National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/7/2022 release of VAERS data:

Found 6,644 cases where Vaccine is COVID19 and Manufacturer is MODERNA and Symptom is Cerebral venous sinus thrombosis or Cerebral venous thrombosis or Coagulopathy or Deep vein thrombosis or Disseminated intravascular coagulation or Embolism or Idiopathic thrombocytopenic purpura or Immune thrombocytopenia or Immune thrombocytopenic purpura or Ischaemic stroke or Myocardial infarction or Petechiae or Pulmonary embolism or Purpura or Thrombocytopenia or Thrombosis or Vasculitis

Government Disclaimer on use of this data



Case Details

This is page 26 out of 665

Result pages: prev   17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35   next


VAERS ID: 1049963 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: California  
Vaccinated:2021-01-12
Onset:2021-01-22
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Myocardial infarction, Pulse absent, Respiratory arrest, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-22
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: chlorpromazine 800mg QHS amantadine 100mg BID divalproex 1000mg QAM, 1500mg QHS haloperidol decanoate 225mg Q2weeks amlodipine 5mg QHS carvediol6.25mg BID docusate sodium 250mg BID fluticasone propionate 1 spray each nostril BID lisinopril
Current Illness:
Preexisting Conditions: obese, pre-diabetic, hypertension, atherosclerotic disease, coronary artery blockage, schizoaffective disorder Tested COVID-19 positive on 1/21/2021, asymptomatic, 1-1/2 weeks after first COVID-19 vaccination
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Found lying face down without respiration or pulse, believed to be within 5 minutes of event. ACLS procedures unsuccessful. Unable to get autopsy. Believed to be heart attack secondary to COVID infection, but unconfirmed. Relative contribution of recent vaccination unknown.


VAERS ID: 1049991 (history)  
Form: Version 2.0  
Age: 96.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-02-12
Onset:2021-02-16
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: 4 days after receiving the vaccine in his left arm, my father developed a blood clot in his left arm that required emergency hospitalization and large doses of blood thinners.


VAERS ID: 1050137 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-02-21
Onset:2021-02-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031M20A / 2 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Agonal death struggle, Back pain, Blood chloride decreased, Blood creatinine increased, Blood glucose increased, Blood lactic acid, Blood potassium increased, Blood sodium normal, Blood urea increased, Brain natriuretic peptide increased, C-reactive protein increased, C-reactive protein normal, Chest X-ray abnormal, Contusion, Death, Electrocardiogram, Electrocardiogram abnormal, Haematocrit increased, Haemoglobin increased, Headache, Hyperglycaemia, Hypotension, Lung opacity, Pacemaker generated rhythm, Petechiae, Troponin, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tumour lysis syndrome (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-23
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Entresto, Metoprolol, Spironolactone, Vit D, Lasix, Flomax, Digoxin, Eliquis, Tradjenta, ASA, Novolog Flex pen, Levothyroxine, Vit B12, Lipitor, Aricept, Temazepam, Lorazepam, Glucose prn.
Current Illness: Fall on 2/15/21 pm resulting in skin tear requiring dressing. Pt Seen on 2/16 for skin tear repair secondary to fall the pm prior. Vital signs WNL. Pt returned on 2/20/21 for dressing change. Vital signs WNL. Pt received second Moderna Vaccination on 2/21/21 at 1:00 pm at Pharmacy. Pt present on 2/22/21 to ER via ambulance at 1940. Upon presentation C/C hypotension Post COVID vaccine. Nurse notes Home Health nurse sent secondary to hypotension and hyperglycemia. Pt states back ached and was holding his head. Nurse noted pt had random petechiae over body and bruising to abdomen following injections received during recent hospitalization. (unknown hospitalization)
Preexisting Conditions: Hypertension, MI, CHF, DM, CRF, Thyroid, High Cholesterol, Prostate
Allergies: Shrimp, Red Man Syndrome, Cleocin, Clindamycin
Diagnostic Lab Data: 2/22/21: CBC WBC 11.74, H/H: 8.6/26.8. Glu $g625mg/dl, BUN 70, Creatnine $g4.10, Sodium <114, Potassium $g6.8, Cl 81, Troponin 0.583, CRP 1.5 BNP 26900, Lactate 8.4 CXR: Subtle inter stitial opacities could represent atelectasis, superimposed mild bronchitis or edema suspected.EKG: Ventricular Paced rhythm. Unsure if death applicable as adverse event secondary to vaccination. Physician noted Vascular Collapse post covid vaccine.
CDC Split Type:

