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: 1244835
Sex: F
Age: 20
State: IL

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/22/2021
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: Coconut, tree nuts, penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: I got my shot around 11 am and by 9 pm I was feeling very tired and nauseous. I could not sleep at night and developed the chills with a horrible headache. This was also after taking tylenol. I had the chills the following day and could not leave my bed. I slept the whole day and did not have an appetite. I was also constantly checking for a fever and did not have one, but I still had chills. My symptoms were almost gone by 9 pm of the next day. On the second day, I have neck pain on both sides of my neck. It is bearable but still there. I am otherwise healthy and have not been sick at all within the last year.

Other Meds: Birth Control

Current Illness:

ID: 1244836
Sex: F
Age: 29
State: HI

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: The morning after I received the shot, I woke up at 3 AM with body aches, chills, and a 102.4 F fever. I also kept switching between feeling like I was freezing to feeling like it was sweltering. As the day progressed, I started to get headaches and had little appetite. The skin on my arms and legs are sensitive like I got sunburn, and my fever has not yet broken as of 12 PM.

Other Meds: Birth control

Current Illness: None

ID: 1244837
Sex: F
Age: 27
State: CA

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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: Augmented, propanolol

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

Symptoms: Next night I developed a heart rate of 130-160 bpm. Still currently suffering a high hear rate. I was recommended benadryl and ativan by emergency room nurse. My heart hurts and I'm exhausted and light headed all the time.

Other Meds: Cephalexin, effexor, lamactil

Current Illness: Anxiety and infected spider bite

ID: 1244838
Sex: F
Age: 40
State: VA

Vax Date: 04/14/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Localized inflammation, soreness and itching of skin at vaccine site; onset on day 8 following vaccine

Other Meds: Levothyroxine

Current Illness: N/A

ID: 1244839
Sex: F
Age: 45
State:

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/22/2021
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: Patient complained of chest tightness. Vitals wnl.

Other Meds:

Current Illness:

ID: 1244841
Sex: F
Age: 18
State: TN

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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: None

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

Symptoms: Approximately 5 minutes after vaccine administered, patient started feeling nauseous and dizzy. She was also pale and clammy. Offered patient water and allowed to remove face mask. Instructed on breathing slowly in through the nose and out through the mouth. This helped briefly but then patient verbalized that she was feeling more light headed and thought she should lie down on exam table. Remained at patient's side but did not allow her to stand up in order to relocate from chair to exam table. Approximately 7 minutes after vaccine administration, patient briefly lost consciousness for less than 30 seconds and had slight jerking movements during this time. Remained at patient's side and prevented her from falling out of chair, hitting head, or other injury during syncopal event. After patient regained consciousness, she began sipping on water. A cold, wet paper towel was placed to the back of her neck. Continued to observe patient in exam room for another 5 minutes then she was escorted to waiting area by provider. Waiting area was just outside exam room and patient remained in the presence of a patient care technician, as well as her mother. Patient remained in waiting area for a total observation time of 30 minutes. No other adverse events occurred. Patient and mother both reported that patient does not do well after vaccines and has had similar symptoms after other vaccines in the past.

Other Meds: Unknown

Current Illness: Unknown

ID: 1244842
Sex: M
Age: 54
State: FL

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/22/2021
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: No

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Acute pain 2nd and 3rd day after vaccination.After a week red spot in arm, swollen, no pain. I think it will be get better.

Other Meds: Probiotics

Current Illness: No

ID: 1244843
Sex: F
Age: 23
State: VA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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, body aches, chills - onset 10 hours post injection and lasted 16 hours. Fatigue - onset 2 hours post injection and lasted 36 hours Fever dreams and night sweats during sleep same night. Sinus headache - onset following day (20 hours post injection) lasted 6-8 hours.

Other Meds:

Current Illness:

ID: 1244844
Sex: F
Age: 13
State: FL

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: MODERNA SHOT ADMINISTERED INADVERTENTLY ON 04/19/2021. NO ADVERSE REACTION REPORTED. HAS BEEN IN CONTACT WITH FAMILY, FAMILY CLAIMED SHE IS OK

Other Meds: None

Current Illness: None

ID: 1244845
Sex: F
Age: 30
State: RI

Vax Date: 04/06/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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: Poppy seeds

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Skin area became red and itchy and when scratched the skin became raised

Other Meds: None

Current Illness: None

ID: 1244846
Sex: F
Age: 50
State: TX

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

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

Lab Data:

Allergies: Vicodin; Levaquin

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

Symptoms: Rash appeared under left side of chin and upper part of neck within 3 hours of the vaccine shot. Continued to itch and feel hot to touch where rash was. Before bed, abdomen felt very itchy. Next day.left side of chin and upper neck continued to be very itchy and both ears became itchy and burn. Then mid morning, rash spread to left side of face. Continued to be itchy and burn. Around 3pm, the rash spread to right side of face near jawline. I called my internal medicine doctor, sent photos of the rash. They advised me to go to the nearest Urgent Care Center immediately for a steroid injection. I went to Fast Med, was seen around 5pm. I was given a steroid injection on left hip and a Benadryl pill to help with itching. The rash looked like mosquito bites. I have photos I can share.

Other Meds: (COMBIGAN); Azote;Progesterone

Current Illness: Chronic Episcleritis and glaucoma both in one eye. Glaucoma due to childhood eye injury. Both started one year ago.

ID: 1244848
Sex: F
Age: 17
State: MD

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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: Penicillin

Symptom List: Rash, Urticaria

Symptoms: This was 2nd Pfizer Shot/No side effects with 1st Bumps and large rashes all over the body/itching Have it sought dr at this time...OTC meds

Other Meds: Singular Lexapro generic

Current Illness: N/A

ID: 1244849
Sex: F
Age: 18
State:

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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: Dizziness, clammy, BP 104/61 (pulse 84), O2 sat 100%.

Other Meds:

Current Illness:

ID: 1244850
Sex: F
Age: 55
State: NC

Vax Date: 03/25/2021
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: None

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

Symptoms: I developed shingles about one week after my first dose of the Covid vaccine.

Other Meds: None

Current Illness: None

ID: 1244851
Sex: F
Age: 41
State:

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: crab

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

Symptoms: Headache (within 90 mins), as well as fatigue, chills, fever (100.5), mild nausea which were onset approx. 6 hrs post vaccination. Fever broke within 12 hrs, as well as chills and nausea. Fatigue & general fogginess lasted roughly 48hrs

Other Meds: baby aspirin; blood pressure medication

Current Illness: none

ID: 1244852
Sex: F
Age: 58
State: MD

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/22/2021
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: Penicillin injection Raw ripe tomatoes Camoquin

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

Symptoms: After vaccination on April 12 had nausea and vomiting, chills and headache, stomachache most of the day. At night had fever, pain at injection site, malaise. Same on day2 but milder and headache. Insomnia Day 3 -7chills at day and night time mild headache, sore throat, insomnia Day 7 nausea, chills and headache, tiredness, sorethroat, insomnia Day 8- 10 chills, mouth sores, tiredness, insomnia On eAch day took antihistamine cetrizine

Other Meds: Metoprolol succinate 50mg, Amlodipine 5mg Vitamin D soft gel 1 (125 mcg)

Current Illness: None

ID: 1244853
Sex: F
Age: 54
State: FL

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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: Penicillin

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

Symptoms: I had gotten the vaccine on Wednesday night at 7 pm and felt fine until the next morning when I woke to my whole body feeling like the ache in my arm. Around 9 am I developed rapid symptoms of the flu; chills, fatigue, nausea and my body felt hot (but I didn't have a temp). This lasted for about 3 hours of feeling pretty bad and then out of the blue, I felt fine again. Later in the afternoon around 4pm the symptoms came back but not as bad and lasted until I went to bed. I didn't take Tylenol because I read that it was better for your immune system not to take it if you can.

Other Meds: Wellbutrin 300 mg, Lamictal 400 mg, Alprazolam 0.5mg, Calcium with Vitamin D, Multivitamin, Amberen

Current Illness: None

ID: 1244854
Sex: M
Age: 36
State: VA

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: sulpha based medicine

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Gout flare up - right big toe

Other Meds: Levothyroxin 25 Vitamin D , Vitamin C

Current Illness: None

ID: 1244856
Sex: F
Age: 38
State: IL

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/22/2021
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: Patient called to report tingling and numbness in ear or lip area, patient was near hospital and pharmacist recommended she stop there just to get checked out and make sure there was nothing else going on.

Other Meds:

Current Illness:

ID: 1244915
Sex: M
Age:
State:

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/22/2021
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: Tongue swelling; could not process his breath; Could not swallow his saliva; headache; Nausea; This is a solicited report from a non-Pfizer sponsored program (marketing program name not available) from a contactable consumer, based on information received by Pfizer(manufacturer control number: US-AMGEN-USASL2021053617), license party for etanercept (ENBREL). This non-serious solicited report (USASL2021053617) was reported on 07/APR/2021 by a consumer from a commercial program (PSP00046b) and involves a 61 year old male patient who had headache [PT: headache], nausea [PT: nausea], tongue swelling [PT: swollen tongue], could not process his breath [PT: dyspnoea] and could not swallow his saliva [PT: dysphagia] while receiving Enbrel with Single Dose Prefilled Autoinjector. No historical medical condition was reported. The patient's current medical condition included psoriatic arthritis. The patient's concomitant medications included methotrexate. The patient's co-suspect medication included covid-19 vaccine. The patient began Enbrel with Single Dose Prefilled Autoinjector on an unknown date. It was reported that the patient was using Enbrel for about five to six years. On an unknown date in MAR/2021, the patient received a recent injection of Enbrel. On 27/MAR/2021 at 10:00 AM, the patient received covid-19 vaccine. On the same day, the patient had nausea and headache but then it went away. On the same day at 05:30 PM, the patient had tongue swelling. The patient could not swallow his saliva and could not process his breath. Subsequently, the patient went to ER (Emergency room) and was started on Benadryl (diphenhydramine hydrochloride), prednisone and ranitidine. The patient was instructed by the physician not to receive a second dose of covid vaccine. The outcome of the events headache and nausea was reported as recovered/resolved. The outcome of the events swollen tongue, dyspnoea and dysphagia was reported as unknown. The events headache, nausea were resolved on 27/MAR/2021. Action taken with Enbrel with Single Dose Prefilled Autoinjector was reported as unknown for the events headache, nausea, swollen tongue, dyspnoea and dysphagia. The causal relationship between the events headache, nausea, swollen tongue, dyspnoea, dysphagia and Enbrel with Single Dose Prefilled Autoinjector was not provided by the consumer. Follow up has been requested for lot number. Causality Assessment: Events Swallowing difficult, Breathing difficult, Swelling of tongue and Nausea were assessed to be not related to etanercept.; Sender's Comments: Based on a temporal association and the known safety profile, the reported events are considered possibly related to BNT162B2. The events were unrelated to etanercept. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: METHOTREXATE

Current Illness: Psoriatic arthritis (Current medical condition)

ID: 1244919
Sex: M
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 04/22/2021
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: 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: 1805020, and expiry: not reported) .5 ml, administered on 11-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced dizziness, and achy. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the dizziness and achy was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1244920
Sex: F
Age:
State: IL

Vax Date:
Onset Date: 03/13/2021
Rec V Date: 04/22/2021
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: The patient's height, and weight were not reported. The patient's pre-existing medical conditions included unknown. 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, administered on 13-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 13-MAR-2021, the subject experienced chills, fever and severe headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills on 14-MAR-2021, and fever, and had not recovered from severe headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1244921
Sex: F
Age:
State: IN

Vax Date:
Onset Date: 03/05/2021
Rec V Date: 04/22/2021
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: 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: 25-MAY-2021) dose was not reported, administered on 05-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, treatment medications included: alprazolam. On 05-MAR-2021, the subject experienced numbness from the waist down for 4 hours. On 06-MAR-2021, the subject experienced body aches. On 06-MAR-2021, the subject experienced emotional fatigue. On 06-MAR-2021, the subject experienced physical fatigue/exhaustion. On 07-MAR-2021, the subject experienced depression. On 07-MAR-2021, the subject experienced anxiety. On 07-MAR-2021, the subject experienced short term memory loss. On 07-MAR-2021, the subject experienced right hand not work properly, she cant hold things properly. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from numbness from the waist down for 4 hours, was recovering from depression, and anxiety, had not recovered from physical fatigue/exhaustion, emotional fatigue, right hand not work properly, she cant hold things properly, and short term memory loss, and the outcome of body aches was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1244922
Sex: F
Age:
State: NV

Vax Date:
Onset Date: 03/23/2021
Rec V Date: 04/22/2021
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: The patient's height, and weight were not reported. The patient's pre-existing medical conditions included unknown. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805025, and expiry: UNKNOWN) dose was not reported, administered on 23-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 23-MAR-2021, the subject experienced intense, deep pain in upper left thigh. On 23-MAR-2021, the subject experienced headache. Treatment medications included: acetylsalicylic acid. On an unspecified date, the subject experienced chest discomfort. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from intense, deep pain in upper left thigh on 26-MAR-2021, and the outcome of headache and chest discomfort was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1244923
Sex: M
Age:
State: SC

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

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: COVID INFECTION; STOMACH GURGLING; BURPING; SLEPT ALL DAY; BRAIN FOG; 2 NIGHTS OF BAD DREAMS; TALKING IN SLEEP; BROKE INTO A SWEAT/ SWEATED TERRIBLY LAST NIGHT; VIVID DREAMS; This spontaneous report received from a patient's wife concerned a 53 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 to right arm on 02-APR-2021 around 15:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 03-APR-2021, the patient experienced 102.7 fever, some dry cough. Laboratory data included: Body temperature (NR: not provided) 102.7 F. On 04-APR-2021, the patient experienced chills, broke into a sweat and had vivid dreams. Laboratory data included: Body temperature (NR: not provided) 102 F, 101 F. On 05-APR-2021, the patient also had brain fog, two nights of bad dreams, talking in sleep, back pain, fatigue, slept all day. Laboratory data included: Body temperature (NR: not provided) upto 102.7 F. On 06-APR-2021, the patient experienced stomach gurgling, diarrhea, weakness, burping, body ache. Laboratory data included: Body temperature (NR: not provided) 101 F. On 06-APR-2021 03:40, Laboratory data included: Body temperature (NR: not provided) 102 F. On 07-APR-2021, the patient experienced muscle aches, back ache was at level 9, sweated terribly at night and the patient went to urgent care and they did flu test. Laboratory data included: Rapid influenza diagnostic test (NR: not provided) Negative. On 08/Apr-2021, the patient had stomach still gurgling, back ache was at level 9, tiredness, weakness, achiness, brain fog, fever was back at a 100F and diarrhea. On the same day, the patient was tested positive for Covid-19 (coded to confirmed Covid-19 Infection: chills, fever, muscle aches, joint pain, diarrhea, back pain/ back ache, dry cough, fatigue/ tiredness, weakness, and body ache/ achiness). Laboratory data included: COVID-19 virus test (NR: not provided) Positive. On 12-Apr-2021 he was hospitalized. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from brain fog, Covid infection, stomach gurgling, and broke into a sweat/ sweated terribly last night, and the outcome of 2 nights of bad dreams, talking in sleep, vivid dreams, slept all day and burping was not reported. This report was serious (Hospitalization Caused / Prolonged). Initial information was received on 07-APR-2021. With additional information obtained via telephone follow up from a wife on 15-Apr-2021 case was assessed as serious.; Sender's Comments: 20210413330- Covid-19 vaccine ad26.cov2.s- Covid infection. 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: 1244924
Sex: U
Age:
State: CA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: HEADACHE; MILD OVER ALL ACHY FEELING; INJECTION SITE WAS RED AND SWOLLEN; 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: 1808980, expiry: UNKNOWN) dose was not reported, administered on 01-APR-2021 to right arm for prophylactic vaccination. No concomitant medications were reported. On 01-APR-2021, the subject experienced injection site was red and swollen. On 02-APR-2021, the subject experienced mild over all achy feeling. On 07-APR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from mild over all achy feeling, was recovering from injection site was red and swollen, and had not recovered from headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1244925
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: HEAD ACHE; FEVER; BODY ACHE; TENOSYNOVITIS; CHILLS; ANKLE 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: Unknown) dose was not reported, administered on 02-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 body ache. On APR-2021, the subject experienced tenosynovitis. On APR-2021, the subject experienced chills. On APR-2021, the subject experienced ankle pain. On 02-APR-2021, Laboratory data included: Body temperature (NR: not provided) 103 F. On 04-APR-2021, the subject experienced fever. On 07-APR-2021, the subject experienced head ache. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, body ache, head ache, chills, ankle pain and tenosynovitis was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1244926
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: The patient's height, and weight were not reported. The patient's pre-existing medical conditions included patient has no known allergies. 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 08-APR-2021 16:15 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced fever. On APR-2021, the subject experienced headache. On 08-APR-2021, the subject experienced product administered to subject of inappropriate age. On 08-APR-2021, the subject experienced off label use. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the product administered to patient of inappropriate age, fever, headache and off label use was not reported. This report was non-serious. This case, from the same reporter is linked to 20210420704.; Sender's Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244927
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: 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: UNKNOWN) dose was not reported, administered on 03-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced chest tightness. On APR-2021, the subject experienced muscle pain in butt. On APR-2021, the subject experienced overly tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chest tightness, muscle pain in butt, and overly tired. This report was non-serious.; Sender's Comments: V0- Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244928
Sex: U
Age:
State: KY

Vax Date:
Onset Date:
Rec V Date: 04/22/2021
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: 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 covid-19 infection. Laboratory data (dates unspecified) included: COVID-19 virus test (NR: not provided) positive (units unspecified). The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of covid-19 infection was not reported. This report was non-serious.; Sender's Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244929
Sex: F
Age:
State: MN

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/22/2021
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: 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. On 09-APR-2021, the subject experienced heart is racing. On 09-APR-2021, the subject experienced vomiting. On 09-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, vomiting, and heart is racing. This report was non-serious.; Sender's Comments: V0: Medical assessment comment not required as per standard procedure as case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244930
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/22/2021
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: HEART BEATING LIKE CRAZY; CELLS REJECTING THE FOREIGN MATERIAL, FEEL IT COMING OUT OF MY SKIN; SHADOWS DANCE IN VISION; WHOLE BODY HURTS; GUT FEELS HEAVY; BODY FEELS 5-10 DEGREES COLDER; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Company is unable to perform follow-up to confirm batch/lot number. No concomitant medications were reported. On an unspecified date, the subject experienced heart beating like crazy, cells rejecting the foreign material, feel it coming out of my skin, shadows dance in vision, whole body hurts, gut feels heavy, and body feels 5-10 degrees colder. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the body feels 5-10 degrees colder, shadows dance in vision, whole body hurts, cells rejecting the foreign material, feel it coming out of my skin, heart beating like crazy and gut feels heavy was not reported. This report was non-serious.; Sender's Comments: V0- Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244931
Sex: M
Age:
State: TX

Vax Date:
Onset Date: 04/07/2021
Rec V Date: 04/22/2021
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: WBC INCREASED; COUGH; OFF LABEL USE; INAPPROPRIATE DOSE OF DRUG ADMINISTERED; RIGHT SHOULDER HURT FROM THE INJECTION SITE TO THE BICEP; NUMB FROM HEAD TO TOE; BRUISED AT THE INJECTION; TINGLING; TREMORS IN HIS HANDS; GENERAL BODY PAIN; FELT LIKE HE WAS HIT BY A FREIGHT TRAIN; SLEEP DISTURBANCE; NOT CLEAR HEADED; CHEST DISCOMFORT; CHILLS; HEADACHE; FEVER; CHEST KINDA BOTHERED HIM; This spontaneous report received from a patient concerned a 25 year old male. The patient's height, and weight were not reported. The patient's past medical history included ankle surgery, and concurrent conditions included asthma, alcoholic, outdoor allergy, keflex allergies, and augmentin allergies, and other pre-existing medical conditions included the patient received 2nd shot of vaccination. The patient was previously treated with cefalexin, and amoxicillin/clavulanic acid. 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 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 07-APR-2021, the subject experienced felt like he was hit by a freight train. On 07-APR-2021, the subject experienced sleep disturbance. On 07-APR-2021, the subject experienced not clear headed. On 07-APR-2021, the subject experienced chest discomfort. On 07-APR-2021, the subject experienced general body pain. On 07-APR-2021, the subject experienced chest kinda bothered him. On 07-APR-2021, the subject experienced chills. On 07-APR-2021, the subject experienced headache. On 07-APR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 104 F. Treatment medications included: ibuprofen. On 09-APR-2021, the subject experienced numb from head to toe. On 09-APR-2021, the subject experienced bruised at the injection. On 09-APR-2021, the subject experienced tingling. On 09-APR-2021, the subject experienced tremors in his hands. On 09-APR-2021, the subject experienced right shoulder hurt from the injection site to the bicep. Laboratory data included: Blood test (NR: not provided) Elevated white blood cell otherwise negative. On an unspecified date, the subject experienced wbc increased, cough, inappropriate dose of drug administered, and off label use. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from general body pain on 09-APR-2021, and chills, was recovering from tingling, had not recovered from headache, sleep disturbance, not clear headed, chest discomfort, cough, bruised at the injection, right shoulder hurt from the injection site to the bicep, and chest kinda bothered him, and the outcome of fever, felt like he was hit by a freight train, numb from head to toe, tremors in his hands, wbc increased, inappropriate dose of drug administered and off label use was not reported. This report was non-serious.; Sender's Comments: V0 Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness: Alcoholic (occasionally); Allergic reaction to antibiotics; Asthma (diagnosed at 5 to 6 years of age. unspecified inhaler.); Drug allergy; Seasonal allergy

ID: 1244932
Sex: U
Age:
State: GA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: ADVERSE REACTIONS; This spontaneous report received from a consumer concerned multiple patients. 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 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 APR-2021, the subject experienced adverse reactions. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of adverse reactions was not reported. This report was non-serious. This case, from the same reporter is linked to 20210421103.; Sender's Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244933
Sex: F
Age:
State: IL

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: METALLIC TASTE; SWELLING OF TONGUE; SWELLING; RED BLEMISHES AROUND EAR; BODY ACHE; DIZZINESS; RASH/MOSQUITO TYPE RED DOT UNDER LEFT EYE AND LEFT EARLOBE; LARGE RED SPOT ON NECK, ALMOST LIKE HIVES; WEAKNESS; FEVER; HEADACHE; INCREASED HEART RATE; SLEPT ONLY 3 HOURS; 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 past medical history included hernia surgery, and smoker, and concurrent conditions included seasonal asthma, heart palpitations, overweight, and metallic taste reaction with contrast dyes use with scans. 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 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced slept only 3 hours. Laboratory data included: Heart rate (NR: not provided) 118-120. On 10-APR-2021, the subject experienced increased heart rate. On 10-APR-2021, the subject experienced metallic taste. On 10-APR-2021, the subject experienced swelling of tongue. On 10-APR-2021, the subject experienced swelling. On 10-APR-2021, the subject experienced red blemishes around ear. On 10-APR-2021, the subject experienced body ache. On 10-APR-2021, the subject experienced dizziness. On 10-APR-2021, the subject experienced rash/mosquito type red dot under left eye and left earlobe. On 10-APR-2021, the subject experienced weakness. On 10-APR-2021, the subject experienced large red spot on neck, almost like hives. On 10-APR-2021, the subject experienced fever. On 10-APR-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 98.9. On 11-APR-2021, Laboratory data included: Body temperature (NR: not provided) 100.4. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from metallic taste, swelling of tongue, and swelling on 10-APR-2021, and dizziness, and weakness on APR-2021, was recovering from rash/mosquito type red dot under left eye and left earlobe, and large red spot on neck, almost like hives, had not recovered from red blemishes around ear, fever, headache, body ache, and increased heart rate, and the outcome of slept only 3 hours was not reported. This report was non-serious.; Sender's Comments: V0:Medical assessment comment not required as per standard procedure as case assessed as non serious.

Other Meds:

Current Illness: Overweight; Palpitations; Seasonal asthma; Taste metallic

ID: 1244934
Sex: F
Age:
State:

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: BLEEDING; BODY PAIN/ EVERYTHING HURTS; BAD FEELING; HIGH FEVER (104F); 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 09-APR-2021 11:00 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 bleeding. On APR-2021, the subject experienced body pain/ everything hurts. On APR-2021, the subject experienced bad feeling. On APR-2021, the subject experienced high fever (104f). Laboratory data included: Body temperature (NR: not provided) 104 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from high fever (104f), bleeding, and body pain/ everything hurts, and the outcome of bad feeling was not reported. This report was non-serious.; Sender's Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244935
Sex: F
Age:
State: LA

Vax Date:
Onset Date:
Rec V Date: 04/22/2021
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: The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805018, expiry: UNKNOWN) dose was not reported, administered on 13-MAR-2021 in left arm for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced feeling of faint and dizzy, feeling jittery, feeling cold, body aches, burning sensation on the arm, burning sensation in ears, her head was hurting, headache, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from burning sensation on the arm, had not recovered from feeling of faint and dizzy, and the outcome of her head was hurting, headache, fever, feeling jittery, feeling cold, body aches and burning sensation in ears was not reported. This report was non-serious.; Sender's Comments: V0: Medical assessment comments not required as per standard procedure as the case is considered non serious.

Other Meds:

Current Illness:

ID: 1244936
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/22/2021
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: SHORTNESS OF BREATH; VERY TIRED, FEEL WIPED OUT; This spontaneous report received from a health care professional concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unk) dose was not reported, administered on 08-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 shortness of breath, and very tired, feel wiped out. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the very tired, feel wiped out and shortness of breath was not reported. This report was non-serious. This case, from the same reporter is linked to 20210436940.; Sender's Comments: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244937
Sex: U
Age:
State:

Vax Date:
Onset Date: 04/06/2021
Rec V Date: 04/22/2021
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: FEELING OUT OF SORTS; INTESTINAL CONFUSION; NAUSEA; NIGHT SWEATS; DIARRHEA; BLOOD PRESSURE SPIKED; LIGHTHEADEDNESS/DIZZINESS; PRESSURE IN HEAD; PRESSURE IN CHEST OR FEELING LIKE A CINDERBLOCK IS ON THE CHEST; 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 06-APR-2021 14:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 06-APR-2021, the subject experienced blood pressure spiked. On 06-APR-2021, the subject experienced lightheadedness/dizziness. On 06-APR-2021, the subject experienced pressure in head. On 06-APR-2021, the subject experienced pressure in chest or feeling like a cinderblock is on the chest. Laboratory data included: Blood pressure (NR: not provided) 160/90, 140/85. On 07-APR-2021, the subject experienced night sweats. On 07-APR-2021, the subject experienced diarrhea. On 07-APR-2021, the subject experienced intestinal confusion. On 07-APR-2021, the subject experienced nausea. Laboratory data included: Blood pressure (NR: not provided) 110/74. On 09-APR-2021, the subject experienced feeling out of sorts. On 10-APR-2021, Laboratory data included: Blood pressure (NR: not provided) 150/90. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from lightheadedness/dizziness on 06-APR-2021, pressure in head on 10-APR-2021, night sweats, and diarrhea on 08-APR-2021, and intestinal confusion, and nausea on 08-APR-2021 18:00, had not recovered from blood pressure spiked, and pressure in chest or feeling like a cinderblock is on the chest, and the outcome of feeling out of sorts was not reported. This report was non-serious.; Sender's Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244938
Sex: M
Age:
State: OH

Vax Date:
Onset Date: 04/11/2021
Rec V Date: 04/22/2021
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: 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 11-APR-2021 13:00 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 achiness. On 11-APR-2021, the subject experienced fever. On 11-APR-2021, the subject experienced headache. Laboratory data included: Body temperature (NR: not provided) 100 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, headache, and achiness. This report was non-serious. This report was associated with product quality complaint: 90000175989. The suspected product quality complaint has been confirmed to be voided(did not meet PQC criteria) based on the PQC evaluation/investigation performed.

Other Meds:

Current Illness:

ID: 1244939
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/22/2021
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: TINGLING SENSATION OF PINS AND NEEDLE; HEADACHE; FEVER; MUSCULAR ACHES; 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, batch number: 201A21A expiry: UNKNOWN) dose was not reported, administered on 07-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced tingling sensation of pins and needle, headache, fever, muscular aches, and itching. Treatment medications (dates unspecified) included: diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, fever, muscular aches, itching and tingling sensation of pins and needle was not reported. This report was non-serious.; Sender's Comments: V0: Medical Assessment comment not required per standard procedure as the case is assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244940
Sex: F
Age:
State: CO

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 04/22/2021
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: NERVE PAIN IN LEG AND ARM; EAR ACHE; FELT COLD; CHILLS; JOINT PAIN IN KNEES; HEADACHE; PRESSURE IN CHEST; NO SLEEP; This spontaneous report received from a patient concerned a 42 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included penicillin allergy, and restless leg syndrome. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 203A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 17:00 for prophylactic vaccination. No concomitant medications were reported. On 09-APR-2021, the subject experienced no sleep. On 10-APR-2021, the subject experienced pressure in chest. On 10-APR-2021, the subject experienced ear ache. On 10-APR-2021, the subject experienced felt cold. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced joint pain in knees. On 10-APR-2021, the subject experienced headache. On 10-APR-2021 03:00, the subject experienced nerve pain in leg and arm. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from no sleep on 10-APR-2021, was recovering from nerve pain in leg and arm, and had not recovered from joint pain in knees, ear ache, pressure in chest, felt cold, chills, and headache. This report was non-serious.; Sender's Comments: V0- Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness: Penicillin allergy; Restless leg syndrome

ID: 1244941
Sex: M
Age:
State: PA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: CHILLS; TEMPERATURE; This spontaneous report received from a parent concerned a 23 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included factor v. 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, the subject experienced chills. On APR-2021, the subject experienced temperature. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills and temperature was not reported. This report was non-serious.; Sender's Comments: V0: Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness: Abnormal clotting factor

ID: 1244942
Sex: M
Age:
State: MS

Vax Date:
Onset Date: 04/05/2021
Rec V Date: 04/22/2021
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: CONFIRMED COVID-19 INFECTION; 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 administration not reported, batch number: 1805029, expiry: 25-MAY-2021) dose was not reported, administered on 10-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 05-APR-2021, the subject experienced confirmed covid-19 infection. Laboratory data included: COVID-19 virus test (NR: not provided) Positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from confirmed covid-19 infection. This report was non-serious.; Sender's Comments: Medical assessment comment is not required as per standard operating procedures

Other Meds:

Current Illness:

ID: 1244943
Sex: M
Age:
State:

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: CONFIRMED COVID-19 INFECTION; This spontaneous report received from a patient via a company representative 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 03-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 confirmed covid-19 infection. Laboratory data included: COVID-19 virus test (NR: not provided) Positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of confirmed covid-19 infection was not reported. This report was non-serious. The suspected product quality complaint has been confirmed to be this report indicates a medical adverse event for the patient. while a positive covid test result was received after vaccination, insufficient time had elapsed for immunity to develop (10 days elapsed between vaccine and test). there was not sufficient time elapsed for the patient to achieve immunity therefore this report is not considered a lack of effect. case is approved for void. based on the PQC evaluation/investigation performed.; Sender's Comments: V0- Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244944
Sex: M
Age:
State: VA

Vax Date:
Onset Date:
Rec V Date: 04/22/2021
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: 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 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 20210422183 and 20210439461.

Other Meds:

Current Illness:

ID: 1244945
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 04/10/2021
Rec V Date: 04/22/2021
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: SHAKY; HEART RACING; STOMACH PAIN; DIARRHEA; BODY ACHES/BODY PAIN; NAUSEA; FEVER 101F; This spontaneous report received from a parent concerned a 21 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: 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 10-APR-2021, the subject experienced stomach pain. On 10-APR-2021, the subject experienced diarrhea. On 10-APR-2021, the subject experienced body aches/body pain. On 10-APR-2021, the subject experienced nausea. On 10-APR-2021, the subject experienced fever 101f. Laboratory data included: Body temperature (NR: not provided) 101 F. On 12-APR-2021, the subject experienced heart racing. On 12-APR-2021, the subject experienced shaky. Laboratory data included: Blood glucose (NR: not provided) 120, and Heart rate (NR: not provided) 145. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the nausea, stomach pain, diarrhea, body aches/body pain, fever 101f, heart racing and shaky was not reported. This report was non-serious.; Sender's Comments: V0: Medical Assessment comment was not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1244946
Sex: F
Age:
State: WA

Vax Date:
Onset Date: 03/28/2021
Rec V Date: 04/22/2021
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: FALL; DIZZINESS, FEELING FAINT FELT LIKE BLACKOUT, LIKE FALLING DOWN, LIKE PASSING OUT; TINGLING; SHAKING; SKIN REACTION ON LEFT SIDE UPPER ANKLE AREA; FUNNY FEELING; NUMBNESS; HAND SWELLING; UNABLE TO FOCUS; BODY ACHES; FACE SWELLING; CONFUSION; BODY CHILLS; LIGHT HEADACHE; This spontaneous report received from a patient concerned a 56 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included black plastics color allergy, and other pre-existing medical conditions included the patient had no known allergies and the patient was not pregnant at the time of event reporting. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 121001A, expiry: UNKNOWN) dose was not reported, administered on 28-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 28-MAR-2021, the subject experienced body chills. On 28-MAR-2021, the subject experienced light headache. On 29-MAR-2021, the subject experienced body aches. On 29-MAR-2021, the subject experienced face swelling. On 29-MAR-2021, the subject experienced confusion. On 29-MAR-2021, the subject experienced hand swelling. On 29-MAR-2021, the subject experienced unable to focus. On 31-MAR-2021, the subject experienced funny feeling. On 31-MAR-2021, the subject experienced numbness. On 31-MAR-2021, the subject experienced skin reaction on left side upper ankle area. On 04-APR-2021, the subject experienced fall. On 04-APR-2021, the subject experienced dizziness, feeling faint felt like blackout, like falling down, like passing out. On 04-APR-2021, the subject experienced tingling. On 04-APR-2021, the subject experienced shaking. Laboratory data included: Blood test (NR: not provided) normal, Computerized tomography (NR: not provided) normal, and Urinalysis (NR: not provided) normal. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from body chills, body aches, numbness, face swelling, confusion, shaking, dizziness, feeling faint felt like blackout, like falling down, like passing out, light headache, funny feeling, fall, hand swelling, and unable to focus, and had not recovered from tingling, and skin reaction on left side upper ankle area. This report was non-serious.; Sender's Comments: V0: Medical assessment comment is not required as per standard procedure as case assessed as non-serious.

Other Meds:

Current Illness: Allergy to chemicals

ID: 1244947
Sex: M
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 04/22/2021
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: HEADACHE; ACHY ARM; This spontaneous report received from a patient concerned an 89 year old male. The patient's weight was 73.6 kilograms, and height was not reported. The patient's concurrent conditions included pulmonary hypertension.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were 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. Concomitant medications included selexipag for drug used for unknown indication, tadalafil non-company for drug used for unknown indication, and macitentan for pulmonary hypertension. On an unspecified date, the subject experienced headache, and achy arm. Laboratory data (dates unspecified) included: Pulmonary hypertension (NR: not provided) ICD-9 and ICD-10. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache and achy arm was not reported. This report was non-serious.

Other Meds: OPSUMIT; UPTRAVI; ADCIRCA

Current Illness: Pulmonary hypertension

ID: 1244948
Sex: M
Age:
State: AZ

Vax Date:
Onset Date: 04/10/2021
Rec V Date: 04/22/2021
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: PAIN; DRY HEAVING CONTINUOUSLY; BACK DISCOMFORT; DISCOMFORT IN SCAR TISSUE FROM HIS PRIOR SURGERIES; CHILLS; FEVER; NAUSEA; VOMITING; This spontaneous report received from a patient concerned a 64 year old male. The patient's height, and weight were not reported. The patient's past medical history included surgeries. 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 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced vomiting. On 10-APR-2021, the subject experienced chills. On 10-APR-2021, the subject experienced fever. On 10-APR-2021, the subject experienced nausea. On an unspecified date, the subject experienced pain, dry heaving continuously, back discomfort, and discomfort in scar tissue from his prior surgeries. Treatment medications (dates unspecified) included: hydrocodone bitartrate/paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting, and nausea, had not recovered from dry heaving continuously, and the outcome of chills, fever, pain, back discomfort and discomfort in scar tissue from his prior surgeries was not reported. This report was non-serious.; Sender's Comments: Medical assessment comment not required as per standard procedure as the case was assessed as non-serious.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm