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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0924363 | 01/06/2021 | WI | 66.0 | 66 | M | Patient reports severe neck and back stiffness 1 week following first dose. | Y | 10/01/2020 | 12/01/2020 | 61 | PHM | rosuvastatin, breo, amlodipine, carvedilol, lansoprazole, sertraline | 2 | 01/06/2021 | lisinopril | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0929403 | 01/08/2021 | WI | 66.0 | 66 | F | Patient states that her symptoms started about 6 pm. She said she had a headache, shortness of breath, racing heart, arm ache, shivers, and head shakes. | Y | 01/04/2021 | 01/04/2021 | 0 | PVT | Medication Sig Dispense Refill ? allopurinoL (ZYLOPRIM) 300 mg tablet Take 1 Tablet by mouth once daily 30 Tablet 0 ? fluticasone propionate (FLONASE ALLERGY RELIEF) 50 mcg/actuation nasal spray Place 1 Spray in both nostrils once daily 16 | Diabetes Mellitus type 2, gout, chronic rhinitis. | 2 | 01/08/2021 | Y | ? Cefdinir CEFDINIR rash-- ? Penicillin PENICILLIN broke out in rash, hives-- ? Doxycycline DOXYCYCLINE severe eyelid swelling-- ? Pseudoephedrine Hcl Other reaction(s): Tachycardia | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0953171 | 01/18/2021 | WI | 66.0 | 66 | M | Staff member reported that he was home sick with body aches, fever, headache | Y | 01/13/2021 | 01/15/2021 | 2 | none | PVT | Unknown | none | Heart disease | 2 | 01/18/2021 | Contrast dye and penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0967559 | 01/23/2021 | WI | 66.0 | 66 | M | Sore arm 5 hours after shot, low grade fatigue and fever and blood shot eyes 10 hours after shot, at 12 hours ever to 100.1, body aches, chills, joint pains, sore swollen neck glands, heart rate increased to 98 from 64 and O2 saturation dropped to 93% from | Y | 01/22/2021 | 01/22/2021 | 0 | none except a negative PCR test 2 days before vaccination. | PVT | Apriso, metoprolol, Prasurgrel, Aspirin, Lipitor, Vitamin D3, pantoprazole, | none | coronary artery disease, Crohn's Disease | 2 | 01/23/2021 | Avelox | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0975444 | 01/26/2021 | WI | 66.0 | 66 | F | When I woke at 5:30am and went to get out of bed I experienced dizziness. I had a couple more times this happened in the morning but since then it has stopped. I have soreness in my muscle of my arm but No redness or rash. | Y | 01/25/2021 | 01/26/2021 | 1 | PVT | Synthroid, Metoprolol, Multi Vit, Vit D, Omega | None | Thyroid and Blood Pressure | 2 | 01/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0982552 | 01/28/2021 | WI | 66.0 | 66 | F | I received the COVID vaccine 1 at 2 PM. At 5:40 PM, the left side of my face was numb. I emailed my PCP as to what I should do. She told me to go to Urgent Care as soon as I left work, which I did. Because I had Bell's Palsy two years ago at this time, | N | 01/25/2021 | 01/25/2021 | 0 | no tests | PUB | Claritin, baby aspirin, Vitamin D 1000 mcg, One-A-Day women's vitamin | no | non-insulin dependent diabetes, Type 2 | 2 | 01/28/2021 | Y | penicillin, Augmentin, Aromysin, sulfa drugs, Cipro, Norvasc, Amoxicillin, Amlodipine, neomycin, bacitracin, Gentamicin grass, trees, flowers, three-spore pollen, mold, dust | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0988378 | 01/30/2021 | WI | 66.0 | 66 | M | Patient became so dizzy he could not stand up. Said he felt rubbery, like syncope was eminent. | U | 01/30/2021 | 01/30/2021 | 0 | None | PHM | amlodipine, metformin, imipramine, tamsulosin, atorvastatin, lisinopril, bystolic, allopurinol, lidocaine, pregabalin, tadalafil, sodium bicarbonate | hypertension, hypercholesterolemia, diabetes mellitus, type 2 | 2 | 01/30/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0991791 | 02/01/2021 | WI | 66.0 | 66 | F | Tingling in lips, heaviness in chest, scratchy tongue and throat. | Y | 02/01/2021 | 02/01/2021 | 0 | They checked my vitals and have me benadry. Observed me 60 minutes | PVT | Vitamin for women gummies. Super B Complex, zyrtec, losartan, crestor,advair,singulair,letrozole,baby aspirn,pregabalin,but vitamin D, minestrone nasal spray | No | Asthma breast cancer, | 2 | 02/01/2021 | Latex,morphine,enviroment allergies, dust,mold cats. Had great cancer 2016 had reaction to tactile and taxpayers both taxpayers I was admitted overnight in hospital | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992067 | 02/01/2021 | WI | 66.0 | 66 | F | Numbness and tingling on the left side on the day of vaccination. On the 3rd day, arm began to swell and became reddened. | Y | 01/28/2021 | 01/28/2021 | 0 | None | PUB | Advil | Had covid 19 virus 10/10/2020 and was hospitalized from 10/10-10/27/2020. She continues to have breathing issues. | No medical issues prior to covid infection | 2 | 02/01/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992199 | 02/01/2021 | WI | 66.0 | 66 | F | Schedulers notified RN pt complaint of difficulty breathing. She had been sitting in waiting room for about 15 minutes post Pfizer COVID vaccine. Upon assessment, pt stated difficulty breathing and "heaviness in chest." She stated this "felt different" fr | U | 02/01/2021 | 02/01/2021 | 0 | Abnormal EKG when compared to previous one from 5 years ago Blood pressure was elevated | PVT | acetaminophen (TYLENOL EX-ST.) 500 mg tablet Take 2 Tabs (1,000 mg) by mouth every 6 hours as needed for Pain amLODIPine (NORVASC) 5 mg tablet Take 1 tablet (5 mg) by mouth daily atorvastatin (LIPITOR) 40 mg tablet Take 1 tablet (40 mg) by | HTN (hypertension) (*) Type 2 diabetes mellitus with stage 3 chronic kidney disease (*) Hyperlipidemia (*) Impingement syndrome of shoulder Pseudophakia, both eyes History of retinal detachment Benign prostatic hyperplasia with lower urinary tract symptoms | 2 | 02/01/2021 | Y | Allegra and Plavix | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992616 | 02/01/2021 | WI | 66.0 | 66 | F | Second vaccine Lot Number - EL3248 . 1/19/2021. Twitches in the left calf on the back. Then went to the upper leg. Short pains then they would come and go. Then the pain went to the right leg. Numbness under the left knee. Feel like her calf is full. G | N | 12/29/2020 | 12/30/2020 | 1 | No | WRK | Didn't want to provide RX info | no | constipation | 2 | 02/01/2021 | penicillin, soy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1002258 | 02/04/2021 | WI | 66.0 | 66 | F | tingling in mouth and nose with metallic taste metallic taste also went down throat with heat sensation and sore throat | U | 02/04/2021 | 02/04/2021 | 0 | PVT | Acyclovir ASA Atorvastatin B complex biofreeze Calcium cholecalciferol Citrucel diclofenac dicyclomine docusate sodium famciclovir magnesium metformin metoprolol oxybutynin pantoprazole | none | obesity allergic rhinitis lumbar disk herniation chronic venous insufficiency urge urinary incontinence IBS Spondylolisthesis L4-5 lumbar stenosis pulmonary nodule PONV fibromyalgia dysphagia diverticulosis benign neoplasm ascending colon atria tachycardia | 2 | 02/04/2021 | Bactrim Cipro Hibiclens Latex Levofloxacin Nexium Zantac | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1002526 | 02/04/2021 | WI | 66.0 | 66 | F | Slight swelling at the injection site with a red, blotchy, itchy area approximately 2 1/2" in diameter appearing {2/3/2021} exactly 1 week after my 1st covid-19 shot. As of today, 2/4/2021 the injection site still remains red, itchy, blotchy and slightl | 01/27/2021 | 02/03/2021 | 7 | PUB | None | None | 2 | 02/04/2021 | erythromyacin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1005104 | 02/05/2021 | WI | 66.0 | 66 | M | Identical reaction to both shots (above): dull pain (4-5/10) right Achilles tendon and lateral soft tissue. - Onset: within 12 -24 hours of vaccination - Duration: 2 - 3 weeks to resolve after first shot. Second shot of equal clinical presentation - no | U | 01/07/2021 | 01/07/2021 | 0 | none - self treated | OTH | Maxide (37.5/25mg i qd) Lisinopril (10 mg i qd) Lovastatin (40 mg i qd) Soriatane (25 mg - i qod alternating with ii qod) Zinc (10 mg i qd) ASA (85 mg i qd) Vit D (2000 i.u. ii qd) Systane Gel O.D. i drop qd | None | Arthritis Essential Hypertension (treated) Hypercholesterolemia (treated) Mild kidney disease | 2 | 02/05/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1006630 | 02/05/2021 | WI | 66.0 | 66 | F | Developed runny nose, sneezing, muscle aches/joint pain, nausea, scratchy throat, sinus pressure, rash on chest/neck, fatigue. Saw medical provider on 2/02/2021 who suspected above due to receiving 1st dose of covid-19 vaccine. | Y | 01/25/2021 | 01/31/2021 | 6 | Tested for Covid-19/influenza A & B/RSV on 2/04/2021 with all tests negative | PUB | 2 | 02/05/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1007162 | 02/05/2021 | WI | 66.0 | 66 | F | Fever. 101 degrees Fatigue Ache | Y | 02/04/2021 | 02/05/2021 | 1 | None | PVT | Omeprisole High cholesterol meds | None | None | 2 | 02/05/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1012024 | 02/08/2021 | WI | 66.0 | 66 | F | Itchy throat, itchy inner ear and slightly enlarged lips (at 3:00am on 1/31) Itchy throat, itchy inner ear and excessive sneezing (at approximately 5:00pm on 1/31) (I took an extra Zyrtec to subside these symptoms) These are the usual reactions to allergi | Y | 01/29/2021 | 01/31/2021 | 2 | None | PUB | Lisinopril, Esitalopram, Advair Discus, Zyrtec, Phentermine, Topiramate, Calcium, D3, Magnesium | None | Asthma, High Blood Pressure, Depression | 2 | 02/08/2021 | Shellfish, Dust, Outdoor Weeds (not sure which ones) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1020305 | 02/10/2021 | WI | 66.0 | 66 | F | rash on injection arm around injection site with redness,swelling,and itching.Was given prescriptions for prednisone and cetirizine and after 3 days little or no change. | N | 01/27/2021 | 02/06/2021 | 10 | PUB | benzonatate,metoprolol tartrate,atorvastatin,amlodipine/benazpril,cyclobenzaprine,chantix,viatamin D,calcium,vitaminE.docusatesodium,proair,advair,premarin vaginal creme | bladder infection | copd | 2 | 02/10/2021 | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1027230 | 02/12/2021 | WI | 66.0 | 66 | F | Onset of mild swelling of upper eyelids about 15-20 mins after vaccine injection, 2/1/2021, with mild itch sensation around mouth about another 15 mins. later. Next day started to have itch sensation all over face slowly spreading to ears, eyelids still mi | U | 02/01/2021 | 02/01/2021 | 0 | none, no medical sought for symptoms. Did seek consultation with allergist one week later, 2/9/2021, regarding 2nd dose advise. | PVT | Valium / Ibuprofen / CoQ10 / Vit B Complex / Montelukast / Costco Multivit | Chronic: Celiac Disease / Multiple Sclerosis / Hypertension / Oral Allergy Syndrome / Seasonal Allergies / Mild Asthma lately | Celiac Disease / Multiple Sclerosis / Hypertension / Oral Allergy Syndrome / Seasonal Allergies / Mild Asthma lately | 2 | 02/12/2021 | Lisinopril / Copaxone / various raw fruit/vegetable food allergies / Seasonal allergies / Cat?Dog allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1030323 | 02/15/2021 | WI | 66.0 | 66 | M | Patient had COVID vaccination on 2/3 with no adverse s/s before leaving unit. Upon coming to treatment Friday 2/5 he reported to the RN that he had fallen on thursday 2/4 due to "getting up fast" did not hit head or hurt anything per RN discussion. Bega | Y | 02/05/2021 | N | 02/03/2021 | 02/05/2021 | 2 | 2/3 labs potassium 4.5, sodium 137, CO2 29, hgb 9.7 | OTH | Albuterol Alirocumab Asprin Atrorvastatin Calcium Budesonide-Formoterol Fumarate Calcitriol Calcium Acetate Carvedilol Clopidogrel Bisulfate Erogcalciferol Ezetimibe Fluticasone-Salmetrol Lasix Glucagon Hydralazine Insulin Ipratropium inhal | Asymptomatic COVID Hospital for Polymosis January | ESRD Diabetes Type 2 Heart disease CHF CAD CABG | 2 | 02/15/2021 | Niacin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1032737 | 02/16/2021 | WI | 66.0 | 66 | F | Arm pain, moderate | N | 02/14/2021 | 02/15/2021 | 1 | PVT | Celecoxib 200MG, Ezetimibe 10MG, Vitamin B12, Vitamin B1, Vitamin C, Calcium w/Vitamin D | N/A | N/A | 2 | 02/16/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033063 | 02/16/2021 | WI | 66.0 | 66 | F | 02/12/2021, 9.15 pm Chills so intense that I was shaking uncontrollably. Then intense headache later on that night, 3.30 am 02/13.2021, Got out of bed to take some tylenol, so weak I passed out, twice in the bathroom. I have no memory of passing out. My h | Y | 02/12/2021 | 02/12/2021 | 0 | 02/13/2021 Comprehensive Metabolic panel, Hemogram/Diff (complete blood count), Urinalysis. Medications given, Ketorolac (Toradol) at 6.15 am Ondanestron (Zorfan), sodium chloride 0.9% (ns0 | PVT | Lipitor 10mg , Vitamine d, Calcium plus d, mulitvitamin | none | none | 2 | 02/16/2021 | Y | Shrimp. advil. latex, gabapenten, amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033610 | 02/16/2021 | WI | 66.0 | 66 | F | Only air was administered, no vaccine was given. No adverse event was reported. | Y | 02/12/2021 | 02/12/2021 | 0 | None | PHM | No known | No Known | No known | 2 | 02/16/2021 | No known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1036830 | 02/17/2021 | WI | 66.0 | 66 | M | Thirty minutes after 1st vaccine administered mental foggiest and headache and acrid taste in mouth. Then three days post vaccine return of brain fog and headache. Gradually headaches subsided within ten days. | Y | 01/27/2021 | 01/27/2021 | 0 | Didn?t have any | PUB | Losartin, Elderberry Supplement, vitamin D, Glucosomine Chondroitin Amlodopine Besylate, Co110, Zince supplement, Metamucil Eplerenone Pravastatin Multi vitamin | None | High Blood Pressure, previous Stroke in 2012, | 2 | 02/17/2021 | Demerol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1039468 | 02/18/2021 | WI | 66.0 | 66 | M | patient got vaccine on 2/3/21. On 2/12/21 he developed fevers and chills and he then developed a scalp rash, he does have a history of scalp dermatitis. | N | 02/03/2021 | 02/12/2021 | 9 | PVT | Dosage levothyroxine 125 MCG tablet Take 1 tablet by mouth daily. Cholecalciferol (Vitamin D3) 50 mcg (2,000 units) capsule lisinopril (ZESTRIL) 20 MG tablet Take 1 tablet by mouth daily. citalopram (CeleXA) 10 MG tablet Take 1 tablet by m | none | hypertension and hyperlipidemia | 2 | 02/18/2021 | Y | Seasonal Other (See Comments) Not Specified 5/25/2014 Past Updates... Sertraline RASH Not Specified Past Updates... Tamiflu RASH Not Specified 12/26/2014 Past Updates... Mark as ReviewedUnable to Assess | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1043506 | 02/20/2021 | WI | 66.0 | 66 | M | No adverse event reported. Only air was administered. Patient returned to get revaccinated. | 02/12/2021 | 02/12/2021 | 0 | PHM | 2 | 02/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1044005 | 02/21/2021 | WI | 66.0 | 66 | F | Quick onset of symptoms on 2/18/2021, immediately following intense outdoor activity :snowshoeing in the cold for 1 hour. Symptoms were: severe headache, nausea, fever of 101, significant body aches. Symptoms lasted for 18 hours. I reached out to my prim | Y | 02/17/2021 | 02/18/2021 | 1 | None | OTH | NONE | NONE | NONE | 2 | 02/21/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1056954 | 02/26/2021 | WI | 66.0 | 66 | F | Body aches, Frontal headache, temp 101.9, nasal congestion | Y | 02/24/2021 | 02/25/2021 | 1 | none | PVT | Metoprolol, Simvastatin, Naproxen, Tylenol LA, Calcium | none | cardiomyopathy arthritis hypertension | 2 | 02/26/2021 | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1060705 | 02/28/2021 | WI | 66.0 | 66 | F | Pt began to have chest heaviness almost immediately following COVOD-19 Moderna Vaccine. Minimal SOB. Chest pressure rated at 2-3/10, BP 164/90. Pt transported via WC by RN to ER | 02/28/2021 | 02/28/2021 | 0 | PVT | 2 | 02/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063055 | 03/01/2021 | WI | 66.0 | 66 | F | Vaccine given at 1030 - patient developed tighting in throat, no swelling. 1050 Epi 0.3 cc given via epi pen. in right thigh, Benadryl 50 mg IM given in Left deltoid. BP 150/98 pulse 100 Medical emergency called patients sent to ER with ER personal via wh | U | 03/01/2021 | 03/01/2021 | 0 | none | PVT | unknown | unknown | Lumbosacral radiculopathy due to degenerative joint disease of spine Other and unspecified hyperlipidemia Encounter for long-term (current) use of other medications Benign essential HTN Myalgia and myositis, unspecified Postmenopausal state Po | Influenza due to egg allergy | 2 | 03/01/2021 | Y | Lisinopril, trees, milk chocolate, eggs, pork, Gynazole-1, Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063192 | 03/01/2021 | WI | 66.0 | 66 | F | Pt given Pfizer COVID-19 Vaccine (first dose) around 1100. Waited 30 minutes post-vaccination observation period and left vaccine clinic. Pt reports she noted SOB going up the stairs to leave the building. Reports she waited upstairs for a while and sympto | U | 03/01/2021 | 03/01/2021 | 0 | PVT | 2 | 03/01/2021 | Y | Bug Spray- Anaphylaxis | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063308 | 03/01/2021 | WI | 66.0 | 66 | F | Before I left the hospital parking lot I could taste the drug in my moth. By the time I got home I had the dry heaves. I was also alternating hot and cold. This went from about 7 pm to 8 AM the next day. That day I had a head ache which I normally | Y | 02/25/2021 | 02/25/2021 | 0 | none | PVT | Gabapentin clonazipan melatonin levothyroxine statin omepolzole multi vitamin folic acid magnesium | none | acid reflux rem sleep disorder use Cpap | 2 | 03/01/2021 | nne | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1064119 | 03/01/2021 | WI | 66.0 | 66 | F | Face flushing, " rolling hot flashes", head fullness. This lasted about 10 to 15 minutes, intermittently then dissipated. | Y | 03/01/2021 | 03/01/2021 | 0 | Monitored by EMTs | OTH | Losartan 100 mg, Vit D3, Levothyroxine 175 MCG. Took these meds at 0900. | Nione | Asthma, HTN, | 2 | 03/01/2021 | Iodine. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1066159 | 03/02/2021 | WI | 66.0 | 66 | F | 1/19/2021 vaccination *continued symptoms from 1st vaccine. Twitching in legs, can see the twitches in both legs. Weird strange pains that last 3-5 seconds on skin; come and go. Internist, Neurologist referrals; no diagnosis as of yet. Ongoing symptoms. | N | 01/19/2021 | 01/19/2021 | 0 | Blood panel | PVT | *does not wish to list | n/a | diarrhea | COVID, 1st vaccine | vsafe | 2 | 03/02/2021 | Y | penicillin, soy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1067014 | 03/02/2021 | WI | 66.0 | 66 | F | Rash patient saw PCP and went to the ER. | U | 01/27/2021 | 02/17/2021 | 21 | Rash patient saw PCP on 02/17/2021 for rash. Additional follow up in the Emergency Department on 02/18/2021. | PVT | hydrOXYzine (ATARAX) 10 MG tablet buPROPion XL (WELLBUTRIN XL) 300 MG 24 hr tablet lisinopril (ZESTRIL) 20 MG tablet triamterene-hydrochlorothiazide (Dyazide) 37.5-25 MG per capsule predniSONE (DELTASONE) 10 MG tablet LORazepam ( | Behavioral Mild major depression (CMS/HCC) Ophthalmic Combined forms of age-related cataract, bilateral Pseudophakia of right eye Respiratory OSA on CPAP Circulatory Essential hypertension Urinary Hypertensive kidney disease with stage 3 chronic kidne | 2 | 03/02/2021 | Y | Demerol [Meperidine Hcl]Nausea & Vomiting MorphineNausea & Vomiting, Other (See Comments) Bactrim [Sulfamethoxazole W/trimethoprim (Co-trimoxazole)]RASH, PRURITUS CiprofloxacinRASH | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1067168 | 03/02/2021 | WI | 66.0 | 66 | M | Chills, very sore arm, fatigue. Started during the night, continued the whole next day. | Y | 03/01/2021 | 03/02/2021 | 1 | none | UNK | Omeprazole 20 mg day Pravastatin 80 mg day Sulfasalazine 1000 mg day aspirin 81 mg day | none | none | 2 | 03/02/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1068751 | 03/03/2021 | WI | 66.0 | 66 | F | Pressure between shoulder blades. It went away then started again on carotid then down arm; Sore arm; hot feeling initially; A spontaneous report was received from a consumer, who was a 66-year-old, female patient who received Moderna's COVID-19 vaccine an | Y | 2 | U | 02/05/2021 | 02/05/2021 | 0 | Test Date: 20210215; Test Name: stress test; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 20210215; Test Name: EKG; Test Result: Negative ; Result Unstructured Data: Negative; Test Date: 20210215; Test Name: enzyme tests; Test R | UNK | Adhesive tape allergy; Allergy to chemicals (allergic to chlorine); Bleaches & cleansers sensitivity (allergic to bleach); Type 2 diabetes mellitus (Borderline) | USMODERNATX, INC.MOD20210 | 2 | 03/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1069066 | 03/03/2021 | WI | 66.0 | 66 | F | Coughing started approx. 20 minutes after receiving the vaccine. O2 was checked was at 99. patient reported throat swelling. Patient was transported via wheelchair to ER. | U | 03/03/2021 | 03/03/2021 | 0 | PVT | nortriptyline (PAMELOR) 10 MG capsule venlafaxine XR (EFFEXOR XR) 37.5 MG 24 hr capsule lamoTRIgine (LaMICtal) 25 MG tablet meloxicam (MOBIC) 7.5 MG tablet omeprazole (PrilOSEC) 20 MG capsule venlafaxine XR (EFFEXOR XR) 150 MG 24 | NA | Fibromyalgia Gastroesophageal reflux disease without esophagitis Chronic right hip pain Recurrent UTI (urinary tract infection) Presbyopia Regular astigmatism of both eyes Myopia of both eyes CRF (chronic renal failure), stage 3 (moderate) (CMS/HCC) Mixed | 2 | 03/03/2021 | Y | Bactrim DsMuscle Spasm Benadryl AllergyANAPHYLAXIS Contrast MediaANAPHYLAXIS Eye DropsTHROAT SWELLING Iodine (Environmental Or Med)THROAT SWELLING LidocaineANAPHYLAXIS LyricaARTHRALGIA Shellfish Allergy (Food Or Med)ANAPHYLAXIS Tramadol HclANAPHYLAXIS Trop | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071749 | 03/04/2021 | WI | 66.0 | 66 | F | 7 hours after injection (6:00 pm) my arm started to hurt. 11 hours after injection (10:00 pm) the below symptoms started and increased as the night progressed Injection site on left arm swollen and VERY sore. Unable to raise hand above head. Whole body | N | 03/03/2021 | 03/03/2021 | 0 | N/A | OTH | Synthroid Hydrochlorothiazide Losartan Potassium Gabapentin Multi vitamin Vitamin D3 | None | Arthritis Fibromyalgia | 2 | 03/04/2021 | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1078785 | 03/07/2021 | WI | 66.0 | 66 | F | Second dose of Moderna: Almost immediate pain from injection shooting down arm towards front of elbow. Swollen arm very sore, On the second day being March 5th, fever, chills, arm swollen and headache. First noticed the bruising on March 6th, it is appro | N | 03/04/2021 | 03/04/2021 | 0 | None | PUB | Calcium, Vitamin E, Vitamin D, Vitamin C, One-A-Day Vitamin, Flaxseed | None | Aorta valve needs replacing in a few years, regurgitating and leaking | 2 | 03/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1078950 | 03/07/2021 | WI | 66.0 | 66 | F | By the time I arrived home and within an hour of the shot I noticed a flair up of my back pain. I keep it under control by low activity. The back pain , and bone pain, knee pain was a real problem and just started to get better within the last 5 days It w | Y | 02/13/2021 | 02/13/2021 | 0 | no | UNK | tramadol, pravastatin, multi-vitamin | cronic fibromylgia, arthritus, degenerative disc lower back | migraines, chronic issues from breast cancer. issues as listed in item 11 | 2 | 03/07/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079301 | 03/07/2021 | WI | 66.0 | 66 | M | Saturday March 6th ~6:00am - Severe vomiting, sweats, chills lasting the whole day... Sunday March 7th ~ 3:00 - 4:00am - drenching sweat and dizziness preventing him from getting up. This is ongoing at this time. Sunday March 7th @ 1pm. Any movement of | N | 03/04/2021 | 03/06/2021 | 2 | na | PVT | Multi-vitamin 1/day Montelukast Sod 10mg 1/day Levocetirizine 5mg 1/day Zyrtec 10mg 1/day Atorvastatin 40mg 1/day Asprin 81mg 1/day | allergies | Allergy to dogs, pollens, mold , weeds in fall | 2 | 03/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1079313 | 03/07/2021 | WI | 66.0 | 66 | F | I?m reporting that my arm starting itching & noticed it was red in a 3 inch area & very hard feeling. | 02/01/2021 | 03/06/2021 | 33 | PUB | Losartan 50mg 1 tablet daily | None | 2 | 03/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1083261 | 03/08/2021 | WI | 66.0 | 66 | M | After 9 days out, developed an itchy, 2 inch red lesion at injection site. | N | 02/26/2021 | 03/07/2021 | 9 | PUB | atorvastatin, certrizine, vitamin D3, enalapril, escitalopram, flecainide, hydrochlorothiazide, levothyroxine, metformin metoprolol, omeprazole, Salsalate, Xarelto, glucosamine | A-fib, arthritis, high blood pressure, | 2 | 03/08/2021 | Dogs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1087568 | 03/10/2021 | WI | 66.0 | 66 | M | Vomit 2/18/21 12 hours Diarrhea 2/18/21 8 hours Sore muscles 2/18/21 - 2/19/21 48 hours, Advil Fatigue 2/18/21 - Current date Ache in the back of my head, lower right side 2/18/21 - Current date, Aleve helps it for short periods Bell's Palsy 2/25/21 - Cur | N | 02/17/2021 | 02/18/2021 | 1 | Bell's Palsy - MRI, CT Scan 2/27/21 | PUB | Medicine 09/28/20 1 Hydrochlorothiazide 25mg 1 Atenolol 50mg 1 Amlodipine 10mg 1 Atorvastatin 40mg 2+2 Glyburide 5mg 2+2 M | Covid | Diabetes, High Blood Pressure | 2 | 03/10/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1089677 | 03/10/2021 | WI | 66.0 | 66 | M | The night after the vaccine I woke up about 2:30 a.m. with general body pain (all over), at about 9:00 a.m. my body wide pain and headache and fever became excruciating and I was in bed and unable to function. I drank liquids all day and about 4 p.m. took | Y | 03/09/2021 | 03/10/2021 | 1 | PVT | CoQ10 | None | None | 2nd shingles shot mild effects | 2 | 03/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091258 | 03/11/2021 | WI | 66.0 | 66 | M | On 1/15 when I woke exp throbbing pain in right hand thumb,index, long finger.) The next day less pain dint have to take any Tylenol. | Y | 01/14/2021 | 01/15/2021 | 1 | No | PHM | Tylenol | No | COPD, Diabetes | vsafe | 2 | 03/11/2021 | Sulfa,Nsaids | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1092409 | 03/11/2021 | WI | 66.0 | 66 | M | rash on hands and arms | N | 02/27/2021 | 03/07/2021 | 8 | none | UNK | atorvastatin , gabapentin,amLODIPine BESYLATE ,metoprolol succ er ,lisinopril ,fish oil | none | spinal stenosis | 2 | 03/11/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1093315 | 03/12/2021 | WI | 66.0 | 66 | M | Violent shivering/shaking; Felt cold; Headache; a bit of nausea; had trouble sleeping; Shaking; This case was reported by a consumer via call center representative and described the occurrence of shivering in a 66-year-old male patient who received Herpes | Y | 01/10/2021 | 01/10/2021 | 0 | PHM | USGLAXOSMITHKLINEUS202100 | 2 | 03/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1097394 | 03/13/2021 | WI | 66.0 | 66 | F | Chills, Fever, Fatigue, Aches, Headache, Nausea, Very Sore Arm at shot site, stuffy nose | Y | 03/11/2021 | 03/12/2021 | 1 | None | UNK | Levothyroxine | None | None | Shingles shots in 2020 - Flu like symptoms | 2 | 03/13/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1105484 | 03/16/2021 | WI | 66.0 | 66 | M | Pt was given first dose Covid vaccine 3/4/2021. then had seizure like activity 3/5/2021. Became unresponsive. Does have a Hx of seizure X1. strong family Hx of seizures. was transported to Hospital Via EMS, Admitted to ICU. | Y | 4 | Y | 03/04/2021 | 03/05/2021 | 1 | Multiple blood tests, Echocardiogram, EKG, MRI of Brain, Xray of Abdomen, Xray of Chest, CT of Abdomen, CT of chest, Video EEG X2 | PVT | Tylenol, Albuterol HFA, Amoxicillin PRN prior to dental procedures, Eliquis 5 mg, Atorvastatin 80mg, calcium, Celebrex 200 mg, Vitamin D3, Docusate Sodium 100 mg, Lidex cream 0.05%, Flnase, Furosemide 20 mg, Keppra 1000 mg, Lisinopril 10 m | None | Hypercalacemia, Dyslipidemia, Atrial Fibrillation, Aortic Stenosis, Hypertension, NSTEMI, Chronic Diastolic congestive heart failure, Ascending Aorta, dilation, Obstructive sleep apnea, GERD, elevated LFT's, Dysphagia, Meniere's Disease, Tonic clonic seizu | 2 | 03/16/2021 | Ranitidine, HCTZ/Triamterene, Hydroxychloroquine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1105787 | 03/16/2021 | WI | 66.0 | 66 | F | Pt received her 1st Moderna covid vaccine at Clinic on 3/11/21. She noted a history of bee stings and that she has an epi pen at home so was given the shot and monitored for 30 minutes. 20 minutes post vaccine, patient noted she felt dizzy and somewhat dis | Y | 03/11/2021 | 03/11/2021 | 0 | Evaluation in the emergency department at Hospital included normal vital signs except slightly hypertensive 150/83. Laboratory evaluation: WBC 8.0, hemoglobin 14.8, sodium 140, potassium 3.4 Troponin undetectable x2 EKG sinus rhythm | PVT | Vitamin D3 1000 UNIT Tablet 1 tablet Orally Once a day. Loratadine 10 MG Tablet 1 tablet Orally Once a day, Notes: otc. EpiPen 2-Pak 0.3 MG/0.3ML Solution Auto-injector inject 1 pen Injection as needed, Notes: on file. | none. | Asthma, Seasonal allergies, migraines, | 2 | 03/16/2021 | Y | Bee sting: Allergy shellfish: Allergy latex: Allergy | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1106626 | 03/16/2021 | WI | 66.0 | 66 | F | Patient stated today (3-16-21) that her arm has been sore since receiving Shingrix in September. When patient was asked to provide more details, she stated that every once in a while she has trouble moving her arm up above a certain point and she will have | 09/18/2020 | 09/18/2020 | 0 | PHM | 2 | 03/16/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1111561 | 03/18/2021 | WI | 66.0 | 66 | F | Patient reports that she starting having side effects the night of 3-17-2021. She reports side effects of nausea, headache, body aches. Woke up in the morning of 3-18-2021 and had trouble seeing, felt dizzy. Blood pressure was lower at 115/54 pulse 80. Th | Y | 03/17/2021 | 03/17/2021 | 0 | N/A | PUB | multivitamin | none | none | 2 | 03/18/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1113617 | 03/19/2021 | WI | 66.0 | 66 | M | No adverse event, but error: wrong vaccine product administered. Pfizer vaccine received at day 0 (2/25/21), Moderna given as second dose at day 21 (3/18/21). | 03/18/2021 | 03/18/2021 | 0 | PHM | 2 | 03/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1115852 | 03/19/2021 | WI | 66.0 | 66 | F | Patient was observed for 30 minutes and she left. She returned a short time later and reported feeling flush and a bit of chest and throat tightness. Stated having many trips to the ER in the past for anaphylaxis, she no reaction to her first dose and says | U | 03/19/2021 | 03/19/2021 | 0 | PVT | unknown | unknown | unknown | 2 | 03/19/2021 | Y | adhesives, penicillins, ranitidine, zetia, benadryl, hydrocortone, dapsone, levofloxacin, clindamycin, vicodin, zocor, lipitor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1127288 | 03/23/2021 | WI | 66.0 | 66 | M | Pt reported that he had light headedness. Pt reports that he gets Vagal response. Pt passed out and was pale and sweaty. Pt came to and BP 114/71, sats of 94% and HR 62. Assoc redid Vital signs 130/73 and 3rd BP at 5 minutes after 119/73, SAO2 96%, HR 56. | 03/23/2021 | 03/23/2021 | 0 | PVT | Tylenol, vit d, claritin | 2 | Y | peanut oil, honey bee venom, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1133350 | 03/25/2021 | WI | 66.0 | 66 | F | Large red rash at injection site (4? X 2?). Itchy and warm to the touch. Appeared morning of 4th day after second injection. Also want to note that within 12 hours of second injection experienced fatigue, chills, muscle ache, and low grade fever (flu-l | Y | 03/21/2021 | 03/25/2021 | 4 | None | PVT | Yes | None | None | Shingles | 2 | 03/25/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1134751 | 03/25/2021 | WI | 66.0 | 66 | M | Patient was hospitalized within 4 days of getting the vaccine and passed away 6 days after getting the vaccine | Y | 03/16/2021 | Y | 2 | 03/10/2021 | 03/14/2021 | 4 | PVT | 2 | 03/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1136185 | 03/25/2021 | WI | 66.0 | 66 | M | About 6 hours after injection, onset of headache, body ache, general overall lethargy. Then sleep interrupted by chills, and then sweats (so much so that had to lay down a towel and another towel for my pillow). The next day was dominated by body aches an | Y | 02/24/2021 | 02/24/2021 | 0 | None. I talked to one of the staff here at Clinic and was told that these symptoms were possible and I would just have to endure. | SEN | None. | None. | None. | 2 | 03/25/2021 | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1137077 | 03/26/2021 | WI | 66.0 | 66 | M | 18 hours post-dose #2; fever, sore throat, muscle aches, joint pain/aches, lethargy; resolved within 48 hours | Y | 03/12/2021 | 03/13/2021 | 1 | PHM | lisinopril 40 mg qd; carvedilol 25 mg b.i.d.; glucosamine Sam's Club brand; aspirin 81 mg qd; omeprazole 20 mg qd | N/A | heart failure-resolved; virus-induced | 2 | 03/26/2021 | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1138297 | 03/26/2021 | WI | 66.0 | 66 | F | Pfizer COVID vaccine given. Should have been Moderna | Y | 03/26/2021 | 03/26/2021 | 0 | None | UNK | Unnown | None | Unknown | 2 | 03/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1138817 | 03/26/2021 | WI | 66.0 | 66 | M | The patient's wife noted he began to experience: 101F temperatures, muscle aches, headache, feelings of impending doom or that everyone is out to kill him, mumbled to himself (not normal) | U | 03/25/2021 | 03/26/2021 | 1 | PHM | Topiramate 25mg, Gabapentin 300mg, Celecoxib 200mg, Clindamycin 300mg, Tizanidine 4mg, Labetalol 100mg, | Nothing listed | spinal stenosis of lumbar region w/neurogenic claudication, diabetes insulin resistant, | 2 | 03/26/2021 | Y | No allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1138855 | 03/26/2021 | WI | 66.0 | 66 | M | I have reported adverse reaction to the first dose of vaccine, and was told to simply endure. I discussed those terrible adverse effects to two of the persons administering the second dose, and was assured with their theorizing that my second dose should h | Y | 03/24/2021 | 03/24/2021 | 0 | None. | SEN | None. | None. | Possible history of alcohol abuse, but nothing current. Current health: Perfect. | 2 | 03/26/2021 | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139946 | 03/27/2021 | WI | 66.0 | 66 | M | Wheezing, tired, fever of 101.4, chills, muscle and joint pain, severe headaches, extreme nausea , swelling, itching and redness at injection site. | Y | 03/16/2021 | 03/16/2021 | 0 | No | OTH | Alvesco Inhaler, Stiolto Respimat, Albuterol Inhaler,Loratadine, Fluticasone, Triam/Hctz, Losartan, Omeprazole, Mepolizumab, Centrum silver vitamin , Magnesium 400mg | Had reaction to first shot of Moderan 02/16/2021. Coughing, wheezing, raspy voice. | Severe Asthma, COPD, Emphysema, Aortic Aneurysm, Functional Neurological Symptom Disorder, High blood pressure. | 2 | 03/27/2021 | Levofloxacin or Fluoroquinolone, Amlodipine Besylate, Beta Blockers | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1140261 | 03/27/2021 | WI | 66.0 | 66 | F | Nausea, headache, vomiting | Y | 03/11/2021 | 03/12/2021 | 1 | OTH | None | None | None | 2 | 03/27/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1140262 | 03/27/2021 | WI | 66.0 | 66 | M | Atrial fibrillation began 6 days after first immunization. Patient needed cardioconversion. Atrial fibrillation began 5.5 days after second immunization. Patient currently awaiting cardioversion. Patient has underlying hypertrophic cardiomyopathy and 2 | N | 02/18/2021 | 02/24/2021 | 6 | EKG - February 19, 2021 cardioversion - February 25, 2021 currently waiting for EKG and cardioversion for ongoing atrial fibrillation | PVT | Verapamil, Eliquis (apixaban), atenolol | none | hypertrophic cardiomyopathy | 2 | 03/27/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1142024 | 03/28/2021 | WI | 66.0 | 66 | M | Patient reported chills that started the evening of the vaccination. Stated he felt better the next day. | 03/21/2021 | 03/21/2021 | 0 | PHM | 2 | 03/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1147151 | 03/30/2021 | WI | 66.0 | 66 | M | Received email from Public Health Nurse that patient had passed away on 3-16-21. The coroner did not believe it was associated with the vaccine, just reporting the death. Requested VAERS form still be filled out. | Y | 03/16/2021 | 03/10/2021 | 03/12/2021 | 2 | PVT | 2 | 03/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1147366 | 03/30/2021 | WI | 66.0 | 66 | F | Low grade fever, bodyaches, fatigue, injection site pain, severe stabbing pain left axilla area | N | 03/27/2021 | 03/28/2021 | 1 | None | PVT | Welbuterin, multiple vitamin | None | Migraine | 2 | 03/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1148106 | 03/30/2021 | WI | 66.0 | 66 | F | Temp of 101.9 (normal for me is 97.6), crushing headache, severe body aches making it extremely difficult to even get to bathroom, exhaustion but inability to sleep secondary to pain, very painful left arm making it difficult to move arm, loss of appetite, | Y | 03/27/2021 | 03/27/2021 | 0 | none | PVT | lisinopril, duloxetine, trazadone, atorvastatin, aripiprazole | none | mitral valve prolapse with mild regurgitation; depression, HTN | Moderna Covid Vaccine first shot - mild fever and malaise | 2 | 03/30/2021 | sulfa drugs | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1149078 | 03/30/2021 | WI | 66.0 | 66 | F | Severe pain in all joints, but especially in my shoulders, neck and hips. For about 4 hours, my arms were immobile at my sides. I couldn?t lift them or move them away from my body. The joint pain persisted for about four days, but my right shoulder is stil | N | 03/09/2021 | 03/09/2021 | 0 | None. | PUB | None | None | None | 2 | 03/30/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1149534 | 03/31/2021 | WI | 66.0 | 66 | F | The next day at 1:00 pm I was just hit with extreme fatigue and chills. By the time I got home from work I ached all over and could not get warm. I had a slight fever. By 8:00 pm I was burning up on my skin, but no fever. I still had aches all over. I | Y | 03/29/2021 | 03/30/2021 | 1 | OTH | rosuvastatin multi-vitamin | 2 | 03/31/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155160 | 04/01/2021 | WI | 66.0 | 66 | M | Patient received Moderna vaccine dose #1 on 3/3/21 at approximately 0900. In the afternoon of 3/4/21, patient had sudden onset shortness of breath while at home, as well as fatigue and low energy. Patient knew that a potential side effect of vaccine was f | Y | Y | 3 | N | 03/03/2021 | 03/04/2021 | 1 | 3/15/21: D-Dimer, Chest X-ray, CT scan of lungs, Surgery to remove pulmonary embolism; Unsure of dates for the following (occurred during hospitalization from 3/15/21 through 3/18/21: cardiac cath, echocardiogram, multiple blood draws, IV medications, nega | PUB | MULTIVITAMIN, VITAMIN D | NONE | NONE | 2 | 04/01/2021 | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1155927 | 04/01/2021 | WI | 66.0 | 66 | F | Hospitalization within 6 weeks after receiving vaccine | Y | 4 | 03/03/2021 | 03/12/2021 | 9 | OTH | 2 | 04/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1172343 | 04/06/2021 | WI | 66.0 | 66 | M | Soreness, pain, numbness down arm and armpit. tingling on fingertips | N | 02/28/2021 | 03/02/2021 | 2 | None | PVT | Experiencing some numbness in other arm before vaccination. But after vaccination, arm where got the shot has been painful and sore and tingly and numb. | Spine and neck problems, arthritis, heart issues. | 2 | 04/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1173051 | 04/06/2021 | WI | 66.0 | 66 | F | Pt presented to the ER on 2/26 with hemorrhagic CVA basal ganglia, left sided hemiparesis, dysarthria, WBC elevated to 19,000, platelets elevated 568,000, new anemia, CRP markedly elevated | Y | Y | 15 | Y | N | 02/12/2021 | 02/26/2021 | 14 | Imaging done and labs, admission and rehab | PVT | multiple metformin, amaryl, metoprolol, losartan, eliquis, amlodipine, Lipitor, levoxyl, | None, had just been in the office and was doing well, caring for grandchild, in good control of all risk factors | DM type 2 Hyperlipidemia hypothyroidism HTN Hx of CVA | 2 | 04/06/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1175958 | 04/07/2021 | WI | 66.0 | 66 | F | Patient has fever, cough, sore throat, shortness of breath, chills, headache, and runny nose | N | 02/08/2021 | 04/04/2021 | 55 | COVID-19 PCR test | UNK | 2 | 04/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1175977 | 04/07/2021 | WI | 66.0 | 66 | F | Patient had fever, cough, sore throat, shortness of breath, fatigue, chills, headache, and runny nose | N | 03/02/2021 | 04/04/2021 | 33 | COVID-19 PCR test | UNK | 2 | 04/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1176705 | 04/07/2021 | WI | 66.0 | 66 | F | tested positive for COVID-19 after being fully vaccinated (experiencing sx; fever, cough, sore throat, shortness of breath, fatigue, chills, headache, and runny nose). | N | 02/08/2021 | 04/04/2021 | 55 | Positive COVID-19 test completed at Clinic on 04/06/2021 | PVT | 2 | 04/07/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1176899 | 04/07/2021 | WI | 66.0 | 66 | F | tested positive for COVID-19 on 04/06/2021 at Clinic. Pt symptom onset was 04/04/2021 (sx include; cough, sore throat, runny nose, fatigue, shortness of breath, fever, chills, and headaches). | 03/02/2021 | 04/04/2021 | 33 | Positive PCR Covid-19 test on 04/06/2021. | PVT | high risk patient | 2 | 04/07/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1182263 | 04/08/2021 | WI | 66.0 | 66 | M | Patient had received his first dose of Covid Vaccine out of state and it was Pfizer. We administered the second dose with Moderna. Patient had no adverse reaction. | Y | 04/08/2021 | 04/08/2021 | 0 | PVT | 2 | 04/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1184299 | 04/09/2021 | WI | 66.0 | 66 | F | Left arm injection site extremely painful when moved or touched. Put arm in sling to prevent extreme pain. | U | 04/08/2021 | 04/09/2021 | 1 | UNK | Losartan, Metformin, Oxybutrin, Levothyroxine, Amlodipine, Hydrocodone, Tizanidine, baby aspirin, One A Day vitamin. | Arthritis | Arthritis, Type 2 Diabetes, Thyroid, high blood pressure, , | 2 | 04/09/2021 | Lisinapril, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1193815 | 04/11/2021 | WI | 66.0 | 66 | M | Severe hand tremors, weakness in legs, fatigue, irritability-ongoing since right after the second shot. 1 incident of vomiting. | N | 03/01/2021 | 03/01/2021 | 0 | Blood work by Dr. 4/2021 | PUB | Hydrochlorothiazide Ezetimibe Auro-Tadalafil Rosuvastatin | No | No | 2 | 04/11/2021 | Y | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1197008 | 04/12/2021 | WI | 66.0 | 66 | F | Significant vertigo, ringing in left ear (bad ear) and siren sound in right ear which is my good ear | N | 02/19/2021 | 02/21/2021 | 2 | Went to ENT for check and she said it was likely due to vaccine | PVT | Vitamin B complex Glucosamine chondrotin Calcium withD3 | Mild symptoms after 1st covid shot | M?ni?re?s disease | 2 | 04/12/2021 | Y | Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1200527 | 04/13/2021 | WI | 66.0 | 66 | F | Have about 6 in round red raised rash at injection site after 2 weeks with Moderna vaccine | 04/02/2021 | 04/05/2021 | 3 | UNK | None | None | None | 2 | 04/13/2021 | Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1207892 | 04/14/2021 | WI | 66.0 | 66 | F | Chills starting Saturday 4.10 at 16:30, shivering increasing in intensity throughout the evening and night. Feeling like I could never be warm enough. Accompanied by pounding heartbeat that could be reduced through breathing exercises and meditation until | Y | 04/09/2021 | 04/10/2021 | 1 | PUB | vitamin D3, vitamin B complex | 2 | 04/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209039 | 04/14/2021 | WI | 66.0 | 66 | F | Headache, progressing in intensity to severe with light sensitivity Chills Nausea Vomiting Fatigue Moderate to significant arm soreness These symptoms persisted for 18 hours "Brain fog" Occasional lightheaded-ness These symptoms persisted for 3 to 4 days | Y | 03/13/2021 | 03/14/2021 | 1 | none | PHM | Synthroid, Valsartan/HCL, Vesicare, Atorvastatin, Vitamin D3, | NONE | Hypertension, hypothyroidism, obesity | 2 | 04/14/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1211439 | 04/15/2021 | WI | 66.0 | 66 | M | extreme fatigue (falling asleep in front of a meal for long periods can't arouse himself), severe frontal headache, loss of appetite, didn't eat for over 24 hours. Poor appetite for several days after this. The only symptom remaining was extreme fatigue | 02/12/2021 | 02/26/2021 | 14 | OTH | tumeric, coq-10, Vitamin D | has a pace-maker | blood clots in femoral artery | 2 | 04/15/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1214284 | 04/15/2021 | WI | 66.0 | 66 | F | Immediately bled from injection site, face got hot, flushed, and a little puffy, heart started racing, BP was taken by EMS 152/80 which is high for her. Patient was not taken to hospital, nor was any treatment given. Symptoms lasted about 30 minutes. | Y | 03/03/2021 | 03/03/2021 | 0 | PUB | 2 | 04/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222127 | 04/17/2021 | WI | 66.0 | 66 | F | Severe imbalance/dizziness started 3 days after second dose. It is now 7 days since it started, and seems to be abating a bit. Fatigue comes and goes, as well as mild nausea. I had headache, muscle aches, fatigue with the first dose, but no dizziness. Just | N | 04/07/2021 | 04/10/2021 | 3 | None | PHM | Vitamins, zinc | None | None | 2 | 04/17/2021 | Penicillin, demerol, codeine, food preservatives, adhesives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1229134 | 04/19/2021 | WI | 66.0 | 66 | M | Not able to leave bed for 3 days after vaccine and very fatigued. Felt mostly back to normal the weekend of 4/3/21 then fatigue returned around 4/6/21 accompanied by generalized weakness, tremor or upper and lower extremities and increased shortness of bre | Y | 3 | Y | N | 03/17/2021 | 03/29/2021 | 12 | EKG and basic labs done during first ED visit. Went to ED again on 4/12/15. Seen by neurology and had MRI that was unremarkable. Transferred from local ED to second hospital for inpatient admission. Head CT, CT chest, PE study, brain MRI and MRI cervical s | PVT | Gabapentin, Duloxetine, Atorvastatin, Tamsulosin, Tylenol, Ibuprofen | none | polyneuropathy, shortness of breathe, hyperlipidemia | 2 | 04/19/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1243360 | 04/22/2021 | WI | 66.0 | 66 | M | Patient received first Moderna Vaccine on 02/26/2021 and second Moderna Vaccine on 03/26/2021. Health Department was notified of patients death on 03/27/2021, today 04/22/2021. Any further information is unknown by the health department for patients caus | Y | 03/27/2021 | N | 03/26/2021 | 03/27/2021 | 1 | unknown | PUB | unknown | unknown | unknown | 2 | 04/22/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246521 | 04/23/2021 | WI | 66.0 | 66 | F | Pt received the first Covid Pfizer vaccine. 20 mins later developed itching and redness on her back and legs. Pt was monitored by RN, Pt was seen by Dr. | 02/02/2021 | 02/02/2021 | 0 | PUB | 2 | 04/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1247852 | 04/23/2021 | WI | 66.0 | 66 | M | Patient was admitted to hospital on 3/18/2021, within 6 weeks of receiving COVID vaccination. | Y | 1 | 03/11/2021 | 03/18/2021 | 7 | OTH | 2 | 04/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1251136 | 04/24/2021 | WI | 66.0 | 66 | M | Severe muscle and joint pain primarily in hands, arns. Shoulders. Seems to me that the vaccine triggered Polymyalgia Rheumatica. Currently being treated with 20mg Prednisone daily. | N | 03/08/2021 | 03/10/2021 | 2 | Comprehensive metabolic panel - inflamatory markers significantly elevated. ESR- one marker of inflamation elevated C-Reactive protein- 5.9 | PHM | None | None | None | 2 | 04/24/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267198 | 04/28/2021 | WI | 66.0 | 66 | F | Patient presented to the ED and was subsequently hospitalized on 3/22/21 and 4/6/21. These visits are within 6 weeks of receiving COVID vaccination. | Y | 4 | 03/11/2021 | 03/22/2021 | 11 | OTH | 2 | 04/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1273508 | 04/30/2021 | WI | 66.0 | 66 | M | PATIENT HAD SEIZURE 9 HOURS AFTER GETTING THE VACCINE | Y | 04/12/2021 | 04/12/2021 | 0 | PHM | 2 | 04/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1285395 | 05/04/2021 | WI | 66.0 | 66 | M | extreme muscle pain . it feels like a muscle tear and a sprain both at the same time . the severe pain that feels like a sprain comes and goes, but the sharp pain on the right side of my back is always there . also pain along my spinal column . . pain in l | N | 04/09/2021 | 04/10/2021 | 1 | PVT | lisinopril 10 mg . multiple vitamin . ibuprofen | high blood pressure . obese | obesity . high blood pressure . | pneumonia vaccine in november of 2020 . bad back muscle pain right away | 2 | 05/04/2021 | none that are known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289074 | 05/05/2021 | WI | 66.0 | 66 | F | positive COVID test that was done for pre-procedure prep, no symptoms | Y | 02/25/2021 | 05/03/2021 | 67 | UNK | Ulcerative colitis | 2 | 05/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289077 | 05/05/2021 | WI | 66.0 | 66 | F | States she tested positive for COVID 19 at Health Clinic and was quite symptomatic in October 2020. Vaccinated with Moderna vaccine on Feb 3, 2021 and March 3, 2021. Currently asymptomatic. Tested positive on 5/3/2021 before a scheduled procedure. Test | 03/03/2021 | 05/03/2021 | 61 | PVT | 2 | 05/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289341 | 05/05/2021 | WI | 66.0 | 66 | F | Patient tested PCR positive for COVID-19 on 5/4/2021 after being fully vaccinated with Pfizer COVID vaccine. She was tested pre-procedure, is asymptomatic and had no known exposure. | Y | 02/25/2021 | 05/04/2021 | 68 | COVID-19 PCR test. | PUB | Unknown | None | Unknown | 2 | 05/05/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1292400 | 05/06/2021 | WI | 66.0 | 66 | F | Vaccine was administered in the patient's left arm. The actual vaccine liquid content trickled down her arm. The hub (where syringe and needle meet) was loose. Patient was administered another dose. | Y | 04/21/2021 | 04/21/2021 | 0 | None | PVT | not applicable | not applicable | not applicable | 2 | 05/06/2021 | not applicable | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1292869 | 05/06/2021 | WI | 66.0 | 66 | F | Sudden onset of left arm numbness and weakness on 5/5/21, admitted for CVA evaluation | Y | 04/21/2021 | 05/05/2021 | 14 | PVT | 2 | 05/06/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1297300 | 05/07/2021 | WI | 66.0 | 66 | M | When injecting, most of the dose dripped out of the syringe due to either a faulty syringe or the needle not being securely attached. Since most of the dose was lost, pt was given another full dose. | Y | 05/05/2021 | 05/05/2021 | 0 | None | PHM | Unknown | none | No known chronic health conditions | 2 | 05/07/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1304659 | 05/10/2021 | WI | 66.0 | 66 | F | Received 2nd dose in the morning of 2 15 21 , by evening was starting to have fever, chills, nausea and body aches. Symptoms were present on the 16th, on the 17th symptoms were starting to be less noticeable, but that is when the tinnitus started and is s | U | 02/15/2021 | 02/17/2021 | 2 | Office visit with ENT, hearing test with Audiologist. Hearing test showed excelled hearing. ENT diagnosed as benign tinnitus and stated would likely resolve on its own in a few months. Went to primary care Dr today who agreed to a course of Prednisone tre | OTH | D3/PREMPRO | NONE | NONE | 2 | 05/10/2021 | Y | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1310644 | 05/12/2021 | WI | 66.0 | 66 | F | This was 2nd dose. Within an hour I experienced a metal taste. It is now 1 month of a 24 hour taste. | N | 04/12/2021 | 04/12/2021 | 0 | Doctor ran an extensive blood work. Everything came up good (normal) | PVT | Levothyroxin - 1 a day Multiple vitamin,, Macuguard ,,fish oil, Turmeric, Calcium, Glucosamine w/ MSM complex | none | none | 2 | 05/12/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1323172 | 05/17/2021 | WI | 66.0 | 66 | F | Client reports nausea, retching, extreme fatigue started 5 days after receiving the vaccine - symptoms continue - has been diagnosed with gastroparesis and is scheduled for treatment this week. | N | 04/14/2021 | 04/19/2021 | 5 | PUB | Denies | Reports "I am basically healthy" | 2 | 05/17/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1323846 | 05/17/2021 | WI | 66.0 | 66 | F | Fever, diarrhea, chills, sweats, nausea, aches, headache, tiredness, shortness of breath | Y | 03/26/2021 | 03/27/2021 | 1 | None | PUB | Lipitor, aspirin, lamotrigine, ability, prilosec, gabapentin, oxybutin, metformin, requip, hydrocodone/acetaminophen, bisoprolol | None | Diabetic, depression, rls, hypertension, high cholesterol, chronic bladder leakage | 2 | 05/17/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1328010 | 05/18/2021 | WI | 66.0 | 66 | F | Hives all over back of neck, facial swelling, and eye swelling, sore throat, headache | N | 05/14/2021 | 05/16/2021 | 2 | May 18, 2021, Eye Doctor, and called my PPC office for Dr. and spoke with triage nurse, Pharmacy RX for Eye Inflammation and Anti-Itch RX | PVT | Synthroid (50mg); Losartan (100mg), Amlodipine (5mg); Chlorthalidone (25mg), Metformin (50mg), Adderall Generic (5mg); Cimetidine (OTC); Tylenol 1,000mg; Aspirin (81mg); Natrol Melatonin (3mg); topical diclofenac gel (2mg) | Hypothyroidism; high blood pressure; osteoporosis; arthritis; reflux; insomnia | 2 | 05/18/2021 | Y | Penicillin, sulfites; sulfates; and other preservatives | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1351137 | 05/26/2021 | WI | 66.0 | 66 | F | Client tested positive for COVID-19 on 11/07/2020. She received Pfizer COVID-19 vaccine on 03/18/2021 and 04/08/2021. She then tested positive for COVID-19 again on 05/17/2021. She was hospitalized from 05/17/2021-05/21/2021. She has a history of gastric | Y | U | 04/08/2021 | 05/17/2021 | 39 | Unknown | PVT | Unknown | Unknown | Unknown | 2 | 05/26/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1361738 | 05/30/2021 | WI | 66.0 | 66 | F | Leg numbness and Tingling in both legs and feet starting 9 days after second vaccine. Lightheaded, sweats and leg tingling at night, nausea starting May 17. Continuing and now am in week 12. | N | 02/24/2021 | 03/05/2021 | 9 | Blood work May 25, 2021 | PUB | Calcium; vitamin D | None | None | 2 | 05/30/2021 | Neomycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1371862 | 06/03/2021 | WI | 66.0 | 66 | M | Pt is a resident in a SNF. He went for dose 2 of his Pfizer Covid series at 950am on 6/2. At 12:30am on 6/3 he became weak, anxious, SOB and required oxygen supplementation. He was shaking and weak and transferred to hospital via ambulance. | Y | Y | 1 | U | 06/02/2021 | 06/03/2021 | 1 | 6/3 (at hospital): CBC, CMP, Troponin, U/A, Lactic Acid, Procalcitonin, COVID (rapid and PCR), blood venous gases, bnp , cxr | PVT | apap; asa, trazodone, tamsulosin, fluoxetine, metoprolol, breo ellipta, lactobacillus, donepezil, atorvastatin, folate, thiamine, ferrous sulfate, gabapentin, | PNA last tx date 5/1 | schizophrenia, hep c chronic, hx covid 2020; panlobal emphysema, protein/cal malnutrition, alcohol dependence, cirrhosis, chf, cad, copd | 2 | 06/03/2021 | thiothixene | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1374762 | 06/04/2021 | WI | 66.0 | 66 | M | Diarrhea, vomiting, syncopal reaction, ER Visit | Y | 05/28/2021 | 05/28/2021 | 0 | Head CT- negative EKG- negative CBC, BMP (mild hypokalemia) | UNK | Gabapentin 100 mg po bid ASA 81 mg daily Vitamin D3 5000 units daily Fish oil 1200 mg daily | Peripheral neuropathy | 2 | 06/04/2021 | Y | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1378005 | 06/07/2021 | WI | 66.0 | 66 | M | Pt had first dose of Pfizer COVID vaccine on 3/9/2021 and second dose on 3/31/2021. Pt tested positive for COVID-19 on 5/18/2021 and did have symptoms, such as diarrhea, myalgia, and cough/chest congestion. He presented to the ED on 6/2/2021 and was admi | Y | N | 03/31/2021 | 05/18/2021 | 48 | PVT | amlodipine, aspirin, carvedilol, losartan, omeprazole, rosuvastatin | Alcohol dependence, tobacco use disorder, squamous cell carcinoma of skin, seronegative rheumatoid arthritis, polyp of nasal cavity, Hx of malignant melanoma of skin, peripheral neuropathy, OSA, orchitis and epididymitis (unknown date), obesity, mononeurit | 2 | 06/07/2021 | Cefuroxime, metoprolol, atorvastatin, azithromycin, erythromycin, sulfa ABX | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1381996 | 06/08/2021 | WI | 66.0 | 66 | F | mouth ulcers going on 7 weeks, worsened after snd shot, myalgia, selling of righht shoulder back muscles | N | 05/25/2021 | 06/01/2021 | 7 | PVT | vitamin C, Verapamil 160 mg , Bumex 2 mg , Potassium chloride 20 mu, on these since I was 35 yrs old, Metopolol 25 mg (on it since Feb 2020), allopurinol ( on it since I was 14) | NONE | hypertension, SI joint dysfuntion | as a child unknown which no records | 2 | 06/08/2021 | Y | statins, losartan | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407678 | 06/17/2021 | WI | 66.0 | 66 | F | 02/01/2021 At work, all of the sudden I could not read papers, it's like I lost part of my vision, husband searched net and called my daughter who is a nurse and she said to take her to ER if not gone in 20 minutes. So since I was still experiencing it, I | N | 01/29/2021 | 02/01/2021 | 3 | Bloodwork MRI CAT scan with contrast and non contrast Nothing seen, all tests came back normal. I did have Covid in the past. | PUB | Omeprazole Miralax Claritin D Flonase Calcium Bioflex Potassium | None | None | 2 | 06/17/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1420655 | 06/23/2021 | WI | 66.0 | 66 | F | The next night I started getting tingliness in my toes and upper feet. My legs were chill and my legs, thighs, and my face and my whole body was just chill and felt numb and I was fatigue, diarrhea, and nauseous. My head and my body just hurt all the time | N | 03/11/2021 | 03/12/2021 | 1 | Blood test and MRI. | PUB | Vitamin d | None | None | vsafe | 2 | 06/23/2021 | Y | Cats and dogs; Sulphur; estrogen cream | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1457086 | 07/08/2021 | WI | 66.0 | 66 | M | sore arm , shoulder pain s | N | 05/20/2021 | 05/20/2021 | 0 | went to an ortho doc, doc said he strained his shoulder | PVT | 2 | 07/08/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1464632 | 07/12/2021 | WI | 66.0 | 66 | F | Pt initially tested positive back on 12/16/2020. She was subsequently vaccinated with the Pfizer vaccine on 2/1/2021 and 2/22/2021. She tested negative on 6/1/2021 and 6/20/2021. As part of SNF admission requirement, she was tested upon discharge from h | Y | 02/22/2021 | 07/05/2021 | 133 | All COVID tests listed above were PCR | OTH | amlodipine, aspirin, atorvastatin, cyanocobalamin, ferrous sulfate, insulin aspart, insulin glargine, levothyroxine, metoprolol, omeprazole, venlafaxine, vitamin D3 | Abnormal LFTs, allergic contact dermatitis, anemia of diabetes, arthropathy associated with neurological disorders, bilateral cataracts, CAD, charcot's arthropathy, CHF, chronic anemia, chronic foot ulcer, chronic pain, CKD stage 4, COPD, Dementia associat | 2 | 07/12/2021 | Angiotensin Receptor Blockers, Losartan, lanolin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1474634 | 07/15/2021 | WI | 66.0 | 66 | F | Vaccinated with Pfizer on 3/3/21 and 3/24/21. Symptom onset 7/6/21 with cough, chills, diarrhea, headache, weakness, shortness of breath, muscle aches, sore throat and abdominal pain. Tested positive for Covid-19 on 7/14/21. Client was given a 20 day is | 03/03/2021 | 07/06/2021 | 125 | UNK | 2 | 07/15/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1474638 | 07/15/2021 | WI | 66.0 | 66 | F | Vaccinated with Pfizer on 3/3/21 and 3/24/21. Symptom onset 7/6/21 with cough, chills, diarrhea, headache, weakness, shortness of breath, muscle aches, sore throat and abdominal pain. Tested positive for Covid-19 on 7/14/21. Client was given a 20 day is | 03/24/2021 | 07/06/2021 | 104 | UNK | Kidney transplant 2006 - Immunocompromised | 2 | 07/15/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1520198 | 08/02/2021 | WI | 66.0 | 66 | F | EXPLOSIVE DIAHRREA 3/24/21 VERTIGO, DIZZINESS, HEADACHE, NAUSEA 3/25/21 DIZZINESS, HEADACHE, NAUSEA FOR 1 WEEK SYMPTOMS RETURNED 10 DAYS AFTER 2ND VACCINATION 4/8/21, CONTINUING SPORADICALLY SINCE | N | 03/14/2021 | 08/02/2021 | 141 | PENDING PHYSICAL THERAPY AND ENT TESTING OF VERTIGO | PVT | SYMBICORT 160-4.5MCG/ACT AERO INHALER MONTELUKAST SODIUM 10MG TABS FAMOTIDINE 20MG TABS SODIUM FLUORIDE 5000 SEN 1.1-5 TOOTHPASTE ROSUVASTATIN CALCIUM 5MG TABS BISOPROLOL-HCTZ 5-6.25MG TABS GABAPENTIN 300MG CAPS BUDESONIDE 0.6MG 120ML NASAL | ASTHMA SINUSITIS GERD COLON POLYPS SCIATICA VITREO-MACULAR TRACTION SYNDROME | 2 | 08/02/2021 | Y | BACTRIM? INGREDIENTS IN OTC GLUCOSAMINE/CHONDROITIN, SENNA, FISH OIL, AND OTHERS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1520215 | 08/02/2021 | WI | 66.0 | 66 | F | None stated. | 04/08/2021 | 04/18/2021 | 10 | PVT | SYMBICORT 160-4.5MCG/ACT AERO INHALER MONTELUKAST SODIUM 10MG TABS FAMOTIDINE 20MG TABS SODIUM FLUORIDE 5000 SEN 1.1-5 TOOTHPASTE ROSUVASTATIN CALCIUM 5MG TABS BISOPROLOL-HCTZ 5-6.25MG TABS GABAPENTIN 300MG CAPS BUDESONIDE 0.6MG 120ML NASAL | ASTHMA SINUSITIS GERD COLON POLYPS SCIATICA VITREO-MACULAR TRACTION SYNDROME | 2 | 08/02/2021 | BACTRIM? INGREDIENTS IN OTC GLUCOSAMINE/CHONDROITIN, SENNA, FISH OIL, AND OTHERS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1520457 | 08/02/2021 | WI | 66.0 | 66 | F | MILD DIARRHEA FOR 1 DAY VERTIGO, DIZZINESS, HEADACHE & NAUSEA , STARTING 10 DAYS AFTER INJECTION DIZZINESS, HEADACHE, NAUSEA CONTINUING SPORADICALLY SINCE (SYMPTOMS SIMILAR TO THOSE 10 DAYS AFTER 1ST DOSE) | N | 04/08/2021 | 04/18/2021 | 10 | PENDING PHYSICAL THERAPY AND ENT TESTING, BOTH FOR VERTIGO | PVT | SYMBICORT 160-4.5MCG/ACT AERO INHALER MONTELUKAST SODIUM 10MG TABS FAMOTIDINE 20MG TABS SODIUM FLUORIDE 5000 SEN 1.1-5 TOOTHPASTE ROSUVASTATIN CALCIUM 5MG TABS BISOPROLOL-HCTZ 5-6.25MG TABS GABAPENTIN 300MG CAPS BUDESONIDE 0.6MG 120ML NA | ASTHMA SINUSITIS GERD COLON POLYPS SCIATICA VITREO-MACULAR TRACTION SYNDROME | PFIZER COVID VACCINE 1ST DOSE, 3/14/21 | 2 | 08/02/2021 | Y | BACTRIM? INGREDIENTS IN OTC GLUCOSAMINE/CHONDROITIN, SENNA, FISH OIL, AND OTHERS | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1522838 | 08/03/2021 | WI | 66.0 | 66 | F | It started with severe pain in my back, and I went to the doctor, and she told me I should go to physical therapy for 3 weeks which did not do anything. Then I went to the chiropractor for a couple of weeks with no improvement and tomorrow I am going to se | N | 04/26/2021 | 05/01/2021 | 5 | MRI discs are bulging and there is degenerative disc disease. | PVT | High blood pressure medication; cholesterol medication; magnesium; zinc; vitamin D; probiotics | None | None | vsafe | 2 | 08/03/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1532019 | 08/06/2021 | WI | 66.0 | 66 | F | Wrong vaccine given. Patient wanted to receive Shingrix, but was given Moderna. She experienced a fever the next day. | Y | 08/04/2021 | 08/04/2021 | 0 | PHM | Gabapentin, benazepril | None | None | 2 | 08/06/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1541089 | 08/10/2021 | WI | 66.0 | 66 | F | Within 5 minutes of injection patient felt hot, felt like she was going to be short of breath, blurred vision, saw "white", turned red, low back pain. Provider called the emergency dept. for advice, was advised to monitor. Provider and CMA attended to pat | Y | 08/10/2021 | 08/10/2021 | 0 | none | PVT | 81 mg aspirin Calcium supplement Magnesium 800 mg Multivitamin Tums | none | Factor 5 Leiden Mutation-clotting disorder | 2 | 08/10/2021 | Sulfa Antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1550446 | 08/12/2021 | WI | 66.0 | 66 | M | A little temperature; This spontaneous case was reported by a consumer and describes the occurrence of BODY TEMPERATURE INCREASED (A little temperature) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccinatio | U | 02/11/2021 | UNK | Back discomfort (The patient has some back issue and the procedure scheduled on 25 Feb 2021.) | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1552335 | 08/13/2021 | WI | 66.0 | 66 | F | Did not get the 2nd dose; Lost 7 pounds; Vibration sensation in the center of her body/different sensations all over her body; Hand are asleep every morning/ feet asleep every morning/ numbness in her toes; Bottom of skull is aching/Neck feel like it was | N | 03/11/2021 | 03/12/2021 | 1 | UNK | Comments: No relevant concomitant medications reported. No relevant medical history was reported. | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1552680 | 08/13/2021 | WI | 66.0 | 66 | M | Red and puffy; Red spot; Sore arm; This spontaneous case was reported by a physician and describes the occurrence of VACCINATION SITE PAIN (Sore arm), VACCINATION SITE SWELLING (Red and puffy) and VACCINATION SITE ERYTHEMA (Red spot) in a 66-year-old male | Y | 01/22/2021 | 01/22/2021 | 0 | UNK | TYLENOL; OXICODONE ACCORD; TRAMADOL; BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE] | Medical History/Concurrent Conditions: No adverse event (no medical history was reported) | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1557733 | 08/14/2021 | WI | 67.0 | 66 | F | Urinated throughout the night; This spontaneous case was reported by a consumer and describes the occurrence of NOCTURIA (Urinated throughout the night) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042L20A) f | U | 01/25/2021 | 01/25/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1562894 | 08/15/2021 | WI | 66.0 | 66 | M | Headache; Fatigue; Joint pain; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache), FATIGUE (Fatigue) and ARTHRALGIA (Joint pain) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccin | U | 03/03/2021 | 03/04/2021 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1569614 | 08/15/2021 | WI | 66.0 | 66 | F | Warmth; Diarrhea; Nausea; Fatigue; Redness; Swelling; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE WARMTH (Warmth), DIARRHOEA (Diarrhea), NAUSEA (Nausea), FATIGUE (Fatigue) and VACCINATION SITE ERYTHEMA | U | 03/09/2021 | 03/15/2021 | 6 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1570308 | 08/15/2021 | WI | 66.0 | 66 | M | Incorrect site of injection; This spontaneous case was reported by an other health care professional and describes the occurrence of PRODUCT ADMINISTERED AT INAPPROPRIATE SITE (Incorrect site of injection) in a 66-year-old male patient who received mRNA-12 | U | 03/01/2021 | 03/01/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1570511 | 08/15/2021 | WI | 66.0 | 66 | M | pure liquid diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (pure liquid diarrhea) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccina | U | 02/26/2021 | 02/27/2021 | 1 | Test Date: 20210320; Test Name: COVID-19 antibody test; Test Result: Negative ; Result Unstructured Data: negative | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1578368 | 08/17/2021 | WI | 66.0 | 66 | M | Severe and progressive hive-like rash in various locations on body. | Y | 04/03/2021 | 04/24/2021 | 21 | Confirmation by Primary Care Physician of a Covid vaccine response rash. | PVT | None | None | None | 2 | 08/17/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1591158 | 08/20/2021 | WI | 66.0 | 66 | M | Patient received their second dose in the series one week early. Their first dose was administered on 7/28/2021 the second dose should have been administered on 8/18/2021 but was actually given 8/11/2021. | Y | 08/11/2021 | 08/11/2021 | 0 | PHM | 2 | 08/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1595961 | 08/21/2021 | WI | 66.0 | 66 | M | Blood pressure was a little up; Diarrhea; Weak; 99.1 F body temperature; Very bad headache; This spontaneous case was reported by a consumer and describes the occurrence of BLOOD PRESSURE INCREASED (Blood pressure was a little up), DIARRHOEA (Diarrhea), AS | Y | 03/03/2021 | 03/03/2021 | 0 | Test Date: 20210303; Test Name: Body temperature; Result Unstructured Data: Other | UNK | SIMVASTATIN; METFORMIN; LISINOPRIL; OMEPRAZOLE; PIOGLITAZONE | Comments: No medical history was reported by the reporter. | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1596427 | 08/21/2021 | WI | 66.0 | 66 | F | Rash; Muscle soreness; Red patch; Red marks; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE RASH (Rash), MYALGIA (Muscle soreness), RASH ERYTHEMATOUS (Red patch) and ERYTHEMA (Red marks) in a 66-year-old f | U | 02/17/2021 | 02/17/2021 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event (No reported medical history) | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1612823 | 08/22/2021 | WI | 66.0 | 66 | M | Sick for one day; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION COMPLICATION (Sick for one day) in a 66-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 106M20A) for COVID-19 | Y | 03/03/2021 | UNK | Comments: No past medical history was reported. | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1626166 | 08/24/2021 | WI | 66.0 | 66 | F | lips started swelling up; eyes started swelling up; This spontaneous case was reported by a consumer and describes the occurrence of LIP SWELLING (lips started swelling up) and EYE SWELLING (eyes started swelling up) in a 66-year-old female patient who rec | Y | 02/04/2021 | 02/08/2021 | 4 | UNK | LOSARTAN | Medical History/Concurrent Conditions: Surgery (she fell and broke her ankle. Six days later she needed surgery and was itching all over from the medication they gave her.) | USMODERNATX, INC.MOD20210 | 2 | 08/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1626329 | 08/24/2021 | WI | 67.0 | 66 | F | tingling lips; tremors; dizziness; her throat was closing; voice seemed affected; her heart was racing; high blood pressure; swelling of her face; shortness of breath; hive on cheek; redness of face; This spontaneous case was reported by a consumer (subseq | Y | 02/01/2021 | 03/01/2021 | 28 | UNK | ALEVE | Shellfish allergy (Patient stated that she had in the past an anaphylactic allergic reaction to shellfish) | USMODERNATX, INC.MOD20210 | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1631436 | 08/25/2021 | WI | 66.0 | 66 | F | arm started to itch again and was red again; small little red itchy spots; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (small little red itchy spots) and VACCINATION SITE ERYTHEMA (arm started to itch again and | N | 01/31/2021 | 02/02/2021 | 2 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1633100 | 08/25/2021 | WI | 66.0 | 66 | F | I continued to experience the left upper jaw pain I was having from the first vaccine. My symptoms developed into something, I had pain in my left upper jaw, and I thought it was tooth so I went to dentist. I even got a CT scan of my jaw and it was not my | Y | 02/01/2021 | 02/01/2021 | 0 | CT scan of my jaw | PUB | Urso; Pepcid; Crestor; flaxseed oil | I have an autoimmune disease; primary biliary cholangitis | vsafe | 2 | 08/25/2021 | Y | Sulfa; penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1633112 | 08/25/2021 | WI | 66.0 | 66 | F | I started to have symptoms on my first dose to my left upper jaw and tooth but I did not think anything at first. I went to the dentist to check out my tooth. I even got a CT scan of my jaw and it was not my tooth. I got then my second dose vaccine and my | Y | 01/28/2021 | 02/01/2021 | 4 | CT scan of the jaw | PUB | Urso; Pepcid; Crestor; flaxseed oil | I have an auto immune disease; primary biliary cholangitis | vsafe | 2 | 08/25/2021 | Y | Sulfa; penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1636469 | 08/26/2021 | WI | 66.0 | 66 | M | Patient had heart attack and died at 10:15 PM following dose at 3:00 PM | Y | 08/10/2021 | N | 08/10/2021 | 08/10/2021 | 0 | UNK | UNKNOWN | Was scheduled for angioplasty following abnormal stress test. Angioplasty was denied until patient was vaccinated. | 2 | 08/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1637297 | 08/26/2021 | WI | 66.0 | 66 | F | pfizer #1 on 2/25/2021 weakness 3/20/2021 subsequently determined by neurologist after MRI and lumbar puncture and serologies June 2021 to be Guillaine Barre | Y | 7 | Y | N | 02/25/2021 | 03/20/2021 | 23 | brain CT and MRI lumbar puncture TSH, myoglobin, aldolase, Vit B12, heavy metals, HIV, Hepatitis panel, LYme titer, RPR, VDRL, Immunoglob IgA, Covid | PVT | atorvastatin, glimiperide, albuterol, | resolved diverticulitis (one month before) | sleep apnea, obesity, diabetes, hyperlipidemia, GERD, depression | 2 | 08/26/2021 | Y | NSAIDs, savella, gabapentin, lyrica, diazepam, pantoprazole, prednisone, metformin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1641456 | 08/27/2021 | WI | 66.0 | 66 | M | Patient was able to receive all 3 series of COVID-19 vaccinations. The first series was provided by MCHS (incident discovered during a NURSELINE call when the patient called reporting symptoms requiring triage). Reporter contacted pharmacy - administrator | U | 02/12/2021 | 04/22/2021 | 69 | PVT | unknown | Unknown | Coronary Artery Disease; Hypertension; Hx. Coronary Artery Bypass surgery, congestive heart failure, knee replacement, alcohol and substance abuse | 2 | 08/27/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1663130 | 09/01/2021 | WI | 66.0 | 66 | F | covid positive test and illness | Y | 16 | N | 03/11/2021 | 08/16/2021 | 158 | covid 19 positive test | PVT | Rituxan infusion, prednisone 5mg | crest syndrome | 2 | 09/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1678867 | 09/07/2021 | WI | 66.0 | 66 | F | Headache, 102 degree fever, leg cramps, nausea, and fatigue. Fever has gone away, leg cramps are occasional now, and the nausea and fatigue are still occurring. | N | 08/27/2021 | 08/28/2021 | 1 | PHM | Hydromorphone, extra strength Tylenol, low dose aspirin, duloxetine, Flonase nasal spray, furosemide, Humulin 70/30, lisinopril, metformin, metoprolol, omeprazole, prednisone, lyrica, rosuvastatin, vitamin D3, mycophenolate | Potential start of a lupus flare | Lupus | Sore arm (pfizer vaccine, doses 1 and 2) | 2 | 09/07/2021 | Ranitidine, azathioprine, quinolones, trimethobenzamide, phenothiazines, cimetidine, tetracyclines, penicillins, benztropine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1694592 | 09/13/2021 | WI | 66.0 | 66 | F | High fever, aches, chills, nausea, headache. In bed for a full day. | Y | 03/11/2021 | 03/12/2021 | 1 | None | PHM | Levothyroxine | None | Hypothyroidism | Shingles shot. Aches and chills for about 12 hours | 2 | 09/13/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696141 | 09/14/2021 | WI | 66.0 | 66 | F | Nurse gave me shot, within one minute I could feel it traveling from my shoulder into my chest like a bubble. I said to doctor I dont feel good , she said you are bright red, than i told her i was having a hard time breathing and everything got cloudy. The | Y | 08/10/2021 | 08/10/2021 | 0 | None | PVT | Multi vitamin, calcium and magnesium | None | None | 2 | 09/14/2021 | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696425 | 09/14/2021 | WI | 66.0 | 66 | F | Fever up to 101.3; bone/muscle aches, weakness, hot/cold sweats; no appetite unable to eat only drank fluids. Bed rest. | Y | 01/24/2021 | 01/01/2021 | C19 negative and no respiratory symptoms. | PHM | none | none | none | 2 | 09/14/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696442 | 09/14/2021 | WI | 66.0 | 66 | F | Low grade fever, hot/cold sweats, muscle/bone aches, weakness, no appetite, able to take fluids only and bed rest. | Y | 09/01/2021 | 09/01/2021 | 0 | none | PHM | none | none | none | pneumo 23 age 66 | 2 | 09/14/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1700596 | 09/15/2021 | WI | 66.0 | 66 | M | About five months after receiving the second dose, I came down with Shingles. It is located on my right side from my naval around to my back. It's about two inches high and two inches below my waist. I have had these shingles for around five weeks now. It' | Y | 03/12/2021 | 08/16/2021 | 157 | They checked my blood pressure and oxygen levels. Everything was fine. | PUB | I was taking lisinopril 10mg. | I was not experiencing any illness at the time. | I have borderline high blood pressure. | vsafe | 2 | 09/15/2021 | Y | I used to be allergic to IDP dye and I have a minor allergy to adhesive. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1719057 | 09/21/2021 | WI | 66.0 | 66 | M | Significant, on-going pain in the muscles of lower and upper right arm near the elbow (not the shoulder where the shot was given). This pain started about a month after receiving the shot and is not diminishing or going away even now 5 months after receiv | N | 04/22/2021 | 05/20/2021 | 28 | PHM | Multivitamin, vitamin D | none | none | 2 | 09/21/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1723287 | 09/22/2021 | WI | 66.0 | 66 | M | In AFIB 3 hours after receiving vaccine, sinus rhythm, 2 weeks later went back into AFIB, same thing another two weeks later. Blood clots in right leg | U | 02/12/2021 | 02/12/2021 | 0 | 18 hours in hospital Cardiologist specialist ran EKG test, told to have oblation and right after went into AFIB again | SEN | None | None | AFIB Knee replacement | vsafe | 2 | 09/22/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1737813 | 09/27/2021 | WI | 66.0 | 66 | F | Patient had swollen arm and redness on right arm it is subsiding more to elbow area. She got some RXs from MD | Y | 09/23/2021 | 09/23/2021 | 0 | some RX from MD | PHM | Pneumovax 24 | none | none | 2 | 09/27/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1741734 | 09/28/2021 | WI | 66.0 | 66 | F | Symptoms; General Fatigue, muscle weakness, nausea, epigastric reflux, headaches, shortness of breath with physical activity, brain fog, memory issues, increase need for sleep. All of these existed since October 2020 with long covid but I was able to co | N | 03/25/2021 | 03/26/2021 | 1 | Lung Scan to r/o pulmonary emboli or lung complications, Heart tests to r/o complications. Lab tests to check for inflammatory process. | PUB | Digoxin, Rybelsus, Synthroid, Spironolactone, Farxiga, Irbesartan, Ropinerole, Multi Vitamin, Calcium, Vit B 6, Vit B 12, Vit D3, Aspirin | Long Covid Since October 2020 | Diabetes Type 2, Hypertension, Hypothyroidism, Heart Arrhythmias | 2 | 09/28/2021 | Y | Morphine, Statins, Shell fish, seasonal allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1758808 | 10/04/2021 | WI | 66.0 | 66 | M | Patient didn?t feel well the day after his COVID vaccine. He was extremely tired and he had body aches. This continued until his 1st visit to the hospital on July 1st. He was jaundice and weak. They diagnosed cirrhosis, high blood pressure and low blood pl | Y | 08/10/2021 | Y | Y | 22 | N | 05/27/2021 | 05/28/2021 | 1 | Please check with the hospital, there were so many to list | PVT | None | None | High blood pressure | 2 | 10/04/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761644 | 10/05/2021 | WI | 66.0 | 66 | F | Moderna vax - symptoms are paresthesias and pain in the extremities and muscle spasms and weakness | U | 02/26/2021 | 02/26/2021 | 0 | OMT | PVT | Hyperlipidemia, palpitations, Sinusitis, toxic diffuse goiter, anxiety, tobacco use disorder | Inluenza vaccine- 2006 | 2 | 10/05/2021 | Y | Midazolam, Epinephrine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1776569 | 10/11/2021 | WI | 66.0 | 66 | M | fully vaccinated-covid 19 death | Y | 10/08/2021 | 05/12/2021 | 10/08/2021 | 149 | UNK | 2 | 10/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1779288 | 10/12/2021 | WI | 66.0 | 66 | F | positive covid test | 02/11/2021 | 10/04/2021 | 235 | PVT | 2 | 10/12/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1785625 | 10/14/2021 | WI | 66.0 | 66 | F | Co-administered the high dose flu and the booster dose of Covid had almost immediate full body flushing, bilateral red conjunctiva, low back pain, headache, and slight tightness in throat. Pulse rate - 112-119, R- 18, O2 sat - 95-96%. All symptoms resolved | Y | 10/14/2021 | 10/14/2021 | 0 | None. Monitored vital signs. | PUB | Pseudoephed, Vit D, MVI, Nasonex, amlodipine, lisinopril, hydrochlorothiazide, celexa, timolol ophthalmic, and latanoprost ophthalmic | None | HTN, allergies, glaucoma | 2 | 10/14/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788013 | 10/15/2021 | WI | 66.0 | 66 | M | Intermittent chest pain: sharp/burning, mostly upper chest and under clavicles, improved with sitting up and/or leaning forward Intermittent vertigo, brought on by movement, episodes lasting < 60 seconds | N | 10/06/2021 | 10/09/2021 | 3 | none | PHM | lisinopril, atorvastatin, melatonin, aspirin, forteo. acetaminophen | none | hypertension, osteoporosis, paroxysmal atrial fibrillation, scoliosis | Age 65, Shringrix, malaise for 6-8 hours | 2 | 10/15/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1804470 | 10/21/2021 | WI | 66.0 | 66 | F | The first evening after the vaccine, I had strong shaking (the "chills"). In the morning I first took my temperature and had 101.6 fever which lasted all day. My arm was extremely sore at the vaccination site and whenever raising my arm and lasted over t | Y | 10/13/2021 | 10/13/2021 | 0 | PHM | none | none | 2 | 10/21/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1808421 | 10/22/2021 | WI | 66.0 | 66 | F | Pt was given an expired high dose flu vaccine. No harm was done. | Y | 10/14/2021 | 10/14/2021 | 0 | PVT | 2 | 10/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1815261 | 10/25/2021 | WI | 66.0 | 66 | M | Patient presented to pharmacy and spoke with pharmacist regarding new rx for suspected Parsonage Turner Syndrome (PTS) treatment following covid-19 vaccination. Pt stated that he was seen by provider who suspected pt had PTS as pt had reported shooting ner | N | 04/29/2021 | 05/05/2021 | 6 | Scope of pt treatment at doctors office unknown | PHM | 2 | 10/25/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1815400 | 10/25/2021 | WI | 66.0 | 66 | F | BREAKTHROUGH COVID INFECTION/MILD SX | N | 03/05/2021 | 10/24/2021 | 233 | POS COVID -19/ABBOTT | PVT | NORVASC, 5 MG, HYDROXYZINE 25 MG, MELATONIN 3 MG | NONE LISTED | ESSENTIAL HYPERTENTION APNEA OBSTRUCTIVE SLEEP APNEA | 2 | 10/25/2021 | Y | LISINOPRIL | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1828067 | 10/29/2021 | WI | 66.0 | 66 | M | they accidentally administered FLUZONE QUADRIVALENT instead of FLUZONE HIGH DOSE with no reported adverse event; Initial information received on 22-Oct-2021 regarding an unsolicited valid non-serious case from a other health professional and consumer/ non | U | 10/21/2021 | 10/21/2021 | 0 | UNK | USSA2021SA356450 | 2 | 10/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1831875 | 10/30/2021 | WI | 66.0 | 66 | F | This was my 3rd Moderna, the booster shot. I reacted badly to the second shot and I am having a tough time with this one too! On administration, Flushing, fatigue, dizzy, confused. Sore arm, severe chills, high fever (104), muscle aches, weak, dizzy, shor | N | 10/27/2021 | 10/27/2021 | 0 | PHM | Ativan, Mirtazapine, Verapamil, stool softener, asthma and allergy meds as needed | None. | Prediabetes, obesity, migraine, anxiety , depression, asthma, allergies, arthritis | I reported to VAERS on my last Moderna Vaccine. 4/1/21 | 2 | 10/30/2021 | Quinoa, latex, nickel, morphine, hydromorphone, Phenergan . Dust, pollen, smoke, cats , almost everything. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1833110 | 11/01/2021 | WI | 66.0 | 66 | M | On Monday 10/11/2021 I woke up with numbness on the left side of my body. It started at my forehead then it radiated down my body to my left knee. I was seen in the ER at a local hospital for that condition. I was admitted overnight. They were able to dete | Y | 1 | Y | 10/07/2021 | 10/10/2021 | 3 | 10/11/2021, MRI of brain didn't show anything | PUB | Furosemide; irbesartan; omeprazole; Celebrex; aspirin; potassium CL ER; tamsulosin HCL; Claritin; pioglitazone HZL; metformin; azelastine; fluticasone; rosuvastatin; B complex vitamin | Weakness in my left hand | Sleep Apnea; High Cholesterol; High Blood Pressure | vsafe | 2 | 11/01/2021 | Y | Ace inhibitors | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1836583 | 11/02/2021 | WI | 66.0 | 66 | M | Patient received both doses of Pfizer, then a dose of Janssen, the the Pfizer booster. He claims it was per his doctor's recommendation. | Y | 04/07/2021 | 11/02/2021 | 209 | None | PHM | unknown | Diabetes | diabetes and obesity | 2 | 11/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1860931 | 11/11/2021 | WI | 66.0 | 66 | F | Atrial fibrillation | U | 10/04/2021 | 11/02/2021 | 29 | EKG 11/2/2021; chest X-ray 11/2/21 (no concerns); blood tests 11/3/2021 (complete blood count, metabolic/electrolyte panel, thyroid function -- TSH low); home overnight oximetry 11/3/2021 ("micro" episodes of sleep apnea possible) Started on Xarelto blood | PVT | Timolol, Latanaprost, Muro 128, Systane nighttime ointment, multivitamin, ibprofen | Glaucoma, benign thyroid nodules | 2 | 11/11/2021 | Y | Pollen | 2021VAERSSYMPTOMS | 2021VAERSVAX |