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You are viewing patients aged: 73, in state: TN

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VAERS_IDRECVDATESTATEAGE_YRSCAGE_YRCAGE_MOSEXRPT_DATESYMPTOM_TEXTDIEDDATEDIEDL_THREATER_VISITHOSPITALHOSPDAYSX_STAYDISABLERECOVDVAX_DATEONSET_DATENUMDAYSLAB_DATAV_ADMINBYV_FUNDBYOTHER_MEDSCUR_ILLHISTORYPRIOR_VAXSPLTTYPEFORM_VERSTODAYS_DATEBIRTH_DEFECTOFC_VISITER_ED_VISITALLERGIESLink 1Link 2
093769901/12/2021TN73.073FPt woke up on Saturday with headache. Pt broke out in shingles on Monday and was diagnosed today with Herpes ZosterN01/07/202101/09/20212nonePUBfamotidine 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 bidnoneHypothyroidism, 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 diabet201/12/2021Ysulfa2021VAERSSYMPTOMS2021VAERSVAX
096602701/22/2021TN73.073Fday 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+Y01/20/202101/21/20211noneSENDiltiazem, sertraline, ruvostatin, montelucast, lisinopril advair, zyrtec, Vit B and D, caltrate, Potassium, Robaxin, NaprosynCovid, diagnosed Dec 4, 2020 severe back pain from cough due to Covid asthma high blood pressureasthma high blood pressuresore, swollen, red arm at site of injection201/22/2021Avalox2021VAERSSYMPTOMS2021VAERSVAX
097191401/25/2021TN73.073FPatient 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 ting01/25/202101/25/20210PVTUnknownUnknownUnknown201/25/2021PCN2021VAERSSYMPTOMS2021VAERSVAX
097277501/25/2021TN73.073MHypotension - SBP 76, lasting about 2 hours, resolved with rest, fluids Generalized malaise - about 4 hours Lightheadedness - about 2 hoursY01/22/202101/22/20210NonePUBLisinopril, 5 mg, qd; Levothyroxine 125 mcg, qd; Eliquis, 5 mg, bid; Allopurinol, 300 mg, qd; Clopidogrel, 75 mg, qd; vitamin D, vitamin ENoneHypertension 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 Osteoarthritis201/25/2021None2021VAERSSYMPTOMS2021VAERSVAX
098654001/29/2021TN73.073MPatient 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, letharY4N01/22/202101/25/20213Postive for Covid 19 per the patient.PUBMultiple Medications. List not available at the time of VAER'S report1 Ear Infection on 1/18/21COPD, DM, and Chronic Pain201/29/2021YLevaquin, Iodine, Bactrim, Toradol, and Bioxin2021VAERSSYMPTOMS2021VAERSVAX
101996802/10/2021TN73.073FA 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 dY02/09/202102/09/20210SCHNoneNoneNone202/10/2021None2021VAERSSYMPTOMS2021VAERSVAX
102225102/11/2021TN73.073FPatient 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 U02/09/202102/09/20210N/APUBXANAX DOSE UNKOWN IS TAKEN THREE TIMES DAILY BLOOD PRESSURE MEDICATION NAME AND DOSE UNKOWN IS TAKEN DAILYN/AANXIETY COPD HYPERTENSION202/11/2021VICODIN PERCOCET VENTOLIN PER PATIENT CAUSES VOMITING2021VAERSSYMPTOMS2021VAERSVAX
102917602/14/2021TN73.073FWoke 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. JustY02/12/202102/13/20211noneUNKRosuvastatin, Famotidine, Celexa, Levothyroxin, Provera, Estradiol, Ativan, Sucralfate, Tylenolnonearthritis,202/14/2021none2021VAERSSYMPTOMS2021VAERSVAX
103389602/16/2021TN73.073MOn 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 laterN02/13/202102/15/20212NoPHMlisinopril glimepiride rabeprazole clindamycin 150mg furosemide 40mg metformin 500mgnodiabetes heart condition-2013 bypass surgery202/16/2021no2021VAERSSYMPTOMS2021VAERSVAX
103591802/17/2021TN73.073FStarting the day after the immunization patient had a runny nose, felt sick to her stomach and is dizzy. Still does not feel well today.N02/12/202102/13/20211PHM202/17/2021No known allergies2021VAERSSYMPTOMS2021VAERSVAX
104703502/22/2021TN73.073FVery dizzy,headache,violate vomiting, pain swelling in armY02/17/202102/17/20210Xray of swollen armPUBFamotidine isosorbide atorvastatin, tyanolNoneArthritis, thinning bones202/22/2021Codine,fentanol2021VAERSSYMPTOMS2021VAERSVAX
105728702/26/2021TN73.073FPatient 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 wU02/11/202102/26/202115PHM202/26/20212021VAERSSYMPTOMS2021VAERSVAX
105774002/26/2021TN73.073FRed circle, 3 inch diameter at injection site, hot to touch.N02/11/202102/26/202115NonePHMWarfarin, tikosyn , potassium, ezetimibe, levothyroxine, ropinirole, lisinopril Vitamin a,b,c,d,fish oil, probiotic, lutein, calcium, magnesium, zinc, omerprozerol, zyrtecNoneAortic stenosis, Hospital valve 2001202/26/2021None2021VAERSSYMPTOMS2021VAERSVAX
106078202/28/2021TN73.073FLarge 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 elevatedY02/04/202102/04/20210February 8 or 9 2021- ERSENNumerousHla b27 Lupus Psoriatic arthritis Reiters syndromeHla b27 Lupus Psoriatic arthritis Reiters syndrome202/28/2021YFlagyl Xanaflex Cymbalta Compazine2021VAERSSYMPTOMS2021VAERSVAX
106356803/01/2021TN73.073FWhile 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 reN02/22/202102/28/20216None to date. Have called doctors office to schedule a visit. Was advised to complete a VAERS and see if other steps are necessaryPVTEliquis 5mg, two times dailyNone.Non-functional portion of right lower lung aka "dead". Diagnosed with MAI (NTM) in January 2019. Neither condition has inhibited my breathing ability.203/01/2021YLatex allergy,2021VAERSSYMPTOMS2021VAERSVAX
106571603/02/2021TN73.073FPatient describes as light pink spot 2 1/2 inches by 1 1/2 inches. No pain nor itching.U02/24/202103/01/20215NonePHMAlka-Seltzer; Excedrin Extra StrengthNoneNone203/02/2021None2021VAERSSYMPTOMS2021VAERSVAX
106893903/03/2021TN73.073FReceived 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 applN02/26/202102/28/20212OTHSimvastatin Triamterene Anastrozole Potassium D3 Low dose aspirin TylenolNoneHypertensionFirst dose of Moderna lot 012M20A on 1/29/2021 Covid Arm approx 8 days after injection. Red splotches.203/03/2021Sensitive to most meds Kiwi Latex Neosporin2021VAERSSYMPTOMS2021VAERSVAX
106973503/03/2021TN73.073MLightheadedness, fell down a flight of stairsU03/03/202103/03/20210NonePHMAtorvastatin, finasteride,omeprazole, fiber supplement203/03/2021Iv iodine2021VAERSSYMPTOMS2021VAERSVAX
107215503/04/2021TN73.073FHad 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 tirednessU03/01/202103/01/20210NonePHMCarvedilol 25 mg Edarbyclor 40/12.5 Advair 250/50 Diltiazem 180 mg Omeprazole 20 mg Eliquis 5 mg Rosunvastatin 20mg Potassium 10 mgHypertension Afib Renal StentsHypertension Spinal Degeneration Arterial Fibulation203/04/2021Penicillin Dust Pollen Mold Codeine Sulfa2021VAERSSYMPTOMS2021VAERSVAX
107317803/04/2021TN73.073FPt returned to health clinic 45 minutes after immunization reporting dizziness and blurry visionU03/04/202103/04/20210PUB203/04/2021Y2021VAERSSYMPTOMS2021VAERSVAX
109041403/11/2021TN73.073MWithin 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.Y03/01/202103/01/20210Nurse monitored oxygenation, blood pressure and pulse. All remained normalPUBMultiVit, Flecainide Acetate 25mg about 7amnonePVCs and PACs203/11/2021Penicillin, Sulfa, Rocephin2021VAERSSYMPTOMS2021VAERSVAX
109046403/11/2021TN73.073MFeb. 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 CoviY03/01/2021Y10N02/10/202102/11/20211I 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.PUBProtonix, Crestor, Aspirin, Metroprolol, Wellbuterin, Grapentin, ClonazepamHeart 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, ?GERDAll the above.203/11/2021?2021VAERSSYMPTOMS2021VAERSVAX
109272403/11/2021TN73.073Fpatient 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 calU02/23/202102/23/20210MRI obtained on 3/8/21 from clinicOTHKeppra 500 mg Simvastatin 20 mg MultivitaminNoneSeizures High Cholesterol203/11/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
109331403/12/2021TN73.073MUnspecified 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 2U09/14/2020UNKUSGLAXOSMITHKLINEUS2021GS203/11/20212021VAERSSYMPTOMS2021VAERSVAX
109486103/12/2021TN73.073FThe 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.N03/09/202103/10/20211N/APUBVITAMIN D DAILYNONEBREAST CANCER AND TREATMENT, HIGH BLOOD PRESSURE , COPD, HIGH CHOLESTEROL203/12/2021NONE2021VAERSSYMPTOMS2021VAERSVAX
110923903/17/2021TN73.073FDAY 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 SYMPTOMSY03/12/202103/12/20210NONEPHMWARFARIN , TIKYSON, LEVOTHYROXINE,, POTASSIUM, ROPINEROLE, EZEMTIBE LISINOPRIL ,FISHOIL, VIT. A,B,C,D, CALCIUM, MAGNESIUM, ZINC, OMERPRAZOLENONEAORTIC STENOSIS,COVID MADERNA, 03-11-2021203/17/2021NONE2021VAERSSYMPTOMS2021VAERSVAX
113479903/25/2021TN73.073FPatient 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 N03/04/202103/05/20211N/AOTHSpironolactone 25 mg, Metoprolol 25 mg, Hydrochlorothizide 12 mgN/AN/A203/25/2021YN/A2021VAERSSYMPTOMS2021VAERSVAX
113803803/26/2021TN73.073FPatient 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.N03/23/202103/23/20210PVTAtorvastatin, Metoprolol, Vitamin DNoHTN, HLD, CKD3, vit D deficiency, GAD, MDD, Scoliosis203/26/2021NKDA2021VAERSSYMPTOMS2021VAERSVAX
113947803/27/2021TN73.073MRash 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.U03/19/202103/26/20217PUBaspirin 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 SalinDiabetes Type 2 back pain frequent urination sleep apnea arthritis203/27/20212021VAERSSYMPTOMS2021VAERSVAX
113949903/27/2021TN73.073MLeft sudden hearing loss several days after vaccine. Hearing nearly completely recovered 5 weeks later after transtympanic steroid injection.Y02/10/202103/12/202130audiogramUNKLantus Novaolog Norvasc Nexium HCTZ Lipitor Glucophage Zoloft Crestorno other known acute illnessDiabetes HTN Obstructive sleep203/27/2021YNKDA2021VAERSSYMPTOMS2021VAERSVAX
114743603/30/2021TN73.073Fredness, heat, 2 inches wide, extended to shoulder, couldn't raise armN03/25/202103/26/20211PHMpsorosisheart disease, diabetesinfluenza203/30/2021Ycontrast, calan, sulfa2021VAERSSYMPTOMS2021VAERSVAX
116711804/04/2021TN73.073Fnew onset of Hypertenion started 04/03/2021. severe Headache no history of any BP issuesN03/02/202104/03/202132troponin levels, CT of head, IV BP medications, rx for LosartanPVTXanax 0.5mg TID, Remeron 15mg HS, carafate 1gm QID, Protonix 4gastritisanxiety, acid reflux, bipolar204/04/2021YPCN, Sulfa, Codiene, morphine, zirthromycin, macrobid, prediso2021VAERSSYMPTOMS2021VAERSVAX
117618804/07/2021TN73.073MPer 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."Y1U03/30/202104/01/20212Unknown. Do not have access to these records.OTHUnknown--vaccine-recpient only, not an established patient with our clinicNo 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.204/07/2021YDevelops hallucinations to hydrocodone-based products. No hx of anaphylaxis.2021VAERSSYMPTOMS2021VAERSVAX
118638804/09/2021TN73.073Ffever, headache,, muscle aches, no appetite, chills, migraine,lost portion of smellY03/10/202103/10/20210PHMhigh liver enzymes, pre diabetic, obeseflu204/09/20212021VAERSSYMPTOMS2021VAERSVAX
119626004/12/2021TN73.073Mpt 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.Y04/08/202104/08/20210OTH1st covid - pt says he developed fatigue, headache, chills, joint pain, nausea, vomiting, fever, muscle aches and pains. These 204/12/20212021VAERSSYMPTOMS2021VAERSVAX
120315204/13/2021TN73.073FStarted 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 aY1Y02/26/202103/20/202122Contrast 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 toOTHFlecainide 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/dayNoneHypothyroid Atril Fib204/13/2021YYCeclor2021VAERSSYMPTOMS2021VAERSVAX
120497104/13/2021TN73.073FBlood 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 liverYY30YN03/01/202103/01/20210Mri, ultrasound, X-ray,blood test surgeryPVTNoneNoneNone204/13/2021None sulfer2021VAERSSYMPTOMS2021VAERSVAX
120812504/14/2021TN73.073FResident with temperature and seizure activity.Y04/13/202104/14/20211SENMilk of magnesia, depakote, isosorbide, ibuprofen, clopidogrel, trazadoneHeart disease, Cerebrovascular disease, Vascular dementia, Hyperlipidemia, Major depressive disorder, Adjustment disorder, Hypertension, Pressure ulcer of sacral region204/14/2021aricept, macrodantin, penicillin, sulfa2021VAERSSYMPTOMS2021VAERSVAX
121261304/15/2021TN73.073FstrokeY3YN03/24/202104/03/202110Hospitalization,StrokePHMLasix, Propanolol, Protonix, Prednisone, Potassium, Crestor, Amitiza, Humalog, Rituxan,Vitamin D3, Hydroclorathiazide, Benicarleft eye dysfunctionR A, diabetes, crohns, hypertension, kidney disease204/15/2021YYSulfa, Amoxicillin, opana, IVP dye2021VAERSSYMPTOMS2021VAERSVAX
121990704/16/2021TN73.073FPatient 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 Y04/14/202104/14/20210n/aPUBLosartan, Hctz, Estradiol, Max Ox, Pulmicort, Vit D3,noneAsthma, GERD, Heart stent placement, 2nd stage kidney disease204/15/2021Macrodantin, Keflex, Avalox, Singulair, Plavix2021VAERSSYMPTOMS2021VAERSVAX
122117504/16/2021TN73.073FSpontaneous 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 patiY17Y02/03/202102/03/20210UNKCOREG; HCTZ; VITAMIN C & ROSEHIP; LIPITOR; BABY ASPIRIN; TYLENOLEdema 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.MOD20210204/15/2021Y2021VAERSSYMPTOMS2021VAERSVAX
124673904/23/2021TN73.073MAfter 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,N03/09/202103/15/20216None. I reported it to my personal physician.PUBPravastatin, berberine, omega, low dose aspirin, garlic, vitamin (men 50+)NoneHave two heart stents204/23/2021Contrast dye2021VAERSSYMPTOMS2021VAERSVAX
125100004/24/2021TN73.073MTwo 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 fY03/27/202104/11/202115None - 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.OTHCentrum Silver MultivitaminNoneNoneSoreness at the injection site and fatigue for 24 hours after the second injection of the shingrix shingles vaccine on Nov 11, 2204/24/2021None2021VAERSSYMPTOMS2021VAERSVAX
131489905/13/2021TN73.073MPain in posterior knee and up to buttocks area.N03/12/202103/15/20213Stopped cholesterol medicine for 3 weeks, but it didn't help.PHMRosuvastatin 20mg, Pramipexole 0.25 mg, Men's GNC multivitamin, vitamin D3NoneHigh Cholesterol , Restless Leg Syndrome205/13/2021YNone2021VAERSSYMPTOMS2021VAERSVAX
136084605/29/2021TN73.073MAcute ischemic stroke, TPA given, patient hospitalized for right sided weakness and dysarthria.YN04/14/202105/29/202145PVTPlavix Meloxicam Metoprolol Spironolactone Pantoprazole Hydrocodone Furosemide Dorzolamide AcetaminophenNoneCHF HTN CAD Obesity205/29/2021NKA2021VAERSSYMPTOMS2021VAERSVAX
137736306/07/2021TN73.073Fitchy 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 continuedN01/14/202101/15/20211biopsy confirmed nummular exzema, 4/15/2021PVTzocor, synthroid, evista, AARED eye vitaminnoneHashimoto's thyroiditis206/07/2021Ylatex2021VAERSSYMPTOMS2021VAERSVAX
140779806/17/2021TN73.073FI 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.N02/11/202102/28/202117Xray, MRI, Cortzone shots, steroid shot,.. Labs came back normalPHMblood pressure meds, fish oil, CaltrateNohypertensionvsafe206/17/2021No2021VAERSSYMPTOMS2021VAERSVAX
142061006/23/2021TN73.073FThe 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 homeN03/10/202103/11/20211NonePUBProtonix, Cymbalta, Acyclovir, Clonazepam, Hydrocodone, Tizanidine, Mirtazapine, Aspirin, Benadryl, Vitamin D, CoQ10, Carnitine, Zinc, Vitamin C, Allegra, Mucinex, Flonase Nasal SprayNoneChronic fatiguevsafe206/23/2021YSulfa drugs, Penicillin, Erythromycin2021VAERSSYMPTOMS2021VAERSVAX
145032907/06/2021TN73.073FChills, really bad headache, nausea, rash on face (lasted 3 days). Antibody test came back negative (no coverage listed).N03/04/202103/04/20210Antibody test (6/21/2021)OTHAdvair, Albuterol, Lodapene, Eliquist, MaltacNoneHeart Disease, COPD, Autoimmune207/06/2021Singular, Venlapaxine, Lipator, Lycenapril, Benezone, Phistolic2021VAERSSYMPTOMS2021VAERSVAX
149438907/22/2021TN73.073MWithin 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 toY4N02/18/202102/25/20217yesMILspironlane 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, ivigcancer, swollen retinacancer, swollen retina207/22/2021YYiodinated compound, versed, lisinopril, norvasc, terazosin, ledfoloxian, ketoconazole cream2021VAERSSYMPTOMS2021VAERSVAX
151259107/29/2021TN73.073MPretty 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 neckN04/13/202105/14/202131NoneOTHMetoprolol 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 - TakeNoneAll over 5 years with no recurrence NSTEMI heart attack melanoma surgery207/29/2021None2021VAERSSYMPTOMS2021VAERSVAX
152289208/03/2021TN73.073M7/26/2021 TESTED FOR COVID AT CLINIC RESULTS = DETECTED. 7/28/2021 PATIENT ADMITTED TO HOSPITAL FOR COVID PNA 8/1/2021 PATIENT DIED.Y08/01/2021Y4N03/20/202108/01/20211347/26/2021 COVID = DETECTED AT CLINICUNKUNKNOWNUNKNOWNUNKNOWN208/03/2021PENICILLIN, SULAMETHOXAZOLE2021VAERSSYMPTOMS2021VAERSVAX
152568508/04/2021TN73.073MFriday 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 lathaY07/27/2021Y74N05/13/202105/14/20211Ultrasounds, MRI, chest Xrays, bloodwork dilatin shots for painOTHDonetezil 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, FlomDiabetes, High blood pressure , stroke 2008 and 2010vsafe208/04/2021Y2021VAERSSYMPTOMS2021VAERSVAX
152911008/05/2021TN73.073MDeath on 8/2/2021Y08/02/2021Y1603/05/202108/02/2021150PVT208/05/20212021VAERSSYMPTOMS2021VAERSVAX
153618708/09/2021TN73.073FPatient 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 isN07/30/202108/02/20213PUB208/09/2021Y2021VAERSSYMPTOMS2021VAERSVAX
154203108/11/2021TN73.073MCough 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 byN07/20/202107/22/20212Test Name: Covid 19 test; Test Result: NegativePHMUSGLAXOSMITHKLINEUS202116208/10/20212021VAERSSYMPTOMS2021VAERSVAX
154830108/12/2021TN73.073FLower 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 N02/12/202102/13/20211UNKMedical History/Concurrent Conditions: No adverse event (No medical history provided)USMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
154868008/12/2021TN73MSLIGHT 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. CU02/02/202102/03/20211UNKRIZATRIPTANMigraine headacheUSMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
155038608/12/2021TN73.073FA 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 thU02/19/202102/22/20213UNKMedical History/Concurrent Conditions: No adverse event (No reported medical history.)USMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
155330408/13/2021TN73.073Fswollen 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 consumU02/15/202102/23/20218UNKMedical History/Concurrent Conditions: No adverse eventUSMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
156036308/15/2021TN74.073Fblurring 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 nN03/01/202103/01/20210UNKUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
156093408/15/2021TN73.073Marm 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 EXU02/22/202103/02/20218UNKUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
156267408/15/2021TN73.073Flittle 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), Y02/09/202102/09/20210UNKUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
156327208/15/2021TN73.073FHeard 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 wY01/01/202101/29/202128UNKUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
156524608/15/2021TN74.073MSoreness 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) Y01/29/2021UNKDiabetes; Heart disorderUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
156551008/15/2021TN73.073FItching; 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), FEN03/02/202103/10/20218UNKTRIAMTERENE & HCTZ; AMLODIPINE; SIMVASTATIN; METFORMIN; BENAZEPRIL; LEVOTHYROXINE; OMEPRAZOLEComments: No medical history information reportedUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
158020308/18/2021TN73.073FChills; 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) fU02/01/202102/02/20211Test Date: 20210202; Test Name: body temperature; Test Result: Inconclusive ; Result Unstructured Data: t?98 somethingUNKUSMODERNATX, INC.MOD20210208/13/20212021VAERSSYMPTOMS2021VAERSVAX
158079808/18/2021TN73.073MDiarrhea; 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 prN01/14/202101/14/20210UNKATORVASTATIN; PANTOPRAZOLE; MELOXICAM; TAMSULOSINUSMODERNATX, INC.MOD20210208/13/20212021VAERSSYMPTOMS2021VAERSVAX
159584408/21/2021TN73.073FPatient 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: 9Y02/09/202102/18/20219UNKUSMODERNATX, INC.MOD20210208/17/20212021VAERSSYMPTOMS2021VAERSVAX
160174508/21/2021TN73.073Fneck 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 confiU03/24/202103/27/20213UNKMedical History/Concurrent Conditions: No adverse eventUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
160966408/22/2021TN73.073FRedness; 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 (ModeU02/04/202102/05/20211UNKCLONAZEPAM; FAMCICLOVIR; ESTRADIOL; ESTRADIOL; DICLOFENAC SODIUM; EPIPEN 2-PAK; MACROBID [CLARITHROMYCIN]; MIRALAX; NEURONTIN; ONDASETRON [ONDANSETRON]; ONDASETRON [ONDANSETRON HYDROCHLORIDE]; SUMATRIPTAN; SUMATRIPTAN SUCCINATE; VALTREX; VIAllergy 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.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
160968008/22/2021TN73.073Fpersistent 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 paY02/04/202103/01/202125UNKESTRADIOL; CLONAZEPAM; GABAPENTIN; DICLOFENAC SODIUM; EPIPEN 2-PAK; FAMCICLOVIR; MACROBID [CLARITHROMYCIN]; MIRALAX; NEURONTIN; ONDANSETRON; SUMATRIPTAN; SUMATRIPTAN SUCCINATE; VALTREX; VITAMIN B12 [CYANOCOBALAMIN]; VITAMIN D3; VORICONAZOLEMedical 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.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
161293708/22/2021TN73.073FItching 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 confirU03/04/202103/04/20210UNKMETFORMIN; LISINOPRIL; PREMARIN; CYMBALTA; OXYCODONESensitive skinMedical History/Concurrent Conditions: HysterectomyUSMODERNATX, INC.MOD20211208/13/20212021VAERSSYMPTOMS2021VAERSVAX
161327908/22/2021TN73.073FInjected 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 wU03/04/202104/02/202129UNKMETFORMIN; LISINOPRIL; PREMARIN; CYMBALTA; OXYCODONE.Sensitive skin.Medical History/Concurrent Conditions: Hysterectomy.USMODERNATX, INC.MOD20211208/13/20212021VAERSSYMPTOMS2021VAERSVAX
163649608/26/2021TN73.073M8/11/201 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,Y08/25/2021Y8N04/09/202108/13/20211268/11/21: PATIENT COVID TESTING DONE AT PCP. 8/13/21 CHEST XRAY CONSIST WITH PNEUMONIAPHMUNKNOWNUNKNOWNUNKNOWN208/26/2021YNO KNOWN ALLERGERIES2021VAERSSYMPTOMS2021VAERSVAX
164309008/28/2021TN73.073Mfelt 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 MN02/08/202102/08/20210UNKCORICIDIN HBP COUGH & COLD; TYLENOL; ALEVEComments: No Medication history was reported by the provider.USMODERNATX, INC.MOD20212208/17/2021YY2021VAERSSYMPTOMS2021VAERSVAX
164309308/28/2021TN76.073MHeadache; 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 byU02/08/202102/08/20210UNKCORICIDIN HBP COLD AND FLU; TYLENOL; ALEVEComments: Medical history was not provided by reporter.USMODERNATX, INC.MOD20212208/16/20212021VAERSSYMPTOMS2021VAERSVAX
165897508/31/2021TN73.073Finjection site pain, headache, muscle pain, joint pain, fever, feeling unwell, swollen lymph nodesY08/24/202108/24/20210nonePHMAdvair 250/50, Montelucast Sodium, Vit. E 400IUnonemoderate/severe persistent asthma, pelvic/spinal injurySeptember 2020, influenza, unknown name208/31/2021Hydrocodone, Erythromycin, Asmanex HFA, Doxycycline, Tramadol, Sudafed, Triamcinolone2021VAERSSYMPTOMS2021VAERSVAX
166277909/01/2021TN73.073FOngoing 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,YY3N04/02/202108/30/20211508/30/2021 chest x ray mild cardiomegaly, multifocal pneumonia, small bilateral pleural effusions.PVTUnknownUnknownDM, HTN, Multiple back surgeries209/01/2021Albuterol2021VAERSSYMPTOMS2021VAERSVAX
166291809/01/2021TN73.073Mcough, SOB, nausea x 7 days prior to hospital admissionY04/03/2021Y601/22/202103/21/202158UNK209/01/20212021VAERSSYMPTOMS2021VAERSVAX
166612509/02/2021TN73.073Fcough, SOB, hypoxia, confusionY04/30/2021Y802/04/202104/09/202164UNK209/02/2021Y2021VAERSSYMPTOMS2021VAERSVAX
167859709/07/2021TN73.073FAdmitted 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 extubY09/03/2021N03/26/202108/22/2021149PVThypertension, type 2 diabetes, hypercoagulability with a protein S deficiency209/07/2021Actos, aspirin, bactrim, celebrex, clindamycin, glipizide, pencillins2021VAERSSYMPTOMS2021VAERSVAX
167872709/07/2021TN73.073FArm swelling to elbow - red since Saturday night09/03/202109/04/20211PUBClopidogrel plavix flexeral daliresp gabapentin loratadine montelukast rosuvastatin aleve. Oncology injection keytrudaLung cancer stage 4 copdSee above209/07/2021Osteoporosis Med2021VAERSSYMPTOMS2021VAERSVAX
167918809/07/2021TN73.073FPATIENT RECEIVED MODERNA FOR FIRST DOSE 2/11/2021Y09/03/202109/03/20210NAPUBUNKNOWNUNKNOWNUNKNOWN209/07/2021UNKNOWN2021VAERSSYMPTOMS2021VAERSVAX
168250809/08/2021TN73.073FLoss of taste, fatigue, no energy, loss of hair, problems with retaining fluids.N04/30/202105/04/20214PUBLosartan 50mg.None.209/08/2021YNone.2021VAERSSYMPTOMS2021VAERSVAX
168263309/08/2021TN73.073FRedness 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 toY09/03/202109/04/20211NAPUBAlbuterol, Aspirin 81mg, Symbicort, Clopidogrel 75mg, Cyclobenzaprine 5mg, Daliresp 500mcg, Gabapentin 300mg, Duo-neb, Loratadine 10mg, Montelukast 10mg, Multivital oral, Pembrolizumab 25mg/mL, Rosuvastatin 20mgLung CancerCOPD209/08/2021Osteoporosis medication- medication is unknown, causes swelling of the tongue2021VAERSSYMPTOMS2021VAERSVAX
168489309/09/2021TN73.073FRash all body head to toe. In eyes. ThroatN09/02/202109/05/20213MD gave shot. Prescription of methylprednisol dose pk. Famotidine 4mg Halogen 25 mg 1-2 daily Lab work was done no results yesPUBHydroxyzine 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 3dailyLow b12 Back pain, neck pain Muscle aches209/09/2021Penicillin, sulfa, ivp dye2021VAERSSYMPTOMS2021VAERSVAX
169478709/13/2021TN73.073Mpatient 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.Y09/11/202103/23/202109/11/2021172UNK209/13/20212021VAERSSYMPTOMS2021VAERSVAX
170596109/17/2021TN73.073FSite: 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 questioYU09/14/202109/15/20211PHM209/17/20212021VAERSSYMPTOMS2021VAERSVAX
170942709/17/2021TN73.073MPain 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 monthsY02/25/202104/23/202157MRI 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 - ClearPVTEzetimibe 10 mg Irbesartan 300 mg Claritin 1 tab/day Vitamin D3 5000 iu Multi-Vitamin CoQ10 100 mg Aspirin 81 mg - 4/weekHigh Blood Pressure - controlled High Cholesterol - controlled209/17/20212021VAERSSYMPTOMS2021VAERSVAX
171084709/18/2021TN74.073Fsore 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 nU01/14/202101/14/20210UNKUSMODERNATX, INC.MOD20212209/17/20212021VAERSSYMPTOMS2021VAERSVAX
171105709/18/2021TN73.073FRetaining 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 (LosiN03/12/202104/01/202120UNKLOSARTAN; TYLENOLUSMODERNATX, INC.MOD20213209/17/20212021VAERSSYMPTOMS2021VAERSVAX
172716509/23/2021TN73.073FThe 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.N09/21/202109/21/20210PHMbenzonatate, lamotrigine, quetiapine, alprazolam209/23/2021celiac disease, latex, yeast, wheat, barley, oats2021VAERSSYMPTOMS2021VAERSVAX
173572309/26/2021TN73.073M9/10/21 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 HOMEY10U03/24/202109/10/20211709/10/21 COVID -19 PCR = DETECTEDPVTUNKNOWNUNKNOWNCAD STATUS POST CABG, COPD, ICD PACEMAKER, DM TYPE 2209/26/2021YBRILINTA2021VAERSSYMPTOMS2021VAERSVAX
174430409/29/2021TN73.073FPatient reported she had never had a COVID19 vaccine. A search in system showed that the patient had had 2 doses of the Moderna vaccine.09/28/202109/28/20210PUB209/29/20212021VAERSSYMPTOMS2021VAERSVAX
174952209/30/2021TN73.073MPT EXPIRED; BREAKTHROUGH CASE OF COVID-19Y09/29/2021N03/29/202109/29/2021184PUB209/30/20212021VAERSSYMPTOMS2021VAERSVAX
175434510/01/2021TN73.073Fexorstion muscle pain chills fatique swelling of feetN03/31/202105/11/202141noUNKyesnoheart condition210/01/2021no2021VAERSSYMPTOMS2021VAERSVAX
176191310/05/2021TN73.073FSystemic: blisters mainly on left arm and left leg-MediumN09/26/202109/27/20211PHM210/05/20212021VAERSSYMPTOMS2021VAERSVAX
176862910/07/2021TN73.073FAfter 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 tY05/10/202105/11/20211OTH210/07/2021PCN2021VAERSSYMPTOMS2021VAERSVAX
177151910/08/2021TN73.073FPatient expired due to COVID-19 after having been vaccinated.Y09/05/2021N02/10/202109/05/2021207Positive COVID-19 testPVTAtivan Levoxyl Norvasc Ecotrin Toprol Lexapro Aricept Privinil Lopressordementia210/08/2021Codeine, erythromycin2021VAERSSYMPTOMS2021VAERSVAX
177909710/12/2021TN73.073MI 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. ShN10/07/202110/08/2021110/8/21 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.PUBSaw 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 MnoneType 2 diabetes, high blood pressure, diabetic neuropathy, enlarged prostate210/12/2021YYnone2021VAERSSYMPTOMS2021VAERSVAX
178835110/15/2021TN73.073F9/17/21 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 WILLY9U05/26/202109/17/20211149/17/21" COVID-19SARSCoV2 = DETECTEDPHMUNKNOWNUNKNOWNCOPD210/15/2021YPENICILLIN2021VAERSSYMPTOMS2021VAERSVAX
180467010/21/2021TN73.073FPatient 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 cortisoN08/19/202108/19/20210PUBPrednisoneDM,COPD,Emphysema,Chronic Bronchitis,WBC transfusion, O2 24hrsCOPD, DMTetanus 10 months old - rash210/21/2021YTetanus-didn't work for her2021VAERSSYMPTOMS2021VAERSVAX
180821710/22/2021TN73.073MPatient was hospitalized for COVID-19 after being vaccinated.YU02/22/202110/22/2021242Positive COVID-19 testPVTUmeclindinium bromide, warfarin, amlodipine, atorvastatin, losartan, furosemide, potassium chloride, zinc sulfate, dapagliflozin, glimepiride, insulin degludecunknownAtrial fibrillation, congestive heart failure, COPD, diabetes, hypertension210/22/2021Ybanana2021VAERSSYMPTOMS2021VAERSVAX
181521010/25/2021TN73.073F10/17/21 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.Y7Y03/16/202110/17/202121510/1721 COVID19SARSAgFIA = DETECTED.PHMunknownunknownhtn, hyperlipidemia, CKD, obstructive sleep apena uses CPAP.210/25/2021Ypenicillians, NSAIDS<2021VAERSSYMPTOMS2021VAERSVAX
181536610/25/2021TN73.073FWeakness and fatique,painful joints of left knee and hip and right hip severe, generalized mucular aches and pain . brain fog, canot concentrate.N10/22/202110/22/20210NonePHMAmlodipine 10mg Collagen powder VitaminD Beet root powder Digestive enzymesFlu vaccineDJD HBP OBESITY210/25/2021Milk NSAID Not a true allergic reaction but untoward effect such as: inflamatory ressponse such as painful joints for short period of time, brain fog2021VAERSSYMPTOMS2021VAERSVAX
182858610/29/2021TN73.073MVertigo, Dizziness, Hearing loss progressing to kidney and liver failure and death.Y10/27/2021YN03/03/202103/05/20212Multiple from 4/4/2021 until 10/10/2021PUBDiabetes medicationNoneDiabetes210/29/2021None2021VAERSSYMPTOMS2021VAERSVAX
183159310/30/2021TN73.073FNone 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.N10/26/202110/27/20211OTHNoneNoneNoneFlu vaccine yrs ago210/30/2021Amoxicillin and/or ampicillin2021VAERSSYMPTOMS2021VAERSVAX
184596611/05/2021TN73.073Facute 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.YN03/19/202104/15/202127xray 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 noUNKvitamin C, vitamin D3nonenonehad shortness of breath after flu shot and after third hep B vaccine211/05/2021Yseptra, sulfa drugs, hydroxychloroquine, prior adverse reactions to flu vaccine and hep B vaccine (shortness of breath).2021VAERSSYMPTOMS2021VAERSVAX
186099611/11/2021TN73.073FPatient 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 descN11/02/202111/04/20212She is going to seek medical attention today.PHMASPIRIN IS THE ONLY ONE THAT I'M AWARE OFNONE KNOWNNONE KNOWN211/11/2021YBENADRYL2021VAERSSYMPTOMS2021VAERSVAX
186235811/11/2021TN73.073FPatient experiences redness and swollen arm with bruising.U11/08/202111/09/20211PHM211/11/2021Y2021VAERSSYMPTOMS2021VAERSVAX