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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0985431 | 01/29/2021 | WI | 77.0 | 77 | F | Pt reported feeling like she was going to pass out at around 10pm on 1/26/21 and lowered herself to the floor in her bathroom. Was discovered on the floor around noon, 14 hours later, by staff after noticing her food tray was untouched . Arrived in ED v | U | 01/26/2021 | 01/26/2021 | 0 | As stated above, pt complained of generalized weakness and feeling like she was going to pass out after receiving her first dose of covid vaccine approximately 10.5 hours earlier that day. Abnormal labs are reported above in Item 19. | SEN | 2 | 01/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0987463 | 01/29/2021 | WI | 77.0 | 77 | F | Switching vision & lightheadness & felt flushed. vitals obtained; water & juice given. started feeling better, continued to observe & walked with pt & rechecked vitals | Y | 01/29/2021 | 01/29/2021 | 0 | UNK | Diabetes | 2 | 01/29/2021 | sulfa drugs msg Shellfish | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1013270 | 02/08/2021 | WI | 77.0 | 77 | F | Pt developed Shingles after vaccination. Notes from call to PCP day after vaccination: "Since yesterday morning after vaccine after she received her covid vaccine, she noted that her right ear hurts. She says that the pain does not feel like it is in th | Y | N | 02/02/2021 | 02/03/2021 | 1 | PVT | aspirin, carvedilol, clopidogrel, iron supplement, fluticasone nasal, furosemide, multivitamin, rosuvastatin, valsartan | right sided weakness, mild mitral and tricuspid insufficiency d/t valvular disease, hx of uterine cancer, asthma, history of STEMI, OSA, seasonal allergies, PVD, obesity, numbness of arm and legs (self reported on past patient questionnaire), HTN, hyperlip | 2 | 02/08/2021 | Y | Morphine (N&V), Fenofibrate, pravastatin (headaches), statins, ace inhibitors, furosemide, metformin (no sever allergic reactions to these meds reported) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1019911 | 02/10/2021 | WI | 77.0 | 77 | M | Client was administered the vaccine while symptomatic (01/25/21) although client did not know he was symptomatic for COVID-19. He had been exposed to a family member who had tested positive and should have been in quarantine but wasn't either because it wa | Y | 02/09/2021 | Y | 12 | 01/25/2021 | 02/09/2021 | 15 | UNK | Tested positive for COVID-19 on 01/26/2021 (Antigen positive) - presented to ED due to shortness of breath and fatigue | Active Problems Noted Date Hypokalemia 1/28/21 Pneumonia due to COVID-19 virus 1/28/21 Acute hypoxemic respiratory failure 1/28/21 Stone of salivary gland or duct 1/8/21 Recurrent major depressive disorder, in partial remission 1/7/21 Secondary hyperp | 2 | 02/10/2021 | Review of patient's allergies indicates: Allergies Allergen Reactions ? Other [Uncoded Nonscreenable Allergen] Rash Neoprene | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1022496 | 02/11/2021 | WI | 77.0 | 77 | M | STEMI, transferred via helicopter to Hospital. | Y | Y | N | 02/04/2021 | 02/05/2021 | 1 | PVT | Unknown | Hypertension Hyperglycemia | 2 | 02/11/2021 | Y | no allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1023784 | 02/11/2021 | WI | 77.0 | 77 | F | Any problems until a week later i got arm got red and hot and now it has spread and gotten quite large. | N | 02/02/2021 | 02/09/2021 | 7 | PVT | Hydrochlorothiazide, benazepril, simvastatin, baby aspirin multivitamin, B12 Vitamin D, calcium, Niacin, and Vitamin E | Breast cancer survivor twice | 2 | 02/11/2021 | Y | siprol flaxin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1030521 | 02/15/2021 | WI | 77.0 | 77 | M | I am 77 yrs old, male , , 150# and 5ft 6inches...Within 24 hours of receiving the shot, my body thru-up clots in my left leg. and I spent 4 days in the hospital ( 3 days in surgical ICU), breaking up the clots to save the leg. This is too much of a coinci | Y | 4 | N | 01/28/2021 | 01/29/2021 | 1 | Seen by the vascular team at Hospital where surgical procedures were done plus all the tests they recommended . | PHM | none | none | popliteal aneurysms both legs, stint in lt. popliteal artery, heart stint | 2 | 02/15/2021 | Y | NSAIDS Indocin augmentum | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041018 | 02/19/2021 | WI | 77.0 | 77 | F | Immediate blurred vision, numbness in extremities, loss of balance within 1 minute. Confusion of surroundings. Tingling in fingers and feet. Swollen tongue within an hour. No sense of time or place. these last about 30 hours. | Y | 02/12/2021 | 02/12/2021 | 0 | none | PVT | anastrozole, vitamin C, B complex calcium, magnesium milk thistle | breast cancer | none | every flu vaccination is swelling and redness to the wrist for at least 24 hours. Shingles shot was awful, nauseated, headache, | 2 | 02/19/2021 | NCID , sulfa, others i do not remember | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041348 | 02/19/2021 | WI | 77.0 | 77 | F | Patient developed spontaneous ecchymosis around the right eye. There is no other medical explanation of her spontaneous eye bruising identified | N | 02/18/2021 | 02/18/2021 | 0 | Normal PLTs | PVT | Tylenol Ibuprofen Anastrazole Atorvasttin Enalarpril Hydralazine Lamictal Levothyroxine | None | HTN Epilepsy Hypothyroidism Hyperlipidemia Breast cancer in 2018 | 2 | 02/19/2021 | Y | Hydromorphone and codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1051671 | 02/24/2021 | WI | 77.0 | 77 | M | 1. Pain at site of injection started about 6 hours post second vaccine injection (7-8 on a 0-10 scale) that lasted for almost 48 hours, most intense during the day following injection. No treatment for that. 2. Significant fatigue on the morning 14 hours | Y | 02/18/2021 | 02/18/2021 | 0 | NONE | PUB | CoQ10; multiple vitamins; Omega 3; Metformin; Simvastatin; Finasteride; Losartan + HTZ (100/25); Metoprolol. | None per se. Completed radiation treatment to right face and posterolateral upper neck. | 1. Type 2 Diabetes 2. Hypertension 3. Stage 3 CRF (eGFR in 50+ range) | 2 | 02/24/2021 | 1. Cefalexin 2. Yellow Jacket venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1058358 | 02/26/2021 | WI | 77.0 | 77 | M | 2/24/2021 admitted to hospital with hypoxia, lethargy, rash, altered mental status with HA. Altered mental status with HA, could be due to metabolic encephalopathy and reaction to COVID-19 vaccine. Will check ABG, CT head. Hold gabapentin. Check depakote | Y | N | 02/23/2021 | 02/24/2021 | 1 | Allergic reaction to COVID vaccine - POA with Skin rash, wheezing, sob, improving, continue on steroid taper, continue on antihistaminics and Pepcid, continue to monitor Allergic reaction to COVID vaccine - POA with Skin rash, wheezing, sob, improving, c | SEN | Coumadin 3 mg PO HS, Vitamin C 1000mg PO daily, Cholecalciferol 125mcg PO daily, Lasix 10 mg PO daily, Protonix 40mg PO HS, Zincate 220(50Zn) one tablet PO daily, Pramoxine (Sarna Sensitive) 1% lotion apply topically 2 times daily after usi | COVID positive 12/30/2020 | CVA (cerebral vascular accident) (CMS/HCC) o Hyperbilirubinemia o Benign prostatic hyperplasia without lower urinary t CVA (cerebral vascular accident) (CMS/HCC) o Hyperbilirubinemia o Benign prostatic hyperplasia without lower urinary tract symptoms o Hem | COVID19 (Moderna) on 1/26/2021 | 2 | 02/26/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1058523 | 02/26/2021 | WI | 77.0 | 77 | F | On 2/26/ 2021,, when I awoke, Left arm in the area of the injection site was reddened, sore an warm to touch. This continued throughout the day. | 02/10/2021 | 02/26/2021 | 16 | SCH | Atenolol 50mg q day Ibuprofen 800 mg q 8 hr pen for pain Pravastatin 20 mg q day Vitamin D 50 mg q day | None | Aortic valve replacement 2017 | 2 | 02/26/2021 | Amoxicillin , cetirizine, cllindamycin, meloxicam, naprocin,, relafen, sulfa, biofreeze, apples | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1058808 | 02/26/2021 | WI | 77.0 | 77 | M | Aches, chills, fever, nausea, tiredness | N | 02/25/2021 | 02/26/2021 | 1 | UNK | Shortness of breath for the past year | 2 | 02/26/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1060455 | 02/28/2021 | WI | 77.0 | 77 | M | Exactly one week following the injection I experienced sudden onset of significant vertigo that required immediate bed rest. There was also minimal nausea and headache, intermittent. Slept well, but had a very difficult time walking from bed to toilet duri | U | 02/18/2021 | 02/25/2021 | 7 | None. | PUB | Prescription: Metformin; Losartan; Finasteride; Metoprolol; Simvastatin. Non-prescription: Aspirin 81mg Supplements: CoQ10; Multivitamins; Omega 3 | None | 1. Diabetes Type 2 2. Hypertension 3. Post radiation treatment of right face for parotid cancer | 2 | 02/28/2021 | 1. Cefalexin 2. Yellow Jacket venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1064014 | 03/01/2021 | WI | 77.0 | 77 | F | Client report having COVID in November 10, 2020. Client received first dose on 02/09/21 at 2 pm, reaction of SOB began two hours later. SOB progressed to chest pain and fatigue. She sat at kitchen table to relax and rest, fell asleep for 2 hours. When | Y | 02/09/2021 | 02/09/2021 | 0 | EKG and chest X-ray | PUB | Vit D, hydrocodone, gabapentin, mercaptopurine, vitamins | None | None | 2 | Y | Fish, seafood, oranges, penicillin, and cane products | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1075410 | 03/05/2021 | WI | 77.0 | 77 | F | Approximately 10 minutes after second dose injection client experienced weakness in both arms and light headed in the 30 minute monitoring lot. The EMT on site was summoned to car: B/P 189/86, HR 80, SPo2 100%. Client reported to EMT, tingling hands, and | Y | 02/25/2021 | 02/25/2021 | 0 | CBC, Chem 12, Troponin, U/A, CT-Head, EKG, CXR 2 views | PUB | Levothyroxine, vitamin D, Multivitamin | None | Arthritis, Thyroid | 2 | 03/05/2021 | Y | Allergic to Doxycycline Sensitivity to Benadryl and Codeine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1076947 | 03/05/2021 | WI | 77.0 | 77 | F | Covid arm Sudden swelling, burning/itching, and redness at injection site 10 days after vaccine administered. Used benadryl gel to stop the symtoms that lasted 5 days. | Y | 02/12/2021 | 02/22/2021 | 10 | Called clinic health line for diagnosis and treatment advice. | PVT | Metformin, glipizide, metatoporal, farxia, statin (cholesterol), 80 mg asprin, vitamin E, fish oil, calcium/D, cranberry, cinnamon, multivitamin. | Type 2 diabetes | Type 2 diabetes | 2 | 03/05/2021 | Y | Cortisone injection | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1077962 | 03/06/2021 | WI | 77.0 | 77 | M | Almost 2 weeks after my second covid shot I had a fever, runny nose, fatigue, and general achiness. It started on Wednesday and the fever was gone on Friday morning. I still feel a little fatigue, but am otherwise OK. This may be unrelated to the vaccin | Y | 02/18/2021 | 03/03/2021 | 13 | No tests performed. I just waited it out. | OTH | Metoprolol, Lisinopril, Warfarin, anticonvulsants | none | heart disease, controlled blood pressure, prediabetic, blot clots in past | 2 | 03/06/2021 | penicillin, sulfa drugs, ciprofloxin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1088519 | 03/10/2021 | WI | 77.0 | 77 | F | Experienced a retriggering of concussion symptoms: intense head pain, vision issues, nausea. | Y | 02/11/2021 | 02/12/2021 | 1 | none | PHM | Synthroid, Restasis, eye vitamin, | none | Thyroid disease, and eye condition | 2 | 03/10/2021 | Nothing | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1096908 | 03/13/2021 | WI | 77.0 | 77 | F | Sudden dizziness with some nausea and cold drenching sweat - no fever - extremely weak and fatigued and could barely stand and then severe headache came on about 10 minutes into episode. Dizziness lasted approximately 2 hours until I could safely move and | U | 02/26/2021 | 03/11/2021 | 13 | None | PVT | Omeprazole, Oxybutynin, Fenofibrate, Levocetirizine, Montelukast, Fluticasone, Restasis | None | History of Bleeding Ulcers, Hearing loss left ear since 2021, some vertigo in July 1996 after a fall, Ear Crystal imbalance in Dec. 2014 | 2 | 03/13/2021 | Aspirin, Celebrex, Blocadren, Midrin,Colace, Levaquin, Lodoxamide Ophthalmic, Lotemax, Systane Lubricant eye drops, Zomig | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1102243 | 03/15/2021 | WI | 77.0 | 77 | F | The upper arm of my injection site started to itch, and develop a pink rash. The first two days it enlarged to about 4"x4" and was very itchy. It is now more like 8"x8", splotchy with the outer pink splotches itchy, but less itchiness in the more clear | N | 03/06/2021 | 03/12/2021 | 6 | None | PVT | Daily nasal spray | None | None | 2 | 03/15/2021 | Sulfa Acyclover | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1104766 | 03/16/2021 | WI | 77.0 | 77 | F | Death within 4 days of vaccination. | Y | 03/09/2021 | 03/05/2021 | 03/09/2021 | 4 | UNK | Verapamil, omeprazole, Metformin, Xarelto, Lisinopril, gabapentin, and chemotherapy. | Pancreatic cancer, hyperlipidemia, Hypertension, sleep apnea, melanoma, and diabetes. | Pancreatic cancer, hyperlipidemia, Hypertension, sleep apnea, melanoma, and diabetes. | 2 | 03/16/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1108258 | 03/17/2021 | WI | 77.0 | 77 | M | pt stated he had a head ache about 15 minutes after getting the vax but subsided quickly. When he woke up the next morning he had tightness in his chest that last a while and then went away. A couple of days later he had a dizzy spell which would come an | N | 02/25/2021 | 02/25/2021 | 0 | no | PVT | flecainide 50 mg qd, nabumetone750mg bds, tenatoprazole 40mg qd, atorvastatin 20mg qd, potassium chloride 1500 mg bds, Vitamin D3 50mcg, B Complex, aspirin 325 mg, Tylenol 500mg, multivitamin, curcumin, magnesium 250 bds | no | PVC | 2 | 03/17/2021 | Celebrex, albuterol, | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1115024 | 03/19/2021 | WI | 77.0 | 77 | M | first dose of Shingirx on 30Nov2020 / was infected with Covid-19; This case was reported by a pharmacist via call center representative and described the occurrence of covid-19 virus test positive in a 77-year-old male patient who received Herpes zoster (S | U | 11/30/2020 | Test Name: covid 19 virus test; Result Unstructured Data: (Test Result:positive,Unit:unknown,Normal Low:,Normal High:) | UNK | USGLAXOSMITHKLINEUS202102 | 2 | 03/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1116924 | 03/19/2021 | WI | 77.0 | 77 | F | After receiving her second vaccine shot, while in the observation area approximately 20 minutes after recieving the shot, patient became light headed and dizzy. Firefighter / EMT assessed vitals and reported that pt had high blood pressure and a rapid pu | U | 03/18/2021 | 03/18/2021 | 0 | At the fire station vitals were taken and recorded as follows: Respirations 18 Blood Pressure 184/106 Pulse 104 GCS 15 Blood Glucose 99 | OTH | None | None | None | 2 | 03/19/2021 | Y | Allergy to penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1122263 | 03/22/2021 | WI | 77.0 | 77 | F | 2/28/2021 DAY OF INJECTION #1 - HEAVY SENSATION IN UPPER LEFT ARM, LASTED LESS THAN 24 HOURS 2/18/2021 DAY OF INJECTION #2 - MILD SORE UPPER LEFT ARM RADIATED TO LEFT SHOULDER BLADE, USED TOPICAL ARNICARE FOR THE SORENESS WHICH LASTED ABOUT 24 HO | 02/18/2021 | 03/21/2021 | 31 | OTH | SYNTHROID, METHENAMINE HIPPURATE, FAMIDODINE, MOTRIN, ECHINACEA, VITAMIN C, VITAMIN B1 & B12, VITAMIN D3, .SENNA, CALCIUM CITRATE, GLUCOSAMINE CHONDROITIN | NONE | NONE | 2 | 03/22/2021 | CODEINE, SULFA, CIPRO | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1124683 | 03/22/2021 | WI | 77.0 | 77 | F | Rash, "covid arm" | N | 03/14/2021 | 03/22/2021 | 8 | PHM | Advil, multivitamin, probiotic | None | None | 2 | 03/22/2021 | Sulfites | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1128208 | 03/24/2021 | WI | 77.0 | 77 | M | bilateral pulmonary emboli | Y | Y | N | 03/04/2021 | 03/21/2021 | 17 | d-dimer elevated. CTA chest with bilateral pulmonary emboli | PVT | aleve, cholestyramine, simvastatin | none | previous history of prostate cancer - treated. | 2 | 03/24/2021 | sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1139100 | 03/26/2021 | WI | 77.0 | 77 | F | Pain in left armpit and left breast. Entire left arm swollen and reddened. Upper arm covered with blue tiny veins extending into left chest area. | Y | 02/08/2021 | 02/15/2021 | 7 | Chest X-ray and ultrasound left arm on February 26, 2021 | PVT | Metoprolol, Amlodipine/Atorvastatin, Losartan/Hct, Meloxicam, Eliquis, Norco, Advil, Vitamin pill | None | HTM Fibromyalgia | 2 | 03/26/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1142035 | 03/28/2021 | WI | 77.0 | 77 | F | Woke up with headache, sweats, chills, joint pain, and low grade fever. Stayed in bed for a day and a half the took it easy for the next two days. Back to normal the following day (Saturday). | Y | 03/23/2021 | 03/24/2021 | 1 | None. | OTH | Blood pressure, antidepressant, pain killer, vitamin, calcium, fish oil | None | Arthritis, depression, high blood pressure, heart murmur, alcoholism | 2 | 03/28/2021 | Some pain killers | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1147908 | 03/30/2021 | WI | 77.0 | 77 | F | states that approximately a week after her 2nd covid vaccine she has been having sudden episodes of fatigue, brain fog, aches in arms and memory changes where she cannot remember specific details in the afternoon that she knew in the morning such as what s | N | 02/26/2021 | 03/05/2021 | 7 | none as of yet | PVT | gabapentin, diclofenac, misoprostil, trazadone, omeprazole | none | GERD, iron deficiency anemia, retinal vein occlusion of the right eye | 2 | 03/30/2021 | Y | wheat and lactose intolerance | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1149835 | 03/31/2021 | WI | 77.0 | 77 | F | Patient received her first Moderna COVID-19 vaccination on 03/11/2021. She did not have any ill effects directly afterwards. However, starting on 03/27/2021, she began complaining of left arm pain in the area of the injection. She continued to complain of | Y | 03/29/2021 | N | 03/11/2021 | 03/27/2021 | 16 | PHM | None. | None known. | According to her family, patient had no known medical history as she refused to go to the doctor. She had no primary physician and had never been hospitalized. | 2 | 03/31/2021 | None known. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1159696 | 04/02/2021 | WI | 77.0 | 77 | M | 77 yo male with past medical history of diabetes, stroke, aortic valve replacement, sleep apnea and hypertension. Admitted for COVID-19 infection, chest tightness, and acute kidney injury on 2/15/21. COVID was treated with bamlanivimab in emergency room (p | Y | 3 | Y | 02/09/2021 | 02/10/2021 | 1 | Chest Xray 2/15 | PVT | N/A | Type 2 diabetes, stroke, aortic valve replacement, sleep apnea, hypertension | 2 | 04/02/2021 | Ceftriaxone, Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1160556 | 04/02/2021 | WI | 77.0 | 77 | M | localized rash | N | 03/29/2021 | 03/31/2021 | 2 | n/a | PVT | simvastatin | n/a | dyslipidemia | 2 | 04/02/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1169683 | 04/05/2021 | WI | 77.0 | 77 | F | Within 5-10 hours of the second dose: nausea, vomiting, chills, fever, fatigue. Chills, fatigue and nausea continued for 10 days until death | Y | 03/08/2021 | N | 02/25/2021 | 02/25/2021 | 0 | Unknown | SEN | Lantus insulin, levothyroxine, losartan, Protonix, potassium, sertraline, spironolactone, vitamin D3, amiodarone, aspirin, atorvastatin, clonidine, plavix, donepazil, iron, and labetolol. | Cerebrovascular disease, vascular dementia with hallucinations, atherosclerotic cardiovascular disease, hypertension, atrial fibrillation, pacemaker placement, Watchman placement (Aug 2020), congestive heart failure, pulmonary hypertension, peripheral vasc | Cerebrovascular disease, vascular dementia with hallucinations, atherosclerotic cardiovascular disease, hypertension, atrial fibrillation, pacemaker placement, Watchman placement (Aug 2020), congestive heart failure, pulmonary hypertension, peripheral vasc | 2 | 04/05/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1200895 | 04/13/2021 | WI | 77.0 | 77 | F | Severe muscle pain in middle of night for two weeks. Went to clinic and got gabapentin. No effect. Went to ER and got muscle relaxer. Taking Tylenol for pain. | N | 03/30/2021 | 03/31/2021 | 1 | PUB | Hydroxarea, aspirin,matazipine, provastin, celexa | Ankle surgery on March 10 | Thrombocytosis | 2 | 04/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1223661 | 04/17/2021 | WI | 77.0 | 77 | M | Headache, dizzy, fever. Weak and down in bed. | Y | 02/01/2021 | 02/24/2021 | 23 | PVT | Bayer Aspirin 325 mg; atorvastatin; stool softeners; Preservision; vitamin D3; pantoprazole; Irbesartan'; fluticasone nasal spray; Combivent inhaler | None | 2 | 04/17/2021 | Bactrim, sulfa, flagyl, metronidazole | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1230292 | 04/19/2021 | WI | 77.0 | 77 | F | Severe fatigue after first dose. 1 week after 2nd dose 3/18/21, developed worsening fatigue with 43% blasts on peripheral CBC indicating a transformation from CMML to AML. | Y | Y | 20 | N | 02/25/2021 | 03/31/2021 | 34 | 1/22/2021 CBC: WBC 6.3, platelets 261, H/H 14.6/46.1 3/22/2021 CBC: WBC 6.1, platelets 87, H/H 8.3/25 3/31/2021 Peripheral blood, flow cytometry: - Acute myeloid leukemia, see comment. Comment: The blasts show immunophenotypic evidence of megakaryoblas | PHM | acidophilus/bifidum longum (FLORAJEN-3) capsule Take 1 capsule by mouth daily. Biotin w/ Vitamins C & E (HAIR/SKIN/NAILS PO) Take by mouth daily. Calcium Citrate-Vitamin D (CALCIUM + D PO) Take by mouth daily. CINNAMON PO | None. | Chronic myelomonocytic leukemia since May 2019. Hypertension | 2 | 04/19/2021 | pollen and nickel | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1232258 | 04/20/2021 | WI | 77.0 | 77 | M | Positive COVId-19 PCR test and hospital admission on 4/18/21 for Sob | Y | 2 | U | 03/15/2021 | 04/18/2021 | 34 | Complains of occasional cough and dyspnea on exertion, occasional shortness of breath at rest. No other complaints except for generalized weakness. OBJECTIVE: Patient Vitals for the past 24 hrs: BP Temp Pulse Resp SpO2 Weight 04/20/21 0744 130/75 97. | MIL | Acetaminophen (Tab) Tylenol 325 MG TAKE TWO TABLETS BY MOUTH TWICE A DAY AS NEEDED Allopurinol (Tab) Zyloprim 100 MG Take 100 mg by mouth daily with breakfast. Alprostadil (Vasodilator) (Kit) EDEX 40 MCG 40 mcg intracavitary as needed for | N/A | Severe aortic stenosis,S/P TAVR May 2018. diffuse coronary artery disease, status post bypass surgery on two occasions with graft failure to the RCA.,Unsuccessful attempt to intervene on the RCA due to diffuse calcific disease,TChronic renal insufficiency. | 2 | 04/20/2021 | Y | Allergies: COLCHICINE - Intolerant | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1237719 | 04/21/2021 | WI | 77.0 | 77 | F | 04/11/21 stroke event --unable to speak and not consistent with actions, CT 04/11/21 L MCA infarct no midline shift | Y | Y | Y | N | 04/01/2021 | 04/01/2021 | 0 | CT, echo, chest x ray | PVT | acetaminophen, calcium ,multivitamin, vitamin d | none | hypercholesteremia , severe obesity .hypertension, mild aortic sclerosis, right knee djd, osteopenia of multiple sites , right total knee replacement, gerd, osteoarthritis, | 2 | 04/21/2021 | Y | aspirin ( high dose) - simvastatin and hydrochlorothiazide | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1247552 | 04/23/2021 | WI | 77.0 | 77 | F | Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. | Y | 9 | 03/12/2021 | 04/02/2021 | 21 | OTH | 2 | 04/23/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1250891 | 04/24/2021 | WI | 77.0 | 77 | M | Blood clot in right leg with rash mainly on arms and legs but included body. | N | 03/23/2021 | 03/31/2021 | 8 | April 2 had sonogram - placed on Eliquis. | PHM | I am currently being treated for bile duct cancer. This could be a major contributor. I thought this information might be of interest. | Bile duct cancer | Bile duct cancer | 2 | 04/24/2021 | None to my knowledge | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1267623 | 04/28/2021 | WI | 77.0 | 77 | F | CLIENT HAD A BREAKTHROUGH INFECTION AFTER RECEIVING BOTH DOSES OF PFIZER. FIRST VACCINATION 2/19/21, SECOND DOSE 3/12/2021. CASE MANAGER WAS NOT ABLE TO LOCATE CLIENT. | U | 02/19/2021 | 04/10/2021 | 50 | UNK | 2 | 04/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1277587 | 05/01/2021 | WI | 77.0 | 77 | M | It started with stills, nausea, aches for about 24 hours. Then more and more trouble breathing for 8 weeks. In the past week it has been somewhat better. | N | 02/25/2021 | 02/25/2021 | 0 | chest x-rays, various bllod tests for clots, tics, and several other things I am unable to recall. Echo-cardiagram, ct-scan of nasal, EKG and more. | PVT | fluticizone | 2 | 05/01/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289456 | 05/05/2021 | WI | 77.0 | 77 | F | Client received 1st dose of Moderna vaccine at 1:30 pm and at approximately 7:00 pm she experienced loss of muscle strength/weakness of her left arm along with edema from the left elbow down to the left wrist. No pain was associated with the event. The swe | Y | 04/08/2021 | 04/08/2021 | 0 | None | PUB | Unknown | None | Unknown | 2 | 05/05/2021 | Multiple environmental allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1291994 | 05/06/2021 | WI | 77.0 | 77 | F | Patient presented to the ED on 3/15/21 and was subsequently hospitalized with NSTEMI. She also presented to the ED on 4/14/21 with chest heaviness. | Y | 4 | 02/19/2021 | 03/15/2021 | 24 | OTH | 2 | 05/06/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1311256 | 05/12/2021 | WI | 77.0 | 77 | F | Patient infected with COVID after receiving vaccine. | U | 02/01/2021 | 05/11/2021 | 99 | COVID testing positive; Roche cobas SARS-CoV-2 and influenza A/B . | PVT | Carboplatin, paclitaxel, trastuzumab being taken at time of vaccination | Hypothyroidism, diverticulosis, arthritis, osteopenia, pericardial effusion, asthma, hypertension, and stage IVB clear cell endometrial cancer s/p chemotherapy presently receiving radiation to pelvis/paraaortic nodes, | 2 | 05/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1330479 | 05/19/2021 | WI | 77.0 | 77 | F | Pt began having mild COVID symptoms (lost of taste/smell, mild cough, mild dyspnea on excertion) and presented herself to the ER for evaluation. She tested positive for COVID but was not ill enough to be admitted. Pt was fully vaccinated with Pfizer vacc | Y | 03/11/2021 | 05/18/2021 | 68 | PVT | amitriptyline, b complex vitamins, carvedilol, cetirizine, cholecalciferol, clobetasol, coenzyme Q10, conjugated estrogens, cranberry, etanercept, fluticasone, folic acid, furosemide, iodine strong, melatonin, methotrexate, omega 3 fish oil | polymyalgia rheumatica, OSA, hypercholesterolemia, HTN, chest pain, esophageal reflux, adenomatous colon polyp, compression fracture of L1, arthritis of knee, chronic heart failure with preserved ejection fraction | 2 | 05/19/2021 | Y | amoxicillin, aspirin, benazepril, sulfa, nickel, levofloxacin, ibuprofen, hydrocodone, nitrofurantoin (nausea). | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1365047 | 06/01/2021 | WI | 77.0 | 77 | F | Client admitted to St Luke's for chest pain, SOB, and aortic stenosis requiring oxygen. | Y | 01/30/2021 | 04/24/2021 | 84 | UNK | 2 | 06/01/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1396420 | 06/14/2021 | WI | 77.0 | 77 | F | Client passed away on 5/12/2021, she had been residing at assisted living facility. | Y | 05/12/2021 | 04/22/2021 | 05/12/2021 | 20 | Unknown | PUB | Unknown | Unknown, She had been in the hospital recently before the vaccine dose was given. | Unknown | 2 | 06/14/2021 | Codeine, and Erythromycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1400333 | 06/15/2021 | WI | 77.0 | 77 | M | I started having numbness in my feet and tingling in my legs, especially my left leg. I went to the ER and they admitted me. I was in the hospital for 3 days. They ran a bunch of tests and they referred me to a specialist. I was diagnosed with some type of | Y | 3 | N | 01/29/2021 | 02/05/2021 | 7 | Blood tests EKG Spinal tap test Chest x-rays They do not know the results of these tests | PHM | Cymbalta 20 mg, Multi vitamin, Vitamin C 500 mg, Fiber tablet 500 mg, Doxazosin 2 mg, Gabapentin 300 mg | None | In November I had a double hernia surgery | vsafe | 2 | 06/15/2021 | Y | I react to Ibuprofen | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454086 | 07/07/2021 | WI | 77.0 | 77 | F | Cough, sore throat, swollen glands, weakness, tiredness After about two weeks the symptoms lessoned substantially. I was given a Covid-19 test and a strep test. Both were negative. The PA prescribed lots of liquids and lots of rest.. That is what I have be | Y | 03/29/2021 | 06/22/2021 | 85 | Covid-19 test -6/28/21 negative Strep test -6/28/21 negative | PVT | cetirizine, Vitamins: Multiple vitamin, B complex,C,D3, E, Lutein, calcium, zinc, CoQ10, tumeric | none | allergies, vertigo | Flu shot- swollen, sore arm | 2 | 07/07/2021 | sulfa drugs, all raw fruit with pits, jicama, blossom end of raw peas and beans, hazelnuts, hot pepper seeds if near them | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1460211 | 07/09/2021 | WI | 77.0 | 77 | F | Patient received Moderna COVID-19 vaccine Dose #1 on 3/15 and Dose #2 on 4/12, unsure where patient received vaccine. Admitted to hospital for syncopal episode at a store on 7/8. The ED provider note does mention that the patient reports increased weakness | Y | 03/15/2021 | 07/08/2021 | 115 | PVT | amlodipine, aspirin 81 mg, atenolol, cetirizine, cosopt eye drops, hydrochlorothiazide, latanoprost, potassium, simvastatin | none noted | glaucoma hyperlipidemia hypertension | 2 | 07/09/2021 | lisinopril - lightheaded | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1467232 | 07/13/2021 | WI | 77.0 | 77 | F | VERY SORE ARM, RED AND HOT ARM. RASH AROUND INJECTION SITE. SEVERE BODY ACHES AND MALAISE | N | 07/09/2021 | 07/10/2021 | 1 | NONE | PHM | NONE | NONE | HYPERTENSION AND HYPOTHYROID | 2 | 07/13/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1505435 | 07/27/2021 | WI | 77.0 | 77 | M | 77-year-old male, with a history of multiple medical problems including renal transplant, states he was exposed to a patient with COVID-19 5 days ago. The day after he was exposed he began to feel somewhat ill with generalized malaise, runny nose, mild co | 03/03/2021 | 07/27/2021 | 146 | PVT | 2 | 07/27/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1511610 | 07/29/2021 | WI | 77.0 | 77 | F | Superficial bleeding left leg; Numbness in l. arm; This spontaneous case was reported by a consumer and describes the occurrence of HAEMORRHAGE (Superficial bleeding left leg) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine | N | 04/08/2021 | 06/05/2021 | 58 | Test Date: 2021; Test Name: D-dimer Test; Result Unstructured Data: Elevated; Test Date: 2021; Test Name: Ultrasound; Result Unstructured Data: Normal | UNK | METHOTREXATE; PLAQUENIL [HYDROXYCHLOROQUINE PHOSPHATE]; METOPROLOL | Hypertension (stable); Rheumatoid arthritis (gradual improvement) | USMODERNATX, INC.MOD20212 | 2 | 07/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1557609 | 08/14/2021 | WI | 77.0 | 77 | F | fullness/stuffiness in nasal; This spontaneous case was reported by a consumer and describes the occurrence of NASAL CONGESTION (fullness/stuffiness in nasal) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 va | U | 02/08/2021 | 02/08/2021 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1559045 | 08/15/2021 | WI | 77.0 | 77 | F | Arm redness; Feels likes someone has punched me in the arm; This spontaneous case was reported by a consumer and describes the occurrence of ERYTHEMA (Arm redness) and PAIN IN EXTREMITY (Feels likes someone has punched me in the arm) in a 77-year-old femal | U | 02/16/2021 | 02/16/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1581424 | 08/18/2021 | WI | 86.0 | 77 | F | Started feeling itchy at injection site; Red circle at injection site; Arm hurt; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (Arm hurt), VACCINATION SITE PRURITUS (Started feeling itchy at injection si | N | 02/13/2021 | 02/13/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1600652 | 08/21/2021 | WI | 77.0 | 77 | M | felt really tired; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (felt really tired) in a 77-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History | U | 03/11/2021 | 03/12/2021 | 1 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1611142 | 08/22/2021 | WI | 78.0 | 77 | F | Aches and pains; Fatigue; Fatigue; Malaise; This spontaneous case was reported by a consumer and describes the occurrence of the first episode of FATIGUE (Fatigue), MALAISE (Malaise), PAIN (Aches and pains) and the second episode of FATIGUE (Fatigue) in a | N | 02/10/2021 | 02/11/2021 | 1 | UNK | Comments: No medical history is provided and concomitant drugs are provided. | USMODERNATX, INC.MOD20210 | 2 | 08/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1611198 | 08/22/2021 | WI | 78.0 | 77 | F | Aches and pains; extreme fatigue; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (Aches and pains) and FATIGUE (extreme fatigue) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch | U | 02/10/2021 | 03/11/2021 | 29 | UNK | Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20210 | 2 | 08/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1618282 | 08/22/2021 | WI | 77.0 | 77 | F | Temporary numbness between wrist and shoulder of left arm; Temporary loss of function in left arm; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA (Temporary numbness between wrist and shoulder of left arm) an | Y | 04/08/2021 | 04/09/2021 | 1 | UNK | HYDROXYCHLOROQUINE; ASPIRIN [ACETYLSALICYLIC ACID]; METHOTREXATE; PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]; METOPROLOL | Hypertension; Rheumatoid arthritis (Gradual improvement.) | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1632864 | 08/25/2021 | WI | 77.0 | 77 | M | I did not have any adverse reaction except a sore arm which resolved after a day or so. About 3 months later, I was feeling tire, feeling listless, not having energy and weight gain. I was gaining about a pound a day. I have been on amiodarone for 10 years | Y | 02/19/2021 | 05/10/2021 | 80 | blood work - low thyroid levels | PVT | Xarelto; Potassium; Furosemide; Amiodarone; Vitamin D | none | A-fib | vsafe | 2 | 08/25/2021 | Y | permethrin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1654101 | 08/29/2021 | WI | 77.0 | 77 | F | Stroke. Treatment with blood thinner and anticoagulent. Outcome is partial paralysis on right side of body, speech and language loss. | Y | Y | 15 | Y | N | 02/26/2021 | 05/03/2021 | 66 | OTH | None | None | 2 | 08/22/2021 | Y | Y | Contrast dye | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1662325 | 09/01/2021 | WI | 77.0 | 77 | M | Syncopal episode with collapse on 8/8/2021 (profound dizziness with room spinning; no loss of consciousness; able to talk; able to use upper extremities to crawl towards phone; not able to stand up lasting 60+ seconds.) P was 90+, BP 120/75. Similar to w | Y | 02/18/2021 | 08/08/2021 | 171 | None | PUB | I suddenly felt very dizzy when walking into walk-in closet; the room started spinning and within seconds my legs turned into "noodles" and I collapsed. I was fully coherent and was able to speak, think and crawl towards a phone, but could | NO | Diabetes | 2 | 09/01/2021 | Yellow Jacket venom and Cephalexin. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1675774 | 09/06/2021 | WI | 77.0 | 77 | F | Immunization site was burning shortly after she got the vaccine, when she got home. Immunization site started hurting one to two hours after the vaccine was delivered. It was an aching feeling that went from shoulder down to the elbow starting 9/4. Her arm | Y | 09/02/2021 | 09/02/2021 | 0 | Patient has not been seen by a medical provider for this event at this time. | PHM | metoprolol tart 25mg -- 1 tab twice daily, Hydrochlorothiazide 25mg -- 1 tab once daily, levothyroxine 50mcg -- 1 tab once daily. Tylenol and ibuprofen occasionally (during this post-immunization pain she is experiencing). | None | Hypertension, low thyroid | 2 | 09/06/2021 | penicillin (unknown reaction, been too long ago per patient) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1678925 | 09/07/2021 | WI | 77.0 | 77 | U | After receiving vaccine, patient broke out in shingles as confirmed by his provider on 07/19/21/ A course of valacylovir 1gm, doing 1 tid was dispensed for a 7 day supply. | Y | 06/30/2021 | 07/19/2021 | 19 | Appointment on 07/19/21 | PVT | 2 | 09/07/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731782 | 09/24/2021 | WI | 77.0 | 77 | M | Patient contracted COVID after being fully vaccinated | 02/15/2021 | 09/14/2021 | 211 | PUB | acetaminophen 1300mg q4hr as needed for pain apixaban 5mg BID aspirin 81mg daily atorvastatin 40mg HS Vitamin D3 2,000 IU famotidine 20mg HS finasteride 5mg daily furosemide 40mg daily lisinopril 2.5mg daily metoprolol 200mg BID multivitami | None docuemented | History of tobacco use, paroxysmal atrial fibrillation, diverticular disease of the large intestine, gastro-esophageal reflux disease, cerebrovascular accident, benign prostatic hyperplasia, retention of urine, mitral valve disorder, history of adenomatous | 2 | 09/24/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1746397 | 09/29/2021 | WI | 77.0 | 77 | F | The patient presented to the pharmacy for her booster dose of the Pfizer Covid-19 vaccine and her high dose influenza vaccine. The first vaccine give was the Pfizer Covid vaccine in her left arm. She was supposed to receive the high dose influenza vaccine | U | 09/29/2021 | 09/29/2021 | 0 | PHM | Eliquis | Diabetes | 2 | 09/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1749787 | 09/30/2021 | WI | 77.0 | 77 | F | Client hospitalized on 8/24/2021 with SOB, cough, low oxygen saturation. Submitter does not have access to any further medical records for this client. For any other needed follow up information, please contact HOSPITAL. | Y | U | 02/17/2021 | 08/24/2021 | 188 | 8/24/2021 NAAT - Covid 19 Detected | UNK | unknown | unknown | unknown | 2 | 09/30/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1749991 | 09/30/2021 | WI | 77.0 | 77 | F | Breakthrough case of COVID in vaccinated individual. | Y | 02/01/2021 | 09/23/2021 | 234 | PCR COVID test completed 9/28/2021 | SEN | unknown | n/a | unknown | 2 | 09/30/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1750310 | 09/30/2021 | WI | 77.0 | 77 | F | The night of the vaccine, felt like his joints got tight. Then next morning when went to get out of bed felt very stiff. He felt like he could not move his legs. He had to first wiggle his toes and then foot, then knee and then hips. Soon they all started | N | 03/17/2021 | 03/17/2021 | 0 | PVT | carvedilol, vit D, furosemide, lisinopril, multivitamin, preservision, potassium, metamucil, xarelto, simvastatin, vitamin C | CHF, A fib, htn, constipation, dyslipidemia, lower leg edema, obesity, obstructive sleep apnea | 2 | 09/30/2021 | hctz, amlodipine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1753693 | 10/01/2021 | WI | 77.0 | 77 | F | Sore left arm when lifting or using, hot and cold (chills) dur the night of 9/27 and early morning of 9/28. Woke up with headache, sore body, extremely tire, slept off and on throughout the day waking up with more chills, no appetite. 9'29 some what bett | U | 09/27/2021 | 09/27/2021 | 0 | N/A | PVT | Calcium +D, Satin, baby aspirin , Tylenol | 8/17/2021 back surgery | Pfizer Covid 1 & 2 similar reactions | 2 | 10/01/2021 | Codeine, Morphine, OxyContin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1758627 | 10/04/2021 | WI | 77.0 | 77 | M | patient recieved 1.3ml pfizer vaccine instead of the 0.3ml thus far patient has not had any adverse reaction to the increased dose given | U | 10/04/2021 | 10/04/2021 | 0 | none | PVT | empagliflozin (JARDIANCE) 10 MG tablet Take 1 tablet by mouth daily (before breakfast). nitrofurantoin, macrocrystal-monohydrate, (MACROBID) 100 MG capsule Take 1 capsule by mouth 2 times daily for 10 days. AMIODarone (PACERONE) 200 MG tabl | none | Coronary atherosclerosis of unspecified type of vessel, native or graft Essential hypertension, benign Hyperlipidemia Status post abdominal aortic aneurysm repair PVD (peripheral vascular disease) (CMS/HCC) Atrial fi | 2 | 10/04/2021 | nka | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1765317 | 10/06/2021 | WI | 77.0 | 77 | M | My dad had a physical 9/30/2021 and received a clean bill of health complete with lab work. He then received his second covid vaccine. sunday 10/3/2021 my dad got up went to the store..called my mother around noon had lunch and went back to work. two hours | Y | 10/03/2021 | N | 09/30/2021 | 10/03/2021 | 3 | PVT | multi vitamin | none | none | 2 | 10/06/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1768566 | 10/07/2021 | WI | 76.0 | 77 | M | Pt Presented with Chronic S.O.B And Chronic cough. Pt was treated with Asperin, Azithromycin, Cestriaxone. Pt Still hospitalized. | Y | U | 02/08/2021 | 10/05/2021 | 239 | UNK | Unknown | Unknown | Lung Cancer , Htn, Diabetes , hyperlipodemia | 2 | 10/07/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1772238 | 10/08/2021 | WI | 77.0 | 77 | F | Patient received COVID vaccine at 1036 am. She was observed for 15 minutes with no symptoms. She went to appointment at the Clinic, checked in at 1055 am. Patient and clinic RN were talking and patient was acting her normal self for 15-20 minutes. W | U | 10/08/2021 | 10/08/2021 | 0 | Blood Sugar, EKG 10/8/21 Clinic EKG - 10/8/21 hospital | PVT | metoPROLOL tartrate (LOPRESSOR) 50 MG tablet potassium CHLORIDE (KLOR-CON) 20 MEQ packet vitamin E 400 UNIT capsule methIMAzole (TAPAZOLE) 5 MG tablet bumetanide (BUMEX) 2 MG tablet atorvastatin (LIPITOR) 40 MG tablet lisinopril (ZESTRIL) 1 | Venous stasis ulcer of left calf with fat layer exposed, unspecified whether varicose veins present | Anxiety Acute on chronic diastolic congestive heart failure Pulmonary hypertension, moderate to severe Venous stasis ulcer of left calf with fat layer exposed, unspecified whether varicose veins present Tachycardia-bradycardia syndrome Atrial fibrillati | 2 | 10/08/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1808379 | 10/22/2021 | WI | 77.0 | 77 | M | Patient was in to be seen by provider and asked if he could get 3rd dose of Pfizer since he was at the right age for it and it had been over 6 months since he completed the 2 dose series. Then was asked the questions by staff in the protocol regarding wh | 10/22/2021 | 10/22/2021 | 0 | covid positive PCR result on 10/01/2021 | PVT | Amoxicilin as needed for dental procedures, atenolol, | covid-19 infection | depression, atrial fibrillation, arrythmia, arthritis, Barrett's esophogus, cerebellar o o See continuation page | 2 | 10/22/2021 | Fluoxetine, Ace Inhibitors, Simvastatin, turkey | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1808458 | 10/22/2021 | WI | 77.0 | 77 | M | !. Beginning at 3:30 a.m. urgent need to utinate every 30-45 minutes until approx 8;30 am. (Had same response with my second dose given on 2/21/2021.) At approx 9:00, while resting and listening to soft music, noticed a pounding in both ears and felt spor | Y | 10/20/2021 | 10/21/2021 | 1 | EKG (2), Basic metabolic panel, ISAT Troponin & ISAT BNP, TSH Refex T4,Cbc W auto differential, Chest Xray | PHM | divalproex/doxazosin/methamazole/ omeprazole/simvastatin/B12/D | none | none | Second Pfizer Covid shot, age 77 (02/21/2021) Frequent urination, fever, rapid heartbeat, sore muscles, did not check bp or seek | 2 | 10/22/2021 | Y | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1825015 | 10/28/2021 | WI | 77.0 | 77 | F | Pt was fully vaccinated against COVID 19 (on 3/1/2021 and 4/2/2021 respectively), but still contracted COVID-19 (positive PCR 10/19/2021) and was ill enough to be hospitalized (10/19/2021). COVID -Symptom onset 10/18/21 -Positive Covid test result 10/19/ | Y | 2 | Y | 04/02/2021 | 10/19/2021 | 200 | UNK | acetaminophen, allopurinol, amlodipine, aspirin, carvedilol, clopidogrel, cyclobenzaprine, ferrous sulfate, furosemide, insulin aspart, insulin glargine, isosorbide mononitrate, multivitamin, polycarbophil, polyethylene glycol, rosuvastatin | anasarca, anemia in stage 5 CKD, aortic arch atherosclerosis, carotid stenosis, CHF, chronic arthritis, chronic pain of left knee, coronary atherosclerosis, diabetic macular edema, diabetic retinopathy, giant cell arteritis, GERD, gout, hyperkalemia, hyper | 2 | 10/28/2021 | Y | amoxicillin, amoxicillin-pot clavulanate, atorvastatin, ciprofloaxcin, shrimp flavor, lisinopril. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1861100 | 11/11/2021 | WI | 77.0 | 77 | M | Patient contracted COVID-19 after being fully vaccinated (no booster) Asymptomatic - Exposure. | 02/04/2021 | 11/10/2021 | 279 | PVT | Ibuprofen 800mg q4hr prn losartan 100mg daily metoprolol 100mg daily | None documented | Hypertension, Prostate Cancer, Angina, Hyperlipidemia, arthritis, Hyperglycemia, atherosclerosis of arteries of the extremities, gout, history of adenomatous polyp of the colon, diverticulosis. | 2 | 11/11/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX |