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
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1216861
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 03/12/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: BODY ACHES; JOINT PAIN; HEADACHE; INJECTION SITE PAIN /SEVERE ARM PAIN; PASSED OUT AT INJECTION; This spontaneous report received from a patient concerned a 26 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included vonn willebrand's disease, non-alcoholic, non-smoker, and needle phobia, and other pre-existing medical conditions included the patient had no known allergies and no drug abuse or illicit drug. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031, expiry: UNKNOWN) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-MAR-2021, the subject experienced passed out at injection. On 12-MAR-2021, the subject experienced injection site pain /severe arm pain. On 13-MAR-2021, the subject experienced body aches. On 13-MAR-2021, the subject experienced joint pain. On 13-MAR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, joint pain, and headache on 15-MAR-2021, had not recovered from injection site pain /severe arm pain, and the outcome of passed out at injection was not reported. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Fear of needles; Non-smoker; Von Willebrand's disease

ID: 1216862
Sex: F
Age:
State: ME

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: SWOLLEN LIPS; RED SPOTS ON BODY; 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 lactose allergy, and bees allergy. The patient experienced drug allergy when treated with lithium. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982,expiry: 23-JUN-2021) dose was not reported, administered on 08-APR-2021 16:45 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced swollen lips. On 08-APR-2021, the subject experienced red spots on body. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from swollen lips, and red spots on body. This report was non-serious.

Other Meds:

Current Illness: Allergic reaction to bee sting; Lactose intolerant

ID: 1216863
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: ELEVATED BLOOD PRESSURE; NECK STIFFNESS; FUZZY HEAD; BUMP BELOW THE INJECTION SITE; PAIN IN ARM; This spontaneous report received from a patient concerned a 59 year old female. The patient's weight, height, and medical history were not reported. The patient 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: 042A21A expiry: UNKNOWN) dose was not reported,1 total administered on 08-APR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the patient felt pain in the arm, stiffness in the neck 30 minutes after receiving the vaccine. She had a bump not where she got the shot but below the injection site and also had fuzzy head. She had elevated blood pressure (173/103) and her normal blood pressure was (118/75). It was reported that all the symptoms were still persisting. Laboratory data included: Blood pressure (NR: not provided) 173/103. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain in arm, neck stiffness, bump below the injection site, fuzzy head, and elevated blood pressure. This report was serious (Other Medically Important Condition).; Sender's Comments: V0: 20210420595-JANSSEN COVID-19 VACCINE Ad26.COV2.S- Elevated blood pressure. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.

Other Meds:

Current Illness:

ID: 1216864
Sex: M
Age:
State: TX

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: DRUG ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE/PATIENT WAS GIVEN THE JANSSEN COVID-19 VACCINE, PT IS ONLY 16 YEARS; OFF LABEL USE; HEADACHE; This spontaneous report received from a patient concerned a 16 year old male. The patient's weight was not reported and height was 5.9 inches. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A, and expiry: 23/JUN/2021) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced drug administered to subject of inappropriate age. On 09-APR-2021, the subject experienced headache. On 09-APR-2021, the subject experienced off label use. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache on 09-APR-2021, and the outcome of drug administered to patient of inappropriate age and off label use was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216865
Sex: U
Age:
State: MN

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: ARM SORENESS; PARTIAL DOSE ADMINISTERED; THE NEEDLE LEAKED OFF; This spontaneous report received from a health care professional 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: 042A21A, and expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced partial dose administered. On an unspecified date, the subject experienced the needle leaked off, and arm soreness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the partial dose administered, arm soreness and the needle leaked off was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216866
Sex: U
Age:
State: DC

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

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: FATIGUE; SLEEPY; iThis spontaneous report received from a patient concerned a 76 year old of unspecified sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 11R1511T27, and expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced sleepy, and fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fatigue, and the outcome of sleepy was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216867
Sex: M
Age:
State: MI

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: NASAL CONGESTION; SWEATING; FEVER; MODERATE HEADACHE; This spontaneous report received from a patient concerned a 54 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included cerebral palsy, sleep apnea, high blood pressure, chronic fatigue, nonsmoker, nonalcohol, and muscle spasms.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, expiry: not reported) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. Concomitant medications included baclofen for drug used for unknown indication, hydrocodone bitartrate/paracetamol for drug used for unknown indication, ascorbic acid/herbal nos/levoglutamide/lysine/magnesium/manganese/retinol/riboflavin/selenium/tocopherol/zinc for nasal congestion, loratadine for nasal congestion, and modafinil. On APR-2021, treatment medications included: ibuprofen, and paracetamol. On 09-APR-2021, the subject experienced nasal congestion. On 09-APR-2021, the subject experienced sweating. On 09-APR-2021, the subject experienced fever. On 09-APR-2021, the subject experienced moderate headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from nasal congestion, fever, moderate headache, and sweating. This report was non-serious.

Other Meds: PROVIGIL [MODAFINIL]; NORCO; BACLOFEN; CLARITIN [LORATADINE]; AIRBORNE

Current Illness: Abstains from alcohol; Blood pressure high; Cerebral palsy; Chronic fatigue; Muscle spasms; Nonsmoker; Sleep apnea

ID: 1216868
Sex: F
Age:
State: IL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: FEVER; CHILLS; HEADACHE; DIZZINESS; MUSCLE ACHE; 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 06-APR-2021 for prophylactic vaccination. The batch no was not reported and has been requested. No concomitant medications were reported. On 06-APR-2021, the subject experienced fever. On 06-APR-2021, the subject experienced chills. On 06-APR-2021, the subject experienced headache. On 06-APR-2021, the subject experienced dizziness. On 06-APR-2021, the subject experienced muscle ache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, chills, headache, dizziness, and muscle ache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216869
Sex: F
Age:
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: CHILLS; SORE ARM; 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: 042A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 15:00 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced sore arm. On 10-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 97 (unit not reported), 100.6 (unit not reported). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chills, and fever, and the outcome of sore arm was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216870
Sex: M
Age:
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: SORE TO TOUCH; HARD AND KNOTTED; OVAL SHAPED; UNCONFIRMED FACE RASH; 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: Unknown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The Batch number was not reported and has been requested. No concomitant medications were reported. No concomitant medications were reported. On 09-APR-2021, the subject experienced sore to touch. On 09-APR-2021, the subject experienced hard and knotted. On 09-APR-2021, the subject experienced oval shaped. On 09-APR-2021, the subject experienced unconfirmed face rash. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sore to touch, hard and knotted, and oval shaped, and the outcome of unconfirmed face rash was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216871
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: DIZZY; HEADACHE; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 08-APR-2021, the subject experienced dizzy. On 08-APR-2021, the subject experienced headache. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from dizzy, and headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216872
Sex: F
Age:
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: BODY ACHES (MUSCLES, BONES AND JOINTS); HEADACHE; 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: Unknown) dose was not reported, administered on 06-APR-2021 13:30 for prophylactic vaccination. The company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. No concomitant medications were reported. On an unspecified date, the subject experienced body aches (muscles, bones and joints), headache, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches (muscles, bones and joints), and fever, and headache on 09-APR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216873
Sex: F
Age:
State: WI

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: BODY ACHES; CHILLS; This spontaneous report received from a patient concerned a 60 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: 1808609, and expiry: 09-JUN-2021) dose was not reported, administered on 24-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 24-MAR-2021, the subject experienced body aches. On 24-MAR-2021, the subject experienced chills. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, and chills on 25-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216874
Sex: M
Age:
State: CO

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: FLU LIKE SYMPTOMS; CHILLS; HEADACHE; FEVER; This spontaneous report received from a patient concerned a male of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included non alcohol user, non smoker, and drug allergy, and other pre-existing medical conditions included no drug abuse or illicit usage reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042a21a, expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 09:00 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced fever. On an unspecified date, the subject experienced flu like symptoms, chills, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever, headache, chills, and flu like symptoms. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Drug allergy (patient had drug allergy of Augmentin and Duricef); Non-smoker

ID: 1216875
Sex: M
Age:
State: WV

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: DIARRHEA; CHILLS; FEVER; This spontaneous report received from a health care professional concerned a 57 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: 042A214, expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced diarrhea. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 101.5 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from diarrhea, and was recovering from fever, and chills. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216876
Sex: M
Age:
State: MN

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: HIVES RASH; VERTIGO; FLU LIKE SYMPTOMS; FATIGUE; This spontaneous report received from a patient concerned a 31 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included anxiety, and non smoker. 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: 042A21A, and expiry: UNKNOWN) dose was not reported, administered on 03-APR-2021 at 11:50 AM for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced fatigue. On 03-APR-2021, the subject experienced flu like symptoms. On 06-APR-2021, the subject experienced vertigo. On 09-APR-2021 23:30, the subject experienced hives rash. Treatment medications (dates unspecified) included: diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu like symptoms on 05-APR-2021, vertigo on 07-APR-2021, and fatigue on 09-APR-2021, and had not recovered from hives rash. This report was non-serious.

Other Meds:

Current Illness: Anxiety; Non-smoker

ID: 1216877
Sex: F
Age:
State: PA

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

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: Respiratory disorder; HEADACHE; NAUSEA; VERY EXTREME EXHAUSTION; FEVER; This spontaneous report received from a patient concerned a 71 year old female. The patient's height, and weight were not reported. The patient's past medical history included Addison disease, and concurrent conditions included COPD, Bipolar disorder, Hypothyroidism, Diabetes, and GERD, and other pre-existing medical conditions included the patient had long list of allergy but declined as reporter was in a hurry. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced respiratory disorder. On 09-APR-2021, the subject experienced headache. On 09-APR-2021, the subject experienced nausea. On 09-APR-2021, the subject experienced very extreme exhaustion. On 09-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 99.8 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from respiratory disorder, headache, nausea, very extreme exhaustion, and fever. This report was non-serious.

Other Meds:

Current Illness: Bipolar disorder; COPD; Diabetes; GERD; Hypothyroidism

ID: 1216878
Sex: U
Age:
State:

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

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: BODY ACHE; VOMITING; DIARRHEA; CHILLS; FEVER; NAUSEA; 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: not reported) 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 body ache, vomiting, diarrhea, chills, fever, and nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, chills, body ache, nausea, vomiting and diarrhea was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216879
Sex: F
Age:
State: MI

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: DRY HEAVES; COUGH; This spontaneous report received from a consumer concerned an 80 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included diabetes, and other pre-existing medical conditions included no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 10-APR-2021 14:30 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-APR-2021, the subject experienced dry heaves. On 11-APR-2021, the subject experienced cough. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from dry heaves, and cough. This report was non-serious.

Other Meds:

Current Illness: Diabetes

ID: 1216880
Sex: U
Age:
State: ND

Vax Date:
Onset Date: 03/10/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies:

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: NUMBNESS IN ARM, FINGERS AND LEG; This spontaneous report received from a pharmacist concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025, and batch number: 1805025 expiry: UNKNOWN) dose was not reported, administered on 10-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-MAR-2021, the subject experienced numbness in arm, fingers and leg. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from numbness in arm, fingers and leg. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216881
Sex: M
Age:
State: NY

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: CHILLS; HIGH FEVER; NAUSEA; VERY TIRED; This spontaneous report received from a consumer concerned a 29 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: unkown) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 09-APR-2021, the subject experienced chills. On 09-APR-2021, the subject experienced high fever. On 09-APR-2021, the subject experienced nausea. On 09-APR-2021, the subject experienced very tired. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 102.7 F, 103.2 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the high fever, chills, nausea and very tired was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216882
Sex: F
Age:
State: FL

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: METALLIC TASTE; This spontaneous report received from a patient concerned a 30 year old. The patient's height, and weight were not reported. The patient's concurrent conditions included hypertension, anxiety, alcohol use occasionally once per month or once every 3 months, and smoke marijuana twice daily for anxiety, and other pre-existing medical conditions included no known allergies and 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: 1808982, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. Concomitant medications included lisinopril for hypertension. On 10-APR-2021, the subject experienced metallic taste. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from metallic taste on 10-APR-2021. This report was non-serious.

Other Meds: LISINOPRIL 10 MG

Current Illness: Alcohol use; Anxiety; Hypertension; Marijuana abuse

ID: 1216883
Sex: F
Age:
State: DE

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: MALAISE; FEVER; This spontaneous report received from a patient concerned an 84 year old female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 1805031 expiry: UNKNOWN) dose was not reported, administered on 27-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 27-MAR-2021, Laboratory data included: Body temperature (NR: not provided) 100 F. On 06-APR-2021, Laboratory data included: Body temperature (NR: not provided) 96 F, 99.3 F. On an unspecified date, the patient experienced fever, and malaise. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever and malaise was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216884
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/06/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: HEADACHE; This spontaneous report received from a patient concerned a 44 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 no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1850220, expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 06-APR-2021, the subject experienced headache. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache. This report was non-serious.

Other Meds:

Current Illness: Hypertension

ID: 1216885
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: CHILLS; LIGHT FEVER; HEADACHE; This spontaneous report received from a patient concerned a 29 year old female. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On APR-2021, the subject experienced chills. On APR-2021, the subject experienced light fever. On APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the light fever, chills and headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216886
Sex: F
Age:
State: VA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: SKIN SENSITIVITY; NECK SORENESS; BACK SORENESS; HEADACHE; SHAKYNESS; FLU LIKE SYMPTOMS; OVERALL WEAKNESS; This spontaneous report received from a patient concerned a 58 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included sensitive to morphine and Codiene. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and expiry: 09-JUN-2021) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced skin sensitivity. On 09-APR-2021, the subject experienced neck soreness. On 09-APR-2021, the subject experienced back soreness. On 09-APR-2021, the subject experienced headache. On 09-APR-2021, the subject experienced Shakyness. On 09-APR-2021, the subject experienced flu like symptoms. On 09-APR-2021, the subject experienced overall weakness. Laboratory data (dates unspecified) 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 skin sensitivity, Headache, Shakyness, and flu like symptoms, and was recovering from Neck Soreness, Overall Weakness, and Back soreness. This report was non-serious.

Other Meds:

Current Illness: Drug allergy

ID: 1216887
Sex: U
Age:
State: CA

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: MUSCLE PAIN; FEVER; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A, expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced muscle pain. On 10-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from muscle pain, and fever. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216888
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: BODY ACHES; FEELING HOT; IN BED WHOLE DAY; HEADACHE; This spontaneous report received from a patient via a company representative concerned a 43 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 08-APR-2021 10:30 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 08-APR-2021, the subject experienced body aches. On 08-APR-2021, the subject experienced feeling hot. On 08-APR-2021, the subject experienced in bed whole day. On 08-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, feeling hot, in bed whole day, and headache on 10-APR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216889
Sex: U
Age:
State: AL

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: BODY ACHE; BODY WARM TO TOUCH NO FEVER; SORE THROAT; LIGHT SENSITIVITY; SHARP POKY PAIN ON THE ABDOMEN; CHILLS; FATIGUE; 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 received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 2018ZIA, expiry: not reported) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced body ache. On APR-2021, the subject experienced body warm to touch no fever. On APR-2021, the subject experienced sore throat. On APR-2021, the subject experienced light sensitivity. On APR-2021, the subject experienced sharp poky pain on the abdomen. On APR-2021, the subject experienced chills. On APR-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chills, body ache, fatigue, body warm to touch no fever, sore throat, light sensitivity, and sharp poky pain on the abdomen. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216890
Sex: M
Age:
State: NJ

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: CHILLS; LACK OF SLEEP; TIRED FROM LACK OF SLEEP; This spontaneous report received from a patient concerned a 50 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 09-APR-2021 12:30 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced tired from lack of sleep. On 09-APR-2021, the subject experienced lack of sleep. On 09-APR-2021 20:30, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from lack of sleep, and chills on 10-APR-2021, and the outcome of tired from lack of sleep was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216891
Sex: F
Age:
State: NC

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: UNSPECIFIED SYMPTOMS; 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. No concomitant medications were reported. On an unspecified date, the subject experienced unspecified symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of unspecified symptoms was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216892
Sex: M
Age:
State: NJ

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: SHARP HAND PAIN; SWOLLEN INJECTION SITE; FATIGUE; INJECTION SITE PAIN; BODY ACHES; This spontaneous report received from a patient concerned a 45 year old male. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient had no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206a21a, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced body aches. On 08-APR-2021, the subject experienced swollen injection site. On 08-APR-2021, the subject experienced fatigue. On 08-APR-2021, the subject experienced injection site pain. On 10-APR-2021, the subject experienced sharp hand pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from swollen injection site on APR-2021, and injection site pain on 08-APR-2021, was recovering from body aches, had not recovered from fatigue, and the outcome of sharp hand pain was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216893
Sex: M
Age:
State: NY

Vax Date:
Onset Date: 04/07/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: This spontaneous report received from a parent concerned an 18 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, expiry: not reported) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 07-APR-2021, the subject experienced chills. On 07-APR-2021, the subject experienced high fever. On 07-APR-2021, the subject experienced headache. On 08-APR-2021, the subject experienced diarrhea. On 08-APR-2021, the subject experienced pressure in ears. On 08-APR-2021, the subject experienced injection site pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the high fever, diarrhea, headache, chills, pressure in ears and injection site pain was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216894
Sex: M
Age:
State: MI

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: FLANK PAIN; BACK PAIN; CHILLS; INJECTION SITE SORENESS; FEVER; MUSCLE ACHES AND SORENESS; HEADACHE; This spontaneous report received from a patient concerned a 31 year old male. The patient's weight was 97.4 pounds, and height was 61 inches. The patient's concurrent conditions included abstains from alcohol, and non smoker, and other pre-existing medical conditions included 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, batch number: 041A21A, expiry: 21-JUN-2021) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced flank pain. On 08-APR-2021, the subject experienced back pain. On 08-APR-2021, the subject experienced chills. On 08-APR-2021, the subject experienced injection site soreness. On 08-APR-2021, the subject experienced fever. On 08-APR-2021, the subject experienced muscle aches and soreness. On 08-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and fever on 09-APR-2021, was recovering from injection site soreness, muscle aches and soreness, back pain, and flank pain, and the outcome of headache was not reported. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker

ID: 1216895
Sex: U
Age:
State: NY

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: PARTIAL DOSE ADMINISTERED; This spontaneous report received from a pharmacist 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 and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced partial dose administered. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of partial dose administered was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216896
Sex: F
Age: 63
State: GA

Vax Date: 04/07/2021
Onset Date: 04/11/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: SULFA Drugs, bananas, latex

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Severe itching in the scalp. The bottom and sides of my feet are peeling in big lots showing new skin underneath.

Other Meds: Hydrochloride

Current Illness:

ID: 1216898
Sex: F
Age: 45
State: SC

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa drugs, Latex

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Starting at approx 2100: Severe headache, fever, chills, body sweats, full body ache, bruising at site of injection

Other Meds: Motrin 800mg

Current Illness: None

ID: 1216899
Sex: F
Age: 40
State: CA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Body aches, chills, fatigue, headache, and eye pain for 24 hours. Arm soreness at the site for 3 days, followed by swelling and itch on entire upper arm where vaccinated. Swelling and itch lasted for 10 days.

Other Meds:

Current Illness:

ID: 1216900
Sex: F
Age: 65
State: IL

Vax Date: 03/10/2021
Onset Date: 03/18/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: About a week after my first shot, the middle joint of my fifth finger on my left had became sore, especially upon touch. It also stiffined. About a week after my second shot, the middle joint of my fourth finger became sore, especially upon pressure and is somewhat stiff. I have no history of any type of arthritis nor is it in my family. I had no problems with my fingers on either hand prior to the vaccinations. I play piano and never had any pains nor stiffness.

Other Meds: Lexapro 10m

Current Illness: none

ID: 1216901
Sex: F
Age: 41
State: CA

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Seasonal pollen allergies

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Menstrual cramps abnormal, cycle started 1 week early

Other Meds: Tums, probiotics, Zyrtec

Current Illness: Cold sore

ID: 1216902
Sex: F
Age: 73
State: MO

Vax Date: 03/31/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: n/a

Symptom List: Pain in extremity

Symptoms: 04/14/2021 Noticed around 1:00 p.m. that my left eyelid was sagging. Concerned it may be a symptom of a stroke, I rushed to the emergency room at Hospital. They admitted me and ran a variety of tests, one of which was an MRI which concluded that I had not had a stroke. The neurologist stated that it appeared to be similar to a wrinkle. Not sure what caused that sudden event. Possibly a side affect of the COVID `19 shot. Therefore the report. I returned home the next day, 04/15/2021.

Other Meds: n/a

Current Illness: n/a

ID: 1216903
Sex: F
Age: 57
State: NY

Vax Date: 04/06/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: On April 16th at 1:00AM I woke up to pain in my left foot. When I got up to take a look I was unable to put full weight on my left foot. The side of my foot by the small toe is red and swollen.

Other Meds: Synthroid Paroxetine Hydrochlorothiazide

Current Illness: None

ID: 1216904
Sex: F
Age: 44
State: OK

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: 7pm started feeling symptoms of fever, chills, eyes burning, but temp was 98.2. By 9pm severe chills, involuntary shaking, teeth chattering, still 98.2. Unable to relax due to chills & shaking. 1am got up & retook temperature currently 100.2. Eyes hurt & red, freezing, and goosebumps. Achy & uncomfortable. Headache. Still continuing.

Other Meds: Propranolol 80mg bid, zyrtec 10mg, flonase

Current Illness: None

ID: 1216905
Sex: F
Age: 30
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Rapid onset left shoulder aching pain radiating to elbow. Persists after 1 month with waxing and waning.

Other Meds: Vit D Sertraline 100mg Cetirizine 10mg Ibuprofen Subdermal Contraceptive implant

Current Illness: Cervicalgia

ID: 1216906
Sex: F
Age:
State: FL

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: 8 days after the vaccine I noticed a rash around the injection site. The area is slightly raised and red, it is not itchy but feels a little tender to touch. It covers an area about the size of a larger bandaid.

Other Meds: Zoloft, welbutrin XL, birth control, Claritin

Current Illness:

ID: 1216907
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: HEADACHE; FEVER; SWEATING; BODY ACHE ( FINGERS, HIPS, FEET, ARMS ); CHILLS; FEELINGS OF WEAKNESS; This spontaneous report received from a patient concerned a 25 year old female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 042A21A, expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 16:00 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced sweating. On 08-APR-2021, the subject experienced body ache ( fingers, hips, feet, arms ). On 08-APR-2021, the subject experienced chills. On 08-APR-2021, the subject experienced feelings of weakness. On 08-APR-2021, the subject experienced fever. On 08-APR-2021 11:00, treatment medications included: paracetamol. On 09-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from body ache ( fingers, hips, feet, arms ), fever, chills, feelings of weakness, headache, and sweating. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216908
Sex: F
Age:
State: PA

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: TINGLING ON LEFT NECK THAT WENT UP TO HEAD, EAR, FACE AND BACK TO LEFT ARM AND LEFT LEG; NUMBNESS OF LEFT ARM AND LEFT LEG; FACE FEELS AS IF GIVEN A NOVOCAINE INJECTION; This spontaneous report received from a patient concerned a 75 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: 205A21A, expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 12:45 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced tingling on left neck that went up to head, ear, face and back to left arm and left leg. On 09-APR-2021, the subject experienced numbness of left arm and left leg. On 09-APR-2021, the subject experienced face feels as if given a novocaine injection. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from tingling on left neck that went up to head, ear, face and back to left arm and left leg, and numbness of left arm and left leg, and the outcome of face feels as if given a novocaine injection was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216909
Sex: M
Age:
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: CANNOT SLEEP; CAN'T STOP SHAKING; EYEBALLS ARE KILLING; EVERYTHING HURTING/RANDOM BODY STABS/BAD BODY ACHES; FOGGY IN THE HEAD/MISERY; JOINT PAIN; CHILLS; HEADACHE; FEVER; 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: not reported) 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 cannot sleep, can't stop shaking, eyeballs are killing, everything hurting/random body stabs/bad body aches, foggy in the head/misery, joint pain, chills, headache, and fever. Laboratory data (dates unspecified) 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 cannot sleep, can't stop shaking, chills, headache, eyeballs are killing, joint pain, everything hurting/random body stabs/bad body aches, foggy in the head/misery and fever was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216910
Sex: F
Age:
State: AR

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: A LUMP IN ARM OF VACCINATION; PAIN IN ARM OF VACCINATION; 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: 042A21A expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced a lump in arm of vaccination. On APR-2021, the subject experienced pain in arm of vaccination. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the a lump in arm of vaccination and pain in arm of vaccination was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1216911
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: GOT OUT OF BED WIDE AWAKE, WAS IN A FOG OF SORT, DID NOT KNOW WHAT TO DO NEXT; HAVING PROBLEMS COMPREHENDING THE NUMBER AS THEY SPOKE WHILE MANUALLY PUTTING IN THE NUMBERS INTO CREDIT CARD MACHINE, SOME OF THE FIRST 4 NUMBERS WOULD COME TO ME TO PUT; 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 05-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced got out of bed wide awake, was in a fog of sort, did not know what to do next; having problems comprehending the number as they spoke while manually putting in the numbers into credit card machine, some of the first 4 numbers would come to me to put in, sometimes they wouldn't. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of got out of bed wide awake, was in a fog of sort, did not know what to do next; having problems comprehending the number as they spoke while manually putting in the numbers into credit card machine, some of the first 4 numbers would come to me to put in, sometimes they wouldn't was not reported. This report was non-serious.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm