VAERS 2021 Database www.vaers.hhs.gov

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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: 1253419
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: FEELING LAZY; BACKACHES; LEGS ACHE; HEADACHE; TIRED; BAD MUSCLE ACHE IN SHOULDER AND NECK; REDNESS AT INJECTION SITE; SWOLLEN 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: UNKNOWN, expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 09:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced redness at injection site. On MAR-2021, the subject experienced swollen injection site. On 19-MAR-2021, the subject experienced feeling lazy. On 19-MAR-2021, the subject experienced backaches. On 19-MAR-2021, the subject experienced legs ache. On 19-MAR-2021, the subject experienced headache. On 19-MAR-2021, the subject experienced tired. On 19-MAR-2021, the subject experienced bad muscle ache in shoulder and neck. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from headache, backaches, legs ache, and bad muscle ache in shoulder and neck, had not recovered from tired, redness at injection site, and swollen injection site, and the outcome of feeling lazy was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253420
Sex: F
Age:
State: NC

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:

Symptoms: COLD SWEATS; WEAK; VERTIGO; UNSTEADY GAIT; DIZZINESS; UNBALANCED; MILD SORENESS AT THE LOCATION; 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 11-MAR-2021 on left arm 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 mild soreness at the location. On 18-MAR-2021, the subject experienced vertigo. On 18-MAR-2021, the subject experienced unsteady gait. On 18-MAR-2021, the subject experienced dizziness. On 18-MAR-2021, the subject experienced unbalanced. On 18-MAR-2021, the subject experienced weak. On 19-MAR-2021, the subject experienced cold sweats. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from mild soreness at the location on 11-MAR-2021, was recovering from cold sweats, had not recovered from vertigo, weak, and dizziness, and the outcome of unsteady gait and unbalanced was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253421
Sex: F
Age:
State: WI

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: BODY ACHES; STOMACH A LITTLE OFF; 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 asthma, and hypertension. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 21-MAR-2021 11:45 on left arm for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 21-MAR-2021 22:00, the subject experienced body aches. On 21-MAR-2021 22:00, the subject experienced stomach a little off. On 21-MAR-2021 22:00, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, body aches, and stomach a little off. This report was non-serious.

Other Meds:

Current Illness: Asthma; Hypertension

ID: 1253422
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 03/16/2021
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 STOMACH; FATIGUE; This spontaneous report received from a patient concerned a 53 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included non-smoker, and non-alcoholic, and other pre-existing medical conditions included the patient had no known drug allergy.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020, and batch number: 1805020 expiry: UNKNOWN) dose was not reported, administered on 15-MAR-2021 14:45, in left arm, for prophylactic vaccination. No concomitant medications were reported. On 16-MAR-2021, the subject experienced fatigue. On 20-MAR-2021, the subject experienced rash on stomach. Treatment medications (dates unspecified) included: hydrocortisone. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from rash on stomach, and fatigue. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker

ID: 1253423
Sex: M
Age:
State: CA

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:

Symptoms: CHILLS; NAUSEA; FEVER; INJECTION SITE PAIN; This spontaneous report received from a patient concerned a 71 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802072 expiry: UNKNOWN) dose was not reported, administered on 07-MAR-2021 for prophylactic vaccination on left arm. No concomitant medications were reported. On 08-MAR-2021, the subject experienced injection site pain. On 20-MAR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 100.2 F. On 20-MAR-2021 05:00, the subject experienced chills. On 20-MAR-2021 05:00, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from injection site pain on MAR-2021, and had not recovered from chills, fever, and nausea. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253424
Sex: F
Age:
State: TN

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: BODY ACHES; 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 received COVID-19 VACCINE AD26.COV2.S (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 20-MAR-2021 to right arm 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 20-MAR-2021, the patient experienced body aches. On 20-MAR-2021, the subject experienced fever. The action taken with COVID-19 VACCINE AD26.COV2.S was not applicable. The patient had not recovered from fever, and body aches. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253425
Sex: F
Age:
State: TN

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: DIARRHEA; CHILLS; FEVER; 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: 1805020, expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 06:00 on left arm for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, Laboratory data included: Body temperature (NR: not provided) 101 F. On 20-MAR-2021 16:00, the subject experienced diarrhea. On 20-MAR-2021 16:00, the subject experienced chills. On 20-MAR-2021 16:00, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills, fever and diarrhea was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253426
Sex: U
Age:
State: NC

Vax Date: 03/14/2021
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: SORE LEFT ARM; FEVER; NAUSEA; LIGHT 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, route of admin, and batch number were not reported) dose was not reported, administered on 14-MAR-2021 09:00 on left arm for prophylactic vaccination. The batch number was not reported, and is requested. No concomitant medications were reported. On 14-MAR-2021 17:00, the subject experienced light headache. On 14-MAR-2021 18:30, the subject experienced fever. On 14-MAR-2021 18:30, the subject experienced nausea. On 15-MAR-2021, Laboratory data included: Body temperature (NR: not provided) 101.3 F. On an unspecified date, the subject experienced sore left arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever on 15-MAR-2021 08:00, and the outcome of light headache, nausea and sore left arm was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253427
Sex: M
Age:
State: CA

Vax Date:
Onset Date: 03/17/2021
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 ACHE; DIARRHEA; GROUCHY; SORE THROAT; FEELS MUSCLY; LEGS HURT; MUSCLE SORENESS; This spontaneous report received from a parent concerned a male of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included mitochondrial disease. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, administered on right arm on 17-MAR-2021 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 stomach ache. On 17-MAR-2021, the subject experienced diarrhea. On 17-MAR-2021, the subject experienced grouchy. On 17-MAR-2021, the subject experienced sore throat. On 17-MAR-2021, the subject experienced feels muscly. On 17-MAR-2021, the subject experienced legs hurt. On 17-MAR-2021, the subject experienced muscle soreness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from stomach ache, diarrhea, grouchy, muscle soreness, legs hurt, sore throat, and feels muscly. This report was non-serious.

Other Meds:

Current Illness: Mitochondrial cytopathy

ID: 1253428
Sex: F
Age:
State: IL

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: BODY ACHE; FEVER; CHILLS; 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: 1805018 expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 11:00 to left arm for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, Laboratory data included: Body temperature (NR: not provided) 101.7. On 20-MAR-2021, treatment medications included: paracetamol. On 20-MAR-2021 16:00, the subject experienced headache. On 20-MAR-2021 17:00, the subject experienced chills. On 20-MAR-2021 22:45, the subject experienced fever. On an unspecified date, the subject experienced body ache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills on 20-MAR-2021, had not recovered from headache, and the outcome of fever and body ache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253429
Sex: F
Age:
State: IL

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: SINUS PRESSURE BEHIND EYES WHICH WAS MOVING TO THE FOREHEAD; HEADACHE; FEVER OF 99.9F; This spontaneous report received from a patient concerned a 54 year old female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 18-MAR-2021 11:30:00 for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced sinus pressure behind eyes which was moving to the forehead. On MAR-2021, the subject experienced headache. On MAR-2021, the subject experienced fever of 99.9f. Laboratory data included: Body temperature (NR: not provided) 99.9 F. The batch number was not reported and has been requested. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from sinus pressure behind eyes which was moving to the forehead, headache, and fever of 99.9f. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253430
Sex: F
Age:
State: MI

Vax Date:
Onset Date: 03/17/2021
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: SHAKEN; UNABLE TO REST; HEART RACING; HEAVY HEAD; A LITTLE DIFFICULTY IN BREATHING; TIREDNESS; 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: 1802072 expiry: UNKNOWN) dose was not reported, administered on 17-MAR-2021 at left arm for prophylactic vaccination. No concomitant medications were reported. On 17-MAR-2021, the subject experienced tiredness. On 19-MAR-2021, the subject experienced heart racing. On 19-MAR-2021, the subject experienced heavy head. On 19-MAR-2021, the subject experienced a little difficulty in breathing. On an unspecified date, the subject experienced shaken, and unable to rest. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from heart racing, heavy head, tiredness, and a little difficulty in breathing, and the outcome of shaken and unable to rest 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: 1253431
Sex: F
Age:
State: MA

Vax Date: 03/10/2021
Onset Date: 03/13/2021
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: CONGESTION IN NOSE; TROUBLE BREATHING; RASH ALL OVER BODY; BRUISE ON LEG; BODY ACHES; CHEST CONGESTION; 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: 05/MAY/2021) dose was not reported, administered on 10-MAR-2021 for prophylactic vaccination in left deltoid. No concomitant medications were reported. On 13-MAR-2021, the subject experienced congestion in nose. On 13-MAR-2021, the subject experienced trouble breathing. On 13-MAR-2021, the subject experienced rash all over body. On 13-MAR-2021, the subject experienced bruise on leg. On 13-MAR-2021, the subject experienced body aches. On 13-MAR-2021, the subject experienced chest congestion. Treatment medications (dates unspecified) included: prednisolone, and diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the rash all over body, bruise on leg, trouble breathing, body aches, congestion in nose and chest congestion 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: 1253432
Sex: M
Age:
State: FL

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: HEADACHE; FEVER; TIREDNESS; MUSCLE ACHE; This spontaneous report received from a parent concerned a 35 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: 1805029 expiry: UNKNOWN) dose was not reported, 1 total, administered on 20-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 21-MAR-2021, the subject experienced headache. On 21-MAR-2021, the subject experienced fever. On 21-MAR-2021, the subject experienced tiredness. On 21-MAR-2021, the subject experienced muscle ache. Laboratory data included: Body temperature (NR: not provided) 100 degrees F. 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, fever, tiredness, and muscle ache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253433
Sex: F
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: FEELING DISORIENTED; PULSATING PAIN IN THE BACK OF THE HEAD; STARTING TO FEEL UNWELL; FEELING HOT; WHOLE BODY WAS HURTING; 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: 1805020 expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 for prophylactic vaccination on left deltoid. No concomitant medications were reported. On 20-MAR-2021, the subject experienced feeling disoriented. On 20-MAR-2021, the subject experienced pulsating pain in the back of the head. On 20-MAR-2021, the subject experienced starting to feel unwell. On 20-MAR-2021, the subject experienced feeling hot. On 20-MAR-2021, the subject experienced whole body was hurting. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from starting to feel unwell, pulsating pain in the back of the head, feeling hot, whole body was hurting, and feeling disoriented. 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: 1253434
Sex: F
Age:
State: IN

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: POOR VISION; DOUBLE VISION; BLURRED VISION; This spontaneous report received from a patient concerned an 80 year old female. The patient's height, and weight were not reported. The patient's past medical history included cataract surgery on left eye. 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 12-MAR-2021 to left arm for prophylactic vaccination. Concomitant medications included influenza vaccine for prophylactic vaccination. On 12-MAR-2021, the subject experienced poor vision. On 12-MAR-2021, the subject experienced double vision. On 12-MAR-2021, the subject experienced blurred vision. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from poor vision, double vision, and blurred vision. This report was non-serious.; Sender's Comments: V0: Medical Assessment comment not required per standard procedure as the case is assessed as non-serious.

Other Meds: INFLUENZA VACCINE

Current Illness:

ID: 1253435
Sex: F
Age:
State: OR

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:

Symptoms: SHOULDER PAIN, SMELL AND TASTE AGAIN; BODY ACHE; ACHY; FEVER; HEADACHE; NAUSEA; 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 runny nose, and congestion, and concurrent conditions included alcohol use, and non-smoker, and other pre-existing medical conditions included the patient had no known drug allergies and there was no history of drug abuse/illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 10-MAR-2021 to Left Arm 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 body ache. On 11-MAR-2021, the subject experienced achy. On 11-MAR-2021, the subject experienced fever. On 11-MAR-2021, the subject experienced headache. On 11-MAR-2021, the subject experienced nausea. On an unspecified date, the subject experienced shoulder pain, smell and taste again. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body ache, achy, fever, headache, nausea, and shoulder pain, smell and taste again on 12-MAR-2021. This report was non-serious.

Other Meds:

Current Illness: Alcohol use (1 glass of wine/day); Non-smoker

ID: 1253436
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/16/2021
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: HEAT PATCH; SWELLING AT INJECTION SITE; ITCHINESS AT INJECTION SITE; REDNESS AT INJECTION SITE; SORENESS AT 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, and batch number were not reported) dose was not reported, administered on 16-MAR-2021 for prophylactic vaccination. The batch number was not reported. The company was unable to perform follow up to request batch/lot numbers. No concomitant medications were reported. On 16-MAR-2021, the subject experienced soreness at injection site. On 18-MAR-2021, the subject experienced itchiness at injection site. On 18-MAR-2021, the subject experienced redness at injection site. On 19-MAR-2021, the subject experienced swelling at injection site. On 20-MAR-2021, the subject experienced heat patch. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from soreness at injection site, redness at injection site, swelling at injection site, and heat patch, and the outcome of itchiness at injection site was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253437
Sex: F
Age:
State: TN

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: BODY ACHES; FEVER; HEADACHE; RIGHT ARM SORENESS (INJECTION SITE); This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 20-MAR-2021 (vaccinated in right arm) 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. On 21-MAR-2021, the subject experienced headache. On 21-MAR-2021, the subject experienced body aches. On 21-MAR-2021, the subject experienced right arm soreness (injection site). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, headache, and right arm soreness (injection site), and the outcome of body aches was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253438
Sex: M
Age:
State: AZ

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: LEFT LOWER ABDOMINAL PAIN DISCOMFORT; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included diverticulosis. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025 and expiry: UNKNOWN) dose was not reported, administered on 10-MAR-2021 to the right arm for prophylactic vaccination. No concomitant medications were reported. On 14-MAR-2021, the subject experienced left lower abdominal pain discomfort. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from left lower abdominal pain discomfort. This report was non-serious.

Other Meds:

Current Illness: Diverticulosis

ID: 1253439
Sex: F
Age:
State: LA

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; SWEATING; MALAISE; FATIGUE; HEADACHE; This spontaneous report received from a parent concerned an 18 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: 1805018, expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 13:00 to right arm for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced body aches, sweating, malaise, fatigue, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the body aches, fatigue, sweating, headache and malaise was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253440
Sex: M
Age:
State: TN

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: ACHES; FLU-LIKE SYMPTOMS; LOW GRADE FEVER UP TO ABOUT 101 DEGREES; This spontaneous report received from a patient concerned a 51 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020, and batch number: 1805020 expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On 21-MAR-2021, the subject experienced aches. On 21-MAR-2021, the subject experienced flu-like symptoms. On 21-MAR-2021, the subject experienced low grade fever up to about 101 degrees. Laboratory data included: Body temperature (NR: not provided) up to about 101 degrees. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from low grade fever up to about 101 degrees, aches, and flu-like symptoms. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253441
Sex: M
Age:
State:

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: SEVERE CHILLS; FEVER; NAUSEA; 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: 1805025 expiry: 25-MAY-2021) dose was not reported, administered on 19-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, Laboratory data included: Body temperature (NR: not provided) 101 F. On 20-MAR-2021, the subject experienced severe chills. On 20-MAR-2021, the subject experienced fever. On 20-MAR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from severe chills, fever, and nausea on 21-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253442
Sex: F
Age:
State: TN

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: ACHES; FLU LIKE SYMPTOMS; FEVER; This spontaneous report received from a consumer concerned a 55 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) 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 aches. On 21-MAR-2021, the subject experienced flu like symptoms. On 21-MAR-2021, the subject experienced fever. Laboratory data included: Body temperature increased (NR: not provided) 101 degrees. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever, aches, and flu like symptoms. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253443
Sex: M
Age:
State: TX

Vax Date:
Onset Date: 03/13/2021
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: COULDN'T SLEEP FROM PAIN AND TINGLING IN ANKLES AND SHIN; INCREASED HEART RATE; ELEVATED BLOOD PRESSURE; ARM PAIN AT THE INJECTION SITE; BOTH LOWER ANKLE AND SHIN AREA FELT BURNING AND TINGLING; BOTH LOWER ANKLE AND SHIN AREA FELT PAINFUL/ PAIN IN ANKLE AND SHIN WAS GOING UP TOWARDS THE THIGH REGION; FEELING STICKY ON HANDS AND ARMS/ BODY FELT STICKY; 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, intramuscular, batch number: 18050301, expiry: UNKNOWN) dose was not reported, administered on 11-MAR-2021 at Right Deltoid for prophylactic vaccination. No concomitant medications were reported. On 13-MAR-2021, the subject experienced feeling sticky on hands and arms/ body felt sticky. On 15-MAR-2021, the subject experienced both lower ankle and shin area felt burning and tingling. On 15-MAR-2021, the subject experienced both lower ankle and shin area felt painful/ pain in ankle and shin was going up towards the thigh region. On 19-MAR-2021, Laboratory data included: Blood pressure (NR: not provided) 148/75 mmHg. On 19-MAR-2021 02:00, the subject experienced couldn't sleep from pain and tingling in ankles and shin. On 19-MAR-2021 02:00, the subject experienced increased heart rate. On 19-MAR-2021 02:00, the subject experienced elevated blood pressure. On 19-MAR-2021 02:00, the subject experienced arm pain at the injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from increased heart rate on 19-MAR-2021, was recovering from elevated blood pressure, and feeling sticky on hands and arms/ body felt sticky, had not recovered from both lower ankle and shin area felt painful/ pain in ankle and shin was going up towards the thigh region, couldn't sleep from pain and tingling in ankles and shin, and both lower ankle and shin area felt burning and tingling, and the outcome of arm pain at the injection site 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: 1253444
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: FLU LIKE SYMPTOMS; FATIGUE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced flu like symptoms, and fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the flu like symptoms and fatigue was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253445
Sex: F
Age:
State: NC

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: ACHY; FEELING WEAK; CHILLS; HEADACHE; FEVER; NAUSEA; RAPID HEARTBEAT OF 120; 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 (form of admin, route of admin, and batch number were not reported and has been requested) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-MAR-2021, the subject experienced rapid heart rate. On 12-MAR-2021, the subject experienced chills. On 12-MAR-2021, the subject experienced headache. On 12-MAR-2021, the subject experienced fever. On 12-MAR-2021, the subject experienced nausea. Laboratory data included: Heart rate (NR: not provided) 92. On 13-MAR-2021, the subject experienced achy. On 13-MAR-2021, the subject experienced feeling weak. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from rapid heart rate, chills, headache, fever, and nausea on 13-MAR-2021, and achy, and feeling weak on MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253446
Sex: M
Age:
State: DC

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: 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: Unk) dose was not reported, administered on 18-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 19-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of fever was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253447
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 03/16/2021
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: FEELING DIZZINESS THE WHOLE WEEK; 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: 1805025, and expiry: UNKNOWN) dose was not reported, administered on 13-MAR-2021 at left deltoid for prophylactic vaccination. No concomitant medications were reported. On 16-MAR-2021, the subject experienced feeling dizziness the whole week. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from feeling dizziness the whole week. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253448
Sex: F
Age:
State: NM

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: HEADACHE; SORE ARM; 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, vaccinated on left deltoid, batch number: BA43LC, and expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 19-MAR-2021, the subject experienced headache. On 19-MAR-2021, the subject experienced sore arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache and sore arm was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253449
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: FEELING 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. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 12-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 MAR-2021, the subject experienced feeling tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of feeling tired was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253450
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: FEELING UNWELL; SEVERE ADVERSE REACTIONS; SICK; This spontaneous report received from a a company representative concerned multiple patients (40 patient) of unspecified gender and 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, 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 MAR-2021, the subject experienced feeling unwell. On MAR-2021, the subject experienced severe adverse reactions. On MAR-2021, the subject experienced sick. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the severe adverse reactions, feeling unwell and sick was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253451
Sex: F
Age:
State: OR

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: LOSING SLEEP; This spontaneous report received from a patient concerned a 68 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 not reported) dose was not reported, administered on 05-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 losing sleep. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from losing sleep. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253452
Sex: U
Age:
State:

Vax Date: 03/01/2021
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: LOSS OF TASTE; LOSS OF SMELL; COLD SYMPTOMS; FLU-LIKE EFFECTS; HAVING DIFFICULTY TAKING FULL BREATHS; 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 past medical history included exposure to covid-19.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 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 loss of taste. On MAR-2021, the subject experienced loss of smell. On MAR-2021, the subject experienced cold symptoms. On MAR-2021, the subject experienced flu-like effects. On MAR-2021, the subject experienced having difficulty taking full breaths. Laboratory data included: COVID-19 virus test (NR: not provided) Negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu-like effects, had not recovered from loss of taste, and loss of smell, and the outcome of cold symptoms and having difficulty taking full breaths was not reported. This report was non-serious. This case, from the same reporter is linked to 20210345873.

Other Meds:

Current Illness:

ID: 1253453
Sex: F
Age:
State: NJ

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: CONFIRMED COVID-19 INFECTION; MILD HEADACHE; SORENESS AT INJECTION SITE; This spontaneous report received from a vaccine facility concerned a 35 year old female. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included patient was not pregnant at the time of reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802072, and 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 14-MAR-2021, the subject experienced mild headache. On 14-MAR-2021, the subject experienced soreness at injection site. On 21-MAR-2021 13:35, Laboratory data included: COVID-19 PCR test (NR: not provided) Positive. On 21-MAR-2021 22:41, the subject experienced confirmed covid-19 infection. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from mild headache on 14-MAR-2021, and soreness at injection site on MAR-2021, and the outcome of confirmed covid-19 infection was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253454
Sex: M
Age:
State: OH

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 ACHE; SEVERE CHILLS; HEADACHE; YELLOW BLOTCH ON INJECTION SITE, DISCOLORATION; This spontaneous report received from a patient concerned an adult male. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number not reported) dose was not reported, administered on 07-MAR-2021 to left arm for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced yellow blotch on injection site, discoloration. On 08-MAR-2021, the subject experienced body ache. On 08-MAR-2021, the subject experienced severe chills. On 08-MAR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body ache, severe chills, and headache, and had not recovered from yellow blotch on injection site, discoloration. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253455
Sex: U
Age:
State: TN

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: STOMACH PAIN; TOP/MIDDLE OF BACK HURT ALL DAY YESTERDAY; HEADACHE; RIGHT ARM SWELLING; INJECTION SITE REDNESS- SIZE OF SILVER DOLLAR; TEMP OF 98.6; FATIGUE; CHILLS; 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: 1805031, and batch number: 1805031 expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 to right arm for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, the subject experienced chills. On 20-MAR-2021, the subject experienced fatigue. On 20-MAR-2021, the subject experienced temp of 98.6. Laboratory data included: Body temperature (NR: not provided) 98.6 F. On 21-MAR-2021, the subject experienced injection site redness- size of silver dollar. On 21-MAR-2021, the subject experienced right arm swelling. On an unspecified date, the subject experienced stomach pain, top/middle of back hurt all day yesterday, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills, injection site redness- size of silver dollar, right arm swelling, headache, stomach pain, top/middle of back hurt all day yesterday, fatigue and temp of 98.6 was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253456
Sex: F
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: HEADACHE; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, administered on 2021 for prophylactic vaccination. No concomitant medications were reported. The batch number was not reported. The company is unable to perform follow-up to request batch/lot no. On 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:

ID: 1253457
Sex: F
Age:
State: NV

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: DIZZINESS; TROUBLE SLEEPING; ARM SORENESS; CHILLS; FEVER; HEART PALPITATIONS; BODYACHES; TERRIBLE 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 past medical history included asthma, and high cholesterol, and other pre-existing medical conditions included no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609, and batch number: 1808609 expiry: 09/JUN/2021) dose was not reported, administered on 21-MAR-2021 (vaccinated on left arm at 15:30 p.m.) for prophylactic vaccination. No concomitant medications were reported. On 21-MAR-2021, the subject experienced terrible headache. On 21-MAR-2021 22:00, the subject experienced heart palpitations. On 21-MAR-2021 22:00, the subject experienced bodyaches. On 21-MAR-2021 22:00, the subject experienced arm soreness. On 21-MAR-2021 22:00, the subject experienced chills. On 21-MAR-2021 22:00, the subject experienced fever. On 21-MAR-2021 23:00, the subject experienced dizziness. On 21-MAR-2021 23:00, the subject experienced trouble sleeping. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chills, arm soreness, fever, dizziness, bodyaches, terrible headache, trouble sleeping, and heart palpitations. This report was non-serious. Additional information was received on 22/Mar/2021. The following information was updated and incorporated into the case narrative: (Patient name spelling was changed and mail address was corrected). No new information available.; 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: 1253458
Sex: M
Age:
State: GA

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: CHILLS; FEVER WITH TEMP. 99.3 AND 99.6; 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 past medical history included blood donation. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, and batch number: 1808609 expiry: UNKNOWN) dose was not reported, administered on 18-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 21-MAR-2021, Laboratory data included: Body temperature (NR: not provided) 99.3 F, 99.6 F. On 21-MAR-2021 04:00, the subject experienced chills. On 21-MAR-2021 04:00, the subject experienced fever with temp. 99.3 and 99.6. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever with temp. 99.3 and 99.6 and chills was not reported. This report was non-serious. Additional information was received on 22/Mar/2021: The following information was updated and incorporated into the case: Product batch number updated.

Other Meds:

Current Illness:

ID: 1253459
Sex: U
Age:
State:

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

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Symptom List:

Symptoms: MILD BODY ACHES; HEADACHE; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. The patient's past medical history included reactions (headache and mild body ache) after flu shot some years. 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. No concomitant medications were reported. On an unspecified date, the subject experienced mild body aches, and headache. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from mild body aches, and headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253460
Sex: U
Age:
State:

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

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Symptom List:

Symptoms: TIRED; BODY ACHE; CHILLS; RAISED BODY TEMPERATURE; SORE ARM; This spontaneous report received from a patient concerned a 34 year old of unspecified sex. The patient's height, and weight were not reported. The patient's past medical history included pneumonia, and bronchitis. 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 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 sore arm. Laboratory data included: Body temperature (NR: not provided) 101.6. On 20-MAR-2021, the subject experienced raised body temperature. On 20-MAR-2021 22:30, the subject experienced chills. On 21-MAR-2021 18:00, the subject experienced tired. On 21-MAR-2021 18:00, the subject experienced body ache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, raised body temperature, tired, and body ache on MAR-2021, and had not recovered from sore arm. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253461
Sex: F
Age:
State: WI

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

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Allergies:

Symptom List:

Symptoms: CONSTIPATION; DIARRHEA EVERY 45 MINUTES FOR 10 HOURS; STOOL FREQUENCY INCREASED; CHILLS; HEADACHE; CRAWL OUT OF SKIN IN THE MIDDLE OF NIGHT; FEVER UPTO 100 ON AND OFF; PAINFUL FEET AND RIGHT LEG; INSOMNIA; 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 lupus.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 the left arm on 16-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 16-MAR-2021, the subject experienced insomnia. On 16-MAR-2021, the subject experienced painful feet and right leg. On 16-MAR-2021, the subject experienced fever up to 100 on and off. Laboratory data included: Body temperature (NR: not provided) Up to 100 F. On 17-MAR-2021, the subject experienced crawl out of skin in the middle of night. On 17-MAR-2021, the subject experienced chills. On 17-MAR-2021, the subject experienced headache. On 18-MAR-2021, the subject experienced diarrhea every 45 minutes for 10 hours. On 18-MAR-2021, the subject experienced stool frequency increased. On 20-MAR-2021, the subject experienced constipation. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from crawl out of skin in the middle of night, insomnia, painful feet and right leg, and headache on 17-MAR-2021, constipation on 21-MAR-2021, and chills on 18-MAR-2021, was recovering from diarrhea every 45 minutes for 10 hours, and stool frequency increased, and had not recovered from fever up to 100 on and off. This report was non-serious.

Other Meds:

Current Illness: Lupus erythematosus

ID: 1253462
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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Symptom List:

Symptoms: QUEASY STOMACH; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. 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 queasy stomach. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of queasy stomach was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253463
Sex: U
Age:
State:

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

Vax Type:
Manufacturer:
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Lot:
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Symptom List:

Symptoms: ALLERGIC REACTION; DOWN FOR THREE DAYS; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. 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 allergic reaction, and down for three days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the allergic reaction and down for three days was not reported. This report was non-serious.; Sender's Comments: V0: Medical assessment comment not required as per the standard procedure as the case is assessed as non-serious.

Other Meds:

Current Illness:

ID: 1253464
Sex: U
Age:
State: TN

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

Vax Type:
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Symptom List:

Symptoms: FELT REALLY BAD; BREAKING OUT IN SWEATS; A LITTLE WINDED; LEGS ARE HURTING; HEADACHE; NAUSEA; FATIGUE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 20-MAR-2021 for prophylactic vaccination on left arm. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced felt really bad, breaking out in sweats, a little winded, legs are hurting, headache, nausea, and fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from nausea, and had not recovered from felt really bad, breaking out in sweats, headache, a little winded, legs are hurting, and fatigue. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253465
Sex: F
Age:
State: NJ

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: MEDICATION ERROR (ADMINISTERED 1 CC); OFF LABEL USE; This spontaneous report received from a health care professional concerned an adult female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031 expiry: 30/DEC/2069) dose was not reported, administered on 22-MAR-2021 (vaccinated at left arm) for prophylactic vaccination. No concomitant medications were reported. On 22-MAR-2021, the subject had medication error (administered 1 cc) and off label use. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the medication error (administered 1 cc) and off label use was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253466
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 03/19/2021
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; DIARRHEA; FEVER; HEADACHES; NAUSEA; This spontaneous report received from a physician concerned an adult female. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included no known drug allergies.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 19-MAR-2021 for prophylactic vaccination. The patient was vaccinated at left deltoid. No concomitant medications were reported. On 19-MAR-2021, the subject experienced body aches. On 19-MAR-2021, the subject experienced diarrhea. On 19-MAR-2021, the subject experienced fever. On 19-MAR-2021, the subject experienced headaches. On 19-MAR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, diarrhea, fever, headaches, and nausea on 20-MAR-2021. No Follow up required as reporter declined. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253467
Sex: F
Age:
State: CA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: DIZZINESS AND LIGHT HEADEDNESS; PAIN BEHIND THE EARS; LEFT ARM SWOLLEN; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included high blood pressure, and other pre-existing medical conditions included no known drug allergies. 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 17-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 17-MAR-2021, the subject experienced dizziness and light headedness. On 17-MAR-2021, the subject experienced pain behind the ears. On 17-MAR-2021, the subject experienced left arm swollen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from pain behind the ears, and left arm swollen on 17-MAR-2021, and had not recovered from dizziness and light headedness. This report was non-serious.

Other Meds:

Current Illness: Blood pressure high

ID: 1253468
Sex: U
Age:
State:

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: ITCHY ARM; SWOLLEN ARM; REDNESS IN ARM; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination on arm. No concomitant medications were reported. On an unspecified date, the subject experienced itchy arm, swollen arm, and redness in arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the itchy arm, swollen arm and redness in arm was not reported. This report was non-serious.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm