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: 1250315
Sex: F
Age: 60
State: FL

Vax Date: 03/26/2021
Onset Date: 04/07/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Dysphagia, Epiglottitis

Symptoms: Swelling and extreme pain in thumbs, index fingers and wrists as well as pain in right arm and both knees.

Other Meds: Diovan, singulair, crestor, vitamin B, multivitamin, magnisium, selenium, biotin, milk thistle, tumeric

Current Illness: N/A

ID: 1250316
Sex: F
Age: 35
State: VA

Vax Date: 04/05/2021
Onset Date: 04/09/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List: Anxiety, Dyspnoea

Symptoms: Approximately a week after getting the shot I started to experience tinnitus (pulsatile) in both ears.

Other Meds: N/a

Current Illness: N/a

ID: 1250317
Sex: F
Age: 31
State: AL

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

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

Symptoms: Mild cough, mild sneezing, moderate headache, very mild body aches, moderate to severe arm pain at injection sight. Mild chills. Onset of arm pain immediate. Arm sight is still painful. Mild cough. But remaining symptoms resolved within 12 hours.

Other Meds: Benedryl, Zoloft, clairitin

Current Illness: Seasonal allergies

ID: 1250318
Sex: F
Age: 46
State: FL

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Diarrhea, swollen of lips and face , stomach pain. Second day now

Other Meds: Tea pi?alim , goli vitamins, hum vitamins, exedrin, omeprazole 20mg, butab acetamin, topiramates25mg, vitamin D2 1.25mg, symbicort , pataday eyes drops, fluticasone, Zyrtec.

Current Illness: Lungs and heart issues after COVID in January. Breathing difficulties.

ID: 1250319
Sex: M
Age: 69
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: May be penicillin based medication

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

Symptoms: Gout symptom (inflammation) flared up on right foot toe

Other Meds: Aspirin 81 mg, Vit D, black cherry pills herb, eye vitamin

Current Illness: None

ID: 1250320
Sex: M
Age: 48
State: CA

Vax Date: 03/24/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: 4 weeks after 2nd dose, suffered minor head ?cloudiness? and numbness in right hand. Lasted about 1 hour

Other Meds: Lorazepam, Clonopin, glipizide, lexapro

Current Illness: None

ID: 1250576
Sex: F
Age: 55
State: NC

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Pencillan

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Stomach pain, diarrhea, headache

Other Meds:

Current Illness:

ID: 1250577
Sex: F
Age: 38
State: OR

Vax Date: 04/16/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Pharyngeal swelling

Symptoms: Hardness and itchiness around the site. Tender to the touch. Redness about 1.5 inch in diameter around the site, hardness and redness area are the same size.

Other Meds: Wellbutrin

Current Illness: No

ID: 1250578
Sex: M
Age: 33
State: IN

Vax Date: 04/15/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Cyclor, Allupent, and pennicillin.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Approximated one week after administration the injection area became very itchy. Upon briefly itching it and then inspecting it because it felt very warm I have a perfect rectangle raised above my skin. The color is dark red / slightly bruised. The area is warm to the touch. There feels to be a knot underneath the injection site that is relatively large in comparison to the raised / welted rectangle. The itch subsided after a few hours but it is still raised and warm to the touch. It is now hour 14 after recognizing the reaction. The area was painful in the days following administration of the vaccine, and I avoided touching or inspecting it at that point as it was reported to me to be normal to experience pain at the injection site.

Other Meds: Men's Multivitamin, Vitamin B12 Supplement, Wort supplement, Ginseng Supplement, Vitamin C Supplement. Also on a Ketogenic diet in ketosis steady with presence of ketones in urine for 1 month.

Current Illness: none. Did test positive for strep infection days prior to reaction.

ID: 1250580
Sex: F
Age: 63
State: MI

Vax Date: 01/30/2021
Onset Date: 04/04/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa. Septra. Cipro. Zocor. Penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: about a month + I got Covid as did my daughter and her kids and it came from my other grandsons daycare Shortness of breath Extreme tiredness Wheezing Cough

Other Meds: Many

Current Illness: None

ID: 1250581
Sex: F
Age: 45
State: MI

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Gluten , dairy, corn, cranberry, latex, sulfa, cipro

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

Symptoms: After 9 months no period, suddenly next day after shot have menstruated

Other Meds: Lithium Abilify Levothyroxine

Current Illness:

ID: 1250582
Sex: M
Age: 58
State: CA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None that I am aware of.

Symptom List: Rash, Urticaria

Symptoms: Nausea, headache and extreme chills. Did not occur until over 12 hours after getting the vaccine. Mostly recovered, still a headache and mild nausea

Other Meds: I wasn't taking anything until I had some arm pain. For that I took a generic Tylenol. All day I had no other adverse reaction. Then around 10 pm I started feeling bad, nausea, headache and extreme chills. I had taken some Tylenol before b

Current Illness: None

ID: 1250583
Sex: F
Age: 44
State: CT

Vax Date: 04/21/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Clams Doxycycline Allopurinol

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

Symptoms: 24h post-injection: tired, injection arm very sore, painful to move 48h post-injection: no symptoms, arm soreness decreased from 36h onwards 64h post-injection: large hive at injection site and smaller hives around injection site; itchy, also body is itchy, mainly head and back (besides injection region), no hives or rash on head, back, or rest of body as of now

Other Meds: Tri-Lo-Sprintec 1 pill daily Spironolactone 100mg Vyvanse 70mg Modafinil 200mg Cyclosporine Drops in AM/PM Dapsone 5% gel for face

Current Illness: None

ID: 1250584
Sex: F
Age: 51
State: MA

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Chills, headache at night and during the following day. Severe acid reflux the following day starting in the evening which was an intensity I have not experienced before.

Other Meds: synthroid 50mcg

Current Illness: none

ID: 1250585
Sex: F
Age: 50
State: CT

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None.

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

Symptoms: Sore throat next day and for weeks afterwards (it has not gone away in 2 weeks). Depression since vaccine and continuing.

Other Meds: Fish oil, coq10, multivitamin

Current Illness: None.

ID: 1250586
Sex: F
Age: 69
State: FL

Vax Date: 02/19/2021
Onset Date: 03/02/2021
Rec V Date: 04/24/2021
Hospital: Y

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

Lab Data:

Allergies: No

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

Symptoms: Severe pain in left leg, swelling, hot Sever pain in upper body-left side only--from jaw, to shoulder, to arm to side, front and back, all the way to the hip CT scan at hospital--pulmonary embolisms in both lungs, blood clot diagnosed in left leg at vascular surgeon's office before going to the ER Now on XARELTO for life.

Other Meds: metformin 1000mgs daily ( I am not diabetic ) fish oil 1000mgs daily B-12 Low dose aspirin

Current Illness: None

ID: 1250588
Sex: F
Age: 27
State: IN

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Low grade fever for 5 days (from 4/14-4/20 Urinary tract infection (blood in urine, including clots, pain while urinating, strong, constant urge to urinate)

Other Meds: None

Current Illness: None

ID: 1250589
Sex: M
Age: 62
State: PA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fatigue. Onset a few hours after the second shot and lasted about 36 hours. The fatigue was similar to that experienced when I had covid19 in March of 2020, but not as intense. Other information After the first shot I only experienced arm soreness in the arm that was injected. I was donating antibodies to the through about September/October 2020. I stopped donating for personal reasons, .

Other Meds: Lipitor, 10mg/day, Flonase, glucosavmine/chondroitin, multivitamin

Current Illness: sinus infection

ID: 1250590
Sex: F
Age: 40
State: NY

Vax Date: 04/06/2021
Onset Date: 04/09/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, penicillin, kiwi

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Swollen lymph node in left breast. Painful, very swollen for 4 to 5 days, then slowly resolved over the next couple days. No doctor seen for this. About one week after vaccination, i started to get headaches and feel dizzy on and off. I did go to the hospital for this because I have never had anything like that happen before.

Other Meds: None

Current Illness: None

ID: 1250591
Sex: F
Age: 44
State: TX

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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: Error: Wrong Dose of Vaccine - Too Low.

Other Meds:

Current Illness:

ID: 1250592
Sex: M
Age: 41
State: TX

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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: Systemic: Dizziness / Lightheadness-Medium, Additional Details: Patient felt dizzy and lightheaded. Elevated his feet and had him drink water and eat a snack. He had not eaten beforehand. Monitored patient for 30 minutes. He reported feeling better and left with his wife.

Other Meds:

Current Illness:

ID: 1250593
Sex: M
Age: 26
State: TX

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1250594
Sex: M
Age: 59
State: OH

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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: severe aches in back. Mainly lower back around kidneys

Other Meds:

Current Illness:

ID: 1250595
Sex: F
Age: 62
State:

Vax Date: 04/10/2021
Onset Date: 04/16/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Herpes Simplex virus of the eye. Very painful and still not cleared. Began on day 6 after second vaccine. Had this 16 years ago and never again so I assume it is the vaccine or process that reactivated the virus in my eye. Also had lameness for a day, sore arm for 3 days vs the soreness I had for only 8 hrs after the first shot, lower legs burned for about a day

Other Meds: Hydrochlorithiazide, Crestor

Current Illness: None

ID: 1250597
Sex: M
Age: 45
State: SC

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1250598
Sex: F
Age: 54
State: NJ

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Other Meds:

Current Illness:

ID: 1250599
Sex: M
Age: 19
State: MD

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Tree nuts, shell fish

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: on 4/9 He said he had flu like symptoms, and dizziness and pain to the point that he could not sleep(he said all of his teammates got sick) on 4/11 He had some much pain in left arm he could not play tennis. He had not been able to play tennis since its been two weeks on 4/17 He went to Urgent Care and they prescribed pain and anitinflammatories He still cannot play tennis

Other Meds: none

Current Illness: none

ID: 1250732
Sex: F
Age:
State:

Vax Date: 12/20/1997
Onset Date: 12/20/1997
Rec V Date: 04/24/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: immune thrombocytopenic purpura (ITP); This spontaneous report as received from a consumer referring to a currently 25-year-old female patient. The patient concurrent conditions, concomitant therapies were not reported. The patient's medical history included Sulfa antibiotics allergy and allergy to nuts and shellfish. On 20-DEC-1997, the patient was vaccinated with varicella virus vaccine live (oka/merck)(VARIVAX) (strength, dose, route of administration, formulation, lot number and expiration date were not reported.) for routine vaccination. On the same date, after the administration of the suspect vaccine, the patient experienced immune thrombocytopenic purpura (ITP) "reaction from the vaccine". The reported mentioned that the patient was hospitalized for 3 nights and was treated with immunoglobulin (unspecified). It was not reported if the subject sought medical attention. On 24-DEC-1997, the subject was recovered from the event. The causal relationship between the suspect vaccine and the event was not reported

Other Meds:

Current Illness:

ID: 1250734
Sex: F
Age:
State: MN

Vax Date:
Onset Date: 03/08/2021
Rec V Date: 04/24/2021
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: RASH RESEMBLING A SUN BURN; DIARRHEA; BODY ACHE; CHILLS; FEVER; ASTHMA; RESTLESS LEG SYNDROME; MIGRANE; This spontaneous report received from a patient concerned a 67 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included penicillin allergy. The patient experienced drug allergy when treated with cortisone 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: Unk) dose was not reported, administered on 08-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-MAR-2021, the subject experienced asthma. On 08-MAR-2021, the subject experienced restless leg syndrome. On 08-MAR-2021, the subject experienced migrane. On 08-MAR-2021, the subject experienced chills. On 08-MAR-2021, the subject experienced fever. On 09-MAR-2021, the subject experienced rash resembling a sun burn. On 09-MAR-2021, the subject experienced diarrhea. On 09-MAR-2021, the subject experienced body ache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from asthma, and migrane on 08-MAR-2021, and restless leg syndrome, body ache, and fever on 09-MAR-2021, had not recovered from rash resembling a sun burn, and diarrhea, and the outcome of chills 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: Penicillin allergy

ID: 1250735
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 03/11/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: CHILLS; FEVER; This spontaneous report received from a patient concerned a 48 year old female. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient had no known allergies. The patient received tylenol (form of admin, route of admin, and batch number were not reported) dose and frequency were not reported from 11-MAR-2021 for an unspecified indication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 805031, and batch number: 805031) dose was not reported, once a total administered on 11-MAR-2021 08:55 for prophylactic vaccination. No concomitant medications were reported. On 11-MAR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 100.1 (units unspecified). Treatment medications included: paracetamol. On 11-MAR-2021 16:30, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s, and tylenol was not applicable. The patient recovered with sequelae from fever on 11-MAR-2021, and had not recovered from chills. This report was non-serious. This case, involving the same patient is linked to 20210322068.

Other Meds:

Current Illness:

ID: 1250736
Sex: M
Age:
State: CT

Vax Date:
Onset Date: 03/09/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: REDNESS AROUND BOTH EYES; SWELLING AROUND BOTH EYES; 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 concurrent conditions included some seasonal allergies, and dust allergies, and other pre-existing medical conditions included 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: 1805018, and batch number: 1805018 expiry: UNKNOWN) dose was not reported, 1 total, administered on 09-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-MAR-2021, the subject experienced redness around both eyes. On 09-MAR-2021, the subject experienced swelling around both eyes. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the redness around both eyes and swelling around both eyes was not reported. This report was non-serious.

Other Meds:

Current Illness: Dust allergy; Seasonal allergy

ID: 1250737
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/09/2021
Rec V Date: 04/24/2021
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: COLD; ACHY JOINTS; LOW FEVER; MILD HEADACHE; TIRED; 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: 1805025, and batch number: 1805025 expiry: 25-MAY-2021) dose was not reported, administered on 09-MAR-2021 12:00 for prophylactic vaccination. No concomitant medications were reported. On 09-MAR-2021 18:00, the subject experienced cold. On 09-MAR-2021 18:00, the subject experienced achy joints. On 09-MAR-2021 18:00, the subject experienced low fever. On 09-MAR-2021 18:00, the subject experienced mild headache. On 09-MAR-2021 18:00, the subject experienced tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from achy joints, low fever, mild headache, tired, and cold. This report was non-serious.

Other Meds:

Current Illness:

ID: 1250738
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/08/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: TEMP OF 104; SHAKING; WEAKNESS; BODY FELT ON FIRE; This spontaneous report received from a consumer 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, intramuscular, 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 08-MAR-2021, the patient experienced temp of 104. On 08-MAR-2021, the patient experienced shaking. On 08-MAR-2021, the patient experienced weakness. On 08-MAR-2021, the patient experienced body felt on fire. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 104. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the temp of 104, shaking, weakness and body felt on fire 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:

ID: 1250739
Sex: M
Age:
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: ELEVATED HEART RATE; SHORTNESS OF BREATH; FULL BODY ITCH; CHILLS; HEADACHE; This spontaneous report received from a patient concerned a 34 year old male. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient had no known drug allergies and no previous medical history. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, and batch number: 1802072 expiry: UNKNOWN) dose was not reported, administered on 06-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, Laboratory data included: Vital signs measurement (NR: not provided) Stable. On 07-MAR-2021, the subject experienced full body itch. On 07-MAR-2021, the subject experienced chills. On 07-MAR-2021, the subject experienced headache. On 08-MAR-2021, the subject experienced elevated heart rate. On 08-MAR-2021, the subject experienced shortness of breath. Laboratory data included: Heart rate (NR: not provided) Elevated (130 from 70). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from full body itch, and chills on MAR-2021, and headache on 08-MAR-2021, and was recovering from shortness of breath, and elevated heart rate. This report was non-serious.; Sender's Comments: V0: Medical assessment comments not required as per standard procedure as the case is assessed non serious.

Other Meds:

Current Illness:

ID: 1250740
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 03/10/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: HEADACHE; This spontaneous report received from a pharmacist concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included migraines.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, 1 total, administered on 08-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-MAR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of headache was not reported. This report was non-serious.

Other Meds:

Current Illness: Migraine

ID: 1250741
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 03/08/2021
Rec V Date: 04/24/2021
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: FACIAL FLUSHING; SLIGHTLY ELEVATED BLOOD PRESSURE; NIGHT SWEATS; CHILLS; MALAISE; NAUSEA; HEADACHE; This spontaneous report received from a patient concerned an adult female. The patient's height, and weight were not reported. The patient's concurrent conditions included allergy, and other pre-existing medical conditions included patient indicated that when she received allergy shots in the past she would experience some facial flushing &felt similar to how she felt post-janssen vaccine.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, expiry: UNKNOWN) .5 ml, administered on 08-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 08-MAR-2021, the subject experienced facial flushing. On 08-MAR-2021, the subject experienced slightly elevated blood pressure. On 08-MAR-2021, the subject experienced night sweats. On 08-MAR-2021, the subject experienced chills. On 08-MAR-2021, the subject experienced headache. On 08-MAR-2021, the subject experienced malaise. On 08-MAR-2021, the subject experienced nausea. Treatment medications included: diphenhydramine hydrochloride, and paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from slightly elevated blood pressure on 08-MAR-2021, and night sweats on 09-MAR-2021, and was recovering from facial flushing, chills, headache, nausea, and malaise. This report was non-serious.

Other Meds:

Current Illness: Allergy

ID: 1250742
Sex: M
Age:
State: FL

Vax Date:
Onset Date: 03/10/2021
Rec V Date: 04/24/2021
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: SHORTNESS OF BREATH WITH EXERCISE; LIGHTHEADEDNESS; This spontaneous report received from a patient concerned a 69 year old male. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, expiry: UNKNOWN) dose was not reported, administered on 08-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-MAR-2021, the subject experienced shortness of breath with exercise. On 10-MAR-2021, the subject experienced lightheadedness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from shortness of breath with exercise, and lightheadedness on 10-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1250743
Sex: F
Age:
State: VT

Vax Date:
Onset Date: 03/09/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: MILD SHORTNESS OF BREATH; BODY ACHES; CHILLS; SORE THROAT; RIGHT ARM SORENESS; NAUSEA; FATIGUE; FEVER; MIGRAINE; 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 covid-19 infection, and concurrent conditions included acid reflux, and migraine. The patient was previously treated with omeprazole for acid reflux. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, and batch number: 1805022 expiry: 31-MAY-2021) dose was not reported, administered on 09-MAR-2021 08:00 for prophylactic vaccination. No concomitant medications were reported. On 08-MAR-2021, Laboratory data included: COVID-19 virus test (NR: not provided) Negative. On 09-MAR-2021, the subject experienced migraine. On 09-MAR-2021, the subject experienced body aches. On 09-MAR-2021, the subject experienced chills. On 09-MAR-2021, the subject experienced sore throat. On 09-MAR-2021, the subject experienced right arm soreness. On 09-MAR-2021, the subject experienced nausea. On 09-MAR-2021, the subject experienced fatigue. On 09-MAR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 101.5 F. On 10-MAR-2021, Laboratory data included: Body temperature (NR: not provided) 99 F, 101 F. On an unspecified date, the subject experienced mild shortness of breath. Treatment medications (dates unspecified) included: botulinum toxin type a, sumatriptan, and topiramate. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from migraine, right arm soreness, body aches, chills, fever, sore throat, nausea, and fatigue, and the outcome of mild shortness of breath 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: Gastrooesophageal reflux disease; Migraine

ID: 1250744
Sex: F
Age:
State: LA

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: 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, intramuscular, batch number: 1805018 expiry: UNKNOWN) dose was not reported, administered on 10-MAR-2021 to Left Arm for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced chills. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 99.1 F. The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The outcome of chills was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1250745
Sex: F
Age:
State: VA

Vax Date:
Onset Date: 03/07/2021
Rec V Date: 04/24/2021
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: VERTIGO; PAIN UNDER LEFT BREAST; NAUSEA; DIZZINESS; This spontaneous report received from a patient concerned a 54 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included asthma, borderline high blood pressure, seasonal allergies, and lactose intolerance. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, and expiry: 25-MAY-2021) dose was not reported, administered on 06-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 07-MAR-2021, the subject experienced dizziness. On 09-MAR-2021, the subject experienced vertigo. On 09-MAR-2021, the subject experienced pain under left breast. On 09-MAR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from pain under left breast, and had not recovered from dizziness, nausea, and vertigo. This report was non-serious.; Sender's Comments: V0: Medical assessment comments not required as per standard procedure as the case is assessed non serious.

Other Meds:

Current Illness: Asthma; Blood pressure high; Lactose intolerance; Seasonal allergy

ID: 1250746
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 03/09/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: LIP SWELLING; VOMITING; LOW GRADE FEVER; CHILLS; NAUSEA; BODY ACHES TO UPPER THIGHS; This spontaneous report received from a patient via a company representative concerned a 74 year old female. The patient's weight was 116 pounds, and height was 155.44 centimeters. The patient's past medical history included hives, and concurrent conditions included anxiety, waldenstrom, alcohol use, non smoker, sulfa allergy, dog allergy, and cat allergy, and other pre-existing medical conditions included the patient had no history of drug abuse or illicit drug use, no illness at the time of vaccination.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 09:00 for prophylactic vaccination. Concomitant medications included ibrutinib. On 09-MAR-2021, the subject experienced body aches to upper thighs. On 09-MAR-2021, the subject experienced chills. On 09-MAR-2021, the subject experienced nausea. On 10-MAR-2021, the subject experienced lip swelling. On 10-MAR-2021, the subject experienced vomiting. On 10-MAR-2021, the subject experienced low grade fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from lip swelling, and vomiting on 10-MAR-2021, and had not recovered from chills, nausea, low grade fever, and body aches to upper thighs. This report was non-serious.

Other Meds: IMBRUVICA

Current Illness: Alcohol use (1 glass per week.); Allergic to cats; Allergic to dogs; Anxiety; Non-smoker; Sulfonamide allergy (Hives); Waldenstrom's macroglobulinemia

ID: 1250747
Sex: F
Age:
State: VA

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

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

Lab Data:

Allergies:

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

Symptoms: RASH THAT LOOKS LIKE WELTS; PAIN AT INJECTION SITE; INJECTION SITE SWOLLEN; INJECTION SITE HARD; 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 hypertension, and other pre-existing medical conditions included no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, expiry: 25/MAY/2021) dose was not reported, administered on 06-MAR-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 07-MAR-2021, the subject experienced injection site hard. On 07-MAR-2021, the subject experienced pain at injection site. On 07-MAR-2021, the subject experienced injection site swollen. On 10-MAR-2021, the subject experienced rash that looks like welts. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from pain at injection site, and injection site swollen, had not recovered from rash that looks like welts, and the outcome of injection site hard was not reported. This report was non-serious.

Other Meds:

Current Illness: Hypertension

ID: 1250748
Sex: F
Age:
State: CT

Vax Date:
Onset Date: 03/09/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: PARTIAL DOSE; This spontaneous report received from a vaccine facility concerned a female of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805022, and batch number: 1805022 expiry: 08-APR-2022) dose was not reported, administered on 09-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-MAR-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: 1250749
Sex: U
Age:
State: PA

Vax Date:
Onset Date: 03/10/2021
Rec V Date: 04/24/2021
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: FEELING CRAPPY; 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 was not reported, administered on 10-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-MAR-2021, the subject experienced feeling crappy. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of feeling crappy was not reported. This report was non-serious. Additional information was received from physician on 23-MAR-2021 following information was updated and incorporated into case narrative: Vaccine facility details were updated.

Other Meds:

Current Illness:

ID: 1250750
Sex: F
Age:
State: MD

Vax Date:
Onset Date: 03/10/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: BODY ACHES; SWOLLEN THROAT; CHILLS; FEVER OF 103.8; HEADACHE; NAUSEA; This spontaneous report received from a patient concerned a 43 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included allergic to penicillin, and allergic to sulfa, and other pre-existing medical conditions included the patient was not pregnant at the time of reporting. the patient has no previous history of headaches. she has no food allergies.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, and batch number: 1805022 expiry: UNKNOWN) dose was not reported, administered on 10-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-MAR-2021, the subject experienced body aches. On 10-MAR-2021, the subject experienced swollen throat. On 10-MAR-2021, the subject experienced chills. On 10-MAR-2021, the subject experienced fever of 103.8. On 10-MAR-2021, the subject experienced headache. On 10-MAR-2021, the subject experienced nausea. Laboratory data included: Body temperature (NR: not provided) 103.8. On 11-MAR-2021, Laboratory data included: Body temperature (NR: not provided) 99.4. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache on 11-MAR-2021, was recovering from chills, fever of 103.8, body aches, and nausea, and had not recovered from swollen throat. This report was non-serious.

Other Meds:

Current Illness: Penicillin allergy; Sulfonamide allergy

ID: 1250751
Sex: M
Age:
State: KY

Vax Date:
Onset Date: 03/10/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: ACHINESS; DISCOMFORT; CHILLS; TIREDNESS; FEVER; This spontaneous report received from a vaccine facility via a company representative concerned an 18 year old male. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 10-MAR-2021 15:30 for prophylactic vaccination. No concomitant medications were reported. On 10-MAR-2021, the subject started having symptoms around 8 pm achiness. On 10-MAR-2021, the subject experienced discomfort. On 10-MAR-2021, the subject experienced chills. On 10-MAR-2021, the subject experienced tiredness. On 10-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. The patient recovered from achiness, discomfort, and chills on 11-MAR-2021, was recovering from tiredness, and had not recovered from fever. This report was non-serious.

Other Meds:

Current Illness:

ID: 1250752
Sex: M
Age:
State:

Vax Date:
Onset Date: 03/09/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

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

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

Other Meds:

Current Illness:

ID: 1250753
Sex: F
Age:
State: OH

Vax Date:
Onset Date: 03/06/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: HAND JERKING IN RIGHT HAND; BLURRED VISION; NUMBNESS IN RIGHT ARM; TINGLING IN RIGHT ARM; EXHAUSTION AND FATIGUE; 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: 1802068, and batch number: 1802068 expiry: UNKNOWN) dose was not reported, administered on 05-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 06-MAR-2021 18:30, the subject experienced hand jerking in right hand. On 06-MAR-2021 18:30, the subject experienced blurred vision. On 06-MAR-2021 18:30, the subject experienced numbness in right arm. On 06-MAR-2021 18:30, the subject experienced tingling in right arm. On 06-MAR-2021 18:30, the subject experienced exhaustion and fatigue. On 06-MAR-2021 18:30, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from exhaustion and fatigue, and headache on 08-MAR-2021, was recovering from hand jerking in right hand, and had not recovered from blurred vision, numbness in right arm, and tingling in right arm. This report was non-serious.; Sender's Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1250754
Sex: F
Age:
State: OH

Vax Date:
Onset Date: 03/11/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: CHILLS; MUSCLE ACHE; BODY ACHE; HEADACHE; DIARRHEA; NAUSEA; HOT; RUNNY NOSE; This spontaneous report received from a patient concerned a 63 year old female. The patient's height, and weight were not reported. The patient's past medical history included covid 19, and concurrent conditions included seasonal allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802068 expiry: UNKNOWN) dose was not reported, administered on 09-MAR-2021 to Left Arm for prophylactic vaccination. No concomitant medications were reported. On 11-MAR-2021, the subject experienced chills. On 11-MAR-2021, the subject experienced muscle ache. On 11-MAR-2021, the subject experienced body ache. On 11-MAR-2021, the subject experienced headache. On 11-MAR-2021, the subject experienced diarrhea. On 11-MAR-2021, the subject experienced nausea. On 11-MAR-2021, the subject experienced hot. On 11-MAR-2021, the subject experienced runny nose. Laboratory data (dates unspecified) included: COVID-19 virus test (NR: not provided) Positive. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from chills, muscle ache, body ache, diarrhea, nausea, hot, and runny nose, and had not recovered from headache. This report was non-serious.

Other Meds:

Current Illness: Seasonal allergy

ID: 1250755
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/11/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: STOMACH PAIN; FELT VERY LETHARGIC; JOINT PAIN; FELT VERY FATIGUED; HEADACHE; DIFFICULTY SLEEPING; LIGHT HEADED; BODY ACHE; 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 11-MAR-2021 12:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-MAR-2021, the subject experienced light headed. On 11-MAR-2021, the subject experienced body ache. On 11-MAR-2021, the subject experienced difficulty sleeping. On 12-MAR-2021, the subject experienced stomach pain. On 12-MAR-2021, the subject experienced felt very lethargic. On 12-MAR-2021, the subject experienced joint pain. On 12-MAR-2021, the subject experienced felt very fatigued. On 12-MAR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from light headed, body ache, headache, joint pain, stomach pain, felt very fatigued, difficulty sleeping, and felt very lethargic. This report was non-serious.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am