VAERS 2021 Database www.vaers.hhs.gov

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VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1176556
Sex: F
Age:
State: MO

Vax Date:
Onset Date: 03/26/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: SWOLLEN FACE; DIFFICULTIES BREATHING; WEIGHT IN HER CHEST; FLUSHING; HEART PALPITATIONS; CHILLS; NAUSEA; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978 expiry: UNKNOWN) dose was not reported, administered on 26-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On 26-MAR-2021, the subject experienced swollen face. On 26-MAR-2021, the subject experienced difficulties breathing. On 26-MAR-2021, the subject experienced weight in her chest. On 26-MAR-2021, the subject experienced flushing. On 26-MAR-2021, the subject experienced heart palpitations. On 26-MAR-2021, the subject experienced chills. On 26-MAR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills, swollen face, difficulties breathing, weight in her chest, flushing, nausea and heart palpitations was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176557
Sex: F
Age:
State: MO

Vax Date:
Onset Date: 03/24/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: SORE THROAT; CONGESTED; NIGHT SWEATS; CHILLS; HEADACHE; FEVER; MULTIPLE JOINT PAIN; REALLY TIRED; NAUSEA; HIGHER BODY TEMPERATURE; BODY ACHE; HEAVY HEAD; This spontaneous report received from a patient concerned a 55 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included arthritic pain, penicillline drug allergy and wellbutrin drug allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805018, and batch number: 1805018 Expiry: UNKNOWN) dose was not reported, administered on 24-MAR-2021 09:45 in left arm for prophylactic vaccination. Concomitant medications included diphenhydramine hydrochloride/paracetamol. On 24-MAR-2021, the subject experienced body ache. On 24-MAR-2021, the subject experienced heavy head. On 24-MAR-2021, the subject experienced multiple joint pain. On 24-MAR-2021, the subject experienced really tired. On 24-MAR-2021, the subject experienced nausea. On 24-MAR-2021, the subject experienced higher body temperature. On 25-MAR-2021, the subject experienced congested. On 25-MAR-2021, the subject experienced night sweats. On 25-MAR-2021, the subject experienced chills. On 25-MAR-2021, the subject experienced headache. On 25-MAR-2021, the subject experienced fever. On 28-MAR-2021, the subject experienced sore throat. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache on 26-MAR-2021, had not recovered from really tired, body ache, chills, sore throat, multiple joint pain, nausea, higher body temperature, and heavy head, and the outcome of night sweats, fever and congested was not reported. This report was non-serious.

Other Meds: TYLENOL PM

Current Illness: Arthritic pains; Drug allergy; Penicillin allergy

ID: 1176558
Sex: M
Age:
State: IL

Vax Date:
Onset Date: 03/25/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: WHEEZING; DIZZINESS; SPINNING; HEADACHE; NAUSEA; This spontaneous report received from a patient concerned a 27 year old male. The patient's weight was 180 pounds, and height was 73 inches. The patient's pre-existing medical conditions included the patient had no history of medical issues.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802086, and batch number: 1802086 expiry: UNKNOWN) dose was not reported, administered to the left arm, on 25-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, Laboratory data included: COVID-19 virus test (NR: not provided) Negative. On 25-MAR-2021, the subject experienced wheezing. On 25-MAR-2021, the subject experienced dizziness. On 25-MAR-2021, the subject experienced spinning. On 25-MAR-2021, the subject experienced headache. On 25-MAR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, wheezing, dizziness, spinning, and nausea. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176559
Sex: M
Age:
State: PA

Vax Date:
Onset Date: 03/25/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: HEADACHE; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, expiry: unknown) dose was not reported, administered on 25-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 25-MAR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache on 26-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176560
Sex: M
Age:
State: NC

Vax Date:
Onset Date: 03/27/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: FEVER; This spontaneous report received from a consumer concerned a 63 year old male. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808096, expiry: UNKNOWN) dose was not reported, administered to left arm on 27-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 27-MAR-2021, in evening, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176561
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: SIDE EFFECTS; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, the subject experienced side effects. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of side effects was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176562
Sex: M
Age:
State: OH

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: HEADACHE; MUSCLE ACHE; FEVER; This spontaneous report received from a patient concerned a male of unspecified age. The patient's height, and weight were not reported. The patient's past medical history included covid-19 infection. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot number. No concomitant medications were reported. On an unspecified date, the subject experienced headache, muscle ache, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, muscle ache and fever was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176563
Sex: F
Age:
State: IL

Vax Date:
Onset Date: 03/27/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: FLU-LIKE SYMPTOMS; CHILLS; MUSCLE ACHES; This spontaneous report received from a parent concerned a 25 year old female. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, administered on 27-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 27-MAR-2021, the subject experienced flu-like symptoms. On 27-MAR-2021, the subject experienced chills. On 27-MAR-2021, the subject experienced muscle aches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chills, and muscle aches, and the outcome of flu-like symptoms was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176564
Sex: U
Age:
State: MN

Vax Date:
Onset Date: 03/28/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: IRRITABLE; CONFRONTATIONAL; AGGRESSIVE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose was not reported, administered on 27-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 28-MAR-2021, the subject experienced irritablity. On 28-MAR-2021, the subject experienced confrontational. On 28-MAR-2021, the subject experienced aggression. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the irritablity, confrontational and aggression was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176565
Sex: F
Age: 61
State: CO

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: FEVER; DIZZINESS; This spontaneous report received from a patient concerned a 61 year old female. The patient's height, and weight were not reported. The patient's past medical history included levofloxacin allergy, midazolam allergy, amoxicillin allergy, and aleve allergy, and concurrent conditions included myelodysplasia, recurrent bladder infection, and sulfa allergy. The patient was previously treated with levofloxacin, midazolam, amoxicillin, and naproxen sodium. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025, and batch number: 1805025 expiry: UNKNOWN) dose was not reported, administered on 18-MAR-2021 16:00 for prophylactic vaccination. Concomitant medications included aciclovir for myelodysplasia, and recurrent bladder infections, calcium carbonate for myelodysplasia, and recurrent bladder infections, colecalciferol for myelodysplasia, and recurrent bladder infections, docusate sodium for recurrent bladder infections, and myelodysplasia, fluconazole for recurrent bladder infections, and myelodysplasia, iron for recurrent bladder infections, and myelodysplasia, and nitrofurantoin for recurrent bladder infections, and myelodysplasia. On 18-MAR-2021, the subject experienced dizziness. On 19-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness on 18-MAR-2021, and fever on 25-MAR-2021. This report was non-serious.

Other Meds: ACYCLOVIR [ACICLOVIR]; NITROFURANTOIN; FLUCONAZOLE; CALCIUM CARBONATE; IRON; VITAMIN D3; STOOL SOFTENER

Current Illness:

ID: 1176566
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: This spontaneous report received from a consumer concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, 1 total, administered on 17-MAR-2021 for prophylactic vaccination. Batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced pins and needles feeling on legs. On MAR-2021, the subject experienced feeling of fire on legs. On MAR-2021, the subject experienced dizziness. On MAR-2021, the subject experienced headache. On 19-MAR-2021, the subject experienced sweating. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, pins and needles feeling on legs, feeling of fire on legs, dizziness and sweating was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176567
Sex: F
Age: 80
State: CA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: TIRED; SORE ARM; FELT LIKE A BIG PIECE OF LEAD GOING IN WHEN VACCINE WAS INJECTED FOR ABOUT 15 MINUTES; This spontaneous report received from a patient concerned an 80 year old female patient. The patient's height, and weight were not reported. The patient's past medical history included previous diphtheria infection during childhood, and 2 episodes of potential mini-stroke, and other pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1803070, expiry: UNKNOWN) 1 total dose, administered on 22-MAR-2021 at 13:30 in left arm for prophylactic vaccination. No concomitant medications were reported. On 22-MAR-2021, the subject experienced sore arm. On 22-MAR-2021, the subject experienced felt like a big piece of lead going in when vaccine was injected for about 15 minutes. On 23-MAR-2021, the subject experienced tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sore arm, and tired on 24-MAR-2021, and felt like a big piece of lead going in when vaccine was injected for about 15 minutes on 22-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176568
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: FEVER; CHILLS; HEADACHE; NASAL DRAINAGE; DECREASED HEARING; BLURRED VISION; LIGHT HEADED; This spontaneous report received from a parent concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included non-smoker, and non-alcoholic, and other pre-existing medical conditions included patient have no known allergies and there was no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031 expiry: UNKNOWN) dose was not reported, administered on 26-MAR-2021 at right arm for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced nasal drainage. On MAR-2021, the subject experienced decreased hearing. On MAR-2021, the subject experienced blurred vision. On MAR-2021, the subject experienced light headed. On MAR-2021, the subject experienced chills. On MAR-2021, the subject experienced headache. On 26-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from chills, light headed, blurred vision, and decreased hearing, and had not recovered from fever, headache, and nasal drainage. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker

ID: 1176569
Sex: M
Age:
State: NC

Vax Date:
Onset Date: 03/27/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: HEADACHE; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown expiry date: unknown) dose was not reported, administered on 27-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 27-MAR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176570
Sex: M
Age:
State: PA

Vax Date:
Onset Date: 03/27/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: ACHY; HEADACHE; NAUSEOUS; FEVER; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609, and batch number: 1808609 expiry: UNKNOWN) dose was not reported, administered on 26-MAR-2021 15:00 for prophylactic vaccination on left arm. The batch number was not reported and has been requested. No concomitant medications were reported. On 27-MAR-2021 01:00, the subject experienced achy. On 27-MAR-2021 01:00, the subject experienced headache. On 27-MAR-2021 01:00, the subject experienced nauseous. On 27-MAR-2021 01:00, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 101, 99 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever, and had not recovered from headache, nauseous, and achy. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176571
Sex: F
Age:
State: MO

Vax Date:
Onset Date: 03/16/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: A SORE THROAT; GLANDS ON HER NECK WERE MORE SWOLLEN; TIRED; SOME TENDERNESS ON THE SITE OF INJECTION FOR A COUPLE OF DAYS; This spontaneous report received from a patient concerned a 68 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included hypothyroidism, lupus, connective tissue disease, penicillin allergy, and sulfonamide allergy. The patient experienced drug allergy when treated with cefalexin. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1005018, and batch number: 1005018 expiry: UNKNOWN) dose was not reported, 1 total, administered on 16-MAR-2021 for prophylactic vaccination. Concomitant medications included methotrexate. On 16-MAR-2021, the subject experienced some tenderness on the site of injection for a couple of days. On 20-MAR-2021, the subject experienced a sore throat. On 20-MAR-2021, the subject experienced glands on her neck were more swollen. On 20-MAR-2021, the subject experienced tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from some tenderness on the site of injection for a couple of days on 18-MAR-2021, and had not recovered from a sore throat, glands on her neck were more swollen, and tired. This report was non-serious.

Other Meds: METHOTREXATE

Current Illness: Connective tissue disorder; Hypothyroidism; Lupus erythematosus; Penicillin allergy; Sulfonamide allergy

ID: 1176572
Sex: F
Age:
State: MA

Vax Date:
Onset Date: 03/25/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: CHILLS; This spontaneous report received from a patient concerned a 60 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included allergy to ceftin, iodine allergy, allergy to dye, and allergy to bactrim. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered in left arm on 25-MAR-2021 12:30 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 25-MAR-2021, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills on 25-MAR-2021. This report was non-serious.

Other Meds:

Current Illness: Allergic reaction to antibiotics

ID: 1176573
Sex: M
Age:
State: MI

Vax Date:
Onset Date: 03/26/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: GENERAL FATIGUE; MUSCLES ACHES; This spontaneous report received from a patient concerned a 55 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025, and expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 10:30 on left arm for prophylactic vaccination. No concomitant medications were reported. On 26-MAR-2021, the subject experienced general fatigue. On 26-MAR-2021, the subject experienced muscles aches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from general fatigue, and muscles aches. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176574
Sex: F
Age:
State: NE

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: SENSITIVE SKIN; BODY ACHE; COLD; FELT THAT SHE WAS DYING FROM WEDNESDAY-THURSDAY; FREEZE; LEG,ARM,BODY HURT; CHILLS; HIGH FEVER AND BURNING FROM INSIDE OUT; HAIR OF HER SKIN STAND; COULD NOT MAKE IT TO JOB; PRICKLY SKIN AND TOOTHPICKS POKING THE SKIN; COULD NOT SLEEP; This spontaneous report received from a patient concerned a 54 year old female. The patient's height, and weight were not reported. The patient's past medical history included covid-19 The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown Expiry: Unknown) dose was not reported, administered on 24-MAR-2021 for prophylactic vaccination on right deltoid. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On MAR-2021, the subject experienced prickly skin. On MAR-2021, the subject experienced could not sleep. On MAR-2021, the subject experienced hair of her skin stand. On MAR-2021, the subject experienced toothpicks poking the skin and toothpicks poking the skin. On MAR-2021, the subject experienced could not make it to job. On 24-MAR-2021, the subject experienced body ache. On 24-MAR-2021, at 4:30--5:15 PM the subject experienced leg, arm, body hurt. On 24-MAR-2021, the subject experienced cold. On 24-MAR-2021, the subject experienced felt that she was dying from Wednesday-Thursday. On 24-MAR-2021, the subject experienced freeze. On 24-MAR-2021, the subject experienced chills. On 24-MAR-2021, the subject experienced high fever and burning from inside out. Laboratory data included: Body temperature at around At 4:30--5:15 PM (NR: not provided) 101 F. On 25-MAR-2021, the subject experienced sensitive skin. Laboratory data included: Body temperature at night about 1 am (NR: not provided) 103.2 F, 101.9 (units unspecified). On 26-MAR-2021, Laboratory data included: Body temperature (NR: not provided) 100.8- 99.5 F Laboratory data included: Body temperature (NR: not provided) 100.8- 99.5 F. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from high fever and burning from inside out, sensitive skin, chills, and body ache, and the outcome of prickly skin and toothpicks poking the skin, could not sleep, leg,arm,body hurt, hair of her skin stand, toothpicks poking the skin, cold, felt that she was dying from Wednesday-Thursday, freeze and could not make it to job was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176575
Sex: U
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies:

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: FLU LIKE SYMPTOMS; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced flu like symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of flu like symptoms was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176576
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: ALL SIDE EFFECTS; This spontaneous report received from a consumer concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced all side effects. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of all side effects was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176577
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: LOSS OF MEMORY; SWEATING; SWOLLEN LYMPH NODES IN NECK; KNUCKLES IN HER FINGERS, JOINT PAIN IN FINGERS, WRISTS, AND KNEES; FEELING VERY COLD; TIREDNESS; This spontaneous report received from a patient concerned a 66 year old female. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802068, expiry: UNKNOWN) once a total dose was not reported, administered on 12-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced loss of memory. On MAR-2021, the subject experienced sweating. On MAR-2021, the subject experienced swollen lymph nodes in neck. On MAR-2021, the subject experienced knuckles in her fingers, joint pain in fingers, wrists, and knees. On MAR-2021, the subject experienced feeling very cold. On MAR-2021, the subject experienced tiredness. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sweating, and feeling very cold, and the outcome of loss of memory, swollen lymph nodes in neck, tiredness and knuckles in her fingers, joint pain in fingers, wrists, and knees was not reported. This report was non-serious.; Sender's Comments: V0: Medical assessment comment not required as per standard procedure as case assessed as non serious

Other Meds:

Current Illness:

ID: 1176578
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: HEADACHE; CHILLS; NAUSEA; ON AND OFF TENSION HEADACHE; TIREDNESS/FEELING DRAINED; WARMNESS; FEVER; LIGHTHEADEDNESS; LITTLE SHORT OF BREATH BUT ABLE TO BREATH; BODY ACHES; BACK FELT ON FIRE; HEART RACING ON SECOND DAY; DIZZINESS; LITTLE NUMBNESS IN FINGERS; COULD NOT STAND; LACK OF APPETITE; FEELING DIFFERENT THINGS; WEAKNESS ON LIMB; This spontaneous report received from a patient concerned a 55 year old female. The patient's weight was 170 pounds, and height was not reported. The patient's concurrent conditions included hypertension, penicillin allergy, non smoker, and no alcohol use, and other pre-existing medical conditions included the patient did not have any drug abuse/illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, and expiry: UNKNOWN) dose was not reported, administered on left arm on 25-MAR-2021 for prophylactic vaccination. Concomitant medications included amlodipine for hypertension, and lisinopril for hypertension. On MAR-2021, the subject experienced lightheadedness. On MAR-2021, the subject experienced little short of breath but able to breath. On MAR-2021, the subject experienced body aches. On MAR-2021, the subject experienced back felt on fire. On MAR-2021, the subject experienced heart racing on second day. On MAR-2021, the subject experienced dizziness. On MAR-2021, the subject experienced little numbness in fingers. On MAR-2021, the subject experienced could not stand. On MAR-2021, the subject experienced lack of appetite. On MAR-2021, the subject experienced feeling different things. On MAR-2021, the subject experienced weakness on limb. On MAR-2021, the subject experienced nausea. On MAR-2021, the subject experienced on and off tension headache. On MAR-2021, the subject experienced tiredness/feeling drained. On MAR-2021, the subject experienced warmness. On MAR-2021, the subject experienced fever. Laboratory data included: Stress test (NR: not provided) Unknown. On 01-MAR-2021, Laboratory data included: COVID-19 virus test (NR: not provided) Negative. On 25-MAR-2021, the subject experienced chills. On 26-MAR-2021, the subject experienced headache. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from little numbness in fingers, could not stand, lack of appetite, chills, warmness, and fever on MAR-2021, was recovering from headache, tiredness/feeling drained, weakness on limb, heart racing on second day, dizziness, and nausea, had not recovered from lightheadedness, little short of breath but able to breath, body aches, back felt on fire, and on and off tension headache, and the outcome of feeling different things was not reported. This report was non-serious.

Other Meds: AMLODIPINE; LISINOPRIL

Current Illness: Abstains from alcohol; Hypertension; Non-smoker; Penicillin allergy

ID: 1176579
Sex: F
Age:
State: WI

Vax Date:
Onset Date: 03/14/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: CHILLS; FEVER; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805031, and batch number: 1805031 expiry: UNKNOWN) dose was not reported, administered to the right arm, on 13-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-MAR-2021, the subject experienced chills. On 14-MAR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 99 degree F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and fever on 16-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176580
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: POSSIBLE TEMPERATURE EXCURSION OF VACCINE AND ADMINISTRATION TO PATIENT AFTERWARDS; This spontaneous report received from a health care professional concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, 1 total, start therapy date were not reported for prophylactic vaccination. Batch number was not reported. The company is unable to perform follow up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, the subject experienced possible temperature excursion of vaccine and administration to subject afterwards. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of possible temperature excursion of vaccine and administration to patient afterwards was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176581
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 03/26/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: LOSS OF APPETITE; LETHARGIC; MUSCLE WEAKNESS; CHILLS; HEADACHE; This spontaneous report received from a patient concerned an 82 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included polycystic kidney disease. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unkown) dose was not reported, administered on 26-MAR-2021 for prophylactic vaccination. The Batch number was not reported. The company is unable to perform follow up to request batch/lot numbers. No concomitant medications were reported. On 26-MAR-2021, the subject experienced headache. On 27-MAR-2021, the subject experienced loss of appetite. On 27-MAR-2021, the subject experienced lethargic. On 27-MAR-2021, the subject experienced muscle weakness. On 27-MAR-2021, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from loss of appetite on 27-MAR-2021, and chills, and had not recovered from headache, lethargic, and muscle weakness. This report was non-serious.

Other Meds:

Current Illness: Polycystic kidney

ID: 1176582
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 03/27/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: MUSCLE CRAMPS IN LEGS; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 27-MAR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 27-MAR-2021, the subject experienced muscle cramps in legs. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from muscle cramps in legs. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176583
Sex: F
Age:
State: CT

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: TINGLY ON THE RIGHT UPPER LIP; MILDEST ACHY JOINTS; NOT FEELING HUNGRY; This spontaneous report received from a patient concerned a 62 year old female. The patient's height, and weight were not reported. The patient's past medical history included latent TB, and concurrent conditions included diabetes, obese, and skin eczema, and other pre-existing medical conditions included patient had allergies to MRI dye. The patient was previously treated with immunoglobulin g human; and experienced allergy when treated with metronidazole. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown expiry date: unknown) dose was not reported, administered on 26-MAR-2021 to left arm for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced not feeling hungry. On 27-MAR-2021, the subject experienced mildest achy joints. On 28-MAR-2021, the subject experienced tingly on the right upper lip. Laboratory data (dates unspecified) included: Lab test (NR: not provided) negative, 7 times tested. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from tingly on the right upper lip, and had not recovered from mildest achy joints, and not feeling hungry. This report was non-serious. T

Other Meds:

Current Illness: Diabetes; Eczema; Obesity

ID: 1176584
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: GENERALISED ACHING; SORE ARM; JOINTS HURTING; FEVER; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced generalised aching, sore arm, joints hurting, and fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 99.4 F. Treatment medications (dates unspecified) included: dextromethorphan hydrobromide/guaifenesin/paracetamol/phenylephrine hydrochloride. The action taken with covid-19 vaccine was not applicable. The patient recovered from generalised aching, joints hurting, and fever, and was recovering from sore arm. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176585
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: BODY ACHE; HEADACHE; FEVER; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch no was not reported ,The company is unable to performed follow up to request batch /Lot numbers. No concomitant medications were reported. On an unspecified date, the subject experienced body ache, headache, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, fever and body ache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176586
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: CHILLS; SORE ARM; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, 1 total, start therapy date were not reported for prophylactic vaccination. Batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced chills, and sore arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and the outcome of sore arm was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176587
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: HEADACHE; FEVER; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, the subject experienced headache, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever and headache was not reported. This report was non-serious. This case, from the same reporter is linked to 20210355508 and 20210355949.

Other Meds:

Current Illness:

ID: 1176588
Sex: F
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: FEVER; HEADACHE; This spontaneous report received from a parent concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown and expiry: unknown) dose was not reported, administered on 23-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced fever, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever, and headache. This report was non-serious. This case, from the same reporter is linked to 20210356558. Additional information was received from parent on 29-MAR-2021 following information was updated and incorporated into the case narrative: Hospital/Organization details (name of the hospital, address and city) in vaccine facility tab was added and linked the case 20210356558.

Other Meds:

Current Illness:

ID: 1176589
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: SIDE EFFECTS; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced side effects. The action taken with covid-19 vaccine was not applicable. The outcome of side effects was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176590
Sex: F
Age:
State: OK

Vax Date:
Onset Date: 03/14/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: BODY ACHES; TIREDNESS; This spontaneous report received from a patient concerned a 79 year old female. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1805020 expiry: UNKNOWN) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 14-MAR-2021, the subject experienced body aches. On 14-MAR-2021, the subject experienced tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, and tiredness on MAR-2021. This report was non-serious. This case, from the same reporter is linked to 20210356833.

Other Meds:

Current Illness:

ID: 1176591
Sex: U
Age:
State: CO

Vax Date:
Onset Date: 03/27/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: PATIENT GIVEN REPUNCTURED VACCINE VIALS REFRIGERATED FOR OVER 6 HOURS; This spontaneous report received from a physician concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number was not reported) dose was not reported, administered on 27-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 27-MAR-2021, the subject experienced subject given repunctured vaccine vials refrigerated for over 6 hours. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of patient given repunctured vaccine vials refrigerated for over 6 hours was not reported. This report was non-serious. Additional information was received on 29/Mar/2021. No new information received.

Other Meds:

Current Illness:

ID: 1176592
Sex: F
Age:
State: CO

Vax Date:
Onset Date: 03/06/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: UNABLE TO USE ARM AS SHE DID IN THE PAST; ACHING RIGHT DELTOID MUSCLE/ACHING ARM AT THE SITE OF THE INJECTION; This spontaneous report received from a patient concerned a 62 year old female. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020, and batch number: 1805020 expiry: UNKNOWN) dose was not reported, 1 total, administered on 06-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 06-MAR-2021, the subject experienced unable to use arm as she did in the past. On 06-MAR-2021, the subject experienced aching right deltoid muscle/aching arm at the site of the injection. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from aching right deltoid muscle/aching arm at the site of the injection, and unable to use arm as she did in the past. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176593
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 03/27/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: TOOTH PROBLEM; JAW PROBLEM; FEVER; KNOCKED OUT; This spontaneous report received from a consumer concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 26-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 27-MAR-2021, the subject experienced knocked out. On an unspecified date, the subject experienced tooth problem, jaw problem, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, knocked out, tooth problem and jaw problem was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176594
Sex: M
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: MILD HEADACHE; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 2021, the subject experienced mild headache. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of mild headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176595
Sex: M
Age:
State: NC

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: CHILLS; FEVER; BURNING SKIN; HOT FLASHES/FEELING HOT; FATIGUE; This spontaneous report received from a patient concerned a 40 year old male. The patient's weight was 77.1 kilograms, and height was 175.26 centimeters. The patient's concurrent conditions included seasonal allergy, alcohol use, and non smoker, and other pre-existing medical conditions included the patient had no history of drug abuse or illicit drug use. The patient was previously treated with diphtheria vaccine toxoid/pertussis vaccine acellular/ toxoid for prophylactic vaccination; and experienced reactions to vaccines when treated with diphtheria vaccine toxoid/pertussis vaccine acellular/tetanus vaccine toxoid, and tetanus vaccine for prophylactic vaccination. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1808609 expiry: 09-JUN-2021) dose was not reported, administered on 19-MAR-2021 14:00 in the right arm for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced hot flashes/feeling hot. On MAR-2021, the subject experienced fatigue. On 19-MAR-2021, the subject experienced burning skin. On 19-MAR-2021 22:00, the subject experienced chills. On 19-MAR-2021 22:00, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from burning skin, hot flashes/feeling hot, chills, fever, and fatigue on 20-MAR-2021. This report was non-serious. Additional information was received from the patient on 30-MAR-2021. Following information was updated into the case: other identification numbers added, patient's contact details added (address, city, zip code, email address and phone number), patient demographics added (age ,age group, gender, height, and weight), concurrent condition added ( seasonal allergy, non-smoker, alcoholic), event added (fatigue and hot flashes/feeling hot), past reaction added( reactions to vaccines), suspect drug route of administration added ((intramuscular), vaccination time added, past drug added (Tetanus and TDAP) and due diligence updated.

Other Meds:

Current Illness: Alcohol use (1-2 drinks); Non-smoker; Seasonal allergy

ID: 1176596
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: 5TH NOSEBLEED IN A WEEK; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Company is unable to perform follow-up to confirm batch/lot number. No concomitant medications were reported. On an unspecified date, the subject experienced 5th nosebleed in a week. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of 5th nosebleed in a week was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176597
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: SORE ARM THE DAY AFTER; VERY TIRED; SLIGHT HEADACHE; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, 1 total, start therapy date were not reported for prophylactic vaccination. The batch number was not provided. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced sore arm the day after, very tired, and slight headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the slight headache, very tired and sore arm the day after was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176598
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/26/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: WOKE UP IN PAIN; FEVER WAS 102-103; DIDN'T SLEEP AT ALL NIGHT; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 26-MAR-2021, the subject experienced didn't sleep at all night. On an unspecified date, the subject experienced woke up in pain, and fever was 102-103. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 102-103 F, 100-99 F. Treatment medications (dates unspecified) included: tramadol hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever was 102-103, and the outcome of didn't sleep at all night and woke up in pain was not reported. This report was non-serious.; Sender's Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1176599
Sex: M
Age:
State:

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: FEVER; HEADACHE; This spontaneous report received from a patient via a company representative concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On MAR-2021, the subject experienced headache. On an unspecified date, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever and headache was not reported. This report was non-serious. This case, from the same reporter is linked to 20210355949.

Other Meds:

Current Illness:

ID: 1176600
Sex: F
Age:
State:

Vax Date:
Onset Date: 03/13/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: LIGHT HEADEDNESS; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown expiry date: Unknown) dose was not reported, administered on 13-MAR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 13-MAR-2021, the subject experienced light headedness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from light headedness. This report was non-serious. This case, from the same reporter is linked to 20210354458.

Other Meds:

Current Illness:

ID: 1176601
Sex: F
Age:
State: SC

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: LIGHT HEADED MOSTLY WHEN STAND UP; LOOSE BOWELS; This spontaneous report received from a patient concerned a 71 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included blood pressure issues. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN, expiry: UNKNOWN) dose was not reported, administered on 26-MAR-2021 in the left deltoid for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On MAR-2021, the subject experienced light headed mostly when stand up. On MAR-2021, the subject experienced loose bowels. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the light headed mostly when stand up and loose bowels was not reported. This report was non-serious.

Other Meds:

Current Illness: Blood pressure abnormal

ID: 1176602
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/26/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: PROFUSE SWEATING; RESTLESSNESS; MISERABLE; CHILLS; BAD NAUSEA; BAD HEADACHE; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, 1 total, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported. On 26-MAR-2021, the subject experienced profuse sweating. On 26-MAR-2021, the subject experienced restlessness. On 26-MAR-2021, the subject experienced miserable. On 26-MAR-2021, the subject experienced chills. On 26-MAR-2021, the subject experienced bad nausea. On 26-MAR-2021, the subject experienced bad headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from bad nausea, chills, profuse sweating, bad headache, restlessness, and miserable. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176603
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Body ache; Headache; Fever; This spontaneous report received from a consumer concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included unknown. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot number. No concomitant medications were reported. On an unspecified date, the subject experienced body ache, headache, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, fever and body ache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176604
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: ACHY JOINTS; This spontaneous report received from a consumer concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 26-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced achy joints. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of achy joints was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1176605
Sex: M
Age:
State:

Vax Date:
Onset Date: 03/25/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: CHILLS; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 25-MAR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 25-MAR-2021, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of chills was not reported. This report was non-serious.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm