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: 1245146
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/16/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: SORENESS IN LEFT ARM AT INJECTION SITE; FEELING TIRED; This spontaneous report received from a patient concerned a 66 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included high blood pressure, anxiety, non alcoholic, and non smoker, and other pre-existing medical conditions included the patient had no known drug allergies. there were no drug abuse or illicit drug usage. the patient was on anxiety medication. 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 16-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 16-APR-2021, the subject experienced soreness in left arm at injection site. On 16-APR-2021, the subject experienced feeling tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from soreness in left arm at injection site on 19-APR-2021, and was recovering from feeling tired. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Anxiety (Patient used anxiety medications.); Blood pressure high; Non-smoker

ID: 1245147
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 04/10/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: FLUSHED; WATERING EYES; SUNBURN-LIKE RASH; CHILLS; LOW GRADE FEVER; This spontaneous report received from a patient concerned a 62 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included copd from 911 exposure, asthma, chronic rhinitis, thyroiditis, lipidaemia, codeine allergy, and levaquin allergy. The patient experienced drug allergy when treated with betamethasone, ciprofloxacin, and bupivacaine hydrochloride/epinephrine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 205A21A expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 09:30 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced flushed. On 10-APR-2021, the subject experienced watering eyes. On 10-APR-2021, the subject experienced sunburn-like rash. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced low grade fever. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flushed, and sunburn-like rash on 11-APR-2021, and watering eyes, chills, and low grade fever on 12-APR-2021. This report was non-serious.

Other Meds:

Current Illness: Allergic reaction to antibiotics; Asthma; Chronic rhinitis; COPD; Drug allergy; Hyperlipidaemia; Thyroiditis

ID: 1245148
Sex: F
Age:
State: NC

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/23/2021
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: PAIN ON RIGHT SIDE OF BODY/HURT ALL OVER; FELT SICK; SEVERE HEADACHE; This spontaneous report received from a patient concerned a 56 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: 043A21A expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced pain on right side of body/hurt all over. On 08-APR-2021, the subject experienced felt sick. On 08-APR-2021, the subject experienced severe headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from pain on right side of body/hurt all over, and felt sick on 18-APR-2021, and was recovering from severe headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245149
Sex: F
Age:
State: IL

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: STARTED PERIODS X 2; THROBBING ARM (CARPAL TUNNEL AREA); STOMACH PAINS; CHILLS; TENDER BREASTS; EMOTIONAL; This spontaneous report received from a patient concerned a 48 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: 1808978, and expiry: 13-JUN-2021) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced tender breasts. On 08-APR-2021, the subject experienced emotional. On 08-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced stomach pains. On 10-APR-2021, the subject experienced started periods x 2. On 10-APR-2021, the subject experienced throbbing arm (carpal tunnel area). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from stomach pains on 12-APR-2021, and chills on 08-APR-2021, was recovering from tender breasts, and the outcome of emotional, throbbing arm (carpal tunnel area) and started periods x 2 was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245150
Sex: M
Age:
State: CO

Vax Date:
Onset Date: 04/06/2021
Rec V Date: 04/23/2021
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: BODY ACHES; TIREDNESS; This spontaneous report received from a patient concerned a 54 year old male. The patient's weight was 280 pounds, and height was 65 inches. The patient's concurrent conditions included non smoker, and non alcohol user, and other pre-existing medical conditions included the patient had no known allergies. the patient have no history of 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, expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 06-APR-2021, the subject experienced tiredness. On 07-APR-2021, the subject experienced body aches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches on 08-APR-2021, and tiredness on 07-APR-2021. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker

ID: 1245151
Sex: M
Age:
State: VA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/23/2021
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: INJECTION SITE PAIN; ARM PAIN; This spontaneous report received from a consumer concerned a 72 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: 202A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced arm pain. On 11-APR-2021, the subject experienced injection site pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from injection site pain, and arm pain. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245152
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/23/2021
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: SLEEPING PROBLEM; TINNITUS; MUSCLE ACHES; NAUSEA; FATIGUE; HEADACHES; NIGHTMARES; MOVEMENTS REDUCED; WEIGHT LOSS; This spontaneous report received from a patient concerned a 51 year old female. The patient's weight was 140 pounds, and height was 69 inches. The patient's concurrent conditions included no alcohol use, and non-smoker, and other pre-existing medical conditions included patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 041A21A, and batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. Concomitant medications included ascorbic acid for drug used for unknown indication, and ascorbic acid/ergocalciferol/folic acid/nicotinamide/panthenol/retinol/riboflavin/thiamine hydrochloride for drug used for unknown indication. On APR-2021, the subject experienced weight loss. On 07-APR-2021, the subject experienced nightmares. On 07-APR-2021, the subject experienced movements reduced. On 07-APR-2021, the subject experienced muscle aches. On 07-APR-2021, the subject experienced nausea. On 07-APR-2021, the subject experienced fatigue. On 07-APR-2021, the subject experienced headaches. On 18-APR-2021, the subject experienced sleeping problem. On 18-APR-2021, the subject experienced tinnitus. Treatment medications included: cannabinoids nos/cannabis sativa. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from nightmares on 07-APR-2021, had not recovered from headaches, fatigue, nausea, muscle aches, movements reduced, and tinnitus, and the outcome of weight loss and sleeping problem was not reported. This report was non-serious.

Other Meds: MULTIVITAMINS [ASCORBIC ACID;ERGOCALCIFEROL;FOLIC ACID;NICOTINAMIDE;PANTHENOL;RETINOL;RIBOFLAVIN;THI; ASCORBIC ACID

Current Illness: Abstains from alcohol; Non-smoker

ID: 1245153
Sex: F
Age:
State: WI

Vax Date:
Onset Date: 04/15/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: NEEDLE-LIKE PAIN ON SIDES OF NECK; NEEDLE-LIKE PAIN IN CALF AREA OF FRONT AND BACK OF BOTH LEGS; 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 past medical history included hypertension, and concurrent conditions included iodine allergy, and shellfish allergy.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043121A, and batch number: 043121A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-APR-2021, the subject experienced needle-like pain in calf area of front and back of both legs. On 18-APR-2021, the subject experienced needle-like pain on sides of neck. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from needle-like pain in calf area of front and back of both legs, and needle-like pain on sides of neck. This report was non-serious.

Other Meds:

Current Illness: Iodine allergy; Shellfish allergy

ID: 1245154
Sex: F
Age:
State: MI

Vax Date:
Onset Date: 04/02/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: SORENESS AT THE SITE OF INJECTION; FEVER; This spontaneous report received from a consumer concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included parkinson's disease, and alzheimer disease.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805018 expiry: UNKNOWN) dose was not reported, administered on 02-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 02-APR-2021, the subject experienced soreness at the site of injection. On 02-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from soreness at the site of injection, and fever on 02-APR-2021. This report was non-serious. This case, from the same reporter is linked to 20210410164.

Other Meds:

Current Illness: Alzheimer's disease; Parkinson's disease

ID: 1245155
Sex: U
Age:
State: AZ

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

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: BODY ACHES; WICKED 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, 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 wicked fever, and body aches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the wicked fever and body aches was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245156
Sex: F
Age:
State: MO

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/23/2021
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: SORE ARM; FEVER; 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 pre diabetic, and pre cholesterol. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, and expiry: 23-JUN-2021) dose was not reported, administered on 09-APR-2021 10:00 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced sore arm. On 09-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 99.8 F. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sore arm, and fever. This report was non-serious.

Other Meds:

Current Illness: High cholesterol (Pre cholesterol with no medication); Pre-diabetic (Pre diabetic with no medication)

ID: 1245157
Sex: F
Age:
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: TINGLING IN RIGHT ARM THAT LASTED 15 MINUTES AFTER INJECTION; This spontaneous report received from a patient concerned a 74 year old female. The patient's height, and weight were not reported. The patient's past medical history included hysterectomy, and concurrent conditions included congestive heart failure, diabetes, high blood pressure, allergies to tree, allergies to grass pollen, and left ventricular block. The patient was previously treated with , oral contraceptive nos for drug used for unknown indication; and experienced drug allergy and heart race when treated with hydrocodone bitartrate/paracetamol for drug used for unknown indication, drug allergy when treated with sulfamethoxazole/trimethoprim, povidone-iodine, codeine, erythromycin, and benzylpenicillin for drug used for unknown indication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609, and expiry: UNKNOWN) dose was not reported, administered on 23-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 23-MAR-2021, the subject experienced tingling in right arm that lasted 15 minutes after injection. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from tingling in right arm that lasted 15 minutes after injection on 23-MAR-2021. This report was non-serious.

Other Meds:

Current Illness: Blood pressure high; Congestive heart failure; Diabetes; LBBB; Pollen allergy; Seasonal allergy

ID: 1245158
Sex: F
Age:
State: TN

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/23/2021
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: TOES NUMB RIGHT FOOT; NUMBNESS IN LEFT HAND; CRAMPING RIGHT HAND; CHILLS; SLEEPY; This spontaneous report received from a consumer concerned a 67 year old female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020 expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 09:30 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced sleepy. On 08-APR-2021, the subject experienced chills. On 13-APR-2021, the subject experienced cramping right hand. On 14-APR-2021, the subject experienced numbness in left hand. On 16-APR-2021, the subject experienced toes numb right foot. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sleepy on 17-APR-2021, numbness in left hand on 14-APR-2021, cramping right hand on 13-APR-2021, and chills on 09-APR-2021, and had not recovered from toes numb right foot. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245159
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/23/2021
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: HOT FLASHES; EVERYTHING HURT FOR A SOLID 12 HOURS; CHILL; FEVER OVERNIGHT; 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. 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 hot flashes, everything hurt for a solid 12 hours, chill, and fever overnight. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from hot flashes, everything hurt for a solid 12 hours, chill, and fever overnight. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245160
Sex: U
Age:
State: GA

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/23/2021
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: FEELING AWFUL; BEACH ACHE; COULDN'T FUNCTION; 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 12-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the patient experienced couldn't function. On 12-MAR-2021, the patient experienced feeling awful. On 12-MAR-2021, the patient experienced beach ache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the feeling awful, beach ache and couldn't function was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245161
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/23/2021
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: SORENESS IN ARM AT INJECTION SITE; 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: 201A21A, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced soreness in arm at injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from soreness in arm at injection site. This report was non-serious. This case, from the same reporter is linked to 20210430095.

Other Meds:

Current Illness:

ID: 1245162
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/23/2021
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: NUMBNESS IN TONGUE; TINGLING IN TONGUE; MIGRAINE HEADACHE; SENSES WERE ALL HYPERSENSITIVE/ SENSE OF SMELL; This spontaneous report received from a patient concerned a 66 year old of unspecified sex. The patient's height, and weight were not reported. The patient's past medical history included migraine. The patient was previously treated with acetylsalicylic acid/caffeine/paracetamol/salicylamide for migraine. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041H21A/041A21A/041H21H expiry: UNKNOWN) dose was not reported, administered on 02-APR-2021 for prophylactic vaccination. Concomitant medications included estradiol, levothyroxine sodium, progesterone, and testosterone. On 09-APR-2021, the subject experienced numbness in tongue. On 09-APR-2021, the subject experienced tingling in tongue. On 09-APR-2021, the subject experienced migraine headache. On 09-APR-2021, the subject experienced senses were all hypersensitive/ sense of smell. Treatment medications (dates unspecified) included: acetylsalicylic acid/caffeine/paracetamol/salicylamide. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from migraine headache, and the outcome of numbness in tongue, tingling in tongue and senses were all hypersensitive/ sense of smell was not reported. This report was non-serious.

Other Meds: SYNTHROID; ESTRADIOL; PROGESTERONE; TESTOSTERONE

Current Illness:

ID: 1245163
Sex: F
Age:
State: MO

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: TINGLING SENSATION IN LEGS; VARICOSE VEINS; BRUISING; LEG PAIN; TEETH CHATTERING/ CHILLS; HEADACHE; FEELING HOT; FLU LIKE SYMPTOMS; 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 anemia, and concurrent conditions included acne, amoxicillin allergy, non-smoker, and migraine. 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 31-MAR-2021 14:30 for prophylactic vaccination. Concomitant medications included spironolactone for topical acne. On 01-APR-2021 03:00, the subject experienced feeling hot. On 01-APR-2021 03:00, the subject experienced flu like symptoms. On 01-APR-2021 03:00, the subject experienced teeth chattering/ chills. On 01-APR-2021 03:00, the subject experienced headache. On 05-APR-2021, the subject experienced tingling sensation in legs. On 05-APR-2021, the subject experienced varicose veins. On 05-APR-2021, the subject experienced bruising. On 05-APR-2021, the subject experienced leg pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from feeling hot, flu like symptoms, and teeth chattering/ chills on 02-APR-2021, and was recovering from headache, leg pain, tingling sensation in legs, varicose veins, and bruising. This report was non-serious.

Other Meds: SPIRONOLACTONE

Current Illness: Acne; Allergic reaction to antibiotics; Migraine; Non-smoker

ID: 1245164
Sex: U
Age:
State: GA

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: RASH; 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, start therapy date were not reported for prophylactic vaccination. Batch number was not reported. The company is unable to perform follow up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, the subject experienced rash. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of rash was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245165
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/23/2021
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: SHORTNESS OF BREATH (SLIGHT AND NOT ALL THE TIME); VERTIGO; FELT OFF BALANCE; PRESSURE PRIMARILY ON LEFT SIDE OF HEAD; LOCALIZED HEADACHE PRIMARILY TO THE LEFT SIDE; TIRED; ACHES AND PAIN; FOGGY; 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: 202A21A, and 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 aches and pain. On 11-APR-2021, the subject experienced foggy. On 11-APR-2021, the subject experienced tired. On 12-APR-2021, the subject experienced pressure primarily on left side of head. On 12-APR-2021, the subject experienced localized headache primarily to the left side. On 14-APR-2021, the subject experienced vertigo. On 14-APR-2021, the subject experienced felt off balance. On 18-APR-2021, the subject experienced shortness of breath (slight and not all the time). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from aches and pain, foggy, and tired on 11-APR-2021, and vertigo, and felt off balance on 14-APR-2021, was recovering from shortness of breath (slight and not all the time), and had not recovered from pressure primarily on left side of head, and localized headache primarily to the left side. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245166
Sex: F
Age:
State: OH

Vax Date:
Onset Date: 03/06/2021
Rec V Date: 04/23/2021
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: SLIGHT HEADACHE; SORE ARM AT SITE OF INJECTION; CRAWLING SENSATION; COLD; This spontaneous report received from a patient concerned a 62 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included sulfa allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802068, expiry: 19/MAY/2021) dose was not reported, administered on 06-MAR-2021 13:15 for prophylactic vaccination. No concomitant medications were reported. On 06-MAR-2021, the subject experienced crawling sensation. On 06-MAR-2021, the subject experienced cold. On 06-MAR-2021, the subject experienced sore arm at site of injection. On 07-MAR-2021, the subject experienced slight headache. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from crawling sensation, and cold on 07-MAR-2021, slight headache on 08-MAR-2021, and sore arm at site of injection on MAR-2021. This report was non-serious.

Other Meds:

Current Illness: Allergic reaction to antibiotics

ID: 1245167
Sex: F
Age:
State: DE

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: INJECTION SITE ITCHY; CHILLS; PAIN/SORENESS IN LEFT ARM AFTER SHORT; This spontaneous report received from a patient concerned a 45 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included high blood pressure, thyroid problems, and seasonal allergies. The patient experienced drug allergy when treated with acetylsalicylic acid. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. Concomitant medications included lisinopril for high blood pressure, and levothyroxine sodium for thyroid problems. On 11-APR-2021, the subject experienced pain/soreness in left arm after short. On 12-APR-2021, the subject experienced chills. On 13-APR-2021, the subject experienced injection site itchy. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain/soreness in left arm after short, and the outcome of chills and injection site itchy was not reported. This report was non-serious.

Other Meds: LISINOPRIL; SYNTHROID

Current Illness: Blood pressure high; Seasonal allergy; Thyroid disorder

ID: 1245168
Sex: M
Age:
State: IN

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/23/2021
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: TINGLING ON ELBOW DOWN TO FINGERS; PAIN IN ARM; This spontaneous report received from a parent concerned a 38 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: 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 tingling on elbow down to fingers. On APR-2021, the subject experienced pain in arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the pain in arm and tingling on elbow down to fingers was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245169
Sex: F
Age:
State: MI

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: TINY RASH; SORE ARM; This spontaneous report received from a patient concerned a 58 year old female. The patient's height, and weight were not reported. The patient's past medical history included blood transfusion, and concurrent conditions included epilepsy. 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 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced sore arm. On 11-APR-2021, the subject experienced tiny rash. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sore arm, and the outcome of tiny rash was not reported. This report was non-serious.

Other Meds:

Current Illness: Epilepsy

ID: 1245170
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: CHEST TIGHTNESS AND DISCOMFORT; SLIGHT SHORTNESS OF BREATH; DRY COUGH; 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 07-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 patient experienced chest tightness and discomfort. On 09-APR-2021, the patient experienced slight shortness of breath. On 09-APR-2021, the patient experienced dry cough. On 12-APR-2021, Laboratory data included: Chest X-ray (NR: not provided) Normal, Echocardiogram (NR: not provided) Normal, Electrocardiogram (NR: not provided) Normal, and Fibrin D dimer (NR: not provided) Normal. On 14-APR-2021, Laboratory data included: COVID-19 virus test (NR: not provided) Negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chest tightness and discomfort, slight shortness of breath, and dry cough. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245171
Sex: F
Age:
State: VA

Vax Date:
Onset Date: 03/26/2021
Rec V Date: 04/23/2021
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: CHILLS; FATIGUE; This spontaneous report received from a patient concerned a 59 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: 1808978, and expiry: UNKNOWN) dose was not reported, administered on 26-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 26-MAR-2021, the subject experienced chills. On 26-MAR-2021, the subject experienced fatigue. On 16-APR-2021, Laboratory data included: Antibody test (NR: not provided) NEGATIVE. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and the outcome of fatigue was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245172
Sex: M
Age:
State: TX

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: FATIGUE WORSENED; HEADACHE; SORE MUSCLES OR MUSCLE ACHE; NAUSEA; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced nausea. On 08-APR-2021, the subject experienced headache. On 08-APR-2021, the subject experienced sore muscles or muscle ache. On 15-APR-2021, the subject experienced fatigue worsened. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from nausea on APR-2021, and had not recovered from headache, sore muscles or muscle ache, and fatigue worsened. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245173
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/17/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: NAUSEA; HEADACHE; TIREDNESS; LIGHT FEVER; BODY ACHES/PAIN; DIARRHEA; This spontaneous report received from a consumer concerned a 52 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included lupus. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808980, expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 17-APR-2021, the subject experienced diarrhea. On an unspecified date, the subject experienced body aches/pain, nausea, headache, tiredness, and light fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from body aches/pain, nausea, headache, tiredness, diarrhea, and light fever. This report was non-serious.

Other Meds:

Current Illness: Lupus erythematosus

ID: 1245174
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/23/2021
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: DIARRHEA; NAUSEA; HEADACHE; TIRED; LIGHT FEVER; ACHES/PAINS; This spontaneous report received from a consumer concerned a 52 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: 1808980, and expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced aches/pains. On APR-2021, the subject experienced nausea. On APR-2021, the subject experienced headache. On APR-2021, the subject experienced tired. On APR-2021, the subject experienced light fever. On 17-APR-2021, the subject experienced diarrhea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from aches/pains, diarrhea, nausea, headache, tired, and light fever. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245175
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: BLOOD SUGAR INCREASE; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. The patient's concurrent conditions included diabetic. 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 blood sugar increase. Laboratory data (dates unspecified) included: Blood glucose increased (NR: not provided) more than 400. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of blood sugar increase was not reported. This report was non-serious.

Other Meds:

Current Illness: Diabetic

ID: 1245176
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: FELT PRETTY OFF; CHILLS; FEVER; HEADACHE; TIRED; 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 felt pretty off, chills, fever, headache, and tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from felt pretty off, chills, fever, headache, and tired. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245177
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/23/2021
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: ERECTION FOR 16 HOURS; 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 APR-2021, the subject experienced erection for 16 hours. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of erection for 16 hours was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245178
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: CHEST 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, 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 chest pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of chest pain was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245179
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: MALAISE; MILD DEHYDRATION; CHEST PAIN; CHILLS; GENERALIZED WEAKNESS; HEADACHE; This spontaneous report received from a physician 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: 043A21A, expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the patient experienced chest pain. On 09-APR-2021, the patient experienced chills. On 09-APR-2021, the patient experienced generalized weakness. On 09-APR-2021, the patient experienced headache. On 19-APR-2021, the patient experienced mild dehydration. On 19-APR-2021, the patient experienced malaise. Laboratory data included: CT scan (NR: not provided) UNKNOWN, and EKG (NR: not provided) UNKNOWN. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, generalized weakness, chills, chest pain, malaise and mild dehydration was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245180
Sex: M
Age:
State: NJ

Vax Date:
Onset Date: 03/31/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: STOMACH ACHE; LOSS OF APPETITE; DIARRHEA; NAUSEA; NUMBNESS FROM HEAD TO LEGS ON LEFT SIDE; FEVER; PAIN IN KIDNEYS; This spontaneous report received from a patient concerned a 24 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: 1808978, and batch number: 1808978 expiry: UNKNOWN) dose was not reported, administered on 31-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 2021, the subject experienced pain in kidneys. On MAR-2021, treatment medications included: paracetamol. On 31-MAR-2021, the subject experienced numbness from head to legs on left side. On 31-MAR-2021, the subject experienced fever. On APR-2021, the subject experienced stomach ache. On APR-2021, the subject experienced loss of appetite. On APR-2021, the subject experienced diarrhea. On APR-2021, the subject experienced nausea. Additional treatment medications (dates unspecified) included: calcium carbonate. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from stomach ache, loss of appetite, diarrhea, and nausea on APR-2021, numbness from head to legs on left side on 31-MAR-2021, and fever on 03-APR-2021, and the outcome of pain in kidneys was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245181
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/23/2021
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: PAIN OF EXTREMITIES; This spontaneous report received from a patient. The patient's past medical history included numbness in hand, and pain in fingers, and concurrent conditions included osteoarthritis, no tobacco use, knee pain on and off, skin discoloration, sleep unwell, pain, paresthesia of fingers, psoriasis flare-up, bone pain, and skin breakout.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 041A24A, and expiry: UNKNOWN) dose was not reported, administered on 02-APR-2021 for prophylactic vaccination. Concomitant medications included adalimumab for psoriatic arthritis, and rheumatoid arthritis. On 2021, the subject experienced pain of extremities. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain of extremities. This report was non-serious..

Other Meds: HUMIRA

Current Illness: Bone pain; Knee pain; Non-smoker; Osteoarthritis; Pain; Paresthesia of fingers; Psoriasis flare-up; Skin breakout; Skin discoloration; Sleep unwell

ID: 1245182
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/23/2021
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: FEVER; SHAKES; 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, 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, shakes, and chills. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 101 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, shakes and chills was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245183
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: TERRIBLE BODY ACHES; FEVER; HEADACHE; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. Batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced terrible body aches, fever, and headache. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 102. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from terrible body aches, fever, and headache. This report was non-serious. This parent/child case is linked to 20210439367.

Other Meds:

Current Illness:

ID: 1245184
Sex: F
Age:
State: VA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/23/2021
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: A SLIGHT BRUISE AT INJECTION SITE; SORE ARM; This spontaneous report received from a patient concerned a 76 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: 202A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced sore arm. On 10-APR-2021, the subject experienced a slight bruise at injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from a slight bruise at injection site, and the outcome of sore arm was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245190
Sex: F
Age:
State:

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/23/2021
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: ENTIRE BODY HURT SO BAD THAT COULD NOT SIT/ STAND/LIE DOWN; ENTIRE RIGHT ARM ACHES; FEVER; A CONSTANT DULL 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, route of admin not reported, batch number: UNKNOWN) dose was not reported, administered on MAR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On MAR-2021, the subject experienced entire body hurt so bad that could not sit/ stand/lie down. On MAR-2021, the subject experienced entire right arm aches. On MAR-2021, the subject experienced fever. On MAR-2021, the subject experienced a constant dull headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from a constant dull headache, and the outcome of fever, entire body hurt so bad that could not sit/ stand/lie down and entire right arm aches was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245197
Sex: U
Age:
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: TERRIBLE BODY ACHES; FEVER; HEADACHE; This spontaneous report received from a patient via a company representative concerned a 19 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: 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 terrible body aches, fever, and headache. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 102 (unit not reported). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from terrible body aches, fever, and headache. This report was non-serious. This case, from the same reporter is linked to 20210439312.

Other Meds:

Current Illness:

ID: 1245204
Sex: F
Age:
State: OH

Vax Date:
Onset Date: 04/05/2021
Rec V Date: 04/23/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

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

Symptoms: FEVER; FELT TIRED; RUNNY NOSE; This spontaneous report received from a patient concerned a 66 year old female. The patient's height, and weight were not reported. The patient was not pregnant at the time of reporting. The patient's concurrent conditions included penicillin and codeine allergy, alcohol use, and smoker, and other pre-existing medical conditions included the 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: 1808980, expiry: UNKNOWN) dose was not reported, administered on 03-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 05-APR-2021, the subject experienced runny nose. On 06-APR-2021, the subject experienced fever. On 06-APR-2021, the subject experienced felt tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from runny nose, fever, and felt tired. This report was non-serious.

Other Meds:

Current Illness: Alcohol use (Consumes 3-4 per month.); Smoker (Smokes black and milds); Specific allergy (drug)

ID: 1245209
Sex: F
Age:
State: VA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

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

Symptoms: INSOMNIA; 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 and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced insomnia. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of insomnia was not reported. This report was non-serious. This case, from the same reporter is linked to 20210422203.

Other Meds:

Current Illness:

ID: 1245216
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/23/2021
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: HEADACHE; 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: Unknown, expiry: 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 headache, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache and fever was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245224
Sex: F
Age:
State: WA

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/23/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: VERY DEBILITATING; HEADACHE; DIZZY; SORE 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: 202A21A 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 dizzy. On 08-APR-2021, the subject experienced sore arm. On 20-APR-2021, the subject experienced very debilitating. On 20-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizzy, and sore arm on 09-APR-2021, and had not recovered from headache, and very debilitating. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245231
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 03/10/2021
Rec V Date: 04/23/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: SORE LEFT ARM; STRONG HEADACHES; FEELS TIRED; This spontaneous report received from a patient concerned a 57 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included type 2 diabetes, non smoker, and non alcohol user, and other pre-existing medical conditions included the patient did not have any history of drug abuse or illicit drug use. the patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029 expiry: UNKNOWN) dose was not reported, administered on 09-MAR-2021 13:30 for prophylactic vaccination. No concomitant medications were reported. On 10-MAR-2021, the subject experienced sore left arm. On 10-MAR-2021, the subject experienced strong headaches. On 10-MAR-2021, the subject experienced feels tired. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sore left arm on 2021, had not recovered from strong headaches, and the outcome of feels tired was not reported. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker; Type II diabetes mellitus

ID: 1245235
Sex: F
Age: 35
State: MI

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: Amoxicillin - rash/hives Cytotec - tachycardia/febrile

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

Symptoms: I received my second COVID vaccine at 1030 on 4/21/2021. By about 1230-1245, I began to not feel well. My symptoms on 4/21 included: Nausea, fatigue, lightheadedness, resting tachycardia (heart rate 120-130s while sitting for extended periods of time), palpitations, mild shortness of breath, chills (without fever), & headache. Into this evening (4/22), the symptoms that have remained are: Fatigue, resting tachycardia (heart rate 110-125s), shortness of breath (now using Albuterol MDI as needed), chills (without fever), & headache. Nothing seems to help improve them at this time (i.e. hydration, Motrin, & rest).

Other Meds: Mobic 7.5mg BID Aldactone 150mg daily Zyrtec-D 1 tablet BID

Current Illness: None

ID: 1245236
Sex: M
Age: 60
State: MN

Vax Date: 04/03/2021
Onset Date: 04/06/2021
Rec V Date: 04/23/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: sulfa, wheat/celiac, soybean, corn, most scents

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever, chills and body ache started on 3rd day after 1st shot then continued for five days in a row (fever 99-102). Fatigue and cough got worse with each day and continued for another 7 days. Cough and fatigue continue, (to a lesser degree). I'm VERY apprehensive about getting the second shot this Saturday, April 24.

Other Meds: Metoprolol Succ ER 50mg, Nexium

Current Illness: Slight dry cough

ID: 1245237
Sex: F
Age:
State: SD

Vax Date:
Onset Date: 04/06/2021
Rec V Date: 04/23/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

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

Symptoms: EXTREME ARM PAIN; This spontaneous report received from a consumer concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. Batch number was not reported and has been requested. No concomitant medications were reported. On 06-APR-2021, the subject experienced extreme arm pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of extreme arm pain was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1245238
Sex: F
Age: 52
State: TX

Vax Date: 04/08/2021
Onset Date: 04/15/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: The back of my left leg hurting all of a sudden on 04/15/2021. The pain on the leg is getting worse each day. Went to the ER on 04/20/2021. Per the doctor no swelling and no redness. I said something is really wrong please check. They did blood work and everything came back good. They did a sonogram and that's where they saw a Blood Clot. Was given Eliquis.

Other Meds: multi-vitamins, vitamin c and vitamin D

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am