That's a lie. Stop it.
If you don't like the VAERS data I post from https://www.medalerts.org/vaersdb/index.php take it up with them.
And, again, it is against the law to file a false VAERS report. People like you deceptively blabbing "anyone can file a report" doesn't degrade VAERS reports at all.
|
| VAERS ID: | 1267350 (history) | | Form: | Version 2.0 | | Age: | 69.0 | | Sex: | Male | | Location: | New Jersey |
| Vaccinated: | 2021-04-24 | | Onset: | 2021-04-28 | | Days after vaccination: | 4 | | Submitted: | 0000-00-00 | | Entered: | 2021-04-28 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / UNK | UN / IM |
Administered by: Pharmacy Purchased by: ?
Symptoms: Arthralgia, Death, Dyspnoea, Pain, Pain in extremity, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-28
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: BP Medications
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Death - Body at Medical Examiner office
CDC Split Type: Write-up: Shortness of Breath Fever Body Pains - Shoulder, Hand pain |
|
| VAERS ID: | 1267487 (history) | | Form: | Version 2.0 | | Age: | 46.0 | | Sex: | Male | | Location: | California |
| Vaccinated: | 2021-04-24 | | Onset: | 2021-04-26 | | Days after vaccination: | 2 | | Submitted: | 0000-00-00 | | Entered: | 2021-04-28 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EW0171 / 2 | LA / UN |
Administered by: Other Purchased by: ?
Symptoms: Autopsy, Cough, Diarrhoea, Dyspnoea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-26
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: None know
Current Illness: Kidney stones
Preexisting Conditions: None known
Allergies: None known
Diagnostic Lab Data: Coroner autopsy, case 2021-05544
CDC Split Type: Write-up: Cough and diarrhea the day after receiving vaccine. The next day, had difficulty breathing and collapsed. |
|
| VAERS ID: | 1268373 (history) | | Form: | Version 2.0 | | Age: | 67.0 | | Sex: | Female | | Location: | New York |
| Vaccinated: | 2021-04-24 | | Onset: | 2021-04-25 | | Days after vaccination: | 1 | | Submitted: | 0000-00-00 | | Entered: | 2021-04-28 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | 045B21A / UNK | RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Autopsy, Death, Resuscitation, Syncope, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-25
Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Carvedilol 25 mg, Ezetimibe 10 mg, Furosemide 20 mg, Lisinopril 40 mg, Omeprazole 40 mg, Rosuvastatin Calcium 10 mg, Loratadine 10 mg, Hydrocortisone cream 2.5%
Current Illness: None
Preexisting Conditions: Type 2 Diabetes, Coronary artery disease, hypertension, hyperlipidemia, obesity, GERD, fatty liver
Allergies: None
Diagnostic Lab Data: Patient was transported via EMS to Emergency Room. He was unable to be resuscitated and pronounced dead. Body was transferred to the Medical Examiner. Autopsy report is pending at this time.
CDC Split Type: Write-up: Patient collapsed and became unresponsive 24 hours after receiving second dose of vaccine. |
|
| VAERS ID: | 1268424 (history) | | Form: | Version 2.0 | | Age: | 47.0 | | Sex: | Female | | Location: | Wisconsin |
| Vaccinated: | 2021-04-24 | | Onset: | 2021-04-26 | | Days after vaccination: | 2 | | Submitted: | 0000-00-00 | | Entered: | 2021-04-28 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / 2 | RA / IM |
Administered by: Public Purchased by: ?
Symptoms: Cough, Death, Dyspnoea, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), COVID-19 (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-26
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: History of blood clots
Allergies:
Diagnostic Lab Data: Swabbed for COVID by medical examiner, no results available.
CDC Split Type: Write-up: The decedent was found in her bedroom by her daughter. Medical history only includes previous blood clots. Decedent has been complaining of coughing and shortness of breath the past few days. There is no history of drug use. The decedent had a foam cone when found. |
|
| Vaccinated: | 2021-04-24 | | Onset: | 2021-04-29 | | Days after vaccination: | 5 | | Submitted: | 0000-00-00 | | Entered: | 2021-05-01 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / UNK | LA / - |
Administered by: Private Purchased by: ?
Symptoms: Death, Pulmonary oedema, Seizure
SMQs:, Cardiac failure (narrow), Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-29
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type: Write-up: Patient suffered a seizure and pulmonary edema four days after receiving second Pfizer shot. He was pronounced dead several hours later. Patient had no health issues and was 45 years old. |
|
| VAERS ID: | 1285872 (history) | | Form: | Version 2.0 | | Age: | 80.0 | | Sex: | Female | | Location: | Puerto Rico |
| Vaccinated: | 2021-04-24 | | Onset: | 2021-04-26 | | Days after vaccination: | 2 | | Submitted: | 0000-00-00 | | Entered: | 2021-05-04 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | 016C21A / 5 | RA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Abdominal pain upper, Abdominal wall haematoma, Activated partial thromboplastin time normal, Alanine aminotransferase increased, Arrhythmia, Aspartate aminotransferase increased, Asthenia, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride normal, Blood creatinine increased, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea increased, Carbon dioxide decreased, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Coagulation test, Computerised tomogram, Deep vein thrombosis, Dyspnoea, Electrocardiogram abnormal, Heart rate increased, Hypotension, Hypovolaemic shock, International normalised ratio increased, Lung infiltration, Metabolic acidosis, Metabolic function test, Pneumonitis, Protein total normal, Prothrombin time prolonged, Retroperitoneal haemorrhage, SARS-CoV-2 test negative, Sinus tachycardia, Troponin normal, Vomiting, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Liver-related coagulation and bleeding disturbances (narrow), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Lactic acidosis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Hypovolaemic shock conditions (narrow), Embolic and thrombotic events, venous (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (narrow), Hypokalaemia (broad), COVID-19 (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-05-03
Days after onset: 7
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metropolol 25mg pO Daily Zantaz 300mg pO Daily Verapamil 120mg PO Daily
Current Illness: present to er due to abdominal pain epigastric with rioght upper with mild shortness of breath vomiting weaknees
Preexisting Conditions: Arthritis, GERD, Hyperlipidemia, Hypertension
Allergies: Ciproflaxacin, penicillina
Diagnostic Lab Data: Patient seen, record review, on empiric treatment that according to clinical findings is well address FOR SEPSIS WERE GALLBLADDERDS NEEDS TO R/O AS THE CAUSE OF ABD PAIN AND ALTERED LFTS BKP : CAP / ATYPICAL INFECTION R/O UTI PX DEBUT WITH ACS/ CARDIAC ARRHYTMIAS WERE ACUTE EVENT NEEDS TO R/O TROPONIN LEVELS NEG UP TO NOW NEEDS TO R/O PRIOR CARDIAC PROBLEMS PX WITH PARTIAL VACCINATION : NEEDS TO R/O COVID INFECTION NEEDS TO R/O PART OF ABN SX SECONDARY OT VACCINE SE on exaM 4/30 REFERS FEELING SOMEWAY BETTER: NO RESP DISTRESS , STILL WITH CARDIAC ARRHYTHMIAS WORK UP BY CT CONFIRM BKP ON ABD EXAM, STILL WITH RUQ PAIN UPON PALPATION U/C CAME NEG CARDEX REVIEW: CHANGE TO MEREM SEEN BY SX AND RECOMENDATIONS SEEN ON EXAM TODAY, PX COMPLICATED : FOUND ON MV DUE TO IRF WERE CAUSES IS MULTIFACTORIAL ; INCLUDING SEVERE METABOLIC ACIDOSIS, HYPOVOLEMIC SHOCK SECONDARY TO RETROPERITONEAL BLLEDING/ ABD WALL HEMATOMA causing HYPOTENSION THAT REQUIRED INOTROPICS WORK UP ALSO POSITIVE FOR BIL LE DVT REASON FOR BLEEDING COMPLICATIONS NEEDS TO ASSEST INCLUDING VACC SIDE EFFECT INCLUDING COVID ACTIVE INFECTION RESULTADOS DE PCR Y NAAT NEGATIVOS Comprehensive Metabolic Panel Sodium 138 mmol/L (137-145) 05/01/21 11:30 Potassium 4.0 mmol/L (3.5-5.1) 05/01/21 11:30 Chloride 101 mmol/L (98-107) 05/01/21 11:30 Carbon Dioxide 20 mmol/L (22-30) L 05/01/21 11:30 BUN 58 mg/dL (7-17) H 05/01/21 11:30 Creatinine 1.41 mg/dL (0.52-1.04) H 05/01/21 11:30 Glucose 327 mg/dL (74.0-100.0) H 05/01/21 11:30 Calcium 8.4 mg/dL (8.4-10.2) 05/01/21 11:30 Total Bilirubin 0.8 mg/dL (0.20-1.30) 04/28/21 02:50 AST 67 U/L (15-46) H 04/28/21 02:50 ALT 79 U/L (0-50) H 04/28/21 02:50 Alkaline Phosphatase 100 U/L (38-126) 04/28/21 02:50 Total Protein 6.4 g/dL (6.3-8.2) 04/28/21 02:50 Albumin 4.0 g/dL (3.5-5.0) 04/28/21 02:50 Coagulation Labs PT 19.1 Secs (9.1-12.7) H 05/02/21 06:00 INR 1.69 (0.9-1.10) H 05/02/21 06:00 APTT 31.3 Secs (25.0-35.0) 05/02/21 06:00
CDC Split Type: Write-up: 80 yo woman with hx of HTN, anxiety dneies any other conditions, presented to ER due to epigastric pain, vomiting x1. In Er presented with elevated heart rate, EKG with sinus tachycardia, regular rythm. CXR with COPD changes. There are bibasilar infiltrates suspicious for pneumonitis in the appropriate clinical setting. PAtient admitted to unit for further treatment and workup. WBC 16.91 4/27/2021 |
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| VAERS ID: | 1286679 (history) | | Form: | Version 2.0 | | Age: | 71.0 | | Sex: | Unknown | | Location: | Alabama |
| Vaccinated: | 2021-04-24 | | Onset: | 2021-04-01 | | Submitted: | 0000-00-00 | | Entered: | 2021-05-04 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EL3247 / 1 | LA / IM | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EW0170 / 2 | LA / IM |
Administered by: Pharmacy Purchased by: ?
Symptoms: Musculoskeletal stiffness, Neck pain
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-05-01
Days after onset: 30
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trazodone, buspar, Percocet , levothyroxine and fluoxetine
Current Illness: Non reported
Preexisting Conditions: Pain and depression
Allergies: NKA
Diagnostic Lab Data: Non reported
CDC Split Type: Write-up: Neck pain and stiffness starting shortly after vaccine admin of 2nd dose |
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| VAERS ID: | 1264579 (history) | | Form: | Version 2.0 | | Age: | 59.0 | | Sex: | Male | | Location: | California |
| Vaccinated: | 2021-04-26 | | Onset: | 2021-04-27 | | Days after vaccination: | 1 | | Submitted: | 0000-00-00 | | Entered: | 2021-04-27 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EW0164 / 1 | LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Cardiac arrest, Death, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Hypoglycaemia (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-27
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: amlodipine, losartan , colchicine
Current Illness:
Preexisting Conditions: Diabetes, Hypertension, Hyperlipidemia, gout .
Allergies: Indomethacin
Diagnostic Lab Data:
CDC Split Type: Write-up: I was notified that patient passed away at Hospital 10:37 am today. Per message to medical office from Coroner, it was reported that patient collapsed this morning while walking his dog. Patient was brought in by ALS complaint of FULL ARREST to Hospital 10:10 am and pronounced at 10:37 am 4/24/2021 by Dr. at Hospital. |
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| VAERS ID: | 1266493 (history) | | Form: | Version 2.0 | | Age: | 56.0 | | Sex: | Male | | Location: | Tennessee |
| Vaccinated: | 2021-04-26 | | Onset: | 2021-04-27 | | Days after vaccination: | 1 | | Submitted: | 0000-00-00 | | Entered: | 2021-04-28 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | 002C21A / 1 | LA / IM |
Administered by: Pharmacy Purchased by: ?
Symptoms: Death, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-27
Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: COPD- wearing oxygen at the time of vaccination
Allergies: NKA
Diagnostic Lab Data: Na
CDC Split Type: Write-up: Family friend of the wife, called our pharmacy on 04/28/2021 and reported that wife''s appointment would need to be canceled for 04/29/2021 because her spouse passed away the previous night. This prompted our staff to look further and it was noted that her spouse, received his first Moderna vaccine on 4/26/2021 at our pharmacy. Friend was not reporting his death due to the belief that the injection was the cause. Only to report, so upcoming appointment for his wife could be canceled. It was reported to our Medical staff that Patient n has Chronic COPD and had difficulty breathing on the evening of 4/27/2021 and was taken to the hospital where he later passed away. Patient was on portable oxygen and resembled shortness of breath while ambulating at the time of his vaccination appointment on 4/26/2021. Patient immediately recovered from Shortness of Breath once seated in exam room for injection for a few minutes. |
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| VAERS ID: | 1272058 (history) | | Form: | Version 2.0 | | Age: | 58.0 | | Sex: | Male | | Location: | California |
| Vaccinated: | 2021-04-26 | | Onset: | 2021-04-28 | | Days after vaccination: | 2 | | Submitted: | 0000-00-00 | | Entered: | 2021-04-29 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EW0176 / 2 | UN / SYR |
Administered by: Other Purchased by: ?
Symptoms: Death
SMQs: Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-28
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: nothing
Current Illness: Diabetes Treated for blood clot in January 2021
Preexisting Conditions: Diabetes, Obesity
Allergies: nothing
Diagnostic Lab Data: none
CDC Split Type: Write-up: Death on April 28, 2021 1AM |
|
| VAERS ID: | 1271213 (history) | | Form: | Version 2.0 | | Age: | 80.0 | | Sex: | Male | | Location: | Pennsylvania |
| Vaccinated: | 2021-04-27 | | Onset: | 2021-04-28 | | Days after vaccination: | 1 | | Submitted: | 0000-00-00 | | Entered: | 2021-04-29 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EW0169 / 2 | RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Acidosis, Acute hepatic failure, Acute kidney injury, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood gases abnormal, Blood glucose increased, Blood lactic acid increased, Cardiac arrest, Chronic kidney disease, Computerised tomogram, Death, Diabetic ketoacidosis, Endotracheal intubation, Glucose tolerance test, Hypotension, Insulin tolerance test, Intensive care, Metabolic function test, Nausea, Resuscitation, Sedative therapy, Unresponsive to stimuli, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Liver related investigations, signs and symptoms (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Lactic acidosis (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), 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), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (narrow), Tumour lysis syndrome (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-29
Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL) 325 mg tablet ascorbic acid, vitamin C, (VITAMIN C) 1,000 mg tablet ascorbic acid-multivit,mins 18 1,000 mg tablet aspirin 81 mg tablet BD ULTRA-FINE SHORT PEN NEEDLE 31 gauge x 5/16" needle bimatoprost (LUMIGAN) 0.0
Current Illness: none
Preexisting Conditions: Nervous Intermittent claudication (CMS/HCC) Circulatory Coronary artery disease involving native coronary artery of native heart without angina pectoris Hypertension, essential Peripheral arterial disease (CMS/HCC) NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC) Acute on chronic systolic heart failure (CMS/HCC) Cardiac arrest (CMS/HCC) Digestive Diverticular disease of colon Acute liver failure Genitourinary Stage 3b chronic kidney disease Type 2 diabetes mellitus with diabetic nephropathy (CMS/HCC) Hypertensive chronic kidney disease CKD (chronic kidney disease) stage 4, GFR 15-29 ml/min (CMS/HCC) Endocrine/Metabolic Hyperlipidemia Other Presence of combination internal cardiac defibrillator (ICD) and pacemaker
Allergies: CiprofloxacinSwelling DoxycyclineSwelling RosuvastatinMyalgia / Muscle Pain SimvastatinMyalgia / Muscle Pain Statins-hmg-coa Reductase InhibitorsMyalgia / Muscle Pain
Diagnostic Lab Data:
CDC Split Type: Write-up: Patient is a 80 y.o. male with significant PMHx of CAD, HTN, HLD, CKD who is admitted to ICU as a transfer from hospital for acute liver failure and cardiac arrest. Pt presented to hospital on 04/28 w/ complaints of nausea and vomiting. He stated that he had recently gotten his COVID vaccine. Pt was found to be in acute liver failure in the ED w/ AST and ALT $g 1000. Lactate $g 15.0. BMP showed AKI on CKD and BG $g500. Pt did have cardiac arrest while undergoing CT Scan and ROSC was achieved after CPR x 20 mins. Pt was hence transferred to the ICU for higher level management and admitted for cardiac arrest and acute liver failure. Upon arrival, Pt was intubated and sedated. He was non-responsive to verbal and physical stimuli. Pt was acidotic. ABG: 6.99 / 28 / 165 / 7. 1 amp of HCO3 was given upon arrival. Pt was started on insulin gtt for DKA and was started on Levophed for low BP. Pt underwent cardiac arrest shortly after arrival to the ICU. CPR was performed for $g 20 mins without ROSC. Family arrived at bedside and decision was made to stop CPR at 0205 on 04/29/2021. |
|
| Vaccinated: | 2021-04-27 | | Onset: | 2021-04-29 | | Days after vaccination: | 2 | | Submitted: | 0000-00-00 | | Entered: | 2021-04-30 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EW0151 / 2 | LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Asthenia, Bradykinesia, Death, Discomfort, Hypoacusis, Irritability, Loss of consciousness, Malaise, Memory impairment, Pain, Respiratory rate increased, Skin abrasion, Slow response to stimuli, Slow speech, Spinal retrolisthesis, Tenderness, Wheezing
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (broad), Hostility/aggression (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Hypoglycaemia (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-30
Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PTA Home Medications Medication Sig ? acetaminophen (TYLENOL) 500 mg tablet Take 2 tablets by mouth 3 times daily After one week you may take 3 tablets by mouth three times a day as needed for pain.. ? albuterol 90 mcg/puff inhaler Inhale 2
Current Illness: On 4/12/21, the patient was involved in a motor vehicle accident. She reported pressing the gas pedal instead of the brakes at a red light, was hit be a car on the driver''s side, hit her head, and reported feeling dazed with a numb body immediately after. A friend on site reported the patient was acting confused. On presentation to the Emergency Department, she complained of headache, neck/back/elbow pain. The ED provider assessed the patient and ordered a CT of the head and cervical spine, and an Xray of the elbow and thoracic spine. Symptoms were consistent with a cervical/thoracic sprain/strain and concussion. She was discharged to home with instructions for supportive care and NSAIDs for pain.
Preexisting Conditions: Past Medical History: Diagnosis Date ? Acid reflux disease ? Adverse effect of anesthesia had severe post op pain unable to get under control ? Anxiety 1980 ? Arthritis 1990 knees ? Cancer (HCC) 89, 2000, 2012 mother and father ? Chronic kidney disease 2007 self- resolved ? COPD (chronic obstructive pulmonary disease) (HCC) chronic cough for more than 6 months ? Degeneration of lumbar intervertebral disc ? Depression 1980 self and sibling and parent ? Environmental allergies 1995 ? Fetal alcohol syndrome averbal until 4 yo ? GERD (gastroesophageal reflux disease) 1990 Resistant to omeprazole and pantoprazole. May be related to MTHFR mutation. ? Headache(784.0) Migraine. Was also hit in early life. ? Iron deficiency ? Medication overuse headache 10/12/2016 ? Memory loss 4/2014 Improved on Namenda ? Meralgia paresthetica 6/2014 Assoc with weight gain from psychotropic medications ? Migraines ? Ovarian cancer (HCC) 2019 ? PONV (postoperative nausea and vomiting) ? PTSD (post-traumatic stress disorder) ? Schizophrenia (HCC) Noted as treatment resistant, sees psychiatry. Mothe drank & took barbituates while pregnant. ? Sciatica In part provoked by piriformis ? Substance abuse (HCC) 1999 self ? Temporomandibular disorder ? Thyroid disease low thyroid ? TMJ (dislocation of temporomandibular joint) ? Tobacco use Past Surgical History: Procedure Laterality Date ? CERVICAL SPINE SURGERY Posterior 6/12/2020 Procedure: C4-7 POSTERIOR CERVICAL LAMINECTOMY INSTRUMENTATION AND FUSION; ? CERVICAL SPINE SURGERY Posterior 8/21/2020 Procedure: EXTENSION OF PRIOR FUSION C3 TO T2 ? COLONOSCOPY 6/14/2011 ? EGD AND COLONOSCOPY 2011 ? ELBOW SURGERY Right 1996 ? FOOT SURGERY Right 2008 ? HARDWARE REMOVAL N/A 8/21/2020 ? HERNIA REPAIR 1990 ? HIATAL HERNIA REPAIR N/A 1/6/2016 ? KNEE JOINT REPLACEMENT Right ? KNEE SURGERY Bilateral 1997, 1988, 1999, 2011, 2012 ? LUMBAR SPINE SURGERY N/A 12/6/2018 ? OTHER SURGICAL HISTORY 1980, 1998, 1999 Jaw Surgery ? OVARY REMOVAL Bilateral 2019 ? SIGMOIDOSCOPY N/A 1/20/2021 Procedure: SIGMOIDOSCOPY FLEXIBLE ? TOTAL HYSTERECTOMY Bilateral 8/22/2019 Procedure: SI ROBOTIC ASSISTED LAPAROSCOPIC HYSTERECTOMY WITH BILATERAL SALPINGO-OOPHERECTOMY; PERITONEAL STAGING BIOPSIES, BILATERAL PELVIC AND PERIAORTIC LYMPH NODE DISSECTION; OMENTECTOMY ? UPPER GASTROINTESTINAL ENDOSCOPY N/A 1/6/2016 ? UPPER GASTROINTESTINAL ENDOSCOPY N/A 5/19/2016 ? VENTRAL HERNIA REPAIR N/A 2/22/2021
Allergies: Allergies: is allergic to varenicline; amoxicillin; gabapentin; penicillins; cyclosporine; clavulanic acid; nsaids; paper tape [adhesive & tape]; and tetanus toxoid, adsorbed.
Diagnostic Lab Data: The following are the physical exam notes and CT/Xray results from the ED admission on 4/12/21: Physical Examination VITAL SIGNS: Patient Vitals for the past 24 hrs: BP Temp Temp src Pulse Resp SpO2 Weight 04/12/21 1423 116/64 37.1 �C (98.7 �F) Oral 68 14 95 % 67.6 kg (149 lb) Constitutional: Well-developed. No acute distress with non-toxic appearance. HENT: Normocephalic with no external evidence of trauma, tympanic membranes atraumatic. Eyes: PERRL, EOMI. Neck: anterior atraumatic. Respiratory: Bilateral breath sounds equal, clear to auscultation, no increased work of breathing, No respiratory distress. Cardiovascular: S1S2, Normal heart rate and rhythm. No murmur, rub, or gallop. Periphery is well-perfused. Chest: Atraumatic and nontender. No step-off, crepitus, deformity, or subcutaneous air. Abdomen: Atraumatic, +normoactive bowel sounds, Non tender all four quadrants, no hepatosplenomegaly or masses. Skin: Warm and dry. No rash. Musculoskeletal: Cervical and thoracic spine tender to palpation, and lumbar spine, nontender. There is no step-off, crepitus, deformity, or visible bruising. Cervical paraspinous musculature tender right and left, tender over right left trapezius, thoracic paraspinous musculature tender right and left, and lumbar paraspinous musculature nontender. Range of motion at the neck and back essentially normal but does reproduce discomfort for the patient. Straight leg raise is negative for reproducing any radicular symptoms. Abrasion to the left elbow over the olecranon with tenderness to palpation patient is able to fully flex and extend the elbow but it is painful. No tenderness to radial or ulnar styloid with normal range of motion of wrist, no tenderness normal range of motion of left shoulder. Neurologic: Cranial nerves 2-12 grossly intact, gait steady no ataxia. Patient has bilaterally equal grips,strength 5/5, sensation to light touch to UE/LE. Radiology: CT Head wo Contrast Result Date: 4/12/2021 CT HEAD WO CONTRAST 4/12/2021 6:26 PM INDICATION: Head trauma, mod-severe. COMPARISON: CT from 11/7/2020. TECHNIQUE: 5 mm axial images were obtained from the skull base through vertex. Dose reduction techniques were used including but not limited to automated exposure control (AEC), iterative reconstruction technique, and/or mA and/or kV dose adjustments based on patient size. FINDINGS: CEREBRUM: Mild periventricular and subcortical white matter hypodensities, unchanged. CEREBELLUM: Normal. BRAINSTEM: Normal. VENTRICLES AND EXTRA-AXIAL SPACES: Normal. SKULL/SCALP: Normal. PARANASAL SINUSES AND MASTOID AIR CELLS: Normal. IMPRESSION: No acute intracranial abnormality. Dictated by: Lyudmila V Morozova M.D. on 4/12/2021 6:54 PM Electronically signed by: Lyudmila V Morozova M.D. on 4/12/2021 7:05 PM CT Cervical Spine wo Contrast Result Date: 4/12/2021 CT CERVICAL SPINE WO CONTRAST 4/12/2021 6:26 PM HISTORY: Neck pain, recent trauma; Neck Pain. COMPARISON: Radiograph from 12/9/2020. TECHNIQUE: Helical images through cervical spine were obtained. No intravenous contrast was administered. FINDINGS: Posterior spinal fusion extends from C3 through upper thoracic spine. There is minimal, grade 1, anterolisthesis of C2 on C3, unchanged compared to prior radiograph. There is approximately 2 mm retrolisthesis of C6 on C7, also probably similar. No definite acute fracture identified. No focal osseous destruction. There is facet hypertrophy. No prevertebral soft tissue edema is seen. Mild obscuration by hardware artifact. Lung apices are clear. IMPRESSION: No acute fracture. XR Elbow Left 2 Vw Result Date: 4/12/2021 XR ELBOW LEFT 2 VW; 4/12/2021 6:44 PM HISTORY: NECK PAIN; elbow pain. Motor vehicle accident COMPARISON: None. FINDINGS: Alignment is normal. No acute fracture or focal bone lesion. Joint spaces are maintained. No radiopaque soft tissue foreign body. IMPRESSION: No acute fracture or dislocation of the left elbow. XR Thoracic Spine 3 Vw Result Date: 4/12/2021 XR THORACIC SPINE 3 VW 4/12/2021 6:43 PM HISTORY: Back Pain. Motor vehicle accident COMPARISON: None. FINDINGS: Alignment is normal. Cervicothoracic spinal fusion hardware in place. Vertebral body heights are maintained. No acute displaced fracture. Disc spaces are normal. Regional soft tissues are unremarkable. IMPRESSION: No acute fracture or malalignment of the thoracic spine.
CDC Split Type: Write-up: This was a 58 year old female who received her 1st dose Pfizer on 4/6/21 (Lot# EW0175) and 2nd dose Pfizer on 4/27/21 (Lot# EW0151). Of note, the patient was in a motor vehicle accident on 4/12/21 with a diagnosis of concussion and cervical/thoracic strain/sprain (see history under patient information). On 4/29/21, the patient''s sister contacted the patient''s primary care clinic with the following documented concern: "Pt''s sister calling to report that two days ago pt got 2nd dose Pfizer vaccine and has been sick. This morning they found her passed out against the her bedroom door. Pt reports that she can''t remember much other than going to the bathroom. Pt''s sister states that patient totaled her car a week ago, and that it was determined she had a concussion. "She hasn''t been herself since the wreck and I am very concerned." This caller recommenced the Ed or UC but caller denied stating that either needs to see her today. This writer is reaching out to nurse to see if they can advise from here." A RN assessed the patient virtually with the following documentation: "RN note: Call transferred from patient''s sister. Pt noted to be found on her floor this morning. Pt unsure if she hit her head. Spoke to patient. She reports body aches, and feeling weak. Pt is slow to answer questions, and had a lot of difficulty hearing me (sister did not have any difficulty hearing me). Pt is noted to have more rapid breathing, and some slight wheezing. Speech is clear when she is speaking. Sister gave patient water to drink. She drank out of bottle and was able to hold on her own (though had difficulty with this at first). Sister noted some water dripping down face, but was able to swallow okay. Sister also noted that patient''s lips seem to be pursed. Plan: Given recent concussion, and patients change in behavior per sister (pt more irritable, speaking more slowly, moving slowly, breathing faster, and wheezing), recommended patient be taken to the ED today--recommended ambulance since it took 2 men to help patient back to bed this morning. Sister states patient is not agreeable to going to ED at this time. Advised to try to encourage her to drink more fluids, and continue to monitor her sxs, and if any worsening, to call for ambulance transport. Sister agreeable to plan, and will discuss with sister, and recommend ED visit today." On 4/30/21, the patient''s sister contacted the clinic to inform them that the patient was found dead that morning. The medical examiner is completing the further investigation. If additional information is needed from the primary care physician for this patient. |
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| Vaccinated: | 2021-04-27 | | Onset: | 2021-04-30 | | Days after vaccination: | 3 | | Submitted: | 0000-00-00 | | Entered: | 2021-05-01 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / 2 | UN / IM |
Administered by: Pharmacy Purchased by: ?
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood lactic acid, Blood pH increased, Blood parathyroid hormone increased, Cardiac arrest, Cardiac failure, Catheterisation cardiac normal, Death, Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram ST segment elevation, Endotracheal intubation, Feeling abnormal, Fibrin D dimer normal, Haemodynamic instability, Immunoglobulin therapy, Life support, Lung assist device therapy, Nausea, Pericardial effusion, Pulse absent, SARS-CoV-2 test negative, Serum ferritin increased, Therapeutic hypothermia, Troponin, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-05-01
Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Down''s Syndrome
Allergies: No known food or medication allergies
Diagnostic Lab Data: COVID 19 not detected (4/30/21 at 21:40) D-dimer $g 20 (5/1/21 at 03:38) AST 7730 (5/1/21 at 03:38) ALT 7128 (5/1/21 at 03:38) Ferritin $g30,000 (5/1/21 at 03:38) Lactate $g 20 (5/1/21) PTH 680 (5/1/21) pH 7.26 (5/1/21 Troponin $g 50 (5/1/21 at 05:13) CK 2889 (5/1/21 at 05:13) Bedside ECHO 5/1/21 demonstrated good ejection (EF not reported).
CDC Split Type: Write-up: 27 year old male with Down''s Syndrome and no other past medical history received second COVID-19 vaccine on 4/27/2021. On 4/30/2021 began "feeling poorly" with nausea/vomiting and possible chest discomfort. Originally presented to ED on morning of 4/30 - EKG completed demonstrated diffused ST elevation. Patient was transferred to Medical Center for heart catheterization. Left heart catheterization demonstrated normal coronary arteries and LVEDP of 25. Stat ECHO demonstrated pericardial effusion and concern raised for myopericarditis. Patient subsequently transferred to a different Medical Center for higher level of care. Upon arrival to Medical Center plan was to intubate and take to cath lab for heart biopsy and PA catheter placement. However, upon intubation patient began to decompensate and subsequently developed cardiac arrest. During ACLS, VA ECMO was placed and therapeutic hypothermia was initiated. Following VA ECMO placement patient received IVIG, high dose methylprednisolone (1000 mg), anakinra 100 mg, and broad spectrum antibiotics (vancomycin and Zosyn). Despite these efforts the patient continued to have hemodynamic instability and was on high dose vasopressors (epinephrine, norepinephrine, dopamine, angiotensin II, vasopressin). Patient subsequently suffered another cardiac arrest, briefly regained pulse with high dose vasopressors, but subsequently lost pulse despite best efforts and died on 5/1/2021 at approximately 13:00. |
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| VAERS ID: | 1293944 (history) | | Form: | Version 2.0 | | Age: | 74.0 | | Sex: | Female | | Location: | Arizona |
| Vaccinated: | 2021-04-27 | | Onset: | 2021-05-06 | | Days after vaccination: | 9 | | Submitted: | 0000-00-00 | | Entered: | 2021-05-06 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | - / UNK | - / - |
Administered by: Private Purchased by: ?
Symptoms: Cardiac arrest
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Respiratory failure (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-05-06
Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None known
Preexisting Conditions: None known
Allergies: None known
Diagnostic Lab Data:
CDC Split Type: Write-up: Patient suffered cardiac arrest today |
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| VAERS ID: | 1294303 (history) | | Form: | Version 2.0 | | Age: | 87.0 | | Sex: | Female | | Location: | California |
| Vaccinated: | 2021-04-27 | | Onset: | 2021-04-28 | | Days after vaccination: | 1 | | Submitted: | 0000-00-00 | | Entered: | 2021-05-06 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | 008C21A / 2 | LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Blood lactic acid, Brain natriuretic peptide increased, Cardio-respiratory arrest, Death, Diarrhoea, Haematocrit normal, Haemoglobin normal, International normalised ratio increased, Troponin increased, Urinary tract infection, Urine analysis abnormal, Vomiting, White blood cell count increased
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Liver-related coagulation and bleeding disturbances (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-05-06
Days after onset: 8
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lasix, Coreg, Pradaxa, Losartan, Lipitor
Current Illness: CHF, atrial fibrillation, bronchiectasis, hypothyroidism, lung nodule
Preexisting Conditions:
Allergies: Aldactone, Lisinopril
Diagnostic Lab Data: Labs from 5/6/21 notable for: Troponin 0.4 Lactic acid 10 BNP 1990 WBC 13.8 H/H 13/42 INR 3.9 AST 1734 ALT 1194 UA shows UTI
CDC Split Type: Write-up: Vomiting and diarrhea starting 4/28/21 (day after vaccine). Came to ED today for these symptoms, feeling weak, had a cardiopulmonary arrest and died. |
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| VAERS ID: | 1272739 (history) | | Form: | Version 2.0 | | Age: | 77.0 | | Sex: | Female | | Location: | Florida |
| Vaccinated: | 2021-04-28 | | Onset: | 0000-00-00 | | Submitted: | 0000-00-00 | | Entered: | 2021-04-30 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | 048A21A / 1 | UN / SYR | | COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | 001C21A / 2 | UN / SYR |
Administered by: Pharmacy Purchased by: ?
Symptoms: Death
SMQs: Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-29
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Symbicort Allopurinol, Pantoprazole, Furosemide,
Current Illness:
Preexisting Conditions: COPD, HTN, DM, A-FIB
Allergies:
Diagnostic Lab Data:
CDC Split Type: Write-up: Expired within 72 hours of receiving vaccine. |
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| VAERS ID: | 1273475 (history) | | Form: | Version 2.0 | | Age: | 24.0 | | Sex: | Female | | Location: | Mississippi |
| Vaccinated: | 2021-04-28 | | Onset: | 2021-04-29 | | Days after vaccination: | 1 | | Submitted: | 0000-00-00 | | Entered: | 2021-04-30 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | 016C21A / 1 | RA / IM |
Administered by: Senior Living Purchased by: ?
Symptoms: Apnoea, Death, Pulse absent, Resuscitation
SMQs:, Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Respiratory failure (narrow) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-04-29
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: Isosource Continuous feeding, Tylenol 650mg PRN; Ibuprofen 400mg PRN; Metoprolol 50mg BID
Current Illness: Anoxic Brain Injury, History of MI, Uterine rupture, dysphagia, PEG TUBE, Tracheostomy
Preexisting Conditions: Anoxic Brain Injury
Allergies: NKA
Diagnostic Lab Data: NA
CDC Split Type: Write-up: on 04/29/2021 Resident was checked at 1830 and found to be at baseline status. At approximately 1855, resident was found pulses and apneic. CPR initiated and resident transferred to medical center. Resident expired 1939. |
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| VAERS ID: | 1280622 (history) | | Form: | Version 2.0 | | Age: | 50.0 | | Sex: | Male | | Location: | South Carolina |
| Vaccinated: | 2021-04-28 | | Onset: | 2021-05-01 | | Days after vaccination: | 3 | | Submitted: | 0000-00-00 | | Entered: | 2021-05-02 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | - / 1 | - / - |
Administered by: Pharmacy Purchased by: ?
Symptoms: Chest pain, Chills, Death, Lymph node pain, Malaise, Myalgia, Unresponsive to stimuli
SMQs:, Rhabdomyolysis/myopathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad) Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-05-01
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: Tylenol PRN Amiodarone 200mg daily Aspirin 81mg daily Colace 200mg BID PRN Prozac 40mg daily Motrin 200 mg PRN Melatonin methocarbamol 750mg TID PRN SIngulair 10mg daily Miralax Senna Tramadol Trazodone
Current Illness: Aortic Root Aneurysm, repaired 4/13/2021 with valve-sparing aortic root replacement, right coronary artery bypass, and arch replacement
Preexisting Conditions: Marfan Syndrome, chronic Type B aortic dissection
Allergies: Codeine
Diagnostic Lab Data: 2V Chest Xray -- 4/23/2021 -- Sternotomy wires intact. Endovascular aortic graft in place and unchanged. Stable cardiac silhouette. Stable mediastinum. Bilateral small effusions with bibasilar atelectasis, unchanged compared to prior exam. No pneumothorax. No acute osseous abnormalities. Transthoracic Echocardiogram -- 4/17/2021 -- trace pericardial effusion, mild AI, normal bi-ventricular function; no evidence of RV failure, RA pressure ~3mmHg Bilateral duplex ultrasound -- 4/23/2021 -- no DVT; abnormal pulsatility in bilateral common femoral veins -- may be seen in right heart failure or volume overload EKG 4/3/2021 -- Normal sinus rhythm, nonspecific ST abnormality, QT 454 ms, HR 67 BPM
CDC Split Type: Write-up: On 4/13 Patient underwent aortic root replacement with saphenous vein graft reconstruction of the right coronary artery. He had no prior coronary disease. This operation was done for an enlarging aortic root aneurysm in the setting of Marfan syndrome. The right coronary was anomalous and needed vein extension for reimplantation. He recovered very well and was seen in our clinic on 4/23, with no unusual findings. He had a normal echo, EKG and DVT study performed. On 4/28 he had his first Moderna COVID19 dose. on 5/1, he developed malaise, myalgias, painful lymph nodes, chills, and chest pain. He called my clinic and was instructed to go to the ER, but then felt better and didn''t go. He was then found unresponsive later that afternoon and was pronounced dead on arrival of EMS. |
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| VAERS ID: | 1283093 (history) | | Form: | Version 2.0 | | Age: | 66.0 | | Sex: | Female | | Location: | California |
| Vaccinated: | 2021-04-28 | | Onset: | 2021-05-01 | | Days after vaccination: | 3 | | Submitted: | 0000-00-00 | | Entered: | 2021-05-03 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route | | COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EW0178 / 6 | LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Fatigue, Headache
SMQs: Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-05-01
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: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: none
CDC Split Type: Write-up: Tired, headache. |
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