Write-up: Pt received second Moderna Vaccination on 2/21/21 at 1:00 pm at Pharmacy. Pt present on 2/22/21 to ER via ambulance at 1940. Upon presentation C/C hypotension Post COVID vaccine. Nurse notes states that Home Health nurse sent patient to ER secondary to hypotension and hyperglycemia. Pt states back ached and was holding his head. Nurse noted pt had random petechiae over body and bruising to abdomen following injections received during recent hospitalization. (unknown hospitalization). Patient was treated with IVF bolus in addition to initiating Dopamine for hypotension, patient became agonal and daughter at bedside presented Adv. Directive, pt was DNR. Pt pronounced time of death was 2110pm. (Pt only reported a sore shoulder secondary to vaccine).


VAERS ID: 1051872 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-02-17
Onset:2021-02-18
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030M20A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Blood test, Computerised tomogram thorax, Delirium, Dyspnoea, Echocardiogram normal, Fibrin D dimer increased, General physical health deterioration, Myalgia, Pulmonary embolism, Pyrexia, Ultrasound Doppler
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASA 81 mg Symbicort Spiriva Amlodipine
Current Illness: None
Preexisting Conditions: COPD
Allergies: Latex, sulfa drugs, statins
Diagnostic Lab Data: D-Dimer elevated (number not available right now) 02/18/2021 CT angiogram 02/18/2021 - multiple pulmonary emboli in right upper and lower lobes ECHO cardiogram 02/19/2021 - wnl Doppler ultrasound of lower extremities - no DVT
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine: The morning after injection, she developed shortness of breath, fever, muscle pains, joint pains, delirium. 911 called. EMTs transported her to Hospital where she was admitted after blood tests and CT angiogram of the chest indicated multiple pulmonary emboli in right upper and lower lobes of the lung. Unconscious at the time of admission. Discharged after 3 days. Continues to have significant shortness of breath. Unknown if this will be permanent or lead to death. Reasonably stable at present time although unable to function.


VAERS ID: 1052095 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-01-24
Onset:2021-02-14
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Deep vein thrombosis, Ultrasound Doppler abnormal, Ultrasound scan abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Humira, budensonide, estarylla
Current Illness: None
Preexisting Conditions: Ulcerative colitis
Allergies: None
Diagnostic Lab Data: US of left lower extremity confirming DVT of femoral, popliteal, soleus, gastro
CDC Split Type:

Write-up: DVT left lower extremity


VAERS ID: 1052478 (history)  
Form: Version 2.0  
Age: 96.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-02-22
Onset:2021-02-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Facial paralysis, Ischaemic stroke, Magnetic resonance imaging brain abnormal, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient presented to the emergency department after being found down in her home and presented with right upper and lower extremity weakness and a right-sided facial droop. Patient''s presentation was consistent with an acute ischemic stroke which was confirmed on MRI.


VAERS ID: 1052496 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-02-14
Onset:2021-02-15
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011M20A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Echocardiogram, Electrocardiogram, Full blood count, Hypoaesthesia, Ischaemic stroke, Lipids, Magnetic resonance imaging, Paraesthesia, Ultrasound Doppler, Vertebrobasilar stroke
SMQs:, Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlopidine 2.5 mg, multi-vitamin, fish oil, calcium, strontium, digestive enzymes, ubiquinol , querciplex, DGL, Vitamin D3, Zinc, Buffered Vitamin C
Current Illness: None
Preexisting Conditions: Diverticulosis, recurring diverticulitis, microscopic colitis, osteoporosis.
Allergies: Allergic to pencillins, erythromycin, tetracycline, levaquin, dextromethorphan. No food allergies
Diagnostic Lab Data: 2/19/2021 MRI, CBC, Lipid, ECG, etc. 2/20/2021 Echocardiogram 2/21/2021 Carotid ultrasound
CDC Split Type:

Write-up: Numbness and tingling on right side of body, onset < 24 hours after vaccine was administered. Equilibrium affected. Treated at hospital ER and admitted. Acute ischemic VBA thalamic stroke.


VAERS ID: 1052555 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-02-23
Onset:2021-02-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 015M20A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cold sweat, Livedo reticularis, Purpura, Skin discolouration
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Medications (19) Active Scheduled: (18) bisacodyl 10 mg rectal suppository 10 mg 1 supp, Rectal, HS busPIRone 10 mg tablet 10 mg 1 tabs, Oral, BID busPIRone 10 mg tablet 5 mg 0.5 tabs, Oral, NOON denosumab 60 mg/mL syringe 60 mg 1 mL, S
Current Illness: UTI
Preexisting Conditions: 1. Severe Intellectual Disability 2. Obsessive-Compulsive Disorder 3. Primary Insomnia 4. CHARGE Syndrome per history: 5. Blindness OU secondary to Coats?s disease with retinal detachments: 6. Congenital hypothalamic dysfunction (PAN-HYPOPITUITARISM): 7. Hypogonadotropic hypogonadism with cryptorchidism: 8. Severe Generalized Osteoporosis (with no known pathological fractures) secondary to hypothalamic dysfunction 9. Chronic Hyperprolactinemia secondary to congenital hypothalamic dysfunction: 10. MILD Chronic renal insufficiency 12. Central Diabetes Insipidus 13. Small hiatal hernia s/p fundoplication with h/o GERD and Gastritis and dilated esophagus 14. Rumination syndrome with occasional regurgitation s/p hiatal hernia repair and Nissen fundoplication 15. Moderate Oropharyngeal dysphagia per 2010 and 2017 MBS 16. Periventricular nodular heterotopy per 01/31/17 MRI brain with and without contrast 17. Moderate-severe hearing loss at least in the better ear: 18. Edentulous 19. OCCASIONAL bowel and bladder incontinence: 20. Chronic Constipation 21. Central Hypothyroidism 22. Marked S-shaped scoliosis noted incidentally on imaging study 23. Generalized tonic-clonic seizure disorder
Allergies: ACEI, lorazepam, NSAIDs
Diagnostic Lab Data: 2/24/21 10:42 vital signs were normal (temp 36.5 C, HR 90, RR 18, BP 110/80).
CDC Split Type:

Write-up: 2/24/21 at 12:00, received call from PCP, noting patient had mottled, purple skin on arms and legs (sun exposed areas). No rashes or other side effects noted on 2/24/21 01:54 Nursing Progress Note, but 2/24/21 12:01 Nursing Progress Note stated ?There is a purple discoloration/rash/splotches on his arms and legs that PCP came to assess this morning?. PCP noted in retrospect, a similar event happened soon after his 1st vaccine dose - he received his first COVID-19 vaccine dose 1/26/21 at 13:00. Nursing Progress note from 1/27/21 at 18:05, stated patient was transfered to ER for ??cool clammy skin and discoloration all over body?? (he was admitted for UTI, so it was thought his clammy discolored skin was associated with this acute illness) - He recovered from this first event without issue.


VAERS ID: 1052571 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-02-23
Onset:2021-02-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006M20H / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Asthenia, Balance disorder, Body temperature increased, Chest pain, Cyanosis, Dyspnoea, Electrocardiogram abnormal, Myocardial infarction, Pallor, Pyrexia, Restlessness, Use of accessory respiratory muscles
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Akathisia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Spiriva Respimat Aerosol Solution 1.25 MCG/ACT (Tiotropium Bromide Monohydrate), Levothyroxine Sodium Tablet 25 MCG, Divalproex Sodium Capsule Delayed Release Sprinkle 125 MG, Aspir-Low Tablet Delayed Release 81 MG (Aspirin), rOPINIRole HCl
Current Illness: N/A
Preexisting Conditions: UNSPECIFIED DEMENTIA , UNSPECIFIED OSTEOARTHRITIS, HX COVID-19, HX PNEUMONIA, DYSPHAGIA, GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS, BENIGN PROSTATIC HYPERPLASIA WITHOUT LOWER URINARY TRACT SYMPTOMS, HYPERTROPHY OF BREAST, PURE HYPERCHOLESTEROLEMIA, ESSENTIAL (PRIMARY) HYPERTENSION, CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH (ACUTE) EXACERBATION, HYPOTHYROIDISM, TYPE 2 DIABETES MELLITUS WITHOUT COMPLICATIONS
Allergies: Lactose Intolerant
Diagnostic Lab Data: EKG and other diagnostic tests.
CDC Split Type:

Write-up: Resident came up to staff and approximately 1400 and said, "I have a fever" - temperature was assessed and was 98.4 resident came back several minutes later and stated again, "I have a fever" - temperature assessed again and was 98.2 - staff asked if resident had his window open, he stated no - staff suggested maybe he open up his window because it is quite warm in the building at this time. Resident said ok - went back into room - staff told writer he had c/o "I have a fever" while staff was in change of shift report and they assessed fever and it was 97.1. Around 1525, Resident noted to have sudden SOB. PRN albuterol neb given. RR before neb was 40 and did not improve. BP 136/66, pulse 158, temp 101.7 tympanic, and O2 sats 76% RA. Placed on supplemental O2 and sat came up to 86% on 3 L. Resident then started to complain of chest pain. Resident was weak and unsteady and insisted on standing but was guided to his chair to sit down. Resident said he wished to go to ER and daughter in agreement. 911 called. Writer assisting with transferring resident out to hospital. While waiting for ambulance, patient restless and visibly short of breath. Lips with blue discoloration, pale appearance, and breathing with accessory muscles. Changing positions frequently from lying to sitting and standing due to being uncomfortable. Temp 103.2 in left hear and 102.5 in right ear. Respirations 36. Blood pressure unable to be checked due to restlessness and moving around. Pulse 167. O2 92% with nasal cannula on 3L. Asked him to point to the pain and he pointed to his upper abdomen, but describes it as chest pain. Per EMTs he is being sent to clinic instead of the other clinic due to abnormal EKG readings. Received update from EMT around 1700 that patient arrived to ER and heart attack was confirmed so patient was being sent to cath lab for angioplasty procedure.


VAERS ID: 1052707 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: California  
Vaccinated:2021-02-17
Onset:2021-02-18
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042L20A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein, Cardiac telemetry, Chest pain, Chills, Deep vein thrombosis, Echocardiogram, Electrocardiogram ST segment abnormal, Fatigue, Gastrointestinal disorder prophylaxis, Malaise, Pain, Pyrexia, Red blood cell sedimentation rate, Troponin increased
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: NKA
Diagnostic Lab Data: Plan: Admit to cardiac telemetry ASA, Plavix serial troponin will check for CRP, ESR, 2D echo cardiogram cardiologist consultation with Dr. was consulted DVT and GI prophylaxis
CDC Split Type:

Write-up: Chief Complaint fever and chills, body aches x 3 days. also complains of intemrittent chest pain since yesterday 02/20/21 10:28 History of Present Illness This is 31 year old male with no significant past medical history. Patient is health care provider and working in surgical center. Patient ha COVID 19 second dose of vaccination on Wednesday and he was feeling sick after that including fever, chills and tiredness. He had chest pain started Thursday and which is in left side of the chest and mostly constant in nature and intensity was up and down and highest intensity was 7/10. No aggravating and relieving factor, denied any shortness of breath, leg swelling. He visited to urgent care and had 12 lead EKG and which showed ST changes in inferior lead and transfer to hospital ER. He is currently having pain about 1/10 intensity. He denied any nausea, vomiting, urinary and bowel symptoms. (sic) Assessment/Plan Chest pain with elevated troponin NSTEMI vs myocarditis post COVID 19 vaccination


Result pages: prev   17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=26&SYMPTOMS[]=Cerebral_venous_sinus_thrombosis_%2810083037%29&SYMPTOMS[]=Cerebral_venous_thrombosis_%2810008138%29&SYMPTOMS[]=Coagulopathy_%2810009802%29&SYMPTOMS[]=Deep_vein_thrombosis_%2810051055%29&SYMPTOMS[]=Disseminated_intravascular_coagulation_%2810013442%29&SYMPTOMS[]=Embolism_%2810061169%29&SYMPTOMS[]=Idiopathic_thrombocytopenic_purpura_%2810021245%29&SYMPTOMS[]=Immune_thrombocytopenia_%2810083842%29&SYMPTOMS[]=Immune_thrombocytopenic_purpura_%2810074667%29&SYMPTOMS[]=Ischaemic_stroke_%2810061256%29&SYMPTOMS[]=Myocardial_infarction_%2810028596%29&SYMPTOMS[]=Petechiae_%2810034754%29&SYMPTOMS[]=Pulmonary_embolism_%2810037377%29&SYMPTOMS[]=Purpura_%2810037549%29&SYMPTOMS[]=Thrombocytopenia_%2810043554%29&SYMPTOMS[]=Thrombosis_%2810043607%29&SYMPTOMS[]=Vasculitis_%2810047115%29&VAX=COVID19&VAXMAN=MODERNA


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166