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From the 9/17/2021 release of VAERS data:

Found 4,589 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



Case Details

This is page 8 out of 459

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VAERS ID: 970997 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-01-17
Onset:2021-01-24
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L208 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Erythema, Feeling hot, Petechiae, Pruritus, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (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? No
Previous Vaccinations:
Other Medications: Collagen powder, Women''s One a Day, Vitamin D3 2000IU daily, Alpha Lipoic Acid 600mg daily
Current Illness: N/A
Preexisting Conditions: Alpha Thalassemia Minor
Allergies: Amoxicillin, Nickel, Thimerosal, Cobalt
Diagnostic Lab Data:
CDC Split Type:

Write-up: Localized Petechiae around injection site 3 days after receiving vaccine. Redness, swelling, warmth, & itching on Day 7 1/24/2021 in the evening around 7:50pm PST. Took Benadryl 25mg 1 tablet. Less itching & swelling, but mild redness spreading but still localized on Day 8. Ice pack applied x 20min. Still monitoring. Overall symptoms are mild.


VAERS ID: 971609 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: California  
Vaccinated:2021-01-15
Onset:2021-01-22
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 1 - / IM

Administered by: Military       Purchased by: ?
Symptoms: Cholecystitis infective, Computerised tomogram abnormal, Condition aggravated, Escherichia bacteraemia, Laparoscopic surgery, Pulmonary embolism, Sepsis
SMQs:, Embolic and thrombotic events, venous (narrow), Infectious biliary disorders (narrow), Sepsis (narrow), Opportunistic infections (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:
Other Medications: 1) ACETAMINOPHEN TAB 650MG PO Q6H PRN Mild pain 1-3 or temp $g 100.4F 2) BISACODYL SUPP,RTL 10MG RTL DAILY PRN hold for $g1 BM daily 3) BISACODYL TAB,EC 10MG PO DAILY PRN FOR CONSTIPATION, second line 4
Current Illness: Cholecystitis
Preexisting Conditions: Gout, low back pain, knee pain, constipation
Allergies: NKDA
Diagnostic Lab Data: Check with MD
CDC Split Type:

Write-up: 71 yo M admitted for sepsis from perforated gangrenous cholecystitis c/b E coli bacteremia, s/p lap chole 1/14 then found to have post-op collections now s/p drain placement of medial collection and aspiration of lateral collection. CT evaluation for pulmonary emboli on 1/22/21 discovered, "Bilateral upper lobe segmental/subsegmental pulmonary emboli. No evidence of pulmonary infarct or right heart strain."


VAERS ID: 971796 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-01-18
Onset:2021-01-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041L20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Computerised tomogram thorax abnormal, Dyspnoea, Oxygen saturation decreased, Pulmonary embolism
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (broad), Infective pneumonia (broad)

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? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Denies
Current Illness: COVID 19 positive on 01/04/2021
Preexisting Conditions: None Reported
Allergies: No Known Allergies
Diagnostic Lab Data: CT PE protocol, blood work, CXR, etc.
CDC Split Type:

Write-up: The patient became short of breath and decreased oxygen saturation at home around 2000 on 01/18/2021. He reported to the ED on 01/19/2021 at approximately 0500. The patient was found to have bilateral pulmonary emboli.


VAERS ID: 972027 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-01-13
Onset:2021-01-14
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011L20A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Periorbital swelling, Purpura, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Periorbital and eyelid disorders (narrow), 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: flu shots
Other Medications: zyrtec, b complex, calcium and vitamin d,
Current Illness: denies
Preexisting Conditions: allergies
Allergies: yes
Diagnostic Lab Data:
CDC Split Type:

Write-up: 1/14/21 8 AM patient noticed BILATERAL TEMPORAL RASH WITH PURITIS progressively getting worse spreading down and getting worse on both side meeting at nose. Pt. states that it is gradually getting worse. Pt. states that she has been taking zyrtec twice daily for one week. pt. states that rash developed on bilateral wrists. Pt. states that she started using hydrocortisone cream to face and wrists. Pt. states that this looked like plaque psoriasis. Pt. states that her rash is red and streaky and right side worse than left. No swelling, no throat closing. Puffy eyes as well.


VAERS ID: 972167 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Alabama  
Vaccinated:2021-01-22
Onset:2021-01-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032L20A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None listed
Current Illness: none listed
Preexisting Conditions: none listed
Allergies: None listed
Diagnostic Lab Data: None known
CDC Split Type:

Write-up: Wife reported that 3 hours after receiving vaccine, pt had MI.


VAERS ID: 972370 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-01-20
Onset:2021-01-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Death, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-21
   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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient received covid vaccine and had a heart attack the next day and died


VAERS ID: 972719 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-01-20
Onset:2021-01-22
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 028L20A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Full blood count normal, Immune thrombocytopenia, Malaise, Metabolic function test normal, Pain, Pain in extremity, Petechiae, Platelet count decreased, Rash
SMQs:, Anaphylactic reaction (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 1) Zoloft 25mg PO daily 2) Sprinolactone 150mg PO daily 3) Vitamin D 10,000 units daily PO 4) vitamin B12 5,000 daily PO 5) Tylenol 650mg every 4 hrs prn 6) Advil 800mg every 8-12 hours prn
Current Illness: Received first COVID vaccine on December 23, 2020 Second COVID vaccine Jan 20, 2020 MODERNA brand
Preexisting Conditions: Platelets did drop to 55-115 last year (December 2019). Vitamin B12 was started which brought them from 55 to 112 or so. Positive anti-platelet antibodies were detected. Never required more than vitamin B12.
Allergies: Penicillin and Zithromax (confirmed by allergy testing)
Diagnostic Lab Data: 1/22: CBC, CMP- Platelets 7 1/23: CBC- Platelets 6 1/24: CBC- Platelets 60
CDC Split Type:

Write-up: Received second COVID vaccine Moderna on Wednesday evening at 6pm. Later that night, I was a little light-headed and achey, but went to bed. On thursday, my legs and arms were extremely achy. I took Tylenol and Motrin in the morning. It seemed to help some, but continued to feel very achy in my legs. I left work early (I am a pediatrician) on Thursday and went home and just sat and rested. I felt terrible, but had talked to other colleagues who felt very bad that first day after the shot. Friday morning, I woke up still achy but feeling better overall. I took motrin and Tylenol again on Friday morning. I worked the whole day seeing patients. Was tired, but got thru the workday. At around 6pm, I noticed petechiae rash on my lower legs. The rash started spreading thru the night- up my legs and to my arms. I went to ER. They did order CBC, CMP. Platelets were undetectable- 1 platelet was seen under microscope. CMP was normal. I was told to go to bigger hospital. I went, My platelets read as 4. I was admitted for two nights. Two doses of IVIG were given and I was put on Decadron 40mg PO daily for 4 days. I had tylenol, benadryl, zofran before the IVIG and after. I will see Hematology next week for follow up. Platelets yesterday at discharge were 60. Will be checked frequently for the next few months. ITP= diagnosis. COVID shot was trigger.


VAERS ID: 973796 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-01-25
Onset:2021-01-21
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Platelet transfusion, 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? No
Permanent Disability? No
Recovered? Yes
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: Thrombocytopenia Narrative: thrombocytopenia requiring hospitalization, meds and platelet infusion


VAERS ID: 974753 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-01-16
Onset:2021-01-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Deep vein thrombosis, Dyspnoea, Pulmonary embolism
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Methotrexate DIOVAN HCT Protonix Folic Acid Multivitamin Vit D, Vit C XANAX
Current Illness: none
Preexisting Conditions: LUPUS HTN
Allergies: Adhesive Tape NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Experienced shortness of breath upon minimal exertion 24 hours after having receieved the vaccine. Called MD 72 hours vaccine received - MD advised hospital ER. Admitted with pulmonary embolism and deep vein thrombosis. Remains short of breath and is on 4L of oxygen. Receiving anti-coagulants.


VAERS ID: 973105 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Vermont  
Vaccinated:2020-12-30
Onset:2020-12-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Cyanosis, Dyspnoea, Pulmonary embolism
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Pulmonary embolism (19 years back)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20210

Write-up: Pulmonary embolism; Blue lips; Immediately after getting shot she couldn''t breath; A spontaneous report was received from a nurse who was also a female patient who received Moderna''s COVID-19 Vaccine (mRNA-1273) and experienced difficulty breathing, blue lips, shortness of breath, and pulmonary embolism. The patient''s medical history included pulmonary embolism. No relevant concomitant medications were reported. On 30 Dec 2020, moments prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot number 026L20A) intramuscularly for prophylaxis of COVID-19 infection. The patient began to feel like she couldn''t breathe, and her lips were blue immediately after receiving the vaccine on 30 Dec 2020. The symptoms resolved within an hour. On 05 Jan 2021, she developed shortness of breath and experienced pulmonary embolism. Treatment included apixaban. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, difficulty breathing, blue lips, shortness of breath, and pulmonary embolism, were not reported.; Reporter''s Comments: This case concerns a female patient, nurse, of unknown age with medical history of Pulmonary embolism, who experienced a serious, unexpected event of difficulty breathing, cyanosis and pulmonary embolism. The event of difficulty breathing and cyanosis occurred immediately and pulmonary embolism occurred after 7 days after first dose of mRNA-1273 (lot number 026L20A). Based on the current available information and temporal association between the use of mRNA-1273 and the start of the event, a causal relationship cannot be excluded.


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https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=8&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


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