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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0962348 | 01/21/2021 | WI | 78.0 | 78 | M | Site: Swelling at Injection Site-Mild | U | 01/20/2021 | 01/20/2021 | 0 | WRK | 2 | 01/21/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0989073 | 01/31/2021 | WI | 78.0 | 78 | F | Extreme pain in jaw. Lump tmj and in throat. Swollen glands on left side. Sharp pain when swallowing and ear ache. | N | 01/29/2021 | 01/30/2021 | 1 | PVT | Nor ask, Avastin, budesonide, Symbicort, calcium +D3, Pepcid, flax seed oil, glucosamine Chondroit-vit c-my po, Indapamide, melatonin, Montelukast, multi- vitamin, Omega 3, Omeprazole, potassium chloride, Preservision AREDS, Tylenol arthrit | Hypertension, athsma COPD | Shingles 8/10/2020 | 2 | 01/31/2021 | Sulfamethoxazole, Nitrofurantoin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0994854 | 02/01/2021 | WI | 78.0 | 78 | F | Body aches, low gr. temp. aches into her buttocks area down back of post. thighs. She did have Covid infection in Sept 2020. Meds admin - NaCl 0.9% I.V. bolus. 500 ml. Tyl. + Hydrocodone 650/25 - Labs - UA. lactic acid, SARS antigen, BMP, CBC, CXR - reveal | Y | 01/28/2021 | 01/28/2021 | 0 | PVT | Tylenol- Vit, Calcium, Vit. D, Vit B12, MVI, gabapentin, estradiol, doxycycline, morphine, hydrocodone, omeprazole, oxycodone, K+, Miralax | N/A | acquired spondilo, benign neoplasm colon, chronic SI joint pain, community acquired pneumonia, thyroid nodule, multiple sclerosis, Vit. D defic, LSS sciatica, obesity, psoriasis vulgaris, psoriatic arthritis | 2 | 02/01/2021 | Y | Ciprofloxacin, dexamethasone, methotrexate, ezetimibe, zetia, pravastatin, Repatha | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1005635 | 02/05/2021 | WI | 78.0 | 78 | F | Rash on left side of face and neck which lasted a couple of days. | Y | 01/30/2021 | 02/02/2021 | 3 | PVT | Areds, daily vitamin, fish oil, magnesium, D3, omeprozole, turmeric | None | Reflux, anxiety disorder, arthritis | 2 | 02/05/2021 | Aspirin, flagyl, codeine, biaxin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1012859 | 02/08/2021 | WI | 78.0 | 78 | F | Immediate tingling throughout my body when injection started. Stayed 25 min. in clinic following injection. Tingling remained but no breathing problems developed. Tingling lessened by next morning. Did have increased aches and pain sand more headach | Y | 01/29/2021 | 01/29/2021 | 0 | none | UNK | 2 | 02/06/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1020824 | 02/10/2021 | WI | 78.0 | 78 | M | temperature of 103.2 | Y | 02/02/2021 | 02/04/2021 | 2 | n/a | UNK | furofemide 40mg, allopurinol 300mg, lisinopril 20mg, atorvastin 20mg, lepothyroxin 150 mcg, clopidogrel 75mg, metoprolol 50mg, mexiletine hcl 150 mg, eye vitamin, baby aspirin | n/a | pacemaker, defib | 2 | 02/10/2021 | n/a | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1051675 | 02/24/2021 | WI | 78.0 | 78 | F | Patient passed away on 2/1/21 at the Health System. She was there for congestive heart failure (CHF) which had been a problem for her since contracting COVID-19 (symptoms began 10/29/20 and tested positive 10/30/20). She had been to see her medical provide | Y | 02/01/2021 | Y | N | 01/28/2021 | 02/01/2021 | 4 | PUB | congestive heart failure | congestive heart failure | 2 | 02/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1066105 | 03/02/2021 | WI | 78.0 | 78 | M | SWOLLEN LYMPH NODES UNDERARM PAINFUL BURNING NEEDLE-LIKE SENSATIONS IN LEGS AND ARMS | N | 02/23/2021 | 02/26/2021 | 3 | PHM | 2 | 03/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1074394 | 03/05/2021 | WI | 78.0 | 78 | F | Partial dose of 0.3ml as 2nd dose; 1st shot of Pfizer and second shot of Moderna COVID 19 Vaccine; A spontaneous report was received from a other health professional (nurse) concerning a 78-years-old female patient, who received Moderna's COVID-19 vaccine | Y | 02/19/2021 | 02/19/2021 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event (No reported medical history) | USMODERNATX, INC.MOD20210 | 2 | 03/05/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1077206 | 03/05/2021 | WI | 78.0 | 78 | M | REPORTING DUE TO VACCINE ADMINISTRATION ERROR--GIVEN 14 DAYS TOO EARLY. NO ADVERSE EVENT NOTED IN PATIENT. | 03/04/2021 | 03/04/2021 | 0 | PUB | NONE | HTN | 2 | 03/05/2021 | NONE | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1091411 | 03/11/2021 | WI | 78.0 | 78 | F | 8 days after injection, rash, swelling, intense itching at site. Rash measures 2.5" x 2.5" After 2 days itching less intense but continues. Rash persists. | N | 02/25/2021 | 03/04/2021 | 7 | PVT | Omeprizole multivitamin Vitamin C Vitamin D | none | none | 2 | 03/11/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1092578 | 03/11/2021 | WI | 78.0 | 78 | F | LTC Pharmacy was notified of a potential vaccine related hospital admission on 3/8/2021. The following information was gathered from discussion with RPH at Hospital. The patient received second dose of Pfizer COVID vaccine on 2/26/2021. The patient then ha | Y | 1 | Y | 02/26/2021 | 02/26/2021 | 0 | PHM | Implanted Pacemaker | 2 | 03/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1098141 | 03/14/2021 | WI | 78.0 | 78 | F | Experienced swelling between right jaw and hollow beneath ear | Y | 02/17/2021 | 02/26/2021 | 9 | None | OTH | Multi-mineral/vitamin and NP Thyroid | Vascular | 2 | 03/14/2021 | Darvon, Cipro, Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1099016 | 03/14/2021 | WI | 78.0 | 78 | F | Chills and fever (100.3) Increased fluids, tried to stay warm, slept symptoms disappeared by 8 p.m. | Y | 03/12/2021 | 03/13/2021 | 1 | UNK | Lisonopril Hydrocorithyozoid Eliquis vit C, D Calcium Zyrtec | none | sacroiliitis allergic itching | 2 | 03/14/2021 | penicillin Balsam of Peru gluten | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1102229 | 03/15/2021 | WI | 78.0 | 78 | F | Admitted to hospital 3/13 with encephalopathy for monitoring. Discharged 3/14. At the beginning of ED visit, Patient did not know her daughter's name. She was unable to lift her legs at home when daughter tried to help patient to dress. At ED patient was | Y | 1 | Y | 03/12/2021 | 03/12/2021 | 0 | PVT | Diabetes Hypelipidemia Hypertension | 2 | 03/15/2021 | Lisinopril (cough), Pioglitazone (ankle swelling), Sulfa (rash | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1110532 | 03/18/2021 | WI | 78.0 | 78 | M | Chills after the shot (3 days after the shot) I fell because loss of balance and weakness' evening just before bed time. Fell in bathroom could not get up due to a loss of strength. M.S. effects my right leg. | Y | 03/11/2021 | 03/14/2021 | 3 | Blood pressure pulse rate all came out good. | PHM | Avonex (interferon beta la Carbamazepine Netopropol Tartrate Aspirin | None | M. S. | 2 | 03/18/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1115470 | 03/19/2021 | WI | 78.0 | 78 | F | Client received first COVID vaccine on 02/25/21 at 1:30 pm, adverse reaction noticed on 03/03/21. First noticed a tiny bruise at injection site, then became red with area of 5 - 7 inches around injection site on 03/03/21. Rash is not itchy or painful. C | N | 02/25/2021 | 03/03/2021 | 6 | PUB | Prescriptions for hypertension, high cholesterol and thyroid | None | Hypertension, high cholesterol, and thyroid. | DTP Booster in 2019 caused cellulitis or an allergic reaction | 2 | 03/18/2021 | Y | DTAP Booster vaccine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1126155 | 03/23/2021 | WI | 78.0 | 78 | F | On 02/22/2021 received Pfizer 2nd shot of Covid 19 Vaccine. Next morning, 02/23/2021 around 6am could not lift my head off pillow, the room and everything was spinning around. I called my husband and he tried to get me to sit up but i could not. He took my | 02/22/2021 | 02/23/2021 | 1 | UNK | 2 | 03/23/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1127262 | 03/23/2021 | WI | 78.0 | 78 | F | Patient developed a runny nose, cough, sore throat, and minor loss of smell | N | 02/01/2021 | 03/18/2021 | 45 | COVID-19 PCR test - 3/22 | UNK | 2 | 03/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130017 | 03/24/2021 | WI | 78.0 | 78 | M | acute decompensated heart failure new left ventricular dysfunction (EF 35-40%) acute kidney injury | Y | 3 | N | 03/11/2021 | 03/13/2021 | 2 | Echo 3/23/21: EF 35-40% with inferolateral and anterolateral wall motion abormalities BNP 14,713 | PVT | allopurinol, amlodipine, atorvastatin, escitalopram, lisinopril, metoprolol tartrate, spironolactone, multivitamin, acetaminophen, ASA, cholecalciferol | none | CAD s/p CABG in 2019 carotid stenosis s/p endarterectomy in 2019 Hypertension spinal stenosis bladder cancer impaired fasting gluocsoe pseudogout | 2 | 03/24/2021 | iodinated contrast - pruritis | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130129 | 03/24/2021 | WI | 78.0 | 78 | F | shingles; This initial spontaneous report was received from a lawyer regarding a case in litigation and refers to a 78-year-old female patient (pt). No information was provided regarding medical history, concurrent conditions, or concomitant medications. O | Y | N | 04/10/2013 | 07/23/2013 | 104 | OTH | US0095075132103USA005509 | 2 | 03/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130670 | 03/24/2021 | WI | 78.0 | 78 | M | Patient reports chills, fatigue, aches, diarrhea, and dizziness/imbalance approximately 24 hours after vaccination. Patient advised to see primary care physician given his balance issues/concerns. Given that patient was referred to make an appointment to | U | 03/17/2021 | 03/18/2021 | 1 | N/A | PVT | 2 | 03/24/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1130749 | 03/24/2021 | WI | 78.0 | 78 | M | 3/14/21 complaints of low-grade fever, cough, chills and difficulty with taking in a deep breath after receiving his second COVID vaccine about 5 days prior. New diagnosis of pericarditis given based on symptoms and cardiac MRI | Y | 4 | U | 03/09/2021 | 03/14/2021 | 5 | Echocardiogram 3/15/21 1. Moderately depressed left ventricular systolic function with ejection fraction of 35 to 40%. Possible early apical thrombus. 2. Right ventricular systolic function is moderately depressed. 3. Mild right atrial enlargement. 4. T | UNK | amLODIPine (NORVASC) 5 MG tablet Take 5 mg by mouth daily. aspirin 81 MG EC tablet Take 81 mg by mouth daily. atorvastatin (LIPITOR) 80 MG tablet Take 1 tablet by mouth daily. B Complex Vitamins (VITAMIN B COMPLEX PO) Take 1 t | CAD (status post prior inferior wall STEMI status post RCA and LAD stenting 2014), GERD, Hypertension, Hemachromatosis and Psoriasis | 2 | 03/24/2021 | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1137175 | 03/26/2021 | WI | 78.0 | 78 | F | Pt received vaccine and waited 30 minutes post-vaccination due to list of allergies/intolerances to medications/vaccines. After leaving vaccine clinic, Pt developed weakness and dizziness and returned to COVID Vaccination Clinic to report symptoms. Vitals | U | 03/26/2021 | 03/26/2021 | 0 | PVT | Flu Vaccine: felt like "a thousands bugs were inside of me" Weakness and dizziness | 2 | 03/26/2021 | Y | Flu Vaccine Significant list of medication allergies: Statin, beta-blockers, ARB/ACEI | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1140301 | 03/27/2021 | WI | 78.0 | 78 | F | Lightheaded, dizzy hypertensive 208/103 Sent to the emergency room for further evaluation | U | 03/27/2021 | 03/27/2021 | 0 | Done in the emergency room | PVT | Premarin vaginal cream, crestor, aldactone, advair hfa , motrin, albuterol 108mcg, cozaar, toprol-xl, aspirin, vitamin d, metamucil | 2 | 03/27/2021 | Y | none known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1144124 | 03/29/2021 | WI | 78.0 | 78 | M | Rash appeared on chest on 2/20/21 after first shot on 2/11/21. Consulted with dermatologist . Prescribed Triamcinolone. After second shot on 3/4/21 rash moved to whole body, from head to knees two days later. (Not on face or hands). It was inflamed dots | N | 02/11/2021 | 02/20/2021 | 9 | Lab test on one of the spots by the hair line; Fleming Dermatopathology: From Dr Consistent with dermal hypersensitivity reaction. The dermis reveals superficial edema, lymphectasia, and hemorrhage. Some of these features raise the possibility of an angu | PVT | Albuterol Allegra amLODIPine 5mg aspirin 81mg atorvastatin 80mg celecoxib 200mg diclofenac sodium 1% gel docusate sodium 100mg hydrocodone acetaminophen 7.5-325 mg latanoprost .005% olopatadine .2% omeprazole 40 mg polyvinyl alcohol 1.4 % | None | Osteoarthritis Glaucoma Stargardt's disease Hearing loss CLL- diagnosed years ago, no symptoms | 2 | 03/29/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1167189 | 04/04/2021 | WI | 78.0 | 78 | F | Itching and mild rash area surrounding vaccination site. Red rash area approximately 3" square. First noticed mid afternoon of second day after shot. Continues today (April 4, 3 days after shot). I understand this is a known after effect called "Covid | N | 04/01/2021 | 04/03/2021 | 2 | PUB | None | None | None | 2 | 04/04/2021 | Sulfa, Amoxicyllin , some ophthalmic steroids | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1177009 | 04/07/2021 | WI | 78.0 | 78 | M | Patient went to ER on 3/19/21 for sudden idiopathic hearing loss, right ear. was given prednisone and meclizine and followed up with Dr. on 4/6/21. pt is now receiving ongoing treatment from ENT specialist for steroid injections in ear to try and regain he | N | 03/11/2021 | 03/19/2021 | 8 | bilateral ear flush completed without improvement of symptoms by ER physician. | PVT | docusate sodium (DSS) 100 mg oral capsule glipiZIDE (GLUCOTROL) 5 mg oral tablet metFORMIN (GLUCOPHAGE) 1,000 mg oral tablet Multiple Vitamins-Minerals (MULTIVITAL) oral tablet ONE TOUCH ULTRA TEST in vitro strips rosuvastatin (CR | Endocrine Hyperlipidemia LDL goal <70 Cystic mass of pancreas Type 2 diabetes, HbA1c goal < 7% (*) Musculo/Skeletal Intervertebral cervical disc disorder with myelopathy, cervical region L2-L3 disc degneration Lumbar stenosis Cervical myelopathy (*) | Endocrine Hyperlipidemia LDL goal <70 Cystic mass of pancreas Type 2 diabetes, HbA1c goal < 7% (*) Musculo/Skeletal Intervertebral cervical disc disorder with myelopathy, cervical region L2-L3 disc degneration Lumbar stenosis Cervical myelopathy (*) | 2 | 04/07/2021 | Y | Y | Prednisone & Meloxicam | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1182144 | 04/08/2021 | WI | 78.0 | 78 | M | I experienced this rather immediate unexpected gradually increasing dizziness with impaired balance while walking at accustomed pace over approximately 12-15 minute time period. I was compelled to leave the track and lay down on an exercise mat where fort | Y | 1 | 03/12/2021 | 03/28/2021 | 16 | Heart functioning, Brain MRI(to rule out strokes) and Blood tests all essentially negative. Dehydration suspected but no urinalysis to confirm. I think this minor. TIA's not seen in MRI but conjectured as possible. No evidence of stroke. Orthostatic-hypo | PHM | Prescriptions: allopurinol 100mg daily. Supplements/vtamins: Mens daily multi-vitamin plus additional D and C, B-50 complex vitamin, fish oil, turmeric, hyaluronic acid, plant sterols, saw palmetto, | None | Osteoarthritis mostly in hands and minor in back and knees. Somewhat elevated total cholesterol with high HDLs. Overall excellent health. Hearing has always been excellent. | 2 | 04/08/2021 | Y | Nasal: Molds, dust | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1204502 | 04/13/2021 | WI | 78.0 | 78 | M | Patient was hospitalized and died within 60 days of receiving a COVID vaccine series | Y | 03/30/2021 | 03/03/2021 | 03/30/2021 | 27 | PVT | 2 | 04/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1229091 | 04/19/2021 | WI | 78.0 | 78 | F | Patient reports receiving 2nd dose of Moderna vaccine on 4/16/21. In the morning on 4/17/21 patient noticed a fist sized red area on her right arm beneath where she received the injection. Patient reports taking a shower and noticing that the area was larg | N | 04/16/2021 | 04/17/2021 | 1 | none | PUB | Patient reports taking Synthroid and BP medications. | unknown | hypertension, hypothyroidism | WIA3601 | 2 | 04/19/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1231050 | 04/19/2021 | WI | 78.0 | 78 | M | Client went to Urgent Care on 4/16 complaining of excessive fatigue, excessive sleeping, unsteadiness and fatigues easily when mobile. He was having trouble getting up and down the stairs. States he had a runny nose and congestion and started taking Mucine | Y | 03/23/2021 | 04/06/2021 | 14 | UNK | 2 | 04/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1233368 | 04/20/2021 | WI | 78.0 | 78 | M | Cold like symptoms day after first shot. Cold like symptoms only lasted for a day then went away. I have several of these one day cold before my second shot. The day after my second shot I came down with what I thought was a cold and it has continued non s | N | 02/25/2021 | 02/26/2021 | 1 | PVT | 2 | 04/20/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238260 | 04/21/2021 | WI | 78.0 | 78 | F | Patient received Janssen COVID19 vaccine on 3/18/21. The week of 4/12/21, patient noted right calf pain. No swelling or redness noted. Patient was seen in MD office on 4/21/21 and mentioned pain in right calf and that it was improving. MD ordered venous US | N | 03/18/2021 | 04/01/2021 | 14 | 4/21/21 - venous US - positive for DVT in right gastrocnemius vein 4/21/21 - D-Dimer - elevated at 1.46 4/22/21 - Chest CT to rule out PE (future date) | PVT | turmeric, Coenzyme Q10, verapamil (CALAN SR), lisinopril (ZESTRIL), , omeprazole (PRILOSEC), cholecalciferol (VITAMIN D3), fish oil-omega-3 fatty acids, aspirin 81 MG tablet, cyanocobalamin (VITAMIN B-12), CALCIUM CITRATE-VITAMIN D PO | none | coronary artery disease, mitral valve regurgitation, tricuspid regurgitation, hypertension, GERD, IBS | 2 | 04/21/2021 | Y | Norco, ginseng, lactose intolerant, levaquin, levofloxacin, naproxen, biaxin, nitroglycerin, statins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1243483 | 04/22/2021 | WI | 78.0 | 78 | F | Red blotches arm 4/21/202?red and hot and itchy | 04/08/2021 | 04/21/2021 | 13 | None | PVT | Acetominophen | Diabetes heart thyroid | 2 | 04/22/2021 | Latex amoxicilin penicillin clindomycinand manymoe | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1256821 | 04/25/2021 | WI | 78.0 | 78 | M | Patient called to say that his arm was still sore 5 weeks after receiving the second dose of the Moderna COVD 19 vaccine. | U | 03/18/2021 | 03/18/2021 | 0 | PHM | 2 | 04/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266651 | 04/28/2021 | WI | 78.0 | 78 | M | Patient developed shortness of breath, chest pain 'fuzzy head,' headache, rhinorrhea, diarrhea, and increased fatigue around 3/28/21 had clinic appointment 3/30/21, diagnosed with pneumonia. XR CHEST 2 VIEWS (PA AND LATERAL), TRANSTHORACIC ECHO (TTE) ADU | Y | Y | 4 | U | 03/16/2021 | 03/28/2021 | 12 | chest Xray x2 TTE CT abdomen and Pelvis labs APTT, CBC w/diff, potassium, sodium, creatinine, NTPROBNP, PT, CMP, lipase, lactate, blood gases, UA, troponin, hs-ctnt, COVID, platelet, hemoglobin, magnesium, electrolytes, antiphospholipid panel,-most of | PVT | Albuterol inhaler, aspirin, voltaren gel, flonase, hydrocortisone cream, aquaphor cream, ondansetron, seroquel, kenalog cream | Unknown | 1. Interstitial cystitis 2. Late onset Alzheimer's disease without behavioral disturbance (*) 3. Sleep disorder 4. Gastroesophageal reflux disease without esophagitis (*) 5. Primary osteoarthritis involving multiple joints 6. Chronic bilateral low bac | 2 | 04/28/2021 | Y | Y | No Known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1285303 | 05/04/2021 | WI | 78.0 | 78 | M | Patient admitted to Hospital on 4/16/2021 with 2 weeks of generalized weakness, chills, poor oral intake and nonproductive cough. Chest x-ray shows consolidation. Patient tested for covid-19 which returned positive on 4/18/21. Patient remained hospitalized | Y | 05/03/2021 | N | 03/23/2021 | 04/18/2021 | 26 | Covid-19 PCR, chest x-ray 4/16/2021 | PVT | aspirin 81mg, atorvastatin 40mg, calcium citrate 200mg, cholecalciferol 1000 units, Tylenol PM, Ferrous Sulfate 325mg, Finasteride 5mg, Loratadine 10mg, Metoprolol succinate 25mg, Multivitamin, Potassium 99mg, Tamsulosin 0.4mg, Varenicline | Arthritis, Bladder Cancer, BPH, Coronary artery disease, Chronic Lymphocytic leukemia, hypertension, idiopathic thrombocytopenic purpura, hyperlipidemia | same as item 11 | 2 | 05/04/2021 | Rituxan, Levaquin, Oxycodone-APAP, Pregabalin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1295522 | 05/07/2021 | WI | 78.0 | 78 | F | She arm, nadeau, and severe night sweats | N | 05/04/2021 | 05/05/2021 | 1 | PHM | clodine, candesartan, spironolactone, minoxidil , Tramodal, Ibuphrofen, Tylenol. hydroclorthyside, gabapention, low dose aspirin, sertraline, Orencia | asthma, rheumatoid arthritis, ostearthritis, COPD. | Pfizer COVID, sue arm, fever | 2 | 05/07/2021 | sulfa, Miralax, nambutame, leflunamide | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1313892 | 05/13/2021 | WI | 78.0 | 78 | F | Day one typical chills starting at 10 hours post-vaccine. By 16 hours she had all-over body aches and a migraine, treated with 4x Motrin 200 mg tabs with good improvement by 28 hours. Chills again at 36 hours and some shoulder and low back muscle aches, | U | 05/10/2021 | 05/10/2021 | 0 | bp at home 122/67 Temp 98.2 temporal thermometer Pulse ox 98 and pulse 57 (lower than usual pulse) All done at home. | PVT | Aspiriin, amlodipine, synthroid, pravastatin, hydrochlorothiazide, AREDS-2, Centrum Silver, Citrical maximum plus, turmeric, Omega 3 fatty acids | no | thyroiditis under treatment | Shingrix, 03/05/2021, chills and body aches | 2 | 05/13/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1336695 | 05/21/2021 | WI | 78.0 | 78 | F | Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnoses were pneumonia, A-fib and hyponatremia. Patient died on 4/21/2021 | Y | 04/21/2021 | Y | 2 | 03/25/2021 | 04/11/2021 | 17 | OTH | 2 | 05/21/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1356494 | 05/27/2021 | WI | 78.0 | 78 | M | 2 days after vaccination, patient developed 10/10 pain, and arm swelling. Entire hand and part of lower arm was also so swollen that he could not make a fist. Pain was worst in 3rd and 4th left fingers. Patient is a farmer and did use are for his normal he | N | 04/05/2021 | 04/07/2021 | 2 | Increased hemoglobin (17.5g/dL), liver enzymes (ALT 45), and elevated but stable troponin (19ng/L 6AM and 8AM) during 4/12 ER visit. | PVT | Excedrin, Vitamin D, Iron, Vitamin B complex, glucosamine-chondritin, hydrochlorothiazide, lisinopril, metoprolol tartrate, prostate health supplement | none | Hypertension, 2nd degree AV block s/p pacemaker placement, obesity, overactive bladder, restless leg syndrome, chronic low back pain | 2 | 05/27/2021 | Y | Y | Azithromycin, cephalexin, ropinirole | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1368686 | 06/02/2021 | WI | 78.0 | 78 | F | Patient presented to the ED on 5/5/2021 for dizziness and double vision. Patient was subsequently hospitalized with vertebrobasilar insufficiency. These visits are within 6 weeks of receiving COVID vaccination. | Y | 6 | 04/06/2021 | 05/05/2021 | 29 | OTH | 2 | 06/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1406685 | 06/17/2021 | WI | 78.0 | 78 | F | I had soreness in my arm, jaw and ear. I couldn't chew for 5 days. My face and ear was swollen. Went to the ER. Reaction lasted a month. Had swollen joints in my jaw. | Y | 01/29/2021 | 01/30/2021 | 1 | EKG | PVT | Yes. | No. | No. | vsafe | 2 | 06/17/2021 | Y | Sulfa and Nitrofitrate medications. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1406711 | 06/17/2021 | WI | 78.0 | 78 | F | I experience face and ear swollen. Couldn't chew. Since vaccination I been diagnosis with A-Fib and Lymphocytic Leukemia. | Y | 02/26/2021 | 02/27/2021 | 1 | No. | PVT | Yes. | No. | No. | vsafe | 2 | 06/17/2021 | Sulfa and Nitrofitrine medications. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1437933 | 06/30/2021 | WI | 78.0 | 78 | F | Patients daughter called on 6/29/21 to inform pharmacy that patient had passed away. It is unclear what patient passed away from as patients family did not leave that information with the floater pharmacist who was working. | Y | 06/29/2021 | 06/25/2021 | 06/29/2021 | 4 | PHM | 2 | 06/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1466960 | 07/13/2021 | WI | 78.0 | 78 | F | 5/28/2021 Patient started experiencing sharp pain in her left ear. In May patient had stroke symptoms for about 15 mins. Speech was slurred and she could not remember people. In June stabbing pain and left feverish and had a episode of loose stool. | 03/05/2021 | 05/26/2021 | 82 | PUB | Metaprolong Vitamin d3 Biotin Asprin | High blood pressure | 2 | 07/13/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1484066 | 07/18/2021 | WI | 78.0 | 78 | M | Symtoms were first noticed on Tuesday June 8th about two oclock in the afternoon when I noticed a slight burning sensation on my right shoulder. I had presumed this to be sunburn. The next day I noticed a few blisters and additional discomfort and subseque | N | 05/25/2021 | 06/14/2021 | 20 | None | PVT | Daily vitamin - Centrum Silver 1/4 Aspirin - generic valACHclovir | None | Mild sciatica left leg | 2 | 07/18/2021 | Y | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1485916 | 07/19/2021 | WI | 78.0 | 78 | F | patient was inadvertently given a third dose / on 26Jan2021; This case was reported by a pharmacist via call center representative and described the occurrence of extra dose administered in a 78-year-old female patient who received Herpes zoster (Shingrix) | U | 01/26/2021 | 01/26/2021 | 0 | UNK | Chronic obstructive pulmonary disease | USGLAXOSMITHKLINEUS202115 | 2 | 07/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1512746 | 07/29/2021 | WI | 78.0 | 78 | F | Sx onset 7/15/21 with cough, chills & muscle aches. Visited son, his wife & newborn. Son and DIL are both + cases. Tested on 7/26/21 which resulted as positive. | 01/29/2021 | 07/15/2021 | 167 | Specimen Collection Date: 07/26/2021 Specimen Source: nasopharyngeal swab Test Performed: SARS-COV-2 RNA TMA Result: Detected Lab: | PVT | 2 | 07/29/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1512751 | 07/29/2021 | WI | 78.0 | 78 | F | Sx onset 7/15/21 with cough, chills & muscle aches. Visited son, his wife & newborn in another location. Son and one other are both + cases. Tested on 7/26/21 which resulted as positive. | 02/19/2021 | 07/15/2021 | 146 | Specimen Collection Date: 07/26/2021 Specimen Source: nasopharyngeal swab Test Performed: SARS-COV-2 RNA TMA Result: Detected Lab: Local Lab | PVT | 2 | 07/29/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1512928 | 07/29/2021 | WI | 78.0 | 78 | F | Patient was a walk in for her second (booster) dose. At check in patient did not have vaccine card. Patient was checked in, sent to receive vaccine and had not yet been added to the schedule. Her vaccination card was being filled out while being sent to r | 07/29/2021 | 07/29/2021 | 0 | PUB | 2 | 07/29/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1550613 | 08/12/2021 | WI | 78.0 | 78 | F | Swelling in both ankles all the way up to her knees; Swollen Feet; Worst Swelling in the left leg; A spontaneous report was received from a consumer concerning a 78-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experience | U | 02/17/2021 | 02/19/2021 | 2 | UNK | Medical History/Concurrent Conditions: Lung operation | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1559423 | 08/15/2021 | WI | 78.0 | 78 | F | Arm pain in injection site since vaccination; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE PAIN (Arm pain in injection site since vaccination) in a 78-year-old female patient who received mRNA-1273 (Modern | U | 01/26/2021 | 01/26/2021 | 0 | UNK | METFORMIN; VITAMIN D [VITAMIN D NOS] | Comments: No medical history was provided by the reporter | USMODERNATX, INC.MOD20210 | 2 | 08/10/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1560598 | 08/15/2021 | WI | 78.0 | 78 | F | Lump on her arm; hot; red; itchy; it was like the flu shot; A spontaneous report was received from a healthcare professional concerning a 78-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events it was like the | Y | 01/29/2021 | 01/29/2021 | 0 | UNK | Medical History/Concurrent Conditions: No adverse event | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1562058 | 08/15/2021 | WI | 78.0 | 78 | M | itching / Itching on lower legs / Itching on scalp; dizzy/lightheaded; rash on his chest, shoulders, both arms, on calf area and mid-back.; This spontaneous case was reported by a consumer and describes the occurrence of DIZZINESS (dizzy/lightheaded), PRU | U | 02/10/2021 | 02/12/2021 | 2 | UNK | ACETAMINOPHEN; SILDENAFIL; METRONIDAZOLE; PROBIOTICS NOS | Drug allergy (Ibuprofen allergy, leading to stomach bleeding.); Pollen allergy (sneezing, runny nose) | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1563944 | 08/15/2021 | WI | 78.0 | 78 | F | vomiting; nausea; This spontaneous case was reported by a consumer and describes the occurrence of NAUSEA (nausea) and VOMITING (vomiting) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 040821A) for COVID-19 va | U | 03/04/2021 | 03/06/2021 | 2 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1565802 | 08/15/2021 | WI | 78.0 | 78 | F | This spontaneous case was reported by a consumer and describes the occurrence of URTICARIA (Felt like hives), VACCINATION SITE MASS (Lump), VACCINATION SITE PRURITUS (Itching in injection site), VACCINATION SITE PAIN (Arm sore/ little sore arm) and VACCINA | Y | 03/03/2021 | 03/03/2021 | 0 | UNK | PROBIOTICS NOS; VITAMIN D3; FLAX OIL; LYSINE | Comments: No medical history was provided by the reporter. | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1570684 | 08/15/2021 | WI | 78.0 | 78 | F | WHENEVER STANDING WOULD LOSE CONTROL OF BLADDER; EXTREMELY BAD HEADACHE; GENERAL MUSCLE ACHES AND PAIN/MUSCLES WASN'T DOING GOOD; VERY TIRED; This spontaneous case was reported by a consumer and describes the occurrence of URINARY INCONTINENCE (WHENEVER ST | U | 03/17/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1580783 | 08/18/2021 | WI | 78.0 | 78 | F | Arm was really sore; Headache; teeth hurt; Jaw started to get sore; couldn't sleep because her head hurt so bad; A spontaneous report was received from a consumer concerning a 78-years-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) | U | 02/01/2021 | 02/01/2021 | 0 | UNK | DILTIAZEM; HYDROCHLOROTHIAZIDE; POTASSIUM; OMEPRAZOLE; CINNAMON; METFORMIN | Hyperlipidemia; Hypertension; Pre-diabetic | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1613128 | 08/22/2021 | WI | 78.0 | 78 | M | Itching Injection Site; Itching on lower legs and scalp; Palpitations; Hypersensitivity reaction; Rash over inside of both arms, and chest, and mid-back; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PRUR | Y | 02/10/2021 | 03/17/2021 | 35 | UNK | ACETAMINOPHEN; SILDENAFIL; METRONIDAZOLE; PROBIOTIC 10 | Pollen allergy (sneezing, runny nose) | Medical History/Concurrent Conditions: Hay fever | USMODERNATX, INC.MOD20211 | 2 | 08/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1631511 | 08/25/2021 | WI | 78.0 | 78 | M | fever of 100.4?C; This spontaneous case was reported by a consumer and describes the occurrence of PYREXIA (fever of 100.4?C) in a 78-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History i | U | 03/01/2021 | 03/01/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/24/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1631719 | 08/25/2021 | WI | 78.0 | 78 | F | tenderness; swelling; Redness; warm; Pain at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of TENDERNESS (tenderness), SWELLING (swelling), ERYTHEMA (Redness), INJECTION SITE WARMTH (warm) and INJECTION S | U | 02/12/2021 | 03/15/2021 | 31 | UNK | HYDROCHLOROTHIAZIDE; METOPROLOL; AMLODIPINE | USMODERNATX, INC.MOD20210 | 2 | 08/23/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1632798 | 08/25/2021 | WI | 78.0 | 78 | F | received Moderna vaccines on 1/28/21, 2/25/21 Tested positive for COVID by PCR on 8/24/21. Admitted to hospital on 8/24/21, asymptomatic from COVID thus far but hospitalized due to osteomyelitis | Y | 02/25/2021 | 08/24/2021 | 180 | UNK | 2 | 08/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1678928 | 09/07/2021 | WI | 78.0 | 78 | F | On 08/27/2021, my left lower eye lid became quite red and painful, a lot of weeping from the eye or tearing. On 08/31/2021, I went to see my doctor. She wondered if I didn't have an allergic reaction. She wanted me to call her the next day, 09/01/2021 and | U | 03/03/2021 | 08/27/2021 | 177 | No | PVT | Vitamin D3; Tylenol | No | No | Flu vaccine. 2019, Never felt well after taking a flu shot. I took it along with one of the Hepatitis vaccine. I became really s | vsafe | 2 | 09/07/2021 | Y | Never felt well after taking a flu shot; I took it along with one of the Hepatitis vaccine; I became really sick | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1679176 | 09/07/2021 | WI | 79.0 | 78 | M | Patient was admitted to the hospital for atrioventricular block | Y | 03/07/2021 | 08/25/2021 | 171 | PUB | 2 | 09/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1691434 | 09/11/2021 | WI | 78.0 | 78 | F | Breathing is worse; Still sick with side effects/ she is still sick and on prednisone; Fast heartbeat; Sometimes the heart skips a beat; Getting really weak; Rash on body; Rash at the arm where the patient got the vaccine; Joint pain; Chills; Headache; Mus | N | 07/22/2021 | Test Name: Heart rate; Result Unstructured Data: fast heartbeat | UNK | METOPROLOL; ALLOPURINOL; LORAZEPAM; PRAVASTATIN | Blood pressure high; Cholesterol; Gout | USMODERNATX, INC.MOD20212 | 2 | 09/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696413 | 09/14/2021 | WI | 78.0 | 78 | M | Patient is a 79 y.o. male with a history of A fib on chronic anticoagulation, DM type II on insulin, HTN, GERD, obesity and OSA on CPAP who is transferred for after worsening respiratory status despite Remdesivir and dexamethasone treatment for recently di | Y | 02/17/2021 | 09/09/2021 | 204 | PVT | dexAMETHasone,dextrose, digoxin, famotidine, finasteride, glucagon, glucose, insulin aspart, insulin glargine | 2 | 09/14/2021 | Allopurinol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696469 | 09/14/2021 | WI | 78.0 | 78 | M | Admitted on 9/8 due to acute respiratory failure with worsening hypoxia secondary to covid pna. He is chronically immunocompramised secondary to dermatomyositis. On Prednisone 40mg daily (down from 60mg) chronically. | Y | 09/03/2021 | 09/08/2021 | 5 | UNK | acetaminophen, albuterol,aspirin chewable, bisacodyL,carboxyme | 2 | 09/14/2021 | Amoxicillin, Nickel, Amlodipine, Penicillins | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1727063 | 09/23/2021 | WI | 78.0 | 78 | M | hands are hard to control, cant screw light bulb, arm dark red, | N | 06/08/2021 | 06/11/2021 | 3 | PHM | 2 | 09/23/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1740814 | 09/28/2021 | WI | 78.0 | 78 | F | Received Moderna vaccination the same day, Unable to stand, fatigue. | Y | 09/25/2021 | 09/26/2021 | 1 | PHM | Rheumatoid arthritis. | 2 | 09/28/2021 | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1741201 | 09/28/2021 | WI | 78.0 | 78 | F | Patient completed Moderna COVID-19 vaccination series on 2/16/21. Patient presented to reporting hospital with symptoms of general fatigue, decreased oral intake, shortness of breath, cough and found to be in acute hypoxic respiratory failure with a positi | Y | 5 | N | 02/16/2021 | 09/21/2021 | 217 | COVID 19 PCR Test 9/17/21 COVID CT 9/21/21 The cardiomediastinal contours and pulmonary vasculature are within normal limits. Mild interstitial opacities are similar to prior exams. No new focal consolidation There is no pneumothorax or pleural effusion. D | UNK | Norvasc 2.5mg, aspirin 325mg, Wellbutrin XL 150mg, Temovate, Lexapro 20mg, gabapentin 600mg, Insulin Lispro, Levothyroxine 50mg, Cozaar 25mg, Magnesium, Pravachol 40mg, albuterol 2.5mg/3mL | history of heart failure with preserved ejection fraction, hypertensive chronic kidney disease stage I, insulin-dependent diabetes, chronic low back pain, hyperlipidemia, diabetic retinopathy, major depressive disorder history, ostial arthritis of her hip | history of heart failure with preserved ejection fraction, hypertensive chronic kidney disease stage I, insulin-dependent diabetes, chronic low back pain, hyperlipidemia, diabetic retinopathy, major depressive disorder history, ostial arthritis of her hip | 2 | 09/28/2021 | Sulfa antibiotics | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1749556 | 09/30/2021 | WI | 78.0 | 78 | F | Pt fully vaccinated with both doses of the COVID-19 Pfizer vaccine (1/30/2021, 2/19/2021). Pt subsequently tested positive for COVID on 9/17/2021. Pt became ill enough to be hospitalized on 9/28 for bloody vomit, COVID pneumonia, SOB, and weakness. Stil | Y | 2 | N | 02/19/2021 | 09/17/2021 | 210 | OTH | aspirin, atenolol, dabigatran, diltiazem, gabapentin, magnesium, multivitamin, omega-3 fish oil, prednisone, probiotic, ranolazine, rosuvastatin | anemia, arrhythmia, arthritis, a fib (hx, isolated), barrett's esophagus, CAD, chondrocalcinosis, cystocele, diverticulitis, DJD, osteoarthritis, hyperlipidemia, HTN, lumbosacral radiculopathy, murmur, peripheral neuropathy, PUD, spinal stenosis, adenoma o | Had an episode of afib after a flu vaccine | 2 | 09/30/2021 | Y | hydrocodone, morphine, oxycodone, sulfa abx, amiodarone, blue dyes (parenteral), dofetilide, salsalate, sulfamethoxazole-trimethoprim, ciprofloxacin, clarithromycin, levofloxacin, metoprolol, metronidazole, peanut-containing drug products, flu virus vaccin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1758732 | 10/04/2021 | WI | 78.0 | 78 | F | I was sitting out in my sun porch with my dogs in my lap, it started as a trembling and it just got worse and worse. I tried putting a blanket and jacket on and I could barely speak because I was trembling. I went to closest Hospital. We had a good 45 minu | Y | 09/30/2021 | 09/30/2021 | 0 | PVT | prozac 20 mg once daily, gabapentin 300 mg 3 x day, Ditropan 5mg 2 x day, propranolol 40 mg 2 x day, trazodone 50 mg once daily, ezetimibe 10 mg once a day, low dose aspirin 81 mg, multivitamin | diabetes not on medication just diet controlled, migraines, arthritis | vsafe | 2 | 10/04/2021 | Y | Y | latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1759069 | 10/04/2021 | WI | 78.0 | 78 | M | HOSPITAL COURSE: Patient is a 78-year-old gentleman with a history of COPD, chronic nicotine abuse who had presented on September 27 with acute kidney injury complicating his COVID-19 illness. He was initially admitted for COPD exacerbation and hydration | Y | 5 | Y | 04/12/2021 | 09/27/2021 | 168 | UNK | 2 | 10/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1765600 | 10/06/2021 | WI | 78.0 | 78 | F | The patient had a breakthrough case of covid despite getting the moderna vaccine on 1/14/2021, 2/10/2021 and a booster (due to immune-deficient status) on 8/17/2021. The patient's symptoms started on 9/28/2021. She had a positive covid test on 10/5/2021. | Y | 01/14/2021 | 09/28/2021 | 257 | + covid test on 10/5/2021 | OTH | methotrexate, prednisone, diclofenac gel, temazepam, ferrex, tylenol #3, folic acid, protonix, colace, calcium, hydroxychloroquine, spironolactone, irbesartan, carvedilol, atorvastatin, | none | rheumatoid arthritis, coronary artery disease, congestive heart failure, hypertension, sleep apnea, anemia | 2 | 10/06/2021 | Y | amlodipine, brilinta, hydralazine | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1785093 | 10/14/2021 | WI | 78.0 | 78 | F | Pfizer was given 10-12-2021. The resident had received Moderna 1-2-2021 and 1-30-2021. It was requested that he recieve a first dose of Pfizer, Vaccine administration form was completed with inaccurate data at the facility. | Y | 10/12/2021 | 10/12/2021 | 0 | none reported | OTH | unsure | none listed | none listed | 2 | 10/14/2021 | none listed | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1807900 | 10/22/2021 | WI | 79.0 | 78 | M | fully vaccinated, covid death | Y | 10/19/2021 | N | 04/11/2021 | 10/19/2021 | 191 | UNK | 2 | 10/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1808441 | 10/22/2021 | WI | 78.0 | 78 | F | Pt was given an expired high dose flu vaccine. No harm was done. | Y | 10/14/2021 | 10/14/2021 | 0 | PVT | 2 | 10/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1821708 | 10/27/2021 | WI | 78.0 | 78 | F | Pt received 3 doses of the Pfizer COVID-19 vaccine (initial 2 dose series and immunocompromised 3rd dose. Received on 2/4/2021, 2/24/2021, and 8/18/2021 respectively). Pt still contracted COVID and was ill enough to be hospitalized. Symptom onset of 10/ | Y | N | 08/18/2021 | 10/18/2021 | 61 | PHM | azelastine nasal spray, calcium citrate w/ vitamin D, denosumab, diclofenac, dicyclomine, fluticasone-salmeterol, gabapentin, levoceterizine, losartan, mycophenolate, omalizumab, sertraline, trazodone, vitamin D | allergic rhinitis, anxiety, asthma, bronchiectasis, bursitis, cervical ddd, depression, eosinophilia, GERD, HTN, hyperlipidemia, IBS, left carotid bruit, osteoporosis, pulmonary nodules, sciatica, syncope, umbilical hernia | 2 | 10/27/2021 | Y | Melon, Niacin, Cilantro, Fire ants, pineapple, wasp venom, tramadol, papaya derivatives, sulfa antibiotics, amoxicillin-pot clavulanate, fosamax, hydroxyzine, lotensin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1825474 | 10/28/2021 | WI | 78.0 | 78 | F | Pt was hospitalized for a prosthetic joint infection and developed cough, tachypnea, and fever. Tested positive for COVID | Y | N | 03/17/2021 | 10/27/2021 | 224 | 10/27/2021- SARS Coronavirus-2, PCR detected | UNK | 2 | 10/28/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1837240 | 11/02/2021 | WI | 78.0 | 78 | F | Death; prior to death: Extreme lethargy, Global weakness, Difficulty with speech, loss of appetite, difficulty with swallowing | Y | 04/01/2021 | Y | 6 | N | 03/23/2021 | 03/25/2021 | 2 | Hospitalization and CT amongst lab results | PVT | High blood pressure medication, high cholesterol medication, diabetes medication, tylenol/aspirin for blood thinner, vitamin D/K, multi vitamin | None. | PAD, Artherosclerosis with bypass and stent, diabetes, high cholesterol, shunt at 14 due to benign brain tumor | 2 | 11/02/2021 | Y | None. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1839256 | 11/03/2021 | WI | 78.0 | 78 | F | Several hours after the shot my face, ears, neck and below the neck area became bright red and extremely hot. This disappeared after around 45 mins. Each day for the next 6-7 I had 5-10 minute recurrences, sometimes mostly my ears. ( I also had fatigue, b | Y | 10/20/2021 | 10/20/2021 | 0 | None-since it went away, I did not contact my physician. | PVT | Celecoxib, trospium chloride, estradiol. Progesterone, Azelastine, Flovent inhaler with nasal nipple adapter, fiber supplement, milk thistle, turmeric, Zyflamend, MSM. I took Tylenol 12 hours earlier, and also around 4 hours after the boos | None | Arthritis Multiple joint replacements | Same reaction for just one day after second Covid vaccine-age 78; 02/19/2021; Pfizer | 2 | 11/03/2021 | Blue crab; smoke; ragweed; cephalosporins; nabutemone; ciprofloxacin; clindamycin; Demerol; codeine; ondansetron; adhesives | 2021VAERSSYMPTOMS | 2021VAERSVAX |