritis; dry eye syndrome; tinnitus; hearing loss (mostly in left ear); gastroparesis; poor motility of the esophagus; temporomandibular joint. | vsafe | 2 | 07/13/2021 | Y | Lactose intolerance; fructan; Aldomet; possibly augmentin. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1478283 | 07/16/2021 | MD | 66.0 | 66 | F | Uveitis and retinal vasculitis symptoms that began on 05/14/2021. Currently under treatment with oral prednisone, has not resolved. | Y | N | 04/05/2021 | 05/15/2021 | 40 | Bloodwork 5/20/2021, 5/26/2021, 6/10/2021 Urine 5/26/2021, 6/10/2021 Testing for inflammatory disease, viruses, infections, etc, nothing systemic found. | PVT | Align, turmeric, vitamin D, vitamin C, Zyrtec | None | Enlarged right ventricle, mild sleep apnea, seasonal allergies | 2 | 07/16/2021 | Y | Oxycodone (hives), erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1515127 | 07/30/2021 | MD | 66.0 | 66 | F | lightheaded, dizzy, legs and then whole body tingling, difficulty breathing. | Y | 07/30/2021 | 07/30/2021 | 0 | Epinephrine 0.3mg IM administered | PVT | Patient took Benadryl 50 mg by mouth 25 minutes prior to vaccine because of prior reaction | laryngitis | hypertension, hyperlipidemia | influenza | 2 | 07/30/2021 | Y | influenza vaccine and lidocaine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1525574 | 08/04/2021 | MD | 66.0 | 66 | F | received the first Pfizer Covid shot on March 18, 2021 and on March 31, 2021, in the evening after taking a shower, I experience brain fog. I have never experience brain fog before. I could not recall what I had done that hours prior to experiencing this | Y | 03/18/2021 | 03/31/2021 | 13 | none | PHM | none | none | shingles, allergies to pollen dust, animal fur, trees | When I received my Shingrix shingles shot, I had a fever that lasted 1.5 days and I felt achey. | 2 | 08/04/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1535028 | 08/07/2021 | MD | 66.0 | 66 | F | Immediate rash & facial flushing after Pfizer -- passed in first 1-2 hours. Chills and headaches passed in 36 hours. Neurological symptoms occurred 2 hours after shot. Numbness, tingling, paresthesias, stabbing pains, muscle cramping, muscle weakness a | N | 02/22/2021 | 02/22/2021 | 0 | Consultations with 3 allergists and couple pf neurologists. Elevated cytokines. | PVT | KLor-Con, Flonase, calcium citrate, vitamin D | A-Fib, Asthma | 2 | 08/07/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1547815 | 08/12/2021 | MD | 66 | F | foggy; drowsy; Headache; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (foggy), SOMNOLENCE (drowsy) and HEADACHE (Headache) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine | U | 01/21/2021 | 01/21/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1547840 | 08/12/2021 | MD | 66 | F | Swelling at the injection site; Red at the injection site; Itchy at the injection site; Low grade fever which she managed; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (Low grade fever which she managed), VACCINA | Y | 02/10/2021 | 02/10/2021 | 0 | UNK | LEVOTHYROXINE | Comments: No Medical History information was reported. | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1556187 | 08/14/2021 | MD | 66.0 | 66 | F | Traveling down to the elbow; Itchy; Felt hard; Injection site red; Injection site was sore; felt like it was burning; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Traveling down to the elbow), PRURITUS (Itchy), IN | U | 01/29/2021 | 01/29/2021 | 0 | UNK | LISINOPRIL; ATORVASTATIN; ZETIA; DETROL LA; VITAMIN A [RETINOL]; VITAMIN D [COLECALCIFEROL] | Allergy (Adhesive tapes and band aids) | Medical History/Concurrent Conditions: Blood pressure; High cholesterol; Penicillin allergy | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1559955 | 08/15/2021 | MD | 66.0 | 66 | F | sleepiness; Fatigue that comes and goes; This spontaneous case was reported by a physician and describes the occurrence of SOMNOLENCE (sleepiness) and FATIGUE (Fatigue that comes and goes) in a 66-year-old female patient who received mRNA-1273 (Moderna COV | N | 02/20/2021 | 02/20/2021 | 0 | UNK | LORATADINE; PANTOPRAZOLE; ALPRAZOLAM; ESCITALOPRAM | Comments: No Medical history was reported. | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1561342 | 08/15/2021 | MD | 67.0 | 66 | F | Shingles; Rash on the lower abdomen that then extended to the back and itches; Sensitive pains; Rash on the lower abdomen that then extended to the back; This spontaneous case was reported by a consumer and describes the occurrence of HERPES ZOSTER (Shingl | U | 02/24/2021 | 03/03/2021 | 7 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1565596 | 08/15/2021 | MD | 66.0 | 66 | F | cannot lift left leg; cramps in leg; soreness on her entire left side; her left knee is killing her. She states she cannot bend her knee, cannot lift it up and it is hard to walk right.; This spontaneous case was reported by a consumer and describes the oc | U | 03/10/2021 | 03/10/2021 | 0 | UNK | FLUPHENAZINE; SERTRALINE; CLONAZEPAM; METFORMIN; LANTUS; LOVASTATIN | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1566431 | 08/15/2021 | MD | 66.0 | 66 | F | Getting more irritated; Getting itching in the arm; This spontaneous case was reported by a consumer and describes the occurrence of IRRITABILITY (Getting more irritated) and VACCINATION SITE PRURITUS (Getting itching in the arm) in a 66-year-old female pa | N | 03/05/2021 | 03/13/2021 | 8 | UNK | LOSARTAN | Blood pressure high; Dust allergy | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1574034 | 08/16/2021 | MD | 66.0 | 66 | M | COVID positive after vaccination | 01/27/2021 | 08/10/2021 | 195 | PVT | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1580716 | 08/18/2021 | MD | 67.0 | 66 | F | nasal congestion; burning sensation in eye; sore throat; chills; body ache; fatigue; This spontaneous case was reported by a consumer and describes the occurrence of NASAL CONGESTION (nasal congestion), EYE IRRITATION (burning sensation in eye), OROPHARYNG | Y | 12/31/2020 | 01/28/2021 | 28 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1594800 | 08/21/2021 | MD | 66.0 | 66 | F | sore right arm; headache; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (sore right arm) and HEADACHE (headache) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch n | N | 01/25/2021 | 01/25/2021 | 0 | UNK | BUPROPION; GABAPENTIN; OROXINE; FAMOTIDINE; OLMESARTAN | Cholesterol; Migraine | USMODERNATX, INC.MOD20210 | 2 | 08/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1596483 | 08/21/2021 | MD | 66.0 | 66 | F | fever; headache; chills /teeth chattering so strong thought that her teeth may crack; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever), HEADACHE (headache) and CHILLS (chills /teeth chattering so strong thoug | Y | 02/14/2021 | 02/21/2021 | 7 | Test Date: 20210221; Test Name: Body temperature; Test Result: Inconclusive ; Result Unstructured Data: 101 F; Test Date: 20210223; Test Name: Body temperature; Test Result: Inconclusive ; Result Unstructured Data: 103 F; Test Date: 20210224; Test Name: | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1598844 | 08/21/2021 | MD | 66.0 | 66 | F | Bad headache after the 2nd shot of vaccine; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Bad headache after the 2nd shot of vaccine) in a 66-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vacc | U | 03/24/2021 | 