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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0944732 | 01/14/2021 | WI | 92.0 | 92 | M | Resident found unresponsive and without pulse at 05:45am. | Y | 01/14/2021 | N | 01/13/2021 | 01/14/2021 | 1 | None. | SEN | Cholecalciferol, furosemide, metoprolol tartrate, tamsulosin, amlodipine, finasteride | Covid-19 infection from 12/31-01/10/2021 | CHF, atrial fibrilation, Dysphagia, macular degeneration, Vitamin D deficiency, impaired fasting glucose, benign prostatic hyperplasia, osteoporosis, retention of urine, anemia | 2 | 01/14/2021 | hydrocodone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 0962312 | 01/21/2021 | WI | 92.0 | 92 | F | Redness, warmth, pain, RUE measuring 9.5cm x 15.0 cm noted on 1-17-2021 continues with redness (fading) on 1-21-2021 warmth. Denies pain unless bumped. Resident afebrile. Size remains unchanged | Y | 01/15/2021 | 01/17/2021 | 2 | None | SEN | tylenol, ARED, trolamine salicylate, diprolene, hydrocortisone | Afib, pelvic joint pain, | 2 | 01/21/2021 | fosamax, Bactrim, Nitrofurantoin, Nylon, methylprednisolone | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1030893 | 02/15/2021 | WI | 92.0 | 92 | F | Resident had slight/slow decline in health prior to vaccine but continued to be able to walk around with walker at community. The day of the vaccine she had a fever. 2 days after vaccine resident did not get out of bed all day and refused to eat. She had s | Y | 02/12/2021 | N | 02/03/2021 | 02/10/2021 | 7 | none | SEN | Acetaminophen, amlodipine, atorvastatin, clonazepam, furosemide, guaifenesin DM | Resident had a low grade fever day of vaccine and was not feeling well. Pharmacy stated it would be ok to have vaccine and administered in resident's room. | Osteoporosis, type 2 diabetes, vitamin B deficiency, anxiety, achalasia of cardia, GERD, iron deficiency, atrial fibrillation, chronic kidney disease | 2 | 02/15/2021 | Fluoxetine and Metformin | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1041081 | 02/19/2021 | WI | 92.0 | 92 | M | Patient came to our ED on 2/6/2021 with worsening weakness and fatigue, which he claimed that had been experiencing since the date of vaccination on 1/26/2021. His rapid COVID test came back positive. He was admitted and treated in our COVID unit. His c | Y | 4 | Y | 01/26/2021 | 01/01/2021 | Rapid COVID test came back positive. | PVT | Toprol XL; Lasix; Lipitor; Eliquis; Lotensin; Allopurinol; ASA; Albuterol inhaler; Coenzyme Q10 | Unknown | Chronic heart failure; Emphysema; Stage 3b CKD; CAD | 2 | 02/19/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1052711 | 02/24/2021 | WI | 92.0 | 92 | F | The patient has developed an acute deep venous thrombosis in the right popliteal and trifurcation vessels of the calf. She has an elevated d-dimer of 14,738 and acute hypoxic respiratory failure due to pulmonary embolism. | Y | Y | 2 | N | 01/27/2021 | 02/24/2021 | 28 | 2/24/21: d-dimer of 14,738; oxygen saturation of 82% on 2 liters of oxygen, with oxygen needs increasing now up to 55L/Min via high flow nasal cannula to maintain her saturations in the 90s. ULTRASOUND OF THE LOWER EXTREMITY VENOUS SYSTEM- UNILATERAL, RI | PVT | Tylenol, celexa, benadryl, ceterizine, metoprolol succinate, mirtazipine, potassium, prednisone, probiotic, torsemide, diclofenac topical, aspirin EC 81mg, ferrous gluconate, levothyroxine, | Atrial fibrillation, chronic, rate controlled, on aspirin Congestive heart failure, with preserved EF, valvular disease GERD Insomnia Hypertension Hypothyroidism Gout, on chronic prednisone | Atrial fibrillation, chronic, rate controlled, on aspirin Congestive heart failure, with preserved EF, valvular disease GERD Insomnia Hypertension Hypothyroidism Gout, on chronic prednisone | 2 | 02/24/2021 | No known allergies | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1087650 | 03/10/2021 | WI | 92.0 | 92 | F | Client reported that she had "decreased eyesight" around noon on the day she received her vaccination. | N | 03/04/2021 | 03/04/2021 | 0 | She did speak to her PCP on 03/09/21. PCP is aware of the situation and didn't advise any further follow up. | PUB | Client declined to answer | None | Macular degeneration, glycoma | 2 | 03/10/2021 | NKA | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1095908 | 03/12/2021 | WI | 92.0 | 92 | F | A customer came with questions regarding dizziness they have been having since receiving the second dose of the Moderna vaccine. She states that any time she takes a step down (not up), she feels very dizzy. She has started using a cane because of this w | Y | N | 03/10/2021 | 03/10/2021 | 0 | PHM | Unknown | Unknown | Unknown | 2 | 03/12/2021 | Unknown | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1101677 | 03/15/2021 | WI | 92.0 | 92 | M | Pt received both doses of the Pfizer COVID-19 vaccine, on 2/2/2021 and 2/23/2021. Pt then developed fatigue and sore throat, was tested by PCP for COVID-19 via PCR on 3/3 and was positive. Pt was given Bamlanivimab on 3/4 due to risk factors for severe C | Y | 02/23/2021 | 03/03/2021 | 8 | SARS-CoV-2 PCR test - positive, 3/3/2021 3/3/2021: clear chest xray | PVT | acetaminophen, amlodipine, ascorbic acid, aspirin, carvedilol, chlorthalidone, diclofenac, docusate sodium, finasteride, hydralazine, multivitamin, rosuvastatin, sertraline, spironolactone, tamsulosin | Carpal Tunnel Syndrome, hyperlipidemia, HTN, aortic valve insufficiency, Chronic venous insufficiency, CKD stage 3, BPH, anxiety disorder, unilateral inguinal hernia (right), disequilibrium | 2 | 03/15/2021 | Y | NSAIDs, Sulfa Antibiotics, Cefazolin, Codeine, Tramadol | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1212221 | 04/15/2021 | WI | 92.0 | 92 | F | Asymptomatic Thrombocytopenia noted on routine labs prior to second vaccination. Still requires hematology follow-up and immunosuppression. | N | 02/02/2021 | 02/22/2021 | 20 | Trending CBC | PVT | Furosemide, Synthroid, Losartan, Metprolol, Potassium | CHF | 2 | 04/15/2021 | Y | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1225922 | 04/18/2021 | WI | 92.0 | 92 | M | His First shot on 3/8/21 only had a slight sore arm in injection area. On 4/13/21, (9days later) he woke up in the morning to find a rash/hives over his upper torso. It itched and in the following days spread over his complete torso, arms, back and lo | N | 04/05/2021 | 04/13/2021 | 8 | PVT | Carbidopa-Levo 25-100mg tabs,Finisteride 5mg tab,Mirabegron 25mg, Ommeprozole20mg tb, Rivastigmine 1.5mg tab, Tamsulosin 0.40mg cap, low dose (81mg) aspirin, Calcium +D 600mg tab, Ptrservision tab, Vit D3 400IU | none | Lewt Body Parkinsons Disease, Enlarged prostate | 2 | 04/18/2021 | antihistamines | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1238398 | 04/21/2021 | WI | 92.0 | 92 | M | Hives/Rash 9daysafter injection. got worse and lasted until 4/21. covered complete body. no temp but needed zrytec to aleviate itching along with Calimine Lotion as his body was orange in color as if painted on. His coloring is now becoming lighter but | N | 04/05/2021 | 04/13/2021 | 8 | none | PVT | Carbidopal Levo, 3Xday,Fineseride 5mg PM, Omniprazole 20MG 2X day, Myrbetrig 25mg 1 X day, Tamsolosin .04 PM, Rivastmine 1.5mg 2Xday, Calium 600mg 1XDay,Preservision 1Xday, babyaspirin 88Mg 1Xday Vit E(400mg) 1Xday | Gerde | prostate | 2 | 04/21/2021 | anthistamines | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1286758 | 05/04/2021 | WI | 92.0 | 92 | F | Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. | Y | 3 | 03/10/2021 | 03/23/2021 | 13 | OTH | 2 | 05/04/2021 | Y | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1289016 | 05/05/2021 | WI | 92.0 | 92 | M | Patient called on 5/4/21 to report what they described as "severe right hip pain" that radiates from the hip to the knee. This started on 5/2/21 and has had minimal improvement. The patient said that the pain would radiate down to their ankle when lying do | N | 04/30/2021 | 05/02/2021 | 2 | None | PHM | Acetaminophen, fluocinonide 0.05% cream, gabapentin, multivitamin, preservision, tamsulosin, | N/A | spinal stenosis, sciatic nerve pain | 2 | 05/05/2021 | Bee venom | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1523673 | 08/03/2021 | WI | 92.0 | 92 | F | Patient had a Moderna vaccine on 2/17/21. Provider unaware and pt had Pfizer on 7/22/21. Pt had no adverse reactions. Writer contacted patient 48 and 72 hours after event and patient stated that she only had a sore arm, no other reactions related to the va | Y | 07/22/2021 | 07/22/2021 | 0 | N/A | OTH | None | None | None | 2 | 08/03/2021 | None | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1560252 | 08/15/2021 | WI | 93.0 | 92 | F | Swollen arm; Warm to touch; Sore to touch; Burning; itchy; Red; This spontaneous case was reported by a consumer and describes the occurrence of PERIPHERAL SWELLING (Swollen arm), FEELING HOT (Warm to touch), PAIN IN EXTREMITY (Sore to touch), BURNING SENS | U | 02/24/2021 | UNK | USMODERNATX, INC.MOD20210 | 2 | 08/11/2021 | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1637026 | 08/26/2021 | WI | 92.0 | 92 | F | BRUISING AND SORENESS AT INJECTION SITE NOTED 6 DAYS AFTER VACCINATION | N | 08/20/2021 | 08/20/2021 | 0 | NONE REPORTED | PHM | NONE REPORTED | NONE REPORTED | NONE REPORTED | 2 | 08/26/2021 | NONE REPORTED | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1670202 | 09/03/2021 | WI | 92.0 | 92 | F | Patient contracted COVID-19 after being fully vaccinated - Asymptomatic | Y | 02/25/2021 | 09/03/2021 | 190 | PHM | acetaminphen 650mg rectal q4hrs for pain/fever apixaban 5mg BID bisacodyl 10mg Rectal daily PRN docusate-senna 8.6mg-50mg BID PRN escitalopram 5mg daily famotidine 20mg HS Lidocaine topical 4% patch daily loperamide 2mg q4hr PRN loratadine | 2/3/2021 hospitalization for cellulitis of lower legs | Hypertension Arthritis GERD Dyslipidemia Diverticulosis of colon osteoporosis Bradycardia Pulmonary embolus lymphedema neuropaty basal cell carcinoma of skin | 2 | 09/03/2021 | Ciprofloxacin - shoulder, arm and back pain | 2021VAERSSYMPTOMS | 2021VAERSVAX | 1765014 | 10/06/2021 | WI | 92.0 | 92 | F | Patient tested positive for COVID on 9/20 and was admitted to outside facility on 9/20. She was treated with remdesivir and has completed 5 of 5 days of treatment. She is on day 5 of 10 of dexamethasone. Pertinent labs from today include WBC 5.7, HB 15.2 | Y | 02/25/2021 | 09/24/2021 | 211 | UNK | albuterol, aspirin,buPROPion SR, diclofenac sodium,ipratropium, albuterol, lisinopriL, pantoprazole, spironolactone, tiZANidine, traMADoL | 2 | 10/06/2021 | Sulfa | 2021VAERSSYMPTOMS | 2021VAERSVAX |