VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1236206
Sex: M
Age:
State: WI

Vax Date:
Onset Date: 03/17/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: FELT LIKE HEAVINESS / WEIGHTS IN OBLIQUES; SORENESS IN ARM; This spontaneous report received from a patient concerned a 65 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included arthritis. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031, and expiry: UNKNOWN) dose was not reported, administered on 17-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 17-MAR-2021, the subject experienced soreness in arm. On 14-APR-2021, the subject experienced felt like heaviness / weights in obliques. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from soreness in arm on 21-MAR-2021, and had not recovered from felt like heaviness / weights in obliques. This report was non-serious.

Other Meds:

Current Illness: Arthritis

ID: 1236207
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 03/12/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: LETHARGIC; FEVER; MUSCLE ACHES; BAD HEADACHE; 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: 1805022, expiry: UNKNOWN) dose was not reported, administered on 11-MAR-2021 to Left Arm for prophylactic vaccination. No concomitant medications were reported. On 12-MAR-2021, the subject experienced lethargic. On 12-MAR-2021, the subject experienced fever. On 12-MAR-2021, the subject experienced muscle aches. On 12-MAR-2021, the subject experienced bad headache. Laboratory data included: Body temperature (NR: not provided) 100 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from lethargic, fever, muscle aches, and bad headache on 12-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236208
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: INJECTION SITE SWELLING; 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 12-APR-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 APR-2021, the subject experienced injection site swelling. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of injection site swelling was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236209
Sex: M
Age:
State: VA

Vax Date:
Onset Date: 04/13/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: FLU LIKE SYMPTOMS; LOSS OF APPETITE; NAUSEA; This spontaneous report received from a consumer concerned a 48 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, and batch number: 206A22A expiry: UNKNOWN) dose was not reported, administered on 13-APR-2021 07:20 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021 18:00, the subject experienced flu like symptoms. On 13-APR-2021 18:00, the subject experienced loss of appetite. On 13-APR-2021 18:00, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the flu like symptoms, loss of appetite and nausea was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236210
Sex: F
Age:
State: OH

Vax Date:
Onset Date: 03/31/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: FOGGINESS; RUNNY NOSE; WATERY EYES; DROWSINESS; CHILLS; FEVER; FATIGUE; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included never had allergies before. 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 31-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 2021, the subject experienced fatigue. On 31-MAR-2021, the subject experienced chills. On 31-MAR-2021, the subject experienced fever. On APR-2021, the subject experienced fogginess. On APR-2021, the subject experienced runny nose. On APR-2021, the subject experienced watery eyes. On APR-2021, the subject experienced drowsiness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fogginess, runny nose, and watery eyes on APR-2021, and chills, and fever on 2021, and the outcome of fatigue and drowsiness was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236211
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: HEADACHE; DOUBLE VISION; SHORT OF BREATH; PAIN IN LEGS; UNUSUALLY TIRED; This spontaneous report received from a patient concerned a 59 year old female. The patient's weight was 101 kilograms, and height was 60 inches. The patient's concurrent conditions included psoriasis, dry eyes, seasonal allergies-non serious, alcohol use, and non-smoker, and other pre-existing medical conditions included patient had no known drug allergies and not asked drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 201A21A expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. Concomitant medications included ciclosporin for dry eyes, and etanercept for treatment of psoriasis. On 11-APR-2021, the subject experienced double vision. On 11-APR-2021, the subject experienced short of breath. On 11-APR-2021, the subject experienced pain in legs. On 11-APR-2021, the subject experienced unusually tired. On 12-APR-2021, the subject experienced headache. Treatment medications included: ibuprofen. Laboratory data (dates unspecified) included: Blood test (NR: not provided) Unknown. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from double vision, and pain in legs on 11-APR-2021, and headache on 13-APR-2021, and was recovering from unusually tired, and short of breath. This report was non-serious.

Other Meds: RESTASIS; ENBREL

Current Illness: Alcohol use (Mixed drinks occasionally about once or twice a week.); Dry eyes; Non-smoker; Psoriasis; Seasonal allergy

ID: 1236212
Sex: M
Age:
State: KY

Vax Date:
Onset Date:
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: SEVERE ABDOMINAL PAIN; LEFT KIDNEY PAIN / KIDNEY STILL HURTS; This spontaneous report received from a patient concerned a 66 year old male. The patient's height, and weight were not reported. The patient's past medical history included kidney stones.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 201A210 expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced severe abdominal pain, and left kidney pain / kidney still hurts. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from severe abdominal pain, and was recovering from left kidney pain / kidney still hurts. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236213
Sex: F
Age:
State: IL

Vax Date:
Onset Date: 03/05/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: CHILLS; FREEZING; 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 05-MAR-2021 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 05-MAR-2021, the subject experienced chills. On 05-MAR-2021, the subject experienced freezing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills on 06-MAR-2021, and the outcome of freezing was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236214
Sex: F
Age:
State: VA

Vax Date:
Onset Date: 04/13/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: SORE ARM/ CAN HARDLY MOVE IT; FLU SYMPTOMS/ NAUSEA/ NO APPETITE; This spontaneous report received from a patient concerned a 45 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: 206A22A expiry: UNKNOWN) dose was not reported, administered on 13-APR-2021 07:20 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021 18:00, the subject experienced flu symptoms/ nausea/ no appetite. On 14-APR-2021 08:00, the subject experienced sore arm/ can hardly move it. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu symptoms/ nausea/ no appetite on 14-APR-2021, and had not recovered from sore arm/ can hardly move it. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236215
Sex: M
Age:
State: NY

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: COLD; CHILLS; HEADACHE; This spontaneous report received from a patient concerned a 53 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: 1808980 and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 to Left Deltoid for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced cold. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, had not recovered from headache, and the outcome of cold was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236216
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: BODY ACHES; MIGRAINE; RESTLESS IN BED; SHAKING CHILLS; FEVER; This spontaneous report received from a patient concerned a patient 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) 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 body aches, migraine, restless in bed, shaking chills, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from migraine, and the outcome of shaking chills, body aches, fever and restless in bed was not reported. This report was non-serious. This case, from the same reporter is linked to 20210436881.

Other Meds:

Current Illness:

ID: 1236217
Sex: F
Age:
State: UT

Vax Date:
Onset Date: 04/12/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: LITTLE RED MARK AT INJECTION SITE; DIARRHEA; BODY ACHES; STOMACH ACHE; NAUSEA; TIREDNESS; HEADACHE; LIGHT HEADED; BURNING DURING INJECTION; This spontaneous report received from a patient concerned a 40 year old female. The patient's height, and weight were not reported. The patient's 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: 205A21A, and expiry: 23-JUN-2021) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. Non-company suspect drugs included: paracetamol (caplet, oral, batch number: 2GE1525C expiry: 31-JAN-2015) 500 mg, 2 times every 1 day, from 13-APR-2021 for headache; and ibuprofen (caplet, oral, batch number: 9DE2742A expiry: 31-JAN-2021) 200 mg, 2 times every 1 day, from 13-APR-2021 for body ache, and headache. No concomitant medications were reported. On 12-APR-2021, the subject experienced light headed. On 12-APR-2021, the subject experienced burning during injection. On 13-APR-2021 07:00, the subject experienced headache. On 13-APR-2021 07:00, the subject experienced tiredness. On 13-APR-2021 13:00, the subject experienced stomach ache. On 13-APR-2021 13:00, the subject experienced nausea. On 13-APR-2021 17:00, the subject experienced diarrhea. On 13-APR-2021 17:00, the subject experienced body aches. On 14-APR-2021, the subject experienced little red mark at injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from diarrhea, and burning during injection on APR-2021, and had not recovered from light headed, headache, nausea, stomach ache, little red mark at injection site, body aches, and tiredness. This report was non-serious.

Other Meds: Kirkland signature ibuprofen, acetaminophen

Current Illness:

ID: 1236218
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/05/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: RASH TO BOTH ARMS AND REST OF THE BODY; BUMPS TO BODY AND HIVES; This spontaneous report received from a patient concerned a 41 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: 042A21A expiry: UNKNOWN) dose was not reported, administered on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 05-APR-2021, the subject experienced rash to both arms and rest of the body. On 05-APR-2021, the subject experienced bumps to body and hives. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from rash to both arms and rest of the body, and bumps to body and hives. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236219
Sex: F
Age:
State: NC

Vax Date:
Onset Date: 04/02/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: DIZZY; HEADACHES ON RIGHT SIDE BY EARS; GROGGY; FELT OUT OF IT; SOARED AROUND ARM; TIREDNESS; This spontaneous report received from a patient concerned a 19 year old female. The patient's weight was 380 pounds, and height was 71 inches. The patient's concurrent conditions included pre-diabetes, high blood pressure, pollen allergy, non alcoholic, and non smoker, and other pre-existing medical conditions included the patient had no history of drug abuse/ illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 02-APR-2021, the subject experienced groggy. On 02-APR-2021, the subject experienced felt out of it. On 02-APR-2021, the subject experienced soared around arm. On 02-APR-2021, the subject experienced tiredness. On 07-APR-2021, the subject experienced dizzy. On 07-APR-2021, the subject experienced headaches on right side by ears. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from soared around arm, and tiredness, and had not recovered from groggy, headaches on right side by ears, dizzy, and felt out of it. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Blood pressure high; Non-smoker; Pollen allergy; Pre-diabetes

ID: 1236220
Sex: F
Age:
State: MD

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: FAST HEARTBEAT; BODY ACHES; MUSCLE CRAMP; SWOLLEN FACE; REALLY COLD; WEAKNESS; SHOOTING PAIN/MUSCLE PAIN; HEADACHE; FEVER/SHIVERS; This spontaneous report received from a patient concerned a 43 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: 1805022 expiry: 25/MAY/2021) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced fast heartbeat. On 08-APR-2021, the subject experienced body aches. On 08-APR-2021, the subject experienced muscle cramp. On 08-APR-2021, the subject experienced swollen face. On 08-APR-2021, the subject experienced really cold. On 08-APR-2021, the subject experienced weakness. On 08-APR-2021, the subject experienced shooting pain/muscle pain. On 08-APR-2021, the subject experienced headache. On 08-APR-2021, the subject experienced fever/shivers. Treatment medications (dates unspecified) included: acetylsalicylic acid/caffeine/paracetamol/salicylamide, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fast heartbeat, and shooting pain/muscle pain on 08-APR-2021, body aches, muscle cramp, and headache on 10-APR-2021, swollen face, and weakness on 11-APR-2021, and really cold, and fever/shivers on 09-APR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236221
Sex: U
Age:
State: NJ

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: LACK OF APPETITE; WEAKNESS; CHILLS; HEADACHE; NAUSEA; FEVER; VOMITING; DIARRHEA; 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) dose was not reported, administered on 11-APR-2021 15:20 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-APR-2021, the subject experienced vomiting. On 11-APR-2021, the subject experienced diarrhea. On 11-APR-2021, the subject experienced weakness. On 11-APR-2021, the subject experienced chills. On 11-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced nausea. On 11-APR-2021, the subject experienced fever. On 12-APR-2021, the subject experienced lack of appetite. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, weakness, nausea, vomiting, diarrhea, fever, chills and lack of appetite was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236222
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: ANKLE DISCOMFORT/RUBBER BAND FEELING AROUND ANKLES; LEGS FELT COLD/NUMB FROM KNEE DOWN; SHARP PAIN IN RIGHT SIDE OF STOMACH; RUNNY NOSE; FEVERISH FEELING; ODD TASTE IN MOUTH; LEFT ARM PAIN/ LEG PAIN/ FOOT PAIN R ARMPIT; ODD FEELING LEFT SIDE OF THROAT; RIGHT LEG AND ELBOW VEINS WERE VERY APPARENT (BULGING); RANDOM COUGH/ INTERMITTENT COUGH; SHORTNESS OF BREATH; FLU LIKE; FEELING ILL; HEADACHE; PAIN IN JOINTS, LEFT SIDE SHOULDER, RIGHT HIP, ANKLES AND PAIN UP TO KNEE; ITCHY PALMS OF HANDS; THOUGHT MAY PASS OUT/ INTERMITTENT DIZZINESS; FELT FLUSH FEELING THROUGH MY BODY; ITCHY TONGUE; NECK PAIN; 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 08-APR-2021 15:10 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 08-APR-2021, the subject experienced itchy tongue. On 08-APR-2021, the subject experienced felt flush feeling through my body. On 08-APR-2021, the subject experienced thought may pass out/ intermittent dizziness. On 08-APR-2021, the subject experienced neck pain. On 08-APR-2021, the subject experienced itchy palms of hands. On 08-APR-2021, the subject experienced pain in joints, left side shoulder, right hip, ankles and pain up to knee. On 09-APR-2021, Laboratory data included: Oxygen saturation (NR: not provided) 96 %. On 09-APR-2021 03:00, the subject experienced shortness of breath. On 09-APR-2021 03:00, the subject experienced flu like. On 09-APR-2021 03:00, the subject experienced feeling ill. On 09-APR-2021 03:00, the subject experienced headache. On 10-APR-2021, the subject experienced random cough/ intermittent cough. Laboratory data included: Blood pressure (NR: not provided) Normal, and Oxygen saturation (NR: not provided) 98 %. On 10-APR-2021 21:00, the subject experienced right leg and elbow veins were very apparent (bulging). On 11-APR-2021, the subject experienced odd taste in mouth. On 11-APR-2021, the subject experienced odd feeling left side of throat. On 11-APR-2021, the subject experienced left arm pain/ leg pain/ foot pain r armpit. On 11-APR-2021, the subject experienced feverish feeling. Laboratory data included: Blood pressure (NR: not provided) Normal, and Body temperature (NR: not provided) 96.4 F. On 12-APR-2021, the subject experienced sharp pain in right side of stomach. On 12-APR-2021, the subject experienced runny nose. On 14-APR-2021, the subject experienced ankle discomfort/rubber band feeling around ankles. On 14-APR-2021, the subject experienced legs felt cold/numb from knee down. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from felt flush feeling through my body on 08-APR-2021, was recovering from headache, had not recovered from shortness of breath, and ankle discomfort/rubber band feeling around ankles, and the outcome of itchy tongue, pain in joints, left side shoulder, right hip, ankles and pain up to knee, random cough/ intermittent cough, right leg and elbow veins were very apparent (bulging), feverish feeling, thought may pass out/ intermittent dizziness, odd taste in mouth, sharp pain in right side of stomach, neck pain, feeling ill, flu like, left arm pain/ leg pain/ foot pain r armpit, odd feeling left side of throat, runny nose, legs felt cold/numb from knee down and itchy palms of hands was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236223
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: MENSTRUATION 9 DAYS EARLIER THAN NORMAL; INDIGESTION; DIZZINESS; CHILLS; HEADACHE; FEVER; MUSCLE PAIN; 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. No concomitant medications were reported. The batch number was not reported. Per procedure, no follow-up will be requested for this case. On an unspecified date, the subject experienced menstruation 9 days earlier than normal, indigestion, dizziness, chills, headache, fever, and muscle pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the menstruation 9 days earlier than normal, headache, indigestion, chills, fever, muscle pain and dizziness was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236224
Sex: F
Age:
State: IN

Vax Date:
Onset Date: 04/04/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: DISORIENTED; COULD NOT EVEN WALK; LOSS OF APPETITE; NO STRENGTH; WEAK LEGS; FEVER; HEADACHE; FATIGUE/EXHAUSTED/TIRED IN LEGS; This spontaneous report received from a patient concerned a 53 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: 043AZIA, and batch number: 043AZIA) dose was not reported, administered on 03-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 04-APR-2021, the subject experienced disoriented. On 04-APR-2021, the subject experienced could not even walk. On 04-APR-2021, the subject experienced loss of appetite. On 04-APR-2021, the subject experienced no strength. On 04-APR-2021, the subject experienced weak legs. On 04-APR-2021, the subject experienced fever. On 04-APR-2021, the subject experienced headache. On 04-APR-2021, the subject experienced fatigue/exhausted/tired in legs. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever on APR-2021, had not recovered from weak legs, no strength, headache, fatigue/exhausted/tired in legs, disoriented, and loss of appetite, and the outcome of could not even walk was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236225
Sex: F
Age:
State: MI

Vax Date:
Onset Date: 03/25/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: STOMACH PAIN; DIARRHEA; VOMITING; SORE ARM; HEADACHE; FATIGUE; BODY ACHE; This spontaneous report received from a patient concerned a 75 year old female. The patient's height, and weight were not reported. The patient's past medical history included skin reaction to another vaccine in the past (MMR), and concurrent conditions included thyroid, blood pressure, and cholesterol. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802068 expiry: UNKNOWN) dose was not reported, administered on 25-MAR-2021 14:00 for prophylactic vaccination. Concomitant medications included acetylsalicylic acid for drug used for unknown indication. On 25-MAR-2021, the subject experienced body ache. On 25-MAR-2021, the subject experienced sore arm. On 25-MAR-2021, the subject experienced headache. On 25-MAR-2021, the subject experienced fatigue. On 26-MAR-2021, the subject experienced stomach pain. On 26-MAR-2021, the subject experienced diarrhea. On 26-MAR-2021, the subject experienced vomiting. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body ache, and headache, stomach pain, diarrhea, and vomiting on 27-MAR-2021, and sore arm on 08-APR-2021, and the outcome of fatigue was not reported. This report was non-serious. This case, from the same reporter is linked to 20210427911.

Other Meds: BABY ASPIRIN

Current Illness: Blood pressure; Cholesterol; Disorder thyroid

ID: 1236226
Sex: F
Age:
State: OR

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: PAIN IN JOINTS (HANDS, FEET, LEGS, KNEES, HIPS); This spontaneous report received from a patient concerned a 72 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included osteopenia in hands, abstains from alcohol, and non smoker. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, administered on 08-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 pain in joints (hands, feet, legs, knees, hips). Treatment medications (dates unspecified) included: Tylenol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain in joints (hands, feet, legs, knees, hips). This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker; Osteopenia

ID: 1236227
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: EXTREME BOUTS OF FATIGUE; 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) 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 extreme bouts of fatigue, and very scary / worrisome. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the extreme bouts of fatigue and very scary / worrisome was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236228
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: VOMITING; SWEATING; CHILLS; 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 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 09-APR-2021, the subject experienced vomiting. On APR-2021, the subject experienced sweating. On APR-2021, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting on 09-APR-2021, and had not recovered from sweating, and chills. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236229
Sex: U
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: &J COVID-19 VACCINE ADMINISTERED 28 DAYS AFTER MODERNA COVID-19 VACCINE ADMINISTERED; This spontaneous report received from a pharmacist concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. The patient's concurrent conditions included kidney disease. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042121A, and 042A21A expiry: UNKNOWN) dose was not reported, administered on 04-APR-2021 for prophylactic vaccination. Concomitant medications included mrna 1273 for prophylactic vaccination. On an unspecified date, the subject experienced &j covid-19 vaccine administered 28 days after moderna covid-19 vaccine administered. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of &j covid-19 vaccine administered 28 days after moderna covid-19 vaccine administered was not reported. This report was non-serious. This case, from the same reporter is linked to 20210419970.

Other Meds: MRNA 1273

Current Illness: Renal disease

ID: 1236230
Sex: F
Age:
State:

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: ARM FELT LIKE DEAD LEG; 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) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced arm felt like dead leg. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of arm felt like dead leg was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236231
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: DIARRHEA; FACIAL RASH; NAUSEA; HEADACHE; This spontaneous report received from a patient concerned a 58 year old of unspecified sex. The patient's height, and weight were not reported. The patient's concurrent conditions included medication allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown and expiry date: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 09-APR-2021, the subject experienced diarrhea. On 09-APR-2021, the subject experienced facial rash. On 09-APR-2021, the subject experienced nausea. On 09-APR-2021, the subject experienced headache. Treatment medications (dates unspecified) included: diphenhydramine hydrochloride (Benadryl). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from diarrhea, facial rash, nausea, and headache on APR-2021. This report was non-serious.

Other Meds:

Current Illness: Drug allergy

ID: 1236232
Sex: F
Age:
State: MI

Vax Date:
Onset Date: 03/25/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: BODY ACHES; PROFUSELY SWEATING ALL NIGHT; SHAKING VERY BAD; CHILLS; BAD HEADACHE; NAUSEA; FEVER; 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: Unk) 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 MAR-2021, Laboratory data included: Body temperature (NR: not provided) 102 F. On 25-MAR-2021, the subject experienced body aches. On 25-MAR-2021, the subject experienced profusely sweating all night. On 25-MAR-2021, the subject experienced shaking very bad. On 25-MAR-2021, the subject experienced chills. On 25-MAR-2021, the subject experienced bad headache. On 25-MAR-2021, the subject experienced nausea. On 25-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, chills, bad headache, nausea, body aches, profusely sweating all night and shaking very bad was not reported. This report was non-serious. This case, from the same reporter is linked to 20210427911.

Other Meds:

Current Illness:

ID: 1236233
Sex: F
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: BODY ACHE; WENT FROM HOT TO COLD; BRAIN COULD NOT FOCUS; CHILLS; HEADACHE; FEVER; This spontaneous report received from a consumer concerned an 18 year old female. The patient's height, and weight were not reported. The patient's past medical history included seizure, and concurrent conditions included seasonal allergy, no alcohol, and non smoker.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced body ache, feeling cold, brain could not focus, chills, headache, and fever. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills, body ache, headache, feeling cold, fever and brain could not focus was not reported. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker; Seasonal allergy

ID: 1236234
Sex: F
Age:
State: WI

Vax Date:
Onset Date: 03/16/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: BLURRY VISION; WEAKNESS; FELT SICK; TIRED; COULDN'T MOVE; DIZZY; This spontaneous report received from a patient concerned a 47 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included non-alcoholic, non-smoker, no cholesterol, and varicose veins, and other pre-existing medical conditions included no known drug allergies and had a watch on eating. family history of varicose veins, thrombosis and blood clots. patient is healthy and exercise regularly. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031, and expiry: UNKNOWN) dose was not reported, administered on 15-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 16-MAR-2021, the subject experienced couldn't move. On 16-MAR-2021, the subject experienced dizzy. On 16-MAR-2021, the subject experienced felt sick. On 16-MAR-2021, the subject experienced tired. On 18-MAR-2021, the subject experienced blurry vision. On 18-MAR-2021, the subject experienced weakness. Treatment medications (dates unspecified) included: ascorbic acid/ergocalciferol/folic acid/nicotinamide/panthenol/retinol/riboflavin/thiamine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from couldn't move, felt sick, and tired, had not recovered from dizzy, and the outcome of blurry vision and weakness was not reported. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Cholesterol normal; Non-smoker; Varicose veins

ID: 1236235
Sex: U
Age:
State: MI

Vax Date:
Onset Date:
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: FELT SICK; This spontaneous report received from a consumer concerned multiple patients. 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. Batch number was not reported and has been requested . No concomitant medications were reported. On an unspecified date, the subject experienced felt sick and stayed in bed for 24 hrs. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of felt sick and stayed in bed for 24 hrs was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236236
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: This spontaneous report received from a physician concerned a 45 year old female. The patient's height, and weight were not reported. The patient's past medical history included migraine headache, and cervical cancer. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin 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 headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236237
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 04/13/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: INJECTION SITE PAIN; 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 13-APR-2021 for prophylactic vaccination .Batch number was not reported and has been requested No concomitant medications were reported. On 13-APR-2021, the subject experienced injection site pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of injection site pain was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236238
Sex: M
Age:
State: FL

Vax Date:
Onset Date: 04/13/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: FEELING BAD; LAZY; SLEEPY; This spontaneous report received from a consumer concerned a 41 year old male. The patient's height, and weight were not reported. The patient's past medical history included rheumatic fever, and concurrent conditions included non alcoholic, and non smoker, and other pre-existing medical conditions included patient have no known drug allergies. 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 12-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 13-APR-2021, the subject experienced lazy. On 13-APR-2021, the subject experienced sleepy. On an unspecified date, the subject experienced feeling bad. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from lazy, and sleepy, and the outcome of feeling bad was not reported. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker

ID: 1236239
Sex: F
Age:
State: NC

Vax Date:
Onset Date: 04/13/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: PRESSURE ON CHEST; COULD NOT GET OUT OF BED; TIREDNESS; This spontaneous report received from a patient concerned a 33 year old. The patient's height, and weight were not reported. The patient's concurrent conditions included breastfeeding, non smoker, and allergic to aspirin, and other pre-existing medical conditions included the patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 207A21A, expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-APR-2021, the subject experienced could not get out of bed. On 13-APR-2021, the subject experienced tiredness. On 14-APR-2021, the subject experienced pressure on chest. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from tiredness, and the outcome of pressure on chest and could not get out of bed was not reported. This report was non-serious. This parent/child case is linked to 20210436123.

Other Meds:

Current Illness: Breast feeding; Drug allergy; Non-smoker

ID: 1236240
Sex: F
Age:
State:

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: SWEATING; CHILLS; HEADACHE; FEVER; 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 was not reported, administered on 10-APR-2021 for prophylactic vaccination. Batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced sweating. On APR-2021, the subject experienced chills. On APR-2021, the subject experienced headache. On APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sweating, chills, headache, and fever on APR-2021. This report was non-serious. This case, from the same reporter is linked to 20210428358 and 20210430032.

Other Meds:

Current Illness:

ID: 1236241
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 04/12/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: BODY ACHES; CHILLS; TIREDNESS; DIFFICULTY WITH WAKING UP; RIGHT SHOULDER PAIN; NOT FEELING WELL; This spontaneous report received from a patient concerned a 46 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: 206A21A expiry: 23/JUN/2021) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced difficulty with waking up. On 12-APR-2021, the subject experienced right shoulder pain. On 12-APR-2021, the subject experienced not feeling well. On 12-APR-2021, the subject experienced tiredness. On 12-APR-2021 01:00, the subject experienced chills. On 12-APR-2021 06:30, the subject experienced body aches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, chills, and tiredness on 12-APR-2021, and difficulty with waking up, and not feeling well, and had not recovered from right shoulder pain. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236242
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/12/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: CHEST PAIN; SEVERE WATERY DIARRHEA; LIGHT HEADED; SWEATING; CHILLS; FEVER; HEADACHE; NAUSEA; DIZZY; HOT AT THE INJECTION SITE; VOMITING; This spontaneous report received from a patient concerned a 49 year old female. The patient's height, and weight were not reported. The patient's past medical history included hysterectomy, and concurrent conditions included asthma, and other pre-existing medical conditions included patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A, and expiry: 23/JUN/2021) .5 ml, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced hot at the injection site. On 12-APR-2021, the subject experienced vomiting. On 12-APR-2021, the subject experienced dizzy. On 12-APR-2021, the subject experienced headache. On 12-APR-2021, the subject experienced nausea. On 14-APR-2021, the subject experienced chest pain. On 14-APR-2021, the subject experienced severe watery diarrhea. On 14-APR-2021, the subject experienced light headed. On 14-APR-2021, the subject experienced sweating. On 14-APR-2021, the subject experienced chills. On 14-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from hot at the injection site, and vomiting on 13-APR-2021, and had not recovered from headache, nausea, dizzy, severe watery diarrhea, light headed, sweating, chest pain, chills, and fever. This report was non-serious.

Other Meds:

Current Illness: Asthma

ID: 1236243
Sex: M
Age:
State:

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: SORE ARM; 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: Unk) dose was not reported, administered on APR-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 APR-2021, the subject experienced sore arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of sore arm was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236244
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: LEG CRAMPS; SHORTNESS OF BREATH; HEADACHES; 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, 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 APR-2021, the subject experienced leg cramps. On APR-2021, the subject experienced shortness of breath. On APR-2021, the subject experienced headaches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the leg cramps, shortness of breath and headaches was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236245
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: FULL BODY ACHE; PULLED CALF MUSCLE FEELING; LEG PAIN CALF; 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 was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced full body ache. On APR-2021, the subject experienced pulled calf muscle feeling. On APR-2021, the subject experienced leg pain calf. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from full body ache, and the outcome of leg pain calf and pulled calf muscle feeling was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236246
Sex: F
Age:
State: NC

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: WARMTH AT INJECTION SITE; ITCHING AT INJECTION SITE; HEADACHE; SWELLING AT INJECTION SITE; RED DISCOLORATION AT INJECTION SITE; BODY ACHES; FATIGUE; This spontaneous report received from a patient concerned a 33 year old female. The patient's height, and weight were not reported. The patient's 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: 043A21A, and batch number: 043A21A expiry: 21-JUN-2021) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced body aches. On 09-APR-2021, the subject experienced fatigue. On 10-APR-2021, the subject experienced warmth at injection site. On 10-APR-2021, the subject experienced itching at injection site. On 10-APR-2021, the subject experienced headache. On 10-APR-2021, the subject experienced swelling at injection site. On 10-APR-2021, the subject experienced red discoloration at injection site. Treatment medications (dates unspecified) included: diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, and fatigue on 09-APR-2021, and headache on 11-APR-2021, and had not recovered from swelling at injection site, red discoloration at injection site, itching at injection site, and warmth at injection site. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236247
Sex: M
Age:
State: OH

Vax Date:
Onset Date: 03/09/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: ARTHRALGIA; LETHARGIC; This spontaneous report received from a patient concerned a 68 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: 1802068, expiry: UNKNOWN) dose was not reported, administered on 08-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-MAR-2021, the subject experienced arthralgia. On 09-MAR-2021, the subject experienced lethargic. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from arthralgia, and lethargic on 10-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236248
Sex: U
Age:
State: NY

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: RUNNY NOSE; REDNESS AT INJECTION SITE; This spontaneous report received from a patient concerned a 28 year old of unspecified 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: 205A21A, expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced redness at injection site. On 12-APR-2021, the subject experienced runny nose. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from redness at injection site, and runny nose. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236249
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/12/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: SLUGGISHNESS; TIREDNESS; FEVER; 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: Unk) dose was not reported, administered on 11-APR-2021 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 12-APR-2021, the subject experienced sluggishness. On 12-APR-2021, the subject experienced tiredness. On 12-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the tiredness, sluggishness and fever was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236250
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: PAIN IN LUNGS; BODY PAIN; BONE PAIN; FEVER; HEADACHE; NAUSEA; MUSCLE PAIN; 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 was not reported, administered on 13-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 pain in lungs, body pain, bone pain, fever, headache, nausea, and muscle pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain in lungs, and body pain, and the outcome of fever, headache, nausea, muscle pain and bone pain was not reported. This report was non-serious. This case, from the same reporter is linked to 20210432269.; Sender's Comments: v0-Medical assessment comment not required as per standard operating procedures.

Other Meds:

Current Illness:

ID: 1236251
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: YELLOW SPOT IN EYES; 2 KNOTS ON HEAD THAT ARE SORE TO TOUCH; VACCINE WITH TWITCHING; 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: 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 2021, the subject experienced vaccine with twitching. On an unspecified date, the subject experienced yellow spot in eyes, and 2 knots on head that are sore to touch. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vaccine with twitching on 2021, and the outcome of yellow spot in eyes and 2 knots on head that are sore to touch was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236252
Sex: M
Age:
State: CA

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: BLOOD IN URINE; FEELING BAD; BODY ACHES; CHILLS; EXHAUSTED; This spontaneous report received from a patient concerned a 28 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included iga nephropathy, non-smoker, and non alcoholic. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced blood in urine. On 11-APR-2021, the subject experienced feeling bad. On 11-APR-2021, the subject experienced body aches. On 11-APR-2021, the subject experienced chills. On 11-APR-2021, the subject experienced exhausted. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from blood in urine on 13-APR-2021, and chills, was recovering from feeling bad, and had not recovered from body aches, and exhausted. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; IgA nephropathy; Non-smoker

ID: 1236253
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 04/12/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: DIZZY; HEADACHE; DRY EYES; FEELS LAZY; SLEEPY; This spontaneous report received from a patient concerned a 47 year old female. The patient's height, and weight were not reported. The patient's past medical history included anemic, and hysterectomy, and concurrent conditions included stones in gallbladder, high cholesterol, borderline diabetic, overweight, alcohol user, and non-smoker, and other pre-existing medical conditions included no known drug allergies. The patient experienced stomach upset when treated with paracetamol for pain. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 12-APR-2021, the subject experienced dry eyes. On 12-APR-2021, the subject experienced feels lazy. On 12-APR-2021, the subject experienced sleepy. On 13-APR-2021, the subject experienced dizzy. On 13-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from dry eyes, feels lazy, sleepy, headache, and dizzy. This report was non-serious.

Other Meds:

Current Illness: Alcohol use (4 times a year); Borderline diabetes (Blood Sugar); High cholesterol; Non-smoker; Overweight; Stone in gallbladder

ID: 1236254
Sex: U
Age:
State: CA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: BURNING THROAT PAIN; DIFFICULTY IN SWALLOWING; 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: 042A21A, and batch number: 042A21A expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced burning throat pain. On APR-2021, the subject experienced difficulty in swallowing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the burning throat pain and difficulty in swallowing was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1236255
Sex: F
Age:
State: GA

Vax Date:
Onset Date: 04/07/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: DIZZINESS; CHILLS; FEVER; HEADACHE; This spontaneous report received from a consumer 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) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 07-APR-2021, the subject experienced dizziness. On 07-APR-2021, the subject experienced chills. On 07-APR-2021, the subject experienced fever. On 07-APR-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 99.5 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, chills, headache and dizziness was not reported. This report was non-serious.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am