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VAERS_ID | RECVDATE | STATE | AGE_YRS | CAGE_YR | CAGE_MO | SEX | RPT_DATE | SYMPTOM_TEXT | DIED | DATEDIED | L_THREAT | ER_VISIT | HOSPITAL | HOSPDAYS | X_STAY | DISABLE | RECOVD | VAX_DATE | ONSET_DATE | NUMDAYS | LAB_DATA | V_ADMINBY | V_FUNDBY | OTHER_MEDS | CUR_ILL | HISTORY | PRIOR_VAX | SPLTTYPE | FORM_VERS | TODAYS_DATE | BIRTH_DEFECT | OFC_VISIT | ER_ED_VISIT | ALLERGIES | Link 1 | Link 2 |
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1036972 | 02/17/2021 | HI | 68.0 | 68 | M | C/o dizziness post-vaccination. VS@12:55 BP 137/91, pulse 66, RR 16. Referred to EMT: systolic BP 124; EKG showed irregular heartbeat, unspecified. Recommended further assessment by participant's cardiologist. Bottled water given. Client reported | Y | 02/16/2021 | 02/16/2021 | 0 | OTH | 2 | 02/16/2021 | Penicillin, Lisinopril, sulpha drugs, seafood | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1056055 | 02/26/2021 | HI | 68.0 | 68 | M | Patient felt lightheaded immediately after vaccination. Escorted to the post-vaccination waiting area. Mild inspiratory and expiratory wheeze on auscultation of lung sounds. No acute distress. Offered Powerade drink, patient declined. Patient recovere | Y | 02/25/2021 | 02/25/2021 | 0 | OTH | 2 | 02/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1069513 | 03/03/2021 | HI | 68.0 | 68 | F | None at the time of vaccination. Pt admitted to ER on 2/25 with chest pain. | Y | 8 | 01/26/2021 | 02/25/2021 | 30 | Cardiac cath results showed critical aortic stenosis + severe coronary artery disease. Pt underwent AVR and CABG on 3/1/21 | PVT | Metformin Gentamicin eye drops Irbesartan Ibuprofen Vascepa Atorvastatin | Aortic stenosis Asthma BMI 26-26.9 Calculus of L ureter Colitis Diabetes Essential tremor H/O tubal ligation HTN Hx appendectomy Hx degenerative disc disease Hyperlipidemia Nephrolithiasis Obesity Polycythemia | As above | 2 | 03/03/2021 | Y | Erythromycin Tramadol Visken | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1070038 | 03/03/2021 | HI | 68.0 | 68 | M | Client passed away 8 days after being vaccinated. It is unknown if it occurred from the vaccine or other comorbidities. | Y | 01/22/2021 | N | 01/14/2021 | 01/22/2021 | 8 | Unknown | PUB | Plavix Aspirin Lisinopril Diazepam Morphine Sulfate Lyrica Spiriva Respinate Proair Air | COPD | COPD Vascular Disease Chronic Pain Opioid Dependence HTN | 2 | 03/03/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1120865 | 03/21/2021 | HI | 68.0 | 68 | F | Frequent episodes of tinnitus alternating ears beginning within two days of vaccine lasting almost two weeks No tinnitus before vaccination | U | 03/05/2021 | 03/07/2021 | 2 | OTH | Synthyroid Valtrex | None | None | 2 | 03/21/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1128164 | 03/24/2021 | HI | 68.0 | 68 | F | Swelling of vaccination area Redness and swelling about 3 inches in diameter Itchy Painful | N | 03/12/2021 | 03/20/2021 | 8 | OTH | Stomach gastritis | 2 | 03/24/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1133713 | 03/25/2021 | HI | 68.0 | 68 | F | After first injection only had sore achy arm for few days About 4 hours after second injection on Friday morning, I started feeling bad with chills, then fever of 102-103; severe body and joint aches for a duration of roughly 48 hours; I just went to bed | Y | 02/12/2021 | 02/12/2021 | 0 | N/A | OTH | Dexilant 60mg 2xday Famotidine 40mg 2xday Levothyroxine Sodium 50 mcg 1xday Rosuvastatin 6mg 1xday | N/A | Severe GI issues, reflux, GERD, hiatal hernia Breast cancer survivor | unknown | 2 | 03/25/2021 | Opiates (most pain meds); Ambien; Celebrex; Cipro, Compazine; Dilaudid; Indocin; Maxsalt; | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1142676 | 03/29/2021 | HI | 68.0 | 68 | F | March 19th Friday afternoon started a fever between 99-102 degrees with headache lasted two days. | Y | 03/18/2021 | 03/19/2021 | 1 | None | PHM | Aleve for fever and headache | None | None | 2 | 03/29/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1162953 | 04/02/2021 | HI | 68.0 | 68 | F | Initial sore injection site 6 hours after injection, slight headache 12 hours after, slight chills 16 hours after, tiredness and muscle pain 20 hours after and lasting 24 hours, red rash on front torso just below the breasts running in a 2-3 inch wide str | Y | 03/25/2021 | 03/26/2021 | 1 | none | PUB | CoQ10, Glucosamine, Calcium, Vit. D3, Multivitamin, Fish oil,Turmeric, Hair Sin & Nails dummies, Prevalite powder | None | High cholesterol, arthritis | 2 | 04/02/2021 | penicillin, statins, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1186978 | 04/09/2021 | HI | 69.0 | 68 | M | Injection site pain, tiredness, pain in the chest/abdomen/arms/thighs/calves, pain in the hip and shoulder joints, nausea, and feeling unwell. | N | 04/06/2021 | 04/06/2021 | 0 | I had minor, intermittent chest pain after the first shot. I went to the ER on April 5, 2021 for chest pain. All blood tests, EKG and chest x-ray were normal. | PVT | Biktarvy, Tamsulosin, Atoryvastatin, Alendronate, multi-vitamin, vitamin D3, B12, and calcium. | None. | AIDS. | 2 | 04/09/2021 | Y | Y | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1192324 | 04/10/2021 | HI | 68.0 | 68 | F | Headache which got worse 2 hrs after vaccine and then worse at 10 hrs after vaccine. Dizziness for 2 days after vaccine, slight fever overnight 8 hours after vaccine and into the end day. MAJOR DEPRESSIVE AND ANXIETY SYMPTOMS. CRYING ALL DAY FOR 2 days. S | N | 04/08/2021 | 04/08/2021 | 0 | None. I am scheduled to see my doctor Tuesday morning 04/13/2021 | PVT | Venlafaxine, levothyroxine, atoravastatin, lisinopril, chlorthalidone , vit D, calcium and multivitamin and mineral pack | None | Depressive disorder Anxiety disorder High blood pressure Cholesterol Thyroid | 2 | 04/10/2021 | Y | Cephalosporins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1198934 | 04/12/2021 | HI | 68.0 | 68 | F | Pt came in today 4/12/21 and notified us that she had a reaction from the COVID-19 vaccine that was administered on Friday 4/9/21 @1334. Pt stated it happened when she got home after tx. She had chills, itchyness, loss of balance, blurred vision, and hig | Y | 04/09/2021 | 04/09/2021 | 0 | None | OTH | Acetominophen 650mg, Heparin 2,000 Units (bolus) | No | ESRD | 2 | 04/12/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1222862 | 04/17/2021 | HI | 68.0 | 68 | M | None stated. | 03/26/2021 | 03/27/2021 | 1 | PHM | 2 | 04/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1244072 | 04/22/2021 | HI | 68.0 | 68 | F | Nausea, chills, low grade fever, headache, body aches, fatigue - started at 5:00pm five days after vaccination - fever resolved with Tylenol - remaining symptoms resolved with rest. Still feeling fatigued and fuzzy-headed on day following onset of symptoms | N | 04/16/2021 | 04/21/2021 | 5 | None | PVT | Duloxetine, Atorvastatin, Montelukast, Amitriptyline, Claritin, calcium, glucosamine, multivitamin | None | High cholesterol, mild depression | 2 | 04/22/2021 | Cipro | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1279352 | 05/01/2021 | HI | 68.0 | 68 | M | The patient had a stroke requiring TPA administration | Y | Y | 1 | U | 04/30/2021 | 05/01/2021 | 1 | CBC, CMP, INR, Lipids, TSH, A1c, TTE with bubble, CT head, CT angio head and neck, MRI stroke protocol = All on 5/1/21 | PVT | estradiol tacrolimus memantine januvia | MDD, DM, | transgender on estradiol memantine tacrolimus mdd | 2 | 05/01/2021 | egg/milk - rash nkda | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1366524 | 06/01/2021 | HI | 68.0 | 68 | M | Lungs ache intermittently when walking. Heart seems to gurgle periodically. | N | 04/17/2021 | 04/18/2021 | 1 | None. | PVT | multi-vitamin, vitamin D | none. | generally good health, although obese. | 2 | 06/01/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1372555 | 06/03/2021 | HI | 68.0 | 68 | F | Began to experience wheezing and coughing and nasal drainage with clear phlegm. Necessitated me to use Proventil rescue inhaler 2-3 times a day whereas previously had used inhaler 2-3 times a year. Also on Day 10 post had 6 inch long red rash on right thig | N | 05/20/2021 | 05/30/2021 | 10 | Called PCP who ordered Chest Xray completed on 6/2/21. Results pending. In person doctor visit pending. Teleconference on 6/2/21 with Naturopath. Phone calls x 2 to PCP. | PVT | Prevention inhaler p.r.n, Vitamin C, Melatonin, Zinc, Pectasol, Breast Defend, Osteoprime Ultra, Strontium, NAC, Alpha-Glycosyl Isoquercitrin, Mega Sporebiotic, Evening Primrose Oil. Vitamin D/K2, Cod Liver Oil DHA/ EPA Forte Capsules, CBD | None | Childhood asthma Breast cancer DCIS Grade 0, Stage 2 with lumpectomy 11/2020 Total Hysterectomy due to HPV 2/2019 Osteoporosis x 2 years | 2 | 06/03/2021 | Sensitivity to Tetracycline. Allergy to mold, animal dangers, dust, wool | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1624541 | 08/23/2021 | HI | 68.0 | 68 | M | Injection site swelling, tender. Back, neck and stomach ached. Started on Saturday and persisted in Sunday with improvement therafter | Y | 08/20/2021 | 08/21/2021 | 1 | PVT | Active Outpatient Medications (including Supplies): Active Outpatient Medications Status ========================================================================= 1) ATORVASTATIN CALCIUM 10MG TAB TAKE ONE T | Ulcerative Colitis | 2 | 08/23/2021 | Y | Bacitracin, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1651481 | 08/28/2021 | HI | 68.0 | 68 | M | Patient received a Pfizer booster vaccination instead of a Moderna booster vaccination. Patient monitored for 30 minutes following administration. No signs or symptoms of allergic or adverse reactions observed. Patient left clinic site with no issues. | U | 08/28/2021 | 08/28/2021 | 0 | None | PVT | Unknown | Recently diagnosed with prostate cancer. | Recently diagnosed with prostate cancer. | 2 | 08/28/2021 | Undetermined medication - reported with difficulty breathing as symptom. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1661049 | 09/01/2021 | HI | 68.0 | 68 | M | received J&J vaccine 4 days after receiving first dose of Modernna; This spontaneous case was reported by a pharmacist and describes the occurrence of INTERCHANGE OF VACCINE PRODUCTS (received J&J vaccine 4 days after receiving first dose of Modernna) in a | U | 08/12/2021 | 08/16/2021 | 4 | UNK | USMODERNATX, INC.MOD20212 | 2 | 08/31/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1674813 | 09/04/2021 | HI | 68.0 | 68 | F | Muffled/clogged ears like being on an airplane. Middle ear pressure that cannot be resolved by yawning, chewing or swallowing. Only improves after lying down to sleep but upon awakening, again feels like cotton is stuffed in both my ears. It has not improv | N | 08/22/2021 | 08/23/2021 | 1 | PHM | Plaquenil; Prednisone; Lipitor | Lupus/undifferentiated collagen vascular disorder | Lupus/autoimmune collagen vascular disorder | 2 | 09/04/2021 | Ampicillin; Sulfamethoxazole; Bextra | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1683018 | 09/08/2021 | HI | 68.0 | 68 | M | SEVERE UNPROVOKED SADDLE PULMONARY EMBOLISM | Y | Y | 4 | Y | N | 02/10/2021 | 08/15/2021 | 186 | HOSPITALIZED 8/19/21; NOW ONLIFELONG ANTICOAGULATION | PVT | Clopidogrel, metoprolol, benazepril-hctz, asa | None | DM2, NSTEMI w/ stent, CKD stage 3 | 2 | 09/08/2021 | Y | gabapentin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1723584 | 09/22/2021 | HI | 68.0 | 68 | M | Mild Symptoms, insomnia, dizzy, loss of focused, Severe symptoms last two days - Died on Sept 7 - 2021 - couldn't breathe. | Y | N | 08/19/2021 | 09/22/2021 | 34 | PUB | None | None | None | 2 | 09/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1734057 | 09/25/2021 | HI | 68.0 | 68 | F | felt tired after the second vaccine; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (felt tired after the second vaccine) in a 68-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. | U | 09/14/2021 | 09/14/2021 | 0 | UNK | USMODERNATX, INC.MOD20213 | 2 | 09/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1736272 | 09/27/2021 | HI | 68.0 | 68 | F | bad watery diarrhea and 6 loose stools per day; sore right injection site arm; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (bad watery diarrhea and 6 loose stools per day) and VACCINATION SITE PAIN (sore right | U | 08/16/2021 | 08/16/2021 | 0 | UNK | USMODERNATX, INC.MOD20213 | 2 | 09/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1808451 | 10/22/2021 | HI | 68.0 | 68 | M | COVID hospitalization after COVID vaccination. | Y | 08/01/2021 | 10/20/2021 | 80 | UNK | 2 | 10/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1857672 | 11/10/2021 | HI | 68.0 | 68 | M | Gentle coughing. Little tightness in chest; went away Nov. 10, 2021 at 06:00 am. | Y | 11/05/2021 | 11/06/2021 | 1 | MIL | None | Anxiety, high blood pressure, cholesterol | 2 | 11/10/2021 | Sulfa eye drops, Doxycycline | 2021VAERSSYMPTOMS | 2021VAERSVAX |