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You are viewing patients aged: 66, in state: MD

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VAERS_IDRECVDATESTATEAGE_YRSCAGE_YRCAGE_MOSEXRPT_DATESYMPTOM_TEXTDIEDDATEDIEDL_THREATER_VISITHOSPITALHOSPDAYSX_STAYDISABLERECOVDVAX_DATEONSET_DATENUMDAYSLAB_DATAV_ADMINBYV_FUNDBYOTHER_MEDSCUR_ILLHISTORYPRIOR_VAXSPLTTYPEFORM_VERSTODAYS_DATEBIRTH_DEFECTOFC_VISITER_ED_VISITALLERGIESLink 1Link 2
091692801/01/2021MD66.066Fpatient 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.)U12/29/202012/30/20201PVTpatient is taking blood thinner2Y2021VAERSSYMPTOMS2021VAERSVAX
093838401/12/2021MD66.066FJan 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 dayU01/08/202101/08/20210NonePHMSynthroid, 25 mcg per day Calcium citrate, 315 mg per day vitamin D3, 5,000 IU, per dayUTI, given nitrofurantoin for one week, Dec 16 till Dec 21Osteoarthritis201/12/2021sulfa eye ointment, possible cipro,2021VAERSSYMPTOMS2021VAERSVAX
095379701/18/2021MD66.066FLarge blotchy red rash on upper left arm. Slightly itchy, raised and warm. Symptoms began on 1/16/21 and are continuing through today.N01/08/202101/16/20218PUBVit D Estradiol Cream 0.01%NoneNone201/18/2021None2021VAERSSYMPTOMS2021VAERSVAX
096858501/24/2021MD66.066FReceived 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.Y01/21/202101/21/20210PVTHydrocodone for broken foot Amoxicillin-Clav for sinus infection201/24/20212021VAERSSYMPTOMS2021VAERSVAX
097177801/25/2021MD66.066MIntractable nausea and vomitingY01/05/202101/22/202117N/APVTVyvnase 30mg aspirin 81mg, Zyrtec 10mgNoneHigh cholesterol201/25/2021None2021VAERSSYMPTOMS2021VAERSVAX
097488001/26/2021MD66.066F12 hours post vaccination - Rigors 22 hours post vaccination - Nausea, syncope, loss of consciousness for ~ 1 minute Treatment - Tylenol Observed by husband (physician)Y01/25/202101/26/20211NonePUBAtenolol, lisinoprilNoneMigraines, hypertension201/26/2021None2021VAERSSYMPTOMS2021VAERSVAX
097960601/27/2021MD66.066MExplosive 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 thouU01/27/202101/27/20210None.UNKLisinopril 2.5mg; Atorvastatin 40mg; Clopidogrel 25mg; Metoprolol 25mg; Aspirin 81mg.None.Cardiovascular disease, high blood pressure, high cholesterol (all controlled by medication/exercise)201/27/2021Shell fish (shrimp, lobster); pitted fruits.2021VAERSSYMPTOMS2021VAERSVAX
098356501/28/2021MD66.066FAfter 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 two01/28/202101/28/20210PHM201/28/20212021VAERSSYMPTOMS2021VAERSVAX
098647101/29/2021MD66.066M2 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.U01/29/202101/29/20210PVTmyrbetriq, leflunomide, valacyclovir, tamsulosin, hizentraHAE, Hypogammaglobulimia, rhuematoid arthritissee above201/29/2021ammoxicillin2021VAERSSYMPTOMS2021VAERSVAX
099276102/01/2021MD66.066FModerna 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 tU01/19/202101/28/20219PUBzolpedin 10mg (at bedtine), guaifenesin 400mg (1/day), vitamin d 2,000 iu (3/day)Fibromyalgia, Arthritis (mild)Fibromyalgia, Arthritis (mild)202/01/2021allergic 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 Fibromyalgia2021VAERSSYMPTOMS2021VAERSVAX
099596202/02/2021MD66.066F1/30/21 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 ibuprofN01/30/202101/30/20210NoneWRKIbuprofen 400mg at 10:48pNoneGlaucoma, osteopeniaShingrix booster202/02/2021None2021VAERSSYMPTOMS2021VAERSVAX
099694602/03/2021MD66.066FImmediately 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 pieceY01/20/202101/21/20211N/AOTHNorvasc 5.0 mg QD Chlorthalidone 12.5 mg QDN/AHigh Blood Pressure ControlledModerna 013L20A202/03/2021ASA; PCN; ERYC 333; Codeine Injectable; ACE Inhibitors; Feldene; Flagyl; Cortizone Injection; Lexapro; Metal Allergy; Adhesive Tape; IVP DYE;2021VAERSSYMPTOMS2021VAERSVAX
099875002/03/2021MD66.066FMessage 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 fU02/02/202102/02/20210none.UNKcrestor, ventolin, allegra, epi pennoneallergy induced asthma, hyperlipidemiapneumovax 23 localized redness, swelling up into armpit and shoulder, slight tingling of tongue202/03/2021peanuts, environmental, sulfa, doxycycline, flonase, dilaudid, proventil,2021VAERSSYMPTOMS2021VAERSVAX
100105302/04/2021MD66.066FChills, fever, followed by extreme fatigueY02/02/202102/02/20210nonePVTMetropolol, LatanoprostNoneNone202/04/2021None2021VAERSSYMPTOMS2021VAERSVAX
101444402/08/2021MD66.066F10 days post injection itchy, non-raised rash. Just below the injection site about the size of a tennis ball.N01/29/202102/08/202110WRKSynthroid, rosuvastatin, Vitamin D, multivitamin, turmeric, cinnamon, fish oil, CoQ10, baby aspirinEssential thrombocythemia, leg ulcerEssential thrombocythemia, hypothyroidism, osteoarthritis (minor),Shingrex - second shot, rash at injection that lasted about a week, late 2019202/08/2021Compazine2021VAERSSYMPTOMS2021VAERSVAX
101981102/10/2021MD66.066Farm sore, shoulder pain down to elbow, lymph nodes under arm sore, fever 100.3 lasting one dayN02/07/202102/08/20211PVTAtenolol 50 mg, Hydrochlorothiazide 12.5 mgA week before scheduled date-pt had a cold.High Blood Pressure202/10/2021Lisinopril2021VAERSSYMPTOMS2021VAERSVAX
102028202/10/2021MD66.066FDelayed cutaneous hypersensitivity, red, raised, itchy, painful area near vaccine site.N02/01/202102/10/20219NoneOTHCalcium, vitamins B, C, D, ENone.Osteopenia.202/10/2021Allergic to penicillin; rashes with erythromycin, tetracycline, sulfa drugs; c. diff with keflex. No food or other allergies.2021VAERSSYMPTOMS2021VAERSVAX
102149002/10/2021MD66.066FReceived 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 DN02/05/202102/06/20211Dr office did both rapid covid Negative and reg Covid which was negative. 2/9. Tried to aspirate one blister with sterile needlePUBAtorvastatin 10mg Esomeprazole 20mg Fosamax every Monday Triamterene-hydrochlorothiazide 37.5-25 mg Tumeric Multivitamin Motrin 800mgNoneOsteoporsis IBS Hypertension202/10/2021YBiaxin uset stomach Dust Mold Mildew2021VAERSSYMPTOMS2021VAERSVAX
102306702/11/2021MD66.066F3 Weeks after vaccine injection site hot and red circle big as an orangeN01/27/202102/10/202114nonePHMDaily multivitamin , Vitamin C, calcium, turmeric, aller-tec allergy pillnonenone202/11/2021penicillin2021VAERSSYMPTOMS2021VAERSVAX
103300902/16/2021MD66.066FCOVID-19 Vaccine EUA; Chills, Sweats, fever, Vomiting, headache, joint pain, muscle painN02/15/202102/15/20210NonePVTHCGT Lisinopril Metformin Claritan Prilosecnonenone202/16/2021none2021VAERSSYMPTOMS2021VAERSVAX
103573202/17/2021MD66.066MShivering and stomach pain. Time 10:30 pm 2/16/21 - 5:00 am 2/17/21Y02/16/202102/16/20210PHMVitamin DNoneNone202/17/2021Penicillin2021VAERSSYMPTOMS2021VAERSVAX
103933402/18/2021MD66.066FI 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 diastN02/03/202102/06/20213NonePVTlosartin 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 tchronic stage 3b kidney diseases Greys disease Barrett's esophageal osteo arthritis degenerative joint disease pt. only has one lung202/18/2021Ypenicillin ancef percoset2021VAERSSYMPTOMS2021VAERSVAX
104285702/20/2021MD66.066FArm 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 N02/12/202102/19/20217PHMMulti vitaminNoneNone202/20/2021Penicillin, Bovine2021VAERSSYMPTOMS2021VAERSVAX
104303502/20/2021MD66.066URed 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 localN02/12/202102/19/20217nonePHMnoneosteoporosis, vulvar lichen planus202/20/2021iodine contrast dye, dust2021VAERSSYMPTOMS2021VAERSVAX
104576802/22/2021MD66.066FItchy 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.N02/09/202102/19/202110NonePHMLoratadineNoneNoneFlu like symptoms following flu shot202/22/2021Strawberries, sulfa drugs2021VAERSSYMPTOMS2021VAERSVAX
104874502/23/2021MD66.066FDeath on February 12, 2021 acute cardiac tamponadeY02/12/2021N02/08/202102/12/20214Autopsy performed February 18, 2021MILAspirin 81 MG Calcium Carb 600mg Loratadine 10 Mg Multivitamin Lisnopril 10 MG Mirtazapine 30 MG at bed for mood Simvastatin 20 MGAllergic rhinitis benign essential hypertention Depression Generalized Anxiety Hip Pain Total revision of left hip202/23/2021Gabapentin- Pain in eye2021VAERSSYMPTOMS2021VAERSVAX
105290002/24/2021MD66.066FNone stated.N02/23/202102/24/20211PVTProbiotics Calcium Vit B Pravastatin 40 mg sodium Losartan Potassium and hydrochloride 100 mg A mlopidine Besylate 5 mgNoneNoneShingles202/24/2021None2021VAERSSYMPTOMS2021VAERSVAX
105406602/25/2021MD66.066FSudden 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.N01/21/202102/21/202131Audiogram.UNKRebif; Nitrofurantoin; Oxybutynin; HydrochlorothiazideMultiple sclerosis, well controlled; Diabetes Type 2; ObesityMultiple sclerosis, well controlled; Diabetes Type 2; Obesity202/25/2021YWheat2021VAERSSYMPTOMS2021VAERSVAX
105796402/26/2021MD66.066FLeft 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.N02/15/202102/22/20217PHMOccasionally a Zertec, Nightly MelatoninPsoriasis202/26/2021Mild adverse reaction to most all medications2021VAERSSYMPTOMS2021VAERSVAX
105978202/27/2021MD66.066FNone stated.Y02/27/202102/27/20210UNKPrior 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 fibNoneLong qt Hypothyroidism A fib Internal defibrillator202/27/20212021VAERSSYMPTOMS2021VAERSVAX
106889703/03/2021MD66.066MPresented 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 Y02/09/202103/01/202120PVTAtrial fibrillation, COPD, CKD, hx of cancer203/03/20212021VAERSSYMPTOMS2021VAERSVAX
106899103/03/2021MD66.066MPatient 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 upY2Y02/05/202102/28/202123PVTCardiomyopathy, atrial fibrillation (has ACID)203/03/20212021VAERSSYMPTOMS2021VAERSVAX
107141003/04/2021MD66.066FPt 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 statY02/04/202103/03/202127PVTHTN, hypothyroidism, colon cancer with metastasis203/04/20212021VAERSSYMPTOMS2021VAERSVAX
107168203/04/2021MD66.066FHives on upper arm 1 week after the vaccine.U02/24/202103/03/20217PHMlevoxyl, estradiol, multi vitaminsnonenon functioning thyroid from Graves Disease203/04/2021seasonal, penicillans and their carriers, dyes, contrast dye for MRIs,2021VAERSSYMPTOMS2021VAERSVAX
107195003/04/2021MD66.066MGave second dose 3 days early.Y03/04/202103/04/20210PUB203/04/20212021VAERSSYMPTOMS2021VAERSVAX
107285303/04/2021MD66.066MPatient 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 unusualY502/05/202102/25/202120PVT203/04/20212021VAERSSYMPTOMS2021VAERSVAX
107574303/05/2021MD66.066FSore 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 itN02/27/202102/28/20211About to go to the ER put instructions from my Dr.OTHNoneNoneHigh Blood Pressure Arthritis203/05/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
107910003/07/2021MD66.066F,nausea, sleepy and some loss of appetiteN03/05/202103/06/20211nonePUBcitalopram, Vit. B-12,esomeprazole, hydrocortisone, levothyroxine, losartan, oxcarbazepine, folic acid, Vit. D3,and Calcium, prolia and Tylenol.nonepituitary tumor, arthritis, high blood pressure,and intellectual disability203/07/2021none aware of2021VAERSSYMPTOMS2021VAERSVAX
108556803/09/2021MD60.066FAt 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. PatientY03/09/202103/09/20210PUB203/09/2021Y2021VAERSSYMPTOMS2021VAERSVAX
108822103/10/2021MD66.066Fwatery eyes, dizziness, headache BP 140/61 HR 90 Pulse ox 96%on RAY03/10/202103/10/20210noneOTHCOPD, borderline DM203/10/2021none2021VAERSSYMPTOMS2021VAERSVAX
109093803/11/2021MD66.066FPt reported difficulty breathing and feeling hot, mask removed, monitored for 30 mins, Stating 98% on pulse ox, HR 77, lung sounds clearY03/11/202103/11/20210PUBUnknownAsthmaFlu vaccine, 1970 and 1990, anaphylactic shock203/11/2021Flu vaccine2021VAERSSYMPTOMS2021VAERSVAX
109127403/11/2021MD66.066MPatient may have inadvertently been given 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State was notifiedU02/24/202102/24/20210nonePUBnone listednot at time of vaccinationnone listed203/11/2021none listed2021VAERSSYMPTOMS2021VAERSVAX
109168803/11/2021MD66.066Fdizziness 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 swellingN03/08/202103/10/20212Elevated troponinPHMshe states that she did not take any medications on and after the vaccinationHypertension203/11/2021YNifedipine2021VAERSSYMPTOMS2021VAERSVAX
109172003/11/2021MD66.066FA few small blisters on roof of my mouth. Bloody nose - mildN03/09/202103/10/20211NonePUBHyzaar, Lipitor, Metoprolol, Amitriptyline, Calcium, and Vit DNoneMild Obesity203/11/2021None2021VAERSSYMPTOMS2021VAERSVAX
109391703/12/2021MD66.066FWithin 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 fatigueU03/09/202103/09/20210NonePVTWarfarin, Remicade, Vitamin D-2, Pantoprazole, Vitamin B-12,Crohn's disease, Gerd, ArthritisCrohn's Disease, Gerd, Arthritis, PortaCath (rt. subclavian placement)203/12/2021Pennicillin, erthromycin, vancomycin, lactose sensitivity2021VAERSSYMPTOMS2021VAERSVAX
109434803/12/2021MD66.066MRash 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. DiphenlhN03/09/202103/11/20212NonePUBRapatha, Ramipril, Metoprolol Succer, Clopidogrel, Tamsulosin, Mesalamine , Daily Vitamin CentrexNoneHeart Disease, Mild Hypertension, Colitus (under remission for many years)203/12/2021None2021VAERSSYMPTOMS2021VAERSVAX
109470203/12/2021MD66.066MOn 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 administratiY303/02/202103/10/20218PVTMetoprolol tartrate, lansoprazole, vitamin D3, amlodipine, lisinopril/HCTZarthritis, GERD, COPD, prostate cancer, afib, HTN203/12/2021celecoxib, moxifloxacin2021VAERSSYMPTOMS2021VAERSVAX
109501303/12/2021MD66.066MHad 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 heaN03/11/202103/11/20210None.OTHGabapentin, 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.203/12/2021Clams, Wellbutrin, Zoloft.2021VAERSSYMPTOMS2021VAERSVAX
109522103/12/2021MD66.066MThe 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/emergeY303/09/202103/11/20212PVTlisinopril and organ concentrates (Prostate oral)unknownhypertension203/12/2021Naproxen2021VAERSSYMPTOMS2021VAERSVAX
109641403/13/2021MD66.066FReceived 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. CalY3Y02/25/202102/27/20212urine and blood cultures negativePUBRobaxin 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 mSystemic Lupus Erythematosis Anti-phospholipid antibody syndrome Depression Neuropathy203/13/20212021VAERSSYMPTOMS2021VAERSVAX
109917803/14/2021MD66.066Fa 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 ofY03/14/202103/14/20210N/AOTHunknownCirculatory 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 Reproducti203/14/2021ampicillin, aspirin, erythromycin, flagyl, iodine, NORTRIPTYLINE penicillin, Venlafaxine Hclz, Vioxx [Rofecoxib]2021VAERSSYMPTOMS2021VAERSVAX
110176503/15/2021MD66.066FI 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 lipsN03/03/202103/10/20217At this time, I do not have the results of the blood tests and I have not yet started taking the medications.PVTL-Thyroxine (synthroid), Omeprazole, pravachol, losartan, metformin, centrum silver multi vitamin, CoQ10, 81mg aspirin, viactive calcium plusdiabetes, high blood pressure, gerd, hashimoto disease203/15/2021Ypenicillin2021VAERSSYMPTOMS2021VAERSVAX
110454903/16/2021MD66.066F3/12/2021 Presented to the ED with left wrist pain and cat bite. Admitted for IV antibiotics for left wrist cellulitis.Y202/19/202103/11/202120PVT203/16/20212021VAERSSYMPTOMS2021VAERSVAX
110533403/16/2021MD66.066M03/13/2021: 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 Y303/05/202103/13/20218PVTAfib, CHF, COPD203/16/20212021VAERSSYMPTOMS2021VAERSVAX
110562103/16/2021MD66.066FOn 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. TheN03/04/202103/11/20217OTHbrief soreness203/16/2021Amoxycillin2021VAERSSYMPTOMS2021VAERSVAX
110759703/17/2021MD66.066M03/15/2021: 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 actY303/05/202103/15/202110PVT203/17/20212021VAERSSYMPTOMS2021VAERSVAX
110779903/17/2021MD66.066FDeveloped a rash around injection area in left arm 9 days after injection.N03/08/202103/17/20219nonePUBLevothyroxin 112 mcg, atenol/chlor 50-25, gabapentin 300 mg 2 tab 3 x day, 81 mg aspirinnoneuropathy in feet and lower legs203/17/2021none2021VAERSSYMPTOMS2021VAERSVAX
110788803/17/2021MD66.066FTinnitus in both ears happened approximately on February 28, 2021. Still present as if March 17, 2021N02/25/202102/28/20213Audiology exam, ear examinationPHMToo many to mentionMigraines, gastroparesis, hypothyroidism, fibromyalgia, osteoarthritis, arteriosclerosisHigh cholesterol, high triglycerides, and see above203/17/2021Aldomet, Sulfa, Lactose, Fructan2021VAERSSYMPTOMS2021VAERSVAX
110802103/17/2021MD66.066F03/16/2021: 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.Y203/01/202103/16/202115PVTT2DM, CAD with stent placement (November 2020), non-Hodgkin lymphoma (currently in remission)203/17/20212021VAERSSYMPTOMS2021VAERSVAX
110958103/17/2021MD66.066Machyness, 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 dayY03/08/202103/09/20211noneSCHnoneHBPalways get fever and chills, but not this bad203/17/2021none2021VAERSSYMPTOMS2021VAERSVAX
111003503/18/2021MD66.066FOn 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 YN03/03/202103/04/20211None conducted to date, Will be contacting my doctor and neurologiust,PHMAteolol-100mg daily Atorvastin (Lipitor) 80mg Ciprorogel Bisulfate (Plavix)-75mg Diltiazem HCL ER (CD) 180mg HCTZ 25mg Thyroxine (Synthroid 125mcg Desloratadine 5mg Vitamins: (Daily) B12Seasonal allergies was activeObesity High Blood Pressure Underactive thyroid Abdominal Aortic Aneurysm (AAA) OA /RA203/18/2021YContrast Dye Sulfur Iodine Latex Dairy2021VAERSSYMPTOMS2021VAERSVAX
111230003/18/2021MD66.066FAbout 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.N03/18/202103/18/20210noneOTHNonenonenone203/18/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
111360403/18/2021MD66.066Fanaphylaxis, 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, swolY03/11/202103/11/20210SENVitamin C, Vitamin D3noneasthma, 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 thr203/18/2021Iodine, Shellfish, Codeine, Demerol, Penicillin, Erythromycin, Pork Heparin, pollen, milk, relafen2021VAERSSYMPTOMS2021VAERSVAX
112019403/21/2021MD66.066MTinniitus - 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.N03/12/202103/14/20212PHMEliquis, Coreg, Lucinapril, Crestor Lovanza Caps & Aspirin 91mgcoronary artery disease203/21/20212021VAERSSYMPTOMS2021VAERSVAX
112169003/22/2021MD66.066FExtreme confusion, symptoms similar to stroke, legs weak, could not stand or walk. Difficulty forming words. Words were very garbelled. Extremes sweatness. chills.Y03/01/202103/01/20210PUBTrimaterene, Metropol Tartrate, Synthroid, Humalog mixNoneDiabetes, hypertension, bulging disc, underactive thyroid203/22/2021None2021VAERSSYMPTOMS2021VAERSVAX
112203003/22/2021MD66.066FSwelling 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.N03/09/202103/10/20211None - Seen by dentist, confirmed reaction.PHMAsprin 80mg, probiotic, Vit D - Lipitornonenone203/22/20212021VAERSSYMPTOMS2021VAERSVAX
112236403/22/2021MD66.066FChills, aches, fatigue, nauseaY03/20/202103/21/20211NoneOTHOpiates, cholesterol, blood pressure, thyroidChronic pancreatitis Alopecia aerata HypothyroidChronic pancreatitis203/22/2021Sulfa drugs Many antibiotics Vancomycin - Stevens Johnson Oxycodone2021VAERSSYMPTOMS2021VAERSVAX
112364703/22/2021MD66.066FI 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 Y01/09/202101/13/20214noPUBGlucosamine 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.noDepression; Shingles - 3 outbreaks of shingles 14 years ago; 5 years ago; and about two years ago.vsafe203/22/2021Sulpha drugs; adhesives; dietary reaction to onions and cabbage family2021VAERSSYMPTOMS2021VAERSVAX
112396503/22/2021MD66.066FI 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,U03/16/202103/17/20211noneSCHSertraline 50mg, once day. Synthroid 150mg once a day. Cytomel 5mg once a day. Vitamin D 3000 mg a day. Calcium, Ginger, Turmeric.nonenone203/22/2021Penicillin2021VAERSSYMPTOMS2021VAERSVAX
112835503/24/2021MD66.066FChills about 12 hours after vaccine, and fever of 100.8 a few hours laterU03/23/202103/23/20210SENNone203/24/2021Various antibiotics-amoxicillin, keflex, ciproflaxin, doxycycline2021VAERSSYMPTOMS2021VAERSVAX
113067403/24/2021MD66.066FHip pain, unstable walking, headache, increased tremorsN03/19/202103/20/20211OTHLantus, Metformin, Repaglinide, Levothyroxine, Amantadine, Lisinopril & XanaxHypothyroidism, Hypertension, Diabetes & Parkinson's203/24/2021YPrednisone, Biaxcin, Latex2021VAERSSYMPTOMS2021VAERSVAX
113686603/26/2021MD66.066FSymptoms: 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 addYY2Y03/08/202103/22/2021143/23/2021 - blood work, head CAT scan, chest xray, MRI; stroke diagnosed 3/24/2021 - echocardiogram, normal resultsPUBlevothyroxine 88mcg 1x dailynonehypothyroidism203/26/2021Yfish2021VAERSSYMPTOMS2021VAERSVAX
113728203/26/2021MD66.066M03/24/21: 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, previousY03/15/202103/24/20219PVT203/26/2021YHydromorphone (Rash) Vit E-Nonoxynol 9-Aloe Vera (Rash) Tree Nuts2021VAERSSYMPTOMS2021VAERSVAX
113838003/26/2021MD66.066FAbout 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 3/26Y03/22/202103/23/20211PHMTagamet 200, Loratadine 10 mg, Levothyroxine Sodium 25 mcg, Diltiazem ER 240 mghigh blood pressure, gerd,203/26/2021z pac2021VAERSSYMPTOMS2021VAERSVAX
114147703/28/2021MD66.066FSevere fatigue and flu like symptoms. Tongue painY02/03/202102/01/2021PHM203/28/2021YQuinolones, Sulfa Antibiotics2021VAERSSYMPTOMS2021VAERSVAX
114172903/28/2021MD66.066FThe 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 anN03/03/202103/04/20211PHMPremarin vaginal cream, fenofibrate, synthroid, calcium, vitamin D, retinol gel topical, xyrtecnonelow thyroid, fatty liver, intermittent vertigo203/28/2021YPenicillin, shellfish, topical vitamin E--tocephorol2021VAERSSYMPTOMS2021VAERSVAX
114743803/30/2021MD66.066F1) 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 scN03/26/202103/28/20212none necessaryPUBtoo many to name but all with knowledge of GPnoChronic Lymphocytic Leukemia (CLL)203/30/2021none2021VAERSSYMPTOMS2021VAERSVAX
114813003/30/2021MD66.066FDizziness intermittentN03/24/202103/27/20213NoneOTHNoneNoneNone203/30/2021Ibuprofen2021VAERSSYMPTOMS2021VAERSVAX
115248203/31/2021MD66.066M3/17/21: 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.Y03/09/202103/17/20218PVTHypertension and Thromboembolism.203/31/20212021VAERSSYMPTOMS2021VAERSVAX
115954004/02/2021MD66.066F3/30/21: 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 pY03/30/202103/30/20210PVTPMH COPD on 2 L home O2 at baseline, diastolic CHF, stage IV CKD, HTN, HLD, RLS, osteoporosis204/02/20212021VAERSSYMPTOMS2021VAERSVAX
116051104/02/2021MD66.066Fitching and swelling on arm, softball sized03/19/202103/28/20219SCHelidel, multivitamin, bp support, garlic extract, calcium magnesium, vitamin chives204/02/2021bactrim, cephalexin2021VAERSSYMPTOMS2021VAERSVAX
116438704/03/2021MD66.066FTinnitus Sore left armN02/25/202103/01/20214Audiology exam Ear examPHMToo many to mention.Diabetes type 2 Hypertension Hyper cholesterol Hyper triglycerides Gastroparesis Hypothyroidism Osteoarthritis Chronic headaches Dry Eyes BunionSee above204/03/2021Aldomet Sulfa2021VAERSSYMPTOMS2021VAERSVAX
116919104/05/2021MD66.066F7 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 extremelY04/01/202104/01/20210OTH1st Moderna dose: prolonged injection site reaction204/05/2021Amoxycillin2021VAERSSYMPTOMS2021VAERSVAX
119026104/10/2021MD66.066FDay 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 N02/26/202102/27/20211PUBMetoprolol Succ ER 25mg 1xday Alprazolam .25mg as needed Pro Air as needed Centrum multi gummy vitamin Flonase as neededNAAsthma Burning tongue syndrome204/10/2021Penicillin Avelox Clarithormycin Ceftin2021VAERSSYMPTOMS2021VAERSVAX
120254004/13/2021MD66.066MBlood clot in right leg, with pain and swelling. Treatment with warfarin therapyN03/08/202103/12/20214ultrasound revealed a blood clot on04/24/2021PVTamlodipine 5mg. hydrochlorothiazide 25mg. pantoprazole 40mg. tramadol50mg.nonechronic pain hypertension204/13/2021none2021VAERSSYMPTOMS2021VAERSVAX
121058304/14/2021MD66.066MOn 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 N03/09/202104/08/202130As 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.UNKZyrtec 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 bidNoneDiabetes Type II Hypertension204/14/2021YYNone2021VAERSSYMPTOMS2021VAERSVAX
121270604/15/2021MD66.066FOn 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 Y03/17/202103/18/20211none. 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.PHMnonenonenone204/15/2021none2021VAERSSYMPTOMS2021VAERSVAX
121410704/15/2021MD66.066FReceived 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 U04/14/202104/14/20210nonePVTazelastine (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 D3noneOsteoporosis 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-oophorecto204/15/2021YBuproprion Lexapro Brimonidine2021VAERSSYMPTOMS2021VAERSVAX
121846404/16/2021MD66.066FEMS 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 patY03/19/2021N03/13/202103/19/20216nonePVTfolic acid, gabapentin, hydrochlorothiazide, continued page 2back pain, neuropathy, tremor, gallstone, anemiahypertension, seronegative rheumatoid arthritis, lumbar disc disease, GERD, gastric ulcer, depression, continued pg 2204/15/2021sulfa2021VAERSSYMPTOMS2021VAERSVAX
122224304/17/2021MD66.066FStarted 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 FriN04/13/202104/13/20210none-have not contacted DoctorPHMChlorthalidone, Bystolic, multivitaminnonehigh blood pressure204/17/2021Dilaudid (forgot to report in first report with first shot)2021VAERSSYMPTOMS2021VAERSVAX
122279604/17/2021MD66.066FSwelling , pain and knot or lump in my neck on same side as vaccineN04/16/202104/17/20211PHMAmlodipine, complex B, Qunol coq 10, D3, multi vitaminHypertension204/17/2021Penicillin2021VAERSSYMPTOMS2021VAERSVAX
122351204/17/2021MD66.066MHeart Attack 2hrs afterYY2Y04/14/202104/14/20210Hospital StintPHMCetirizine 10mg omeprazole 20mgnonehigh colesteral204/17/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
124712304/23/2021MD66.066Mpt 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.N04/07/202104/08/20211Blood work Covid Test X-RAYPHMdo not wish to discloseAFIB, High White Platelet count204/23/2021Ynka2021VAERSSYMPTOMS2021VAERSVAX
125636504/25/2021MD66.066FLow blood sugar =90 Blood sugar increased to 105. Seen by Paramedic and released Recorded by RNU04/25/202104/25/20210OTH204/25/2021Y2021VAERSSYMPTOMS2021VAERSVAX
127394704/30/2021MD66.066Mtinnitus (both ears)N02/05/202102/12/202173/24/2021 - tinnitus NOT a result of middle ear problemPUBEnbrel Ibuprofen D2 B12NonePsoriatic arthritis204/30/2021YSulfa Lactose Celebrex2021VAERSSYMPTOMS2021VAERSVAX
127573204/30/2021MD66.066FI 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 realizN02/15/202102/28/202113Scheduled for an MRI on May 3, 2021 for the headaches. No relief or concrete guidance for the tinnitus.OTHVitamin C 500 - 1,000 mg; Calcium 600 mg; Vitamin D3 20 mcg; refresh eye drops.N/AProfound hearing loss from birth.204/30/2021N/A2021VAERSSYMPTOMS2021VAERSVAX
128619305/04/2021MD66.066FTingling sensation in extremities and mild itching on right flank; symptoms began approx. 20 minutes after vaccinates and self-resolved after 5 minutes without medication administrationY05/04/202105/04/20210NoneOTHAlbuterol, Asmanex, ProAir, Fluticasone, Ciprofloxacin, Ondansetron, Daily Multivitamin, Fish Oil Supplement, Vitamin E SupplementSee BelowAsthma, Sarcoidosis, Ankylosing Spondylitis205/04/2021Valacyclovir, Advil, Naproxen, Allegra, Aleve, Percocet, Penicillin, Morphine, Codeine, Ampicillin, Erythromycin, Levaquin, Amoxicillin, Doxycycline, Tetracycline, Metronidazole2021VAERSSYMPTOMS2021VAERSVAX
129993505/08/2021MD66.066FPt 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.05/07/202105/07/20210UNK205/08/20212021VAERSSYMPTOMS2021VAERSVAX
130041305/08/2021MD66.066FI 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, sU05/01/202105/03/20212CAT 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 takenPHMLexapro, pravaststin, buspirone,omeprazole, loratadine, vagefem Fish oil, ginger, turmeric, CbD oil, cranberry capsules, probiotic, CoQ10, calcium, ocuvite for healthy eyes,NoneRa00319205/08/2021Ibuprofen, naxoprine, iodine, gapbapen Allergic to shellfish.2021VAERSSYMPTOMS2021VAERSVAX
131370905/13/2021MD66.066FFever of 99.6, muscle aches, severe headache, chills, nauseaN05/12/202105/13/20211NonePHMNexium 40mg QD, Buproprion 150mg XL QD, Synthroid 100mcg QD, Liothyronine 5mg QDNone other than seasonal grass and tree pollen allergiesGERD, Osteoarthritis, Interstitial Cystitis, IBS-C,205/13/2021Levaquin: aphasia and ataxia Augmentin: Type 4 Delayed Drug reaction lasting 4 months after 3 episodes of anaphylaxis2021VAERSSYMPTOMS2021VAERSVAX
132180905/16/2021MD66.066Mfever, shaking chills, fatigue for 4 days, starting the evening of the shotY04/05/202104/05/20210noneOTHBP meds, statin, aspirin, flonasepacemakernone otherEvery flu shot I receive, I get fevers and chills, but not as much as with this COVID vaccine205/16/2021none2021VAERSSYMPTOMS2021VAERSVAX
132738105/18/2021MD66.066MWithin 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.N05/14/202105/14/20210NonePVTMetformin, Novolog, Tresiba,, Tricor,NoneAsthma, Type 2 Diabetes,205/18/2021Penacillin, Shell fish,2021VAERSSYMPTOMS2021VAERSVAX
133110005/19/2021MD66.066F5/17 - 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 - nU05/14/202105/17/20213NoneOTHPrevacid LoSartan HCTz Oxycodone Excedrin Vitamin C Medical Marijuana EdiblesNoneArthritis Degenerative Disk Ulcers205/19/2021Ampicillin Depokote2021VAERSSYMPTOMS2021VAERSVAX
134741405/25/2021MD66.066FSevere vomiUrinalysn and bleeding from rectum diarrhoea, follwed by chest paiYU05/14/202105/15/20211Blood work Urinalysis EKGPVTAmitriptyline Aspirin Atorvastatin Baclofen Buspirone Carvedilol Vitamin D Famotadine Glyburide Lisinopril Melatonin Nifedipine Oxycodone/acetaminophinType 2 diabetes Asthma CAD Hypertension205/25/2021Ampicillin Amoxicillin Penicilin Sulfa drugs Latex2021VAERSSYMPTOMS2021VAERSVAX
136167305/30/2021MD66.066FAfter 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.Y03/25/202103/25/20210None.PVTI 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.vsafe205/30/2021I am allergic to seafood and eggs. I am allergic to contrast dye needles. I am allergic to Motrin and Advil.2021VAERSSYMPTOMS2021VAERSVAX
136495606/01/2021MD66.066MPatient 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 monitorinYU04/24/202105/18/2021245/17/21: 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 5/28UNKAscorbic AcidNone reportedNo chronic health conditions reported206/01/2021Non known allergies2021VAERSSYMPTOMS2021VAERSVAX
136593906/01/2021MD66.066FVery 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 itN06/01/202106/01/20210none at this stage (same for item 21?too soon to know if it will resolve on its own)PHMmontelukast, synthroid, calcium, vitamin D, artificial tearsnonethyroid disease (Graves, treated), osteoporosis, asthma206/01/2021allergic to fish, tree pollen2021VAERSSYMPTOMS2021VAERSVAX
137160706/03/2021MD66.066Mhe 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 homeY5Y03/31/202104/08/20218troponin: 4/8 18.27 4/8 13.91 4/8 16.12 4/8 17.1 4/9 12.92PVTatorvastatin 40 mg, buspirone 15 mg BID, levothyroxine 75 mcg, meloxicam 15 mg, mirtazapine 15 mg, olmesartan 40 mg, omeprazole 40 mg, multivitamindepression, hypothyroidism, HTN, HLD, GERD206/03/2021penicillin2021VAERSSYMPTOMS2021VAERSVAX
138900806/10/2021MD66.066FPatient 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, prY9Y03/30/202104/06/20217PVT206/10/20212021VAERSSYMPTOMS2021VAERSVAX
140759106/17/2021MD66.066MPt 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.Y4Y04/10/202104/21/202111PVT206/17/20212021VAERSSYMPTOMS2021VAERSVAX
140898506/18/2021MD66.066FApproximately 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 N04/28/202105/07/20219chem 12, CBC (6/17/2021)PVTlevothyroxine 12.5 mcg PO daily losartan 25 mg PO daily venlafaxine HCL ER 150 mg PO daily Trazadone 50 mg PO at hsNoneHypothyroidism HTN206/18/2021PCN Ultram Codeine Peridium Shrimp2021VAERSSYMPTOMS2021VAERSVAX
141044206/18/2021MD66.066FPt 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 reportedY3Y04/01/202104/04/20213PVT206/18/20212021VAERSSYMPTOMS2021VAERSVAX
141079506/18/2021MD66.066MPt 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.Y703/30/202104/04/20215PVT206/18/20212021VAERSSYMPTOMS2021VAERSVAX
141783206/22/2021MD66.066FFever, aches, pains, nausea, headaches, fatigue, muscle painsN04/05/202106/15/202171x-ray of handPVTSynthroid 350 micrograms Isosorbide Mononitrate 60mg per daynoneRSD, osteoporosis, osteoarthritis, hypothyroidism, angina, degenerative disc diseaseSwine Flu Vaccine, Shingles Vaccine206/22/2021YLevaquin Opioids Ciprofloxacin Levofloxacin Tylenol Naproxen Selsa Trimethoprim Soy, tomatoes, Benadryl, grass, pollen, gelatins and food coloring2021VAERSSYMPTOMS2021VAERSVAX
143745906/30/2021MD66.066FCVA- 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 ASSISTANCEY14YN06/11/202106/13/20212PVTADVIL, TYLENOLNONENONE206/30/2021YNONE2021VAERSSYMPTOMS2021VAERSVAX
144999607/06/2021MD66.066Farm 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 resolveN06/29/202107/01/20212PHMQUINAPRIL 5MG ST JOHNS WORT OTC POTASSIUM OTC MAGNESSIUM OTC IRON OTC COQ OTC MUTLIVITAMIN OTC VITAMIN B COMPLEX OTCNONE; PATIENT STATED ON THE DAVY SHE RECEIVED THE VACCINE THAT HER PLATELETS ARE LOWHYPERTENSION LONG STANDING207/06/2021PERCOCET2021VAERSSYMPTOMS2021VAERSVAX
145730407/08/2021MD66.066FI 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.N04/05/202105/29/202154I had an EKG on 06/29/2021 AFIB was detected.PUBI take Novolog, Tresida, Xarelto, Lipitor, Lysonbro-hyzrochlorthizie, Tricor, VD2, Folic acid, VB12, Tramadol, Tylenol, Cymbalta.noneI am a diabetic, high BP, high cholesterol, a clotting disorder.second does of Shinglet for shingles, at the age of 62/severe painvsafe207/08/2021YI am Amoxicillin.2021VAERSSYMPTOMS2021VAERSVAX
145763707/08/2021MD66.066MFive 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.Y04/06/202104/07/20211NoneOTHCalan-SR, Allopurinol, Synthroid, Lisinopril, HCTZ, Multi-Vitamin, D supplementNoneEnvironmental allergies, asthmaPolio vaccine when very young207/08/2021Prozac, Oxycodone, Librax2021VAERSSYMPTOMS2021VAERSVAX
146723107/13/2021MD66.066FI 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 rN02/25/202102/28/20213ABR 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.PHMTylenol; 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.vsafe207/13/2021YLactose intolerance; fructan; Aldomet; possibly augmentin.2021VAERSSYMPTOMS2021VAERSVAX
147828307/16/2021MD66.066FUveitis and retinal vasculitis symptoms that began on 05/14/2021. Currently under treatment with oral prednisone, has not resolved.YN04/05/202105/15/202140Bloodwork 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.PVTAlign, turmeric, vitamin D, vitamin C, ZyrtecNoneEnlarged right ventricle, mild sleep apnea, seasonal allergies207/16/2021YOxycodone (hives), erythromycin2021VAERSSYMPTOMS2021VAERSVAX
151512707/30/2021MD66.066Flightheaded, dizzy, legs and then whole body tingling, difficulty breathing.Y07/30/202107/30/20210Epinephrine 0.3mg IM administeredPVTPatient took Benadryl 50 mg by mouth 25 minutes prior to vaccine because of prior reactionlaryngitishypertension, hyperlipidemiainfluenza207/30/2021Yinfluenza vaccine and lidocaine2021VAERSSYMPTOMS2021VAERSVAX
152557408/04/2021MD66.066Freceived 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 Y03/18/202103/31/202113nonePHMnonenoneshingles, allergies to pollen dust, animal fur, treesWhen I received my Shingrix shingles shot, I had a fever that lasted 1.5 days and I felt achey.208/04/2021penicillin2021VAERSSYMPTOMS2021VAERSVAX
153502808/07/2021MD66.066FImmediate 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 aN02/22/202102/22/20210Consultations with 3 allergists and couple pf neurologists. Elevated cytokines.PVTKLor-Con, Flonase, calcium citrate, vitamin DA-Fib, Asthma208/07/2021YPenicillin2021VAERSSYMPTOMS2021VAERSVAX
154781508/12/2021MD66Ffoggy; 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 VaccineU01/21/202101/21/20210UNKUSMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
154784008/12/2021MD66FSwelling 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), VACCINAY02/10/202102/10/20210UNKLEVOTHYROXINEComments: No Medical History information was reported.USMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
155618708/14/2021MD66.066FTraveling 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), INU01/29/202101/29/20210UNKLISINOPRIL; 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 allergyUSMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
155995508/15/2021MD66.066Fsleepiness; 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 COVN02/20/202102/20/20210UNKLORATADINE; PANTOPRAZOLE; ALPRAZOLAM; ESCITALOPRAMComments: No Medical history was reported.USMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
156134208/15/2021MD67.066FShingles; 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 (ShinglU02/24/202103/03/20217UNKUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
156559608/15/2021MD66.066Fcannot 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 ocU03/10/202103/10/20210UNKFLUPHENAZINE; SERTRALINE; CLONAZEPAM; METFORMIN; LANTUS; LOVASTATINUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
156643108/15/2021MD66.066FGetting 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 paN03/05/202103/13/20218UNKLOSARTANBlood pressure high; Dust allergyUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
157403408/16/2021MD66.066MCOVID positive after vaccination01/27/202108/10/2021195PVT208/16/20212021VAERSSYMPTOMS2021VAERSVAX
158071608/18/2021MD67.066Fnasal 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), OROPHARYNGY12/31/202001/28/202128UNKUSMODERNATX, INC.MOD20210208/13/20212021VAERSSYMPTOMS2021VAERSVAX
159480008/21/2021MD66.066Fsore 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 nN01/25/202101/25/20210UNKBUPROPION; GABAPENTIN; OROXINE; FAMOTIDINE; OLMESARTANCholesterol; MigraineUSMODERNATX, INC.MOD20210208/19/20212021VAERSSYMPTOMS2021VAERSVAX
159648308/21/2021MD66.066Ffever; 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 thougY02/14/202102/21/20217Test 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: UNKUSMODERNATX, INC.MOD20210208/13/20212021VAERSSYMPTOMS2021VAERSVAX
159884408/21/2021MD66.066FBad 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 VaccU03/24/202103/25/20211UNKUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
159952008/21/2021MD66.066MFever; 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-yeaY03/04/202103/04/20210UNKUSMODERNATX, INC.MOD20210208/17/2021Y2021VAERSSYMPTOMS2021VAERSVAX
160153108/21/2021MD66.066Ffeels 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 descrU03/23/202103/23/20210UNKMETFORMIN; AMLODIPINE; LISINOPRIL; LATANOPROST; ATORVASTATIN; VITAMIN C & ROSEHIP; MAGNESIUM; VITAMIN D [VITAMIN D NOS]Medical History/Concurrent Conditions: No adverse eventUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
160181508/21/2021MD66.066FHot/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-U03/19/202103/28/20219UNKAllergy to antibiotic (Antibiotics)Medical History/Concurrent Conditions: HivesUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
160558908/22/2021MD66.066MMissed 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. Y03/03/2021UNKUSMODERNATX, INC.MOD20210208/17/20212021VAERSSYMPTOMS2021VAERSVAX
161393408/22/2021MD66Mpatient 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 ageY03/23/2021UNKUSMODERNATX, INC.MOD20211208/14/20212021VAERSSYMPTOMS2021VAERSVAX
161477408/22/2021MD66.066Mlittle 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) (batcN03/25/202104/15/202121UNKUSMODERNATX, INC.MOD20211208/14/20212021VAERSSYMPTOMS2021VAERSVAX
161517908/22/2021MD66.066MReceived 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 receiveU04/26/202105/10/202114UNKLISINOPRIL; CRESTORComments: No medical history was reported by the reporter.USMODERNATX, INC.MOD20211208/14/20212021VAERSSYMPTOMS2021VAERSVAX
161947508/23/2021MD66.066Mpatient 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 receivedU05/06/202105/26/202120UNKUSMODERNATX, INC.MOD20211208/17/20212021VAERSSYMPTOMS2021VAERSVAX
164023908/27/2021MD66.066Fsmall 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 patientU03/16/202103/16/20210UNKUSMODERNATX, INC.MOD20212208/16/20212021VAERSSYMPTOMS2021VAERSVAX
164025308/27/2021MD66.066Frash 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, spreadingU04/13/202104/15/20212Test 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 FUNKUSMODERNATX, INC.MOD20212208/16/2021Y2021VAERSSYMPTOMS2021VAERSVAX
166535809/02/2021MD66.066Fthird 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 adminU08/24/202108/24/20210UNKUSGLAXOSMITHKLINEUS202117208/30/20212021VAERSSYMPTOMS2021VAERSVAX
167045609/03/2021MD66.066Fdeveloped 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 daN08/17/202108/17/202109/3/2021 awaiting resultsPVTsynthroid, xyzal, metropolol, pepcid, zinc, vitamin c, multi vitamin, welchol, quercetin, atarax, singulair,potassium, advair, coQ10, atorvastatitnnoneEhlers-danlos syndrome, mast cell disorder, hypertension, POTS dysautonomia209/03/2021Yshellfish, penicillin, demerol, codeine, morphine2021VAERSSYMPTOMS2021VAERSVAX
167088609/03/2021MD66.066F8/31/21 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. HY08/31/202108/31/20210UNKmethotrexate, folic acid, V-D3, fish oil, garlic extract.noRhuematoid Arthrist209/03/2021no2021VAERSSYMPTOMS2021VAERSVAX
167446309/04/2021MD66.066F/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 N04/22/202104/23/20211see above and continuation page for details Bloods tests (numerious) Chest Xray, and 2 Chest CTs, Pet Scan, Sinus Scan, Broncoscopy, pulmonary function testsPUBAlendronate, Verapamil, Telmisartan, Vitamin D3, Biotin, B-12,noneHigh blood pressure, arthritis209/01/2021Ydairy2021VAERSSYMPTOMS2021VAERSVAX
167726009/07/2021MD66.066Fpatient 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) Y08/25/202108/25/20210UNKUSMODERNATX, INC.MOD20212209/06/20212021VAERSSYMPTOMS2021VAERSVAX
168474109/09/2021MD66.066Fon 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"Y03/15/202103/16/20211in er she had a lumbar test and they found elevated proteins in her CSFPHMaspirin 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 clonazepamDiabetes, high cholesterol, gerd, hernia, sleep apnea REM sleep behavior disorder209/09/2021YMotrin, Celebrex2021VAERSSYMPTOMS2021VAERSVAX
169485609/13/2021MD66.066FNumbness that radiates from the ring finger and pinky finger on her right handN04/21/202109/13/2021145PUBUnkunkunk209/13/2021YUnk2021VAERSSYMPTOMS2021VAERSVAX
170985609/17/2021MD66.066FSwollen cheeks and upper lipN09/15/202109/16/20211NAOTHDuloxetine, Metafolbic Plus, Ibanodrate sodium, Metronidazole gel, Gabapentin, Rosuvastatin, CBD, CoQ10, Curcumin phytosome, Krill oil, N-acetylcysteine, Vitamin D, AlgaeCal Plus, MelatoninNoneCircadian rhythm disorder, ADHD, Dysthymic disorder, Obstructive sleep apnea, Fibromyalgia, Restless Legs Syndrome, Sleep-related bruxism, Rosacea, Psoriasis, Osteoporosis, Raynaud?s syndrome209/17/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
173318109/24/2021MD66.066FExtreme 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 itchingY02/21/202102/21/20210PVTatorvastatin, 10 mg daily lisinopril, 10 mg daily zinc 50 mg daily vitamin D3 vitamin C hydroxychloroquine 200 mg weeklynonehigh blood pressure and high cholesterol under control using medications listed209/24/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
173455309/25/2021MD66.066MELEVATED 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, bromsiteN01/18/202102/26/202139WBC = 16,000WRKamlodipine/benazepril, gabapentin, metformin hcl er, lipitor, multivitamins, vidtamin d,diabetes 2, GERD, hypertension, anemia, hyperlipemia, alphathallesemia209/25/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
173550909/26/2021MD66.066Fvertigo, chills, sweating, body aches, headache, fainting, soreness and redness at site of vaccinationY09/24/202109/24/20210nonePHMAtorvastatin 10ng daily Over the counter Vitamin DnonenonePfizer Covid 19 Vaccine.Same reaction as above without fainting. Age 65.February/March 2021 2 dose vaccine209/26/2021none2021VAERSSYMPTOMS2021VAERSVAX
174144209/28/2021MD66.066FLeft arm pain, pain felt in lymph nodes on neck/axilla/groin.N09/27/202109/27/20210NoneMILCarvedilol, cholesterol medication.CAD, OAHot, burning pain in buttock after 1st vaccine and fatigue after 2nd vaccine.209/28/2021YCodeine, tramadol, oxycodone2021VAERSSYMPTOMS2021VAERSVAX
174162809/28/2021MD66.066MLump on the left side of neck . Swelling and it movesN09/24/202109/25/20211PVTStioltonoCOPD209/28/2021no2021VAERSSYMPTOMS2021VAERSVAX
174275409/28/2021MD66.066Frash 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 injectionN09/01/202109/25/202124PHMDiovan HCT 160/12.5, Levothyroxene 50, pravastatin 40, flecainide 50, trazadone 50, ezetimibe 10had what I thought were oak mite bites, but they were going awayhypertension, cholesterol209/28/2021drinking alcohol2021VAERSSYMPTOMS2021VAERSVAX
174995009/30/2021MD66.066FChills, headache, fever (99.6), nausea, unable to eat, fever increased to 100.2, 100.4, 100.8 then 100.9N09/29/202109/29/20210NonePVTMetoprolol 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.None209/30/2021YPenicillin Sulfa2021VAERSSYMPTOMS2021VAERSVAX
175694510/02/2021MD66.066MFrequent, 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.Y09/27/202109/27/20210None, cleared on it's own the following dayPHMMushroom 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 cNoneNone210/02/2021None2021VAERSSYMPTOMS2021VAERSVAX
176174610/05/2021MD66.066FIt 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, exerciseN04/01/202106/01/202161X-ray of the left footPHMProlia 6 month injection; Lexapro; calcium; magnesium; vit D; vit K2NoOsteoporosisvsafe210/05/2021YSensitive to Flagyl2021VAERSSYMPTOMS2021VAERSVAX
176176010/05/2021MD66.066FI 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 wanteN09/27/202109/29/20212Blood work(white blood count was normal)UNKIbuprofenNoNovsafe210/05/2021YSulfa2021VAERSSYMPTOMS2021VAERSVAX
176219310/05/2021MD66.066FThe patient developed cellulitis. Warm, redness and fever that radiated down her arm.N10/04/202110/04/20210PHM210/05/2021Y2021VAERSSYMPTOMS2021VAERSVAX
176897510/07/2021MD66.066MMy 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 gotN09/02/202109/09/20217I had physical last week. Doctor recommended Olmesartan Medoxomil H. My blood pressure is still 90 over 180 after taking medicine.PHMAlopurinol, Testosterone 200mg bi weekly shotsI was treated for Lyme Disease one month beforegout 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.210/07/2021Yegg whites2021VAERSSYMPTOMS2021VAERSVAX
177182110/08/2021MD66.066FRaised, 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 relY10/06/202110/06/20210NAPHMMetoprolol succinate, VitD, daily vitamins, calcium/magnesium supplements, glucosamine , ZyrtecNANAFatigue headache and dizziness after 2nd Pfizer COVID vaccine Jan 26, 2031210/08/2021Codiene2021VAERSSYMPTOMS2021VAERSVAX
177540910/10/2021MD66.066MRash on legs and arms with raise weltsN10/07/202110/10/20213OTHFish oil; Milk Thistle; VitD3; B-complex;Diffuse Large B-cell LYmphoma, in remission210/10/2021NKDA2021VAERSSYMPTOMS2021VAERSVAX
178275610/13/2021MD66.066FSwollen, itchy inflamed feet an d hands. Severe blisters on right foot, less so on left foot and handsN09/29/202110/05/20216Culture of blister contentsPVTSynthroid, liothyroninr, rosuvastatin, Preservision AREDS2, CoQ10, Vitamin D, Emergen-C, chia seedsNoneHypothyroidism210/13/2021Penicillin, sulfa,cashews, mangoes, poison ivy2021VAERSSYMPTOMS2021VAERSVAX
178802910/15/2021MD66.066FPatient 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,Y04/28/202109/23/2021148PVT210/15/20212021VAERSSYMPTOMS2021VAERSVAX
181380510/24/2021MD66.066FPatient 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.Y10/24/202110/24/20210No Medications or laboratory test were ordered at this timePVTUknownUknownUknown210/24/2021NKDA2021VAERSSYMPTOMS2021VAERSVAX
182532510/28/2021MD66.066FChest Pain, Chest Xrays confirmed pneumonia, Levofloxacin 500mg tablets for 10 days, Referral to Pulmonary Specialist.,U09/24/202110/20/202126Chest Xrays on 10/21/2021.PVTAtorvastatin 10mg, Centrum Silver Vitamin/Mineral, Caltrate Calcium and Vitamin D, Allegra, Mucinex, Olopatadine Eye Drops.NoneThree previous Pneumonias 2016-2018. Three Sinus Infections 2019-2020. Two Respiratory Infections 2015-2016. Bronchitis 2017.210/28/2021YAugmentin Antibiotic, Aleve, Sulfur Based Drugs, Dental Acrylic, Fragrances, Pollen, Weeds, Dust, Mold.2021VAERSSYMPTOMS2021VAERSVAX
183307811/01/2021MD66.066Ftinnitus worsening from evening of 10/31/21 (both ears worse in left ear)N10/26/202110/31/20215PHMbisoprolol 10 mg, Breo Ellipta (fluticasone furoate 250 mcg/vilanterol 25 mcg), senior multivitamin, magnesium oxide 400 mg, B12 1000 mcgNoneasthma, hypertension211/01/2021Sulfonamides, NSAIDs, nitrofurans, azithromycin, verapamil2021VAERSSYMPTOMS2021VAERSVAX
183313311/01/2021MD66.066Fdeveloped Erythematous, slightly itchy rash in 6 inch by 6 inch right forearm extending inferiorly and laterally from injection siteN10/29/202110/31/20212NonePHMlevothyroxine amlodipinenoneDelayed eythematous bumps at injection site 1 week later after Moderna Shot # 2211/01/2021levaquin2021VAERSSYMPTOMS2021VAERSVAX
184001611/03/2021MD66.066FBy 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 lN11/01/202111/01/20210nonePHMD3, biotin, Vitamin C supplements and tart cherry capsulenonenone211/03/2021none2021VAERSSYMPTOMS2021VAERSVAX
184054511/03/2021MD66.066FI 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 myN04/27/202106/28/202162MRI of the brain, CT scan of sinusesOTHZyrtec, vitamin D, calcium, multi vitaminnoneSeizure disorder211/03/2021Ycaffeine2021VAERSSYMPTOMS2021VAERSVAX
184360411/04/2021MD66.066FMigrain 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 daY2Y10/22/202110/22/20210Nov 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.PHMThyroxine/Synthroid Xyzal Fish oil CoQ10 B Complex w Vit C and Folic Acid B2 D3 Cal Mag LipitorNoneMigraines, arthritis, hypothyroid, allergiesmigraine211/04/2021YY1. 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 (2021VAERSSYMPTOMS2021VAERSVAX
184612711/05/2021MD66.066FBy 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 TyleN10/26/202110/26/20210n/aPHMSynthroid 88mg, amitriptyline, celexa, multivitamin, Vitamin B Super complex . melatonin 10mg/night, Zinc 50mg, Vitamin D3 50 mcgNoneHypothyroidism, anxiety, depressioncovid 19 Moderna211/05/2021YNone known2021VAERSSYMPTOMS2021VAERSVAX
184738011/05/2021MD66.066FArm pain, extreme fatigue, chills, nausea, diarrheaY11/02/202111/02/20210NonePVTToprol, atovastatin, serataline, amitriptylineNoneNoneModerna 2nd shot211/05/2021None2021VAERSSYMPTOMS2021VAERSVAX
185000111/08/2021MD66.066MSore 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 consuY03/15/202103/15/20210UNKELIQUIS.Comments: No Medical History was provided by reporter.USMODERNATX, INC.MOD20213211/08/20212021VAERSSYMPTOMS2021VAERSVAX
186374611/12/2021MD68.066Fmissed 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 N10/05/202110/20/202115UNKAllergy NOSUSMODERNATX, INC.MOD20213211/11/20212021VAERSSYMPTOMS2021VAERSVAX