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: 1253742
Sex: M
Age:
State: TX

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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: BODY SORENESS; FEELING BAD WHOLE SECOND DAY; FEVER; HEADACHE; This spontaneous report received from a consumer concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 09-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, the subject experienced body soreness, feeling bad whole second day, fever, and headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body soreness, feeling bad whole second day, fever, and headache on 12-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253743
Sex: M
Age:
State: MO

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: FEVER BLISTER ON LIP; 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) dose was not reported, administered on 22-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 fever blister on lip. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of fever blister on lip was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253744
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: FELT LIKE HIT BY A TRUCK; COULDN'T GET OUT OF BED; EVERYTHING HURT; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose, 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 felt like hit by a truck, couldn't get out of bed, and everything hurt. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the felt like hit by a truck, couldn't get out of bed and everything hurt was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253745
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 03/08/2021
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: HAS A SORE ARM AFTER THE INJECTION FROM A FEW WEEKS AGO; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805022 expiry: UNKNOWN) dose was not reported, administered on 08-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On 08-MAR-2021, the subject experienced has a sore arm after the injection from a few weeks ago. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from has a sore arm after the injection from a few weeks ago. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253746
Sex: M
Age:
State: AL

Vax Date:
Onset Date: 03/22/2021
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: CHILLS; FEVER; MILD HEADACHE; BODY ACHES AND PAINS; DIARRHEA; This spontaneous report received from a patient concerned a 47 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included familial tremors, non alcohol user, and smoker, and other pre-existing medical conditions included the patient had no known allergies and did not had drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805025, and expiry: UNKNOWN) dose was not reported, administered on 22-MAR-2021 for prophylactic vaccination on left arm. Concomitant medications included propranolol, and venlafaxine hydrochloride. On 22-MAR-2021, the subject experienced diarrhea. On 23-MAR-2021, the subject experienced body aches and pains. On 23-MAR-2021, the subject experienced fever. On 23-MAR-2021, the subject experienced mild headache. On an unspecified date, the subject experienced chills. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from diarrhea on 22-MAR-2021, and body aches and pains, fever, and mild headache on 23-MAR-2021, and the outcome of chills was not reported. This report was non-serious.

Other Meds: VENLAFAXINE HYDROCHLORIDE; PROPRANOLOL

Current Illness: Abstains from alcohol; Familial tremor; Smoker (Pack and a half in a day (cigarettes))

ID: 1253747
Sex: F
Age:
State:

Vax Date:
Onset Date:
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: CHILLS; LINGERING HEADACHE; This spontaneous report received from a consumer via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, start therapy date were not reported for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced chills, and lingering headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills and lingering headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253748
Sex: M
Age:
State: VT

Vax Date:
Onset Date: 03/22/2021
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: Pyrexia, White blood cell count decreased

Symptoms: FEVER; This spontaneous report received from a patient concerned an adult male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) 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 or lot number. No concomitant medications were reported. On 22-MAR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 101 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of fever was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253749
Sex: F
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: FAST HEARTBEAT; DIARRHEA; TIRED; SICKNESS; 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 15-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 sickness. On 19-MAR-2021, the subject experienced fast heartbeat. On 19-MAR-2021, the subject experienced diarrhea. On 19-MAR-2021, the subject experienced tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the tired, fast heartbeat, diarrhea and sickness was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253750
Sex: F
Age:
State: MA

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: FEVER; LOW ENERGY; EXTREME FATIGUE; SLEEPLESS; SEVERE HEADACHE; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805031 )expiry: UNKNOWN) dose was not reported, administered on 15-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 15-MAR-2021, the subject experienced severe headache. On 15-MAR-2021, the subject experienced sleepless. On 16-MAR-2021, the subject experienced extreme fatigue. On 21-MAR-2021, the subject experienced low energy. On 23-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered with sequelae from sleepless on 16-MAR-2021, was recovering from severe headache, and fever, and had not recovered from extreme fatigue, and low energy. The reporter considered related causality between covid-19 vaccine ad26.cov2.s and sleepless ,severe headache, fever ,extreme fatigue, and low energy and company causality between covid-19 vaccine ad26.cov2.s and sleepless ,severe headache, fever ,extreme fatigue, and low energy was possible. 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: 1253751
Sex: F
Age:
State: NY

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: FELT SOMETHING DRIPPING DOWN HER ARM; NEEDLE GO IN A LITTLE BURN; 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: 1805031, and expiry: UNKNOWN) dose was not reported, administered on 20-MAR-2021 to left arm for prophylactic vaccination. No concomitant medications were reported. On 20-MAR-2021, the subject experienced felt something dripping down her arm. On 20-MAR-2021, the subject experienced needle go in a little burn. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the felt something dripping down her arm and needle go in a little burn was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253752
Sex: F
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: VACCINE AFFECTED HORRIBLY; 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 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 vaccine affected horribly. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of vaccine affected horribly was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253753
Sex: M
Age:
State: CT

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: BACK ACHE; TINGLING ON BOTH HANDS / TINGLING SENSATION; NUMBNESS IN THE JOINTS; LEFT KNEE SWELLING; LEFT LEG MUSCLE ACHE; LEFT KNEE ACHE; HEADACHE; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 06-MAR-2021 08:30 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 06-MAR-2021, the subject experienced back ache. On 06-MAR-2021, the subject experienced tingling on both hands / tingling sensation. On 06-MAR-2021, the subject experienced numbness in the joints. On 06-MAR-2021, the subject experienced left knee swelling. On 06-MAR-2021, the subject experienced left leg muscle ache. On 06-MAR-2021, the subject experienced left knee ache. On 06-MAR-2021, the subject experienced headache. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache on 06-MAR-2021, and had not recovered from left knee ache, back ache, numbness in the joints, left knee swelling, left leg muscle ache, and tingling on both hands / tingling sensation. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253754
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 03/10/2021
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: HEAD FEELS HEAVIER THAN USUAL; SPOTTY SORENESS ALL OVER; NOT FEELING ENERGETIC; FEVER; MILD HEADACHE; This spontaneous report received from a patient concerned a 40 year old female. The patient's height, and weight were not reported. The patient's past medical history included none, and other pre-existing medical conditions included patient have no known allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on left deltoid 09-MAR-2021 for prophylactic vaccination. The batch number was not provided and has been requested No concomitant medications were reported. On MAR-2021, Laboratory data included: Body temperature (NR: not provided) 100 F. On 10-MAR-2021, the subject experienced head feels heavier than usual. On 10-MAR-2021, the subject experienced spotty soreness all over. On 10-MAR-2021, the subject experienced not feeling energetic. On 10-MAR-2021, the subject experienced fever. On 10-MAR-2021, the subject experienced mild headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever, head feels heavier than usual, and mild headache, and the outcome of not feeling energetic and spotty soreness all over was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253755
Sex: F
Age:
State: CA

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: ITCHINESS ALL OVER BODY AND FOREHEAD; 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 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 itchiness all over body and forehead. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from itchiness all over body and forehead. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253756
Sex: F
Age:
State: FL

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: 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: TIRED; HEADACHE; MILD FEVER; ARM SWOLLEN AT SITE OF INJECTION; BODY ACHE; CHILLS; SORE ARM AT SITE OF INJECTION; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802070, and expiry: UNKNOWN) dose was not reported, administered on 23-MAR-2021 at left arm for prophylactic vaccination. No concomitant medications were reported. On 23-MAR-2021, the subject experienced sore arm at site of injection. On 24-MAR-2021, the subject experienced body ache. On 24-MAR-2021, the subject experienced chills. On 24-MAR-2021, the subject experienced headache. On 24-MAR-2021, the subject experienced mild fever. On 24-MAR-2021, the subject experienced arm swollen at site of injection. On 24-MAR-2021, the subject experienced tired. Laboratory data included: Body temperature (NR: not provided) 97.6 degrees F. Treatment medications included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, mild fever, chills, body ache, arm swollen at site of injection, tired and sore arm at site of injection was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253757
Sex: F
Age:
State: NC

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

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

Lab Data:

Allergies:

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

Symptoms: VACCINE EXPOSURE VIA BREAST MILK; This spontaneous report received from a parent concerned a 13 month old female. The patient's weight, height, and medical history were not reported.The patient's parent received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808609, and batch number: 1808609 expiry: UNKNOWN) dose was not reported, administered on 24-MAR-2021 for an unspecified indication. No concomitant medications were reported. On 24-MAR-2021, the subject experienced vaccine exposure via breast milk. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of vaccine exposure via breast milk was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253758
Sex: M
Age:
State: WI

Vax Date:
Onset Date: 03/24/2021
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: BODY ACHE; HEADACHE; FEVER; This spontaneous report received from a patient concerned a 59 year old male. The patient's weight, height, and medical history were not reported. The patient experienced drug allergy when treated with amoxicillin. 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 24-MAR-2021at left arm for prophylactic vaccination. Batch number was not reported and has been requested No concomitant medications were reported. On 24-MAR-2021, the subject experienced body ache. On 24-MAR-2021, the subject experienced headache. On 24-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever, and had not recovered from headache, and body ache. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253759
Sex: F
Age:
State: KS

Vax Date:
Onset Date: 03/01/2021
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: PAIN IN EAR; PAIN BEHIND EYES; CAN NOT FALL ASLEEP; LOW BACK PAIN; PAIN BEHIND EAR; PAIN AND BODY ACHES; EXHAUSTED; SEVER HEADACHE; JOINT PAIN; COLD HANDS AND FEET; This spontaneous report received from a patient concerned a 70 year old female. The patient's height, and weight were not reported. The patient's past medical history included covid 19 infection, and concurrent conditions included chronic pain, kidney problems, on physiotherapy, non alcoholic, and non smoker, and other pre-existing medical conditions included she had more 3 drug allergy but not remember. The patient experienced drug allergy when treated with levofloxacin, and sulfacetamide sodium/sulfadiazine/sulfadimidine/sulfamerazine. 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 23-MAR-2021 on left arm for prophylactic vaccination. Concomitant medications included gabapentin for pain, and oxycodone hydrochloride/paracetamol for pain. On MAR-2021, the subject experienced cold hands and feet. On MAR-2021, the subject experienced joint pain. Laboratory data included: Blood pressure (NR: not provided) FINE, and Renal function test (NR: not provided) BETTER. On 24-MAR-2021, the subject experienced pain in ear. On 24-MAR-2021, the subject experienced pain behind eyes. On 24-MAR-2021, the subject experienced can not fall asleep. On 24-MAR-2021, the subject experienced low back pain. On 24-MAR-2021, the subject experienced pain behind ear. On 24-MAR-2021, the subject experienced pain and body aches. On 24-MAR-2021, the subject experienced exhausted. On 24-MAR-2021, the subject experienced sever headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from cold hands and feet on 24-MAR-2021, and low back pain on MAR-2021, had not recovered from sever headache, pain in ear, pain behind eyes, can not fall asleep, exhausted, pain and body aches, and joint pain, and the outcome of pain behind ear was not reported. This report was non-serious.

Other Meds: GABAPENTIN; PERCOCET

Current Illness: Abstains from alcohol; Chronic pain (On pain management.); Kidney disorder; Non-smoker; Physiotherapy (For pain)

ID: 1253760
Sex: U
Age:
State:

Vax Date:
Onset Date: 03/23/2021
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: BODY ACHE; SWEATING; SHIVERING; FEVER; HEADACHE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, the batch number was not reported. The Company is unable to perform follow-up to request batch/lot numbers) dose was not reported, administered on 23-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 23-MAR-2021, the subject experienced body ache. On 23-MAR-2021, the subject experienced sweating. On 23-MAR-2021, the subject experienced shivering. On 23-MAR-2021, the subject experienced fever. On 23-MAR-2021, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the fever, shivering, sweating, headache and body ache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253761
Sex: M
Age:
State: MI

Vax Date:
Onset Date: 03/13/2021
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: CONGESTED COUGH; LOW GRADE FEVER/HIGH FEVER; BODY ACHES; 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, , and batch number: 1805020 expiry: UNKNOWN) dose was not reported, administered on 13-MAR-2021 in the left arm for prophylactic vaccination. No concomitant medications were reported. On 13-MAR-2021, the patient experienced body aches. On 13-MAR-2021, the patient experienced low grade fever Laboratory data included: Body temperature (NR: not provided) 99.6-99.7. Laboratory data included: Body temperature (NR: not provided) 100.7-101. On 21-MAR-2021, the patient experienced congested cough. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from body aches, low grade fever, congested cough, and high fever. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253762
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
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: CHILLS; FEVER; This spontaneous report received from a patient via a company representative concerned a 28 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included alcohol use. 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. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, a couple hours after taking the vaccine, 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: Alcohol use

ID: 1253763
Sex: U
Age:
State:

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: Unevaluable event

Symptoms: ACHY LOWER BACK 6 HOURS AFTER VACCINATION; ARM SORENESS 3 HOURS AFTER VACCINATION; FULL BODY CHILLS 7 HOURS AFTER VACCINATION; SLIGHT HEADACHE 3 HOURS AFTER VACCINATION; TIREDNESS 6 HOURS AFTER VACCINATION; 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 expiry: 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 23-MAR-2021, the subject experienced achy lower back 6 hours after vaccination. On 23-MAR-2021, the subject experienced arm soreness 3 hours after vaccination. On 23-MAR-2021, the subject experienced full body chills 7 hours after vaccination. On 23-MAR-2021, the subject experienced slight headache 3 hours after vaccination. On 23-MAR-2021, the subject experienced tiredness 6 hours after vaccination. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the arm soreness 3 hours after vaccination, slight headache 3 hours after vaccination, tiredness 6 hours after vaccination, achy lower back 6 hours after vaccination and full body chills 7 hours after vaccination was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253764
Sex: F
Age:
State: MA

Vax Date:
Onset Date: 03/18/2021
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: LA

Lab Data:

Allergies:

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

Symptoms: SHINGLES(LEFT EAR HOT AND THROBBING); This spontaneous report received from a patient concerned a 66 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included alcohol user, non smoker, penicillin allergy, and sulphur allergy, and other pre-existing medical conditions included patient on antibiotic for shingles. The patient experienced drug allergy when treated with codeine non-company. 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 14-MAR-2021 16:45 for prophylactic vaccination on left arm. No concomitant medications were reported. On 18-MAR-2021, the subject experienced shingles (left ear hot and throbbing). Treatment medications (dates unspecified) included: oxycodone/paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from shingles (left ear hot and throbbing). This report was non-serious.

Other Meds:

Current Illness: Alcohol use (3 times a week); Non-smoker; Penicillin allergy

ID: 1253765
Sex: F
Age:
State:

Vax Date:
Onset Date: 03/24/2021
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: HEADACHE; FATIGUE; This spontaneous report received from a patient via a company representative concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 22-MAR-2021 for prophylactic vaccination. The batch number was not reported. We are unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On 24-MAR-2021, the subject experienced headache. On 24-MAR-2021, the subject experienced 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.

Other Meds:

Current Illness:

ID: 1253766
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: FLU LIKE SYMPTOMS; HEADACHE; FEVER; FATIGUE; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) 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 an unspecified date, the patient experienced flu like symptoms, headache, fever, and fatigue. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, flu like symptoms, fever and fatigue was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253767
Sex: F
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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: FEVER; FATIGUE; This spontaneous report received from a consumer concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unk) dose was not reported, administered on 23-MAR-2021 for prophylactic vaccination. The batch number was not reported. The company was unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On MAR-2021, the subject experienced fatigue. On 23-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from fever on MAR-2021, and had not recovered from fatigue. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253768
Sex: F
Age:
State: SC

Vax Date:
Onset Date: 03/24/2021
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: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: BODYACHE; CHILL; HEADACHE; FEVER; This spontaneous report received from a health care professional 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: 59676D58015 expiry: UNKNOWN) dose was not reported, administered on 24-MAR-2021 on left arm for prophylactic vaccination. No concomitant medications were reported. On 24-MAR-2021, the subject experienced bodyache. On 24-MAR-2021, the subject experienced chill. On 24-MAR-2021, the subject experienced headache. On 24-MAR-2021, the subject experienced fever. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the headache, bodyache, fever and chill was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253769
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: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: VACCINE ARM SORE, TENDER AND SENSITIVE; 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 15-MAR-2021 for prophylactic vaccination. The batch number was not reported. The company was unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On MAR-2021, the subject experienced vaccine arm sore, tender and sensitive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from vaccine arm sore, tender and sensitive. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253770
Sex: F
Age:
State: CT

Vax Date:
Onset Date: 03/24/2021
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: NOT ABLE TO SLEEP/INSOMNIA; SHAKES; SORE ALL OVER BODY/SORENESS; SEVERE HEADACHE; This spontaneous report received from a consumer concerned a 48 year old female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 1808609 expiry: UNKNOWN) dose was not reported, administered on 24-MAR-2021 01:00 pm for prophylactic vaccination on left deltoid. No concomitant medications were reported. On 24-MAR-2021, the subject experienced not able to sleep/insomnia. On 24-MAR-2021, the subject experienced shakes. On 24-MAR-2021, the subject experienced sore all over body/soreness. On 24-MAR-2021, the subject experienced severe headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from severe headache, not able to sleep/insomnia, and sore all over body/soreness, and the outcome of shakes was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253771
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: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: LOST APPETITE; SICK; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN, expiry: UNKNOWN) dose, start therapy date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up would be requested for this case. No concomitant medications were reported. On an unspecified date, the subject experienced lost appetite, and sick. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the sick and lost appetite was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253772
Sex: F
Age:
State: MI

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: RASH SPREAD OVER BODY; RASH WITHIN 45 MINUTES TO 1 HOUR ON RIGHT FOREARM; TIREDNESS; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number:1808609, and expiry date: unknown) dose was not reported, administered on 23-MAR-2021 for prophylactic vaccination at left arm. No concomitant medications were reported. On 23-MAR-2021, the patient experienced rash within 45 minutes to 1 hour on right forearm, tiredness. On 24-MAR-2021, the patient experienced rash spread over body. The patient spoke with her HCP in regarded to take Benadryl to help with the rash. No further information about it The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from rash within 45 minutes to 1 hour on right forearm, tiredness, rash spread over body. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253773
Sex: F
Age:
State: OH

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

Symptoms: FEVER; CHILLS; HEADACHE; NAUSEA; SWEATING; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported,) dose was not reported, administered on 24-MAR-2021 11:30 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced sweating. On MAR-2021, the subject experienced nausea. On 24-MAR-2021 15:00, the subject experienced chills. On 24-MAR-2021 15:00, the subject experienced headache. On 25-MAR-2021, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 101.7 F, 102.7 F. Treatment medications (dates unspecified) included: paracetamol, and acetylsalicylic acid/caffeine/paracetamol/salicylamide. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills, and headache on MAR-2021, and nausea, and had not recovered from fever, and sweating. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253774
Sex: M
Age:
State: GA

Vax Date:
Onset Date: 03/24/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: CHILLS; 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: 1805031 and expiry: UNKNOWN) dose was not reported, administered on 24-MAR-2021 at around 11:45 AM on left deltoid for prophylactic vaccination. No concomitant medications were reported. On 24-MAR-2021, the subject experienced chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from chills. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253775
Sex: F
Age:
State: LA

Vax Date:
Onset Date: 03/24/2021
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: MILD HEADACHE; This spontaneous report received from a patient concerned a 30 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included chronic headache, allergy with latex penicillin, and alcohol user. 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 24-MAR-2021 vaccinated at right arm for prophylactic vaccination. No concomitant medications were reported. On 24-MAR-2021, Laboratory data included: Headache (NR: not provided) 2 (units unspecified). On 24-MAR-2021 20:00, the subject experienced mild headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from mild headache. This report was non-serious.

Other Meds:

Current Illness: Alcohol use; Chronic headaches (15 headaches per month); Penicillin allergy

ID: 1253776
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: RASH; 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 rash. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of rash was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1253777
Sex: F
Age: 33
State: TX

Vax Date: 04/23/2021
Onset Date: 04/24/2021
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: none

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

Symptoms: fatigue, headache, nausea, body aches, chills/convulsions, fever, soaring heart rate (120 at rest)

Other Meds: Progesterone

Current Illness: none

ID: 1253778
Sex: F
Age:
State: CA

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: 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: SHAKY; FEELS ON EDGE/ANXIOUS; FEELS LIKE ESSENTIAL TREMOR; JOINT PAIN; FEELS LIKE RUNNING A FEVER; DULL HEADACHE; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's concurrent conditions included essential tremor, fibromyalgia, and autoimmune disorder. 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 13-MAR-2021 on left deltoid for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced shaky. On MAR-2021, the subject experienced feels on edge/anxious. On MAR-2021, the subject experienced feels like essential tremor. On MAR-2021, the subject experienced joint pain. On MAR-2021, the subject experienced feels like running a fever. On MAR-2021, the subject experienced dull headache. Laboratory data included: Body temperature (NR: not provided) 97.2. Laboratory data (dates unspecified) included: Autoimmune disorder (NR: not provided) positive. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from joint pain, had not recovered from dull headache, and shaky, and the outcome of feels on edge/anxious, feels like running a fever and feels like essential tremor was not reported. This report was non-serious.

Other Meds:

Current Illness: Autoimmune disorder; Essential tremor; Fibromyalgia

ID: 1253779
Sex: M
Age: 26
State: CO

Vax Date: 04/24/2021
Onset Date: 04/24/2021
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: Patient felt very lightheaded and dizzy after receiving vaccine, then he passed out.

Other Meds:

Current Illness:

ID: 1253780
Sex: F
Age: 33
State: CA

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: After 24 hours I start having fever, all night I had a fever on April 18th. I had a fever in the past and nothing was abnormal about this. On 19th started something I can not explain and never felt anything like this before. I felt dizzy, nausea, fever without a temperature, felt overheated, hard to breathe. It felt like I am on drugs to the point I could put clothes on and was feeling like I am passing out. I could think or talk or anything. My boyfriend drove me to the ER but unfortunately all they could say it is the side effects after the vaccine..Nothing helped, I was dizzy and felt like my heart will stop any second... Today is April 24, I feel better however feeling of nausea, headache, and a foggy mind is coming back in the different moments. I noticed that my ears and throat are still burning but I don't feel sick, it is something else. I tried to go out for lunch but couldn't spend there even an hour, the feeling coming back, I can't focus and the noise bothers me... I used to be a completely healthy person. I afraid nothing will help me. I would like to report these cruel side effects.

Other Meds: Vitamin D

Current Illness: none

ID: 1253781
Sex: F
Age: 48
State: CA

Vax Date: 04/16/2021
Onset Date: 04/24/2021
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: Cantaloupe, Watermelon

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

Symptoms: 5 days after shot - Extreme exhaustion 7 days after shot - swelling, heat, redness, itchiness (Covid Arm)

Other Meds: Vitamin D, Fish Oil, Turmeric

Current Illness: Seasonal allergies

ID: 1253782
Sex: F
Age: 28
State: NC

Vax Date: 04/24/2021
Onset Date: 04/24/2021
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: None

Symptom List: Pain in extremity

Symptoms: Immediately following IM injection of vaccine, patient reported feeling flushed and slight shortness of breath as needle was being removed. Patient denied progression of SOB, wheezing and sx resolved immediately. On auscultation, patient lungs were CTAB without w/r/r/c. No angioedema. Vitals: temp 98.8, HR 72, RR 22, BP 128./76 Patient reported all symptoms of feeling flushed and SOB resolved by 10:50 AM.

Other Meds: None

Current Illness: Increased Anxiety and Stress

ID: 1253783
Sex: F
Age: 45
State: MN

Vax Date: 04/13/2021
Onset Date: 04/15/2021
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: Penicillin

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

Symptoms: Shortly after my second dose I developed an extreme metallic taste in my mouth. Within days it consumed the limited sense of smell I had post-Covid (early January positive test). I have been looking into metallic taste, and at this point, I'm concerned because instead of improving, it is more pronounced. Additionally, my 18 year old son who had his first dose of Moderna on 4/4/21 started complaining of a metallic taste the next day and has also seen the taste/smell get worse. He is referring to any gas he expels as "chemical farts" because it does have an extreme chemical smell.

Other Meds: Wellbutrin, Lamotrogine, omneprazole

Current Illness: NA

ID: 1253784
Sex: F
Age: 17
State: CO

Vax Date: 04/24/2021
Onset Date: 04/24/2021
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: Patient felt lightheaded and dizzy after receiving the vaccine, and then passed out.

Other Meds:

Current Illness:

ID: 1253785
Sex: F
Age: 26
State: GA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Chills, fever (100.8), trouble breathing, chest congestion, exhaustion, body/joint aches and inflammation, nausea, brain fog lasting for 24 hours follow the 12 hours after getting the shot. Following day continuing exhaustion, trouble breathing, chest congestion, brain fog. Third day continuing trouble breathing and chest congestion.

Other Meds: None

Current Illness: None

ID: 1253786
Sex: F
Age: 64
State: FL

Vax Date: 03/19/2021
Onset Date: 03/19/2021
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: None

Symptom List: Vomiting

Symptoms: Muscle pain,chills,vomiting,fever, weakness, diarrhea, for 24 to 48 hours

Other Meds: Advair disc

Current Illness: None

ID: 1253787
Sex: F
Age: 33
State: MA

Vax Date: 04/20/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: redness and soreness in left arm close to where injection was given. itchy and burning sensation this happened 2 or 3 days after the vaccine

Other Meds:

Current Illness:

ID: 1253788
Sex: F
Age: 21
State: PA

Vax Date: 04/22/2021
Onset Date: 04/24/2021
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: Deet, cats, dogs

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

Symptoms: Hives all over body over the course of 2 days. Itching where hives are

Other Meds: Birth control

Current Illness: None

ID: 1253789
Sex: F
Age: 43
State: VA

Vax Date: 04/06/2021
Onset Date: 04/12/2021
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: My period would have begun week of 4/12, but it never came. I'm on birth control only to keep my period regular. I took a pregnancy test to make sure, and it was negative.

Other Meds: Birth Control

Current Illness:

ID: 1253790
Sex: M
Age: 36
State: CT

Vax Date: 04/06/2021
Onset Date: 04/11/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Debilitating tinnitus. Pressure in ears, intermittent pulsing sensation. Headaches, and dizziness. I?ve gotten my ears irrigated to clean them out. Tinnitus persists, pressure and pain remains.

Other Meds:

Current Illness:

ID: 1253791
Sex: F
Age:
State: CO

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

Lab Data:

Allergies:

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

Symptoms: SCALE/RASH AT SITE OF INJECTION; UPSET STOMACH; FELT LIKE CRAP; TENDER AND SORE ARM.; FEELS WIPED OUT; MUSCLE PAIN; RECURRENCE OF SIDE EFFECTS; FLU-LIKE SYMPTOMS; This spontaneous report received from a patient concerned a 73 year old female. The patient's height, and weight were not reported. The patient's past medical history included bone spur, and disc problem, and concurrent conditions included hypersensitivity to medication. 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 05-MAR-2021 for prophylactic vaccination. The patient vaccinated on left arm. No concomitant medications were reported. On 06-MAR-2021, the subject experienced flu-like symptoms. On 24-MAR-2021 04:15, the subject experienced recurrence of side effects. On an unspecified date, the subject experienced scale/rash at site of injection, upset stomach, felt like crap, tender and sore arm., feels wiped out, and muscle pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the tender and sore arm., scale/rash at site of injection, flu-like symptoms, feels wiped out, upset stomach, recurrence of side effects, felt like crap and muscle pain was not reported. This report was non-serious.

Other Meds:

Current Illness: Drug allergy (patient did not undergo surgery)

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm