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You are viewing patients aged: 83, in state: TN

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VAERS_IDRECVDATESTATEAGE_YRSCAGE_YRCAGE_MOSEXRPT_DATESYMPTOM_TEXTDIEDDATEDIEDL_THREATER_VISITHOSPITALHOSPDAYSX_STAYDISABLERECOVDVAX_DATEONSET_DATENUMDAYSLAB_DATAV_ADMINBYV_FUNDBYOTHER_MEDSCUR_ILLHISTORYPRIOR_VAXSPLTTYPEFORM_VERSTODAYS_DATEBIRTH_DEFECTOFC_VISITER_ED_VISITALLERGIESLink 1Link 2
092212901/05/2021TN83.083MRedness, bumps, minor burning pain limited to forehead and chin. Pt washed hair and applied lotion to mitigate the minor burning sensation. Pt advised he noticed onset at about 6 hours post injection on same day, Saturday, January 2, 2021. As of this daY01/02/202101/03/20211Blood pressure was slightly elevated. Pulse was slightly elevated. Oxygen saturation level was mid-90's.PUBatorvastatin 40mg, clopidogrel 75mg, metroprolol tartrate 25mg, multivitamin, vitamin D, losartan 50mg, levothyroxine 25mg, aspirin 81mg, Humalog insulin, Lantus insulinchronic conditions listed below and treated by above listed medsinsulin dependent type I diabetic, HBP, high cholesterol, see above meds list for typical approved indications201/05/2021none known2021VAERSSYMPTOMS2021VAERSVAX
093464701/11/2021TN83.083MVaccine was incorrectly reconstituted by LPN with 0.8mL of NS instead of 1.8mL. After reconstituting with 0.8mL of NS, a dose of 0.3mL was given to patient. After injection, patient waited in office for 15 minutes. No adverse events were reported after admY01/11/202101/11/20210PVTUnknownUnknownUnknown201/11/2021Penicillin2021VAERSSYMPTOMS2021VAERSVAX
093560501/11/2021TN83.083FITCHING AND REDNESS AT INJECTION SITE 7-8 DAYS AFTER RECIEVING VACCINE.N12/30/202001/07/20218PUBSX STARTED 7-8 DAYS AFTER COVID VACCINE (MODERNA). ITCHING AND REDNESS AT INJECTION SITE.NONEUNKNOWN201/11/2021BEES2021VAERSSYMPTOMS2021VAERSVAX
094211901/13/2021TN83.083MRash all over the body, very bad Itchy. It started 1/12/21.N01/06/202101/12/20216noPUBnonono201/13/2021no2021VAERSSYMPTOMS2021VAERSVAX
098853901/30/2021TN83.083FShortness of breath, rapid heart, nervous, oxygen dropped I had to rush her to Emergency Room at hospital. She was placed on oxygen, giving multiple breathing treatments, rocephine, and steriods.Y3U01/27/202101/28/20211Blood gases: 1-28-2021 or 1-29-2021 CT Scan:1-28-2021 Breathing treatments: 1-28-2021, 1-29-2021 and 1-30-2021 Bloodwork: 1-28-2021 and1-29-2021OTHCarbidopa/Levadopa Ropinrole HCL Gabapentin Vitamin B 6 Vitamin D 3 Calcium Citrate Sertailine HCL Ferrous Gluconate Atenolol Ipratropium Bromide Nasal SolutionN/AParkinson's Disease201/30/2021YDoxycycline2021VAERSSYMPTOMS2021VAERSVAX
100483202/05/2021TN83.083FSudden onset of red and swollen arm, tiredness, weakness, trembling, chills, fever (100.1), dizziness, headache, runny nose, loss of appetite,cough After 24 hours began to dissipate. It is now the 3rd day and except for tiredness I'm feeling more normalY02/03/202102/03/20210nonePUBLisinopril Theracran Osteo-Biflex Biotin Vit. D Fish oil Areds PreservisionnonenoneLess severe reaction to shingles shot and tetanus vaccine202/05/2021sulfa2021VAERSSYMPTOMS2021VAERSVAX
102084902/10/2021TN83.083FPossible cellulitisU11/12/202011/16/20204N/APHMLisinopril-HCTZ 20-12.5 mgN/AN/A202/10/2021YPenicillin2021VAERSSYMPTOMS2021VAERSVAX
102414502/11/2021TN83.083F--Patient (and patient's husband) report that patient was given 2 doses of Pfizer Covid 19 vaccine 6 days apart at the Health Department. --First dose: 2/3/21. Second dose: 2/9/21 --Patient was admitted to hospital on the evening of 2/9/21 with weakness,Y2Y02/03/202102/09/20216n/aPUBLasix, Aldactone, Hydrochlorothiazide, Synthroid, Prilosec, TylenolCough and weakness 2-3 days before Vaccine.Chronic Systolic Heart Failure, Hypothyroidism, Coronary artery disease202/11/2021Ampicillin, Ciprofloxacin, Latex, Neosporin, Penicillin, Sulfa drugs, Tape, Tetracyclines2021VAERSSYMPTOMS2021VAERSVAX
107962403/07/2021TN83.083FContacted by caregiver. Patient spiked temperature of 103 deg at about midnight. Unable to bring fever down. Patient is diabetic and unable to take fluids and eat according to caregiver. Blood sugar elevated but unable to provide value. Patient does not hU03/06/202103/07/20211PHMUnknownDiabetes203/07/2021YNone reported2021VAERSSYMPTOMS2021VAERSVAX
108454603/09/2021TN83.083FShe was on the home from the vaccine and felt tightening of her face, and got home and looked in the mirror and her face was red. She does have rosacea but this was worse. After she got home she began to feel her heart beating rapidly. She had taken herN03/05/202103/05/20210None.OTHOmeprazole, Metoprolol, Losartan, Triamterene Hydrochlorotthiazide, Zyrtec, baby aspirin,Episode of gout in her big toe about 2 weeks prior.Mitral valve prolapse, pulmonary hypertension, osteoarthritis.203/09/2021Pecans, Clindamycin, Erythromycin, Lortab, Verapamil, Acetiminophen, Nitrofurantoin, Ramapril, Fosinopril, sulfa.2021VAERSSYMPTOMS2021VAERSVAX
109144203/11/2021TN83.083M100's of small blisters on arm and hand that itch.N02/25/202103/05/20218nonePUBnoneDibetes, High blood pressure203/11/2021none2021VAERSSYMPTOMS2021VAERSVAX
110244803/15/2021TN83.083FSevere bilateral sudden onset hearing loss hearing 2/18/2021YN01/31/202102/18/2021183/1 hearing test, bilateral steroid injections into each ear 3/8 hearing test (no improvement), bilateral steroid injections into each ear, prescription of Valtrex (1 tablet 2x/day for 10 days) added 3/12 MRI 3/15 hearing test (no improvement), bilateral PUB1 arthritis strength Tylenol at bedtimeNoneNone203/15/2021YCefalexin2021VAERSSYMPTOMS2021VAERSVAX
110280003/15/2021TN83.083MPatient received a covid vaccine on 03/05/2021. Daughter reports there were no side effects that night or the following days. The next Saturday, March 13, 2021, the daughter was at her parents house checking up on them. Her father was in the bathroom Y03/13/2021N03/05/202103/13/20218PUBLOSARTAN 25 MG DAILY SPIRONALACTONE 25 MG DAIL ELIQUIS 5MG BID ASA 81MG DAILY ATORVASTATIN 20MG DAILY IRON 325MG DAILY FINASTERIDE 5MG DAILY GABAPENTIN 300MG DAILY MELATONIN 3MG DAILY LASIX 40MG BID- PRN VIT B12 INJECTION 1ML MONTHLY BENADCOPD CAD CHF203/15/20212021VAERSSYMPTOMS2021VAERSVAX
111264903/18/2021TN83.083MStroke, Acute Ischemic Left MCA StrokeY7YN02/19/202102/22/2021302/22/2021 - 02/28/2021 Hospital 02/28/2021 - 03/13/2021 ReabilitationPVTfolic acid, vitamin C, vitamin D3 , Lorsartan, baby aspirin, Zyrtek, aldactone, trelegy, protonix, ferrous sulfate, Coreg, Simvistatin, albuterol sulfatenoneCOPD, anemia, afib203/18/2021Ynone2021VAERSSYMPTOMS2021VAERSVAX
112546903/23/2021TN83.083FPER FAMILY PATIENT PASSED AWAY 2/28/2021Y02/28/2021N02/16/202102/28/202112UNKNOWNPUBunknownunknownunknown203/23/2021egg, flu vaccine, penicillin2021VAERSSYMPTOMS2021VAERSVAX
115759304/01/2021TN83FHigh blood pressure of 197/97, and 226/106; pains in navel, aching; headache; dizziness; A spontaneous report was received from a consumer who was an 83-year old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events dizU02/23/202102/23/20210UNKLOSARTANMedical History/Concurrent Conditions: Allergic reaction to antibiotics (amoxicillin); Allergy to vaccine (tetanus shots); Drug allergy (sulfa)USMODERNATX, INC.MOD20210203/31/20212021VAERSSYMPTOMS2021VAERSVAX
117536804/07/2021TN83.083FModerna vaccine #1 administered on 1/18/21 Adverse event observed 1/24/21 @ 1am: soft tissue swelling eyelids, cheeks, lips. No swelling of gums, tongue or throat. Severity: Moderate. No airway obstruction. Severe itching of eyelids, face. Interference wiN01/18/202101/24/20216none. Seeking dermatology consultation tomorrow 4/7/21.SENlisinopril statin thyroid hormone citalopram calcium biotin vitamin d multi vitamin cranberrynoneHTN204/07/2021Ynone in lifetime2021VAERSSYMPTOMS2021VAERSVAX
118648004/09/2021TN83.083FA lump has formed under her right arm and breast. Her physician has scheduled her for a scan and says the lump needs to be removed.N03/31/202104/05/20215Scan to be conducted on 5/11/2021SENAlprazolam 0.25 mg; Eliquis 5 mg; Fish Oil 1000 mg; Protonix 40 mg.; furosemide 20 mg.; Vitamin D3, 5000 unitsnone notedpost stroke; Afib; heart valve replacement; hear/kidney stents; CAD; past benigh brain tumor; past right side aneurism.204/09/2021Ynka2021VAERSSYMPTOMS2021VAERSVAX
139262806/11/2021TN83.083Flow grade fevers, dry heaves, myalgias. Patient treated with acetaminophen and IV fluidsU05/08/202105/08/20210CT chest, abdomen, pelvis--- > mild diffuse ground glass opacities predominantly in mid and lower lung fields. Blood cultures---no growthUNKApixaban, albuterol, furosemide, hydrocodone/ APAP, lisinopril, metoprolol, spironolactone, amiodarone,atrial fibrillation, diastolic congestive heart failure, transcatheter aortic valve replacement, asthma, hypertension, degenerative joint disease of knees, vertigo206/11/2021Yno known2021VAERSSYMPTOMS2021VAERSVAX
151069107/28/2021TN83.083MDeath; paralyzed before, couldn't breath, tired, weakY04/16/2021N04/14/202104/14/20210PVTDiabetes Shot and Pills, GabatinUncontrolled Diabetes Mellitus, Coronary Artery Disease, Chronic Obstructive Pulmonary Disease, Chronic Kidney Disease Stage 3B207/28/20212021VAERSSYMPTOMS2021VAERSVAX
151526507/30/2021TN83.083FPatient tested positive for COVID on 07/26/2021 after completion of Pfizer vaccine regimen in January 2021YY01/01/202107/26/2021206COVID Antigent Test and COVID Biofire TestPVTEliquis, Vitamin D3, Prolia, Trelegy, Lasix, Duoneb, Keppra, Meclizine, Melatonin, Protonix, Potassium, Evista, Sotalol and AREDSSeizure disorder, Breast Cancer, COPD, Osteoarthritis, Osteoporosis, Rheumatoid arthritis and GERD207/30/2021Ambien, Penicillin and Singulair2021VAERSSYMPTOMS2021VAERSVAX
153631508/09/2021TN83.083MFULLY VACCINATED CASE DECEASED 8/6/21Y02/11/202108/06/2021176UNK208/09/20212021VAERSSYMPTOMS2021VAERSVAX
154762708/12/2021TN83FItchiness and swelling at Injection site; Itchiness and swelling at Injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PRURITUS (Itchiness and swelling at Injection site) and VACCINATION SITE SU02/04/202102/11/20217UNKUSMODERNATX, INC.MOD20210208/10/20212021VAERSSYMPTOMS2021VAERSVAX
156304208/15/2021TN83.083FThis spontaneous case was reported by a consumer and describes the occurrence of DYSGEUSIA (Metallic taste) in an 83-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043L20A) for COVID-19 vaccination. No Medical HistU02/23/202103/01/20216UNKUSMODERNATX, INC.MOD20210208/11/20212021VAERSSYMPTOMS2021VAERSVAX
157418408/16/2021TN83.083FPatient hospitalized beginning 8/14/2021..Symptoms:altered mental status, respiratory distress; Nonrebreather mask; BiPAP setting above 90%; Treatment: dexathasone and remdesivir, Vancomycin and Rocephin. Hospitalization ongoing in CCU.Y3N03/13/202108/14/20211548/14/21 Laborary results: BNP 1260, D-dimer 1.1, troponin T of 36. Chest x ray: multifocal infiltratesPUBUnknown;Unknown;A-Fib, COPD, HTN, Obesity; Hyperglycemia; Heart failure; Fibromyalgia; DM;208/16/2021NKDA2021VAERSSYMPTOMS2021VAERSVAX
157424908/16/2021TN83.083MPATIENT WITH CHRONIC HYPOXIC RESP FAILURE WITH HOME O2 AT 4L. HAD RECENT HOSPITALIZATION FOR COVID PNE. PRESENTED TO A MEDICAL CENTER DUE TO WORSENING SHORTNESS OF BREATH. O2 INCREASED TO 7L INCREASE WEAKNESS NOTED. EMS CALLED AND BROUGHT TO ER. PATIENT TRY04/01/202108/15/20211368/15/2021 COVID PCR = DETECTED.PUBUNKNOWNUNKNOWNCOPD208/16/2021YYSULFA DRUGS2021VAERSSYMPTOMS2021VAERSVAX
159141008/20/2021TN83.083MWEAKNESSY07/20/2021Y5N02/06/202107/15/2021159POSITIV COVID TESTPVTAKI, CARDIAC ARRHTHMIA,208/20/20212021VAERSSYMPTOMS2021VAERSVAX
159197108/20/2021TN83.083MCOVID VACCINATIONS 1/6/21 MODERNA LOT # 032H20A GIVEN AT HEALTH DEPT SECOND DOSE NOTED ABOVE. PATIENT SEEN AT ER. TRANSFERRED TO MEDICAL CENTER FOR HIGHER LEVEL OF CAE. PATIENT NOTED TO HAVE FEVERS 101, PRODUCTIVE COUGH, SHORTNESS OF BREATH. REQUIRED 3L OFY4U02/03/202108/14/20211928/14/21 SARS COV2 LAB = POSITIVE AT MEDICAL CENTERPUBUNKNOWNUNKNOWNUNKNOWN208/20/2021YCIPRO MACROBID IODINE BACTRIM2021VAERSSYMPTOMS2021VAERSVAX
160472608/21/2021TN83.083Fbone pain; Joint pain; muscles pain; headache; This spontaneous case was reported by a consumer and describes the occurrence of BONE PAIN (bone pain), ARTHRALGIA (Joint pain), MYALGIA (muscles pain) and HEADACHE (headache ) in an 83-year-old female patienU03/05/2021UNKUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
160595108/22/2021TN83.083Fseeing downhill and uphill around the house; This spontaneous case was reported by a consumer and describes the occurrence of FEELING ABNORMAL (seeing downhill and uphill around the house) in an 83-year-old female patient who received mRNA-1273 (Moderna COU03/05/202103/05/20210PUBCATAPRES [CLONIDINE]; GABAPENTIN; SIMVASTATIN; ATENOLOL; CYMBALTA; SYNTHROID; ALPRAZOLAMCataract; Enlargement of lymph nodes (A week before getting Moderna vaccine, the patient noticed enlarge lymph node in her arm and elbow, the patient is scheduled for a biopsy)USMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
160595408/22/2021TN83.083Farm appears a half inch long tiny blood vessel that may be burst; feels hard; above the injection site is red; above the injection site is hot; inch and a half in size; dark discoloration in the center; This spontaneous case was reported by a consumer and Y03/05/202104/10/202136PUBCATAPRESS; GABAPENTIN; SIMVASTATIN; ATENOLOL; CYMBALTA; SYNTHROID; ALPRAZOLAMCataract; Enlargement of lymph nodes (Patient noticed a week before getting Moderna vaccine, the patient is scheduled for a biopsy)USMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
160642008/22/2021TN83.083Mswelling in left nipple; tenderness in left nipple; This spontaneous case was reported by a consumer and describes the occurrence of NIPPLE SWELLING (swelling in left nipple) and TENDERNESS (tenderness in left nipple) in an 83-year-old male patient who recN03/29/2021UNKELIQUIS; LOSARTANUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
160796308/22/2021TN83.083MMuscle pain in the back; Muscle pain in the legs; second vaccine received on day 47; body ache; This spontaneous case was reported by a consumer and describes the occurrence of BACK PAIN (Muscle pain in the back), PAIN IN EXTREMITY (Muscle pain in the legsU02/25/202104/14/202148UNKHypertensionUSMODERNATX, INC.MOD20210208/12/20212021VAERSSYMPTOMS2021VAERSVAX
162608508/24/2021TN83.083MRash at injection site; Itchy at injection site; Warm at injection site; Soreness at the injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (Soreness at the injection site), VACCINATION SIY01/06/202101/06/20210UNKUSMODERNATX, INC.MOD20210208/23/20212021VAERSSYMPTOMS2021VAERSVAX
164101408/27/2021TN83.083MCase had covid vaccines x 2 with last dose administered on 2/17/2021. Developed symptoms of Covid 19 on 8/17/2021. Case had a positive COVID 19 lab test on 8/18/2021 was admitted to Medical Center. Case Expired while still hospitalized on 8/21/2021.Y08/21/2021U02/17/202108/17/2021181PUB208/27/20212021VAERSSYMPTOMS2021VAERSVAX
164131908/27/2021TN83.083FPt. passed of COVID19 in August after being fully vaccinated in JanuaryY08/17/2021N01/28/202108/17/2021201PUBDementia, Arthritis, HTN208/27/20212021VAERSSYMPTOMS2021VAERSVAX
170008209/15/2021TN83.083FCOVID ASSOCIATED DEATH; PT FULLY VACCINATED.Y09/01/2021N02/04/202109/01/2021209PUB209/15/20212021VAERSSYMPTOMS2021VAERSVAX
170390409/16/2021TN83.083MCOVID RELATED DEATH; FULLY VACCINATEDY09/15/2021N02/22/202109/15/2021205PUB209/16/20212021VAERSSYMPTOMS2021VAERSVAX
173570109/26/2021TN83.083F9/17/21 SEEN AT MEDICAL CENTER ER REPORTED COVID POSITIVE ON 9/12/21 COMPLAINS OF INCREASE WEAKNESS AND SOB, MILD CHEST WALL PAIN. DX; WITH PNEUMONIA DUE TO COVID 19 VIRUS. OXYGEN IN TH EUPPER 80S REQUIRING O2. ADMITTED TO INPATIENT STATUS. DISCHARGED ON Y5U02/27/202109/17/20212029/12/21 COVID-19 = DETECTEDPVTUNKNOWNUNKNOWNDM TYPE 2, PAROXYSMAL ATRIAL FEB. HTN, HLD, HISTORY OF PE/DVT, SMA OCCULSION, S/P SM BOWEL RESECTION SECONDARY TO SB OBSTRUCTION.209/26/2021YACCUPRIL, CODEINE,METHADONE, PENICILLIN, SULFONAMIDES2021VAERSSYMPTOMS2021VAERSVAX
175348310/01/2021TN83.083MAdmitted on 9/21 with syncope spell and sense of weakness with 2 day history of nausea and diarrhea. Revealed COVID-19 pneumonia requiring 8L O2 with severe stenosis with regurgitation (not candidate for TAVR). Underwent dialysis with several episodes of Y09/30/2021N02/24/202109/21/2021209PVTkidney disease210/01/2021none2021VAERSSYMPTOMS2021VAERSVAX
176815110/07/2021TN83.083FDiagnosed with COVID on 9/22 and treated OP with antibiotics and monoclonal antibody infusion. Admitted to hospital on 10/5 with increasing chest pain and shortness of breath. Abnormal EKG. Cardiology and Nephrology followed patient. COVID + on admissionY10/05/2021N09/03/202110/05/202132PVTend-stage renal disease, Hypertension, CAD with pacemaker210/07/2021Codeine, Penecillin2021VAERSSYMPTOMS2021VAERSVAX
177662810/11/2021TN83.083MPT EXPIRED; COVID BREAKTHROUGH CASEY10/10/2021N02/03/202110/10/2021249PUB210/11/20212021VAERSSYMPTOMS2021VAERSVAX
181892410/26/2021TN83.083FPatient fainted after her third covid Pfizer vaccine. She became alert after several minutes. She drank some water and applied cold wet paper towels to her neck. After several minutes of being alert she was not able to answer questions consistently. At tY10/25/202110/25/20210PHMHydrocortisone 20 mg twice a day210/26/2021No know allergies2021VAERSSYMPTOMS2021VAERSVAX
182503710/28/2021TN83.083FThere has not been any adverse event at this time. Patient was administered 0.3 ml of undiluted pfizer dose10/28/202110/01/2021PHM210/28/20212021VAERSSYMPTOMS2021VAERSVAX
183355111/01/2021TN83.083Fweak, fever, chills, shaky, achy, sore throat, pain at injection site..... aspirinN10/28/202110/28/20210UNK211/01/20212021VAERSSYMPTOMS2021VAERSVAX
186448411/12/2021TN84.083Fshe has very bad lungs.; sitting down at the moment because she is very sick.; can't remember words because the chemo knocked it out of her brain; This spontaneous case was reported by a consumer and describes the occurrence of LUNG DISORDER (she has very U12/30/2020UNKCancer (for a long time); Chemo brain; ChemotherapyUSMODERNATX, INC.MOD20213211/12/20212021VAERSSYMPTOMS2021VAERSVAX