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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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0937699 | 01/12/2021 | TN | 73.0 | 73 | F | Pt woke up on Saturday with headache. Pt broke out in shingles on Monday and was diagnosed today with Herpes Zoster | N | 01/07/2021 | 01/09/2021 | 2 | none | PUB | famotidine 40mg bid duloxetine 30mg synthroid 125mcg omeprazole 40mg bid Ziac 10-6.25 qd asa 81mg qd rosuvastatin 20mg qd metformin 500mg qd meloxicam 15mg qd wellbutrin sr 150mg bid | none | Hypothyroidism, unspecified Mixed hyperlipidemia Gastro-esophageal reflux disease without esophagitis Major depressive disorder, single episode, mild Essential (primary) hypertension Obesity, unspecified Type 2 diabetes mellitus with diabet | 2 | 01/12/2021 | Y | sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0966027 | 01/22/2021 | TN | 73.0 | 73 | F | day of vaccine: sore arm 24 hrs post vaccine: chills, fever (100.5) , general weakness, (hard time walking) headache, nausea These lasted 12+ hrs. They were as rough as the onset of Covid that I experienced Dec 4+ | Y | 01/20/2021 | 01/21/2021 | 1 | none | SEN | Diltiazem, sertraline, ruvostatin, montelucast, lisinopril advair, zyrtec, Vit B and D, caltrate, Potassium, Robaxin, Naprosyn | Covid, diagnosed Dec 4, 2020 severe back pain from cough due to Covid asthma high blood pressure | asthma high blood pressure | sore, swollen, red arm at site of injection | 2 | 01/22/2021 | Avalox | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0971914 | 01/25/2021 | TN | 73.0 | 73 | F | Patient left clinic approximately 15 minutes after receiving the vaccine without having any reactions. About 1200pm we received a phone call from patient reporting that approximately an hour after receiving the vaccine (10am) she started to experience ting | 01/25/2021 | 01/25/2021 | 0 | PVT | Unknown | Unknown | Unknown | 2 | 01/25/2021 | PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0972775 | 01/25/2021 | TN | 73.0 | 73 | M | Hypotension - SBP 76, lasting about 2 hours, resolved with rest, fluids Generalized malaise - about 4 hours Lightheadedness - about 2 hours | Y | 01/22/2021 | 01/22/2021 | 0 | None | PUB | Lisinopril, 5 mg, qd; Levothyroxine 125 mcg, qd; Eliquis, 5 mg, bid; Allopurinol, 300 mg, qd; Clopidogrel, 75 mg, qd; vitamin D, vitamin E | None | Hypertension S/P thyroidectomy for nodular thyromegaly (1997) S/P thrombectomy for DVT 9/2020 S/P cerebrovascular thrombosis, right geniculate nucleus, 2015 Hypertriglycidemia, mild Pre-diabetes Non-alcoholic fatty liver disease Gout Osteoarthritis | 2 | 01/25/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0986540 | 01/29/2021 | TN | 73.0 | 73 | M | Patient was given vaccination on 1/22/21 @ 0940am. Patient was well at the time. Patient reported running a low grade temp over the weekend no higher than 100.1. On Monday 1/25/21 @ 1205pm, patient spiked temp of 105.1. Patient became very confused, lethar | Y | 4 | N | 01/22/2021 | 01/25/2021 | 3 | Postive for Covid 19 per the patient. | PUB | Multiple Medications. List not available at the time of VAER'S report | 1 Ear Infection on 1/18/21 | COPD, DM, and Chronic Pain | 2 | 01/29/2021 | Y | Levaquin, Iodine, Bactrim, Toradol, and Bioxin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1019968 | 02/10/2021 | TN | 73.0 | 73 | F | A hot flush to my face turning my cheeks red, and I broke out in a cold sweat and my tongue felt a little tingly. These symptoms lasted about 35 minutes and then I was fine. I?ve never been allergic to anything so my question is should I take the second d | Y | 02/09/2021 | 02/09/2021 | 0 | SCH | None | None | None | 2 | 02/10/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1022251 | 02/11/2021 | TN | 73.0 | 73 | F | Patient received vaccine at 2PM. Around 2:20 patient reports she is having some anxiety and difficulty breathing. She has found out her tire on her car is flat and she states that is making her worried. I observed patient and she appears to be shaking but | U | 02/09/2021 | 02/09/2021 | 0 | N/A | PUB | XANAX DOSE UNKOWN IS TAKEN THREE TIMES DAILY BLOOD PRESSURE MEDICATION NAME AND DOSE UNKOWN IS TAKEN DAILY | N/A | ANXIETY COPD HYPERTENSION | 2 | 02/11/2021 | VICODIN PERCOCET VENTOLIN PER PATIENT CAUSES VOMITING | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1029176 | 02/14/2021 | TN | 73.0 | 73 | F | Woke up at 3:30 am with neck hurting badly and headache. Could not go back to sleep. Got up used heating on my neck got better. Throughout day I had chills, low grade fever, body and bone aches, no appetite , no energy. No reaction to shot site. Just | Y | 02/12/2021 | 02/13/2021 | 1 | none | UNK | Rosuvastatin, Famotidine, Celexa, Levothyroxin, Provera, Estradiol, Ativan, Sucralfate, Tylenol | none | arthritis, | 2 | 02/14/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033896 | 02/16/2021 | TN | 73.0 | 73 | M | On the morning of the 14th I had no side effects and on the 15th I had a stiff neck on the right side of my neck which radiated pain up to my brain causing a headache. Later, I noticed that the muscles on my right side over my ribs were tightened and later | N | 02/13/2021 | 02/15/2021 | 2 | No | PHM | lisinopril glimepiride rabeprazole clindamycin 150mg furosemide 40mg metformin 500mg | no | diabetes heart condition-2013 bypass surgery | 2 | 02/16/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1035918 | 02/17/2021 | TN | 73.0 | 73 | F | Starting the day after the immunization patient had a runny nose, felt sick to her stomach and is dizzy. Still does not feel well today. | N | 02/12/2021 | 02/13/2021 | 1 | PHM | 2 | 02/17/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1047035 | 02/22/2021 | TN | 73.0 | 73 | F | Very dizzy,headache,violate vomiting, pain swelling in arm | Y | 02/17/2021 | 02/17/2021 | 0 | Xray of swollen arm | PUB | Famotidine isosorbide atorvastatin, tyanol | None | Arthritis, thinning bones | 2 | 02/22/2021 | Codine,fentanol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1057287 | 02/26/2021 | TN | 73.0 | 73 | F | Patient called to report that the area of her arm that she was given the vaccine has turned pink. She was given the vaccine 15 days ago and had no redness/pink in the area until today. She stated that the only symptoms she had after the vaccine initially w | U | 02/11/2021 | 02/26/2021 | 15 | PHM | 2 | 02/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1057740 | 02/26/2021 | TN | 73.0 | 73 | F | Red circle, 3 inch diameter at injection site, hot to touch. | N | 02/11/2021 | 02/26/2021 | 15 | None | PHM | Warfarin, tikosyn , potassium, ezetimibe, levothyroxine, ropinirole, lisinopril Vitamin a,b,c,d,fish oil, probiotic, lutein, calcium, magnesium, zinc, omerprozerol, zyrtec | None | Aortic stenosis, Hospital valve 2001 | 2 | 02/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1060782 | 02/28/2021 | TN | 73.0 | 73 | F | Large nodules came up under my skin. Itching was horrible. Injection shot swell to the size of a softball. Did not secure for three or four days. Blood pressure was very elevated | Y | 02/04/2021 | 02/04/2021 | 0 | February 8 or 9 2021- ER | SEN | Numerous | Hla b27 Lupus Psoriatic arthritis Reiters syndrome | Hla b27 Lupus Psoriatic arthritis Reiters syndrome | 2 | 02/28/2021 | Y | Flagyl Xanaflex Cymbalta Compazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063568 | 03/01/2021 | TN | 73.0 | 73 | F | While working only an hour at my normal job not doing anything unusual or extraordinary, it became increasingly difficult to breathe. Chest felt very heavy and I became lethargic, not able to take a deep breath. Left work and became a couch potato the re | N | 02/22/2021 | 02/28/2021 | 6 | None to date. Have called doctors office to schedule a visit. Was advised to complete a VAERS and see if other steps are necessary | PVT | Eliquis 5mg, two times daily | None. | Non-functional portion of right lower lung aka "dead". Diagnosed with MAI (NTM) in January 2019. Neither condition has inhibited my breathing ability. | 2 | 03/01/2021 | Y | Latex allergy, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1065716 | 03/02/2021 | TN | 73.0 | 73 | F | Patient describes as light pink spot 2 1/2 inches by 1 1/2 inches. No pain nor itching. | U | 02/24/2021 | 03/01/2021 | 5 | None | PHM | Alka-Seltzer; Excedrin Extra Strength | None | None | 2 | 03/02/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1068939 | 03/03/2021 | TN | 73.0 | 73 | F | Received second dose on 2/26/2021 Most concerning is Covid Arm Red, swollen, hot to touch. Covers left arm from site of injection approx 3? wide 6? long. Appears to be moving downward. At its worst on 2/29. Still warm to touch and red today 3/3 I appl | N | 02/26/2021 | 02/28/2021 | 2 | OTH | Simvastatin Triamterene Anastrozole Potassium D3 Low dose aspirin Tylenol | None | Hypertension | First dose of Moderna lot 012M20A on 1/29/2021 Covid Arm approx 8 days after injection. Red splotches. | 2 | 03/03/2021 | Sensitive to most meds Kiwi Latex Neosporin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1069735 | 03/03/2021 | TN | 73.0 | 73 | M | Lightheadedness, fell down a flight of stairs | U | 03/03/2021 | 03/03/2021 | 0 | None | PHM | Atorvastatin, finasteride,omeprazole, fiber supplement | 2 | 03/03/2021 | Iv iodine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1072155 | 03/04/2021 | TN | 73.0 | 73 | F | Had diffulty breathing 3 hrs after shot Used advair helped breathing Leg and hip aches after 9 pm. Nothing helped leg pain for 3 days Headaches and nausea Tues, Wed. Thursday. Extreme tiredness | U | 03/01/2021 | 03/01/2021 | 0 | None | PHM | Carvedilol 25 mg Edarbyclor 40/12.5 Advair 250/50 Diltiazem 180 mg Omeprazole 20 mg Eliquis 5 mg Rosunvastatin 20mg Potassium 10 mg | Hypertension Afib Renal Stents | Hypertension Spinal Degeneration Arterial Fibulation | 2 | 03/04/2021 | Penicillin Dust Pollen Mold Codeine Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1073178 | 03/04/2021 | TN | 73.0 | 73 | F | Pt returned to health clinic 45 minutes after immunization reporting dizziness and blurry vision | U | 03/04/2021 | 03/04/2021 | 0 | PUB | 2 | 03/04/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1090414 | 03/11/2021 | TN | 73.0 | 73 | M | Within a few minutes I became woozy, then I could feel my throat swelling. But I had no trouble breathing. Then I felt my lips go numb about 5-7 minutes after the shot. The symptoms faded within a 30 minutes. | Y | 03/01/2021 | 03/01/2021 | 0 | Nurse monitored oxygenation, blood pressure and pulse. All remained normal | PUB | MultiVit, Flecainide Acetate 25mg about 7am | none | PVCs and PACs | 2 | 03/11/2021 | Penicillin, Sulfa, Rocephin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1090464 | 03/11/2021 | TN | 73.0 | 73 | M | Feb. 10: Moderna Vaccination #1 Administered (arm) Feb. 11-Feb. 19: Developed a cough which worsened, weakness, confusion, could not follow instruction, fell, no appetite, fever of 102.8 on Feb. 19, no taste Feb. 20: Emergency Room with diagnosis of Covi | Y | 03/01/2021 | Y | 10 | N | 02/10/2021 | 02/11/2021 | 1 | I know he had a chest x-ray in the ER on day of admission. He had lots of blood work. He had a CT Scan of chest. | PUB | Protonix, Crestor, Aspirin, Metroprolol, Wellbuterin, Grapentin, Clonazepam | Heart disease, Hyperlipidemia, Low B/P, Insomnia, one kidney (had donated one), Auto immune disease, Anxiety, Depression, some incontinence possibly due to enlarged prostate, Hydrocele, Morton's neuromas, poor circulation, ?GERD | All the above. | 2 | 03/11/2021 | ? | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1092724 | 03/11/2021 | TN | 73.0 | 73 | F | patient called in and spoke with writer. She reports that the evening of her second dose she could not pick her left arm up over her head. Unable to bear weight or grip. States that she attempted to contact her PCP and MD on 3/5/21. She received a cal | U | 02/23/2021 | 02/23/2021 | 0 | MRI obtained on 3/8/21 from clinic | OTH | Keppra 500 mg Simvastatin 20 mg Multivitamin | None | Seizures High Cholesterol | 2 | 03/11/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1093314 | 03/12/2021 | TN | 73.0 | 73 | M | Unspecified adverse event; This case was reported by a lawyer and described the occurrence of adverse event in a male patient who received Herpes zoster (Shingrix) (batch number 3JK5K, expiry date 11th September 2022) for prophylaxis. On 14th September 2 | U | 09/14/2020 | UNK | USGLAXOSMITHKLINEUS2021GS | 2 | 03/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1094861 | 03/12/2021 | TN | 73.0 | 73 | F | The day after receiving the vaccine, in the evening, the patient noticed her blood pressure was elevated, she had muscle fatigue (both arms and both legs felt very "heavy"), and she felt as though she might faint but has yet to have a syncopal episode. | N | 03/09/2021 | 03/10/2021 | 1 | N/A | PUB | VITAMIN D DAILY | NONE | BREAST CANCER AND TREATMENT, HIGH BLOOD PRESSURE , COPD, HIGH CHOLESTEROL | 2 | 03/12/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109239 | 03/17/2021 | TN | 73.0 | 73 | F | DAY 1 LIGHTHEADED, SLIGHT HEADACHE,NESS DAY 2 CHILLS OFF AND ON, FEVER OF 101.7, NAUSEA, DIARREHA, WEAKNESS DAY 3 DIARREHA, NAUSEA, WEAKNESS DAY4 WEAKNESS DAY 5 BACK TO NORMAL, NO SYMPTOMS | Y | 03/12/2021 | 03/12/2021 | 0 | NONE | PHM | WARFARIN , TIKYSON, LEVOTHYROXINE,, POTASSIUM, ROPINEROLE, EZEMTIBE LISINOPRIL ,FISHOIL, VIT. A,B,C,D, CALCIUM, MAGNESIUM, ZINC, OMERPRAZOLE | NONE | AORTIC STENOSIS, | COVID MADERNA, 03-11-2021 | 2 | 03/17/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1134799 | 03/25/2021 | TN | 73.0 | 73 | F | Patient experienced red bruising at the injection site on 03/05/2021. She visited a Medical Center on 03/09/2021 and was told she might have an infection. She was prescribed Mupirocin ointment to be applied twice daily as well as Keflex antibiotics. After | N | 03/04/2021 | 03/05/2021 | 1 | N/A | OTH | Spironolactone 25 mg, Metoprolol 25 mg, Hydrochlorothizide 12 mg | N/A | N/A | 2 | 03/25/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1138038 | 03/26/2021 | TN | 73.0 | 73 | F | Patient reported arm pain, itchy rash and swelling after receiving the vaccine. It has been 3 days and she doesn't have any resolution of symptoms. | N | 03/23/2021 | 03/23/2021 | 0 | PVT | Atorvastatin, Metoprolol, Vitamin D | No | HTN, HLD, CKD3, vit D deficiency, GAD, MDD, Scoliosis | 2 | 03/26/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139478 | 03/27/2021 | TN | 73.0 | 73 | M | Rash in area around injection site. Discovered by nurse 3/26/21 when she attempted to administer weekly allergy shots. Canceled the allergy shots. Administered Triamcinolone Acetonide cream twice/day for one week. Benadryl tablet once/day for one week. | U | 03/19/2021 | 03/26/2021 | 7 | PUB | aspirin Cinnamon Decongestant Inhaler Farxiga Glucosamine HCL/Chondroitin Sulfate Sodiu ipratropium .06% spray for runny nose Lisinopril Metamucil multihealth fiber Metformin ER (Glucophage) Multi-vitamin Naproxen Sodium Pataday drops Salin | Diabetes Type 2 back pain frequent urination sleep apnea arthritis | 2 | 03/27/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139499 | 03/27/2021 | TN | 73.0 | 73 | M | Left sudden hearing loss several days after vaccine. Hearing nearly completely recovered 5 weeks later after transtympanic steroid injection. | Y | 02/10/2021 | 03/12/2021 | 30 | audiogram | UNK | Lantus Novaolog Norvasc Nexium HCTZ Lipitor Glucophage Zoloft Crestor | no other known acute illness | Diabetes HTN Obstructive sleep | 2 | 03/27/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1147436 | 03/30/2021 | TN | 73.0 | 73 | F | redness, heat, 2 inches wide, extended to shoulder, couldn't raise arm | N | 03/25/2021 | 03/26/2021 | 1 | PHM | psorosis | heart disease, diabetes | influenza | 2 | 03/30/2021 | Y | contrast, calan, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1167118 | 04/04/2021 | TN | 73.0 | 73 | F | new onset of Hypertenion started 04/03/2021. severe Headache no history of any BP issues | N | 03/02/2021 | 04/03/2021 | 32 | troponin levels, CT of head, IV BP medications, rx for Losartan | PVT | Xanax 0.5mg TID, Remeron 15mg HS, carafate 1gm QID, Protonix 4 | gastritis | anxiety, acid reflux, bipolar | 2 | 04/04/2021 | Y | PCN, Sulfa, Codiene, morphine, zirthromycin, macrobid, prediso | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1176188 | 04/07/2021 | TN | 73.0 | 73 | M | Per hospital case manager report: Pt presented to Hospital ED on Apr 1 with c/o fever, sweats, chest pain, and hypertension. Admitted for hospital observation overnight and discharged home on Apr 2 with dx of "adverse vaccine response." | Y | 1 | U | 03/30/2021 | 04/01/2021 | 2 | Unknown. Do not have access to these records. | OTH | Unknown--vaccine-recpient only, not an established patient with our clinic | No acute illnesses reported at time of vaccination. Unknown if seen by PCP in month prior. Diagnosed with COVID-19 in late December and received antibody tx on Dec 27th. | Only received vaccine at our facility. Not an established patient and we do not have access to other health records. Per hospital case management, pt hospital record notes chronic renal disease, a-fib, and type II DM. | 2 | 04/07/2021 | Y | Develops hallucinations to hydrocodone-based products. No hx of anaphylaxis. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1186388 | 04/09/2021 | TN | 73.0 | 73 | F | fever, headache,, muscle aches, no appetite, chills, migraine,lost portion of smell | Y | 03/10/2021 | 03/10/2021 | 0 | PHM | high liver enzymes, pre diabetic, obese | flu | 2 | 04/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196260 | 04/12/2021 | TN | 73.0 | 73 | M | pt says he developed fatigue, loss of taste and smell, headache, chills, joint pain, nausea, vomiting, fever, muscle aches and pains. These symptoms lasted a couple of day and have since subsided. | Y | 04/08/2021 | 04/08/2021 | 0 | OTH | 1st covid - pt says he developed fatigue, headache, chills, joint pain, nausea, vomiting, fever, muscle aches and pains. These | 2 | 04/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1203152 | 04/13/2021 | TN | 73.0 | 73 | F | Started experiencing wheezing and shortness of breath and reduction of oxygen level below 90 prior to entering the ER on Sunday, March 21, 2021. Noticed particular shortness of breath Saturday before entering ER. Oxygen levels ran between 92 and as low a | Y | 1 | Y | 02/26/2021 | 03/20/2021 | 22 | Contrast cat scan was performed at The ER where they discovered numerous small blood clots in both lungs and began immediate treatment with blood thinner. Also performed ultrasound on gall bladder and liver which was clear as well as ultrasound on legs to | OTH | Flecainide 50 mg/2/day; Metoprolol Succ ER 25 mg/1/day; P-Nal Trexone DCL 4.5/1/day; NP Thyroid 60 mg 1/grain/day; NPThyroid 30 mg/1/2/day; Vitamin D-3 5000 mg/day | None | Hypothyroid Atril Fib | 2 | 04/13/2021 | Y | Y | Ceclor | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1204971 | 04/13/2021 | TN | 73.0 | 73 | F | Blood clot in large intestines which caused loss of blood supply and oxygen so it rotted which in turn rotted her small intestine and bowels which all had to be removed shut down her kidneys and liver | Y | Y | 30 | Y | N | 03/01/2021 | 03/01/2021 | 0 | Mri, ultrasound, X-ray,blood test surgery | PVT | None | None | None | 2 | 04/13/2021 | None sulfer | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1208125 | 04/14/2021 | TN | 73.0 | 73 | F | Resident with temperature and seizure activity. | Y | 04/13/2021 | 04/14/2021 | 1 | SEN | Milk of magnesia, depakote, isosorbide, ibuprofen, clopidogrel, trazadone | Heart disease, Cerebrovascular disease, Vascular dementia, Hyperlipidemia, Major depressive disorder, Adjustment disorder, Hypertension, Pressure ulcer of sacral region | 2 | 04/14/2021 | aricept, macrodantin, penicillin, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1212613 | 04/15/2021 | TN | 73.0 | 73 | F | stroke | Y | 3 | Y | N | 03/24/2021 | 04/03/2021 | 10 | Hospitalization,Stroke | PHM | Lasix, Propanolol, Protonix, Prednisone, Potassium, Crestor, Amitiza, Humalog, Rituxan,Vitamin D3, Hydroclorathiazide, Benicar | left eye dysfunction | R A, diabetes, crohns, hypertension, kidney disease | 2 | 04/15/2021 | Y | Y | Sulfa, Amoxicillin, opana, IVP dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1219907 | 04/16/2021 | TN | 73.0 | 73 | F | Patient reports received vaccine 4/14/2021. During evening hours began having nausea that persisted all evening. During the night she was awakened. Upon getting up during the night, reports she "went down to the floor." She thinks she may have fainted | Y | 04/14/2021 | 04/14/2021 | 0 | n/a | PUB | Losartan, Hctz, Estradiol, Max Ox, Pulmicort, Vit D3, | none | Asthma, GERD, Heart stent placement, 2nd stage kidney disease | 2 | 04/15/2021 | Macrodantin, Keflex, Avalox, Singulair, Plavix | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1221175 | 04/16/2021 | TN | 73.0 | 73 | F | Spontaneous Peptic ulcer bleed; Left arm became sore; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PEPTIC ULCER HAEMORRHAGE (Spontaneous Peptic ulcer bleed) in a 73-year-old female pati | Y | 17 | Y | 02/03/2021 | 02/03/2021 | 0 | UNK | COREG; HCTZ; VITAMIN C & ROSEHIP; LIPITOR; BABY ASPIRIN; TYLENOL | Edema legs (Fluid in feets); Headache; High cholesterol; Hypotensive (Mild hypotensive) | Medical History/Concurrent Conditions: Cardiac disorder; General body pain; Heart failure (Heart failure 7years ago ha sreolved by its own but was placed on entresto at that time); Left atrial appendage occlusion (to treat atrial fibrillation and prevent | USMODERNATX, INC.MOD20210 | 2 | 04/15/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1246739 | 04/23/2021 | TN | 73.0 | 73 | M | After receiving my first Moderna Covid vaccination I started experiencing tinnitus. I asked the nurse when receiving my second vaccination, if they'd received any other complaints and was told no. Subsequently, I have googled and discovered that, indeed, | N | 03/09/2021 | 03/15/2021 | 6 | None. I reported it to my personal physician. | PUB | Pravastatin, berberine, omega, low dose aspirin, garlic, vitamin (men 50+) | None | Have two heart stents | 2 | 04/23/2021 | Contrast dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1251000 | 04/24/2021 | TN | 73.0 | 73 | M | Two weeks after receiving dose 2, I developed a rash, first on my chest. Rash then appeared on arms, legs and later the neck, but the rash was worst on the chest. It was not painful, but the itching was severe enough that I began waking in the night - at f | Y | 03/27/2021 | 04/11/2021 | 15 | None - just a physical examination and discussion of the symptoms and the over the counter medicines I was using (1% hydrocortisone cream , benadryl tablets and calamine lotion. | OTH | Centrum Silver Multivitamin | None | None | Soreness at the injection site and fatigue for 24 hours after the second injection of the shingrix shingles vaccine on Nov 11, 2 | 2 | 04/24/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1314899 | 05/13/2021 | TN | 73.0 | 73 | M | Pain in posterior knee and up to buttocks area. | N | 03/12/2021 | 03/15/2021 | 3 | Stopped cholesterol medicine for 3 weeks, but it didn't help. | PHM | Rosuvastatin 20mg, Pramipexole 0.25 mg, Men's GNC multivitamin, vitamin D3 | None | High Cholesterol , Restless Leg Syndrome | 2 | 05/13/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1360846 | 05/29/2021 | TN | 73.0 | 73 | M | Acute ischemic stroke, TPA given, patient hospitalized for right sided weakness and dysarthria. | Y | N | 04/14/2021 | 05/29/2021 | 45 | PVT | Plavix Meloxicam Metoprolol Spironolactone Pantoprazole Hydrocodone Furosemide Dorzolamide Acetaminophen | None | CHF HTN CAD Obesity | 2 | 05/29/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1377363 | 06/07/2021 | TN | 73.0 | 73 | F | itchy rash began on left arm and over the next few days migrated to back, torso, legs, feet. Painfully swollen and tender lips for week or so. Dermatologist prescribed Allegra 2x daily, Singular 1 time in AM, and pepcid as needed. Symptoms continued | N | 01/14/2021 | 01/15/2021 | 1 | biopsy confirmed nummular exzema, 4/15/2021 | PVT | zocor, synthroid, evista, AARED eye vitamin | none | Hashimoto's thyroiditis | 2 | 06/07/2021 | Y | latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407798 | 06/17/2021 | TN | 73.0 | 73 | F | I had sharp pain from my shoulder blade to the back of my head 2 weeks after getting the vaccine. I still feel the pain sometimes. | N | 02/11/2021 | 02/28/2021 | 17 | Xray, MRI, Cortzone shots, steroid shot,.. Labs came back normal | PHM | blood pressure meds, fish oil, Caltrate | No | hypertension | vsafe | 2 | 06/17/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1420610 | 06/23/2021 | TN | 73.0 | 73 | F | The next day after the vaccine, I started with a headache and it kept getting worse. I started aching all over and getting a low grade fever and chills and flu like symptoms. The following day, I had extreme fatigue, sweating, weak and tired. I stayed home | N | 03/10/2021 | 03/11/2021 | 1 | None | PUB | Protonix, Cymbalta, Acyclovir, Clonazepam, Hydrocodone, Tizanidine, Mirtazapine, Aspirin, Benadryl, Vitamin D, CoQ10, Carnitine, Zinc, Vitamin C, Allegra, Mucinex, Flonase Nasal Spray | None | Chronic fatigue | vsafe | 2 | 06/23/2021 | Y | Sulfa drugs, Penicillin, Erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1450329 | 07/06/2021 | TN | 73.0 | 73 | F | Chills, really bad headache, nausea, rash on face (lasted 3 days). Antibody test came back negative (no coverage listed). | N | 03/04/2021 | 03/04/2021 | 0 | Antibody test (6/21/2021) | OTH | Advair, Albuterol, Lodapene, Eliquist, Maltac | None | Heart Disease, COPD, Autoimmune | 2 | 07/06/2021 | Singular, Venlapaxine, Lipator, Lycenapril, Benezone, Phistolic | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1494389 | 07/22/2021 | TN | 73.0 | 73 | M | Within the first week had bad diarrhea that wouldn't quite and developed severe pain in stomach. Blood pressure started to drop way to low and he started to loss weight no appetite no taste. Dr took him off of everything dealing with his cancer for 2wks to | Y | 4 | N | 02/18/2021 | 02/25/2021 | 7 | yes | MIL | spironlane 25mg, losartan 50mg, aprisian 81mg, atorvastatin 40mg, pantoprazole 40mg, delcade 2.7ml, dexamethasone 20mg, Benadryl, ancedamorphine 500mg, eylea #2 injections 20cds, norco 10-325mg, methocarbamol 500mg, furofide, ivig | cancer, swollen retina | cancer, swollen retina | 2 | 07/22/2021 | Y | Y | iodinated compound, versed, lisinopril, norvasc, terazosin, ledfoloxian, ketoconazole cream | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1512591 | 07/29/2021 | TN | 73.0 | 73 | M | Pretty severe muscle soreness starting in right leg/hip area then down front of leg to knee. Moved to left leg hip area down front to knee with a point of sharp pain where leg muscle attached. The expanded to right shoulder then left side of back of neck | N | 04/13/2021 | 05/14/2021 | 31 | None | OTH | Metoprolol Succinate ER 25 MG Oral Tablet Extended Release Lisinopril 5 MG Oral Tablet - Take One Tablet By Mouth Daily. Clopidogrel Bisulfate 75 MG Oral Tablet - Take One Tablet By Mouth Daily. Atorvastatin Calcium 80 MG Oral Tablet - Take | None | All over 5 years with no recurrence NSTEMI heart attack melanoma surgery | 2 | 07/29/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1522892 | 08/03/2021 | TN | 73.0 | 73 | M | 7/26/2021 TESTED FOR COVID AT CLINIC RESULTS = DETECTED. 7/28/2021 PATIENT ADMITTED TO HOSPITAL FOR COVID PNA 8/1/2021 PATIENT DIED. | Y | 08/01/2021 | Y | 4 | N | 03/20/2021 | 08/01/2021 | 134 | 7/26/2021 COVID = DETECTED AT CLINIC | UNK | UNKNOWN | UNKNOWN | UNKNOWN | 2 | 08/03/2021 | PENICILLIN, SULAMETHOXAZOLE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1525685 | 08/04/2021 | TN | 73.0 | 73 | M | Friday night I woke up he was foaming in the mouth, I sat him up and elevated him and cleaned him up I called 24 hour doctor line. The doctor recommended going to er. We stayed home, He was coughing and seemed irritated. Breakfast he seemed fine very latha | Y | 07/27/2021 | Y | 74 | N | 05/13/2021 | 05/14/2021 | 1 | Ultrasounds, MRI, chest Xrays, bloodwork dilatin shots for pain | OTH | Donetezil 10 mg at bedtime, Fluid pill furofemide 40 mg at breakfast, Isosorbide Mononitrate 30 mg, insulin levemir in flex pin long active insulin, losartan 25 mg in am, potassium cl 20 meq at breakfast, once a week insulin Trulicity, Flom | Diabetes, High blood pressure , stroke 2008 and 2010 | vsafe | 2 | 08/04/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1529110 | 08/05/2021 | TN | 73.0 | 73 | M | Death on 8/2/2021 | Y | 08/02/2021 | Y | 16 | 03/05/2021 | 08/02/2021 | 150 | PVT | 2 | 08/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1536187 | 08/09/2021 | TN | 73.0 | 73 | F | Patient stated that 3 days after receiving her vaccine, she developed a rash that started on her hands and has since spread to her arms, shoulder, neck, and now back. Patient reports that the rash "looks similar to hives" and is extremely itchy. Patient is | N | 07/30/2021 | 08/02/2021 | 3 | PUB | 2 | 08/09/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1542031 | 08/11/2021 | TN | 73.0 | 73 | M | Cough 8 days after the vaccine / Covid19 test / was negative; Soreness in / left leg / getting worse daily; Fatigue / Even going up the stairs exhausts him; "Pain in thigh and buttocks muscles"; decrease all of his daily activity; This case was reported by | N | 07/20/2021 | 07/22/2021 | 2 | Test Name: Covid 19 test; Test Result: Negative | PHM | USGLAXOSMITHKLINEUS202116 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1548301 | 08/12/2021 | TN | 73.0 | 73 | F | Lower right back pain; Sciatic nerve acting up; A spontaneous report was received from a consumer (patient), concerning herself, a 73 years-old female patient, unknown race and ethnicity, who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced | N | 02/12/2021 | 02/13/2021 | 1 | UNK | Medical History/Concurrent Conditions: No adverse event (No medical history provided) | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1548680 | 08/12/2021 | TN | 73 | M | SLIGHT HEADACHE; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (SLIGHT HEADACHE) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 016M20A) for COVID-19 vaccination. C | U | 02/02/2021 | 02/03/2021 | 1 | UNK | RIZATRIPTAN | Migraine headache | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1550386 | 08/12/2021 | TN | 73.0 | 73 | F | A spontaneous report was received from a consumer who Is 73-year-old female that received Moderna's COVID-19 vaccine and experienced persistent shoulder redness. The patient's medical history was not provided. Concomitant product use was not provided by th | U | 02/19/2021 | 02/22/2021 | 3 | UNK | Medical History/Concurrent Conditions: No adverse event (No reported medical history.) | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1553304 | 08/13/2021 | TN | 73.0 | 73 | F | swollen arm; Red; warm arm; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 24-Feb-2021 and was forwarded to Moderna on 25-Feb-2021. This spontaneous case was reported by a consum | U | 02/15/2021 | 02/23/2021 | 8 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1560363 | 08/15/2021 | TN | 74.0 | 73 | F | blurring in my right eye; woke with a bad throb in the right side of my head; heart was racing/fast heartbeat; left eye began twitching with sharp pains; left eye began twitching with sharp pains; tingling in lips; left eye felt very dry; left side of my n | N | 03/01/2021 | 03/01/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1560934 | 08/15/2021 | TN | 73.0 | 73 | M | arm has red spots having size of quarter; arm is swollen; painful; This spontaneous case was reported by a consumer and describes the occurrence of RASH MACULAR (arm has red spots having size of quarter), PERIPHERAL SWELLING (arm is swollen) and PAIN IN EX | U | 02/22/2021 | 03/02/2021 | 8 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1562674 | 08/15/2021 | TN | 73.0 | 73 | F | little tingling in my tongue; broke out into a cold sweat; face got really hot and flushed; face got really hot and flushed; This spontaneous case was reported by a consumer and describes the occurrence of PARAESTHESIA ORAL (little tingling in my tongue), | Y | 02/09/2021 | 02/09/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1563272 | 08/15/2021 | TN | 73.0 | 73 | F | Heard a rumor that they have received expired vaccines; This spontaneous case was reported by a consumer and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Heard a rumor that they have received expired vaccines) in a 73-year-old female patient w | Y | 01/01/2021 | 01/29/2021 | 28 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1565246 | 08/15/2021 | TN | 74.0 | 73 | M | Soreness on the arm of the injection; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Soreness on the arm of the injection) in a 74-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) | Y | 01/29/2021 | UNK | Diabetes; Heart disorder | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1565510 | 08/15/2021 | TN | 73.0 | 73 | F | Itching; Big lump up there; Redness getting wider; When she touch it feels warm; Fever; This spontaneous case was reported by a consumer and describes the occurrence of PRURITUS (Itching), SKIN MASS (Big lump up there), ERYTHEMA (Redness getting wider), FE | N | 03/02/2021 | 03/10/2021 | 8 | UNK | TRIAMTERENE & HCTZ; AMLODIPINE; SIMVASTATIN; METFORMIN; BENAZEPRIL; LEVOTHYROXINE; OMEPRAZOLE | Comments: No medical history information reported | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1580203 | 08/18/2021 | TN | 73.0 | 73 | F | Chills; Slight headache; This spontaneous case was reported by a consumer and describes the occurrence of CHILLS (Chills) and HEADACHE (Slight headache) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030L20A) f | U | 02/01/2021 | 02/02/2021 | 1 | Test Date: 20210202; Test Name: body temperature; Test Result: Inconclusive ; Result Unstructured Data: t?98 something | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1580798 | 08/18/2021 | TN | 73.0 | 73 | M | Diarrhea; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (Diarrhea) in a 73-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 026L209) for COVID-19 vaccination. Concomitant pr | N | 01/14/2021 | 01/14/2021 | 0 | UNK | ATORVASTATIN; PANTOPRAZOLE; MELOXICAM; TAMSULOSIN | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1595844 | 08/21/2021 | TN | 73.0 | 73 | F | Patient took the first dose on 9-feb/ The patient asked if it is ok for her to get the second dose of the Moderna COVID-19 vaccine; rash all over body, lips, and tongue, legs and body which looked like measles/allergic reaction; Patient providing update: 9 | Y | 02/09/2021 | 02/18/2021 | 9 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1601745 | 08/21/2021 | TN | 73.0 | 73 | F | neck hurt in the side of the injection (left) to the top of the head, on her ea; still on a lot pain / Achy; run a low grade fever; Saturday afternoon started just feeling bad; This spontaneous case was reported by a physician (subsequently medically confi | U | 03/24/2021 | 03/27/2021 | 3 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1609664 | 08/22/2021 | TN | 73.0 | 73 | F | Redness; Fatigue; Chills; Sore arm; This spontaneous case was reported by a physician and describes the occurrence of ERYTHEMA (Redness), MYALGIA (Sore arm), FATIGUE (Fatigue) and CHILLS (Chills) in a 73-year-old female patient who received mRNA-1273 (Mode | U | 02/04/2021 | 02/05/2021 | 1 | UNK | CLONAZEPAM; FAMCICLOVIR; ESTRADIOL; ESTRADIOL; DICLOFENAC SODIUM; EPIPEN 2-PAK; MACROBID [CLARITHROMYCIN]; MIRALAX; NEURONTIN; ONDASETRON [ONDANSETRON]; ONDASETRON [ONDANSETRON HYDROCHLORIDE]; SUMATRIPTAN; SUMATRIPTAN SUCCINATE; VALTREX; VI | Allergy to allopathic drugs (Prolensa); Allergy to allopathic drugs (Pristiq); Allergy to allopathic drugs (Dilantin); Allergy to allopathic drugs (Acyclovir); Allergy to chemicals (blue paint). | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1609680 | 08/22/2021 | TN | 73.0 | 73 | F | persistent arthralgia/joint pain; severe myalgia/muscle pain; nausea; headache; severe sweating; chill; Fatigue extreme/tiredness; fever; severe flu like symptoms; didn't feel well; migraine; fell asleep; no appetitie and could not eat; vaccination site pa | Y | 02/04/2021 | 03/01/2021 | 25 | UNK | ESTRADIOL; CLONAZEPAM; GABAPENTIN; DICLOFENAC SODIUM; EPIPEN 2-PAK; FAMCICLOVIR; MACROBID [CLARITHROMYCIN]; MIRALAX; NEURONTIN; ONDANSETRON; SUMATRIPTAN; SUMATRIPTAN SUCCINATE; VALTREX; VITAMIN B12 [CYANOCOBALAMIN]; VITAMIN D3; VORICONAZOLE | Medical History/Concurrent Conditions: Allergy (Blue dye); Drug allergy (Tegretol); Drug allergy (prolensa); Drug allergy (pristiq); Drug allergy (Acyclovir); Drug allergy; Comments: No medical history was provided. | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1612937 | 08/22/2021 | TN | 73.0 | 73 | F | Itching on her left arm only; Rash on her left arm only; My arm was red at the injection site; My arm was hot at the injection site; my arm was hard-like at the injection site; This spontaneous case was reported by a consumer (subsequently medically confir | U | 03/04/2021 | 03/04/2021 | 0 | UNK | METFORMIN; LISINOPRIL; PREMARIN; CYMBALTA; OXYCODONE | Sensitive skin | Medical History/Concurrent Conditions: Hysterectomy | USMODERNATX, INC.MOD20211 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1613279 | 08/22/2021 | TN | 73.0 | 73 | F | Injected limb mobility decreased; Itchiness; Her arm was also sore later that night at the injection site; Getting a rash almost immediately, from her shoulder to her elbow/ Rash spread from bottom of bra area, to her belly button area, then lower to her w | U | 03/04/2021 | 04/02/2021 | 29 | UNK | METFORMIN; LISINOPRIL; PREMARIN; CYMBALTA; OXYCODONE. | Sensitive skin. | Medical History/Concurrent Conditions: Hysterectomy. | USMODERNATX, INC.MOD20211 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1636496 | 08/26/2021 | TN | 73.0 | 73 | M | 8/11/201 PRESENTED TO ER REPORTED NAUEA, VOMITING AND DIARRHEA DX COVID POSITIVE. DISHCARGED HOME. 8/13/21 PRESENTED TO ER ADMITTED TO HOSPITAL IN PATIENT. BEGAN FEELING SHORT OF BREATH PROGRESSIVELY GETTING WORSE. DX COVID PNEUMONIA. ALSO REPORTED COUGH, | Y | 08/25/2021 | Y | 8 | N | 04/09/2021 | 08/13/2021 | 126 | 8/11/21: PATIENT COVID TESTING DONE AT PCP. 8/13/21 CHEST XRAY CONSIST WITH PNEUMONIA | PHM | UNKNOWN | UNKNOWN | UNKNOWN | 2 | 08/26/2021 | Y | NO KNOWN ALLERGERIES | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1643090 | 08/28/2021 | TN | 73.0 | 73 | M | felt like he had the flu; felt sick; Headache; fever; Aches; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (felt like he had the flu), ILLNESS (felt sick), HEADACHE (Headache), PYREXIA (fever) and M | N | 02/08/2021 | 02/08/2021 | 0 | UNK | CORICIDIN HBP COUGH & COLD; TYLENOL; ALEVE | Comments: No Medication history was reported by the provider. | USMODERNATX, INC.MOD20212 | 2 | 08/17/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1643093 | 08/28/2021 | TN | 76.0 | 73 | M | Headache; This spontaneous case was reported by a consumer and describes the occurrence of HEADACHE (Headache) in a 76-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. Medical history was not provided by | U | 02/08/2021 | 02/08/2021 | 0 | UNK | CORICIDIN HBP COLD AND FLU; TYLENOL; ALEVE | Comments: Medical history was not provided by reporter. | USMODERNATX, INC.MOD20212 | 2 | 08/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1658975 | 08/31/2021 | TN | 73.0 | 73 | F | injection site pain, headache, muscle pain, joint pain, fever, feeling unwell, swollen lymph nodes | Y | 08/24/2021 | 08/24/2021 | 0 | none | PHM | Advair 250/50, Montelucast Sodium, Vit. E 400IU | none | moderate/severe persistent asthma, pelvic/spinal injury | September 2020, influenza, unknown name | 2 | 08/31/2021 | Hydrocodone, Erythromycin, Asmanex HFA, Doxycycline, Tramadol, Sudafed, Triamcinolone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1662779 | 09/01/2021 | TN | 73.0 | 73 | F | Ongoing hospitalization for hypoxic respiratory failure, pneumonia due to COVI-19 virus, blood sugars controlled in setting of steroids, VAPOtherm/BiPap, baricitinib, HTN on nitro drip, | Y | Y | 3 | N | 04/02/2021 | 08/30/2021 | 150 | 8/30/2021 chest x ray mild cardiomegaly, multifocal pneumonia, small bilateral pleural effusions. | PVT | Unknown | Unknown | DM, HTN, Multiple back surgeries | 2 | 09/01/2021 | Albuterol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1662918 | 09/01/2021 | TN | 73.0 | 73 | M | cough, SOB, nausea x 7 days prior to hospital admission | Y | 04/03/2021 | Y | 6 | 01/22/2021 | 03/21/2021 | 58 | UNK | 2 | 09/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1666125 | 09/02/2021 | TN | 73.0 | 73 | F | cough, SOB, hypoxia, confusion | Y | 04/30/2021 | Y | 8 | 02/04/2021 | 04/09/2021 | 64 | UNK | 2 | 09/02/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1678597 | 09/07/2021 | TN | 73.0 | 73 | F | Admitted on 8/22/2021 with fever, cough, dyspnea and decreased appetite. Had contact with COVID + person 6-7 days prior. COVID + on admission.. Received remdesevir 5 day course, steroids, azythromycin, rocephin. Intubated on 8/25. recovering well and extub | Y | 09/03/2021 | N | 03/26/2021 | 08/22/2021 | 149 | PVT | hypertension, type 2 diabetes, hypercoagulability with a protein S deficiency | 2 | 09/07/2021 | Actos, aspirin, bactrim, celebrex, clindamycin, glipizide, pencillins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1678727 | 09/07/2021 | TN | 73.0 | 73 | F | Arm swelling to elbow - red since Saturday night | 09/03/2021 | 09/04/2021 | 1 | PUB | Clopidogrel plavix flexeral daliresp gabapentin loratadine montelukast rosuvastatin aleve. Oncology injection keytruda | Lung cancer stage 4 copd | See above | 2 | 09/07/2021 | Osteoporosis Med | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1679188 | 09/07/2021 | TN | 73.0 | 73 | F | PATIENT RECEIVED MODERNA FOR FIRST DOSE 2/11/2021 | Y | 09/03/2021 | 09/03/2021 | 0 | NA | PUB | UNKNOWN | UNKNOWN | UNKNOWN | 2 | 09/07/2021 | UNKNOWN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1682508 | 09/08/2021 | TN | 73.0 | 73 | F | Loss of taste, fatigue, no energy, loss of hair, problems with retaining fluids. | N | 04/30/2021 | 05/04/2021 | 4 | PUB | Losartan 50mg. | None. | 2 | 09/08/2021 | Y | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1682633 | 09/08/2021 | TN | 73.0 | 73 | F | Redness and swelling on the left upper arm area that extended to the bend of her elbow and started the night of 9/4/21. Patient stated she was taking Aleve 1x in the morning and applying cold packs to the area though out the day. Discussed with patient to | Y | 09/03/2021 | 09/04/2021 | 1 | NA | PUB | Albuterol, Aspirin 81mg, Symbicort, Clopidogrel 75mg, Cyclobenzaprine 5mg, Daliresp 500mcg, Gabapentin 300mg, Duo-neb, Loratadine 10mg, Montelukast 10mg, Multivital oral, Pembrolizumab 25mg/mL, Rosuvastatin 20mg | Lung Cancer | COPD | 2 | 09/08/2021 | Osteoporosis medication- medication is unknown, causes swelling of the tongue | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1684893 | 09/09/2021 | TN | 73.0 | 73 | F | Rash all body head to toe. In eyes. Throat | N | 09/02/2021 | 09/05/2021 | 3 | MD gave shot. Prescription of methylprednisol dose pk. Famotidine 4mg Halogen 25 mg 1-2 daily Lab work was done no results yes | PUB | Hydroxyzine 25mg@hs Atorvastatin 40mg@hs Halogen 10mg@hs Lisinopril 5mg daily Pantoprazole 40mg2xdaily Duloxetine30my daily Fuosemide 40mg daily Cyanocobalamin 1,000mcg monthly Hydrocodone apap5-325 1 3daily | Low b12 Back pain, neck pain Muscle aches | 2 | 09/09/2021 | Penicillin, sulfa, ivp dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1694787 | 09/13/2021 | TN | 73.0 | 73 | M | patient tested postive for covid and hospitalizied on 09/07/2021 . Patient expired 9/11/2021. unable to complete section 21 for patient died will not allow me to enter date. | Y | 09/11/2021 | 03/23/2021 | 09/11/2021 | 172 | UNK | 2 | 09/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1705961 | 09/17/2021 | TN | 73.0 | 73 | F | Site: Redness at Injection Site-Severe, Additional Details: Husband notified pharmacy on 9/16/21 that patient had been hospitalized. She had redness and swelling over her whole right arm from shoulder down. Husband stated patient has Lupus. Vaccine questio | Y | U | 09/14/2021 | 09/15/2021 | 1 | PHM | 2 | 09/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1709427 | 09/17/2021 | TN | 73.0 | 73 | M | Pain in left chest on Thursday night but eased. Pain in left chest on Friday night and went to ER Blood thinner zarelto in hospital and for 6 months | Y | 02/25/2021 | 04/23/2021 | 57 | MRI of chest/lungs - 2 PE in upper left lobe, possibly 1 PE in lower left lobe Drug induced heart and blood vessel stress test with EKG - Good Ultrasound of veins in both legs - Clear | PVT | Ezetimibe 10 mg Irbesartan 300 mg Claritin 1 tab/day Vitamin D3 5000 iu Multi-Vitamin CoQ10 100 mg Aspirin 81 mg - 4/week | High Blood Pressure - controlled High Cholesterol - controlled | 2 | 09/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1710847 | 09/18/2021 | TN | 74.0 | 73 | F | sore right injection site Arm; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (sore right injection site Arm) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch n | U | 01/14/2021 | 01/14/2021 | 0 | UNK | USMODERNATX, INC.MOD20212 | 2 | 09/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1711057 | 09/18/2021 | TN | 73.0 | 73 | F | Retaining fluid; Affecting my legs/circulation in legs; Fatigued; Less than 35 days since first dose; Losing hair; Still fatigued with no energy; Lost my taste; This spontaneous case was reported by a consumer and describes the occurrence of ALOPECIA (Losi | N | 03/12/2021 | 04/01/2021 | 20 | UNK | LOSARTAN; TYLENOL | USMODERNATX, INC.MOD20213 | 2 | 09/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1727165 | 09/23/2021 | TN | 73.0 | 73 | F | The same day after the shot the patient experienced disorientation, double vision, shaking. The patient was tired, has a poor apetite, and is nauseous. States these have resolved and she has severe pain and little motion in her right arm. | N | 09/21/2021 | 09/21/2021 | 0 | PHM | benzonatate, lamotrigine, quetiapine, alprazolam | 2 | 09/23/2021 | celiac disease, latex, yeast, wheat, barley, oats | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1735723 | 09/26/2021 | TN | 73.0 | 73 | M | 9/10/21 SEEN IN THE ER HYPOTENSIVE, COUGH, SOB AND VOMITING. PATIENT ADMISSION TO HOSPITAL. 9/12/21 LEAVES 9/14/21 RETURNS TO ER AT . ADMITTED TO HOSPITAL WITH FOOT INFECTION. REPORTS BREATHING HAS IMPROVED . PATIENT DISCHARGED ON 9/22/21 TO HOME | Y | 10 | U | 03/24/2021 | 09/10/2021 | 170 | 9/10/21 COVID -19 PCR = DETECTED | PVT | UNKNOWN | UNKNOWN | CAD STATUS POST CABG, COPD, ICD PACEMAKER, DM TYPE 2 | 2 | 09/26/2021 | Y | BRILINTA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1744304 | 09/29/2021 | TN | 73.0 | 73 | F | Patient reported she had never had a COVID19 vaccine. A search in system showed that the patient had had 2 doses of the Moderna vaccine. | 09/28/2021 | 09/28/2021 | 0 | PUB | 2 | 09/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1749522 | 09/30/2021 | TN | 73.0 | 73 | M | PT EXPIRED; BREAKTHROUGH CASE OF COVID-19 | Y | 09/29/2021 | N | 03/29/2021 | 09/29/2021 | 184 | PUB | 2 | 09/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1754345 | 10/01/2021 | TN | 73.0 | 73 | F | exorstion muscle pain chills fatique swelling of feet | N | 03/31/2021 | 05/11/2021 | 41 | no | UNK | yes | no | heart condition | 2 | 10/01/2021 | no | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1761913 | 10/05/2021 | TN | 73.0 | 73 | F | Systemic: blisters mainly on left arm and left leg-Medium | N | 09/26/2021 | 09/27/2021 | 1 | PHM | 2 | 10/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1768629 | 10/07/2021 | TN | 73.0 | 73 | F | After 1st dose, stated that blood pressure increased significantly 24 hours after receiving the dose and that after the 2nd dose, she stated that 24 hours after receiving she was driving and had a near black out experience, with high blood pressure that t | Y | 05/10/2021 | 05/11/2021 | 1 | OTH | 2 | 10/07/2021 | PCN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1771519 | 10/08/2021 | TN | 73.0 | 73 | F | Patient expired due to COVID-19 after having been vaccinated. | Y | 09/05/2021 | N | 02/10/2021 | 09/05/2021 | 207 | Positive COVID-19 test | PVT | Ativan Levoxyl Norvasc Ecotrin Toprol Lexapro Aricept Privinil Lopressor | dementia | 2 | 10/08/2021 | Codeine, erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1779097 | 10/12/2021 | TN | 73.0 | 73 | M | I got up to use the bathroom about 4am. I got dizzy and the next thing I know I was on the floor in extreme pain in my left shoulder and arm. I was also hurting in my ribs. When my wife heard the fall, she rushed in to the bathroom to see what happened. Sh | N | 10/07/2021 | 10/08/2021 | 1 | 10/8/21 EKG, CAT scan, x-rays, blood work all came back normal. I was discharged with Rx's for lidocaine patch and hydrocodone 5-325. No broken bones/dislocations. | PUB | Saw Palmetto 450 mg whole herb. 1-2x/day Centrum Silver 1/day in AM Super B Complex B 1/day in PM Zyrtec (Aller-Zyr) 1/day in PM Vitamin D3 gummy 50 mcg 200 IU. 2/day at PM Probiotic Gummies 500 Million CFU Anti-Diarrheal PRN GlipiZIDE 10 M | none | Type 2 diabetes, high blood pressure, diabetic neuropathy, enlarged prostate | 2 | 10/12/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1788351 | 10/15/2021 | TN | 73.0 | 73 | F | 9/17/21 SEEN IN THE ER WITH INCREASING SOB. ADMITTED TO HOSPITAL WITH ACUTE HYPOXIC REP FAILURE BILAT. PNEUMONIA FROM COVI D19. 9/26/21 DISCHARGE HOME WITH HOME OXYGEN WHICH IS NEW. ADDITIONAL INFORMATION RELATED TO PATIENT CONDITION POST DISCHARGE WILL | Y | 9 | U | 05/26/2021 | 09/17/2021 | 114 | 9/17/21" COVID-19SARSCoV2 = DETECTED | PHM | UNKNOWN | UNKNOWN | COPD | 2 | 10/15/2021 | Y | PENICILLIN | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1804670 | 10/21/2021 | TN | 73.0 | 73 | F | Patient complains that right arm red with blisters from shoulder to hand the next day after injection. Skin on arm peeled for 2 weeks. 2 big knots came up on elbow. Seen Ortho doctor and tried to drain elbow but nothing came out so injected with cortiso | N | 08/19/2021 | 08/19/2021 | 0 | PUB | Prednisone | DM,COPD,Emphysema,Chronic Bronchitis,WBC transfusion, O2 24hrs | COPD, DM | Tetanus 10 months old - rash | 2 | 10/21/2021 | Y | Tetanus-didn't work for her | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1808217 | 10/22/2021 | TN | 73.0 | 73 | M | Patient was hospitalized for COVID-19 after being vaccinated. | Y | U | 02/22/2021 | 10/22/2021 | 242 | Positive COVID-19 test | PVT | Umeclindinium bromide, warfarin, amlodipine, atorvastatin, losartan, furosemide, potassium chloride, zinc sulfate, dapagliflozin, glimepiride, insulin degludec | unknown | Atrial fibrillation, congestive heart failure, COPD, diabetes, hypertension | 2 | 10/22/2021 | Y | banana | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1815210 | 10/25/2021 | TN | 73.0 | 73 | F | 10/17/21 SEEN IN THE ER THEN ADMITTED: WITH ACUTE RENAL FAILURE, AKI, AFEB, COVID-19, DIARRHEA DUE TO COVID -19, FEVER. SYNCOPE. CHEST XRAY SHOWING DEVELOPING PNEUMONIA, REQUIRED OXYGEN. 10/24 DISHCHARGED HOME WITH OXYGEN. 2 L. | Y | 7 | Y | 03/16/2021 | 10/17/2021 | 215 | 10/1721 COVID19SARSAgFIA = DETECTED. | PHM | unknown | unknown | htn, hyperlipidemia, CKD, obstructive sleep apena uses CPAP. | 2 | 10/25/2021 | Y | penicillians, NSAIDS< | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1815366 | 10/25/2021 | TN | 73.0 | 73 | F | Weakness and fatique,painful joints of left knee and hip and right hip severe, generalized mucular aches and pain . brain fog, canot concentrate. | N | 10/22/2021 | 10/22/2021 | 0 | None | PHM | Amlodipine 10mg Collagen powder VitaminD Beet root powder Digestive enzymes | Flu vaccine | DJD HBP OBESITY | 2 | 10/25/2021 | Milk NSAID Not a true allergic reaction but untoward effect such as: inflamatory ressponse such as painful joints for short period of time, brain fog | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1828586 | 10/29/2021 | TN | 73.0 | 73 | M | Vertigo, Dizziness, Hearing loss progressing to kidney and liver failure and death. | Y | 10/27/2021 | Y | N | 03/03/2021 | 03/05/2021 | 2 | Multiple from 4/4/2021 until 10/10/2021 | PUB | Diabetes medication | None | Diabetes | 2 | 10/29/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1831593 | 10/30/2021 | TN | 73.0 | 73 | F | None with J&J. Moderna booster: extreme body aches, upset stomach, fever, chills, swollen arm?red hot and itchy no energy,and No appetite for 48 hrs with some symptoms lingering on. | N | 10/26/2021 | 10/27/2021 | 1 | OTH | None | None | None | Flu vaccine yrs ago | 2 | 10/30/2021 | Amoxicillin and/or ampicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1845966 | 11/05/2021 | TN | 73.0 | 73 | F | acute onset of pain in right knee, low back, swelling back of right knee. onset of numbness down right leg, especially lower posterior and right foot. | Y | N | 03/19/2021 | 04/15/2021 | 27 | xray and MrI showed partial tears of medial and lateral horn of posterior meniscus. fluid collection like a baker's cyst and djd of L4. After my second vaccination for covid-19, I felt like my nervous system was affected and weaker and more sensitive to no | UNK | vitamin C, vitamin D3 | none | none | had shortness of breath after flu shot and after third hep B vaccine | 2 | 11/05/2021 | Y | septra, sulfa drugs, hydroxychloroquine, prior adverse reactions to flu vaccine and hep B vaccine (shortness of breath). | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1860996 | 11/11/2021 | TN | 73.0 | 73 | F | Patient called me today, 11/11/21, and described an allergic reaction that could be related to her Janssen booster vaccine. She received the vaccine on 11/2/21 and began developing bumps on her hands, elbows, and "multiple other areas" on 11/4/21. She desc | N | 11/02/2021 | 11/04/2021 | 2 | She is going to seek medical attention today. | PHM | ASPIRIN IS THE ONLY ONE THAT I'M AWARE OF | NONE KNOWN | NONE KNOWN | 2 | 11/11/2021 | Y | BENADRYL | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1862358 | 11/11/2021 | TN | 73.0 | 73 | F | Patient experiences redness and swollen arm with bruising. | U | 11/08/2021 | 11/09/2021 | 1 | PHM | 2 | 11/11/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX |