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: 1253642
Sex: F
Age:
State: GA

Vax Date:
Onset Date: 03/18/2021
Rec V Date: 04/24/2021
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: HEADACHE; EXTREME TIRED; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included no smoking, and non alcohol user, and other pre-existing medical conditions included the patient had no known allergies and not any 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: 1805029 expiry: UNKNOWN) dose was not reported, administered on 18-MAR-2021 at right arm for prophylactic vaccination. No concomitant medications were reported. On 18-MAR-2021, the subject experienced headache. On 18-MAR-2021, the subject experienced extreme tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, and extreme tired. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Nonsmoker

ID: 1253643
Sex: M
Age:
State: WA

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: FELT SICK; NAUSEA; SORE ARM; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609, and expiry: UNKNOWN) dose was not reported, administered on 21-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced sore arm. On MAR-2021, the subject experienced nausea. On 22-MAR-2021, the subject experienced felt sick. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the sore arm, nausea and felt sick was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253644
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: CHILLS; FEVER; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) 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 chills, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever and chills was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253645
Sex: M
Age:
State: CA

Vax Date:
Onset Date: 03/18/2021
Rec V Date: 04/24/2021
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: BUMP ON THE SIDE OF LEFT EYE FILLED WITH PUS; 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: 1805020, expiry: UNKNOWN) dose was not reported, administered on 08-MAR-2021 to right arm for prophylactic vaccination. No concomitant medications were reported. On 18-MAR-2021, the subject experienced bump on the side of left eye filled with pus. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from bump on the side of left eye filled with pus. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253646
Sex: M
Age:
State: NY

Vax Date:
Onset Date: 03/21/2021
Rec V Date: 04/24/2021
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: TWO VACCINE ADMINISTERED FOR COVID-19; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown) dose was not reported, left arm administered on 12-MAR-2021 for prophylactic vaccination. Concomitant medications included mrna 1273 for prophylactic vaccination. On 21-MAR-2021, the subject experienced two vaccine administered for covid-19. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of two vaccine administered for covid-19 was not reported. This report was non-serious.

Other Meds: MRNA 1273

Current Illness:

ID: 1253647
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 03/24/2021
Rec V Date: 04/24/2021
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: DIZZINESS; CHILLS; FEVER; NAUSEA; MUSCLE SPASMS; GAS PAIN; This spontaneous report received from a patient concerned a 67 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: 1808978, and batch number: 1808978 expiry: UNKNOWN) dose was not reported, administered on 24-MAR-2021 13:00, in the left arm, for prophylactic vaccination. No concomitant medications were reported. On 24-MAR-2021, the subject experienced muscle spasms. On 24-MAR-2021, the subject experienced gas pain. On 24-MAR-2021 18:00, the subject experienced dizziness. On 24-MAR-2021 18:00, the subject experienced chills. On 24-MAR-2021 18:00, the subject experienced fever. On 24-MAR-2021 18:00, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills on 24-MAR-2021, and had not recovered from fever, nausea, dizziness, muscle spasms, and gas pain. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253648
Sex: U
Age:
State: DC

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: FEVER; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) 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 2021, the subject experienced fever. Laboratory data included: Fever (NR: not provided) 101 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of fever was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253649
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: ACHY; SENSITIVE TO TOUCH; COLD SWEATS; 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 was not reported, administered on 19-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced achy. On MAR-2021, the subject experienced sensitive to touch. On MAR-2021, the subject experienced cold sweats. On MAR-2021, the subject experienced chills. On MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not reported. The outcome of the chills, sensitive to touch, cold sweats, fever and achy was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253650
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: ITCHY; ARM SORENESS; LOW GRADE 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 expiry date: unknown) dose was not reported, administered on 23-MAR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On MAR-2021, the subject experienced arm soreness. On MAR-2021, the subject experienced itchy. On MAR-2021, the subject experienced low grade fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the arm soreness, itchy and low grade fever was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253651
Sex: U
Age:
State: DC

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: CHILLS; FEVER; NAUSEA; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN, expiry: UNKNOWN) dose, 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 chills, fever, and nausea. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 100 degree F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, chills and nausea was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253652
Sex: F
Age:
State: MA

Vax Date:
Onset Date: 03/06/2021
Rec V Date: 04/24/2021
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: BODY ACHES; LOST APPETITE; SWEATS; HARD TIME SLEEPING; UP/DOWN ALL NIGHT; CHILLS; FEELING OK, JUST A LITTLE TIRED; ARM WAS BURNING AFTER INJECTION; LOW GRADE TEMPERATURE; NAUSEA; This spontaneous report received from a patient concerned a 63 year old female. The patient's weight was 230 pounds, and height was 68 inches. The patient's past medical history included covid-19 positive, and concurrent conditions included diabetes mellitus, hypothyroidism, latex sensitivity, non-alcoholic, and non-smoker, and other pre-existing medical conditions included the patient had no 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: 1805022, and batch number: 1805022 expiry: UNKNOWN) dose was not reported, administered on 06-MAR-2021;14:00-15:00 on Right Arm. for prophylactic vaccination . No concomitant medications were reported. On 04-APR-2020, Laboratory data included: COVID-19 virus test positive (NR: not provided) POSITIVE. On 06-MAR-2021, the subject experienced body aches. On 06-MAR-2021, the subject experienced lost appetite. On 06-MAR-2021, the subject experienced sweats. On 06-MAR-2021, the subject experienced hard time sleeping. On 06-MAR-2021, the subject experienced up/down all night. On 06-MAR-2021, the subject experienced chills. On 06-MAR-2021, the subject experienced feeling ok, just a little tired. On 06-MAR-2021, the subject experienced arm was burning after injection. On 06-MAR-2021, the subject experienced low grade temperature. On 06-MAR-2021, the subject experienced nausea. Laboratory data included: Body temperature (NR: not provided) 98-99 F. Treatment medications included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, sweats, chills, low grade temperature, and nausea on 08-MAR-2021, lost appetite on 07-MAR-2021, feeling ok, just a little tired on 09-MAR-2021, and arm was burning after injection on 06-MAR-2021, and the outcome of hard time sleeping and up/down all night was not reported. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Diabetes mellitus; Hypothyroidism; Latex allergy; Non-smoker

ID: 1253653
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: I HAD EVERY SIDE AFFECT POSSIBLE; 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, once a total administered, 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 i had every side affect possible. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of i had every side affect possible was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253654
Sex: F
Age:
State: DC

Vax Date:
Onset Date: 03/20/2021
Rec V Date: 04/24/2021
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: CHILLS; TIREDNESS; NAUSEA; DIFFICULTY BREATHING; HIVES; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included asthma, and allergy to grass and trees.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609, expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 13:00 to left arm for prophylactic vaccination. Concomitant medications included salbutamol for asthma. On MAR-2021, treatment medications included: diphenhydramine hydrochloride. On 20-MAR-2021, the subject experienced difficulty breathing. On 20-MAR-2021, the subject experienced hives. On 20-MAR-2021, the subject experienced tiredness. On 20-MAR-2021, the subject experienced nausea. On 20-MAR-2021 20:00, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and nausea on 23-MAR-2021, recovered with sequelae from hives on 21-MAR-2021, and had not recovered from difficulty breathing, and tiredness. 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: ALBUTEROL HFA

Current Illness: Asthma; Seasonal allergy

ID: 1253655
Sex: M
Age:
State: TX

Vax Date:
Onset Date: 03/15/2021
Rec V Date: 04/24/2021
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: MILD FEVER; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 18052025, and expiry: UNKNOWN) dose was not reported, administered on 15-MAR-2021 at left arm for prophylactic vaccination. No concomitant medications were reported. On 15-MAR-2021, the subject experienced mild fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from mild fever on 16-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253656
Sex: M
Age:
State: FL

Vax Date:
Onset Date: 03/15/2021
Rec V Date: 04/24/2021
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: PAIN IN THE ARMPIT OF VACCINATED ARM; This spontaneous report received from a patient concerned a 48 year old male. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient had no known allergies.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, expiry: 25-MAY-2021) dose was not reported, administered on 14-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-MAR-2021, the subject experienced pain in the armpit of vaccinated arm. Treatment medications (dates unspecified) included: naproxen sodium. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from pain in the armpit of vaccinated arm. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253657
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: CHILLS; LOW GRADE FEVER; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, 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 chills, and low grade fever. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills and low grade fever was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253658
Sex: M
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: VOMITED; COVID 19 (SMELLS AND TASTES WAS ALTERED); NAUSEA; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020, expiry: UNKNOWN) dose was not reported, administered on 10-MAR-2021 for prophylactic vaccination on Left Deltoid. No concomitant medications were reported. On 09-DEC-2020, Laboratory data included: COVID-19 virus test (NR: not provided) Positive. On an unspecified date, the subject experienced vomited, covid 19 (smells and tastes was altered), feels like getting worse everyday, and nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from nausea, vomited, and covid 19 (smells and tastes was altered), and the outcome of feels like getting worse everyday was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253659
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 03/23/2021
Rec V Date: 04/24/2021
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: EXTREME DIZZINESS; ELEVATED BLOOD PRESSURE; HEART RATE 80; FATIGUE; MUSCULAR PAIN IN ARM; 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 patient had no known 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 23-MAR-2021 12:30 for prophylactic vaccination. No concomitant medications were reported. On 23-MAR-2021, the subject experienced elevated blood pressure. On 23-MAR-2021, the subject experienced heart rate 80. On 23-MAR-2021, the subject experienced fatigue. On 23-MAR-2021, the subject experienced muscular pain in arm. Laboratory data included: Blood pressure (NR: not provided) 137/80 mmHg, and Heart rate (NR: not provided) 80 BPM (units unspecified). On 24-MAR-2021, the subject experienced extreme dizziness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from muscular pain in arm, fatigue, extreme dizziness, elevated blood pressure, and heart rate 80. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253660
Sex: M
Age:
State: DC

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: FLU LIKE SYMPTOMS; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, 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 flu like symptoms. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of flu like symptoms was not reported. This report was non-serious. Version created to amend previously reported information on 23-MAR-2021. Upon review, the following information was amended: Reporter type in tab and narrative, medically confirm tab and due diligence corrected.

Other Meds:

Current Illness:

ID: 1253661
Sex: U
Age:
State: DC

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: ACHE; LOSS OF SENSE OF SMELL; FEVER; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 13-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced ache. On MAR-2021, the subject experienced loss of sense of smell. On MAR-2021, the subject experienced fever. Laboratory data included: COVID-19 virus test (NR: not provided) negative. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, ache and loss of sense of smell was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253662
Sex: F
Age:
State: SC

Vax Date:
Onset Date: 03/17/2021
Rec V Date: 04/24/2021
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: CAN HARDLY WALK; SWOLLEN KNEES; SEVERE PAIN ON BOTH KNEES BUT WORSE IN LEFT KNEE; FEVER; HEADACHE; SLEPT POORLY; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's past medical history included right knee replacement surgery, and concurrent conditions included osteoarthritis.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609 expiry: UNKNOWN) dose was not reported, administered on 17-MAR-2021 to right arm for prophylactic vaccination. No concomitant medications were reported. On 17-MAR-2021, the subject experienced slept poorly. On 17-MAR-2021, the subject experienced fever. On 17-MAR-2021, the subject experienced headache. On 20-MAR-2021, the subject experienced can hardly walk. On 20-MAR-2021, the subject experienced swollen knees. On 20-MAR-2021, the subject experienced severe pain on both knees but worse in left knee. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever, and headache on 18-MAR-2021, was recovering from slept poorly, and had not recovered from can hardly walk, severe pain on both knees but worse in left knee, and swollen knees. This report was non-serious.

Other Meds:

Current Illness: Osteoarthritis (Osteoarthritis in other joints (wrist and back) and mainly in knees)

ID: 1253663
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: FLU-LIKE EFFECTS; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. The patient's concurrent conditions included kidney stones. 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, frequency 1 total, administered on MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced flu-like effects. 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 was recovering from flu-like effects. This report was non-serious. This case, from the same reporter is linked to 20210341909.

Other Meds:

Current Illness: Kidney stones

ID: 1253664
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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; HEADACHE; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) 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 fever, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever and headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253665
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: VOMITING; BODY ACHE; FEVER; NAUSEA; 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. 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 vomiting, body ache, fever, and nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from vomiting, body ache, fever, and nausea. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253666
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: COUGHING; CHILLS; FEVER; This spontaneous report received from a patient . 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 was not reported and is requested) 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 coughing, chills, and fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, chills and coughing was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253667
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: POOPY FEELING; HEADACHE; TIRED; BACK 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: 1805029 expiry: UNKNOWN) dose was not reported, 1 total, administered on 22-MAR-2021 09:30 for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced back ache. On MAR-2021, the subject experienced headache. On MAR-2021, the subject experienced tired. On 23-MAR-2021, the subject experienced poopy feeling. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, back ache, poopy feeling and tired was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253668
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: BODY ACHES; FLU LIKE SYMPTOMS; SHIVERING; HEADACHE; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included received pfizer in past and had no problems. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, expiry: UNKNOWN) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced body aches, flu like symptoms, shivering, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the flu like symptoms, shivering, headache and body aches was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253669
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: MILD BODY ACHES; SLIGHT HEADACHE; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow-up to request batch/lot no. No concomitant medications were reported. On an unspecified date, the subject experienced mild body aches, and slight headache. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from mild body aches, and slight headache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253670
Sex: F
Age:
State:

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: SICK; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced sick. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of sick was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253671
Sex: U
Age:
State: DC

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: FEVER OF 101.2 DEGREES FAHRENHEIT; HEADACHE; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, the batch number was not reported and has been requested) dose, start therapy date were not reported for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced fever of 101.2 degrees Fahrenheit, and headache. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 101.2 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever of 101.2 degrees Fahrenheit and headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253672
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/19/2021
Rec V Date: 04/24/2021
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: LETHARGY; NAUSEA; CHILLS; FEVER; BODY ACHES; SWEATS; DIARRHEA; SORE ARM; 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 was not reported) dose was not reported, administered on 19-MAR-2021 for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow-up to request batch/lot number. No concomitant medications were reported. On 19-MAR-2021, the subject experienced sore arm. On 20-MAR-2021, the subject experienced body aches. On 20-MAR-2021, the subject experienced sweats. On 20-MAR-2021, the subject experienced diarrhea. On 20-MAR-2021, the subject experienced chills. On 20-MAR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 102.8 F. Treatment medications included: paracetamol. On 21-MAR-2021, the subject experienced lethargy. On 21-MAR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, and lethargy on 22-MAR-2021, sweats, diarrhea, chills, fever, and nausea on 21-MAR-2021, and sore arm on 19-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253673
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: THIRSTY; SORE ARM; TIRED; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular) dose was not reported, administered on 13-MAR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, the patient experienced thirsty, sore arm, and tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the thirsty, tired and sore arm was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253674
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: FEELING BEARISH; MINOR ACHES; MODERATE CHILLS; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 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 feeling bearish, minor aches, and moderate chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the moderate chills, feeling bearish and minor aches was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253675
Sex: U
Age:
State: DC

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: BODY ACHES; CHILLS; SORE ARM; NAUSEA; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 19-MAR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On MAR-2021, the subject experienced body aches. On MAR-2021, the subject experienced chills. On MAR-2021, the subject experienced sore arm. On MAR-2021, the subject experienced nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the body aches, chills, nausea and sore arm was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253676
Sex: U
Age:
State: DC

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: SEVERE CHILLS; NAUSEA; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) 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 severe chills, and nausea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the nausea and severe chills was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253677
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 03/23/2021
Rec V Date: 04/24/2021
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: UPPER BODY ACHES; CHILLS; FEVER; This spontaneous report received from a patient concerned a 54 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included high blood pressure, non smoker, and alcohol user, and other pre-existing medical conditions included patient had no known drug allergies or no drug abuse or illicit illicit allergy. 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) once a total dose was not reported, administered on 23-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On 23-MAR-2021, the subject experienced upper body aches. On 23-MAR-2021, the subject experienced chills. On 23-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from chills, and had not recovered from fever, and upper body aches. This report was non-serious.

Other Meds:

Current Illness: Alcohol use; Blood pressure high; Non-smoker

ID: 1253678
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: HEADACHE; FATIGUE; 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 was not reported, administered on 20-MAR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, the subject experienced headache, and fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache and fatigue was not reported. This report was non-serious. This case, from the same reporter is linked to 20210350883.

Other Meds:

Current Illness:

ID: 1253679
Sex: M
Age:
State: FL

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: ACHE-Y BACK; FEVER; EXHAUSTED; UNCOMFORTABLE; TIRED; MUSCLE ACHES; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's height, and weight were not reported. The patient's past medical history included covid-19. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, expiry: UNKNOWN) dose was not reported, administered on 22-MAR-2021 09:30 for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced muscle aches. On 22-MAR-2021, the subject experienced uncomfortable. On 22-MAR-2021, the subject experienced tired. On 23-MAR-2021, the subject experienced ache-y back. On 23-MAR-2021, the subject experienced fever. On 23-MAR-2021, the subject experienced exhausted. Laboratory data included: Body temperature (NR: not provided) 101.5 F. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, muscle aches, tired, uncomfortable, ache-y back and exhausted was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253680
Sex: U
Age:
State: DC

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: SIDE EFFECTS; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced side effects. Treatment medications (dates unspecified) included: ibuprofen. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of side effects was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253681
Sex: F
Age:
State: NM

Vax Date:
Onset Date: 03/23/2021
Rec V Date: 04/24/2021
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: FEELING COLD; SHAKING; FELT MUSCLES OF BACK GETTING TIRED; CLIMBING TEMPERATURE BUT NOT FEVER; CHILLS; SLIGHT HEADACHE; This spontaneous report received from a patient concerned a 26 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included seasonal allergies, no alcohol use, and nonsmoker, and other pre-existing medical conditions included the patient had no drug abuse or illicit drug usage. The patient was not pregnant at the time of reporting. The patient's past medications included birth control vitamins. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 1805018 expiry: UNKNOWN) dose was not reported, administered on left arm on 23-MAR-2021 13:00 for prophylactic vaccination. No concomitant medications were reported. On FEB-2021, Laboratory data included: Blood test (NR: not provided) Normal. On 01-FEB-2021, Laboratory data included: Pregnancy test urine (NR: not provided) Normal. On 23-MAR-2021, the subject experienced felt muscles of back getting tired. On 23-MAR-2021, the subject experienced climbing temperature but not fever. On 23-MAR-2021, the subject experienced chills. On 23-MAR-2021, the subject experienced slight headache. Laboratory data included: Body temperature (NR: not provided) 98 to 98.3 F, 100 F, 99.5 F. On 23-MAR-2021 19:00, the subject experienced shaking. On 23-MAR-2021 19:00, the subject experienced feeling cold. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from shaking, climbing temperature but not fever, and chills on 23-MAR-2021, was recovering from slight headache, had not recovered from felt muscles of back getting tired, and the outcome of feeling cold was not reported. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Nonsmoker; Seasonal allergy (Happens every 5 years)

ID: 1253682
Sex: F
Age:
State: AL

Vax Date:
Onset Date: 03/23/2021
Rec V Date: 04/24/2021
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: HEADACHE; FATIGUE; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's past medical history included diabetes. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808978, and batch number: 1808978 expiry: UNKNOWN) once a total dose was not reported, administered on 23-MAR-2021 09:45 at left deltoid for prophylactic vaccination. No concomitant medications were reported. On 23-MAR-2021, the subject experienced headache. On 23-MAR-2021, the subject experienced fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from headache, and fatigue. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253683
Sex: U
Age:
State: DC

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: CHILLS; JOINT PAIN; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 22-MAR-2021 11:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced chills. On MAR-2021, the subject experienced joint pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills and joint pain was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253684
Sex: F
Age:
State: TN

Vax Date:
Onset Date: 03/21/2021
Rec V Date: 04/24/2021
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: BLOOD VESSELS POPPED IN ARMS AND HANDS; SWELLING IN HANDS AND ARM; NECK PAIN; ACHE; KNEES WERE STIFF; RED RASH ON ARMS, NECK AND FACE; JOINT PAIN; This spontaneous report received from a patient concerned a 55 year old female. The patient's height, and weight were not reported. The patient's past medical history included sprained knee, and concurrent conditions included heart disease, type 1 diabetes mellitus, type 2 diabetes mellitus, alcohol use, non-smoker, and tetracycline allergy. The patient experienced drug allergy when treated with codeine, and hydrocodone bitartrate/paracetamol. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029, expiry: UNKNOWN) dose was not reported, administered on 21-MAR-2021 12:30 to left arm for prophylactic vaccination. No concomitant medications were reported. On 21-MAR-2021, the subject experienced blood vessels popped in arms and hands. On 21-MAR-2021, the subject experienced peripheral swelling. On 21-MAR-2021, the subject experienced neck pain. On 21-MAR-2021, the subject experienced ache. On 21-MAR-2021, the subject experienced knees were stiff. On 21-MAR-2021, the subject experienced red rash on arms, neck and face. On 21-MAR-2021, the subject experienced joint pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from red rash on arms, neck and face, peripheral swelling, blood vessels popped in arms and hands, neck pain, joint pain, ache, and knees were stiff. This report was non-serious.; Sender's Comments: V0: Medical assessment comment not required as per standard procedure since case was assessed as non serious.

Other Meds:

Current Illness: Alcohol use (Rarely. Patient has not drank any alcohol drinks since receiving vaccine (drinks 3 times per year).); Allergic reaction to antibiotics (swelling, redness, nausea to Tetracycline); Heart disease, unspecified; Non-smoker; Type 1 diabetes mellitus; Type II diabetes mellitus

ID: 1253685
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: DIZZY; REALLY HOT; This spontaneous report received from a patient concerned a 66 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, 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 dizzy, and really hot. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the dizzy and really hot was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253686
Sex: U
Age:
State: DC

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: BODY ACHES; BODY CHILLS; FEVER; HEADACHE; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on MAR-2021 for prophylactic vaccination. No concomitant medications were reported. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers On MAR-2021, the subject experienced fever. On MAR-2021, the subject experienced headache. On MAR-2021, the subject experienced body chills. On MAR-2021, the subject experienced body aches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, body aches, body chills and headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253687
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: FEVER; This spontaneous report received from a consumer concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccinationThe batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced fever. Laboratory data (dates unspecified) included: Body temperature (NR: not provided) 101 deg. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253688
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: ACHY; SORE; SLUGGISH; COLD; SWEATY; FOGGY; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 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 2021, the subject experienced achy. On 2021, the subject experienced sore. On 2021, the subject experienced sluggish. On 2021, the subject experienced cold. On 2021, the subject experienced sweaty. On 2021, the subject experienced foggy. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the achy, sore, sluggish, cold, sweaty and foggy was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253689
Sex: F
Age:
State:

Vax Date:
Onset Date: 03/19/2021
Rec V Date: 04/24/2021
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: LOWERING OF WHITE BLOOD CELL COUNT; 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, 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 19-MAR-2021, the subject experienced lowering of white blood cell count. Laboratory data included: White blood cell count (NR: not provided) Lower. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of lowering of white blood cell count was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253690
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/24/2021
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: TASTE BUDS AFFECTED; METALLIC TASTE; 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 and expiry: unknown) dose was not reported, administered on 09-MAR-2021 for prophylactic vaccination. The batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, the subject experienced taste buds affected, and metallic taste. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the taste buds affected and metallic taste was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253691
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/24/2021
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: FEVER; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on MAR-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever. This report was non-serious.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm