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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0929997 | 01/08/2021 | WI | 86.0 | 86 | M | Patient received vaccine on 1/4/2021. He was in Hospice for CHF and renal failure, but was able to get up in his wheelchair and eat and take medications and talk. On 1/5/2021 am, he was noted to be very lethargic an could only mumble, could not swallow. | Y | 01/07/2021 | N | 01/04/2021 | 01/05/2021 | 1 | He did not have testing at that point because he was on Hospice. | SEN | Amlodipine 5 mg daily, Dexamethasone 4 mg daily (for itching related to renal failure), Isosorbide dinitrate 30 mg daily, Levothyroxine 0.075 mg daily, Bisoprolol 5 mg BID, Furosemide 80 mg BID, saline nasal spray, Tylenol 1000 mg PO TID | none acute | He was on hospice for about the last 1 month for CHF (EF 20-25%) and renal failure (creat 3-4). He was on hospice but was up and around and able to eat and take pills. The day after he had his injection, he was very lethargic and only mumbled. Was not a | 2 | 01/08/2021 | Losartan, lisinopril, metoprolol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0977023 | 01/26/2021 | WI | 86.0 | 86 | M | Bell?s palsy on left side (onset 01/24) T/t Valacylovir 1000 mg PO TID x 1 week and prednisone 60 mg PO Daily x 1 week. | Y | 01/12/2021 | 01/23/2021 | 11 | OTH | 2 | 01/26/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1005663 | 02/05/2021 | WI | 86.0 | 86 | F | Per report from family member illness started with fever, chills and increasingly progressed to needing emergency care | Y | N | 01/26/2021 | 01/27/2021 | 1 | ORGANISM IDENTIFICATION (Status: Final 02/02/2021 07:04) History Collected: 01/31/2021 10:30 Posted: 02/02/2021 07:04 Source: BLOOD OTHER (SPECIMEN) Reported by: LAB- Notes: ICD: PNEUMONIA,SEPTICEMIA | PUB | unknown | unknown | CHF, unknown full health history | 2 | 02/05/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1006199 | 02/05/2021 | WI | 86.0 | 86 | F | Red itchy rash area slightly below injection site about 2 x 2" Very slightly swollen. | N | 01/27/2021 | 02/04/2021 | 8 | None | PVT | Eliquis, ,Metoprolol, ,Lisinopril, Spironolactone, Furosemide, Levothroxine, Vit D-3, Vit. C | None | Congestive Heart Failure | 2 | 02/05/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1012038 | 02/08/2021 | WI | 86.0 | 86 | F | mild soreness at injection site 0-1 days after injection "like any other shot" then 2/4 began with itchiness and some "pink." Progressively more itchy with spreading redness over weekend. No pain. No other symptoms. | N | 01/27/2021 | 02/04/2021 | 8 | Unknown, referred to PCP | PUB | Unknown | unknown | unknown | 2 | 02/08/2021 | Y | seasonal allergies with "runny nose" | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1031882 | 02/15/2021 | WI | 86.0 | 86 | M | No adverse event reported. It was determined that only air was administered at time of vaccination. | Y | 02/12/2021 | 02/12/2021 | 0 | None | PHM | No KNown | No Known | No Known | 2 | 02/15/2021 | No Known | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1034127 | 02/16/2021 | WI | 86.0 | 86 | F | 2/6/21 she had a rash the size of a tennis ball that was pink in color not red, cough for one day, and chills for one day. The rash was gone as of 2/10/21. Patient states her arm is back to normal and has no questions or concerns. | Y | 01/28/2021 | 02/06/2021 | 9 | none | UNK | 2 | 02/16/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1052229 | 02/24/2021 | WI | 87.0 | 86 | M | On Saturday 2/20 I had what appeared hemorrhaging through penis, it lasted 1/2 or so which looked like a menstural cycle, there was a lot of blood loss, headache and I took blood thinner which helped. I called my doctor and they suggested if it didn't reso | Y | 02/18/2021 | 02/20/2021 | 2 | None done | PUB | Allopurinol, Dutasteride 1/2mg cap, Metoprolol Succinate 12 1/2mg, Chemo pill - Bicalutamide 50mg tab, Xarelto, | Preparation for radiation scheduled in March, I receive injections to prepare my system and take the Chemo pill. | I've got and aggressive prostate cancer and lung problems, stage 3 kidney disease | 2 | 02/24/2021 | Latex | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1054045 | 02/25/2021 | WI | 86.0 | 86 | F | Chest pain | Y | U | 02/23/2021 | 02/23/2021 | 0 | Elevated troponin | PHM | Lisinopril 40 mg QD, Metoprolol tartrate 25 mg BID, Atorvastatin 40 mg QD, Potassium Cl ER 20 mEq QD, Ketorolac 0.5% eye drop QD right eye, Ipratropium/albuterol 0.5/3(2.5) mg QID, Umeclidinium 62.5 mcg inhaler, Oxycodone 10 mg PRN, Nitrogl | COPD, essential hypertension, mixed hyperlipidemia, CKD stage 3, atrial fibrillation, atherosclerotic heart disease of coronary artery | 2 | 02/25/2021 | NDKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1085854 | 03/09/2021 | WI | 86.0 | 86 | F | Received 2nd COVID 19 vaccine 3/4/21. On 3/5/21, was tired, but otherwise did okay. On morning of 3/6/21, she awoke short of breath, felt hot, was a little nauseated, and did not take her medication. She has gradually grown more short of breath and dist | Y | 3 | 03/04/2021 | 03/06/2021 | 2 | PVT | 2 | 03/09/2021 | Y | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1095594 | 03/12/2021 | WI | 86.0 | 86 | F | Starts around 4 pm. Lot of pain right side of face like: 1. toothache, whole jaw aches 2. neck arthritis 3. sinus infection 4. ear infection all at the same time. Strong pain all through right side of face, sometimes up through eye. Worse lying | N | 02/19/2021 | 02/24/2021 | 5 | Checks by my Internist of ears, sinuses, neck, no laboratory tests although those were done end of January for my 2/3/2021 annual physical; saw my chiropractor 3/10/2021, adjustment gave some relief but only for a day or two | OTH | losartan; metformin; propranolol; lovastatin; | diabetes controlled - A1c 6 | 2 | 03/12/2021 | Y | chocolate | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1101784 | 03/15/2021 | WI | 86.0 | 86 | M | The day after receiving his second COVID19 vaccine, he comes to our ER brought in by his neighbor. Patient apparently was found down in the house. He was covered in feces. Patient is confused, and is not able to give a good history. Apparently his daug | Y | 03/04/2021 | 03/05/2021 | 1 | PVT | 2 | 03/15/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1146025 | 03/29/2021 | WI | 86.0 | 86 | M | fever/chills/diarrhea x 2 weeks | Y | U | 03/18/2021 | 03/19/2021 | 1 | CT scan (liver abscess), WBC 18.4, Abs# Neutrophils 15.9 thou/mcl, AST 154, ALT363, Alk Phos 202 | OTH | unknown | Hx liver abscesses | 2 | 03/29/2021 | Y | NKMA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1168622 | 04/05/2021 | WI | 86.0 | 86 | F | Pt started late in the day w/ CP and SOB, was transported to Hospital by EMS . Pt passed away once at the facility. Time of Death was: 2011 on 4/1/21; pt was discharged from ER on 4/2/21 | Y | 04/01/2021 | N | 04/01/2021 | 04/01/2021 | 0 | PVT | 2 | 04/05/2021 | Y | NKDA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1196905 | 04/12/2021 | WI | 86.0 | 86 | M | Patient vaccinated on Wednesday 4/7/21, left bandaid on until Friday or Saturday, does not recall which day. States at that time he noticed soreness near injection site. Does not have fever, chills, or any other complaints. Presented to vaccine clinic f | U | 04/07/2021 | 04/09/2021 | 2 | none known | PUB | unknown | unknown | unknown | 2 | 04/12/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1266411 | 04/28/2021 | WI | 86.0 | 86 | F | Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. | Y | 3 | 03/16/2021 | 03/23/2021 | 7 | OTH | 2 | 04/28/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271756 | 04/29/2021 | WI | 86.0 | 86 | F | Client COVID PCR positive on 12/04/2021. Vaccinated with Moderna on 02/03/2021 and 03/03/2021. COVID PCR Presumptive on 4/26/2021 and listed as suspect reinfection. Client hospitalized on 4/26/2021 with signs of bowel obstruction, but also noted to be diag | Y | U | 03/03/2021 | 04/26/2021 | 54 | 12/4/2021 Covid PCR positive 4/26/2021 Covid PCR Presumptive 4/28/2021 Covid PCR Negative 4/28/2021 Covid IGG Negative | UNK | unknown | unknown | unknown | 2 | 04/29/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1271844 | 04/29/2021 | WI | 86.0 | 86 | F | Admitted to hospital 4/23/2021 with syncopal episode. Discharged to home 4/25/2021. Covid vaccination history: Pfizer 2/1/2021 and 2/23/2021. Covid PCR positive on 4/23/2021. Submitter does not have access to further vaccine or hospital medical records. | Y | Y | 02/23/2021 | 04/23/2021 | 59 | Covid PCR positive 4/23/2021 | UNK | unknown | unknown | unknown | 2 | 04/29/2021 | unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1344079 | 05/24/2021 | WI | 86.0 | 86 | F | Covid-19 vaccine administrations (Moderna) 3/23/21 lot# 013A21A 4/20/21 lot# 013A21A Admission to Hospital (5/2/21 ? 5/10/21) for hypertension and acute on chronic back pain requiring ICU admission, hyponatremia thought to be due to SIADH. CT of abdomen d | Y | 7 | U | 04/20/2021 | 05/02/2021 | 12 | See above | UNK | acetaminophen (TYLENOL) 325 MG tablet Take 650 mg by mouth every 4 (four) hours as needed for Pain. acetaminophen (TYLENOL) 650 MG suppository Place 650 mg rectally every 4 (four) hours as needed for Fever. amLODIPine (NORVASC) 10 MG | HTN, HLD, osteoporosis, stress incontinence, DM diet controlled, GERD | 2 | 05/24/2021 | diclofenac (swelling), cephalexin (rash), penicillin (rash), prednisone (anxiety), tetracycline (confusion) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1346465 | 05/25/2021 | WI | 86.0 | 86 | M | On 3/20 this patient started exhibiting right sided facial droop and paralysis of right arm and leg, dysphagia. On 3/25 he was discharged from the hospital on hospice. | Y | Y | 5 | Y | N | 02/24/2021 | 03/20/2021 | 24 | MRI during hospitalization revealed acute infarct in the superior right parietal centrum semi ovale. | SEN | Sertraline Senna Omega 3 Mirtazapine Metoprolol Furosemide Famotidine Donepezil Calcium Atorvastatin ASA APAP | None | CKD Heart failure HTN BPH Cardiac arrhythmia GERD Hyperlipidemia Dementia | 2 | 05/25/2021 | No known allergies. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1346659 | 05/25/2021 | WI | 86.0 | 86 | M | Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. diagnosis was Myasthenia gravis with acute exacerbation. | Y | 9 | 04/21/2021 | 05/11/2021 | 20 | OTH | 2 | 05/25/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1418083 | 06/22/2021 | WI | 86.0 | 86 | F | Incidence of myalgia with the Pfizer vaccine is between 38.3% to 42.2% and typically at the injection site. This patient developed myalgia and polyneuropathy 2-3 weeks prior to inpatient admission and attributed the symptom onset with the administration of | Y | 8 | 05/19/2021 | 05/19/2021 | 0 | UNK | Gabapentin, lisinopril, Plavix, citalopram, levothyroxine | 2 | 06/22/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1426836 | 06/25/2021 | WI | 86.0 | 86 | M | The patient received his first dose of Pfizer COVID vaccine 6/9/21 at pharmacy. He was then admitted 6/20/21 at hospital with abdominal pain, sepsis and a suspected aspiration event and expired on 6/23/21. This was felt by the treating physicians to be mos | Y | 06/23/2021 | Y | 4 | N | 06/09/2021 | 06/20/2021 | 11 | PHM | acetaminophen, amlodipine, carvedilol, lisinopril, melatonin, memantine, quetiapine, terazosin, warfarin | dementia, hypertension, atrial flutter, BPH | 2 | 06/25/2021 | quinine, sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1427827 | 06/25/2021 | WI | 86.0 | 86 | F | Patient had a 3rd dose of the Moderna COVID-19 vaccine administered. Patient was advised (by unknown healthcare provider) to restart the Moderna COVID-19 vaccine two dose series because she contracted the COVID-19 disease after her first dose, but before t | 06/22/2021 | 06/22/2021 | 0 | SEN | 2 | 06/25/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454186 | 07/07/2021 | WI | 86.0 | 86 | F | Patient admitted to hospital on 06/29/2021 with non COVID reasons (compression fractures). Was (-) on admission. Discharged and readmitted on 07/03/2021 with admission screen of COVID (+). Asymptomatic. Hospital admission for non COVID reasons (back pain d | Y | 4 | N | 02/27/2021 | 07/03/2021 | 126 | 6/29/21 COVID19, SARS-CoV-2/2019-nCoV RNA XXX NAA+probe-Imp NEGATIVE 7/3/21 COVID19, SARS-CoV-2/2019-nCoV RNA XXX NAA+probe-Imp POSITIVE 7/4/21 COVID19, SARS-CoV-2/2019-nCoV RNA XXX NAA+probe-Imp NEGATIVE 7/6/21 COVID19, SARS-CoV-2/2019-nCoV RNA X | PHM | Hospitalized for back pain secondary to compression fractures. | 2 | 07/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1454194 | 07/07/2021 | WI | 86.0 | 86 | F | Patient admitted to hospital on 06/29/2021 with non COVID reasons (compression fractures). Was (-) on admission. Discharged and readmitted on 07/03/2021 with admission screen of COVID (+). Asymptomatic. Hospital admission for non COVID reasons (back pain d | Y | 4 | N | 03/27/2021 | 07/03/2021 | 98 | 6/29/21 COVID19, SARS-CoV-2/2019-nCoV RNA XXX NAA+probe-Imp NEGATIVE 7/3/21 COVID19, SARS-CoV-2/2019-nCoV RNA XXX NAA+probe-Imp POSITIVE 7/4/21 COVID19, SARS-CoV-2/2019-nCoV RNA XXX NAA+probe-Imp NEGATIVE 7/6/21 COVID19, SARS-CoV-2/2019-nCoV RNA X | PHM | Hospitalized for back pain secondary to compression fractures. | 2 | 07/07/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1509897 | 07/28/2021 | WI | 86.0 | 86 | F | Pt presented to ER with stroke like symptoms. On routine admission test, pt tested positive for COVID-19, after previously having both doses of the COVID-19 vaccine on 2/3/2021 and 2/24/2021. Notes from provider: "2. Covid 19 + despite Pfizer vaccination | Y | 02/24/2021 | 07/24/2021 | 150 | OTH | apixaban, atorvastatin, calcium, clopidogrel, furosemide, glimepiride, metoprolol, multivitamin, vitamin D3 | Acute HFrEF, acute respiratory failure, CAD, DM type 2, dysarthria, dysphagia, hypercholesterolemia with hypertriglyceridemia, HTN, hypovitaminosis (D), a-fib, NSTEMI, Osteoarthritis, osteoporosis, rheumatoid arthritis, hx of epistaxis requiring chemical c | 2 | 07/28/2021 | "insect extract allergy skin test", amlodipine, Bee Venom, Dust mite extract, nutritional supplements | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1558924 | 08/15/2021 | WI | 86.0 | 86 | M | Stiffness of the neck; Weakness in the body; Headaches; A little achiness, gotten worse, feel achy; This spontaneous case was reported by a consumer and describes the occurrence of PAIN (A little achiness, gotten worse, feel achy), MUSCULOSKELETAL STIFFNES | U | 02/16/2021 | 02/16/2021 | 0 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1563794 | 08/15/2021 | WI | 86.0 | 86 | F | Left arm swelling; Warmth on the left arm; Redness; Generalized weakness; Dizziness; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Left arm swelling), VACCINATION SITE WARMTH (Warmth on the left arm), | Y | 03/05/2021 | 03/05/2021 | 0 | UNK | XARELTO; ATORVASTATIN; METFORMIN; LEVOTHYROXIN; PANTOPRAZOLE; SPIRONOLACTONE; ISOSORBIDE MONONITRATE; TRIAMTERENE AND HYDROCHLOROTHIAZIDE | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1587300 | 08/19/2021 | WI | 86.0 | 86 | F | Fully immunized at time of death from COVID-19 | Y | 08/15/2021 | N | 02/09/2021 | 08/15/2021 | 187 | UNK | alzheimer's disease, DJD, GAD and glaucoma | 2 | 08/19/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1595019 | 08/21/2021 | WI | 86.0 | 86 | M | Extreme hemorrhaging from penis; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 27-Feb-2021 and was forwarded to Moderna on 27-Feb-2021. This spontaneous case was reported by a c | U | 02/18/2021 | 02/20/2021 | 2 | Test Date: 2021; Test Name: Platelet count; Result Unstructured Data: Normal; Test Date: 2021; Test Name: Urine test; Result Unstructured Data: Normal | UNK | XARELTO; BICALUTAMIDE; METOPROLOL SUCCINATE; DUTASTERIDE; ALOPURINOL; PRESERVISION AREDS; hormone injection | Medical History/Concurrent Conditions: Kidney failure; Macular degeneration; Prostate cancer | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1656336 | 08/30/2021 | WI | 86.0 | 86 | F | Patient was asymptomatic for COVID-19 according to her husband and was admitted to the hospital for heart related issues | Y | Y | 03/28/2021 | 08/22/2021 | 147 | UNK | 2 | 08/30/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1683905 | 09/08/2021 | WI | 86.0 | 86 | M | client fully vaccinated, patient died 09/05/2021-Cause: Complications of COVID-19 | Y | 09/05/2021 | N | 02/01/2021 | 09/05/2021 | 216 | UNK | 2 | 09/08/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1693501 | 09/12/2021 | WI | 86.0 | 86 | F | Pain in teeth, jaw, ear, sinus, up through right eye. Pain was like bad tooth, ear infection, sinus infection, all at the same time, on right side of face. This lasted 1 month. Had teeth checked; saw Dr. and after complete exam of complaints, could find | U | 02/19/2021 | 02/22/2021 | 3 | physical exam of teeth, ears, sinus | PVT | Diabetes, well controlled | 2 | 09/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1696588 | 09/14/2021 | WI | 86.0 | 86 | F | Admit date: 9/11/2021 Date of Death and Time: 09/13/21 at 12:05 Admitting Physician: Physician: Admission Diagnoses: Hyperkalemia [E87.5] Lactic acidosis [E87.2] Hypotension [I95.9] SIRS (systemic inflammatory response syndrome) (CMS/HCC) [R65.1 | Y | 09/13/2021 | Y | 3 | N | 02/07/2021 | 09/11/2021 | 216 | UNK | 2 | 09/14/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1700740 | 09/15/2021 | WI | 86.0 | 86 | F | Reaction to mosquito bites never experienced before (I am 86 yo). A large area of skin around the bite swells and reddens. A blister-like swelling that is filled with liquid develops OR a hard knot develops at entry point. These last for days. Itchin | U | 02/01/2021 | 09/01/2021 | 212 | none | PVT | Lisinopril 10 mg; aspirin 81 mg; one-a-day multi vitamin with minerals; 500 mg acetaminoophen; Glucosamine Chondroitin Comlx; ascorbic acid 1000 mg; PerserVision/Lutein cap; PreviDent 5000 Booster; Refresh Optive Advanced OPHTH; Turmeric 50 | none You haven't asked what kind of vaccine I received. I received TWO injections of the Pfizer vaccine - one on 2/1/2021 and another on 2/22/2021. | Chronic Osteoarthritis; pre-diabetic (for 25 years); stage 3 kidney disease; age-related macular-degeneration. | 2 | 09/15/2021 | Y | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1708597 | 09/17/2021 | WI | 86.0 | 86 | F | Patient completed COVID-19 vaccine series on 2/12/21. Patient was admitted to reporting hospital on 9/6/21 and discharged on 9/15/21. Patient was admitted due to confusion and severe COVID-19 with pneumonia and acute hypoxic respiratory failure. Admission | Y | 9 | U | 02/12/2021 | 09/06/2021 | 206 | COVID-19 PCR NP Swab 9/6/21 Chest Xrays 9/6/21 The cardiomediastinal contours and pulmonary vasculature are within normal limits. There are patchy areas of airspace disease, consistent with infection, including Covid 19. There is no pneumothorax or pleural | UNK | albuterol 1089, Fosamax 70mg every 7 days, aspirin 81mg, Lipitor 40mg, Dulcolax, Pulmicort Flexhaler, Vitamin D3, Flonase, Diltiazem, Breo ellipta, Lasix, Mucinex, Duoneb, Singular, Prilosec, predinisone 5mg, Florajen3, Nebcin 80mg/2mL,Cell | CREST syndrome, ILD, osteoporosis, asthma, sepsis with acute pneumonia, HTN, HFpEF | CREST syndrome, ILD, osteoporosis, asthma, sepsis with acute pneumonia, HTN, HFpEF, CVA stroke, vitamin D deficiency, pulmonary nodules, Depression, chronic rhinitis | 2 | 09/17/2021 | Environmental, Onion, Sertraline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1731419 | 09/24/2021 | WI | 86.0 | 86 | F | Pt received both doses of the Pfizer COVID-19 vaccine, on 1/22/2021 and 2/12/2021 respectively. Pt tested positive for COVID on 9/6/2021, presented to ED same day and was admitted for stroke-like symptoms. Over the course of her hospitalization, she dev | Y | 9 | Y | 02/12/2021 | 09/06/2021 | 206 | OTH | acetaminophen, combivent respimat, alendronate, aspirin, atorvastatin, budesonide inhaler, cholecalciferol, diltiazem, fluticasone nasal spray, breo ellipta inhaler, furosemide, ipratropium-albuterol (neb), melatonin, montelukast, nystatin | bronchiectasis, chronic idiopathic thrombocytopenia, chronic rhinitis, CREST syndrome, decubital ulcer, depression, GERD, hyperlipidemia, hypertension, interstitial lung disease, left shoulder pain, asthma, osteoarthrosis, osteoporosis, parotid mass, strok | 2 | 09/24/2021 | Y | environmental (mold, dust), sertraline, onion. | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1776439 | 10/11/2021 | WI | 86.0 | 86 | M | Patient was on our covid vaccine schedule for "Moderna Booster" Moderna was accidently given, when patient's first two vaccines were Pfizer. No adverse reactions or side effects were noted from patient. | U | 09/20/2021 | 09/20/2021 | 0 | NONE | PVT | Tyenol 500 qhs Donepezil 5mg qd Atrovent Nasal Spray 2 sprays qhs Multi Vitamin qd | NONE, per chart | Adenocarcinoma (HCC) Calcium nephrolithiasis Dependent edema Depression Diverticulosis Ceruminosis GERD (gastroesophageal reflux disease) Mixed hearing loss, bilateral Hypercholesteremia IBS (irritable bowel syndrome) Internal hemorrhoid Lactose | 2 | 10/11/2021 | Oxycodone (Itching) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1804711 | 10/21/2021 | WI | 86.0 | 86 | F | Patient contracted COVID after being fully vaccinated Headache | 03/02/2021 | 10/12/2021 | 224 | PVT | Calcium-Vitamin D qAM Cholecalciferol 5,000IU daily Docusate 100mg BID prn for constipation Glipizide 5mg qAM Hydroxchlorothiazide 12.5mg qAM Metformin 500mg BID Multivitamin daily MiraLax 17gm PRN for constipation Simvastatin 20mg qPM | None documented | Hypertension, hyperlipidemia, osteoporosis, Breast cancer, edema of lower leg, GERD, Type II diabetes, basal cell carcinoma of right cheek, glaucoma, chronic constipation, vitamin d deficiency, hypercholesterolemia. | 2 | 10/21/2021 | Tranexamic Acid - Contraindication to | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1839429 | 11/03/2021 | WI | 87.0 | 86 | F | Sick all night; Stomach cramps; Just all over don't feel good; The shot location is real hot; Shot location is hard; Chills; Headache; Nausea; All over body aches; This spontaneous case was reported by a consumer and describes the occurrence of ILLNESS (Si | U | 01/13/2021 | 10/25/2021 | 285 | UNK | USMODERNATX, INC.MOD20213 | 2 | 11/03/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX |