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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

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Case Details

This is page 36 out of 665

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VAERS ID: 1077733 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-02-12
Onset:2021-02-26
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Biopsy skin, Blood test, Urine analysis, Vasculitis
SMQs:, Vasculitis (narrow), Immune-mediated/autoimmune disorders (narrow)

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: Contrave
Current Illness: None
Preexisting Conditions: Irritable Bowel syndrome, asthma, general allergies, obesity migraines and sciatica
Allergies: Gabapentin
Diagnostic Lab Data: Blood work done on 2/26/21 and 3/3/21; urinalysis on 2/26/21, 3/1/21 and 3/3/21; skin biopsies done on 3/4/21
CDC Split Type:

Write-up: Small cell vasculitis that developed 2 weeks after the vaccine


VAERS ID: 1078031 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: D.C.  
Vaccinated:2021-02-05
Onset:2021-03-06
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topomax Atenolol
Current Illness: None
Preexisting Conditions: Autoimmune Thrombocytopenia Migraines
Allergies: None
Diagnostic Lab Data: I didn?t bother getting platelet counts but did contact my doctor each time. After reading an article in the NYT about people developing my rare disorder after vaccination I thought I should report it.
CDC Split Type:

Write-up: Petechiae covering arms after each injection


VAERS ID: 1078100 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-02-18
Onset:2021-02-21
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007M20A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site pain, Injection site rash, Petechiae, Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), 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? No
Previous Vaccinations:
Other Medications: Olmesartan 20mg Metoprolol Succinate 50mg HCTZ 25mg Amlodipine Besylate 10mg Atorvastatin 80mg Sitagliptin/Glucophage 50mg/1000mg Gabapentin 300mg 3xday Omega-3 1400mg Multi Vitamin Vitamin B Complex Vitamin D 5000iu
Current Illness: None
Preexisting Conditions: NIDDM ASCVD Status post S/P CABGX5 HTN Lumbar Stenosis LE Neuropathy
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Mild pain at injection site, followed by peripheral petechial rash with itching, which started approximately 3 days after inoculation and extends, in a circular fashion, with a diameter of approximately 7 1/2 cm. The area with the rash is still present, but subsiding, after 17 days. I took Benadryl 25mg once for the itching because it is not severe.


VAERS ID: 1078636 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: California  
Vaccinated:2021-02-17
Onset:2021-02-21
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024M20A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Antineutrophil cytoplasmic antibody positive, Antinuclear antibody positive, Biopsy kidney abnormal, Blood creatine phosphokinase normal, Blood lactate dehydrogenase increased, Blood urine present, C-reactive protein normal, Chronic kidney disease, Cognitive disorder, Computerised tomogram head abnormal, Confusional state, Fall, Full blood count, Glomerular filtration rate, Glomerulonephritis, International normalised ratio normal, Magnetic resonance imaging neck, Metabolic function test abnormal, Mobility decreased, Monoplegia, Neutrophil count increased, Protein urine present, Prothrombin level normal, Red blood cell sedimentation rate increased, Renal failure, SARS-CoV-2 test negative, Sensory loss, Troponin normal, Ultrasound kidney normal, Urine analysis, Vasculitis
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Peripheral neuropathy (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vasculitis (narrow), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Celiac Disease BPH (benign prostatic hyperplasia)
Preexisting Conditions: Celiac Disease BPH (benign prostatic hyperplasia)
Allergies: Gluten/Celiac
Diagnostic Lab Data: Elevated myeloperoxidase IgG antibodies CK, Troponin, PT, INR & CRP all WNL Elevated LDH + ANA with + Comp Metabolic panel x 3 (showing sudden progressive renal failure - eGFR currently at 14) CBC x 3 (Mildly elevated WBC Neutrophil count) Brain CT (mild signs if past TIA) Brain & Neck MR (vasculitis signs as well as some chronic signs of mild TIA & degeneration) COVID Test x3 (all negative) Sed Rate elevated Renal biopsy shows Glomerulonephritis Renal ultrasound WNL Urinalysis (+3 blood, +1 protein, otherwise WNL)
CDC Split Type:

Write-up: Severe onset of autoimmune vasculitis and renal failure. Loss of movement & sensation (paralysis) of left arm and leg. Mild cognitive deficit and confusion. Fell due to loss of use of L leg. Hospitalized x 5 days, now in rehab facility slowly regaining function of L arm and leg, and relearning how to walk. Sudden renal failure (stage 4 renal disease) onset suddenly as well with this reaction.


VAERS ID: 1079224 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-01-28
Onset:2021-03-01
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013L20A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Computerised tomogram abnormal, Flank pain, Hypertension, Pain, Thrombosis
SMQs:, Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Hypertension (narrow), Arthritis (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: ANTACIDS
Current Illness: NONE
Preexisting Conditions: NO
Allergies: NKA
Diagnostic Lab Data: CT SCAN POSITIVE - 2 BLOOD CLOTS IN LUNGS ONE ON EACH LUNG
CDC Split Type:

Write-up: 3 DAYS AFTER THE 2ND INJECTION, I DEVELOPED 2 BLOOD CLOTS AT THE BASE OF MY LUNGS - 1 ON EACH LUNG. IN CONNECTION WITH THAT, I DEVELOPED SEVER PAIN IN MY LOWER RIGHT FLANK AREA THAT RADIATED TO MY SHOULDER AS WELL AS HIGH BLOOD PRESSURE. THERE IS NO HISTORY IN MY FAMILY OF ANY CLOTTING ISSUES AND I MYSELF HAD NEVER HAD SUCH A THING OCCUR. THE PAIN BECAME SO BAD IT FORCED ME TO GO TO A HOSPITAL EMERGENCY DEPT. AFTER CT SCANS CONFIRMED THE PRESENCE OF THE CLOTS, I WAS SUBSEQUENTLY ADMITTED FOR OBSERVATION ON A REGIMEN OF DRUGS, BLOOD THINNER, PAIN MED, AND A CLOT BUSTER (NOT SURE WHICH MANUFACTURER.) I AM STILL EXPERIENCING PAIN IN MY RIGHT FLANK AREA - SOMEWHAT RADIATING TO MY RIGHT SHOULDER DAY 1 POST DISCHARGE AND AM HAVING TO RELY ON OPIOID PAIN MED AS WELL AS THE CLOT BUSTING MED AND A HIGH BLOOD PRESSURE MED. TO ME, IT SEEMS THAT THIS MAY NOT BE JUST COINCIDENTAL. I WAS FEELING FINE PRIOR TO THE S 2ND DOSE OF THE MODERNA VAC AND THIS SEEMS TO ME THAT IT MIGHT BE RELATED TO THE 2 DOSE.


VAERS ID: 1079418 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Male  
Location: California  
Vaccinated:2021-01-28
Onset:2021-02-18
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025L20A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023M20A / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Full blood count, Immune thrombocytopenia, Platelet count decreased, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

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: miralax
Current Illness:
Preexisting Conditions: acute amyeloid leukemia (diagnosed February 2018)
Allergies: pine nuts asa
Diagnostic Lab Data: followup CBC''s (2/3 , 2/18, 2/26, 3/5
CDC Split Type:

Write-up: Thrombocytopenia. Platelet count at the time of the first iinjection on Jan 28 , 2021 was 92. The following values were noted: 2/3 = 106 2/18 = 59 Second injection Feb 25, 2021 2/26 = 46 3/5 = 41 Patient experiened no symptoms. The oncologist bellieves this is ITP. The patient was started on Prednisone 60 mg po daily on 3/7/2021 until further notice.


VAERS ID: 1080237 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-03-02
Onset:2021-03-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023M20A / 2 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Chest discomfort, Chest pain, Chills, Headache, Myalgia, Myocardial infarction, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Myocardial infarction (narrow), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: Atrial Fibrillation
Preexisting Conditions:
Allergies: OTHER, DOXYCYCLINE CALCIUM
Diagnostic Lab Data: ROS: General: No fatigue, fevers/chills, malaise Eyes: No eye pain, eye discharge, visual changes Ears: No ear pain, hearing changes Nose/throat: No nasal congestion, sore throat CV
CDC Split Type:

Write-up: headache,nausea. presents to the ED for HA, nausea, myalgias after 2nd COVID vaccine yesterday, today pt noted midsternal chest discomfort and pain below her left scalpula. 65 yo f c/o multiple sx''s approx 24hrs s/p administration of 2nd covid19 vaccine yesterday at approx 1000 (02MAR); Pt specifies ongoing chills sensation w/ongoing ha w/nausea w/o vomiting/visual changes starting last night, additional intermittent hypogastric abd pain sensation w/o radiation and cp centered on L side w/o radiation, last episode approx 5hrs pta w/spontaneous resolution; Pt denies any sob, dyspnea, rashes, urinary sx''s, vaginal bleeding/discharge


VAERS ID: 1080603 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-02-12
Onset:2021-02-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Blood bilirubin increased, Blood creatine phosphokinase normal, Chills, Chromaturia, Haematuria, Liver function test increased, Lymphopenia, Myalgia, Pain, Proteinuria, Pyrexia, Red blood cell count increased, Thrombocytopenia, Urine analysis abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Biliary system related investigations, signs and symptoms (narrow), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pepcid 20 mg b.i.d., sildenafil 50 mg as needed
Current Illness: None
Preexisting Conditions: Gastroesophageal reflux disease, erectile dysfunction, irritable bowel syndrome, fatty liver
Allergies: None
Diagnostic Lab Data: Labs dated 02/23/2021 thrombocytopenia 101. Lymphopenia. Urinalysis with microscopic hematuria 30-50 red blood cells. Mild proteinuria, ketonuria. Creatinine 1.24 elevated liver function tests total bilirubin 1.8 alk-phos 164 AST 91 ALT 157.
CDC Split Type:

Write-up: Initial vaccination January 11, 2021 mild injection site soreness. Second dose vaccine 02/12/2021. Patient developed myalgias lasting for 1 day. 02/16/2021 patient developed fever chills and body aches. Temperature upwards of 104. Darkening of the urine. Symptoms persistent.


VAERS ID: 1080646 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-03-01
Onset:2021-03-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Pyrexia, Thrombosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Headache and fatigue; 37 years; 02/2021; COVID- Moderna
Other Medications: None
Current Illness: None
Preexisting Conditions: Rheumatoid arthritis, asthma
Allergies: Latex, kiwi fruit, strawberries
Diagnostic Lab Data:
CDC Split Type:

Write-up: - Headache: starting about 12 hours after the vaccine and continuing for 2 days - Fatigue: starting about 12 hours after the vaccine and continuing for about 2 days - Chills: starting about 16 hours after the vaccine and intensifying until 24 hours after the vaccine administration - Fever: starting about 16 hours after the vaccine and intensifying until 24 hours after the vaccine administration - Blood clots: expulsion of clots during the same period as the fever and chills. Had completed menstruation 2 weeks prior, so not related to that.


VAERS ID: 1081132 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-02-05
Onset:2021-02-26
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Platelet count decreased, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-07
   Days after onset: 9
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin Adult Low Dose 81 MG Tablet Delayed Release 1 tablet Orally Once a day Lisinopril 5 MG Tablet 1 tablet Orally Once a day Vitamin B12 1000 MCG Tablet Extended Release 1 tablet Orally Once a day Rosuvastatin Calcium 5 MG Tabl
Current Illness:
Preexisting Conditions: Dyslipidemia, Hypertension, HIV+
Allergies: NKA
Diagnostic Lab Data: Platelets - 16k (2/16/21), Platelets - 4k (2/27/21)
CDC Split Type:

Write-up: Severe thrombocytopenia approx. 10 days after vaccine administration.


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