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From the 11/19/2021 release of VAERS data:

Found 19,450 cases where Vaccine is COVID19 and Symptom is Arterial thrombosis or Arterial thrombosis limb or Axillary vein thrombosis or Blood fibrinogen increased or Complement factor C1 increased or Complement factor C3 increased or Complement factor C4 increased or Complement factor increased or Deep vein thrombosis or Platelet adhesiveness increased or Platelet dysfunction or Platelet function test abnormal or Pulmonary embolism or Secondary thrombocytosis or Thrombectomy or Thrombin-antithrombin III complex increased or Thrombin time abnormal or Thrombocytopenia or Thrombocytopenic purpura or Thrombolysis or Thrombophlebitis or Thrombosis or Thrombotic microangiopathy or Thrombotic stroke or Thrombotic thrombocytopenic purpura or Vena cava embolism or Vena cava thrombosis or Venous occlusion and Patient Did Not Die

Government Disclaimer on use of this data

Table

   
AgeVaccine/ManufacturerVaccine DoseYear of DeathCountPercent
< 3 YearsCOVID19 / JANSSENUNKUnknown10.01%
COVID19 / JANSSENUNKtotal10.01%
COVID19 / JANSSENtotal10.01%
total10.01%
9-12 YearsCOVID19 / JANSSENUNKUnknown10.01%
COVID19 / JANSSENUNKtotal10.01%
COVID19 / JANSSENtotal10.01%
COVID19 / PFIZER/BIONTECH1Unknown10.01%
COVID19 / PFIZER/BIONTECH1total10.01%
COVID19 / PFIZER/BIONTECHUNKUnknown10.01%
COVID19 / PFIZER/BIONTECHUNKtotal10.01%
COVID19 / PFIZER/BIONTECHtotal20.01%
total30.02%
12-17 YearsCOVID19 / MODERNA1Unknown10.01%
COVID19 / MODERNA1total10.01%
COVID19 / MODERNAUNKUnknown10.01%
COVID19 / MODERNAUNKtotal10.01%
COVID19 / MODERNAtotal20.01%
COVID19 / PFIZER/BIONTECH1Unknown440.23%
COVID19 / PFIZER/BIONTECH1total440.23%
COVID19 / PFIZER/BIONTECH2Unknown430.22%
COVID19 / PFIZER/BIONTECH2total430.22%
COVID19 / PFIZER/BIONTECHUNKUnknown100.05%
COVID19 / PFIZER/BIONTECHUNKtotal100.05%
COVID19 / PFIZER/BIONTECHtotal970.5%
total990.51%
17-44 YearsCOVID19 / JANSSEN1Unknown2501.29%
COVID19 / JANSSEN1total2501.29%
COVID19 / JANSSEN2Unknown10.01%
COVID19 / JANSSEN2total10.01%
COVID19 / JANSSENN/AUnknown180.09%
COVID19 / JANSSENN/Atotal180.09%
COVID19 / JANSSENUNKUnknown1550.8%
COVID19 / JANSSENUNKtotal1550.8%
COVID19 / JANSSENtotal4242.18%
COVID19 / MODERNA1Unknown6283.23%
COVID19 / MODERNA1total6283.23%
COVID19 / MODERNA2Unknown3962.04%
COVID19 / MODERNA2total3962.04%
COVID19 / MODERNA3Unknown60.03%
COVID19 / MODERNA3total60.03%
COVID19 / MODERNAN/AUnknown20.01%
COVID19 / MODERNAN/Atotal20.01%
COVID19 / MODERNAUNKUnknown1810.93%
COVID19 / MODERNAUNKtotal1810.93%
COVID19 / MODERNAtotal1,2136.24%
COVID19 / PFIZER/BIONTECH1Unknown7173.69%
COVID19 / PFIZER/BIONTECH1total7173.69%
COVID19 / PFIZER/BIONTECH2Unknown7143.67%
COVID19 / PFIZER/BIONTECH2total7143.67%
COVID19 / PFIZER/BIONTECH3Unknown190.1%
COVID19 / PFIZER/BIONTECH3total190.1%
COVID19 / PFIZER/BIONTECHN/AUnknown20.01%
COVID19 / PFIZER/BIONTECHN/Atotal20.01%
COVID19 / PFIZER/BIONTECHUNKUnknown2611.34%
COVID19 / PFIZER/BIONTECHUNKtotal2611.34%
COVID19 / PFIZER/BIONTECHtotal1,7138.81%
COVID19 / UNKNOWN MANUFACTURER1Unknown120.06%
COVID19 / UNKNOWN MANUFACTURER1total120.06%
COVID19 / UNKNOWN MANUFACTURER2Unknown40.02%
COVID19 / UNKNOWN MANUFACTURER2total40.02%
COVID19 / UNKNOWN MANUFACTURERN/AUnknown10.01%
COVID19 / UNKNOWN MANUFACTURERN/Atotal10.01%
COVID19 / UNKNOWN MANUFACTURERUNKUnknown70.04%
COVID19 / UNKNOWN MANUFACTURERUNKtotal70.04%
COVID19 / UNKNOWN MANUFACTURERtotal240.12%
FLU4 / GLAXOSMITHKLINE BIOLOGICALS1Unknown40.02%
FLU4 / GLAXOSMITHKLINE BIOLOGICALS1total40.02%
FLU4 / GLAXOSMITHKLINE BIOLOGICALS3Unknown10.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALS3total10.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALSN/AUnknown10.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALSN/Atotal10.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALStotal60.03%
FLU4 / SEQIRUS, INC.UNKUnknown20.01%
FLU4 / SEQIRUS, INC.UNKtotal20.01%
FLU4 / SEQIRUS, INC.total20.01%
FLUC4 / SEQIRUS, INC.3Unknown10.01%
FLUC4 / SEQIRUS, INC.3total10.01%
FLUC4 / SEQIRUS, INC.UNKUnknown10.01%
FLUC4 / SEQIRUS, INC.UNKtotal10.01%
FLUC4 / SEQIRUS, INC.total20.01%
HEPA / MERCK & CO. INC.2Unknown10.01%
HEPA / MERCK & CO. INC.2total10.01%
HEPA / MERCK & CO. INC.UNKUnknown20.01%
HEPA / MERCK & CO. INC.UNKtotal20.01%
HEPA / MERCK & CO. INC.total30.02%
TYP / SANOFI PASTEUR2Unknown10.01%
TYP / SANOFI PASTEUR2total10.01%
TYP / SANOFI PASTEURUNKUnknown20.01%
TYP / SANOFI PASTEURUNKtotal20.01%
TYP / SANOFI PASTEURtotal30.02%
UNK / UNKNOWN MANUFACTURER1Unknown180.09%
UNK / UNKNOWN MANUFACTURER1total180.09%
UNK / UNKNOWN MANUFACTURER2Unknown40.02%
UNK / UNKNOWN MANUFACTURER2total40.02%
UNK / UNKNOWN MANUFACTURERN/AUnknown10.01%
UNK / UNKNOWN MANUFACTURERN/Atotal10.01%
UNK / UNKNOWN MANUFACTURERUNKUnknown290.15%
UNK / UNKNOWN MANUFACTURERUNKtotal290.15%
UNK / UNKNOWN MANUFACTURERtotal520.27%
total3,44217.7%
44-65 YearsCOVID19 / JANSSEN1Unknown4632.38%
COVID19 / JANSSEN1total4632.38%
COVID19 / JANSSEN2Unknown80.04%
COVID19 / JANSSEN2total80.04%
COVID19 / JANSSENN/AUnknown230.12%
COVID19 / JANSSENN/Atotal230.12%
COVID19 / JANSSENUNKUnknown2751.41%
COVID19 / JANSSENUNKtotal2751.41%
COVID19 / JANSSENtotal7693.95%
COVID19 / MODERNA1Unknown9244.75%
COVID19 / MODERNA1total9244.75%
COVID19 / MODERNA2Unknown6493.34%
COVID19 / MODERNA2total6493.34%
COVID19 / MODERNA3Unknown190.1%
COVID19 / MODERNA3total190.1%
COVID19 / MODERNAN/AUnknown20.01%
COVID19 / MODERNAN/Atotal20.01%
COVID19 / MODERNAUNKUnknown2971.53%
COVID19 / MODERNAUNKtotal2971.53%
COVID19 / MODERNAtotal1,8919.72%
COVID19 / PFIZER/BIONTECH1Unknown9244.75%
COVID19 / PFIZER/BIONTECH1total9244.75%
COVID19 / PFIZER/BIONTECH2Unknown1,0875.59%
COVID19 / PFIZER/BIONTECH2total1,0875.59%
COVID19 / PFIZER/BIONTECH3Unknown550.28%
COVID19 / PFIZER/BIONTECH3total550.28%
COVID19 / PFIZER/BIONTECHN/AUnknown10.01%
COVID19 / PFIZER/BIONTECHN/Atotal10.01%
COVID19 / PFIZER/BIONTECHUNKUnknown3491.79%
COVID19 / PFIZER/BIONTECHUNKtotal3491.79%
COVID19 / PFIZER/BIONTECHtotal2,41612.42%
COVID19 / UNKNOWN MANUFACTURER1Unknown140.07%
COVID19 / UNKNOWN MANUFACTURER1total140.07%
COVID19 / UNKNOWN MANUFACTURER2Unknown50.03%
COVID19 / UNKNOWN MANUFACTURER2total50.03%
COVID19 / UNKNOWN MANUFACTURERUNKUnknown120.06%
COVID19 / UNKNOWN MANUFACTURERUNKtotal120.06%
COVID19 / UNKNOWN MANUFACTURERtotal310.16%
FLU4 / GLAXOSMITHKLINE BIOLOGICALS1Unknown20.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALS1total20.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALS3Unknown20.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALS3total20.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALStotal40.02%
FLU4 / SANOFI PASTEUR1Unknown10.01%
FLU4 / SANOFI PASTEUR1total10.01%
FLU4 / SANOFI PASTEUR2Unknown10.01%
FLU4 / SANOFI PASTEUR2total10.01%
FLU4 / SANOFI PASTEURtotal20.01%
UNK / UNKNOWN MANUFACTURER1Unknown180.09%
UNK / UNKNOWN MANUFACTURER1total180.09%
UNK / UNKNOWN MANUFACTURER2Unknown90.05%
UNK / UNKNOWN MANUFACTURER2total90.05%
UNK / UNKNOWN MANUFACTURER3Unknown10.01%
UNK / UNKNOWN MANUFACTURER3total10.01%
UNK / UNKNOWN MANUFACTURERUNKUnknown920.47%
UNK / UNKNOWN MANUFACTURERUNKtotal920.47%
UNK / UNKNOWN MANUFACTURERtotal1200.62%
total5,23326.9%
65-75 YearsCOVID19 / JANSSEN1Unknown1270.65%
COVID19 / JANSSEN1total1270.65%
COVID19 / JANSSEN2Unknown10.01%
COVID19 / JANSSEN2total10.01%
COVID19 / JANSSEN5Unknown10.01%
COVID19 / JANSSEN5total10.01%
COVID19 / JANSSENN/AUnknown30.02%
COVID19 / JANSSENN/Atotal30.02%
COVID19 / JANSSENUNKUnknown660.34%
COVID19 / JANSSENUNKtotal660.34%
COVID19 / JANSSENtotal1981.02%
COVID19 / MODERNA1Unknown4612.37%
COVID19 / MODERNA1total4612.37%
COVID19 / MODERNA2Unknown4072.09%
COVID19 / MODERNA2total4072.09%
COVID19 / MODERNA3Unknown220.11%
COVID19 / MODERNA3total220.11%
COVID19 / MODERNA4Unknown10.01%
COVID19 / MODERNA4total10.01%
COVID19 / MODERNA7+Unknown10.01%
COVID19 / MODERNA7+total10.01%
COVID19 / MODERNAN/AUnknown20.01%
COVID19 / MODERNAN/Atotal20.01%
COVID19 / MODERNAUNKUnknown1981.02%
COVID19 / MODERNAUNKtotal1981.02%
COVID19 / MODERNAtotal1,0925.61%
COVID19 / PFIZER/BIONTECH1Unknown4172.14%
COVID19 / PFIZER/BIONTECH1total4172.14%
COVID19 / PFIZER/BIONTECH2Unknown5502.83%
COVID19 / PFIZER/BIONTECH2total5502.83%
COVID19 / PFIZER/BIONTECH3Unknown420.22%
COVID19 / PFIZER/BIONTECH3total420.22%
COVID19 / PFIZER/BIONTECHN/AUnknown10.01%
COVID19 / PFIZER/BIONTECHN/Atotal10.01%
COVID19 / PFIZER/BIONTECHUNKUnknown2091.07%
COVID19 / PFIZER/BIONTECHUNKtotal2091.07%
COVID19 / PFIZER/BIONTECHtotal1,2196.27%
COVID19 / UNKNOWN MANUFACTURER1Unknown50.03%
COVID19 / UNKNOWN MANUFACTURER1total50.03%
COVID19 / UNKNOWN MANUFACTURER2Unknown50.03%
COVID19 / UNKNOWN MANUFACTURER2total50.03%
COVID19 / UNKNOWN MANUFACTURERUNKUnknown70.04%
COVID19 / UNKNOWN MANUFACTURERUNKtotal70.04%
COVID19 / UNKNOWN MANUFACTURERtotal170.09%
DTAP / SANOFI PASTEUR1Unknown10.01%
DTAP / SANOFI PASTEUR1total10.01%
DTAP / SANOFI PASTEURUNKUnknown10.01%
DTAP / SANOFI PASTEURUNKtotal10.01%
DTAP / SANOFI PASTEURtotal20.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALS3Unknown10.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALS3total10.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALSUNKUnknown10.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALSUNKtotal10.01%
FLU4 / GLAXOSMITHKLINE BIOLOGICALStotal20.01%
FLU4 / SANOFI PASTEUR1Unknown30.02%
FLU4 / SANOFI PASTEUR1total30.02%
FLU4 / SANOFI PASTEUR3Unknown30.02%
FLU4 / SANOFI PASTEUR3total30.02%
FLU4 / SANOFI PASTEURN/AUnknown10.01%
FLU4 / SANOFI PASTEURN/Atotal10.01%
FLU4 / SANOFI PASTEURtotal70.04%
FLUA4 / SEQIRUS, INC.1Unknown10.01%
FLUA4 / SEQIRUS, INC.1total10.01%
FLUA4 / SEQIRUS, INC.3Unknown10.01%
FLUA4 / SEQIRUS, INC.3total10.01%
FLUA4 / SEQIRUS, INC.UNKUnknown20.01%
FLUA4 / SEQIRUS, INC.UNKtotal20.01%
FLUA4 / SEQIRUS, INC.total40.02%
PPV / MERCK & CO. INC.1Unknown20.01%
PPV / MERCK & CO. INC.1total20.01%
PPV / MERCK & CO. INC.3Unknown10.01%
PPV / MERCK & CO. INC.3total10.01%
PPV / MERCK & CO. INC.total30.02%
UNK / UNKNOWN MANUFACTURER1Unknown140.07%
UNK / UNKNOWN MANUFACTURER1total140.07%
UNK / UNKNOWN MANUFACTURER2Unknown80.04%
UNK / UNKNOWN MANUFACTURER2total80.04%
UNK / UNKNOWN MANUFACTURERUNKUnknown360.19%
UNK / UNKNOWN MANUFACTURERUNKtotal360.19%
UNK / UNKNOWN MANUFACTURERtotal580.3%
total2,60213.38%
75+ YearsCOVID19 / JANSSEN1Unknown1030.53%
COVID19 / JANSSEN1total1030.53%
COVID19 / JANSSEN2Unknown10.01%
COVID19 / JANSSEN2total10.01%
COVID19 / JANSSENN/AUnknown90.05%
COVID19 / JANSSENN/Atotal90.05%
COVID19 / JANSSENUNKUnknown560.29%
COVID19 / JANSSENUNKtotal560.29%
COVID19 / JANSSENtotal1690.87%
COVID19 / MODERNA1Unknown3952.03%
COVID19 / MODERNA1total3952.03%
COVID19 / MODERNA2Unknown3071.58%
COVID19 / MODERNA2total3071.58%
COVID19 / MODERNA3Unknown70.04%
COVID19 / MODERNA3total70.04%
COVID19 / MODERNAN/AUnknown10.01%
COVID19 / MODERNAN/Atotal10.01%
COVID19 / MODERNAUNKUnknown1390.71%
COVID19 / MODERNAUNKtotal1390.71%
COVID19 / MODERNAtotal8494.37%
COVID19 / PFIZER/BIONTECH1Unknown4122.12%
COVID19 / PFIZER/BIONTECH1total4122.12%
COVID19 / PFIZER/BIONTECH2Unknown5422.79%
COVID19 / PFIZER/BIONTECH2total5422.79%
COVID19 / PFIZER/BIONTECH3Unknown340.17%
COVID19 / PFIZER/BIONTECH3total340.17%
COVID19 / PFIZER/BIONTECH4Unknown10.01%
COVID19 / PFIZER/BIONTECH4total10.01%
COVID19 / PFIZER/BIONTECHN/AUnknown20.01%
COVID19 / PFIZER/BIONTECHN/Atotal20.01%
COVID19 / PFIZER/BIONTECHUNKUnknown1770.91%
COVID19 / PFIZER/BIONTECHUNKtotal1770.91%
COVID19 / PFIZER/BIONTECHtotal1,1686.01%
COVID19 / UNKNOWN MANUFACTURER1Unknown20.01%
COVID19 / UNKNOWN MANUFACTURER1total20.01%
COVID19 / UNKNOWN MANUFACTURER2Unknown20.01%
COVID19 / UNKNOWN MANUFACTURER2total20.01%
COVID19 / UNKNOWN MANUFACTURER5Unknown10.01%
COVID19 / UNKNOWN MANUFACTURER5total10.01%
COVID19 / UNKNOWN MANUFACTURERUNKUnknown80.04%
COVID19 / UNKNOWN MANUFACTURERUNKtotal80.04%
COVID19 / UNKNOWN MANUFACTURERtotal130.07%
FLUA4 / SEQIRUS, INC.1Unknown10.01%
FLUA4 / SEQIRUS, INC.1total10.01%
FLUA4 / SEQIRUS, INC.2Unknown10.01%
FLUA4 / SEQIRUS, INC.2total10.01%
FLUA4 / SEQIRUS, INC.UNKUnknown20.01%
FLUA4 / SEQIRUS, INC.UNKtotal20.01%
FLUA4 / SEQIRUS, INC.total40.02%
UNK / UNKNOWN MANUFACTURER1Unknown60.03%
UNK / UNKNOWN MANUFACTURER1total60.03%
UNK / UNKNOWN MANUFACTURER2Unknown80.04%
UNK / UNKNOWN MANUFACTURER2total80.04%
UNK / UNKNOWN MANUFACTURER5Unknown10.01%
UNK / UNKNOWN MANUFACTURER5total10.01%
UNK / UNKNOWN MANUFACTURERUNKUnknown410.21%
UNK / UNKNOWN MANUFACTURERUNKtotal410.21%
UNK / UNKNOWN MANUFACTURERtotal560.29%
total2,25911.61%
UnknownCOVID19 / JANSSEN1Unknown20.01%
COVID19 / JANSSEN1total20.01%
COVID19 / JANSSENUNKUnknown6493.34%
COVID19 / JANSSENUNKtotal6493.34%
COVID19 / JANSSENtotal6513.35%
COVID19 / MODERNA1Unknown1370.7%
COVID19 / MODERNA1total1370.7%
COVID19 / MODERNA2Unknown360.19%
COVID19 / MODERNA2total360.19%
COVID19 / MODERNA3Unknown20.01%
COVID19 / MODERNA3total20.01%
COVID19 / MODERNAUNKUnknown480.25%
COVID19 / MODERNAUNKtotal480.25%
COVID19 / MODERNAtotal2231.15%
COVID19 / PFIZER/BIONTECH1Unknown3,15816.24%
COVID19 / PFIZER/BIONTECH1total3,15816.24%
COVID19 / PFIZER/BIONTECH2Unknown2,98615.35%
COVID19 / PFIZER/BIONTECH2total2,98615.35%
COVID19 / PFIZER/BIONTECH3Unknown720.37%
COVID19 / PFIZER/BIONTECH3total720.37%
COVID19 / PFIZER/BIONTECHUNKUnknown1,7438.96%
COVID19 / PFIZER/BIONTECHUNKtotal1,7438.96%
COVID19 / PFIZER/BIONTECHtotal7,95940.92%
COVID19 / UNKNOWN MANUFACTURER1Unknown40.02%
COVID19 / UNKNOWN MANUFACTURER1total40.02%
COVID19 / UNKNOWN MANUFACTURER2Unknown40.02%
COVID19 / UNKNOWN MANUFACTURER2total40.02%
COVID19 / UNKNOWN MANUFACTURERUNKUnknown180.09%
COVID19 / UNKNOWN MANUFACTURERUNKtotal180.09%
COVID19 / UNKNOWN MANUFACTURERtotal260.13%
FLU4 / GLAXOSMITHKLINE BIOLOGICALSUNKUnknown60.03%
FLU4 / GLAXOSMITHKLINE BIOLOGICALSUNKtotal60.03%
FLU4 / GLAXOSMITHKLINE BIOLOGICALStotal60.03%
FLUX / UNKNOWN MANUFACTURER2Unknown10.01%
FLUX / UNKNOWN MANUFACTURER2total10.01%
FLUX / UNKNOWN MANUFACTURERUNKUnknown40.02%
FLUX / UNKNOWN MANUFACTURERUNKtotal40.02%
FLUX / UNKNOWN MANUFACTURERtotal50.03%
HEP / UNKNOWN MANUFACTURERUNKUnknown120.06%
HEP / UNKNOWN MANUFACTURERUNKtotal120.06%
HEP / UNKNOWN MANUFACTURERtotal120.06%
HEPA / UNKNOWN MANUFACTURER3Unknown20.01%
HEPA / UNKNOWN MANUFACTURER3total20.01%
HEPA / UNKNOWN MANUFACTURERUNKUnknown60.03%
HEPA / UNKNOWN MANUFACTURERUNKtotal60.03%
HEPA / UNKNOWN MANUFACTURERtotal80.04%
MMR / UNKNOWN MANUFACTURERUNKUnknown60.03%
MMR / UNKNOWN MANUFACTURERUNKtotal60.03%
MMR / UNKNOWN MANUFACTURERtotal60.03%
UNK / UNKNOWN MANUFACTURER1Unknown490.25%
UNK / UNKNOWN MANUFACTURER1total490.25%
UNK / UNKNOWN MANUFACTURER2Unknown810.42%
UNK / UNKNOWN MANUFACTURER2total810.42%
UNK / UNKNOWN MANUFACTURER3Unknown20.01%
UNK / UNKNOWN MANUFACTURER3total20.01%
UNK / UNKNOWN MANUFACTURERUNKUnknown4162.14%
UNK / UNKNOWN MANUFACTURERUNKtotal4162.14%
UNK / UNKNOWN MANUFACTURERtotal5482.82%
VARCEL / UNKNOWN MANUFACTURERUNKUnknown60.03%
VARCEL / UNKNOWN MANUFACTURERUNKtotal60.03%
VARCEL / UNKNOWN MANUFACTURERtotal60.03%
VARZOS / UNKNOWN MANUFACTURER2Unknown10.01%
VARZOS / UNKNOWN MANUFACTURER2total10.01%
VARZOS / UNKNOWN MANUFACTURERUNKUnknown20.01%
VARZOS / UNKNOWN MANUFACTURERUNKtotal20.01%
VARZOS / UNKNOWN MANUFACTURERtotal30.02%
total9,45348.6%
TOTAL† 23,092† 118.72%
† Because some cases have multiple vaccinations and symptoms, a single case can account for multiple entries in this table. This is the reason why the Total Count is greater than 19450 (the number of cases found), and the Total Percentage is greater than 100.



Case Details

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VAERS ID: 905345 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2020-12-17
Onset:2020-12-20
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Haemorrhage, Platelet count decreased, SARS-CoV-2 test negative, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (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: None reported by patient
Current Illness: No known past medical history
Preexisting Conditions: None
Allergies: No known allergies
Diagnostic Lab Data: COVID (-) Platelets 2000 cells/mcL
CDC Split Type:

Write-up: Patient received Pfizer COVID 19 vaccine last Thursday 12/17. Admitted today (12/21) with bleeding and low platelet count - working up for ITP, TTP. Given recency of vaccination and no known contributory allergy or medical history, physician thought potentially associated with vaccination.


VAERS ID: 906910 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Florida  
Vaccinated:2020-12-18
Onset:2020-12-21
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood bilirubin increased, Blood osmolarity increased, Blood urea increased, Contusion, Haemorrhage, Immune thrombocytopenia, Monocyte percentage increased, Platelet count decreased, Platelet transfusion, Thrombocytopenia
SMQs:, Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Systemic lupus erythematosus (narrow), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Accidents and injuries (narrow), Chronic kidney disease (broad), Hypersensitivity (narrow), Tumour lysis syndrome (broad), 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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No home medications at the time of vaccination or hospital admission
Current Illness: No pertinent past medical history prior to vaccination
Preexisting Conditions: No pertinent past medical history prior to vaccination
Allergies: No known allergies of any type
Diagnostic Lab Data: BP: 159/106 (12/22/20), Platelets 0 (12/22/20), monocytes 12.1% (12/22/20), BUN 22.3 (12/22/20), BILI 1.50 (12/22/20), calculated osmolality 297 (12/22/20). All other labs are w
CDC Split Type:

Write-up: HPI: 56 y.o. male with no pmhx c/o generalized bruising for 2 days, noticed small blood tinged spots generalized. Gradual onset, severe on severity, no alleviating or aggravating factors. Patient denies fevers, chills, N/V/D, abdominal pain. In ER: Platelet <1. Platelet transfusion in ER. Admitted for Thrombocytopenia/ITP


VAERS ID: 908846 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Epistaxis, Thrombosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Escitalopram, spironolactone, valcyclovir, trazodone, atomoxetine, pseudoephedrine with loratadine.
Current Illness: None known
Preexisting Conditions: Allergic rhinitis, adhd, anxiety, acne, facial herpes simplex, migraines
Allergies: Sertraline - rash
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Very mild, but unexpected nose bloody nose from left nostril. Only noted when blowing nose. With 1 clot.


VAERS ID: 910316 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2020-12-17
Onset:2020-12-21
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / OT

Administered by: Private       Purchased by: ?
Symptoms: Laboratory test, Platelet transfusion, SARS-CoV-2 test negative, Thrombotic thrombocytopenic purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, arterial (narrow), Renovascular disorders (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (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:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20201221; Test Name: work-up; Result Unstructured Data: Test Result:unknown results; Test Date: 20201221; Test Name: covid_test; Test Result: Negative
CDC Split Type: USPFIZER INC2020505215

Write-up: TTP; This is a spontaneous report from a non-contactable pharmacist. A 22-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), intramuscular on 17Dec2020 as a single dose for COVID-19 immunization. The patient did not have any known relevant medical history. The patient had no allergies to medications, food or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient''s concomitant medications were not reported. It was unknown if the patient received any other vaccines within four weeks prior to the vaccination. On 21Dec2020, the patient experienced thrombotic thrombocytopenic purpura (TTP); which was serious for hospitalization. The clinical course was as follows: The patient went to the emergency room/urgent care and was admitted in the early morning of 21Dec2020 due to TTP. Work-up was ongoing with no known results. On 21Dec2020, the patient also had a COVID-19 test which was negative. The patient was treated with unspecified corticosteroids and platelets. The clinical outcome of the TTP was unknown. The reporter assessed that it was unknown if the TTP was related to the vaccination. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.; Sender''s Comments: Current limited information does not allow a full medically meaningful assessment, especially lack of medical history, concomitant medications, concurrent illness and diagnostic workups such as coagulation test, Combs test, bacterial/virologic/immunological biomarkers to identify the etiology. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 912064 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2020510777

Write-up: had a patient receive COVID vaccine and 3 days later developed bilateral pulmonary embolisms; This is a spontaneous report from a contactable physician. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at single dose on an unspecified date for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The physician had a patient receive COVID vaccine and 3 days later developed bilateral pulmonary embolisms on an unspecified date with outcome of unknown. Have there been any similar reports of such events within short time frame of receiving the vaccine? Information about lot/batch number has been requested.; Sender''s Comments: The information provided is limited and doesnot allow a full medically meaningful assessment. This case will be reassessed should additional information, especially patient age, relevant medical history, concomitant drugs and clinical course, become available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 916795 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Michigan  
Vaccinated:2020-12-29
Onset:2020-12-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Dysmenorrhoea, Headache, Injection site pain, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (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: 600 mg Ibuprofen
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Soreness at injection site 3 hours post injection. 30 hours post injection, pt experiences a huge blood clot from vagina, about the circumference of a clementine. was not old blood, looked like frank blood. over the next 30 hours, pt experiences more clots, much smaller, about the size of a pea. pt has a headache and chills throughout. 48+ hours, experiencing what feels like menstrual cramps. no blood clots 72 hours post injection


VAERS ID: 921188 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2020-12-17
Onset:2020-12-21
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Platelet count decreased, Thrombotic thrombocytopenic purpura
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Embolic and thrombotic events, arterial (narrow), Renovascular disorders (broad), 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Platelet Count, 21-Dec-2020, 2000 cells per microlitre
CDC Split Type:

Write-up: 22 year old patient with no known allergies or medical history admitted 12/21 with TTP and currently being worked up. Currently unclear if related or unrelated to COVID vaccination, but received Pfizer vaccine Thursday 12/17.


VAERS ID: 919376 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Montana  
Vaccinated:2020-12-30
Onset:2021-01-02
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Limb discomfort, Limb mass, Pain of skin, Skin warm, Thrombosis, Ultrasound scan abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (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: Dasetta 1/35, Bile salts OTC, Proair Inhaler PRN
Current Illness: N/a
Preexisting Conditions: Asthma
Allergies: Penicillin
Diagnostic Lab Data: 1/4/2021 confirmed with ultrasound of lower extremity.
CDC Split Type:

Write-up: Patient received Moderna vaccine, Wednesday 12/30. On Saturday 1/3/2021 patient felt pressure/tightness in lower extremity. When patient touched area, a noticeable ball was felt under the skin, tender to the touch and warm. Patient went into urgent care on Monday 1/4/2021 with a confirmed dx of a superficial blood clot. Unknown etiology of whether this is from current birth control or the COVID19 Moderna vaccine.


VAERS ID: 919546 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Alabama  
Vaccinated:2020-12-29
Onset:2021-01-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Antinuclear antibody positive, Antiphospholipid antibodies, Aphasia, Blood cholesterol increased, Blood homocysteine, Coagulation time, Craniotomy, Low density lipoprotein increased, Mechanical ventilation, Thrombotic stroke
SMQs:, Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Systemic lupus erythematosus (narrow), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Lipodystrophy (broad), Respiratory failure (broad), Immune-mediated/autoimmune disorders (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Plaquenil Fioricet Midrin
Current Illness: PMH- Lupus; HTN; marked hyperlipidemia
Preexisting Conditions: Lupus Hypertension Hyperlipidemia
Allergies: None listed
Diagnostic Lab Data: Total cholesterol- 465 LDL- 351 ANA (+) Labs pending- Lupus AC; antiphospholipid AB, homocysteine levels; hypercoagulability profile
CDC Split Type:

Write-up: thrombotic stroke -necessitating hospitalization; and craniotomy; required mechanical ventilator for 2 days. Patient now extubated, breathing on her own. Patient remains hospitalized with marked deficits (aphasic)


VAERS ID: 922669 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-26
Onset:2021-01-04
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram thorax, Deep vein thrombosis, Pulmonary embolism, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, 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? No
Previous Vaccinations:
Other Medications: Metformin Birth Control Pills
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Aspirin Anaprox Sulfa
Diagnostic Lab Data: CT scan of chest. Doppler of Left Leg.
CDC Split Type:

Write-up: Patient (myself) developed DVT/PE diagnosed on 1/4/2021


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https://medalerts.org/vaersdb/findfield.php?TABLE=ON&GROUP1=AGE&GROUP2=VMAN&GROUP3=VDO&GROUP4=DEAY&EVENTS=ON&SYMPTOMS[]=Arterial+thrombosis+%2810003178%29&SYMPTOMS[]=Arterial+thrombosis+limb+%2810003180%29&SYMPTOMS[]=Axillary+vein+thrombosis+%2810003880%29&SYMPTOMS[]=Blood+fibrinogen+increased+%2810005521%29&SYMPTOMS[]=Complement+factor+C1+increased+%2810051554%29&SYMPTOMS[]=Complement+factor+C3+increased+%2810010126%29&SYMPTOMS[]=Complement+factor+C4+increased+%2810050982%29&SYMPTOMS[]=Complement+factor+increased+%2810061049%29&SYMPTOMS[]=Deep+vein+thrombosis+%2810051055%29&SYMPTOMS[]=Platelet+adhesiveness+increased+%2810035515%29&SYMPTOMS[]=Platelet+dysfunction+%2810073391%29&SYMPTOMS[]=Platelet+function+test+abnormal+%2810061539%29&SYMPTOMS[]=Pulmonary+embolism+%2810037377%29&SYMPTOMS[]=Secondary+thrombocytosis+%2810083158%29&SYMPTOMS[]=Thrombectomy+%2810043530%29&SYMPTOMS[]=Thrombin-antithrombin+III+complex+increased+%2810053968%29&SYMPTOMS[]=Thrombin+time+abnormal+%2810051319%29&SYMPTOMS[]=Thrombocytopenia+%2810043554%29&SYMPTOMS[]=Thrombocytopenic+purpura+%2810043561%29&SYMPTOMS[]=Thrombolysis+%2810043568%29&SYMPTOMS[]=Thrombophlebitis+%2810043570%29&SYMPTOMS[]=Thrombosis+%2810043607%29&SYMPTOMS[]=Thrombotic+microangiopathy+%2810043645%29&SYMPTOMS[]=Thrombotic+stroke+%2810043647%29&SYMPTOMS[]=Thrombotic+thrombocytopenic+purpura+%2810043648%29&SYMPTOMS[]=Vena+cava+embolism+%2810047193%29&SYMPTOMS[]=Vena+cava+thrombosis+%2810047195%29&SYMPTOMS[]=Venous+occlusion+%2810058990%29&VAX=COVID19&DIED=No


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