03/25/2021 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1599520 | 08/21/2021 | MD | 66.0 | 66 | M | Fever; fatigue; achy joints; headache; Sore arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Sore arm), PYREXIA (Fever), FATIGUE (fatigue), ARTHRALGIA (achy joints) and HEADACHE (headache) in a 66-yea | Y | 03/04/2021 | 03/04/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1601531 | 08/21/2021 | MD | 66.0 | 66 | F | feels tired; fatigued; very drained; lethargic; thought a bolt of lightning struck her because she had very severe arm soreness; knot at the injection site; looks slightly bruised; little bit sore; This spontaneous case was reported by a consumer and descr | U | 03/23/2021 | 03/23/2021 | 0 | UNK | METFORMIN; AMLODIPINE; LISINOPRIL; LATANOPROST; ATORVASTATIN; VITAMIN C & ROSEHIP; MAGNESIUM; VITAMIN D [VITAMIN D NOS] | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1601815 | 08/21/2021 | MD | 66.0 | 66 | F | Hot/spreading rash on left arm; Broke out in hives; This spontaneous case was reported by a consumer and describes the occurrence of RASH (Hot/spreading rash on left arm) and URTICARIA (Broke out in hives) in a 66-year-old female patient who received mRNA- | U | 03/19/2021 | 03/28/2021 | 9 | UNK | Allergy to antibiotic (Antibiotics) | Medical History/Concurrent Conditions: Hives | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1605589 | 08/22/2021 | MD | 66.0 | 66 | M | Missed second shot; This spontaneous case was reported by a consumer and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (Missed second shot) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. | Y | 03/03/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1613934 | 08/22/2021 | MD | 66 | M | patient missed second dose after recommended interval; This spontaneous case was reported by a physician and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (patient missed second dose after recommended interval) in a male patient of an unknown age | Y | 03/23/2021 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1614774 | 08/22/2021 | MD | 66.0 | 66 | M | little bit itchy; whole body rash; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (little bit itchy) and RASH (whole body rash) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batc | N | 03/25/2021 | 04/15/2021 | 21 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1615179 | 08/22/2021 | MD | 66.0 | 66 | M | Received 2nd dose 2 weeks after 1st dose; This spontaneous case was reported by a consumer and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (Received 2nd dose 2 weeks after 1st dose) in a 66-year-old male patient who receive | U | 04/26/2021 | 05/10/2021 | 14 | UNK | LISINOPRIL; CRESTOR | Comments: No medical history was reported by the reporter. | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1619475 | 08/23/2021 | MD | 66.0 | 66 | M | patient received second dose on day 20 instead of day 28; This spontaneous case was reported by a pharmacist and describes the occurrence of OFF LABEL USE (patient received second dose on day 20 instead of day 28) in a 66-year-old male patient who received | U | 05/06/2021 | 05/26/2021 | 20 | UNK | USMODERNATX, INC.MOD20211 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1640239 | 08/27/2021 | MD | 66.0 | 66 | F | small scaly plaque developed on her body (possibly chest per HCP); This spontaneous case was reported by a nurse and describes the occurrence of SKIN PLAQUE (small scaly plaque developed on her body (possibly chest per HCP)) in a 66-year-old female patient | U | 03/16/2021 | 03/16/2021 | 0 | UNK | USMODERNATX, INC.MOD20212 | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1640253 | 08/27/2021 | MD | 66.0 | 66 | F | rash spreading all the way to her mouth; rash on face; rash over arms; rash on leg; A scaly, red, peeling rash started to develop initially on her chest, spreading to her arm, upper back, legs on the interior side, spreading up her neck and face, spreading | U | 04/13/2021 | 04/15/2021 | 2 | Test Date: 20210415; Test Name: BLOOD PRESSURE; Result Unstructured Data: significantly elevated blood pressure.; Test Date: 20210415; Test Name: BODY TEMPERATURE; Result Unstructured Data: reported fever of 102 degrees F | UNK | USMODERNATX, INC.MOD20212 | 2 | 08/16/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1665358 | 09/02/2021 | MD | 66.0 | 66 | F | third dose administered; This case was reported by a pharmacist via call center representative and described the occurrence of extra dose administered in a 66-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously admin | U | 08/24/2021 | 08/24/2021 | 0 | UNK | USGLAXOSMITHKLINEUS202117 | 2 | 08/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1670456 | 09/03/2021 | MD | 66.0 | 66 | F | developed mast cell symptoms of reactions, leg swelling, trouble breathing, high heart rate and blood pressure, urinating a lot and developing severe hypertension 230/120 HR 100-140 within days and requiring IV saline treatments several times since this da | N | 08/17/2021 | 08/17/2021 | 0 | 9/3/2021 awaiting results | PVT | synthroid, xyzal, metropolol, pepcid, zinc, vitamin c, multi vitamin, welchol, quercetin, atarax, singulair,potassium, advair, coQ10, atorvastatitn | none | Ehlers-danlos syndrome, mast cell disorder, hypertension, POTS dysautonomia | 2 | 09/03/2021 | Y | shellfish, penicillin, demerol, codeine, morphine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1670886 | 09/03/2021 | MD | 66.0 | 66 | F | 8/31/21 before dinner time, started minor lower back pain. 9/1/21 lower back pain disappeared, but left arm started muscle pain. 9/2/21 left arm muscle pain continued and couldn't move left arm. 9/3/21 got up at 7am and felt sick after slet for 8+ hours. H | Y | 08/31/2021 | 08/31/2021 | 0 | UNK | methotrexate, folic acid, V-D3, fish oil, garlic extract. | no | Rhuematoid Arthrist | 2 | 09/03/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1674463 | 09/04/2021 | MD | 66.0 | 66 | F | /22 second Covid Moderna Vaccine 4/23 high fever 103.4, aches chills 4/24 - weak, achy, low grade fever around 100 4/25- 4/30 low grade fever around 100, night sweats, congestion, sinus drainage, back pain on left upper side 4/30 negative Covid Test 5/5 | N | 04/22/2021 | 04/23/2021 | 1 | see above and continuation page for details Bloods tests (numerious) Chest Xray, and 2 Chest CTs, Pet Scan, Sinus Scan, Broncoscopy, pulmonary function tests | PUB | Alendronate, Verapamil, Telmisartan, Vitamin D3, Biotin, B-12, | none | High blood pressure, arthritis | 2 | 09/01/2021 | Y | dairy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1677260 | 09/07/2021 | MD | 66.0 | 66 | F | 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) | Y | 08/25/2021 | 08/25/2021 | 0 | UNK | USMODERNATX, INC.MOD20212 | 2 | 09/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1684741 | 09/09/2021 | MD | 66.0 | 66 | F | on 3/16 her husband said he woke her up and she was conscious but unresponsive, couldn't make sense of instruction, didnt know who her husband or herself was, went to er via ambulance 12 hours she "snapped back into reality" | Y | 03/15/2021 | 03/16/2021 | 1 | in er she had a lumbar test and they found elevated proteins in her CSF | PHM | aspirin metformin levemir pen victoza lipitor dexilant iorn levothyroxine metoprolol XL modafinil fish oil senna-S effexor-XR vitamin d3 neurontin melatonin lipspro prilosec multi vitamin clonazepam | Diabetes, high cholesterol, gerd, hernia, sleep apnea REM sleep behavior disorder | 2 | 09/09/2021 | Y | Motrin, Celebrex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1694856 | 09/13/2021 | MD | 66.0 | 66 | F | Numbness that radiates from the ring finger and pinky finger on her right hand | N | 04/21/2021 | 09/13/2021 | 145 | PUB | Unk | unk | unk | 2 | 09/13/2021 | Y | Unk | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1709856 | 09/17/2021 | MD | 66.0 | 66 | F | Swollen cheeks and upper lip | N | 09/15/2021 | 09/16/2021 | 1 | NA | OTH | Duloxetine, Metafolbic Plus, Ibanodrate sodium, Metronidazole gel, Gabapentin, Rosuvastatin, CBD, CoQ10, Curcumin phytosome, Krill oil, N-acetylcysteine, Vitamin D, AlgaeCal Plus, Melatonin | None | Circadian rhythm disorder, ADHD, Dysthymic disorder, Obstructive sleep apnea, Fibromyalgia, Restless Legs Syndrome, Sleep-related bruxism, Rosacea, Psoriasis, Osteoporosis, Raynaud?s syndrome | 2 | 09/17/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1733181 | 09/24/2021 | MD | 66.0 | 66 | F | Extreme itching all over my body, including feet, arms & legs, body, and head & scalp This itching lasted for weeks. Finally went to my primary care physician on 3/10/21, who prescribed a course of prednisone. This treatment greatly mitigated the itching | Y | 02/21/2021 | 02/21/2021 | 0 | PVT | atorvastatin, 10 mg daily lisinopril, 10 mg daily zinc 50 mg daily vitamin D3 vitamin C hydroxychloroquine 200 mg weekly | none | high blood pressure and high cholesterol under control using medications listed | 2 | 09/24/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1734553 | 09/25/2021 | MD | 66.0 | 66 | M | ELEVATED WBCs, brown spots on body, red eyes, WBCs attacked my eyes. continue to see eye doctor for chronic uveitis, WBCs in the eyes, edema in the eyes eye drops combigan, prednisone, atropine, bromsite | N | 01/18/2021 | 02/26/2021 | 39 | WBC = 16,000 | WRK | amlodipine/benazepril, gabapentin, metformin hcl er, lipitor, multivitamins, vidtamin d, | diabetes 2, GERD, hypertension, anemia, hyperlipemia, alphathallesemia | 2 | 09/25/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1735509 | 09/26/2021 | MD | 66.0 | 66 | F | vertigo, chills, sweating, body aches, headache, fainting, soreness and redness at site of vaccination | Y | 09/24/2021 | 09/24/2021 | 0 | none | PHM | Atorvastatin 10ng daily Over the counter Vitamin D | none | none | Pfizer Covid 19 Vaccine.Same reaction as above without fainting. Age 65.February/March 2021 2 dose vaccine | 2 | 09/26/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1741442 | 09/28/2021 | MD | 66.0 | 66 | F | Left arm pain, pain felt in lymph nodes on neck/axilla/groin. | N | 09/27/2021 | 09/27/2021 | 0 | None | MIL | Carvedilol, cholesterol medication. | CAD, OA | Hot, burning pain in buttock after 1st vaccine and fatigue after 2nd vaccine. | 2 | 09/28/2021 | Y | Codeine, tramadol, oxycodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1741628 | 09/28/2021 | MD | 66.0 | 66 | M | Lump on the left side of neck . Swelling and it moves | N | 09/24/2021 | 09/25/2021 | 1 | PVT | Stiolto | no | COPD | 2 | 09/28/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1742754 | 09/28/2021 | MD | 66.0 | 66 | F | rash and hives on my hands, arms, legs, neck and face. Turning into blisters. A large red area around a cluster of those located below the site of the injection | N | 09/01/2021 | 09/25/2021 | 24 | PHM | Diovan HCT 160/12.5, Levothyroxene 50, pravastatin 40, flecainide 50, trazadone 50, ezetimibe 10 | had what I thought were oak mite bites, but they were going away | hypertension, cholesterol | 2 | 09/28/2021 | drinking alcohol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1749950 | 09/30/2021 | MD | 66.0 | 66 | F | Chills, headache, fever (99.6), nausea, unable to eat, fever increased to 100.2, 100.4, 100.8 then 100.9 | N | 09/29/2021 | 09/29/2021 | 0 | None | PVT | Metoprolol 25mg ( twice daily) Lisinopril 10emg (once daily) HZT 25mg (once daily) Baby Aspirin 81mg (once daily)P Pepcid 20mg (twice daily) Vitmain C 500mg Vitmain B Complex Vitmain D3 2000 units Fish Oil Co Q-10 200mg (once daily) | High Blood Pressure a week prior to vaccination. | None | 2 | 09/30/2021 | Y | Penicillin Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1756945 | 10/02/2021 | MD | 66.0 | 66 | M | Frequent, urgent urination with blood in urine. Started same day about 2 hours after vaccine and continued approximately 10 hours till bedtime. Cleared up on it's own the following morning. FYI: also received Pneomonia vaccine ( PRENVAR 13) at same time. | Y | 09/27/2021 | 09/27/2021 | 0 | None, cleared on it's own the following day | PHM | Mushroom complex; grape seed-green tea-pine bark complex; 16 strain probiotic; L-Glutamine; Slippery Elm; licorice root; marshmallow root; quercetin; pine bark extract; Pycnogenol; Echinacea; chlorella-tumeric complex; apple cider vinegar c | None | None | 2 | 10/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761746 | 10/05/2021 | MD | 66.0 | 66 | F | It was a slow progression. I developed left foot pain. It was diagnosed as Plantar Fasciitis. I had noticed symptoms and then it got worse. I had a doctor appt in June. Treatment: I have a gel that I apply, voltaren, a leg brace that I wear daily, exercise | N | 04/01/2021 | 06/01/2021 | 61 | X-ray of the left foot | PHM | Prolia 6 month injection; Lexapro; calcium; magnesium; vit D; vit K2 | No | Osteoporosis | vsafe | 2 | 10/05/2021 | Y | Sensitive to Flagyl | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761760 | 10/05/2021 | MD | 66.0 | 66 | F | I had swelling on the left side of my neck at my lymph gland. Also exp swelling on left side face down to my collar bone and neck felt stiff. The doctors stated it would gradually go away may take up to two weeks. I have taking Ibuprofen as needed. I wante | N | 09/27/2021 | 09/29/2021 | 2 | Blood work(white blood count was normal) | UNK | Ibuprofen | No | No | vsafe | 2 | 10/05/2021 | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1762193 | 10/05/2021 | MD | 66.0 | 66 | F | The patient developed cellulitis. Warm, redness and fever that radiated down her arm. | N | 10/04/2021 | 10/04/2021 | 0 | PHM | 2 | 10/05/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1768975 | 10/07/2021 | MD | 66.0 | 66 | M | My blood pressure has been 80 over 120 range for years (all my life). It want up to 90 over 145 after second shot (March 2021). I was bitten by tick in August (with bite mark) and was treated within a week. I was told it compromises immune systems so I got | N | 09/02/2021 | 09/09/2021 | 7 | I had physical last week. Doctor recommended Olmesartan Medoxomil H. My blood pressure is still 90 over 180 after taking medicine. | PHM | Alopurinol, Testosterone 200mg bi weekly shots | I was treated for Lyme Disease one month before | gout kept in check with medicine. Otherwise very good. This spring a major insurance company did full work up and determined I was in very good shape. | 2 | 10/07/2021 | Y | egg whites | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1771821 | 10/08/2021 | MD | 66.0 | 66 | F | Raised, hard, red, warm and itchy area at injection site. Started size of quarter and has increased to twice that size. No change since Thursday morning. Fatigue and sleepy all day Thursday. Overnight had feverish chills and headache. Tylenol helped rel | Y | 10/06/2021 | 10/06/2021 | 0 | NA | PHM | Metoprolol succinate, VitD, daily vitamins, calcium/magnesium supplements, glucosamine , Zyrtec | NA | NA | Fatigue headache and dizziness after 2nd Pfizer COVID vaccine Jan 26, 2031 | 2 | 10/08/2021 | Codiene | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1775409 | 10/10/2021 | MD | 66.0 | 66 | M | Rash on legs and arms with raise welts | N | 10/07/2021 | 10/10/2021 | 3 | OTH | Fish oil; Milk Thistle; VitD3; B-complex; | Diffuse Large B-cell LYmphoma, in remission | 2 | 10/10/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1782756 | 10/13/2021 | MD | 66.0 | 66 | F | Swollen, itchy inflamed feet an d hands. Severe blisters on right foot, less so on left foot and hands | N | 09/29/2021 | 10/05/2021 | 6 | Culture of blister contents | PVT | Synthroid, liothyroninr, rosuvastatin, Preservision AREDS2, CoQ10, Vitamin D, Emergen-C, chia seeds | None | Hypothyroidism | 2 | 10/13/2021 | Penicillin, sulfa,cashews, mangoes, poison ivy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788029 | 10/15/2021 | MD | 66.0 | 66 | F | Patient presents to the ED with complaints of shortness of breath on exertion, nocturnal cough, fever, diarrhea, nausea, vomiting, and poor PO intake. She had tested positive for COVID-19 the day prior to presentation. She was admitted for COVID pneumonia, | Y | 04/28/2021 | 09/23/2021 | 148 | PVT | 2 | 10/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1813805 | 10/24/2021 | MD | 66.0 | 66 | F | Patient received Moderna COVID-19 Vaccines for her first and second dose in the series. Due to a misunderstanding and miscommunication the patient received a Pfizer COVID-19 Vaccination for the 3rd dose (booster) dose in the series. | Y | 10/24/2021 | 10/24/2021 | 0 | No Medications or laboratory test were ordered at this time | PVT | Uknown | Uknown | Uknown | 2 | 10/24/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1825325 | 10/28/2021 | MD | 66.0 | 66 | F | Chest Pain, Chest Xrays confirmed pneumonia, Levofloxacin 500mg tablets for 10 days, Referral to Pulmonary Specialist., | U | 09/24/2021 | 10/20/2021 | 26 | Chest Xrays on 10/21/2021. | PVT | Atorvastatin 10mg, Centrum Silver Vitamin/Mineral, Caltrate Calcium and Vitamin D, Allegra, Mucinex, Olopatadine Eye Drops. | None | Three previous Pneumonias 2016-2018. Three Sinus Infections 2019-2020. Two Respiratory Infections 2015-2016. Bronchitis 2017. | 2 | 10/28/2021 | Y | Augmentin Antibiotic, Aleve, Sulfur Based Drugs, Dental Acrylic, Fragrances, Pollen, Weeds, Dust, Mold. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1833078 | 11/01/2021 | MD | 66.0 | 66 | F | tinnitus worsening from evening of 10/31/21 (both ears worse in left ear) | N | 10/26/2021 | 10/31/2021 | 5 | PHM | bisoprolol 10 mg, Breo Ellipta (fluticasone furoate 250 mcg/vilanterol 25 mcg), senior multivitamin, magnesium oxide 400 mg, B12 1000 mcg | None | asthma, hypertension | 2 | 11/01/2021 | Sulfonamides, NSAIDs, nitrofurans, azithromycin, verapamil | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1833133 | 11/01/2021 | MD | 66.0 | 66 | F | developed Erythematous, slightly itchy rash in 6 inch by 6 inch right forearm extending inferiorly and laterally from injection site | N | 10/29/2021 | 10/31/2021 | 2 | None | PHM | levothyroxine amlodipine | none | Delayed eythematous bumps at injection site 1 week later after Moderna Shot # 2 | 2 | 11/01/2021 | levaquin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1840016 | 11/03/2021 | MD | 66.0 | 66 | F | By the evening of the day I received my booster vaccine, the left half of my left eye became very bloodshot. It did not affect my vision, nor did it bother me. My eye felt slightly wetter. The next morning it was still very bloodshot on that side. By the l | N | 11/01/2021 | 11/01/2021 | 0 | none | PHM | D3, biotin, Vitamin C supplements and tart cherry capsule | none | none | 2 | 11/03/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1840545 | 11/03/2021 | MD | 66.0 | 66 | F | I received the COVID vaccine and had a reaction. My 1st vaccine was in April 2021 and the 2nd vaccine was in April 2021. My inner ears are both closed since the end of June and have not open. I been to 3 ENT doctors, a Neurologist, my primary doctor and my | N | 04/27/2021 | 06/28/2021 | 62 | MRI of the brain, CT scan of sinuses | OTH | Zyrtec, vitamin D, calcium, multi vitamin | none | Seizure disorder | 2 | 11/03/2021 | Y | caffeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1843604 | 11/04/2021 | MD | 66.0 | 66 | F | Migrain the night of shot and on/off for 3 days, then migraine decreased in severity until Nov 1. On Nov 1, 2021 had pain in arm and legs in evening then woke up Nov 2 with numb, swollen, drooping right side of face and frequent migraines throughout the da | Y | 2 | Y | 10/22/2021 | 10/22/2021 | 0 | Nov 2 - HealthCare Emergency Center, took CT scan and hooked up heart monitor. Transferred to Adventist HealthCare that evening. Had MRI, lab work and heart related tests. Ruled out stroke, TIA, and Bells Palsy. | PHM | Thyroxine/Synthroid Xyzal Fish oil CoQ10 B Complex w Vit C and Folic Acid B2 D3 Cal Mag Lipitor | None | Migraines, arthritis, hypothyroid, allergies | migraine | 2 | 11/04/2021 | Y | Y | 1. Cipro - In 1993, disabling headache, pain, disoriented, shaking 2. doxycycline - 2002 rash, itching 3. neomycin - Hives and itching 4. prednisone - Mental confusion, face swelling, itching 5. Sulfa - On records since 1980s, probably a rash. 6. Iodine ( | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1846127 | 11/05/2021 | MD | 66.0 | 66 | F | By 11:00 PM on the day of the vaccine booster, I was awakened with severe body pain, headache, chills, fever (101.6 - my "normal temp" is 97.6 - 98 ), I had nausea earlier in the evening. I contacted my primary on-call physician to ask if I could take Tyle | N | 10/26/2021 | 10/26/2021 | 0 | n/a | PHM | Synthroid 88mg, amitriptyline, celexa, multivitamin, Vitamin B Super complex . melatonin 10mg/night, Zinc 50mg, Vitamin D3 50 mcg | None | Hypothyroidism, anxiety, depression | covid 19 Moderna | 2 | 11/05/2021 | Y | None known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1847380 | 11/05/2021 | MD | 66.0 | 66 | F | Arm pain, extreme fatigue, chills, nausea, diarrhea | Y | 11/02/2021 | 11/02/2021 | 0 | None | PVT | Toprol, atovastatin, serataline, amitriptyline | None | None | Moderna 2nd shot | 2 | 11/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1850001 | 11/08/2021 | MD | 66.0 | 66 | M | Sore shoulder; Patient believe he received the wrong amount for the first dose; Patient believe he received the wrong amount for the first dose/He stated on his immunization the 1st he received is 0.5ml 50 mcg; This spontaneous case was reported by a consu | Y | 03/15/2021 | 03/15/2021 | 0 | UNK | ELIQUIS. | Comments: No Medical History was provided by reporter. | USMODERNATX, INC.MOD20213 | 2 | 11/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1863746 | 11/12/2021 | MD | 68.0 | 66 | F | missed dose; rash around the eyes and the mouth; it is itchy; At first it was just red above the eyelid; At first it was just red around the mouth; rash around the eyes; This spontaneous case was reported by a consumer and describes the occurrence of ORAL | N | 10/05/2021 | 10/20/2021 | 15 | UNK | Allergy NOS | USMODERNATX, INC.MOD20213 | 2 | 11/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX |