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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0960965 | 01/21/2021 | MD | 76.0 | 76 | F | dizziness, headache, nausea | U | 01/13/2021 | 01/13/2021 | 0 | OTH | 2 | 01/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0967599 | 01/23/2021 | MD | 76.0 | 76 | F | COVID-19 Vaccine EUA Ten days after the injection of Covid 19 injection my arm swelled up, and became very red and itchy at the site of the injection. It just came up out of nowhere it seems as I had no reaction at all to the vaccine during the prior 10 d | Y | 01/12/2021 | 01/20/2021 | 8 | None | OTH | Letrozole( 2.5mg), Fish Oil (1000 mg), Vitamin D3 (1000 U), Women multivitamin (1 tab daily), Vitamin C (1000 U) | None | None; Breast cancer surgery 2009 | 2 | 01/23/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0971261 | 01/25/2021 | MD | 76.0 | 76 | M | Chills and body aches | Y | 01/23/2021 | 01/24/2021 | 1 | PVT | 2 | 01/25/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0972912 | 01/25/2021 | MD | 76.0 | 76 | F | Joint pain. Subsided they reoccurred with much more intensity. Could barely walk my right knee hut so badly. Other joints can and went but knee just intensified. Today both my eyes are vpred , swollen and stinging | N | 01/14/2021 | 01/16/2021 | 2 | Went to physical therapy. | MIL | HCTZ | High blood pressure | 2 | 01/25/2021 | aspirin Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0973111 | 01/26/2021 | MD | 76.0 | 76 | M | Mild Chest Pain Worse With Deep Breath/chest pain got worse; Felt warm and his temperature was 100 F; Now I have A-Fib; A spontaneous report was received from a consumer concerning a male 76-year-old patient, who was also the patient, who received Moderna' | Y | 2 | N | 12/30/2020 | 12/31/2020 | 1 | Test Date: 20201231; Test Name: Body temperature; Test Result: 100 {DF}; Test Date: 20201231; Test Name: EKG; Result Unstructured Data: Normal; Test Date: 20210105; Test Name: EKG; Result Unstructured Data: A-Fib; Test Date: 20201231; Test Name: COVID-19 | UNK | COREG | Medical History/Concurrent Conditions: Coronary artery disease | USMODERNATX, INC.MOD20210 | 2 | 01/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0979442 | 01/27/2021 | MD | 76.0 | 76 | F | Day 1 moderate to severe pain at site and headache treated with Acetaminophen. Extreme sleepiness for 48 hours and slept for most of the day. 2nd Day pain at site and headache continued. Treated with Acetaminophen. Extreme sleepiness slept for most of the | N | 01/07/2021 | 01/07/2021 | 0 | none sought | OTH | Clopidogrel, Lisinopril,HCTZ,Amlodipine, Primidone, VitaminD, VitaminB12, | Hypertension, Familial Idiopathic tremor. | Hypertension, | 2 | 01/27/2021 | Aspirin, Lactose intolerant. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0983161 | 01/28/2021 | MD | 76.0 | 76 | F | itching, primarily arms and trunk; more noticeable in the evening; from 1/25 through today, 1/28 | N | 01/24/2021 | 01/25/2021 | 1 | SEN | Montelukast Sodium 10MG Pravastatin Sodium 20MG | none | none | 2 | 01/28/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0985389 | 01/29/2021 | MD | 76.0 | 76 | M | Patient stated to feel "light headed". He was brought to cot in back of facility. VS were taken: BP 176/90, R 61, R 20, O2 96%. Patient states to have high blood pressure. He stated to have eaten this morning. Denies diabetes or low blood sugar. Denies any | Y | 01/29/2021 | 01/29/2021 | 0 | PUB | Levothyroxine Atenolol Olmesartan Medoxomil Rosuvastatin Calcium Diltiazon Hydrochloride Tamsulosin Amitriptyline Advair & albuterol Sulfate Vitamin D3, CoQ10,calcium, Claritin, Aspirin, Fluticasone | None Known | Hypertension, High Cholesterol, Asthma, GERD, Hypothyroidism | 2 | 01/29/2021 | None Known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0987742 | 01/30/2021 | MD | 76.0 | 76 | F | Delayed injection site reaction: redness, hot to touch, itching, slight swelling. This is the second day of the delayed reaction so it persists although itching has stopped. | 01/22/2021 | 01/28/2021 | 6 | UNK | Synthroid, pravastatin, multivitamin, vitamin D, Caltrate | 2 | 01/30/2021 | Iodine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0994688 | 02/02/2021 | MD | 76.0 | 76 | F | About 10 days after receiving the vaccine, pt started to hear rings in left ear. Then she started to noticing hearing loss. As of today she has lost almost all hearing in her left ear. She has no other symptoms after receiving the vaccine. | N | 01/19/2021 | 01/28/2021 | 9 | Pt has seen her primary doctor on 02/01/2021, who confirmed that there is no blockage or anything abnormal that he could see. | PUB | High blood pressure | 2 | 02/02/2021 | Y | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0998313 | 02/03/2021 | MD | 76.0 | 76 | F | Probable Covid Vaccine Arm. Itching and redness appeared 8 days following vaccination. Began yesterday, 2 February and continues. | N | 01/25/2021 | 02/02/2021 | 8 | None | PUB | Simvistatim Symbacort Restasis Prevagen Systane Ultra | Dry eye, corneal scarring | None | 2 | 02/03/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1001872 | 02/04/2021 | MD | 76.0 | 76 | F | Red rash, both itchy and swollen, first noticed to be about 2 inches in diameter and which doubled by Feb. 3. | N | 01/21/2021 | 01/28/2021 | 7 | NONE | PUB | Lipitor | NONE | NONE | 2 | 02/04/2021 | Y | Penicillin, Shellfish (Assumed after a bad reaction in a restaurant. Never tested.) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1003085 | 02/04/2021 | MD | 76.0 | 76 | F | I received this shot on Jan 30 and have been sick ever since. I Threw up for several days and and still sick to the stomach. I had severe diarrhea and my bowels are still messed up- they are light yellow verging on white. I have been having migraines and | N | 01/30/2021 | 01/30/2021 | 0 | none | PUB | Armour Thyroid, digestive enzymes, fish oil, cranberry supplement, turmeric, ubiquinol. cinnamon, probiotics | fatty liver, diabetes, high cholesterol, neuropathy, lymphedema, effects of cancer treatment | I don't have that info. But flu and hep a and b | 2 | 02/04/2021 | My allergies to medications are too extensive to list, but they include most antibiotics, thyroid meds other than Armour, flu shots, hepatitis A and B shots latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1005393 | 02/05/2021 | MD | 76.0 | 76 | F | seven days after receiving the shot I developed a rash and ichy sensation around the injection site. On the day of the vaccination I thought my tongue was a little swollen. | Y | 01/28/2021 | 02/04/2021 | 7 | OTH | Diltiazem, Levothyroxine, Rosuvastatin, Centrum vitemins for Women, Soolantra topical gel | vertigo : had it for 7 weeks. Never had it before. Doctor could find no cause. It was gone two to three weeks before i got the Moderna shot. | none | 2 | 02/05/2021 | Latex, Non steriodal anti inflammatories | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1009572 | 02/07/2021 | MD | 76.0 | 76 | F | Starting about 9 days after the first dose, I developed a painful, hot, red itchy rash at vaccine site. It went away after about 3 days, but has returned today. The area is even larger than originally. The arm is NOT painful, but it is very red and itchy. | N | 01/21/2021 | 01/30/2021 | 9 | none | UNK | famotadine, calcium, vitamin D, magnesium, Align (probiotic) | none | none | 2 | 02/07/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1011413 | 02/08/2021 | MD | 76.0 | 76 | M | Visible rash on back, stomach and buttocks'. Took liquid Benadryl to assist plus steroidal cream | N | 01/27/2021 | 02/01/2021 | 5 | n/a | PHM | none | none | heart patient | 2 | 02/08/2021 | highly allergic to any tree nuts such as pecans, walnuts etc. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1011430 | 02/08/2021 | MD | 76.0 | 76 | F | Red spot area development a 8 days after shot | Y | 01/27/2021 | 02/04/2021 | 8 | PUB | Provachol Snythroid Toprol multi vit/min calcium fish oil vit D (1000) vit B12 + | Raynauds hi chol hypothyroid osteopenia chronic neck back issues idiopathic peripheral neuropathy | 2 | 02/08/2021 | Lactose Trees cats dust mites | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1030784 | 02/15/2021 | MD | 76.0 | 76 | U | 1350 small red area with slightly raised area with itching inside right elbow. b/p 134/74 hr 84 pulse ox 97% 1400 rechecked area remained red, less itching, not as raised as it was initially. b/p 123/60 hr 72 pulse ox 97%. physician cleared pt ot leave sit | Y | 02/12/2021 | 02/12/2021 | 0 | none | PVT | unknown | unknown | unknown | 2 | 02/15/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1032081 | 02/15/2021 | MD | 76.0 | 76 | F | COVID-19 Arm Large red swelling at site of injection on Feb 9 Headache Chills Severe Vertigo | Y | 01/24/2021 | 02/09/2021 | 16 | UNK | amlodipine 2.5 mg | Mild vertigo hives | hypertension | 2 | 02/15/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1032113 | 02/15/2021 | MD | 76.0 | 76 | M | Rash lasted 4 days, slight itching in evenings only Not seen by medical folks | Y | 01/21/2021 | 01/28/2021 | 7 | None | PUB | Ditiazem 180 mg Atorvastatin 10 mg Niacinamide 500 mg Vitamin D3 4000 IU Magnesium 400 mg | Irregular heart rate Elevated cholesterol | 2 | 02/15/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1033797 | 02/16/2021 | MD | 76.0 | 76 | F | Starting on day 10 - delayed skin reaction described online as "covid arm": spreading, hot, itchy, bright red rash which covered the top of the right arm near the injection site and decreased once started topical steroid cream and benedryl. By day 17 gone | Y | 01/21/2021 | 01/31/2021 | 10 | none | PVT | D3 1 am, chlorpheniramine 4 mg 1 am and 1 pm, fametodine 10 mg 1 am and 1 pm | none | 2 | 02/16/2021 | Y | penecillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1036391 | 02/17/2021 | MD | 76.0 | 76 | F | Injection site: pain, tenderness and swelling General side effects: fatigue, muscle pain, joint pain, nausea | Y | 02/16/2021 | 02/16/2021 | 0 | PUB | Benadryl for chronic allergies | none | hypertension; high cholesterol; chronic seasonal allergies | 2 | 02/17/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1038734 | 02/18/2021 | MD | 76.0 | 76 | M | Severe shoulder discomfort, and loss of rangr of motion | N | 02/17/2021 | 02/18/2021 | 1 | PUB | amlodopine atorvastatin | none | obesity arthritis | 2 | 02/18/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1040023 | 02/18/2021 | MD | 76.0 | 76 | F | A feeling of extreme tiredness , & semi nauseous . High temperature 100.2 . ache all over . My arm ached but not too much but my body ached all over like you get with the flu which I've never had. I was like that for 2 days. I didn't want to eat or do anyt | Y | 02/02/2021 | 02/09/2021 | 7 | None | PVT | Tessalon Perls, Lisinopril 2.5, Fish Oil, multivitamin,Vitamin D3. Flaxseed oil , aspirin | High blood pressure High cholesterol | Pneumonia shot got pneumonia | 2 | 02/18/2021 | Erythromycin & avocados | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1040335 | 02/18/2021 | MD | 76.0 | 76 | F | Raised Rash/welts/hives at injection site and down the entire left arm/forearm.Itchy, and hot arm.. started day after injection and is still ongoing now 6 days later. Now also spreading to the right upper arm( 6 days later). Headache beginning directly | N | 02/12/2021 | 02/13/2021 | 1 | SCH | Metaprolol Er Isosorb mono Er Ramipril Sertralene HCL Aspirin low dose Cartia xt Atrivastin Vitamin D | None | Pre-diabetic Chronic heart disease | 2 | 02/18/2021 | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041860 | 02/19/2021 | MD | 76.0 | 76 | F | Red rash, itchy. (still have somewhat of the redness today (2/19/2021. | N | 02/03/2021 | 02/08/2021 | 5 | PHM | Simvastatin - 40 mg Lisinopril - 10 mg Levothyrosine - 25 mg Hydrochloroyhiaz - 12.5 mg Bayer - 325 | None | N/A | 2 | 02/19/2021 | Thimersol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1045957 | 02/22/2021 | MD | 76.0 | 76 | F | Patient was hospitalized after a motor vehicle accident | Y | 2 | Y | 02/04/2021 | 02/12/2021 | 8 | PVT | Magnesium oxide, azelastine nasal spray, atenolol, famotidine, MVI, olmesartan, pravastatin, albuterol, aspirin, dorzolamide, fish oil | asthma, hypertension, melanoma of the skin, macular degeneration, peptic ulcer disease | 2 | 02/22/2021 | Adhesive (rash), amlodipine (edema), clonidine (anxiety/fatigue), diltiazem (weakness), hydrochlorothiazide (hyponatremia), spironolactone (hyperkalemia), phenobarb-hyoscy-atropine-scop (rash) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1046040 | 02/22/2021 | MD | 76.0 | 76 | M | Moderna COVID-19 Vaccine EUA Fever of 102.2 at 10 a.m. on the morning after the second dose | N | 02/21/2021 | 02/21/2021 | 0 | PUB | Simvastatin, low dose of aspirin, vitamin D3, zinc | None | None | 2 | 02/22/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1052612 | 02/24/2021 | MD | 76.0 | 76 | F | 2/11 -13/21 Sore arm first 2 days. Then I felt fine with no effects until the following week. On 2/18 my arm begin to itch at site of injection. 2/21 itching subsided but I noticed a red circular area around injection site. The area also feels warm. | N | 02/10/2021 | 02/18/2021 | 8 | PUB | Pravachol Levothyroxine Potassium Citrate Vitamins B6, B12, D3 | None | Hypothyroidism High Cholesterol | 2 | 02/24/2021 | Erythromycin Scallops (no other shellfish) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1054899 | 02/25/2021 | MD | 76.0 | 76 | M | Patient possibly inadvertently received a 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State of MD notified | U | 02/24/2021 | 02/24/2021 | 0 | none | PUB | unknown | none at the time of vaccination | none | 2 | 02/25/2021 | none listed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1055391 | 02/25/2021 | MD | 76.0 | 76 | F | headache, fatigue, 02/16 thru 03/25/21 tongue thickening, 02/18 thru 02/25/2021 swollen face, throat, 02/22 thru 02/25/2021 Doctor prescribed PredniSONE 20 MG TAB CADI beginning 02/25/2021 for 5 days, on going, no outcome | 02/15/2021 | 02/16/2021 | 1 | OTH | Synthroid .75, Humalog, Lantus | None | Type 1 diabetes, previous thyroid cancer | 2 | 02/25/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1058933 | 02/26/2021 | MD | 76.0 | 76 | M | Slight elevated temperature Achy joints Slight headache | Y | 02/22/2021 | 02/22/2021 | 0 | Nome | PUB | Triamterene | None | None | 2 | 02/26/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1063024 | 03/01/2021 | MD | 76.0 | 76 | F | Dizziness, Nausea/vomiting, palor, | Y | 03/01/2021 | 03/01/2021 | 0 | BP 100/86, HR: 80, O2: 96, temp: WNL | PUB | Prestiq, Lansoprazole, Flonase, Spiriva, Breo, Albuteral (inhaler), Chantix, Benicar, Buspar | No new illnesses | Hypertension, COPD, Gerd, Postprandial hypotension | 2 | 03/01/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1069125 | 03/03/2021 | MD | 76.0 | 76 | F | Patient was admitted with impression of COPD exacerbation and hypoxia. She was treated with antibiotic and bronchodilators. Her symptoms gradually improved and she was discharged. Per the EUA, hospitalizations are to be reported irrespective of attribution | Y | 4 | Y | 02/26/2021 | 02/26/2021 | 0 | PVT | Hx of lung cancer, COPD, nicotine dependence, HTN, GERD, type 2 diabetes, CAD, hx of breast cancer | 2 | 03/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071608 | 03/04/2021 | MD | 76.0 | 76 | F | Patient presented to ED with SOB and hypoxia. She stated that this is a chronic problem for her. She had a video conference with her physician who told her to go to the ER. Her O2 saturation was noted to be 87%. She was found to have pulmonary edema and re | Y | 02/25/2021 | 03/02/2021 | 5 | PVT | Type 2 DM, COPD, heart failure, HTN, HLD, hypothyroidism | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071719 | 03/04/2021 | MD | 76.0 | 76 | F | Patient stated her lips started to tingle. | 03/04/2021 | 03/04/2021 | 0 | PUB | Unknown | Unknown | Unknown | 2 | 03/04/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074432 | 03/05/2021 | MD | 76.0 | 76 | M | Patient with history of TIA one week prior presented to the ED for recent onset of fever and epigastric abdominal pain. Pt found to have calculus of bile duct with acute cholecystitis and obstruction. In Ed pt had fever as high as 104 and pulse as high as | Y | U | 02/17/2021 | 02/24/2021 | 7 | PVT | Possible TIA (2/15) | GERD | 2 | 03/05/2021 | Ciprofloxacin, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074635 | 03/05/2021 | MD | 76.0 | 76 | M | 2/21 Patient presented after slip and fall on the ice, admitted for hypertensive crisis. hospitalizations are to be reported irrespective of attribution to the vaccine. This hospitalization does not appear to be related to the vaccine. | 02/17/2021 | 02/21/2021 | 4 | PVT | hypertension, BPH, GERD, gout, chronic neck and back pain | 2 | 03/05/2021 | Y | Percocet, codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1075578 | 03/05/2021 | MD | 76.0 | 76 | F | Patient presented to ED with altered mental status and leg weakness at home causing fall. Ammonia 89, being treated with lactulose for hepatic encephalopathy. Patient currently admitted. | Y | 02/25/2021 | 03/04/2021 | 7 | PVT | coronary artery disease status post coronary artery bypass graft, bioprosthetic aortic valve replacement, seizure disorder, history of Lyme's disease, colonic AVMs, liver cirrhosis | 2 | 03/05/2021 | Y | morphine, lisinopril, amlodipine, losartan, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1076082 | 03/05/2021 | MD | 76.0 | 76 | F | Moderna COVID-19 Vaccine EUA 02/18/21 - achy back and neck (beyond ?normal? for me) - left arm sore 3/10 - pink rash near injection site - temp: 100.3 (normal 98 or below); Tylenol was not strong enough to relieve discomfort - took Aleve; improved on Fri | Y | 02/17/2021 | 02/18/2021 | 1 | none | OTH | Rosuvastatin; Furosemide; Advair; Proair; Estradiol; Myrbetriq; Omeprazole; Acetaminophen; Asprin; Vitamin; Vitamin D3; Claritin | none | severe degenerative disc disease; moderate lumbar dextroscoliosis; right rotator cuff tear; lymphedema left leg; coronary atherosclerosis; GERD; asthma; arthritis | usually sore arm and often a pink area on the arm | 2 | 03/05/2021 | Tetracycline; Sulfur; Amoxicillin; Niacin; Cortisone (high dose); Latex ?sensitivity?; ragweed - pollen - mold - dust - environmental ?stuff? | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1077677 | 03/06/2021 | MD | 76.0 | 76 | F | 18 hours after Moderna shot 2 my eyes swelled up and became itchy and red. My eyes are sill inflamed as of now 3/06/2021. Also I have been running a low grade fever, and have headaches. These symptoms are managed with Tylenol. | N | 03/03/2021 | 03/04/2021 | 1 | 0 | PUB | metformin, baclofen, norvas, cozaar, actifed | none | diabetes 2 | 2 | 03/06/2021 | Pen, EES, ASA Baclofen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1085661 | 03/09/2021 | MD | 76.0 | 76 | F | 3 days after the 2nd dose I started to get intermittent diarrhea. I would get a loose movement but still formed. I would skip a day and then get a day with several more movements (usually in a.m.). I had C Diff a few years ago and was concerned. It gradual | Y | 03/09/2021 | 03/24/2021 | 15 | Covid 19 test was negative that was taken on 03/07/2021 | SCH | Synthroid 50 mcg, hctz 25 mg, Nifedipine 30 mg (2x), Lisinopril 40 mg, Pepcid AC 40 mg, Atorvastatin 80 mg. Florastor probiotic and Ibgard for stomach issues. | 2 | 03/09/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1094968 | 03/12/2021 | MD | 76.0 | 76 | F | The patient presented in the ED on 3/11/2021 with abdominal pain. She reported having diarrhea and increased number of bowel movements compared to her normal. Reason for admission: suspected acute diverticulitis at distal sigmoid. | Y | 3 | 03/02/2021 | 03/11/2021 | 9 | PVT | Excerdrin Tension headache, acyclovir, Lumigan, Tums, Salonpas, cyclobenzaprine, dicyclomine, Cosopt, fluoxetine, folic acid, lisinopril, mirtazapine, multivitamin, omeprazole, pravastatin, temazepam, Nasacort, warfarin | unknown | Afib, depression, GERD, IBS | 2 | 03/12/2021 | metronidazole, moxifloxacin, prednisone, alendronate, codeine, morphine, meperidine, valdecoxib, erythromycin, penicillin, sulfa antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096483 | 03/13/2021 | MD | 76.0 | 76 | F | Complete loss of feeling in right leg, cannot put any weight on it or walk, stroke like symptoms | N | 03/12/2021 | 03/13/2021 | 1 | Going to hospital now | OTH | Unknown | Nond | None | 2 | 03/13/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1097267 | 03/13/2021 | MD | 76.0 | 76 | M | 1. room spinning dizziness on Sunday, March 7th, at 5:30 PM. Lasted for about 3 minutes. 2. same dizziness but shorter duration 3 times on March 12th, at 5:30 pm and even shorter at about 8:30 pm. | Y | 03/05/2021 | 03/07/2021 | 2 | None | PHM | Tamsulosin 0.4MG Losartan 100MG Hydrochlorothiazide 25mg Vitamin D3 Turmeric gummy supplements Alive Multi-Vitamin for 50+ | None | CKD 3 Edema in lower legs Obesity Pre-diabetes (A1c 6.9) | 2 | 03/13/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1107740 | 03/17/2021 | MD | 76.0 | 76 | F | My blood pressure fell to 60/40, could not stand, light headed but did not pass out. It took all day for my g blood pressure to return slowly to normal. slight fever between 100 and 101, not over 100.7 | Y | 02/23/2021 | 02/24/2021 | 1 | PUB | methanthamine, atorvostatin, vitamin D & C, Clonazapam, estrace | none | focal dystonia, chronic uti | 2 | 03/17/2021 | bactrim | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1109677 | 03/17/2021 | MD | 76.0 | 76 | F | Approximately a week after vaccination, developed vision problems with blue lights in right eye, followed by deteriorating vision 7 to 10 days after vaccination. 03/09/2021 was diagnosed with central retinal vein occlusion. | Y | N | 02/22/2021 | 03/01/2021 | 7 | Evaluated at Eye Center 03/09/2021 and was diagnosed with stroke in right eye. Evaluated by retinal specialist 03/11/2021. Fluorescein scan of vessels revealed near blockage of right eye central vein. Treatment was given with injection of avastin, vascular | PVT | Aspirin 325 mg twice weekly Vitamin D3 1000 iu daily Glucosamine/chondroiten Vitamin B12 Sublingual | None | Elevated cholesterol Osteoporosis Impaired fasting glucose, prediabetes, HgAIC 5.8 | 2 | 03/17/2021 | Y | Hogweed reaction in 2015: Hemolysis, thrombocytopenia, urticaria, ICU stay, transfusions | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1117753 | 03/20/2021 | MD | 76.0 | 76 | M | Modern COVID-19 vaccine Patient collapsed on bathroom floor 20 hours post injection. Could not get up 911 summoned and taken to ER. Given fluids and Tylenol for excess immunologic response. Loss of fluids excessive about 12 hours post injection. Los | Y | Y | 03/16/2021 | 03/17/2021 | 1 | blond culture Glucose POCT Comp metabolic panel, CBC with differential, C Reactive protein Creatine Kinase, Urinalyses with culture Troponin High Sensitivity Coronavirus POCT chest xray ECG | OTH | olmesartan, coreg, lipitor, mini aspirin, amoxicillin& clavulnate | resolving diverticulitis | benign essential tremors, prehypertension , post polio syndrome from childhood case | 2 | 03/20/2021 | Y | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1126602 | 03/23/2021 | MD | 76.0 | 76 | F | redness and slight bruise at injection site. warm to the touch. began 6 days after 2nd injection. did not notice until 6th day although not sure if it was there before. Monitored the area for side effects 2-3 days after the 2nd injection and only small | N | 03/17/2021 | 03/23/2021 | 6 | none. contacted primary doctor and will monitor for 24 hours for additional changes. appt. made in the event it is needed. | OTH | metformin. verapamil, allopurinol, lovastatin, lisinopril/hydrochlorothiazide. After vaccination tylenol extra strength. | none | diabetes, high blood pressure, arthritis, colesterol | 2 | 03/23/2021 | coedine, strawberries, bee stings, insect bites. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1129726 | 03/24/2021 | MD | 76.0 | 76 | F | plates went from normal to 3000; A spontaneous report was received from a consumer concerning a 76-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced having platelets went from normal to 3000 (Thrombocytopenia-unspe | Y | U | 01/27/2021 | 02/17/2021 | 21 | Test Date: 20210217; Test Name: platelet count; Result Unstructured Data: decreased to 3000 from normal. | UNK | Leukemia | USMODERNATX, INC.MOD20210 | 2 | 03/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1129994 | 03/24/2021 | MD | 76.0 | 76 | F | I experienced itchiness on my right arm during the first week after my second shot but did not look to see if there was the large red area that is pictured online. However, on the eighth day, I reached over to touch? my arm and felt many bumps. I looked in | N | 03/09/2021 | 03/16/2021 | 7 | None | PUB | None | None | None | Possible PMR from flu vaccine (dosage for elders), 9/11/2018, age 74 Also, reaction to typhus vaccine when I was about 22. Swell | 2 | 03/24/2021 | Penicillin-family antibiotics; Latex; aloe; pollens; animal dander | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1134342 | 03/25/2021 | MD | 76.0 | 76 | F | fever, low blood pressure, high heart rate, anemia, fluid on lungs. hospitalized 2/19-2/23, 2/26-3/1, and 3/15-current | Y | 18 | N | 02/08/2021 | 02/18/2021 | 10 | Too many for me to list. If you want this, you are going to have to get it from the hospital. | PVT | o Zolpidem 10mg o Metformin 1000MG ? once per day o Myrbetriq 50MG o Gemfibrozil 600MG - 2x/day o Sertraline NCL 50 MG o Lisinopril 5MG o Rosuvastatin 10MG o Insulin | Diabetes | 2 | 03/25/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1134856 | 03/25/2021 | MD | 76.0 | 76 | F | bad stomach ache | N | 03/01/2021 | 03/25/2021 | 24 | none | PVT | Calcium, Vit. C, Klonopin, aspirin | none | Peripheral neuropathy, feet. | 2 | 03/25/2021 | Oysters | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1144383 | 03/29/2021 | MD | 76.0 | 76 | M | Itching after 30 minutes. Full body hives after 45 minutes. Facial swelling and itching. Racing heartbeat. Took Tylenol at the one hour mark. The hives itching lessened after three hours. The facial swelling and under skin full body itching, extrem | Y | 01/29/2021 | 01/29/2021 | 0 | No tests conducted, but I did have a counseling session with my allergist after one week and he recommended not getting the 2nd Moderna shot. I am seeing him again on 2 April to determine if it the J&J vaccine is a possibility now. Hopefully an allergy t | PUB | colestipol, glipizide, probiotic | None beyond normal aches and pains. | Type 2 Diabetes; prostate cancer 2012 and reoccurrence in 2019. Radiation treatment in 2019. Arthritis in various joints but no medicine treatment. | 2 | 03/29/2021 | Y | sensitivity to various anti-inflamatories, and various statins. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1156058 | 04/01/2021 | MD | 76.0 | 76 | F | 3/16/21/1am woke with swelling & itchy eyes. lessened but continued 3/16/21 1pm saw orthopedist for injection right knee 3/17/21 1am swelling & itching increased to mouth, ears, tongue . 2 Benadryl 25 mg each taken dozed 15 min couching , voice changed | Y | 03/12/2021 | 03/16/2021 | 4 | as above Epi solumedral pepsid | PHM | methotrexate10mg once a week held until after vaccine asa 81mg qd biotin vitamins tums fiber stool softener | PMR | PMR | 2 | 04/01/2021 | ndda | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1209324 | 04/14/2021 | MD | 76.0 | 76 | F | Stiffness /Pain on left side of head from temple down to neck & shoulder. Painful to turn head to left. Sharp pain in temper/ear area down back of head. Painful at times to hold head up. Dull Headache. TREATMENT: 3/18/21 - Primary Care Physician adminis | N | 03/05/2021 | 03/14/2021 | 9 | 3/22 - X-Ray of Shoulders - Results - Arthritis 3/22 - X-Ray of Shoulders - Arthritis. 3/29 - CT Scan of Sinus - Sinus Infection. 4/8/2021 - CT Scan of Brain/Head - | OTH | edarbyclor 40/12.5; Centrum Silver; Omega Complex | N/A | N/A | 2 | 04/14/2021 | Y | N/A | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1221071 | 04/16/2021 | MD | 76.0 | 76 | F | Pain at left side of head, neck and ear with tender lymph nodes and "throat feels funny", few days later "legs feel funny" with numbness sensation | N | 03/05/2021 | 04/15/2021 | 41 | CBC, CMP on 3/15/21 are WNL X-Ray of C-Spine on 3/19/21: Spondylosis CT of Sinus on 3/29/21: Left Mastoid Opacification CT of Head on 4/8/21: Negative | PVT | None | Hypertension, Hyperlipidemia, IGT, OA, GERD, Osteopenia, Cervical Spondylosis | Same as Item 11 | 2 | 04/16/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1226047 | 04/18/2021 | MD | 76.0 | 76 | F | Pt called and said that she has a large red, itchy rash that didn't appear until 3 days after the vaccine. | N | 04/13/2021 | 04/17/2021 | 4 | PHM | Lantus, amlodipine, metoprolol, | Chronic Renal failure, diabetes, hypertension, peripheral neuropathy, hyperlipidemia | 2 | 04/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238801 | 04/21/2021 | MD | 76.0 | 76 | F | Patient stated receiving J&J vaccine on 03/19/21. Patient came to ER with acute DVT in left lower extremity on 04/21/2021. | 03/19/2021 | 04/21/2021 | 33 | OTH | Alendronate 70mg Anastrozole 1mg clopidogrel 75mg Synthroid 100mcg Sertralin 100mg Ezetimibe 10mg mirtazapine 7.5 | N/A | Bovine Valve replacement knee replacement | 2 | 04/21/2021 | Y | Y | Statins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1330306 | 05/19/2021 | MD | 76.0 | 76 | F | Experienced intense pain in joints and muscles on 1/27. During the next 2-3 weeks, pain moved to other joints and muscles. Intensity varied. Applied ice to back of knees and legs when movement was affected. As the weeks progressed, fatigue, weakness and pa | N | 01/22/2021 | 01/27/2021 | 5 | Went to emergency room on 4/7; lots of testing. Administered ketorolac and iodixanol. Prescribed doxycycline. See above. | PVT | Zyrtec; several supplements | None | Allergies, osteopenia, tinnitus, osteoarthritis | 2 | 05/19/2021 | Y | Y | Compazine; dairy sensitivity | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1340269 | 05/22/2021 | MD | 76.0 | 76 | F | This spontaneous case was reported by a consumer and describes the occurrence of POLYMYALGIA RHEUMATICA (Polymyalgia Rheumatica) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 025J20A and 013L20A) for COVID-19 | N | 01/22/2021 | 01/27/2021 | 5 | UNK | ZYRTEC [CETIRIZINE HYDROCHLORIDE]; BLINK TEARS; FLONASE [MOMETASONE FUROATE]; VITAMIN D3; PROBIOTICS NOS; FISH OIL; MAGNESIUM CITRATE; MULTIPLE VITAMIN; HOMOCYSTEINE THIOLACTONE HYDROCHLORIDE; GLUCOSAMINE & CHONDORITIN | Dairy intolerance; Drug allergy (allergic to Compazine); Hay fever; Osteoarthritis; Osteopenia; Tinnitus | USMODERNATX, INC.MOD20210 | 2 | 05/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1409964 | 06/18/2021 | MD | 76.0 | 76 | F | Pt was admitted to hospital from the ED with acute cystitis without hematuria on 4/16/21, after receiving the second dose of vaccine on 4/5/21. Per guidelines, all hospitalizations are reported | Y | 3 | Y | 04/05/2021 | 04/16/2021 | 11 | PVT | 2 | 06/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1410008 | 06/18/2021 | MD | 76.0 | 76 | F | Pt was admitted on 4/16/21 to hospital from the ED for shortness of breath, after receiving second dose of vaccine on 4/1/21 | Y | 10 | 04/01/2021 | 04/16/2021 | 15 | PVT | 2 | 06/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1430610 | 06/28/2021 | MD | 76.0 | 76 | F | During recent patient hospitalization, it was discovered that patient has received multiple doses of the COVID vaccine. Patient received COVID vaccines from January 19, 2021 to February 19, 2021: Moderna Dose on 1/19/2021: Pfizer Dose on 1/24/2021: | 02/19/2021 | 02/19/2021 | 0 | PHM | Left punctate thalamic stroke in 01/2021 CAD/MI Hypertension Dyslipidemia Diabetes | 2 | 06/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1548636 | 08/12/2021 | MD | 76.0 | 76 | F | (unknown route) 1 dosage form. On an unknown date, the patient experienced DIARRHOEA (Diarrhea). The patient was treated with BISMUTH SUBSALICYLATE (PEPTO-BISMOL) at an unspecified dose and frequency. At the time of the report, DIARRHOEA (Diarrhea) had not | N | 01/25/2021 | OTH | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1556300 | 08/14/2021 | MD | 76.0 | 76 | M | Itchy rash 3 days later on his torso; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of RASH PRURITIC (Itchy rash 3 days later on his torso) in a 76-year-old male patient who received mRNA-1 | N | 02/27/2021 | 01/30/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1559933 | 08/15/2021 | MD | 76.0 | 76 | F | red rash; redness at the site of the injection after the first shot; This spontaneous case was reported by a consumer and describes the occurrence of RASH ERYTHEMATOUS (red rash) and VACCINATION SITE ERYTHEMA (redness at the site of the injection after the | U | 02/17/2021 | 02/28/2021 | 11 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1560035 | 08/15/2021 | MD | 76.0 | 76 | F | whole body broke out in a horrible rash; achy; experienced temperature; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of URTICARIA (whole body broke out in a horrible rash), PAIN (achy) and | Y | 01/28/2021 | 02/26/2021 | 29 | UNK | Allergy NOS (have some allergies) | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1560938 | 08/15/2021 | MD | 76.0 | 76 | F | stomach issues; Buzz in her ear; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of TINNITUS (Buzz in her ear) and ABDOMINAL DISCOMFORT (stomach issues) in a 76-year-old female patient who re | N | 01/07/2021 | 02/19/2021 | 43 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1561057 | 08/15/2021 | MD | 76.0 | 76 | F | Soreness in arm; Seems much heavier than what happened with a flu shot; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Soreness in arm) and LIMB DISCOMFORT (Seems much heavier than what happened with a f | U | 03/02/2021 | 03/02/2021 | 0 | UNK | LIPITOR; BABY ASPIRIN | Migraine | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1562168 | 08/15/2021 | MD | 76.0 | 76 | F | Some chills; Fuzzy, woozy head; Mild sore throat; Achy; Started feeling warm/had hot sensations; This spontaneous case was reported by a consumer and describes the occurrence of FEELING HOT (Started feeling warm/had hot sensations), FEELING ABNORMAL (Fuzzy | N | 02/03/2021 | 02/24/2021 | 21 | UNK | CLARITIN ALLERGIC; PEPCID AC; ARMOUR THYROID; LEVOTHYROXINE AND LIOTHYRONINE [LEVOTHYROXINE;LIOTHYRONINE]; PROGESTERONE; VITAMIN D3 | Digestion impaired; Hashimoto's disease; Hypothyroidism; Sulfonamide allergy (sulfa+ sulfites) | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1563287 | 08/15/2021 | MD | 76.0 | 76 | F | tested positive for covid-19 after dose 1, but had symptoms before; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (tested positive for covid-19 after dose 1, but had symptoms before) in a 76-year-old female patie | U | 02/23/2021 | UNK | METHOTREXATE | Blood pressure | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1572828 | 08/16/2021 | MD | 76 | F | Arm swelled up; Very hard sore; Itchy at the site; Redness; Very rough; Fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Arm swelled up), PAIN IN EXTREMITY (Very hard sore), VACCINATION SITE PRU | U | 01/12/2021 | 01/20/2021 | 8 | UNK | LETROZOLE; FISH OIL; CENTRUM SILVER +50; VITAMIN D3 | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1573316 | 08/16/2021 | MD | 76.0 | 76 | F | Had soreness for a few hours but it went away the same day; Achiness; Malaise; She also had some chills; Low grade fever that went up and down that night around 17:00; Headache; This spontaneous case was reported by a consumer and describes the occurrence | Y | 01/29/2021 | 01/29/2021 | 0 | UNK | LEVOTHYROXINE; PEPCID AC. | Chronic lymphatic leukemia (Oncologist said she got it because she was not taking any cancer medications.) | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1600071 | 08/21/2021 | MD | 76.0 | 76 | F | migraines; swollen arm; red arm; severe headache; This spontaneous case was reported by a consumer and describes the occurrence of MIGRAINE (migraines), PERIPHERAL SWELLING (swollen arm), ERYTHEMA (red arm) and HEADACHE (severe headache) in a 76-year-old f | Y | 03/08/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1600528 | 08/21/2021 | MD | 76.0 | 76 | F | Dysbiosis; Morning diarrhea; Low blood sugar symptoms; Mood issues; Inflammation; Not digesting sugar/fibers; Bladder Infection; aches and pains (not muscular); Pain under arms/sides; Chills feeling in body; Nausea; Digestive issues got aggravated; Loss of | N | 02/03/2021 | 03/03/2021 | 28 | SCH | CLARITIN [LORATADINE]; PEPCID AC; ARMOUR THYROID; LEVOTHYROXINE; PROGESTERONE; MULTIVITAMIN [VITAMINS NOS]; VITAMIN D3 | Drug allergy (Allergic to Sulfites); Hashimoto's disease; Hypothyroidism; Inflammatory bowel disease; Sulfonamide allergy | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1601150 | 08/21/2021 | MD | 76.0 | 76 | F | Itchy rash at the forearm; Red rash at the forearm; hip pain; Low back pain; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (Low back pain), RASH PRURITIC (Itchy rash at the forearm), RASH (Red rash at the forear | N | 02/26/2021 | 03/23/2021 | 25 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1608360 | 08/22/2021 | MD | 76.0 | 76 | F | rash; headache; weakness; This spontaneous case was reported by a consumer and describes the occurrence of ASTHENIA (weakness), VACCINATION SITE RASH (rash) and HEADACHE (headache) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Va | Y | 04/02/2021 | 04/02/2021 | 0 | UNK | Comments: No medical history was provided | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1609548 | 08/22/2021 | MD | 76.0 | 76 | F | horrible horrible dreams; This spontaneous case was reported by a consumer and describes the occurrence of NIGHTMARE (horrible horrible dreams) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030M20A) for COVID- | N | 02/20/2021 | 02/25/2021 | 5 | UNK | Medical History/Concurrent Conditions: Dreams abnormal | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1609578 | 08/22/2021 | MD | 76.0 | 76 | F | bad diarrhea; upset stomach; vomiting; This spontaneous case was reported by a consumer and describes the occurrence of DIARRHOEA (bad diarrhea), ABDOMINAL DISCOMFORT (upset stomach) and VOMITING (vomiting) in a 76-year-old female patient who received mRNA | Y | 03/19/2021 | 03/20/2021 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1617780 | 08/22/2021 | MD | 76.0 | 76 | F | Haven't received second dose/Missed step 2 of moderna vaccine; This spontaneous case was reported by a nurse and describes the occurrence of PRODUCT DOSE OMISSION ISSUE (Haven't received second dose/Missed step 2 of moderna vaccine) in a 76-year-old female | Y | 03/04/2021 | 04/01/2021 | 28 | UNK | ASA; METFORMIN; LEVOTHYROXIN; DEPAKOTE; EFFEXOR | Allergy to antibiotic (Tetracyclines.); Allergy to antibiotic (Sulfa.); Hyperlipidemia; Hypothyroidism; Major depression; Parkinson's disease; Type II diabetes mellitus | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1620990 | 08/23/2021 | MD | 76.0 | 76 | F | Felt funny; Fever; Chills; Diarrhea; Problem with speech; Problem with short term memory; Couldn't remember anything; Problem with leg and feet swelling; Blood pressure was sky high; Did not receive second dose; This spontaneous case was reported by a cons | U | 03/04/2021 | Test Name: blood pressure; Result Unstructured Data: Blood pressure was sky high.; Test Name: CT scan; Test Result: Negative ; Result Unstructured Data: For stroke; Test Name: magnetic resonance imaging; Test Result: Negative ; Result Unstructured Data: | UNK | CALCIUM; B-Complex; FISH OIL; DIURETICS | Medical History/Concurrent Conditions: Shellfish allergy | USMODERNATX, INC.MOD20211 | 2 | 08/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1639129 | 08/27/2021 | MD | 76.0 | 76 | F | lower back pain; Hip pain; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (lower back pain) and ARTHRALGIA (Hip pain) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 0 | N | 02/26/2021 | 03/23/2021 | 25 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1688946 | 09/10/2021 | MD | 76.0 | 76 | F | Loss ability to move legs, became lathargic and disoriented | Y | 09/07/2021 | 09/08/2021 | 1 | CAT scan & blood work | PUB | Sertaline HCI 50mg tablet 1 1/2 at bedtime; Lasix 20mg tablet 1 oral daily; Vitamin D (Cholecalciferol) 1000 UNIT tablet 1 oral daily; Levothyroxine Sodium 137mcg tablet 1 oral Mon-Sat and 1 1/2 tab on Sun; Metoprolol Succinate ER 25mg tab | None | Stroke risk, COPD | 2 | 09/10/2021 | Y | Tetracycline and Flagyl | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1691409 | 09/11/2021 | MD | 76.0 | 76 | F | 2nd dose given 25June2021 (more than 36 days from the 1st dose); This spontaneous case was reported by a consumer and describes the occurrence of INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (2nd dose given 25June2021 (more than 36 days from the 1st do | Y | 05/11/2021 | 06/25/2021 | 45 | UNK | OMEPRAZOLE; FISH OIL; MULTIVITAMINS [VITAMINS NOS] | Arthritis; Dry eyes; Fibrositis; Heartburn | USMODERNATX, INC.MOD20212 | 2 | 09/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1741258 | 09/28/2021 | MD | 76.0 | 76 | F | Large red, hot, swollen, hot area on arm; on day 2 -5 moving down towards elbow on upper arm, same size and pain level, but not increasing in size | 09/21/2021 | 09/22/2021 | 1 | now | PHM | Atoravastin 40mg Hydrochlorothiazide 25 mg Sertraline 25 mg Nexium 25mg Amlodipine 5 mg | none | hyperlypidemia Hypertension Prinzmetal's Angina Acid reflux | 2 | 09/28/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1797768 | 10/19/2021 | MD | 76.0 | 76 | F | Pt. came in to pharmacy for a Pfizer booster shot....Pt. received MODERNA 0.5ml accidently. | U | 10/19/2021 | 10/19/2021 | 0 | none at this time | PHM | none reported by pt. | none reported by pt. | none reported by pt. | 2 | 10/19/2021 | none reported by pt. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1832889 | 11/01/2021 | MD | 76.0 | 76 | F | Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Mild | N | 10/08/2021 | 10/08/2021 | 0 | PHM | 2 | 11/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1833080 | 11/01/2021 | MD | 76.0 | 76 | M | In December 2020, my CT scan showed no cancer - as did the CT scans for the previous 3 1/2 years. In May 2021, my CT scan showed the cancer returned. Is there a correlation? | Y | 7 | Y | 02/26/2021 | 02/26/2021 | 0 | CT Scan May 25, 2021 | PUB | Li[itorMetoporolMetforminHCTZ | None | Cancer, Heart Disease, Diabetes | 2 | 11/01/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1843560 | 11/04/2021 | MD | 76.0 | 76 | F | When it first happened I had nothing but soreness in the arm. I was tired and aching. When I had got sick it was around the 3rd week after receiving the shot. It started with a lot of coughing, sore throat, pressure on my ears, and back aches. On 10/28/202 | N | 10/02/2021 | 10/16/2021 | 14 | Test were did on 10/28/2021: Strep test- negative Covid test- negative Breathing examination- wheezing on the exhale | PHM | Vitamin D Probiotic | none | none | Flu Vaccine- I had got sick from it. (Years ago) | vsafe | 2 | 11/04/2021 | Y | Amoxicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1849205 | 11/07/2021 | MD | 76.0 | 76 | F | Stoffnest on neclk on left side. no treatment, gets worse as the weather is getting colder and during wet weather. Its becoming more difficult to ture head to the left side . On 11/7/21 neck pained all day, Condition is becoming progressive worse. | N | 04/01/2021 | 04/28/2021 | 27 | None | OTH | Alendronate, Cycloset, Simvastatin, Iron, Calcium with vitamin D3 and Omega XL | None | Chronic Kidney Disease, Type 2 Dibeties and Chronic Low Blood | 2 | 11/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1849571 | 11/07/2021 | MD | 76.0 | 76 | M | Moderately severe headace after any mild exersion still occuring after 4 days | N | 11/03/2021 | 11/04/2021 | 1 | PHM | Pravastatin, CoQ-10 , Cetirizine | none | none | 2 | 11/07/2021 | penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1858519 | 11/10/2021 | MD | 76.0 | 76 | F | Pt had fever, arm swelling (which are normal), but bruising at injection site that has not subsided even on 11/10 and swelling of glands in the armpit in the same arm as vaccination. No swelling in the other arm. | Y | 11/05/2021 | 11/06/2021 | 1 | N/A | PHM | Metoprolol and lisinopril HCTZ for high blood pressure. No OTC medications. | Arthritis in shoulder | High blood pressure | 2 | 11/10/2021 | No | 2021VAERSSYMPTOMS | 2021VAERSVAX |