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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1245056
Sex: F
Age: 22
State: NC

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin/penicillin allergy

Symptom List:

Symptoms: 2 nose bleeds in one day, one in the morning (about 11am), one at night (about 10:30pm). Both were longer/heavier than any others previously had (nose bleeds do not occur frequently).

Other Meds: Lexapro 10 mg; Norethindrone 1 tablet daily; Biotin supplement, multivitamin, probiotic daily Albuterol inhaler

Current Illness: Bronchitis diagnosed 4/8/2021

ID: 1245057
Sex: F
Age: 40
State: AZ

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

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

Lab Data:

Allergies: Penicillin, sulfa

Symptom List:

Symptoms: Tingling all down arm into finger, feels like my arm is asleep.

Other Meds: Cytomel, Plaquenil, Cortef, Zyrtec DHEA, calcium citrate, iron, zinc, d3, 5htp, folic acid,

Current Illness:

ID: 1245058
Sex: F
Age: 60
State: IL

Vax Date: 03/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, Walnuts, Coconut, contrast dye and iodine.

Symptom List:

Symptoms: Hives - head, neck, arms, chest and trunk.

Other Meds: Montelukast 10mg tablets, Triamterene 37.5mg/HCTZ 25mg, Vitamin D, C, E, Lysine and Turmeric

Current Illness: Asthma

ID: 1245059
Sex: F
Age: 51
State: TX

Vax Date: 03/05/2021
Onset Date: 03/28/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Caffeine, Venlafaxine, dairy, Talwin, penicillin

Symptom List:

Symptoms: Roughly a month after the vaccine, had shortness of breath, low oxygen level, disabling fatigue, bad headache, coughing up blood. Symptoms worsened over 3 weeks. Considered asthma, then pneumonia (with antibiotics), conditions worsened, so referred to a pulmonologist.

Other Meds: Lisinopril, Singulair, Symbicort, Pantrazapole, Synthroid, CPAP, allergy shots, Aimovig, Gabapentin, Amitriptyline, Chlordiazepoxide, Memantine, fish oil, complex B vitamin

Current Illness: None

ID: 1245060
Sex: F
Age: 45
State: RI

Vax Date: 03/01/2021
Onset Date: 04/14/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Received 1st dose of vaccine 3/10/21, 2nd dose 3/31/21. Developed intensely pruritic morbilliform rash on arms, chest, abdomen, buttocks, legs on 4/14/21.

Other Meds: Cetirizine, Tizanidine, Hydrocodone/APAP, aspirin, Atenolol, Montelukast, Ondansetron, Hydroxychloroquine, Gabapentin, Duloxetine, Bupropion, Clonazepam, Quetiapine, Fluticasone Nasal spray

Current Illness:

ID: 1245061
Sex: F
Age: 32
State: CT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: felt flushed/hot, ears ringing, light headed

Other Meds: bupropion, sertraline, Spironolactone, Claravis, goli apple cider vinegar gummies, culturelle probiotics

Current Illness:

ID: 1245062
Sex: M
Age: 53
State: CO

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Diarrhea

Other Meds: None

Current Illness: None

ID: 1245063
Sex: F
Age:
State:

Vax Date:
Onset Date: 04/10/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: MOODY; SLEEP A LOT; NO APPETITE FOR FOOD; BURNING AND ELECTRICITY-TYPE STABBING PAIN IN BACK; NAUSEATED; BLURRED VISION; HEART BEAT SPED UP; BUZZING-LIKE PAIN IN JAW; BUZZING-LIKE PAIN IN TEETH; PAIN AROUND EYEBALLS; TWO MIGRAINE HEADACHES; FREQUENT AND INTENSIFIED THROBBING; BURNING PAIN IN THE JOINTS OF WRISTS AND FINGERS/ELECTRICITY-TYPE STABBING PAIN IN MY KNEES, ANKLES,HIP AND SHOULDER; STIFFNESS IN THE JOINTS OF WRISTS AND FINGERS; NUMBNESS IN FINGERTIPS; BURNING AND ELECTRICITY-TYPE STABBING PAIN IN NECK; FEEL HEAT IN CHEST; FEEL HEAT IN FACE; PAIN AND MUSCLE SORENESS AT INJECTION SITE; 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 10-APR-2021 10:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced pain and muscle soreness at injection site. On 12-APR-2021, the subject experienced blurred vision. On 12-APR-2021, the subject experienced heart beat sped up. On 12-APR-2021, the subject experienced buzzing-like pain in jaw. On 12-APR-2021, the subject experienced buzzing-like pain in teeth. On 12-APR-2021, the subject experienced pain around eyeballs. On 12-APR-2021, the subject experienced two migraine headaches. On 12-APR-2021, the subject experienced frequent and intensified throbbing. On 12-APR-2021, the subject experienced burning pain in the joints of wrists and fingers/electricity-type stabbing pain in my knees, ankles, hip and shoulder. On 12-APR-2021, the subject experienced stiffness in the joints of wrists and fingers. On 12-APR-2021, the subject experienced numbness in fingertips. On 12-APR-2021, the subject experienced burning and electricity-type stabbing pain in neck. On 12-APR-2021, the subject experienced feel heat in chest. On 12-APR-2021, the subject experienced feel heat in face. On 12-APR-2021, the subject experienced burning and electricity-type stabbing pain in back. On 12-APR-2021, the subject experienced nauseated. On 15-APR-2021, the subject experienced moody. On 15-APR-2021, the subject experienced sleep a lot. On 15-APR-2021, the subject experienced no appetite for food. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain and muscle soreness at injection site, buzzing-like pain in jaw, blurred vision, pain around eyeballs, two migraine headaches, burning pain in the joints of wrists and fingers/electricity-type stabbing pain in my knees, ankles,hip and shoulder, numbness in fingertips, burning and electricity-type stabbing pain in back, nauseated, feel heat in chest, no appetite for food, buzzing-like pain in teeth, stiffness in the joints of wrists and fingers, burning and electricity-type stabbing pain in neck, and feel heat in face, and the outcome of heart beat sped up, frequent and intensified throbbing, moody and sleep a lot was not reported. This report was non-serious.; Sender's Comments: V0 Medical assessment comment not required as per standard procedure as the case was assessed as non-serious.

Other Meds:

Current Illness:

ID: 1245064
Sex: U
Age:
State: MD

Vax Date:
Onset Date: 03/23/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: FELT DIZZY/FELT FAINTING; HEAD SPINNING; HANDS SHAKING; DROWSY; VISION BLURRED; MOUTH DRY; ONE SIDE OF TONGUE WAS HEAVY; WEAKNESS; This spontaneous report received from a patient concerned a 65 year old of unspecified sex. 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 the patient had no known allergies and 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: Unknown) dose was not reported, administered on 23-MAR-2021 for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow-up to request batch/lot number. Concomitant medications included influenza vaccine for prophylactic vaccination, and acetylsalicylic acid. On 23-MAR-2021, the subject experienced felt dizzy/felt fainting. On 23-MAR-2021, the subject experienced head spinning. On 23-MAR-2021, the subject experienced hands shaking. On 23-MAR-2021, the subject experienced drowsy. On 23-MAR-2021, the subject experienced vision blurred. On 23-MAR-2021, the subject experienced mouth dry. On 23-MAR-2021, the subject experienced one side of tongue was heavy. On 23-MAR-2021, the subject experienced weakness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from felt dizzy/felt fainting, drowsy, vision blurred, mouth dry, one side of tongue was heavy, hands shaking, head spinning, and weakness. This report was non-serious.; Sender's Comments: V0: Medical assessment comments not required as per standard procedure as the case is considered non serious.

Other Meds: INFLUENZA VACCINE; ASPRIN

Current Illness: Abstains from alcohol; Non-smoker

ID: 1245065
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: IMMUNE DISORDER; This spontaneous report received from a consumer via a company representative concerned a 21 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: Unk) dose was not reported, administered on 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 an unspecified date, the subject experienced immune disorder. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of immune disorder was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245066
Sex: U
Age:
State: PA

Vax Date:
Onset Date: 04/12/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PARTIAL DOSE; This spontaneous report received from a pharmacist concerned an adult of multiple patients of unspecified sex. The patient's weight, height, and medical history were not reported. The patients 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 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced partial dose. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of partial dose was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245067
Sex: F
Age:
State:

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: CHILLS; NOT FEELING GOOD; NAUSEA; FEVER; TIREDNESS IN MORNING; This spontaneous report received from a parent concerned a 21 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included pleurisy, issue with lack of cartilage in knee, and sensitive to medication, and other pre-existing medical conditions included the patient was using oral contraceptive. weight was approx 90 lbs. 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 03-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included paracetamol for fever. On APR-2021, the subject experienced chills. On APR-2021, the subject experienced not feeling good. On APR-2021, the subject experienced nausea. On APR-2021, the subject experienced fever. On APR-2021, the subject experienced tiredness in morning. Laboratory data included: Body temperature (NR: not provided) 102.7 F, 98 F, jumped higher to the mid 103's teetering 104 F, between 99.5 to under 101, between 97.8 to 99 F, remained in 97-98 range. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from chills, nausea, fever, not feeling good, and tiredness in morning. This report was non-serious.

Other Meds: TYLENOL

Current Illness: Articular cartilage disorder; Drug hypersensitivity; Pleurisy

ID: 1245068
Sex: M
Age:
State: CA

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

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) dose was not reported, administered on 10-APR-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 11-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 headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245069
Sex: U
Age:
State: GA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: FELT LIKE HAVING HEART ATTACK; 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. No concomitant medications were reported. On an unspecified date, the subject experienced felt like having heart attack. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of felt like having heart attack was not reported. This report was non-serious.; Sender's Comments: V0: Medical Assessment comment was not required as per standard procedure as the case assessed as non-serious

Other Meds:

Current Illness:

ID: 1245070
Sex: F
Age:
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: NAUSEA; HEADACHE; 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. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced nausea, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the nausea and headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245071
Sex: F
Age:
State: NV

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: HEAVIER MENSTRUAL FLOW WITH VISIBLE CLOTTED BLOOD; MENSTRUAL CRAMPING; FATIGUE; 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) 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 APR-2021, the subject experienced heavier menstrual flow with visible clotted blood. On APR-2021, the subject experienced menstrual cramping. On APR-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the menstrual cramping, heavier menstrual flow with visible clotted blood and fatigue was not reported. This report was non-serious.; Sender's Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1245072
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/13/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: INCREASED SHORTNESS OF BREATH; FEELS BAD; FEVER; NIGHT SWEATS; HEADACHE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. The patient's concurrent conditions included penicillin allergy, alcohol use, and somker, and other pre-existing medical conditions included the patient 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: Unk) 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 number. No concomitant medications were reported. On 13-APR-2021, the subject experienced night sweats. On 13-APR-2021, the subject experienced headache. On 14-APR-2021, the subject experienced feels bad. On 14-APR-2021, the subject experienced fever. On an unspecified date, the subject experienced increased shortness of breath. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from feels bad, night sweats, headache, and fever, and the outcome of increased shortness of breath was not reported. This report was non-serious.; Sender's Comments: V.0 Medical assessment comment not required as per standard procedure as case was assessed as non-serious.

Other Meds:

Current Illness: Alcohol use; Penicillin allergy; Smoker

ID: 1245073
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/06/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: COUGH; POSSIBLE SHORTNESS OF BREATH; HEADACHES BACK OF HEAD TO EYES; FEVER; NAUSEA; LETHARGY; GENERALIZED ACHING; WEAKNESS; CHILLS; This spontaneous report received from a consumer concerned a 37 year old female. The patient's weight was 145.6 pounds, and height was 63 inches. The patient's concurrent conditions included hypothyroidism, allergy to egg, sulfa allergy, no alcohol use, and non smoker, and other pre-existing medical conditions included patient had 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: 042A21A, and expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. Concomitant medications included levothyroxine for hypothyroidism. On 06-APR-2021, the subject experienced lethargy. On 06-APR-2021, the subject experienced generalized aching. On 06-APR-2021, the subject experienced weakness. On 06-APR-2021, the subject experienced chills. On 06-APR-2021, the subject experienced fever. On 06-APR-2021, the subject experienced nausea. On 07-APR-2021, the subject experienced headaches back of head to eyes. On an unspecified date, the subject experienced cough, and possible shortness of breath. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from generalized aching, chills, fever, and nausea on 07-APR-2021, had not recovered from lethargy, weakness, and headaches back of head to eyes, and the outcome of cough and possible shortness of breath was not reported. This report was non-serious.

Other Meds: LEVOTHYROXINE

Current Illness: Abstains from alcohol; Allergic reaction to antibiotics; Egg allergy; Hypothyroidism; Non-smoker

ID: 1245074
Sex: F
Age:
State:

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: DIFFICULTY BREATHING; 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: Unknown) dose was not reported, administered on 10-APR-2021 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 difficulty breathing. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of difficulty breathing was not reported. This report was non-serious.; Sender's Comments: V0: Medical Assessment comment was not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1245075
Sex: M
Age:
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: GAS IN THE STOMACH; STOMACH ACIDITY; This spontaneous report received from a patient concerned a 73 year old male. The patient's height, and weight were not reported. The patient's past medical history included depression, and concurrent conditions included anxiety, and hypertension. 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 07-APR-2021 17:00 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 07-APR-2021, the subject experienced gas in the stomach. On 07-APR-2021, the subject experienced stomach acidity. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the gas in the stomach and stomach acidity was not reported. This report was non-serious.

Other Meds:

Current Illness: Anxiety; Hypertension

ID: 1245077
Sex: F
Age:
State: NV

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SKIPPED HEART BEATS; HEARTBURN; LACK OF APPETITE; IRRITABILITY; FLU LIKE SYMPTOMS; ACHY; ANXIETY; MALAISE; PAIN IN LEGS; FATIGUE; MUSCLE CRAMPS; This spontaneous report received from a patient concerned a 38 year old female. The patient's weight was 106 pounds, and height was 64 inches. The patient's concurrent conditions included anxiety but its worsen, reactive hypoglycemia, sulfa allergy, non alcoholic, and non smoker, and other pre-existing medical conditions included the patient did not have any drug abuse or illicit drug use. The patient was previously treated with Cefaclor. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced flu like symptoms. On 08-APR-2021, the subject experienced achy. On 08-APR-2021, the subject experienced anxiety. On 08-APR-2021, the subject experienced muscle cramps. On 08-APR-2021, the subject experienced malaise. On 08-APR-2021, the subject experienced pain in legs. On 08-APR-2021, the subject experienced fatigue. On 09-APR-2021, the subject experienced lack of appetite. On 09-APR-2021, the subject experienced irritability. On 10-APR-2021, the subject experienced heartburn. On 10-APR-2021, the subject experienced skipped heart beats. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from pain in legs on 10-APR-2021, was recovering from lack of appetite, anxiety, and heartburn, and had not recovered from flu like symptoms, malaise, achy, irritability, muscle cramps, skipped heart beats, and fatigue. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Allergic reaction to antibiotics; Anxiety aggravated; Non-smoker; Reactive hypoglycemia

ID: 1245078
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 03/29/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SWEATING; CHEST PAIN; SEVERE STOMACH PAIN; LEG PAIN; 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 concurrent conditions included high blood pressure. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, and expiry: UNKNOWN) dose was not reported, administered on 29-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 29-MAR-2021, the subject experienced chest pain. On 29-MAR-2021, the subject experienced severe stomach pain. On 29-MAR-2021, the subject experienced leg pain. On an unspecified date, the subject experienced sweating. Treatment medications (dates unspecified) included: pantoprazole sodium sesquihydrate. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from severe stomach pain, and the outcome of chest pain, leg pain and sweating was not reported. This report was non-serious.; Sender's Comments: V0 Medical Assessment comment not required as per standard procedure as the case assessed as non-serious

Other Meds:

Current Illness: Blood pressure high

ID: 1245079
Sex: F
Age:
State: SD

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TIREDNESS; COLD; ARM WAS A LITTLE TENDER; 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 past medical history included skin cancer, and mastectomy, and concurrent conditions included environmental allergy, and hay fever.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982, and batch number: 1808982) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced cold. On 11-APR-2021, the subject experienced arm was a little tender. On 12-APR-2021, the subject experienced tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from cold on 12-APR-2021, was recovering from arm was a little tender, and had not recovered from tiredness. This report was non-serious.

Other Meds:

Current Illness: Environmental allergy; Hay fever

ID: 1245080
Sex: U
Age:
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: FEVER; This spontaneous report received from a parent concerned a child 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: 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 fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 102.4 F, 102.7 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of fever was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245081
Sex: M
Age:
State: FL

Vax Date:
Onset Date: 03/13/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: HEADACHE; This spontaneous report received from a patient via a company representative concerned a 70 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: unknown) 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 MAR-2021, the subject experienced headache. Laboratory data (dates unspecified) included: Blood test (NR: not provided) Normal, and Magnetic resonance imaging brain (NR: not provided) Normal. 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: 1245082
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/10/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: HORRIBLE BODY ACHES; CHILLS; FEVER; TIRED; WEIRD HEADACHE/PRESSURE ON FRONTAL LOBES; 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: UNKNWON) dose was not reported, administered on 10-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 10-APR-2021, the subject experienced horrible body aches. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced fever. On 10-APR-2021, the subject experienced tired. On 10-APR-2021, the subject experienced weird headache/pressure on frontal lobes. Laboratory data included: Body temperature (NR: not provided) 104 degree. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the horrible body aches, chills, fever, tired and weird headache/pressure on frontal lobes was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245083
Sex: M
Age:
State: MI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SORE ARM; This solicited report received from a patient via RRA-18356: Nurse Navigators concerned a 24 year old male. The patient's weight, height, and medical history were not reported. The patient received combination product ustekinumab (solution for injection in pre-filled syringe, route of admin not reported, batch number: UNKNOWN expiry: UNKNOWN) dose and frequency were not reported from 13-APR-2021 for an unspecified indication. Product constituent parts included ultrasafe passive (route of admin, lot, serial number, model number, UDI number, and expiration were not reported); and ultrasafe passive accessory (route of admin, lot, serial number, model number, UDI number, and expiration were not reported). The patient initiated treatment with 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 an unspecified date, the patient experienced sore arm. The action taken with covid-19 vaccine ad26.cov2.s, and ustekinumab was not applicable. The outcome of sore arm was not reported. The reporter considered the causality between covid-19 vaccine ad26.cov2.s, and sore arm as possible; and between ustekinumab, and sore arm as possible. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245084
Sex: M
Age:
State: LA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ADVERSE REACTION NOS; 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: 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 2021, the subject experienced adverse reaction nos. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of adverse reaction nos was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245085
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: LOSS OF TASTE BUDS BY 1/3 / ONLY 1/2 OF TASTE BUDS WORKED; TIRED; This spontaneous report received from a patient concerned a patient of unspecified age and sex. 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. Per procedure no follow-up will be required for this case. No concomitant medications were reported. On an unspecified date, the subject experienced loss of taste buds by 1/3 / only 1/2 of taste buds worked, and tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from loss of taste buds by 1/3 / only 1/2 of taste buds worked, and tired. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245086
Sex: M
Age:
State: OH

Vax Date:
Onset Date: 03/31/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: HEADACHE; PAIN DURING INJECTION ON RIGHT ARM; PAIN DOWN RIGHT ARM; STOMACH PAIN; This spontaneous report received from a patient concerned a 60 year old male. The patient's height, and weight were not reported. The patient's past medical history included triple bypass, back surgeries, and neck surgery.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808980, and batch number: 1808980) dose was not reported, administered on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 31-MAR-2021, the subject experienced stomach pain. On 31-MAR-2021, the subject experienced pain during injection on right arm. On 31-MAR-2021, the subject experienced pain down right arm. On 13-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from headache, and had not recovered from pain during injection on right arm, stomach pain, and pain down right arm. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245087
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: LEGS BRUISED; LEGS SWOLLEN; IN AGONY; 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, 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 legs bruised, legs swollen, and in agony. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from legs bruised, legs swollen, and in agony. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245088
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SORENESS IN ARM; LIGHT 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 was not reported, administered on 10-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 11-APR-2021, the subject experienced light headache. On 12-APR-2021, the subject experienced soreness in arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the soreness in arm and light headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245089
Sex: U
Age:
State: MI

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: MUSCLE SPASM; MUSCLE TREMORS; INCREASE BLOOD PRESSURE; HEART RAISING; LIGHT HEADED; RIGHT EYE TWITCHING; UNABLE TO EAT; HEADACHE; NAUSEA; 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: 1802068, and expiry: UNKNOWN) dose was not reported, administered on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced muscle spasm. On APR-2021, the subject experienced muscle tremors. On APR-2021, the subject experienced increase blood pressure. On APR-2021, the subject experienced heart raising. On APR-2021, the subject experienced light headed. On APR-2021, the subject experienced right eye twitching. On APR-2021, the subject experienced unable to eat. On APR-2021, the subject experienced headache. On APR-2021, the subject experienced nausea. Laboratory data included: Blood pressure (NR: not provided) Increased, and Heart rate (NR: not provided) Increased. Treatment medications included: prednisone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the muscle spasm, increase blood pressure, heart raising, headache, light headed, right eye twitching, nausea, unable to eat and muscle tremors was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245090
Sex: F
Age:
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PAIN IN EYE; DRY EYE; HEADACHE; This spontaneous report received from a patient concerned a 63 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: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced pain in eye, dry eye, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the pain in eye, headache and dry eye was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245091
Sex: U
Age:
State: FL

Vax Date:
Onset Date: 04/05/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: NUMB FEELING; MUSCLE ACHE (LOWER BACK/UPPER RIGHT SIDE); PAIN ON RIGHT SIDE; ACHES IN LEGS; CHILLS; DIZZINESS; A LITTLE DISORIENTED; VERY LETHARGIC (ON AND OFF); CONFUSED; This spontaneous report received from a patient concerned a 60 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: 043A21A, expiry: UNKNOWN) dose was not reported, administered on 05-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 05-APR-2021, the subject experienced dizziness. On 05-APR-2021, the subject experienced a little disoriented. On 05-APR-2021, the subject experienced very lethargic (on and off). On 05-APR-2021, the subject experienced confused. On 05-APR-2021, the subject experienced chills. On 06-APR-2021, the subject experienced pain on right side. On 06-APR-2021, the subject experienced aches in legs. On 08-APR-2021, the subject experienced numb feeling. On 08-APR-2021, the subject experienced muscle ache (lower back/upper right side). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness, a little disoriented, very lethargic (on and off), and confused on 09-APR-2021, and chills on 06-APR-2021, and was recovering from pain on right side, aches in legs, muscle ache (lower back/upper right side), and numb feeling. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245092
Sex: F
Age:
State: IA

Vax Date:
Onset Date: 03/20/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SORE ARM; TIREDNESS; LYMPH NODE SWELLING OF LEFT BREAST; This spontaneous report received from a patient concerned a 69 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: 1802070, and expiry: UNKNOWN) dose was not reported, administered on 09-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, the subject experienced lymph node swelling of left breast. On 09-APR-2021, the subject experienced sore arm. On 09-APR-2021, the subject experienced tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from lymph node swelling of left breast, and the outcome of tiredness and sore arm was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245093
Sex: F
Age:
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: NO APPETITE; DIZZINESS IF STOOD UP, OFF AND ON; UNBEARABLE MIGRAINE; FEVER; SEVERE HEADACHES; NAUSEA; VERY FATIGUED; This spontaneous report received from a patient concerned a 35 year old female. The patient's height, and weight were not reported. The patient's past medical history included rare blood disease (porphyria), and concurrent conditions included mild asthma, obese, hypothyroid, psoriasis, and vitamin deficiency. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982, expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. Concomitant medications included sulfasalazine for psoriasis, cyanocobalamin for vitamin deficiency, folic acid, and levothyroxine. On 07-APR-2021, the subject experienced severe headaches. On 07-APR-2021, the subject experienced nausea. On 07-APR-2021, the subject experienced very fatigued. Laboratory data included: Body temperature (NR: not provided) 101 F. On 07-APR-2021 22:00, the subject experienced fever. On 07-APR-2021 22:30, the subject experienced unbearable migraine. On 10-APR-2021, the subject experienced dizziness if stood up, off and on. On an unspecified date, the subject experienced no appetite. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not reported. The patient recovered from fever on 08-APR-2021 02:00, and the outcome of severe headaches, nausea, very fatigued, dizziness if stood up, off and on, no appetite and unbearable migraine was not reported. This report was non-serious.

Other Meds: FOLIC ACID; VITAMIN B12 AMINO; LEVOTHYROXINE; SULFASALAZINE

Current Illness: Asthma; Hypothyroidism; Obesity; Psoriasis; Vitamin deficiency

ID: 1245094
Sex: F
Age:
State: PA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SIDE EFFECT; 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. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced side effect. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of side effect was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245095
Sex: M
Age:
State: PA

Vax Date:
Onset Date: 04/15/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: COUGH; CHILLS; INJECTION SITE PAIN; FATIGUE; GENERAL BODY ACHES; 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 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 was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 15-APR-2021, the subject experienced general body aches. On an unspecified date, the subject experienced cough, chills, injection site pain, and fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the injection site pain, general body aches, fatigue, chills and cough was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245096
Sex: M
Age:
State: AZ

Vax Date:
Onset Date: 04/16/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ABDOMINAL PAIN; This spontaneous report received from a patient concerned a 34 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: 207A21A, expiry: 23/JUN/2021) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. Concomitant medications included omeprazole for drug used for unknown indication. On 16-APR-2021, the subject experienced abdominal pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from abdominal pain. This report was non-serious.

Other Meds: OMEPRAZOLE

Current Illness:

ID: 1245097
Sex: F
Age:
State: MN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: NOT FEELING GOOD ON HER BODY; 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 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 not feeling good on her body. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of not feeling good on her body was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245098
Sex: U
Age:
State: NY

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: BAD CRAMPS; 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 15-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the patient experienced cramps. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from cramps. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245099
Sex: M
Age:
State: MO

Vax Date:
Onset Date: 03/11/2021
Rec V Date: 04/22/2021
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Symptoms: DIARRHEA; FEELING PRESSURE ON BACK OF THE NECK; PRESSURE ON LEFT ARM; NOSE BLEEDS; ELEVATED BLOOD PRESSURE; This spontaneous report received from a patient concerned a 57 year old male. The patient's weight was 302 pounds, and height was 72 inches. The patient's past medical history included chronic obstructive pulmonary disease, dm type 2, and myasthenia gravis, and concurrent conditions included allergic to penicillin, non-alcoholic, and non-smoker, and other pre-existing medical conditions included no drug abuse or illicit drug usage. The patient experienced drug allergy when treated with clarithromycin. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, and batch number: 1805029 expiry: UNKNOWN) dose was not reported, administered on 07-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-MAR-2021, the subject experienced elevated blood pressure. On 10-APR-2021, the subject experienced nose bleeds. On an unspecified date, the subject experienced diarrhea, feeling pressure on back of the neck, and pressure on left arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from elevated blood pressure, had not recovered from nose bleeds, and the outcome of pressure on left arm, diarrhea and feeling pressure on back of the neck was not reported. This report was non-serious.

Other Meds:

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

ID: 1245100
Sex: F
Age:
State:

Vax Date:
Onset Date: 03/12/2021
Rec V Date: 04/22/2021
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Symptoms: FELT SUPER COLD; GOT A FEVER; MINOR HEADACHE; SORE ARM; 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: 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 12-MAR-2021, the subject experienced sore arm. On an unspecified date, the subject experienced felt super cold, got a fever, and minor headache. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from felt super cold, got a fever, and minor headache, and the outcome of sore arm was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245101
Sex: F
Age:
State: MI

Vax Date:
Onset Date: 03/11/2021
Rec V Date: 04/22/2021
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Symptoms: HEADACHE; FEVER; SWEATING; KNOT AT INJECTION SITE; CHILLS; DIZZINESS; LIGHTHEADED; PAIN AT THE INJECTION SITE; 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 past medical history included corneal transplant, and penicillin allergy, and concurrent conditions included arthritis, hypertension, sinus problem, high cholesterol, asthma, and sleep apnea. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805022, and expiry: UNKNOWN) dose was not reported, administered on 11-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-MAR-2021, the subject experienced dizziness. On 11-MAR-2021, the subject experienced lightheaded. On 11-MAR-2021, the subject experienced knot at injection site. On 11-MAR-2021, the subject experienced pain at the injection site. On 11-MAR-2021, the subject experienced chills. On 12-MAR-2021, the subject experienced sweating. On 12-MAR-2021, the subject experienced fever. On 08-APR-2021, the subject experienced headache. Treatment medications (dates unspecified) included: paracetamol, and isopropanol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness, sweating, and fever on 14-MAR-2021, lightheaded, and chills on 13-MAR-2021, knot at injection site, and pain at the injection site on 21-MAR-2021, and headache on 11-APR-2021. This report was non-serious.

Other Meds:

Current Illness: Penicillin allergy

ID: 1245102
Sex: U
Age:
State:

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Onset Date:
Rec V Date: 04/22/2021
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Symptoms: DEHYDRATED; INJECTION SITE REACTION LIKE BUMP/ HEAT; FEVER; HEADACHE; FATIGUE; INJECTION SITE REDNESS; 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. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced dehydrated, injection site reaction like bump/ heat, fever, headache, fatigue, and injection site redness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dehydrated, injection site reaction like bump/ heat, fever, fatigue, and injection site redness, and the outcome of headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245103
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/22/2021
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Symptoms: BODY ACHES; GOOFY SLEEP; FEVER; 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, 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 body aches, goofy sleep, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, goofy sleep, and fever. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245104
Sex: F
Age:
State: WI

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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Symptoms: FATIGUE; 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, and batch number were not reported) dose was not reported, administered on 07-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 fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of fatigue was not reported. This report was non-serious. This case, from the same reporter is linked to 20210432555.

Other Meds:

Current Illness:

ID: 1245105
Sex: M
Age:
State: NY

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/22/2021
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Symptoms: FEVER; MORE THAN 1 SHOT; This spontaneous report received from a parent concerned a 20 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included autism .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 09-APR-2021 15:00 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021 15:00, the subject experienced more than 1 shot. On 09-APR-2021 19:00, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever on 10-APR-2021, and the outcome of more than 1 shot was not reported. This report was non-serious.

Other Meds:

Current Illness: Autism

ID: 1245106
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 03/20/2021
Rec V Date: 04/22/2021
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Symptoms: DECREASE IN RANGE OF MOTION OF RIGHT ARM; DIFFICULTY SLEEPING; ARM SORE / PAINFUL RIGHT ARM; This spontaneous report received from a patient concerned a 50 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: 1805031, expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, the subject experienced decrease in range of motion of right arm. On 20-MAR-2021, the subject experienced difficulty sleeping. On 20-MAR-2021, the subject experienced arm sore / painful right arm. On APR-2021, treatment medications included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from arm sore / painful right arm, decrease in range of motion of right arm, and difficulty sleeping. This report was non-serious.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm