VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
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: 1217526
Sex: F
Age:
State: NC

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: HARD TO WALK AS LEFT FOOT TENDON WAS BOTHERING; HEADACHE; MUSCLE ACHE; FEELING TIRED; INJECTION SITE PAIN; SMALL LUMP OVER 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, and batch number: 042A21A expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 06-APR-2021, the subject experienced small lump over injection site. On 06-APR-2021, the subject experienced headache. On 06-APR-2021, the subject experienced muscle ache. On 06-APR-2021, the subject experienced feeling tired. On 06-APR-2021, the subject experienced injection site pain. On 09-APR-2021, the subject experienced hard to walk as left foot tendon was bothering. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from feeling tired, and had not recovered from headache, muscle ache, injection site pain, small lump over injection site, and hard to walk as left foot tendon was bothering. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217527
Sex: F
Age:
State: SC

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: ITCHING; 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) 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 itching. Laboratory data (dates unspecified) included: COVID-19 virus test negative (NR: not provided) Negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered with sequelae from itching on 09-APR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217528
Sex: F
Age:
State: IL

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: FEVER; HEADACHE; This spontaneous report received from a consumer concerned a 58 year old female. The patient's height, and weight were not reported. The patient's past medical history included open heart surgery, and concurrent conditions included non alcohol user, and non smoker, and other pre-existing medical conditions included no known drug allergies, drug abuse or illicit drug usage .The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808980, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced fever. On 09-APR-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 101.7 F. Treatment medications included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, and headache. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker

ID: 1217529
Sex: U
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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: DIARRHEA; BODY ACHES; CHILLS; 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, and batch number were not reported) dose was not reported, administered on 10-APR-2021 12:20 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced body aches. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 99.9 (not reported). On 11-APR-2021 05:00, the subject experienced diarrhea. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from chills, body aches, and fever, and had not recovered from diarrhea. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217530
Sex: U
Age:
State: NC

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

Symptoms: CHILLS; FEVER; This spontaneous report received from a consumer concerned a 32 year old of unspecified sex. 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: unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, Laboratory data included: Temperature elevation (NR: not provided) 99.1. On 10-APR-2021, the subject experienced chills. 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 fever, and chills. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217531
Sex: F
Age:
State: NV

Vax Date:
Onset Date: 04/08/2021
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: This spontaneous report received from a patient concerned a 63 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: 203A217 expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 14:15 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced neck pain. On 08-APR-2021, the subject experienced flu symptoms. On 08-APR-2021, the subject experienced bad night. On 09-APR-2021, treatment medications included: ibuprofen. On 10-APR-2021, the subject experienced dizzy/ light headed. On 10-APR-2021, the subject experienced sweaty. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from neck pain on 10-APR-2021, and bad night on 09-APR-2021, and had not recovered from dizzy/ light headed, sweaty, and flu symptoms. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217532
Sex: M
Age:
State: CA

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: NAUSEA; FEVER; SORE ARM; CHILLS; FATIGUE; BRUISE; This spontaneous report received from a consumer concerned a 22 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, and expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced bruise. On 08-APR-2021, the subject experienced sore arm. On 08-APR-2021, the subject experienced chills. On 08-APR-2021, the subject experienced fatigue. On 10-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 100 F. On 11-APR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever on 10-APR-2021, and had not recovered from sore arm, fatigue, chills, nausea, and bruise. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217533
Sex: U
Age:
State:

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: Pharyngeal swelling

Symptoms: DRUG EXPOSURE THROUGH BREASTMILK; This spontaneous report received from a parent concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient's parent 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 drug exposure through breastmilk. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of drug exposure through breastmilk was not reported. This report was non-serious. This parent/child case is linked to 20210416758.

Other Meds:

Current Illness:

ID: 1217534
Sex: M
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: BURNING CHEST; FEVER; DIFFICULTY BREATHING; COUGHING; WHEEZING; FEELS LIKE SOMETHING IN THE BACK THROAT; TOTAL BODY ACHES; This spontaneous report received from a consumer concerned a 65 year old male. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient had unknown allergies.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A, and batch number: 201A21A expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 14:15 for prophylactic vaccination. No concomitant medications were reported. On 06-APR-2021, the subject experienced difficulty breathing. On 06-APR-2021, the subject experienced coughing. On 06-APR-2021, the subject experienced wheezing. On 06-APR-2021, the subject experienced feels like something in the back throat. On 06-APR-2021, the subject experienced total body aches. On 06-APR-2021, the subject experienced fever. On 08-APR-2021, the subject experienced burning chest. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from burning chest on 09-APR-2021, and had not recovered from difficulty breathing, coughing, wheezing, feels like something in the back throat, total body aches, and fever. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217535
Sex: F
Age:
State: KS

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: SORE ARM; SLIGHT FEVER; BAD MIGRAINE HEADACHE; This spontaneous report received from a patient concerned a 22 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, and batch number: 1805018 expiry: UNKNOWN) dose was not reported, 1 total, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced bad migraine headache. On 11-APR-2021, the subject experienced sore arm. On 11-APR-2021, the subject experienced slight fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from bad migraine headache, slight fever, and sore arm. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217536
Sex: M
Age:
State: NY

Vax Date:
Onset Date: 03/01/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: PAIN IN INJECTION ARM; TIREDNESS; This spontaneous report received from a patient concerned a 55 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included allergic to bees, allergic to trees, and contrast allergy.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022, expiry: not reported) dose was not reported, administered on 05-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced tiredness. On 05-MAR-2021, the subject experienced pain in injection arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from pain in injection arm on 05-MAR-2021, and tiredness on 09-MAR-2021. This report was non-serious.

Other Meds:

Current Illness: Allergy to chemicals; Insect bite allergy; Seasonal allergy

ID: 1217537
Sex: M
Age:
State: TX

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: PRODUCT ADMINISTERED TO PATIENT OF INAPPROPRIATE AGE; OFF LABEL USE; FEVER; DIFFICULTY PERFORMING EVERYDAY ACTIVITY; GENERAL SENSE OF CONFUSION; EXCRUCIATING HEADACHE; This spontaneous report received from a parent concerned a 16 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: 203A21A 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 general sense of confusion. On 10-APR-2021, the subject experienced excruciating headache. On 11-APR-2021, the subject experienced difficulty performing everyday activity. On an unspecified date, the subject experienced product administered to subject of inappropriate age, off label use, and fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 103 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from general sense of confusion on 11-APR-2021, and the outcome of difficulty performing everyday activity, fever, excruciating headache, product administered to patient of inappropriate age and off label use was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217538
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:
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: FLU LIKE FEELING (FEVER, CHILLS, BODY 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 09-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 an unspecified date, the subject experienced flu like feeling (fever, chills, body ache). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of flu like feeling (fever, chills, body ache) was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217539
Sex: F
Age:
State: CT

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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: UNABLE TO LIFT HANDS UP; CHRONIC PAIN; PAIN ON THE ARM OF VACCINE/DURING INJECTION; 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: 25-MAY-2021) dose was not reported, administered on 10-MAR-2021 to Left Arm for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced unable to lift hands up, chronic pain, and pain on the arm of vaccine/during injection. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from chronic pain, and the outcome of pain on the arm of vaccine/during injection and unable to lift hands up was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217540
Sex: F
Age:
State: IL

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: SWELLING IN ARMPIT, CHEST AND ARM; SWELLING IN RIGHT ARM PIT; PAIN IN ARMPIT, CHEST AND ARM; NO SENSATION IN THE LEFT LEG; EYE PAIN; CHILLS; JOINT PAIN; NAUSEA; MUSCLE AND JOINT PAIN; TIREDNESS; FEVER; HEADACHE; This spontaneous report received from a patient concerned a 53 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: 201a21a, and 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 tiredness. On 10-APR-2021, the subject experienced fever. On 10-APR-2021, the subject experienced headache. On an unspecified date, the subject experienced swelling in armpit, chest and arm, swelling in right arm pit, pain in armpit, chest and arm, no sensation in the left leg, eye pain, chills, joint pain, nausea, and muscle and joint pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from no sensation in the left leg, eye pain, chills, joint pain, tiredness, fever, headache, and nausea, had not recovered from pain in armpit, chest and arm, and swelling in armpit, chest and arm, and the outcome of muscle and joint pain and swelling in right arm pit was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217541
Sex: F
Age:
State:

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: DIARRHEA; BACK ACHE; JOINT ACHE IN NECK/KNEE/FINGER/WRIST; GENERALLY WEAK; PAIN IN SHOT ARM; MUSCLE ACHE; NAUSEA; TIREDNESS; This spontaneous report received from a patient concerned a 78 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions include severe asthma. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. Batch number was not reported and has been requested. No concomitant medications were reported. On 07-APR-2021, the subject experienced diarrhea. On 07-APR-2021, the subject experienced back ache. On 07-APR-2021, the subject experienced joint ache in neck/knee/finger/wrist. On 07-APR-2021, the subject experienced generally weak. On 07-APR-2021, the subject experienced pain in shot arm. On 07-APR-2021, the subject experienced muscle ache. On 07-APR-2021, the subject experienced nausea. On 07-APR-2021, the subject experienced tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain in shot arm, back ache, and nausea, and the outcome of muscle ache, joint ache in neck/knee/finger/wrist, tiredness, diarrhea and generally weak was not reported. This report was non-serious.

Other Meds:

Current Illness: Asthma

ID: 1217542
Sex: F
Age:
State:

Vax Date:
Onset Date: 04/08/2021
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: NUMBNESS OF ENTIRE LEFT SIDE OF THE BODY; TINGLING OF ENTIRE LEFT SIDE OF THE BODY; SLIGHT DIZZINESS; 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 administration not reported, batch number: Unknown) dose was not reported, administered on 08-APR-2021 14:00 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 slight dizziness. On 08-APR-2021 14:05, the subject experienced numbness of entire left side of the body. On 08-APR-2021 14:05, the subject experienced tingling of entire left side of the body. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from numbness of entire left side of the body, and tingling of entire left side of the body, and the outcome of slight dizziness was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217543
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 03/10/2021
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: MUSCLE WEAKNESS IN VICINITY OF INJECTION; MUSCLE SLIGHTLY PAINFUL; BRAIN FOG; TIRED; BRUISED FEELING AT THE SITE OF INJECTION; GHOST HEADACHE/SLIGHT HEADACHE; This spontaneous report received from a patient concerned a 39 year old female. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, expiry: not reported) dose was not reported, administered on 10-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-MAR-2021, the subject experienced bruised feeling at the site of injection. On 10-MAR-2021, the subject experienced ghost headache/slight headache. On 11-MAR-2021, the subject experienced brain fog. On 11-MAR-2021, the subject experienced tired. On 15-MAR-2021, the subject experienced muscle weakness in vicinity of injection. On 15-MAR-2021, the subject experienced muscle slightly painful. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from brain fog, and tired on 12-MAR-2021, bruised feeling at the site of injection on 14-MAR-2021, and ghost headache/slight headache on 11-MAR-2021, and had not recovered from muscle weakness in vicinity of injection, and muscle slightly painful. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217544
Sex: M
Age:
State:

Vax Date:
Onset Date:
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: DIZZY; SORE ARM; CHILLS; MUSCLE ACHES; HEADACHE; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose, 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 dizzy, sore arm, chills, muscle aches, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the muscle aches, sore arm, chills, dizzy and headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217545
Sex: F
Age:
State: OH

Vax Date:
Onset Date: 04/06/2021
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: FEVER WITH CHILLS; PAINFUL WARM RED KNOT AT VACCINATION SITE; This spontaneous report received from a patient concerned a 37 year old female. The patient's weight was 220 pounds, and height was 63 inches. The patient's past medical history included anxiety, and postural orthostatic tachycardic syndrome, and concurrent conditions included penicillin allergy, and other pre-existing medical conditions included patient was not pregnant at the time of vaccination. Patient is allergic to some anti-anxiolytic drugs. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, and expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 17:00 for prophylactic vaccination. No concomitant medications were reported. On 06-APR-2021, the subject experienced painful warm red knot at vaccination site. On 07-APR-2021, the subject experienced fever with chills. Treatment medications (dates unspecified) included: ibuprofen, loratadine, and diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever with chills, and had not recovered from painful warm red knot at vaccination site. This report was non-serious.

Other Meds:

Current Illness: Penicillin allergy

ID: 1217546
Sex: F
Age:
State: MD

Vax Date:
Onset Date:
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: ITCHING OVER ENTIRE BODY; 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 10-APR-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 itching over entire body. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of itching over entire body was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217547
Sex: M
Age:
State: VA

Vax Date:
Onset Date:
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: INSOMNIA; This spontaneous report received from a consumer 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, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced insomnia. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of insomnia was not reported. This report was non-serious. This case, from the same reporter is linked to 20210422203 and 20210422882.

Other Meds:

Current Illness:

ID: 1217548
Sex: F
Age:
State: DE

Vax Date:
Onset Date: 04/11/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: FEVER; INTENSE BODY ACHES; FEELING OF WARMTH; DIZZINESS; STIFF NECK; This spontaneous report received from a patient concerned a 51 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included non-alcoholic, and non smoker, and other pre-existing medical conditions included patient had no known drug allergy and drug abuse or illicit drug. 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 11-APR-2021 15:00 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced dizziness. On 11-APR-2021, the subject experienced stiff neck. On 11-APR-2021 16:20, the subject experienced feeling of warmth. On 11-APR-2021 23:00, the subject experienced intense body aches. On 12-APR-2021 04:30, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 101 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from feeling of warmth, dizziness, intense body aches, fever, and stiff neck. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker

ID: 1217549
Sex: F
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: FEELING WOOZY OR DIZZINESS; HEART RACING; FEELING VERY TIRED; HEADACHE; MUSCLE ACHE; ACHY ARM; 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: 201A21A 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 achy arm. On 09-APR-2021, the subject experienced headache. On 09-APR-2021, the subject experienced muscle ache. On 10-APR-2021, the subject experienced feeling very tired. On 11-APR-2021, the subject experienced heart racing. On 12-APR-2021, the subject experienced feeling woozy or dizziness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from achy arm, and muscle ache on 11-APR-2021, and feeling very tired on 12-APR-2021, and had not recovered from heart racing, feeling woozy or dizziness, and headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217550
Sex: M
Age:
State: OH

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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: WOKE UP SWEATING; BODY SORENESS; CHILLS; HEADACHE; FEVER; THREW UP ABOUT EIGHT TIMES; TROUBLE BREATHING; This spontaneous report received from a parent concerned a 19 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 10-APR-2021 for prophylactic vaccination. The batch number was not reported and it has been requested. No concomitant medications were reported. On 10-APR-2021, the subject experienced threw up about eight times. On 10-APR-2021, the subject experienced trouble breathing. On 10-APR-2021, the subject experienced body soreness. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced headache. On 10-APR-2021, the subject experienced fever. On 11-APR-2021, the subject experienced woke up sweating. Laboratory data included: Body temperature (NR: not provided) 102. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from threw up about eight times, trouble breathing, chills, and fever on 11-APR-2021, and woke up sweating on 12-APR-2021, was recovering from body soreness, and had not recovered from headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217551
Sex: F
Age:
State: GA

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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: JOINT PAIN; FATIGUE; INJECTION SITE PAIN; CHILLS; FEVER; This spontaneous report received from a patient concerned a 72 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included asthma, high blood pressure, and allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808980, and expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 06-APR-2021, the subject experienced chills. On 06-APR-2021, the subject experienced fever. On 08-APR-2021, the subject experienced injection site pain. On 11-APR-2021, the subject experienced joint pain. On 11-APR-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills on 06-APR-2021, and fever on 08-APR-2021, and had not recovered from fatigue, injection site pain, and joint pain. This report was non-serious.

Other Meds:

Current Illness: Allergy; Asthma; Blood pressure high

ID: 1217552
Sex: M
Age:
State: FL

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: FEVER; MUSCLE ACHES (SHOULDERS UP); HEADACHE; LARGE PATCH OF HIVES (SHOULDERS TO WAIST); This spontaneous report received from a patient concerned a 46 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: 043A21A, 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 fever. On 10-APR-2021, the subject experienced muscle aches (shoulders up). On 10-APR-2021, the subject experienced headache. On 10-APR-2021, the subject experienced large patch of hives (shoulders to waist). Treatment medications (dates unspecified) included: prednisone, and diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever, muscle aches (shoulders up), and headache on APR-2021, and large patch of hives (shoulders to waist) on 11-APR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217553
Sex: M
Age:
State: FL

Vax Date:
Onset Date: 04/11/2021
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: This spontaneous report received from a patient concerned a 42 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included hypertension, and other pre-existing medical conditions included the patient had no known drug allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609, and expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced dizziness. On 11-APR-2021, the subject experienced body aching. On 11-APR-2021, the subject experienced chills. On 11-APR-2021, the subject experienced headache. On 11-APR-2021, the subject experienced fever. On 11-APR-2021, the subject experienced nausea. On 11-APR-2021, the subject experienced pain at injection site. Laboratory data included: Body temperature (NR: not provided) 101.2 F. On 12-APR-2021, Laboratory data included: Body temperature (NR: not provided) 99.9 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever, and pain at injection site, and had not recovered from dizziness, headache, body aching, chills, and nausea. This report was non-serious.

Other Meds:

Current Illness: Hypertension

ID: 1217554
Sex: U
Age:
State:

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: RA

Lab Data:

Allergies:

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

Symptoms: FELT BAD; HANGOVER; 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 and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced felt bad, and hangover. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the felt bad and hangover was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217555
Sex: F
Age:
State: LA

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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: FELT WEAK; REALLY BAD HEADACHE; CHILLS; FEVER; BODY HURT; BODY ACHES; This spontaneous report received from a patient concerned a 59 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included abstains from alcohol, and non-smoker, and other pre-existing medical conditions included patient had no known drug allergies. patient had no history of drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A, and batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 06-APR-2021 12:00 for prophylactic vaccination. Concomitant medications included for drug used for unknown indication. On 06-APR-2021, the subject experienced body aches. On 07-APR-2021, the subject experienced body hurt. On 07-APR-2021, the subject experienced chills. On 07-APR-2021, the subject experienced fever. On 07-APR-2021 09:00, the subject experienced really bad headache. On 07-APR-2021 21:00, the subject experienced felt weak. The action taken with covid-19 vaccine ad26.cov2.s was not reported. The patient recovered from body hurt, body aches, chills, fever, and really bad headache on 07-APR-2021, and felt weak. This report was non-serious.

Other Meds: HORMONES

Current Illness: Abstains from alcohol; Non-smoker

ID: 1217556
Sex: F
Age:
State: MA

Vax Date:
Onset Date: 04/11/2021
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: Injection site pain

Symptoms: SOUR TASTE BUDS; BODY ACHES; DIARRHEA; CHILLS; HEADACHES; 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 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: Unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-APR-2021 03:00, the subject experienced sour taste buds. On 11-APR-2021 03:00, the subject experienced body aches. On 11-APR-2021 03:00, the subject experienced diarrhea. On 11-APR-2021 03:00, the subject experienced chills. On 11-APR-2021 03:00, the subject experienced headaches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, diarrhea, chills, and headaches on 12-APR-2021, and had not recovered from sour taste buds. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217557
Sex: U
Age:
State:

Vax Date:
Onset Date:
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: NOT FEELING GOOD; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. 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 not feeling good. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of not feeling good was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217558
Sex: U
Age:
State:

Vax Date:
Onset Date:
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: ALLERGIES WITH NOSE; 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. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced allergies with nose. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of allergies with nose was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217559
Sex: F
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: TINGLING; WARM AT INJECTION SITE; ARM SORE; INJECTION SITE PAIN; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, expiry: UNKNOWN) dose was not reported, administered on 02-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced arm sore. On APR-2021, the subject experienced injection site pain. On 02-APR-2021, the subject experienced tingling. On 02-APR-2021, the subject experienced warm at injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the tingling, warm at injection site, arm sore and injection site pain was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217560
Sex: F
Age:
State: MA

Vax Date:
Onset Date: 04/11/2021
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: Erythema, Pruritus

Symptoms: BODY ACHES; FREEZING COLD; NAUSEA; TIREDNESS; DIZZINESS; This spontaneous report received from a patient concerned a 50 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included food allergy, anaphylaxis to allergens, metal allergy, environmental allergy, non smoker, and alcohol use, and other pre-existing medical conditions included the patient had no history of drug abuse or illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 12:45 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, treatment medications included: ibuprofen. On 11-APR-2021 12:45, the subject experienced dizziness. On 11-APR-2021 12:45, the subject experienced nausea. On 11-APR-2021 12:45, the subject experienced tiredness. On 11-APR-2021 22:30, the subject experienced body aches. On 11-APR-2021 22:30, the subject experienced freezing cold. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness, body aches, freezing cold, nausea, and tiredness on 12-APR-2021. This report was non-serious.

Other Meds:

Current Illness: Alcohol use (Once in 2 weeks.); Allergy to metals; Anaphylactic reaction; Environmental allergy; Food allergy; Non-smoker

ID: 1217561
Sex: U
Age:
State: TX

Vax Date:
Onset Date:
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:

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

Symptoms: EXTRA DOSE IN THE VIAL GIVEN TO THE PATIENT; 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: 041A21A expiry: UNKNOWN) dose, start therapy date were not reported for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced extra dose in the vial given to the subject. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of extra dose in the vial given to the patient was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217562
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 04/11/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: KNOT ON NECK; 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 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: 1808609) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced knot on neck. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from knot on neck. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217563
Sex: M
Age:
State: MI

Vax Date:
Onset Date: 04/11/2021
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: LEFT HAND NUMBNESS; FELT TIRED; ACHY; 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: 203A21A, expiry: not reported) dose was not reported, administered on 10-APR-2021 14:15 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the subject experienced achy. On 11-APR-2021, the subject experienced felt tired. On 12-APR-2021, the subject experienced left hand numbness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from felt tired, and achy, and had not recovered from left hand numbness. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217564
Sex: M
Age:
State: CT

Vax Date:
Onset Date:
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:

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

Symptoms: SMOOTHER AND CLEARER SKIN; INCREASED SENSITIVITY IN FINGERS AND TOES; HEARING INCREASED; INCREASED COORDINATION IN HANDS, FINGERS, ARMS; This spontaneous report received from a patient concerned a 57 year old male. The patient's height, and weight were not reported. The patient's past medical history included completely Paralysed, and concurrent conditions included Guillain-barre syndrome. 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. On an unspecified date, the subject experienced smoother and clearer skin, increased sensitivity in fingers and toes, hearing increased, and increased coordination in hands, fingers, arms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the smoother and clearer skin, increased sensitivity in fingers and toes, hearing increased and increased coordination in hands, fingers, arms was not reported. This report was non-serious.

Other Meds:

Current Illness: Guillain Barre syndrome

ID: 1217565
Sex: M
Age:
State: NH

Vax Date:
Onset Date: 04/11/2021
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:

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

Symptoms: PAIN FROM WRIST TO FINGER; NUMBNESS FROM LEFT WRIST TO FINGER; This spontaneous report received from a patient concerned a 64 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, unknown route and batch number: 202A21A expiry: UNKNOWN) dose was not reported, administered on 11-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 11-APR-2021, the patient experienced numbness from left wrist to finger. On 12-APR-2021, the patient experienced pain from wrist to finger. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from numbness from left wrist to finger, and pain from wrist to finger. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217566
Sex: M
Age:
State: WI

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: Pain in extremity

Symptoms: TIREDNESS; DRUG USE IN UNAPPROVED AGE GROUP; This spontaneous report received from a parent concerned a 17 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: 043A21A, expiry: not reported) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced drug use in unapproved age group. On 09-APR-2021, the subject experienced tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the drug use in unapproved age group and tiredness was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217567
Sex: U
Age:
State:

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: BODY ACHES; NO SLEEP; CHILLS; SERIOUS FEVER; 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 not reported, batch number: Unknown) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 10-APR-2021, the subject experienced body aches. On 10-APR-2021, the subject experienced no sleep. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced serious fever. On 10-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, chills, serious fever, body aches and no sleep was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217568
Sex: U
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: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: SORE BODY/ BODY ACHES; FEVER; SLAMMING 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 not reported, batch number: UNKNOWN) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced sore body/ body aches, fever, and slamming headache. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 102.6 temperature. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever, and slamming headache, and had not recovered from sore body/ body aches. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217569
Sex: F
Age:
State: KY

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: DIARRHEA; NO APPETITE; CHILLS; JOINT HURTING; FEVER; ACHES; FLU LIKE SYMPTOMS; SHORTNESS OF BREATH; DIZZINESS; This spontaneous report received from a patient concerned a 73 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included chronic obstructive pulmonary disease, severe bronchitis, arthritis, bad back, and drug allergy. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1808978 expiry: 13-JUN-2021) dose was not reported, administered on 06-APR-2021 11:30 for prophylactic vaccination. No concomitant medications were reported. On 07-MAR-2021, Laboratory data included: Body temperature (NR: not provided) 104 F. On 07-APR-2021, the subject experienced aches. On 07-APR-2021, the subject experienced flu like symptoms. On 07-APR-2021, the subject experienced shortness of breath. On 07-APR-2021, the subject experienced dizziness. On 07-APR-2021, the subject experienced no appetite. On 07-APR-2021, the subject experienced chills. On 07-APR-2021, the subject experienced joint hurting. On 07-APR-2021, the subject experienced fever. On 08-APR-2021, the subject experienced diarrhea. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from aches, shortness of breath, diarrhea, no appetite, and joint hurting on 12-APR-2021, flu like symptoms, dizziness, and chills on 11-APR-2021, and fever on 10-APR-2021. This report was non-serious.

Other Meds:

Current Illness: Arthritis; Back disorder; Bronchitis; Chronic obstructive pulmonary disease; Drug allergy

ID: 1217570
Sex: M
Age:
State: CA

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: WHOLE BODY ACHES; DRY COUGH; FEVER; HEADACHE; NAUSEA; This spontaneous report received from a consumer concerned a 62 year old male. The patient's weight was 205 pounds, and height was 69 inches. The patient's concurrent conditions included elevated cholesterol, arthritis, alcohol user, and non-smoker, and other pre-existing medical conditions included the patient had no known drug allergies. the patient did not have any history of drug abuse or illicit drug use.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: not reported) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, the subject experienced nausea. On 07-APR-2021, the subject experienced fever. On 07-APR-2021, the subject experienced headache. On 08-APR-2021, the subject experienced whole body aches. On 08-APR-2021, the subject experienced dry cough. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever on 08-APR-2021, was recovering from whole body aches, dry cough, and headache, and the outcome of nausea was not reported. This report was non-serious.

Other Meds:

Current Illness: Alcohol use (The patient was social drinker, at events or on weekend, amount unknown.); Arthritis; Cholesterol high; Non-smoker

ID: 1217571
Sex: U
Age:
State:

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: WILD DREAMS; CHILLS; FEVER; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The company was unable to perform follow up to request batch number. No concomitant medications were reported. On 08-APR-2021, the subject experienced wild dreams. On 08-APR-2021, the subject experienced chills. On 08-APR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, chills and wild dreams was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217572
Sex: U
Age:
State: NY

Vax Date:
Onset Date: 04/05/2021
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: This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 041a21a, and expiry: UNKNOWN) dose was not reported, administered on 05-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 05-APR-2021, the subject experienced arm soreness. On 05-APR-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from arm soreness on 08-APR-2021, and fatigue on 07-APR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217573
Sex: M
Age:
State: FL

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: HEADACHE; FEELING FEVERISH; 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: not reported) dose was not reported, administered on 11-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 headache. On APR-2021, the subject experienced feeling feverish. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache and feeling feverish was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217574
Sex: M
Age:
State: MI

Vax Date:
Onset Date: 03/01/2021
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: VOMITING; HEADACHE; NAUSEA; TIREDNESS; 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: 180Z068, and batch number: 180Z068 expiry: UNKNOWN) dose was not reported, administered on 18-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced vomiting. On MAR-2021, the subject experienced headache. On MAR-2021, the subject experienced nausea. On MAR-2021, the subject experienced tiredness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, nausea, vomiting and tiredness was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1217575
Sex: M
Age:
State: MO

Vax Date:
Onset Date: 04/12/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: INJECTION SITE REDNESS; This spontaneous report received from a consumer concerned a 28 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: 203A21A, and expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced injection site redness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from injection site redness. This report was non-serious.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm