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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 |
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0967922 | 01/23/2021 | MD | 88.0 | 88 | F | Pt received vaccine about 12:50 pm. After about 10 min while in observation, pt reported through daughter that she was experiencing facial tingling, and then began to feel "arm heaviness". Pt was taken to 1st floor urgent care at same facility for eval | Y | 01/23/2021 | 01/23/2021 | 0 | No tests done in urgent care. Pt d/c to home. | PVT | Pantoprazole 40 mg 1 tab by moth 2 times per day; Alvesco 80 mcg 1 puff by moth 2 times a day; Paroxetine 20 mg 1 tab by mouth every evening; Voltaren 1% top gel - apply 4 gm to affected area 4 times per day; furosemide 20 mg 3 tabs every m | No current illness | HTN; Afib; Right Carotid Artery Stenosis; Nephrosclerosis; Descending Thoracic Aortic Aneurysm; Peripheral Vascular Disease; Atherosclerosis of Aorta; Diastolic Heart Failure; Heart Failure with normal LVEF >=50%; Hx of Artery embolism; long term anticoagu | 2 | 01/23/2021 | Y | Augmentin; Gabapentin; Inderal; Lexapro; Prednisone; Prinivil; Remeron | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0992603 | 02/01/2021 | MD | 88.0 | 88 | M | Had vaccine on 1/18. No reported fevers or change in functional status/fatigue. Patient appeared in usual state of health. Is ambulatory with rollator. No prior h/o DVT. Was found in bathroom after presumed fall on 1/27. When attempted to lift patie | Y | Y | 4 | Y | 01/18/2021 | 01/27/2021 | 9 | CTA and venous dopplers | SEN | zyrtec, lyrica,flomax, B12 | none | dementia, BPH, OA, a fib | 2 | 02/01/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1007616 | 02/06/2021 | MD | 88.0 | 88 | M | Pt. tested positive for SARS-CoV-2 on 2/3/2021 and required hospitalization for associated diarrhea and dehydration with mild acute kidney injury. Of note, he has not been hypoxic and has not required supplemental oxygen to maintain his SaO2 as of 2/6/2021 | Y | 4 | U | 01/11/2021 | 02/03/2021 | 23 | Labs remarkable for COVID PCR+, WBC 4.3 (lymph 1100); Hgb 10.2, MCV 81; SCr 2.0 -- > 1.6 after IV fluids; ESR 78, CRP 2.11, LDH 163; D-dimer 0.6; ferritin 69; AST 20, ALT 6, C. difficile PCR negative; procalcitonin 0.05 CXR - Possible interstitial infi | PVT | 1) ALOGLIPTIN 6.25MG TAB TAKE ONE TABLET BY MOUTH EVERY ACTIVE DAY FOR DIABETES 2) AMMONIUM LACTATE 12% CREAM APPLY LIBERALLY TO ACTIVE AFFECTED AREA EVERY DAY FOR DRY SKIN. USE ON YOUR FEET WHERE YOU HAV | None | Chronic illnesses include diabetes type 2, essential hypertension, colonic arteriovenous malformations, benign prostatic hypertrophy and prostate cancer s/p radiation therapy c/b chronic urinary obstruction/retention (does not have chronic indwelling urina | 2 | 02/06/2021 | vardenafil (nausea/vomiting), sildenafil (nausea/vomiting), lisinopril (cough) | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1008525 | 02/06/2021 | MD | 88.0 | 88 | M | on feb o4,2021 in the morning, i had severe pain in my left arm under the shot, it remins, i cannot lift my arm. i took tylonol, motrin and it did nothing. today i stared taking tramadol, it is the most severe pain i have ever expererence .the pain is off | N | 01/30/2021 | 02/04/2021 | 5 | UNK | metoprolol, multivitamin enalapril co-q10 atorvastatin turmeric magnesium zyflamend | none | heart bypass, aorta valve and root replaced | 2 | 02/06/2021 | penacciline | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1065740 | 03/02/2021 | MD | 88.0 | 88 | M | 2/28/2021 patient was admitted for rectal bleeding while taking apixaban Per the EUA, hospitalizations are to be reported irrespective of attribution to vaccine. This hospitalization does not appear to be related to the vaccine. | Y | 02/25/2021 | 02/28/2021 | 3 | PVT | 2 | 03/02/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1067203 | 03/02/2021 | MD | 88.0 | 88 | F | Intense itching on left side of left breast that lasted 3 days. I did not treat it in any way and did not consult health care personnel. The symptom disappeared spontaneously and has not returned. In the mid 1970s , I had a benign tumor removed from m | Y | 02/23/2021 | 02/24/2021 | 1 | None | PUB | Medications for high blood pressure Preservision Multivitamins | None other than High Blood pressure | High Blood pressure...well controlled | 2 | 03/02/2021 | Keflex Clindamycin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1071767 | 03/04/2021 | MD | 88.0 | 88 | M | Patient presented to the ED with SOB and weakness for the past 1 month. He reports seeing his PCP twice and given antibiotics and steroids. His son also had similar symptoms to both were advised by PCP to get tested for COVID. The patient initially tested | Y | 02/10/2021 | 03/02/2021 | 20 | PVT | BPH, Type 2 DM, HLD | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1072001 | 03/04/2021 | MD | 88.0 | 88 | F | Patient presented to the ED with generalized weakness and urinary symptoms. Urine culture grew E coli, patient was treated with ceftriaxone which was later transition to cefdinir at discharge. Per the EUA, hospitalizations are to be reported irrespective | Y | 2 | Y | 02/25/2021 | 02/28/2021 | 3 | PVT | HTN, HLD, hx of CVA, anemia | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1072120 | 03/04/2021 | MD | 88.0 | 88 | F | Patient presented to ED with SOB for 2 weeks. Patient was treated with IV Lasix. Cardiology suspected heart failure exacerbation and patient was discharged home. Per the EUA, hospitalizations are to be reported irrespective of attribution to the vaccine | Y | 1 | 02/25/2021 | 03/01/2021 | 4 | PVT | HTN, CAD | 2 | 03/04/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1102558 | 03/15/2021 | MD | 88.0 | 88 | F | Fever - 104 - Chills - body ack - 4 days. | N | 03/11/2021 | 03/12/2021 | 1 | none | OTH | Tylenol, Gabapentin , Simvastatin, Lisinopri, Omeprtazole, Vit D3 - Asprin 80mg, Basaglar 20 units | none | none | 2 | 03/15/2021 | none | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1307129 | 05/11/2021 | MD | 88.0 | 88 | F | Fasting Blood sugar increased from 100 to 150 and stayed elevated for 2 weeks. Felt weak and lost balance. | Y | 04/05/2021 | 04/06/2021 | 1 | PHM | Metformin 500 mg/3 times per day | Diabetes mellitus | 2 | 05/11/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1407185 | 06/17/2021 | MD | 88.0 | 88 | M | Pt was hospitalized with A.fib with rapid ventricular response on 4.15, 3 days after receiving the vaccine. Per guidelines, all hospitalizations should be reported. | Y | 2 | Y | 04/12/2021 | 04/12/2021 | 0 | PVT | 2 | 06/17/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1410838 | 06/18/2021 | MD | 88.0 | 88 | F | Pt was admitted to hospital from ED with A-fib on 4/5/21 after receiving the 2nd dose of vaccine on 3/30/21 | Y | 1 | Y | 03/30/2021 | 04/05/2021 | 6 | PVT | 2 | 06/18/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1412966 | 06/19/2021 | MD | 88.0 | 88 | M | Almost Nauseated Stiffness and swelling in knees some diarrhea tightness of lungs | N | 05/27/2021 | 06/03/2021 | 7 | -- | PVT | Hair-Skin-Nails Vit C 500 mg Potassium magnesium aspartate Citracal | none | Prostate collapse Slow growing hernia | 2 | 06/19/2021 | sinus congestion | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1595823 | 08/21/2021 | MD | 88.0 | 88 | F | Dizziness; Head spinning feeling; Blood pressure "skyrocketed"; Sore arm at injection site; This spontaneous case was reported by a consumer and describes the occurrence of INJECTION SITE PAIN (Sore arm at injection site), VERTIGO (Head spinning feeling), | N | 02/17/2021 | 02/18/2021 | 1 | UNK | METOPROLOL; PLAVIX; BABY ASPIRIN; LIPITOR; LOSARTAN | Comments: No medical history was provided by reporter. | USMODERNATX, INC.MOD20210 | 2 | 08/13/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1608488 | 08/22/2021 | MD | 88 | M | aches all over; headache; weakness in legs and arms; no energy; This spontaneous case was reported by a consumer and describes the occurrence of MYALGIA (aches all over), HEADACHE (headache), ASTHENIA (weakness in legs and arms) and ASTHENIA (no energy) in | U | 03/23/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/12/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1762698 | 10/05/2021 | MD | 88.0 | 88 | F | Complete heart block. Required placement of a pacemaker | Y | Y | 5 | N | 09/24/2021 | 09/30/2021 | 6 | Ekg 9/30/21 Catheterization 9/30/21 Surgical placement or pacemaker 10/1/21 | PHM | Cholesterol medicine Diabetes medicine Hypertension medicine Glaucoma eye drops | N/a | Hypertension Type 2 DM Osteoarthritis Glaucoma | 2 | 10/05/2021 | Y | Penicillin | 2021VAERSSYMPTOMS | 2021VAERSVAX |