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: 1253269
Sex: F
Age:
State: NC

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

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

Lab Data:

Allergies:

Symptom List:

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

Other Meds:

Current Illness:

ID: 1253270
Sex: F
Age:
State:

Vax Date:
Onset Date: 03/21/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: FEVER OF 101.5; This spontaneous report received from a parent concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's past medical history included unknown. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown and expiry: unknown) dose was not reported, administered on 20-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 21-MAR-2021, the subject experienced fever 101.5. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever 101.5. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253271
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 03/15/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: FELT REALLY/REALLY BAD AND FELT OUT OF SORT; SORENESS IN LEFT ARM; WEAKNESS; HEADACHE; RAPID HEART BEAT; INDIGESTION; DIZZINESS; ITCHING BEHIND NECK; MEDICINAL TASTE/SLIGHTLY SALTY TASTE/FELT TASTE OF VACCINE IN MOUTH; SORENESS UNDER LEFT ARMPIT; TO FEEL VACCINE GOING THROUGH HER BODY/FELT REALLY/REALLY BAD AND FELT OUT OF SORT; This spontaneous report received from a patient concerned a 68 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included managed high blood pressure, non alcohol use, and non smoker, and other pre-existing medical conditions included the patient had no known allergies. 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, and batch number: 1805022 expiry: UNKNOWN) dose was not reported, administered on 15-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-MAR-2021, the subject experienced rapid heart beat. On 15-MAR-2021, the subject experienced indigestion. On 15-MAR-2021, the subject experienced dizziness. On 15-MAR-2021, the subject experienced itching behind neck. On 15-MAR-2021, the subject experienced medicinal taste/slightly salty taste/felt taste of vaccine in mouth. On 15-MAR-2021, the subject experienced soreness under left armpit. On 15-MAR-2021, the subject experienced to feel vaccine going through her body/felt really/really bad and felt out of sort. On 15-MAR-2021, the subject experienced soreness in left arm. On 15-MAR-2021, the subject experienced weakness. On 15-MAR-2021, the subject experienced headache. On 18-MAR-2021, the subject experienced felt really/really bad and felt out of sort. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from headache, had not recovered from weakness, soreness in left arm, medicinal taste/slightly salty taste/felt taste of vaccine in mouth, soreness under left armpit, and felt really/really bad and felt out of sort, and the outcome of indigestion, rapid heart beat, dizziness, itching behind neck and to feel vaccine going through her body/felt really/really bad and felt out of sort was not reported. This report was non-serious.; Sender's Comments: MAC not required as per standard procedure as case was assessed as non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Blood pressure high; Non-smoker

ID: 1253272
Sex: M
Age:
State: MI

Vax Date:
Onset Date: 03/18/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SWELLING; LOCALIZED PAIN AT SITE OF INJECTION; This spontaneous report received from a patient concerned a 60 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included high blood pressure, and other pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802068, and expiry: UNKNOWN) dose was not reported, administered on 15-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 18-MAR-2021, the subject experienced swelling. On 18-MAR-2021, the subject experienced localized pain at site of injection. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from swelling on 19-MAR-2021, and had not recovered from localized pain at site of injection. This report was non-serious.

Other Meds:

Current Illness: Blood pressure high

ID: 1253273
Sex: U
Age:
State: WI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: EARACHE; HEADACHE; 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, intramuscular, batch number: 1805031, and expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 to Left Arm for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced earache, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the earache and headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253274
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

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

Other Meds:

Current Illness:

ID: 1253275
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 03/15/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SEEING FLOATING TINY CIRCLES, LINES AND DOTS IN FIELD OF VISION; FEELING TIRED; 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: 1805022, and batch number: 1805022 expiry: 31-MAY-2021) dose was not reported, administered on 14-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-MAR-2021, the subject experienced seeing floating tiny circles, lines and dots in field of vision. On 15-MAR-2021, the subject experienced feeling tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from seeing floating tiny circles, lines and dots in field of vision, and the outcome of feeling tired was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253276
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 03/20/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: LIGHT HEADED; FEELING LIKE WAS RUN OVER BY A TRAIN (LOWER BACK PAIN); PRE-EXISTING LEFT SIDED FACE PAIN MADE WORSE BY VACCINE (IN LEFT EYE, CHEEK AND EAR); FEELING STRANGE NOT COMFORTABLE; CHILLS; FEELING LIKE WAS RUN OVER BY A TRAIN (HIP PAIN); FEVER; 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 thalassemia trait, and previous neck injury that causes pain on left side. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, and expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 for to right deltoid prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, the subject experienced light headed. On 20-MAR-2021, the subject experienced feeling like was run over by a train (lower back pain). On 20-MAR-2021, the subject experienced pre-existing left sided face pain made worse by vaccine (in left eye, cheek and ear). On 20-MAR-2021, the subject experienced feeling strange not comfortable. On 20-MAR-2021, the subject experienced chills. On 20-MAR-2021, the subject experienced feeling like was run over by a train (hip pain). On 20-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from chills, and feeling like was run over by a train (lower back pain), and had not recovered from fever, light headed, feeling like was run over by a train (hip pain), pre-existing left sided face pain made worse by vaccine (in left eye, cheek and ear), and feeling strange not comfortable. This report was non-serious.

Other Meds:

Current Illness: Neck injury; Thalassemia trait

ID: 1253277
Sex: F
Age:
State: GA

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:

Symptoms: NUMBNESS IN HANDS, FINGERS AND FACE; CONGESTION; SORE THROAT; DIZZINESS; CHILLS; WEAKNESS; FEVER; FATIGUE; NAUSEA; HEADACHE; MUSCLE PAIN IN BACK; This spontaneous report received from a patient concerned a 65 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: 1805029, and batch number: 1805029 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 numbness in hands, fingers and face. On 09-MAR-2021, the subject experienced congestion. On 09-MAR-2021, the subject experienced sore throat. On 09-MAR-2021, the subject experienced dizziness. On 09-MAR-2021, the subject experienced chills. On 09-MAR-2021, the subject experienced weakness. On 09-MAR-2021, the subject experienced fever. On 09-MAR-2021, the subject experienced fatigue. On 09-MAR-2021, the subject experienced nausea. On 09-MAR-2021, the subject experienced headache. On 09-MAR-2021, the subject experienced muscle pain in back. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness, chills, weakness, fever, and headache on 10-MAR-2021, and had not recovered from fatigue, nausea, muscle pain in back, numbness in hands, fingers and face, congestion, and sore throat. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253278
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: BREASTFEEDING; This spontaneous report received from a parent 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, transmammary, batch number: Unknown) dose was not reported, administered on 16-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced breastfeeding. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of breastfeeding was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253279
Sex: F
Age:
State: KY

Vax Date:
Onset Date: 03/20/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: HIGH FEVER WHICH GOT SPIKED AND WAS STILL AT 101 IN THE MORNING AND 99.86 AT THE TIME OF REPORTING; This spontaneous report received from a patient concerned a 46 year old female. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient had no medical history, no known 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: 1805025, expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 09:06 for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, Laboratory data included: Fever (NR: not provided) 103 F. On 20-MAR-2021 15:00, the subject experienced high fever which got spiked and was still at 101 in the morning and 99.86 at the time of reporting. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from high fever which got spiked and was still at 101 in the morning and 99.86 at the time of reporting. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253280
Sex: F
Age:
State: MA

Vax Date:
Onset Date: 03/12/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: DRY COUGH; CHILLS; HEADACHE; TIRED; 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 concurrent conditions included hypertension, and other pre-existing medical conditions included the patient had no known allergies.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, expiry: UNKNOWN) dose was not reported, 1 total, administered on 08-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-MAR-2021, the subject experienced tired. On 13-MAR-2021, the subject experienced chills. On 13-MAR-2021, the subject experienced headache. On 16-MAR-2021, the subject experienced dry cough. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, tired, chills, and dry cough. This report was non-serious.

Other Meds:

Current Illness: Hypertension

ID: 1253281
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 03/20/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: CHILLS; FEVER; This spontaneous report received from a parent concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 20-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 20-MAR-2021, the subject experienced chills. On 20-MAR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 101. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, and chills. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253282
Sex: F
Age:
State: CA

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:

Symptoms: HOT TO THE TOUCH; FEELING COLD; FATIGUE; TEMPERATURE; CHILLS WITH SHAKING; ARM PAIN AT INJECTION; This spontaneous report received from a consumer concerned a 28 year old female. The patient's height, and weight were not reported. The patient's past medical history included non smoker, and concurrent conditions included 4 times per year alcohol use, cats/dogs allergy, pollen allergy, and different metals allergy, and other pre-existing medical conditions included the patient did not have any drug abuse/illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805022, and expiry: UNKNOWN) dose was not reported, administered on 13-MAR-2021 to right arm as prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced arm pain at injection. On 18-MAR-2021, the subject experienced temperature. On 18-MAR-2021, the subject experienced chills with shaking. On an unspecified date, the subject experienced hot to the touch, feeling cold, and fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from arm pain at injection on 19-MAR-2021, was recovering from chills with shaking, had not recovered from temperature, fatigue, and hot to the touch, and the outcome of feeling cold was not reported. This report was non-serious.

Other Meds:

Current Illness: Alcohol use; Allergy to animals; Allergy to metals; Non-smoker; Pollen allergy

ID: 1253283
Sex: U
Age:
State: MO

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:

Symptoms: 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 not reported) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow up to request batch number. No concomitant medications were reported. On MAR-2021, the subject experienced arm was little sore. On MAR-2021, the subject experienced mild headache. On MAR-2021, the subject experienced tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from arm was little sore, mild headache, and tired on 14-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253284
Sex: F
Age:
State: WA

Vax Date:
Onset Date: 03/15/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: WEAK; EXTREME TIREDNESS; This spontaneous report received from a patient concerned a 69 year old female. The patient's weight was 125 pounds, and height was 64 inches. The patient's concurrent conditions included high blood pressure, non alcohol user, smoking, penicillin allergy, and sleep disorder. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, and batch number: 1805029 expiry: UNKNOWN) dose was not reported, administered on left arm on 14-MAR-2021 09:30 for prophylactic vaccination. Concomitant medications included trazodone for for sleep, furosemide, and potassium. On 15-MAR-2021, the subject experienced weak. On 15-MAR-2021, the subject experienced extreme tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from extreme tiredness, and weak. This report was non-serious.

Other Meds: TRAZODONE; POTASSIUM; LASIX [FUROSEMIDE]

Current Illness: Abstains from alcohol; Blood pressure high; Penicillin allergy; Sleep disorder; Smoker (1 pack per day)

ID: 1253285
Sex: F
Age:
State: GA

Vax Date:
Onset Date: 03/14/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: INJECTION SITE HOT; INJECTION SITE ITCHY; FATIGUE; INJECTIONS SITE SORE; INJECTION SITE FEELS SWOLLEN; 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: Unknown) dose was not reported, administered on 13-MAR-2021 to right deltoid for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 14-MAR-2021, the subject experienced injection site hot. On 14-MAR-2021, the subject experienced injection site itchy. On 14-MAR-2021, the subject experienced fatigue. On 14-MAR-2021, the subject experienced injections site sore. On 14-MAR-2021, the subject experienced injection site feels swollen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fatigue, injection site hot, injections site sore, injection site itchy, and injection site feels swollen. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253286
Sex: M
Age:
State: MI

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:

Symptoms: STOMACH UPSET; SLIGHT HEADACHE; SLIGHT PAIN; This spontaneous report received from a patient concerned a 66 year old male. The patient's height, and weight were not reported. The patient's past medical history included stomach issue, and concurrent conditions included high blood pressure.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, on left arm administered on 07-MAR-2021 15:30 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced slight pain. On 08-MAR-2021, the subject experienced slight headache. On 11-MAR-2021, the subject experienced stomach upset. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from slight headache on 08-MAR-2021, had not recovered from stomach upset, and the outcome of slight pain was not reported. This report was non-serious.

Other Meds:

Current Illness: Blood pressure high

ID: 1253287
Sex: M
Age:
State: NJ

Vax Date:
Onset Date: 03/18/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SORENESS; TIRED; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. On 16-MAR-2021, the patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031, and expiry date : 26-MAY-2021) dose was not reported, vaccinated on right deltoid, once a total administered on 17-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 18-MAR-2021, the patient experienced tired, soreness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from tired, and soreness on 19-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253288
Sex: F
Age:
State: IL

Vax Date:
Onset Date: 08/01/2020
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: This spontaneous report received from a patient concerned a 73 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included wasp sting, and non-smoker, and other pre-existing medical conditions included unknown. The patient was previously treated with varicella zoster vaccine rge (cho) for prophylactic vaccination. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) .5 ml, administered on AUG-2020 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 2020, Laboratory data included: Antibody test (NR: not provided) antibodies present. On AUG-2020, the subject experienced flu. On AUG-2020, the subject experienced shivers. On AUG-2020, the subject experienced rib cage ache. On AUG-2020, the subject experienced felt lousy. On AUG-2020, the subject experienced muscle aches. On AUG-2020, the subject experienced stung at arm. On AUG-2020, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu, shivers, rib cage ache, felt lousy, muscle aches, and stung at arm on AUG-2020, and had not recovered from fatigue. Product Quality Complaint number:90000173522 This report was non-serious. The suspected product quality complaint has been confirmed to be voided (did not meet pqc criteria)- , this report does not contain any indication of a pqc but only mentions pure ae's which are outside of the scope of quality investigation. Based on the PQC evaluation/investigation performed.

Other Meds:

Current Illness: Insect sting allergy; Non-smoker

ID: 1253289
Sex: F
Age:
State: WA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: COLD; EXTREME TIREDNESS; FATIGUE; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included paracetamol. On 2021, the subject experienced cold. On 2021, the subject experienced extreme tiredness. On 2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from cold, extreme tiredness, and fatigue on 2021. This report was non-serious.

Other Meds: TYLENOL

Current Illness:

ID: 1253290
Sex: M
Age:
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: TIRED; CHILLS; FEVER; 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: 1805029) dose was not reported, administered on 19-MAR-2021 10:15 at left arm for prophylactic vaccination. No concomitant medications were reported. On 19-MAR-2021, the subject experienced tired. On 19-MAR-2021, the subject experienced chills. On 19-MAR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 100 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, chills and tired was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253291
Sex: U
Age:
State:

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:

Symptoms: RASHES ALL THE BODY,GETTING WORSE AND STARTED ON ARM, LEG, NECK AND FACE; ITCHY; 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, and batch number were not reported) dose was not reported, administered on MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced rashes all the body, getting worse and started on arm, leg, neck and face. On MAR-2021, the subject experienced itchy. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from rashes all the body,getting worse and started on arm, leg, neck and face, and the outcome of itchy was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253292
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 03/14/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ALLERGIC REACTION; HEART BEAT ELEVATED; FATIGUE; GLASSY EYES; LETHARGIC; RUNNY NOSE; This spontaneous report received from a consumer concerned a 62 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included advanced multiple sclerosis, and penicillin allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029) dose was not reported, administered on 13-MAR-2021 for prophylactic vaccination at her right arm. No concomitant medications were reported. On 14-MAR-2021, the subject experienced glassy eyes. On 14-MAR-2021, the subject experienced lethargic. On 14-MAR-2021, the subject experienced runny nose. On 14-MAR-2021, the subject experienced fatigue. On 15-MAR-2021, the subject experienced heart beat elevated. On 17-MAR-2021, treatment medications included: loratadine. On an unspecified date, the subject experienced allergic reaction. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fatigue, had not recovered from glassy eyes, runny nose, heart beat elevated, and allergic reaction, and the outcome of lethargic was not reported. This report was non-serious.

Other Meds:

Current Illness: Multiple sclerosis; Penicillin allergy

ID: 1253293
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 03/20/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: CHILLS; HEADACHE; FATIGUE TIRED AND SLEPT A LOT; 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: 1805018, and expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, the subject experienced chills. On 20-MAR-2021, the subject experienced headache. On 20-MAR-2021, the subject experienced fatigue tired and slept a lot. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chills, and headache, and the outcome of fatigue tired and slept a lot was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253294
Sex: F
Age:
State: NC

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:

Symptoms: DIARRHEA; SEVERE HEADACHE; 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 leukemia.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802070, and batch number: 1802070 expiry: UNKNOWN) dose was not reported, administered in the left arm on 09-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-MAR-2021, the subject experienced diarrhea. On 09-MAR-2021, the subject experienced severe headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the severe headache and diarrhea was not reported. This report was non-serious.

Other Meds:

Current Illness: Leukemia

ID: 1253295
Sex: M
Age:
State: VA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ARM SHORNESS; CALLER IS NOT SURE IF HE RECEIVED FULL SHOT; 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: 1802070, and batch number: 1802070 expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced possible incorrect dose administered, and arm shorness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the arm shorness and possible incorrect dose administered was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253296
Sex: M
Age:
State: CA

Vax Date:
Onset Date: 03/20/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SHIVERING/CHILLS; FEVER; 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: 1805029) dose was not reported, administered on 20-MAR-2021 15:00 to left arm for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, Laboratory data included: Body temperature (NR: not provided) Fever of 102 degree F. On 20-MAR-2021 22:00, the patient experienced shivering/chills fever and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from shivering/chills on 20-MAR-2021, and had not recovered from fever, and headache. The reporter consider related causality between covid-19 vaccine ad26.cov2.s and event shivering/chills fever, and headache. company causality between covid-19 vaccine ad26.cov2.s and event shivering/chills fever, and headache was possible. This report was non-serious.; Sender's Comments: V0:Medical assessment comment not required as per standard procedure as case assessed as non serious.

Other Meds:

Current Illness:

ID: 1253297
Sex: F
Age:
State: NE

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SIDE EFFECTS; This spontaneous report received from a consumer concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 19-MAR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 19-MAR-2021, the subject experienced side effects. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of side effects was not reported. This report was non-serious.; Sender's Comments: V0: Medical assessment comment not required as per standard procedure since case was assessed as non serious.

Other Meds:

Current Illness:

ID: 1253298
Sex: F
Age:
State: MO

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:

Symptoms: RASH ON ARM AND RIGHT WRIST; BUMP ON WRIST; 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: 1805018, expiry: UNKNOWN) dose was not reported, administered on MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced rash on arm and right wrist. On MAR-2021, the subject experienced bump on wrist. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the rash on arm and right wrist and bump on wrist was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253299
Sex: U
Age:
State: TX

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:

Symptoms: CHILLS; FEVER; 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: UNKNOWN expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced chills. On MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever and chills was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253300
Sex: M
Age:
State: GA

Vax Date:
Onset Date: 03/15/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ITCHY; FACE SWOLLEN; RASH ON ARMS, CHEST AND LEGS - LITTLE DOTS; This spontaneous report received from a patient concerned a 49 year old male. The patient's height, and weight were not reported. The patient's past medical history included covid-19, and concurrent conditions included penicillin allergy.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN expiry: UNKNOWN) dose was not reported, administered on 12-MAR-2021 to left deltoid for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 15-MAR-2021, the subject experienced rash on arms, chest and legs - little dots. On 18-MAR-2021, the subject experienced face swollen. Treatment medications included: diphenhydramine hydrochloride. On 19-MAR-2021, the subject experienced itchy. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from rash on arms, chest and legs - little dots, and face swollen, and the outcome of itchy was not reported. 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: Penicillin allergy

ID: 1253301
Sex: F
Age:
State: CA

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:

Symptoms: SWELLING IN HANDS; SPINE TINGLING ON RIGHT SIDE AND FELT LIKE IT WAS RUNNING THROUGH BODY; CONTRACTIONS LIKE HAVING A BABY; DIARRHEA; NASALLY; FELT LIKE A BAD CASE OF FLU; SMALL PURPLE SPOTS ON LEGS; COUGH; RUNNY NOSE; CHEST CONGESTION; WHEEZING; PHLEGMY, COUGHING UP CHUNKS OF MUCUS; CAN'T GET WARM; SHIVERS; SORE THROAT; BODY ACHES THAT HURT REALLY BAD; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, expiry: UNKNOWN) dose was not reported, administered on 17-MAR-2021 15:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced body aches that hurt really bad. On 17-MAR-2021, the subject experienced spine tingling on right side and felt like it was running through body. On 17-MAR-2021, the subject experienced contractions like having a baby. On 17-MAR-2021, the subject experienced diarrhea. On 17-MAR-2021, the subject experienced nasally. On 17-MAR-2021, the subject experienced felt like a bad case of flu. On 17-MAR-2021, the subject experienced small purple spots on legs. On 17-MAR-2021, the subject experienced cough. On 17-MAR-2021, the subject experienced runny nose. On 17-MAR-2021, the subject experienced chest congestion. On 17-MAR-2021, the subject experienced wheezing. On 17-MAR-2021, the subject experienced phlegmy, coughing up chunks of mucus. On 17-MAR-2021, the subject experienced can't get warm. On 17-MAR-2021, the subject experienced shivers. On 17-MAR-2021, the subject experienced sore throat. On 18-MAR-2021, the subject experienced swelling in hands. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from contractions like having a baby on 17-MAR-2021, and diarrhea on 19-MAR-2021, was recovering from spine tingling on right side and felt like it was running through body, had not recovered from nasally, felt like a bad case of flu, body aches that hurt really bad, small purple spots on legs, cough, runny nose, chest congestion, wheezing, phlegmy, coughing up chunks of mucus, shivers, can't get warm, and swelling in hands, and the outcome of sore throat was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253302
Sex: M
Age:
State: IN

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:

Symptoms: SEVERE CHILLS; This spontaneous report received from a vaccine facility concerned a male of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included cerebral palsy. 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 19-MAR-2021 vaccinated on right arm at 12:55 PM for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced severe chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe chills. This report was non-serious.

Other Meds:

Current Illness: Cerebral palsy (As Per Consumer vaccinated patient was born with cerebral palsy.)

ID: 1253303
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 03/14/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SENSATION IN LUNGS; SUDDEN ONSET OF CHILLS; SUDDEN ONSET OF SHAKING; 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: 1805022,expiry: UNKNOWN) dose was not reported, administered on 14-MAR-2021 on right arm for prophylactic vaccination. No concomitant medications were reported. On 14-MAR-2021, the subject experienced sudden onset of shaking. On 14-MAR-2021, the subject experienced sudden onset of chills. On an unspecified date, the subject experienced sensation in lungs. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sudden onset of shaking, and sudden onset of chills, and the outcome of sensation in lungs was not reported. This report was non-serious.; Sender's Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1253304
Sex: U
Age:
State:

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:

Symptoms: PAIN; HARD LUMP AT INJECTION SITE; HARD LUMP SENSITIVE TO TOUCH; INJECTION SITE REDNESS; 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 MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced pain. On MAR-2021, the subject experienced hard lump at injection site. On MAR-2021, the subject experienced hard lump sensitive to touch. On MAR-2021, the subject experienced injection site redness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from hard lump at injection site, and hard lump sensitive to touch, and the outcome of pain and injection site redness was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253305
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: BODY ACHES; STOMACH CRAMPS; FACIAL SWELLING; MIGRAINE; HEADACHE; FEVER; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient had no known allergies. the patient did not have any drug abuse/illicit drug use.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1805029 expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 at left arm for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced body aches, stomach cramps, facial swelling, migraine, headache, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from facial swelling, and fever, was recovering from stomach cramps, had not recovered from headache, and body aches, and the outcome of migraine was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253306
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 03/18/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SURGE OF ENERGY; 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 and batch number: 1805029 expiry: UNKNOWN) dose was not reported, administered on 18-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 18-MAR-2021, the subject experienced surge of energy. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from surge of energy on MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253307
Sex: M
Age:
State: MA

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:

Symptoms: COLD SORE ON THE LIP; FEVER WHICH WAS DESCRIBED AS FLU LIKE SYMPTOMS; MUSCLE ACHE; FEELING TIRED; ITCHING; RASH THAT APPEARED ON MIDCHEST AREA BETWEEN THE STOMACH AND THE PECTORALS; RED BLOTCHES; 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 drug 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: 05-MAY-2021) dose was not reported, administered on 05-MAR-2021 for prophylactic vaccination on left arm. No concomitant medications were reported. On MAR-2021, the subject experienced itching. On MAR-2021, the subject experienced rash that appeared on midchest area between the stomach and the pectorals. On MAR-2021, the subject experienced red blotches. On 05-MAR-2021, the subject experienced fever which was described as flu like symptoms. On 05-MAR-2021, the subject experienced muscle ache. On 05-MAR-2021, the subject experienced feeling tired. On 10-MAR-2021, the subject experienced cold sore on the lip. On 17-MAR-2021, Laboratory data included: Biopsy (NR: not provided) UNKNOWN. Treatment medications (dates unspecified) included: fexofenadine, and triamcinolone acetonide. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from cold sore on the lip on 16-MAR-2021, and fever which was described as flu like symptoms, muscle ache, and feeling tired on 08-MAR-2021, and was recovering from rash that appeared on mid chest area between the stomach and the pectorals, red blotches, and itching. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253308
Sex: U
Age:
State:

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:

Symptoms: SMALLER HARD SORE BUMP; SICK; SHOT HURT GOING IN AND STUNG; FELT TIRED; NAUSEOUS; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 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 smaller hard sore bump. On MAR-2021, the subject experienced sick. On MAR-2021, the subject experienced shot hurt going in and stung. On MAR-2021, the subject experienced felt tired. On MAR-2021, the subject experienced nauseous. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sick, felt tired, and nauseous on MAR-2021, and the outcome of shot hurt going in and stung and smaller hard sore bump was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253309
Sex: F
Age:
State: OK

Vax Date:
Onset Date: 03/21/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: FEVER (UNABLE TO CHECK TEMPERATURE); FATIGUE; HEADACHE; MUSCLE ACHES; NAUSEA; 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: 1805018) dose was not reported, administered on 20-MAR-2021 at left arm for prophylactic vaccination. No concomitant medications were reported. On 21-MAR-2021, the subject experienced fever (unable to check temperature). On 21-MAR-2021, the subject experienced fatigue. On 21-MAR-2021, the subject experienced headache. On 21-MAR-2021, the subject experienced muscle aches. On 21-MAR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever (unable to check temperature), fatigue, headache, muscle aches and nausea was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253310
Sex: F
Age:
State: GA

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type:
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Vax Name:
Lot:
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Allergies:

Symptom List:

Symptoms: NO TASTE; DIARRHEA; FEELING SICK; FEVER; NAUSEA; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 16-MAR-2021 11:30 a.m. (vaccinated at right arm) for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 17-MAR-2021, the subject experienced no taste. On 17-MAR-2021, the subject experienced diarrhea. On 17-MAR-2021, the subject experienced feeling sick. On 17-MAR-2021, the subject experienced fever. On 17-MAR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, nausea, no taste, diarrhea and feeling sick was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253311
Sex: U
Age:
State: MA

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
Hospital:

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

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Symptom List:

Symptoms: SORENESS ON THE INJECTION SITE; 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 was not reported, administered on 28-FEB-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On MAR-2021, the subject experienced soreness on the injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of soreness on the injection site was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253312
Sex: F
Age:
State: VA

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

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: MOUTH WATERING; MIGRAINE; SOMNOLENCE; FLUSHED FACE; CHILLS; EXTREME TIREDNESS/ FATIGUE; NAUSEA; LOW GRADE FEVER; INJECTION SITE PAIN; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included migraine. 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 07-MAR-2021 09:30 for prophylactic vaccination. The patient vaccinated at right arm. Concomitant medications included magnesium glycinate. On 07-MAR-2021, the subject experienced somnolence. On 07-MAR-2021, the subject experienced flushed face. On 07-MAR-2021, the subject experienced chills. On 07-MAR-2021, the subject experienced extreme tiredness/ fatigue. On 07-MAR-2021, the subject experienced nausea. On 07-MAR-2021, the subject experienced low grade fever. On 07-MAR-2021, the subject experienced injection site pain. On 09-MAR-2021, the subject experienced migraine. On 11-MAR-2021, Laboratory data included: COVID-19 virus test negative (NR: not provided) Negative, and Rapid influenza diagnostic test (NR: not provided) Negative. On an unspecified date, the subject experienced mouth watering. Treatment medications (dates unspecified) included: metoclopramide, and prednisone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flushed face, and chills on 08-MAR-2021, and low grade fever, and injection site pain, and had not recovered from migraine, nausea, somnolence, extreme tiredness/ fatigue, and mouth watering. This report was non-serious.; Sender's Comments: V0: Medical assessment comments not required as per standard procedure as the case is assessed as non-serious.

Other Meds: Magnesium glycinate

Current Illness: Migraine (Patient was not on medications for Migraine before. Patient Headache proceeded to migraines.)

ID: 1253313
Sex: F
Age:
State: TX

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

Vax Type:
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Symptom List:

Symptoms: CAN NOT MOVE; FLU LIKE SYMPTOMS/FEELING VERY WEAK/WARM TO TOUCH/FEVER; This spontaneous report received from a parent concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included heart condition. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031, and batch number: 1805031 expiry: UNKNOWN) dose was not reported, administered on 16-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-MAR-2021, Laboratory data included: Body temperature (NR: not provided) 100 deg. On 16-MAR-2021, Laboratory data included: Body temperature (NR: not provided) 103 deg. On an unspecified date, the subject experienced can not move, and flu like symptoms/feeling very weak/warm to touch/fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 99, 99.6. Treatment medications (dates unspecified) included: oxycodone/paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not reported. The patient had not recovered from flu like symptoms/feeling very weak/warm to touch/fever, and the outcome of can not move 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: Heart disorder

ID: 1253314
Sex: F
Age:
State: NV

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

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

Allergies:

Symptom List:

Symptoms: HEADACHE; FEVER; MUSCLE ACHE; FATIGUE; 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: 1806018,: UNKNOWN) dose was not reported, administered on left arm on 11-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced headache, fever, muscle ache, fatigue, and chills. The action taken with covid-19 vaccine ad26.cov2.s was not reported. The patient recovered from fever, muscle ache, fatigue, and chills, and the outcome of headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253315
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 03/16/2021
Rec V Date: 04/24/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: BODY ACHES; CHILLS; HEADACHE; FELT TIRED; SICK FEELING/GETTING SICK; DIZZINESS; SEVERE VOMITING; 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: 1805029, and expiry: UNKNOWN) dose was not reported, administered on left arm on 08-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 16-MAR-2021, the subject experienced dizziness. On 16-MAR-2021, the subject experienced severe vomiting. On 16-MAR-2021, the subject experienced sick feeling/getting sick. On 16-MAR-2021, the subject experienced felt tired. On 17-MAR-2021, the subject experienced body aches. On 17-MAR-2021, the subject experienced chills. On 17-MAR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from felt tired, severe vomiting, dizziness, chills, headache, body aches, and sick feeling/getting sick. This report was non-serious.; Sender's Comments: MAC- V0: Medical assessment comments not required as per standard procedure as the case is assessed as non serious

Other Meds:

Current Illness:

ID: 1253316
Sex: F
Age:
State: DC

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:

Symptoms: BODY ACHES; CHILLS; FATIGUE; HEADACHE; This spontaneous report received from a consumer concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 17-MAR-2021 for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow-up to request batch number. No concomitant medications were reported. On MAR-2021, the subject experienced body aches. On MAR-2021, the subject experienced chills. On MAR-2021, the subject experienced fatigue. On MAR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills, fatigue, headache and body aches was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253317
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: BODY ACHES; INSOMNIA; CHILLS; LACK OF ENERGY; NAUSEA; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on left arm on 16-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced body aches, insomnia, chills, lack of energy, and nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the body aches, nausea, chills, insomnia and lack of energy was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253318
Sex: M
Age:
State: CA

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:

Symptoms: SORENESS IN ARM AT SHOT LOCATION AND FELT LIKE WENT DOWN ARM; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 180/50/20/ expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 for prophylactic vaccination on Left Deltoid. No concomitant medications were reported. On MAR-2021, the subject experienced soreness in arm at shot location and felt like went down arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from soreness in arm at shot location and felt like went down arm on MAR-2021. This report was non-serious. Additional information was received from [reporter] on 23-MAR-2021.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm