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You are viewing patients aged: 76, in state: HI

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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
105331402/24/2021HI76.076FPt experienced redness and warmth around the injection site the night she received the vaccine 2/11/21. It lasted for about 3-4 days, then went away. The redness and warmth returned ~2/20/21, along with some achiness. On 2/23/21, she experienced some itcU02/11/202102/20/20219PHM202/24/20212021VAERSSYMPTOMS2021VAERSVAX
106423903/01/2021HI76.076MA significant amount of vaccine popped out of my arm. Do not know how much medicine I received. Any advice? Please help.U02/22/202102/22/20210OTHLiscinopril; provastaatin; omeprazolenonecontrolled high blood pressure203/01/2021penicillin2021VAERSSYMPTOMS2021VAERSVAX
107399603/04/2021HI76.076Mchills for two hours going to 101.2 feverU03/03/202103/04/20211nonePVTlosartan 100mg atorvastatin 10mg hydrochlorothiazide 12.5mgnonehypertension203/04/2021none2021VAERSSYMPTOMS2021VAERSVAX
108045103/08/2021HI76.076MVaccine ran down arm; Vaccine ran down arm; A spontaneous report was received from a consumer concerning a 76-years-old, male patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and some of the vaccine ran down his arm. The patient's medical histY02/22/202102/22/20210UNKMedical History/Concurrent Conditions: No adverse event (No medical history reported)USMODERNATX, INC.MOD20210203/08/20212021VAERSSYMPTOMS2021VAERSVAX
109179603/11/2021HI76.076MApproximately two weeks after receiving my first dose of the vaccine, I started experiencing upper body bilateral joint pain, primarily in shoulders and wrists. This pain has continued since then for approximately six weeks now. In addition, my right armN01/16/202102/01/202116UNKhydrochlorothiazide, levothryroxine, omeprazole, simvastatin, tamulosin, Ca+vit Dnonemild arthritis; others controlled with medications: GERD, hypercholesterolemia, hypothyroid, BPH203/11/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
121082804/14/2021HI76.076FNo adverse effect. Rather, patient contracted Covid19 after second Pfizer vaccine. Symptom onset 4/6/2021. Positive test 4/13/2021N04/14/202104/14/202104/13/2021: positive COVID19 PCR testPVThydralazine, metoprolol, atorvastatin, amlodipine, asa, renvela, losartan, albuterol, atrovent, doxycycline, benzonatate, clindamycinno new illnessesdialysis, HTN, DM204/14/2021augmentin, erythromycin, lisinopril, oxycodone, chlorhexidine, sensipar2021VAERSSYMPTOMS2021VAERSVAX
126737604/28/2021HI76.076FNo adverse event, but patient and her husband (both fully immunized) tested positive for COVID19 on 4/24/2021. Patient's symptoms started April 14 (cough only)Y02/02/202104/14/2021714/24/2021: COVID19 NAA positivePVT204/28/2021Y2021VAERSSYMPTOMS2021VAERSVAX
130054905/08/2021HI76.076Fleft arm pain severe lasted over 19 daysU02/26/202103/22/202124UNK205/08/2021Ylipitor2021VAERSSYMPTOMS2021VAERSVAX
132218705/16/2021HI76.076FAwoke the next morning with upper arm muscle pain bilaterally. The left arm was NOT worse than the right. Pain spread across the neck and shoulders over the following two weeks, with increase in intensity. No treatment given, physical therapy referral madeN03/09/202103/10/20211ESR and CPK were normalOTHDiltiazem, Losartan, Metoprolol, ASA, calcium citrate, fishNoneHypertension, allergies205/16/2021YPenicillin, erythromycin, vasotec, some flat fish, mussels2021VAERSSYMPTOMS2021VAERSVAX
145661507/08/2021HI76.076MFirst dose of Shingrix on 09/272019 / Second dose of Shingrix on 06/28/2021; This case was reported by a pharmacist via call center representative and described the occurrence of drug dose administration interval too long in a 76-year-old male patient who U06/28/202106/28/20210PHMUSGLAXOSMITHKLINEUS202114207/07/20212021VAERSSYMPTOMS2021VAERSVAX
147859707/16/2021HI76.076FMarch 26 first vax, no prob except tired and no energy. a week and 2 days later she went to hospital could not even change clothes , went to Dr. , then ER. they did MRI, and found out she had a stroke on right side of brain. but right side was showing weaY30N02/27/202104/06/202138spinal tap Blood draws CT MRI EKG Z Patch PET SCANOTHto be determinedpossible UTIno207/16/2021YYseafood2021VAERSSYMPTOMS2021VAERSVAX
148607807/20/2021HI76.076FAtrium flutter Blurry right eye Shortness of breath July 4 2021 onset. Still in vestigating. Ruled out stroke, glaucoma, no retina damage. At ER on 5thYN01/27/202107/04/20211585 tubes of blood. Eye dialated & exam. EKG irregular. Atrial flutter found. I had ASD repair 50 years ago.MILProzac. Wellbutrin. Amytriptelyn. Calcium. Laxative fiber & miralx. CBD gummies.NoneHay fever, Basel & squamous skin ca ASD repair 50 yrs ago207/20/2021YYSulfur, bacitracin neosporium, lactose2021VAERSSYMPTOMS2021VAERSVAX
151908508/01/2021HI76.076Mtook Moderna on 5/18/21. on 5/19/21 nausea vomiting. hard time eating. lost 30 lb in 2 monthsYN05/18/202105/20/202127/19/21 CT scan of abdomen and pelvis- showed esophageal dilatation. kidney stone, thoracic aortic aneurysm , AAA, gall stone. 7/29/21 EGD showed food in esophagus. removed during procedure. entire esophagus was dilated with notable contractions. distal PHMamlodipine 5 mg qd. atorvastatin 40 mg qd. omeprazole 40 mg qd. lisinopril 40 mg qd. labetalol 100 mg qd. ferrous sulfate 325 mg qd. senna S 2 tab qd. aspirin 81 mg qd. MVI one qdnonehypertension. aortic dissection. Arteriosclerotic heart disease. GERD. achalasia. ckd 3. gall stone. hx CABG. prediabetes2015 flu shot caused flu symptoms208/01/2021Yinfluenza vaccine2021VAERSSYMPTOMS2021VAERSVAX
153716508/09/2021HI76.076FPositive Covid test post full vaccinationN02/09/202108/07/2021179PVTPhentermine (LOMAIRA) 8 mg Oral Tab Atenolol (TENORMIN) 25 mg Oral Tab Lidocaine (LIDOCARE / ASPERCREME / LIDO KING) 4 % Top PTMD Patch hydroCHLOROthiazide 12.5 mg Oral Tab Atorvastatin (LIPITOR) 10 mg Oral Tab Dietary Supplement Oral Cap VHYPERLIPIDEMIA ESSENTIAL HTN CKD STAGE 3 (GFR 30-59), UNSPECIFIED. SEVERE OBESITY (BMI >= 40) PREDIABETES208/09/2021YNkda [No Known Drug Allergies] No Latex Allergy2021VAERSSYMPTOMS2021VAERSVAX
154134908/10/2021HI76.076MTested positive for covid-19 after being fully vaccinatedN02/13/202108/09/2021177PVTHTN, prediabetes, COPD, emphysema, history of metastatic lung and bone cancer, history of MI, history of PE.208/10/20212021VAERSSYMPTOMS2021VAERSVAX
154819408/12/2021HI76.076Fwhen moves arm there is pain; bruise on her arm 3 inches below the injection site; touches the injection site, it hurts; Arm was sore; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm was sore), CONTUSY01/25/202101/25/20210UNKLOSARTAN; AMLODIPINE; PRAVASTATIN; METFORMIN; OMEPRAZOLE; TRIAMTERENE; HYDROCHLOROTHIAZIDEMedical History/Concurrent Conditions: Acid reflux (esophageal); Diabetes; Comments: The patient had no allergies. The patient's medical history included high blood pressure and high cholesterol.USMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
160851708/22/2021HI76.076MSevere muscle spasms size of walnut knot, by the shoulder and injection site/ feels like a cramp in is the leg be going on for 3-5 days; pain when taking a deep breath; numbness on leg and arm; feels like he is having a heart attack and feel like squeezingY03/15/202103/15/20210UNKCancer; DiabetesUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
162202808/23/2021HI76.076M1/25/21 - 1ST COVID SHOT 2/19/21 - MONTHLY LAB, GFR DECREASED FROM11 TO 10. 2/23/21 - 2ND COVID SHOT 3/15/21 - MONTHLY LAB, GFR DECREASED TO 9 4.14.21 - MONTHLY LAB, GFR INCREASED TO 10 5/19/21 - MONTHLY LAB - GFR DECREASED TO 8 6/21/21 - U02/23/202105/19/202185Provided upon request or may access my medical record.PVT208/22/2021Y2021VAERSSYMPTOMS2021VAERSVAX
162278508/23/2021HI76.076MHe thought it was an onset of heart attack; Severe muscle spasms size of walnut knot by the shoulder and injection site; Back pain; couldn't breath and feels like squeezing; extreme pain; tired; This spontaneous case was reported by a consumer and describeU03/15/202103/15/20210UNKCancer; DiabetesUSMODERNATX, INC.MOD20212208/13/20212021VAERSSYMPTOMS2021VAERSVAX
182486610/28/2021HI76.076FSite: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-SevereU10/25/202110/26/20211PHM210/28/2021Y2021VAERSSYMPTOMS2021VAERSVAX
184098711/03/2021HI76.076MThe Moderna vaccine was taken out of the freezer and placed in to the refrigerator on 9/8/2021. The vaccine was administered beyond the 30 days of which the vaccine is recommended to be kept in the refrigerator. No adverse reaction occurred during the 30 10/22/202110/22/20210PUB211/03/20212021VAERSSYMPTOMS2021VAERSVAX
186361711/12/2021HI76.076M3rd Dose administered beyond 30-day use/Date taken out of freezer: 8Sep2021/Date of administration: 22Oct2021; 3rd Dose administered beyond 30-day use/Date taken out of freezer: 8Sep2021/Date of administration: 22Oct2021; This spontaneous case was reportedY10/22/202110/22/20210UNKImmunocompromisedUSMODERNATX, INC.MOD20213211/10/20212021VAERSSYMPTOMS2021VAERSVAX