"Notes" "Symptoms" "Symptoms Code" "Vaccine" "Vaccine Code" "VAERS ID"

"VAERS ID Code" "Month Reported" "Month Reported Code" "Month Died"

"Month Died Code" Adverse Event Description
"ABDOMINAL PAIN" "10000081" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1104175-1" "1104175-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "She received the 2nd Dose on 3/9/2021. On 3/10/2021 She
complained of a headache. On the morning of 3/11/2021 she complained of abdominal
pain and had no appetite. We then found her unresponsive, called 911 and the
medics pronounced her at around 1300."
"ABDOMINAL PAIN UPPER" "10000087" "COVID19 (COVID19 (MODERNA))" "1201"
"1176010-1" "1176010-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "He got his vaccine, and mother had talked to his girlfriend said
that he felt fine other than a sore arm. He called his mother and told her that he
was sick to his stomach with cramps and that he was throwing up blood. The
girlfriend found him on the floor on the 21st dead on the floor in his hotel room
at 8:00 AM. The girlfriend said she had spoken with him around 10:00 PM and that
he said he was going to sleep on the floor in the bathroom as he was throwing up
and the floor was cool. She subsequently found out that he was throwing up blood,
and autopsy report showed that his stomach was full of blood and further testing is
being done to see what has caused the bleeding."
"ABDOMINAL PAIN UPPER" "10000087" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1297262-1" "1297262-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "The patient had developed a rash, fatigue, difficulty breathing,
stomach pain, possible fever and began to cough up blood. He took Tylenol and a
Chinese herbal medication called Lianhua Qingwen Jiaonang on 5/5/21. It is unclear
when his symptoms began, as he did not share that information with his wife until
5/5/21."
"ABNORMAL BEHAVIOUR" "10061422" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"ACTIVATED PARTIAL THROMBOPLASTIN TIME PROLONGED" "10000636" "COVID19
(COVID19 (PFIZER-BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021"
"2021/02" "Feb., 2021" "2021/02" "2/12/2021 Vaccine 2/13/2021
Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered
mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia,
pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory
failure 2/18/2021 Passed away at 5:54AM"
"ACUTE CARDIAC EVENT" "10081099" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1296030-1" "1296030-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "Unknown cardiac event. Found on sidewalk down. Revived but
resulted in extensive neurological damage. Was put in life support. Never came to.
Passed away 05/05/2021."
"ACUTE KIDNEY INJURY" "10069339" "COVID19 (COVID19 (JANSSEN))" "1203"
"1220723-1" "1220723-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "36 year old male with hx of hypertension , asthma,
schizophrenia . he recieved Janssen vaccine on 4/6/2021. he started to fell unwell
on 4/14 and on 4/15 he was found by his father unresponsive then sent to the
hospital. Pt was diagnosed with massive pulmonary embolism, severe shock, acute
renal failure ,Diabetic ketoacidosis , hyperglycemic hyperosmolar nonketotic coma,
acute respiratory failure, patient expried from massive pulmonary embolism within
48 hours after admission."
"ACUTE MYOCARDIAL INFARCTION" "10000891" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"ACUTE RESPIRATORY FAILURE" "10001053" "COVID19 (COVID19 (JANSSEN))" "1203"
"1220723-1" "1220723-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "36 year old male with hx of hypertension , asthma,
schizophrenia . he recieved Janssen vaccine on 4/6/2021. he started to fell unwell
on 4/14 and on 4/15 he was found by his father unresponsive then sent to the
hospital. Pt was diagnosed with massive pulmonary embolism, severe shock, acute
renal failure ,Diabetic ketoacidosis , hyperglycemic hyperosmolar nonketotic coma,
acute respiratory failure, patient expried from massive pulmonary embolism within
48 hours after admission."
"ACUTE RESPIRATORY FAILURE" "10001053" "COVID19 (COVID19 (MODERNA))" "1201"
"1198211-1" "1198211-1" "Apr., 2021" "2021/04" "Feb., 2021"
"2021/02" "The patient received his 2nd dose of Moderna (LOT#, site, time
unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED
with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.
He had quadriplegic spinal paralysis as a result of a remote MVA and has been
hospitalized and critically ill in the past due to recurrent UTI's and pneumonia
with associated sepsis. CT negative for pulmonary embolism and showed bilateral
infiltrates. Clinical presentation consistent with bilateral pneumonia and started
on Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02.
The following evening he became febrile and acutely developed asystole without any
pre-existing arrhythmia. Resuscitation was attempted for 45 minutes but
unsuccessful. Overall, I suspect his death was related to bacterial pneumonia and
resulting acute respiratory failure, complicated by his quadriplegia and autonomic
dysreflexia but reported this event as it did occur within 2 days of receiving his
2nd Moderna vaccination."
"AGONAL RHYTHM" "10054015" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"ALANINE AMINOTRANSFERASE INCREASED" "10001551" "COVID19 (COVID19
(MODERNA))" "1201" "1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
 "ALANINE AMINOTRANSFERASE INCREASED" "10001551" "COVID19 (COVID19
(PFIZER-BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021"
"2021/02" "Feb., 2021" "2021/02" "2/12/2021 Vaccine 2/13/2021
Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered
mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia,
pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory
failure 2/18/2021 Passed away at 5:54AM"
"ANAEMIA" "10002034" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"ANALGESIC DRUG LEVEL THERAPEUTIC" "10060943" "COVID19 (COVID19 (MODERNA))"
"1201" "1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"ANEURYSM" "10002329" "COVID19 (COVID19 (MODERNA))" "1201" "1306986-1"
"1306986-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Patient expired
of probable aneurysm at Hospital on 5/10/2021"
"ANEURYSM RUPTURED" "10048380" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1391006-1" "1391006-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "Ruptured aneurysm with in 12 days of vaccine with no previous
symptoms and patient deceased due to brain dead after the surgery due to
rupturing.; Ruptured aneurysm with in 12 days of vaccine with no previous symptoms
and patient deceased due to brain dead after the surgery due to rupturing.; This
is a spontaneous report from a contactable reporter consumer wife reporting on
behalf of her 35-year-old husband (patient) received the second dose of BNT162B2
(lot number: ER 8731) at single dose for COVID-19 immunisation on 14Apr2021 at
05:15 PM. Relevant history included was unknown. Relevant concomitant drug was not
reported. The patient did not receive any other vaccines within 4 weeks prior to
the COVID vaccine. The patient previously received the first dose of BNT162B2
(lot number: ER 8727) at single dose for COVID-19 immunisation on 22Mar2021 at
04:45 PM. The patient experienced ruptured aneurysm on 26Apr2021 at 09:00 PM,
within 12 days of vaccine with no previous symptoms and patient deceased due to
braindead after the surgery due to rupturing. The event was assessed as serious
due to Hospitalization (7 days), Life threatening illness (immediate risk of death
from the event), Patient died on 30Apr2021 due to brian anuerysm. No autopsy was
performed. Prior to vaccination, the patient was not diagnosed with COVID-19. Since
the vaccination, the patient has not been tested for COVID-19.; Reported Cause(s)
of Death: brain dead; Brian Anuerysm"
"ANGIOGRAM CEREBRAL ABNORMAL" "10052906" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"ANGIOGRAM PULMONARY ABNORMAL" "10002441" "COVID19 (COVID19 (MODERNA))"
"1201" "1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
 "2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"ANION GAP" "10002522" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"ANTINUCLEAR ANTIBODY NEGATIVE" "10002809" "COVID19 (COVID19 (MODERNA))"
"1201" "1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"APNOEA" "10002974" "COVID19 (COVID19 (MODERNA))" "1201" "1242520-1"
"1242520-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "35
y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45) and RA
(on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17-
normal, including negative CRP. Code continued for 50 minutes, no shock advised.
PEA, gave Epi X 4. Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain
that started with eating. Labile blood pressure. EKG showed NSR rate 64. Treated
with ASA 325, clear liquid diet and rest. Treated with toradol and Zofran.
Improved. At f/u on Monday, discussed chronic knee pain was overall better.
Normal for her exam. BP 136/79. Felt dizzy and then passed out, hitting her head,
became pulseless an apneic and was coded for over an hour."
"APPETITE DISORDER" "10060961" "COVID19 (COVID19 (PFIZER-BIONTECH))"
 "1200" "1026362-1" "1026362-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Patient stated he had a migraine after the vaccine. We were
advised of a change in appetite on Thursday February 4th. Patient died on February
6th."
"ARRHYTHMIA" "10003119" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1290128-1" "1290128-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Patient collapsed at home with cardiopulmonary arrest. He had been
complaining of shortness of breath 1 week prior to the event, starting when he
received his covid vaccination. The differential diganosis was pulmonary embolism,
myocardial infarction or arrythmia. CPR was started immediately and patient
received tPA during ACLS without return of spontaneous circulation."
"ARTHRALGIA" "10003239" "COVID19 (COVID19 (MODERNA))" "1201"
"1242520-1" "1242520-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "35 y/o with asthma (on alvesco and singulair), GERD, morbid
obesity (BMI 45) and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12.
and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50
minutes, no shock advised. PEA, gave Epi X 4. Normal BS. Considered narcan. Over
the weekend- 4/17 Chest pain that started with eating. Labile blood pressure. EKG
showed NSR rate 64. Treated with ASA 325, clear liquid diet and rest. Treated
with toradol and Zofran. Improved. At f/u on Monday, discussed chronic knee pain
was overall better. Normal for her exam. BP 136/79. Felt dizzy and then passed
out, hitting her head, became pulseless an apneic and was coded for over an hour."
"ASPARTATE AMINOTRANSFERASE INCREASED" "10003481" "COVID19 (COVID19
(MODERNA))" "1201" "1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"ASTHENIA" "10003549" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"AUTOPSY" "10050117" "COVID19 (COVID19 (MODERNA))" "1201" "1176010-1"
"1176010-1" "Apr., 2021" "2021/04" "Mar., 2021" "2021/03" "He
got his vaccine, and mother had talked to his girlfriend said that he felt fine
other than a sore arm. He called his mother and told her that he was sick to his
stomach with cramps and that he was throwing up blood. The girlfriend found him on
the floor on the 21st dead on the floor in his hotel room at 8:00 AM. The
girlfriend said she had spoken with him around 10:00 PM and that he said he was
going to sleep on the floor in the bathroom as he was throwing up and the floor was
cool. She subsequently found out that he was throwing up blood, and autopsy report
showed that his stomach was full of blood and further testing is being done to see
what has caused the bleeding."
"AUTOPSY" "10050117" "COVID19 (COVID19 (MODERNA))" "1201" "1246534-1"
"1246534-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Patient felt initially well, but later in that afternoon her arm started
hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two
hours later she was pronounced dead at approximately 12:30am."
"AUTOPSY" "10050117" "COVID19 (COVID19 (MODERNA))" "1201" "1264618-1"
 "1264618-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "103
fever 2 days after the vaccine. Then became afebrile. Then found deceased on 4-26-
2021"
"AUTOPSY" "10050117" "COVID19 (COVID19 (MODERNA))" "1201" "1281531-1"
"1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04" "Received
2nd dose of vaccine, 5 days later his left leg started hurting and swelling. He
had severe headache afterwards, dizzy and blurred vision. 04/24/2021 he complained
of not feeling right, coughed and passed out. Had fever and chills when he came to.
Wife called 911 and was talking and walking. Was awake and talking in ambulance,
oxygen level was low. Once arrived at hospital, he became restless and passed away
within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing
illnesses - was determined he died of Pulmonary Thrumbo Embolism"
"AUTOPSY" "10050117" "COVID19 (COVID19 (MODERNA))" "1201" "1312456-1"
"1312456-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Death. While
driving patient passed out and was found by County Sheriffs Office. EMT was called
and could not save patient. M.E. Declared patient dead at 7:20 PM on May 4, 2021"
"AUTOPSY" "10050117" "COVID19 (COVID19 (MODERNA))" "1201" "1313922-1"
"1313922-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04" "PT NO SHOW
FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT REPORTED DECEASED 5/14-
CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21- AUTOPSY Completed"
"AUTOPSY" "10050117" "COVID19 (COVID19 (MODERNA))" "1201" "1322484-1"
"1322484-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "About a week
after his first dose he developed a skin reaction at the injection site. Redness,
swelling, itching. The affected area was about 10 inches by 6 inches. The day
following the second dose of the vaccine he developed chills, sweats, aches, and a
low grade fever. He also developed the same skin reaction. He had these symptoms
for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was
even better, Monday evening he died. He was 37 with no known medical issues. He
just died out of nowhere."
"AUTOPSY" "10050117" "COVID19 (COVID19 (MODERNA))" "1201" "1365485-1"
"1365485-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05" "On
05/27/2021 the decedent began complaining of shortness of breath, cough, fever,
chills, and pain at the injection site. On 05/28/2021 the decedent complained of
the same symptoms."
"AUTOPSY" "10050117" "COVID19 (COVID19 (MODERNA))" "1201" "1372112-1"
"1372112-1" "Jun., 2021" "2021/06" "Apr., 2021" "2021/04" "Pt
died of massive pontine hemorrhage and then cardiac arrest two weeks after
vaccination."
"AUTOPSY" "10050117" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1026362-1" "1026362-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Patient stated he had a migraine after the vaccine. We were
advised of a change in appetite on Thursday February 4th. Patient died on February
6th."
"AUTOPSY" "10050117" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1085413-1" "1085413-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "patient was on treadmill at home on 3/4/21 and became shortness
of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to
ED arrival 30 minutes. Arrived at ER at 8:48AM. Intubated by EMS. initially
shocked 1x but otherwise was in asystole. Eventually after about 70 minutes of CPR
at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced
dead."
"AUTOPSY" "10050117" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1322310-1" "1322310-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Death. Coroner said collapsed of unknown cause. Autopsy performed. Awaiting
final report and toxicology report."
"AUTOPSY" "10050117" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1364631-1" "1364631-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05"
""This is reported by his mother. Around 10:00 AM he got his vaccine.
Mother met him at 12:30 and went to lunch, said he felt OK. She stayed with him a
couple of hours, went home and apparently he went to sleep. The next day he texted
his mother and said that he felt yucky. She told him to give it a couple of days,
and he went to work all week, but said that after he ate he felt ""funny"". Then
on Sunday, Mother's day on 5/9/21 and they face timed and was supposed to meet him
at 5:30. At 12:45 he had finished eating, ate some enchilladas and said that he
felt weird. He said that he was going to be ok to meet him at 5:30. At 4:37 PM
she texted him to say that she was on her way to meet him. She got at the meeting
place at 5:30 and he was usually there before her, this is a normal weekend ritual
to exchange his dog. She waited 9 minutes and she tried to facetime him thinking
he was in traffic, and he didn't answer. She thought he was just not answering.
She then waited 9 more minutes and then called his phone and local Hospital
answered the phone and asked who she was, and she answered the questions, and she
told her to get to the hospital. She went to the hospital and the doctor came in
and told her that he had the car running and he went to the gas pump to get gas and
he stepped out of the car and collapsed. The person who saw him told the attended
that he had collapsed and they called 9-1-1 and he was pronounced dead. He worked
in a warehouse and was doing well and about to be certified to be a forklift
driving. They said that they worked on him and that they could not get his heart
started again. They had to do an autopsy which is against her religion and she
will not find out those results for 3-6 months. She said that he was healthy and
looking forward to get tested at work. They told her that he had an enlarged heart
and an enlarged spleen, and had never had any heart issues in the past. He
walked 20,000 steps a day in the warehouse. He was living in a sober man's
facility, he has been clean for 18 months. He had an addiction to pain pills and
Xanax. She feels that there was something in the vaccine that had something to
do with it as he was perfectly healthy before the vaccine.""
"AUTOPSY" "10050117" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1381705-1" "1381705-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05"
"First shot Lot# ER 8732 administered 04/03/2021 Death"
"BACK PAIN" "10003988" "COVID19 (COVID19 (MODERNA))" "1201" "1054160-1"
"1054160-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02"
"2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with headache
around 1am. Headache and nausea all morning. Mid-late afternoon started having
seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on 2/25/2021."
"BIOPSY" "10004720" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1296030-1" "1296030-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Unknown cardiac event. Found on sidewalk down. Revived but resulted in
extensive neurological damage. Was put in life support. Never came to. Passed away
05/05/2021."
"BLINDNESS" "10005169" "COVID19 (COVID19 (JANSSEN))" "1203" "1247816-1"
"1247816-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"patient called EMS with pain crisis and noted that she had lost vision in
both eyes. was transported to Emergency room by EMS and had cardiac arrest and
died."
"BLOOD ALBUMIN DECREASED" "10005287" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"BLOOD ALKALINE PHOSPHATASE INCREASED" "10059570" "COVID19 (COVID19
(PFIZER-BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021"
"2021/02" "Feb., 2021" "2021/02" "2/12/2021 Vaccine 2/13/2021
Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered
mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia,
pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory
failure 2/18/2021 Passed away at 5:54AM"
"BLOOD BILIRUBIN INCREASED" "10005364" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"BLOOD CREATININE INCREASED" "10005483" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"BLOOD CREATININE INCREASED" "10005483" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"BLOOD CULTURE NEGATIVE" "10005486" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"BLOOD CULTURE POSITIVE" "10005488" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"BLOOD FIBRINOGEN DECREASED" "10005520" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"BLOOD GLUCOSE" "10005553" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1101884-1" "1101884-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21
and 2nd Pfizer COVID-19 vaccine on 2/17/21 Unsure if any relation but patient was
treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine
unresponsive. Patient received ACLS support for unknown cause with suspected
neurological/respiratory/cardiac complications. Patient was transferred to higher
level of care."
"BLOOD GLUCOSE DECREASED" "10005555" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"BLOOD GLUCOSE INCREASED" "10005557" "COVID19 (COVID19 (MODERNA))" "1201"
"1293909-1" "1293909-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Per
family, pt reported fatigue and elevated glucose, nausea and diarrhea 3-4 days
after immunization. She was seen by her PCP following week and again was
experiencing elevated blood glucose."
"BLOOD GLUCOSE INCREASED" "10005557" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1246604-1" "1246604-1" "Apr., 2021" "2021/04" "Apr.,
2021" "2021/04" ""Patient presented to ED on 04/18/2021 with cardiopulmonary
arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency. Two
rounds epi. Asystole and then went into V-tach. Got shocked once. Then after
that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at
05:14AM.""
"BLOOD GLUCOSE NORMAL" "10005558" "COVID19 (COVID19 (MODERNA))" "1201"
"1242520-1" "1242520-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "35 y/o with asthma (on alvesco and singulair), GERD, morbid
obesity (BMI 45) and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12.
and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50
minutes, no shock advised. PEA, gave Epi X 4. Normal BS. Considered narcan. Over
the weekend- 4/17 Chest pain that started with eating. Labile blood pressure. EKG
showed NSR rate 64. Treated with ASA 325, clear liquid diet and rest. Treated
with toradol and Zofran. Improved. At f/u on Monday, discussed chronic knee pain
was overall better. Normal for her exam. BP 136/79. Felt dizzy and then passed
out, hitting her head, became pulseless an apneic and was coded for over an hour."
"BLOOD GLUCOSE NORMAL" "10005558" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1290128-1" "1290128-1" "May, 2021" "2021/05" "Apr., 2021"
"2021/04" "Patient collapsed at home with cardiopulmonary arrest. He had
been complaining of shortness of breath 1 week prior to the event, starting when he
received his covid vaccination. The differential diganosis was pulmonary embolism,
myocardial infarction or arrythmia. CPR was started immediately and patient
received tPA during ACLS without return of spontaneous circulation."
"BLOOD LACTIC ACID" "10005632" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"BLOOD LACTIC ACID" "10005632" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1290128-1" "1290128-1" "May, 2021" "2021/05" "Apr., 2021"
"2021/04" "Patient collapsed at home with cardiopulmonary arrest. He had
been complaining of shortness of breath 1 week prior to the event, starting when he
received his covid vaccination. The differential diganosis was pulmonary embolism,
myocardial infarction or arrythmia. CPR was started immediately and patient
received tPA during ACLS without return of spontaneous circulation."
"BLOOD LACTIC ACID INCREASED" "10005635" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"BLOOD MAGNESIUM INCREASED" "10005655" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"BLOOD MAGNESIUM INCREASED" "10005655" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"BLOOD POTASSIUM DECREASED" "10005724" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1290128-1" "1290128-1" "May, 2021" "2021/05" "Apr., 2021"
"2021/04" "Patient collapsed at home with cardiopulmonary arrest. He had
been complaining of shortness of breath 1 week prior to the event, starting when he
received his covid vaccination. The differential diganosis was pulmonary embolism,
myocardial infarction or arrythmia. CPR was started immediately and patient
received tPA during ACLS without return of spontaneous circulation."
"BLOOD POTASSIUM INCREASED" "10005725" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"BLOOD TEST" "10061726" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1296030-1" "1296030-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Unknown cardiac event. Found on sidewalk down. Revived but resulted in
extensive neurological damage. Was put in life support. Never came to. Passed away
05/05/2021."
"BLOOD UREA INCREASED" "10005851" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"BLOOD URINE PRESENT" "10018870" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1337198-1" "1337198-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "Patient presented to ED after receiving covid vaccination the
month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .
Prior to this, patient presented to the ED on 4/30 with kidney stone, no other
significant PMH and prescribed medications mentioned on prior page. Suspected ITP,
patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning
of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.
Patient had large intra-axial hemorrhage with significant midline shift,
transferred to the Hospital and died the same day."
"BODY TEMPERATURE INCREASED" "10005911" "COVID19 (COVID19 (MODERNA))" "1201"
"1338625-1" "1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine
3/31/21. She described body aches and mild fever ? ?like I had COVID again for a
day? ? lasting about 36 hours, and then felt fine. Had dose # 2 Moderna vaccine
about 6:50 PM at Community vaccination site. She was driver, received left deltoid
injection from Doctor. During observation period reported no symptoms, was happy
and talkative with family and staff. Family reports later that evening she did not
feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up
feeling better except for left arm achiness at injection site. Did not report
redness, rash, or any difficulty breathing. Was talkative, walking around, took a
shower, and was planning to drive to the grocery store later that day. Mid morning
? maybe beginning about 11 AM, family said she went in and out of bathroom several
times. She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"BRAIN DEATH" "10049054" "COVID19 (COVID19 (MODERNA))" "1201"
"1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"BRAIN DEATH" "10049054" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1391006-1" "1391006-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "Ruptured aneurysm with in 12 days of vaccine with no previous
symptoms and patient deceased due to brain dead after the surgery due to
rupturing.; Ruptured aneurysm with in 12 days of vaccine with no previous symptoms
and patient deceased due to brain dead after the surgery due to rupturing.; This
is a spontaneous report from a contactable reporter consumer wife reporting on
behalf of her 35-year-old husband (patient) received the second dose of BNT162B2
(lot number: ER 8731) at single dose for COVID-19 immunisation on 14Apr2021 at
05:15 PM. Relevant history included was unknown. Relevant concomitant drug was not
reported. The patient did not receive any other vaccines within 4 weeks prior to
the COVID vaccine. The patient previously received the first dose of BNT162B2
(lot number: ER 8727) at single dose for COVID-19 immunisation on 22Mar2021 at
04:45 PM. The patient experienced ruptured aneurysm on 26Apr2021 at 09:00 PM,
within 12 days of vaccine with no previous symptoms and patient deceased due to
braindead after the surgery due to rupturing. The event was assessed as serious
due to Hospitalization (7 days), Life threatening illness (immediate risk of death
from the event), Patient died on 30Apr2021 due to brian anuerysm. No autopsy was
performed. Prior to vaccination, the patient was not diagnosed with COVID-19. Since
the vaccination, the patient has not been tested for COVID-19.; Reported Cause(s)
of Death: brain dead; Brian Anuerysm"
"BRAIN NATRIURETIC PEPTIDE INCREASED" "10053405" "COVID19 (COVID19
(MODERNA))" "1201" "1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr.,
2021" "2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"BRAIN NATRIURETIC PEPTIDE INCREASED" "10053405" "COVID19 (COVID19
(MODERNA))" "1201" "1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "fall on May 19 and admitted to ER May 22 with subacute R MCA
stroke resulting in obtundation and left sided hemiparalysis. Complicating his
presentation is acute COVID 19 infection with pneumonia along with acute on chronic
systolic congestive heart failure."
"BRAIN STEM HAEMORRHAGE" "10006145" "COVID19 (COVID19 (MODERNA))" "1201"
"1372112-1" "1372112-1" "Jun., 2021" "2021/06" "Apr., 2021"
 "2021/04" "Pt died of massive pontine hemorrhage and then cardiac arrest
two weeks after vaccination."
"BRONCHOALVEOLAR LAVAGE" "10049413" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"C-REACTIVE PROTEIN INCREASED" "10006825" "COVID19 (COVID19 (MODERNA))"
"1201" "1198211-1" "1198211-1" "Apr., 2021" "2021/04" "Feb., 2021"
"2021/02" "The patient received his 2nd dose of Moderna (LOT#, site, time
unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED
with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.
He had quadriplegic spinal paralysis as a result of a remote MVA and has been
hospitalized and critically ill in the past due to recurrent UTI's and pneumonia
with associated sepsis. CT negative for pulmonary embolism and showed bilateral
infiltrates. Clinical presentation consistent with bilateral pneumonia and started
on Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02.
The following evening he became febrile and acutely developed asystole without any
pre-existing arrhythmia. Resuscitation was attempted for 45 minutes but
unsuccessful. Overall, I suspect his death was related to bacterial pneumonia and
resulting acute respiratory failure, complicated by his quadriplegia and autonomic
dysreflexia but reported this event as it did occur within 2 days of receiving his
2nd Moderna vaccination."
"C-REACTIVE PROTEIN NORMAL" "10006826" "COVID19 (COVID19 (MODERNA))" "1201"
"1242520-1" "1242520-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "35 y/o with asthma (on alvesco and singulair), GERD, morbid
obesity (BMI 45) and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12.
and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50
minutes, no shock advised. PEA, gave Epi X 4. Normal BS. Considered narcan. Over
the weekend- 4/17 Chest pain that started with eating. Labile blood pressure. EKG
showed NSR rate 64. Treated with ASA 325, clear liquid diet and rest. Treated
with toradol and Zofran. Improved. At f/u on Monday, discussed chronic knee pain
was overall better. Normal for her exam. BP 136/79. Felt dizzy and then passed
out, hitting her head, became pulseless an apneic and was coded for over an hour."
"CAESAREAN SECTION" "10006924" "COVID19 (COVID19 (MODERNA))" "1201"
"1201114-1" "1201114-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Due date 4/18/2021. Pt presented in labor on 4/10/21. Her
labor was uncomplicated and progressing appropriately. She had sudden onset of
coughing following by loss of consciousness. Code blue was called. Emergency
bedside C/S was performed. Despite resuscitative efforts of 1 hour and 15 minutes,
the patient expired."
"CARBON DIOXIDE DECREASED" "10007223" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (JANSSEN))" "1203"
"1098028-1" "1098028-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "Cardiac arrest, death approx 12 hours later"
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (JANSSEN))" "1203"
"1216091-1" "1216091-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Patient at gym working out and had a seizure, when 9-1-1 crews
arrived patient was post-ictal, while treating the patient he had another seizure,
during transport patient went into cardiac arrest, crews provided ACLS care and
transported patient to hospital for treatment. Resuscitation efforts were
terminated by physician in emergency room."
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (JANSSEN))" "1203"
"1247816-1" "1247816-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "patient called EMS with pain crisis and noted that she had lost
vision in both eyes. was transported to Emergency room by EMS and had cardiac
arrest and died."
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (MODERNA))" "1201"
"1198211-1" "1198211-1" "Apr., 2021" "2021/04" "Feb., 2021"
"2021/02" "The patient received his 2nd dose of Moderna (LOT#, site, time
unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED
with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.
He had quadriplegic spinal paralysis as a result of a remote MVA and has been
hospitalized and critically ill in the past due to recurrent UTI's and pneumonia
with associated sepsis. CT negative for pulmonary embolism and showed bilateral
infiltrates. Clinical presentation consistent with bilateral pneumonia and started
on Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02.
The following evening he became febrile and acutely developed asystole without any
pre-existing arrhythmia. Resuscitation was attempted for 45 minutes but
unsuccessful. Overall, I suspect his death was related to bacterial pneumonia and
resulting acute respiratory failure, complicated by his quadriplegia and autonomic
dysreflexia but reported this event as it did occur within 2 days of receiving his
2nd Moderna vaccination."
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (MODERNA))" "1201"
"1198967-1" "1198967-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Cardiac arrest, death"
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (MODERNA))" "1201"
"1257204-1" "1257204-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Patient began experiencing pain and difficulty walking on
Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent
her to the ER for evaluation. She was diagnosed with a very large blood clot in her
leg, spanning from just above the knee to her groin area. They admitted her and
began treating her with blood thinners. While undergoing that treatment, her heart
stopped 3 times and she had to be resuscitated. They discovered a pulmonary
embolism. While removing a large clot from her lungs, the doctor found that her
lungs were riddled with hundreds of tiny blood clots. They also said that she was
bleeding internally, very heavily, from an unknown location. In all, they gave her
20 units of blood, and none of it stayed in her veins. The doctor said it seemed to
just disintegrate. At that point, her brain and organs had begun shutting down and
family made the decision to remove her from life support. She passed away Thursday
evening, March 25, 2021."
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (MODERNA))" "1201"
"1270366-1" "1270366-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "cardiac arrest 5 days post vaccination."
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (MODERNA))" "1201"
"1289723-1" "1289723-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Death. Approximately 12 hours after administering the vaccination shot,
patient experienced a medical emergency and lost her pulse. Paramedics attempted to
resuscitate her for about 80 minutes. Her heart was unable to be restarted. She was
declared deceased at 3:00 AM locally."
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (MODERNA))" "1201"
"1372112-1" "1372112-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "Pt died of massive pontine hemorrhage and then cardiac arrest
two weeks after vaccination."
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1085413-1" "1085413-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "patient was on treadmill at home on 3/4/21 and became shortness
of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to
ED arrival 30 minutes. Arrived at ER at 8:48AM. Intubated by EMS. initially
shocked 1x but otherwise was in asystole. Eventually after about 70 minutes of CPR
at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced
dead."
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1124794-1" "1124794-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "Extreme head ache, chest pain, fever 101 F. Gave 1000 mg
Tylenol, albuterol via nebulizer Q4hr. Died 3/20/2021 approx 11:00 am from Cardiac
Arrest."
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1246604-1" "1246604-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" ""Patient presented to ED on 04/18/2021 with cardiopulmonary
arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency. Two
rounds epi. Asystole and then went into V-tach. Got shocked once. Then after
that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at
05:14AM.""
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1293657-1" "1293657-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "34
y/o male with no PMHx presenting in cardiac arrest from home. Per pt's wife, he
received 2nd dose of the Pfizer vaccine roughly 24 hours prior. He complained of
arm soreness yesterday afternoon and some chills this morning, took Tylenol for
these symptoms. She found him unresponsive in bed after speaking to him roughly 2
hours earlier. Per EMS, patient was in asystole upon their arrival. He received ~
30 minutes of prehospital ACLS and an additional 20 minutes in the ED and remained
in asystole throughout."
"CARDIAC ARREST" "10007515" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1337439-1" "1337439-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11 HE WAS
COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC
ARREST AND DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS
CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND
DIED ON 5/20 THIS MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS
IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
"CARDIAC DISORDER" "10061024" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1101884-1" "1101884-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21
and 2nd Pfizer COVID-19 vaccine on 2/17/21 Unsure if any relation but patient was
treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine
unresponsive. Patient received ACLS support for unknown cause with suspected
neurological/respiratory/cardiac complications. Patient was transferred to higher
level of care."
"CARDIAC DISORDER" "10061024" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1223650-1" "1223650-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "In the evening on March 15th, she began having shortness of
breath and chest pain. She asked her boyfriend for her blood pressure cuff so she
could take her blood pressure. As he was getting it she told him to call 911 and
then her eyes rolled back in her head and she stopped breathing. Paramedics
attempted to revive her but were unsuccessful. She was taken to the hospital and
pronounced dead. Cause of death listed as heart disease."
"CARDIAC FAILURE ACUTE" "10007556" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"CARDIAC FAILURE CONGESTIVE" "10007559" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"CARDIO-RESPIRATORY ARREST" "10007617" "COVID19 (COVID19 (MODERNA))" "1201"
"1201114-1" "1201114-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Due date 4/18/2021. Pt presented in labor on 4/10/21. Her
labor was uncomplicated and progressing appropriately. She had sudden onset of
coughing following by loss of consciousness. Code blue was called. Emergency
bedside C/S was performed. Despite resuscitative efforts of 1 hour and 15 minutes,
the patient expired."
"CARDIO-RESPIRATORY ARREST" "10007617" "COVID19 (COVID19 (MODERNA))" "1201"
"1242520-1" "1242520-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "35 y/o with asthma (on alvesco and singulair), GERD, morbid
obesity (BMI 45) and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12.
and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50
minutes, no shock advised. PEA, gave Epi X 4. Normal BS. Considered narcan. Over
the weekend- 4/17 Chest pain that started with eating. Labile blood pressure. EKG
showed NSR rate 64. Treated with ASA 325, clear liquid diet and rest. Treated
with toradol and Zofran. Improved. At f/u on Monday, discussed chronic knee pain
was overall better. Normal for her exam. BP 136/79. Felt dizzy and then passed
out, hitting her head, became pulseless an apneic and was coded for over an hour."
"CARDIO-RESPIRATORY ARREST" "10007617" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1246604-1" "1246604-1" "Apr., 2021" "2021/04" "Apr.,
2021" "2021/04" ""Patient presented to ED on 04/18/2021 with cardiopulmonary
arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency. Two
rounds epi. Asystole and then went into V-tach. Got shocked once. Then after
that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at
05:14AM.""
"CARDIO-RESPIRATORY ARREST" "10007617" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1290128-1" "1290128-1" "May, 2021" "2021/05" "Apr., 2021"
"2021/04" "Patient collapsed at home with cardiopulmonary arrest. He had
been complaining of shortness of breath 1 week prior to the event, starting when he
received his covid vaccination. The differential diganosis was pulmonary embolism,
myocardial infarction or arrythmia. CPR was started immediately and patient
received tPA during ACLS without return of spontaneous circulation."
"CARDIOGENIC SHOCK" "10007625" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"CARDIOMEGALY" "10007632" "COVID19 (COVID19 (MODERNA))" "1201"
"1246534-1" "1246534-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Patient felt initially well, but later in that afternoon her arm
started hurting and she felt increasingly nauseous and started vomiting at 10:49pm,
two hours later she was pronounced dead at approximately 12:30am."
"CARDIOMEGALY" "10007632" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1364631-1" "1364631-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05"
""This is reported by his mother. Around 10:00 AM he got his vaccine.
Mother met him at 12:30 and went to lunch, said he felt OK. She stayed with him a
couple of hours, went home and apparently he went to sleep. The next day he texted
his mother and said that he felt yucky. She told him to give it a couple of days,
and he went to work all week, but said that after he ate he felt ""funny"". Then
on Sunday, Mother's day on 5/9/21 and they face timed and was supposed to meet him
at 5:30. At 12:45 he had finished eating, ate some enchilladas and said that he
felt weird. He said that he was going to be ok to meet him at 5:30. At 4:37 PM
she texted him to say that she was on her way to meet him. She got at the meeting
place at 5:30 and he was usually there before her, this is a normal weekend ritual
to exchange his dog. She waited 9 minutes and she tried to facetime him thinking
he was in traffic, and he didn't answer. She thought he was just not answering.
She then waited 9 more minutes and then called his phone and local Hospital
answered the phone and asked who she was, and she answered the questions, and she
told her to get to the hospital. She went to the hospital and the doctor came in
and told her that he had the car running and he went to the gas pump to get gas and
he stepped out of the car and collapsed. The person who saw him told the attended
that he had collapsed and they called 9-1-1 and he was pronounced dead. He worked
in a warehouse and was doing well and about to be certified to be a forklift
driving. They said that they worked on him and that they could not get his heart
started again. They had to do an autopsy which is against her religion and she
will not find out those results for 3-6 months. She said that he was healthy and
looking forward to get tested at work. They told her that he had an enlarged heart
and an enlarged spleen, and had never had any heart issues in the past. He
walked 20,000 steps a day in the warehouse. He was living in a sober man's
facility, he has been clean for 18 months. He had an addiction to pain pills and
Xanax. She feels that there was something in the vaccine that had something to
do with it as he was perfectly healthy before the vaccine.""
"CARDIOVERSION" "10007661" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1085413-1" "1085413-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "patient was on treadmill at home on 3/4/21 and became shortness
of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to
ED arrival 30 minutes. Arrived at ER at 8:48AM. Intubated by EMS. initially
shocked 1x but otherwise was in asystole. Eventually after about 70 minutes of CPR
at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced
dead."
"CATHETERISATION CARDIAC ABNORMAL" "10007816" "COVID19 (COVID19 (MODERNA))"
"1201" "1244990-1" "1244990-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "After receiving the second dose of the vaccine, my husband
experienced left arm pain which he thought was from the injection. About a week
later, the pain got worse and moved toward his chest. It got so bad, he had to be
taken by ambulance to the hospital to find out he had been having a heart attack.
He spent nearly three weeks in the hospital before he died on 4/15/21"
"CENTRAL NERVOUS SYSTEM INJURY" "10081266" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1296030-1" "1296030-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "Unknown cardiac event. Found on sidewalk down. Revived but
resulted in extensive neurological damage. Was put in life support. Never came to.
Passed away 05/05/2021."
"CENTRAL NERVOUS SYSTEM LESION" "10051290" "COVID19 (COVID19 (MODERNA))"
"1201" "1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"CEREBRAL HAEMORRHAGE" "10008111" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"CEREBRAL HAEMORRHAGE" "10008111" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1337198-1" "1337198-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "Patient presented to ED after receiving covid vaccination the
month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .
Prior to this, patient presented to the ED on 4/30 with kidney stone, no other
significant PMH and prescribed medications mentioned on prior page. Suspected ITP,
patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning
of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.
Patient had large intra-axial hemorrhage with significant midline shift,
transferred to the Hospital and died the same day."
"CEREBRAL INFARCTION" "10008118" "COVID19 (COVID19 (JANSSEN))" "1203"
"1201543-1" "1201543-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Death"
"CEREBRAL MASS EFFECT" "10067086" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"CEREBRAL MASS EFFECT" "10067086" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1337198-1" "1337198-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "Patient presented to ED after receiving covid vaccination the
month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .
Prior to this, patient presented to the ED on 4/30 with kidney stone, no other
significant PMH and prescribed medications mentioned on prior page. Suspected ITP,
patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning
of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.
Patient had large intra-axial hemorrhage with significant midline shift,
transferred to the Hospital and died the same day."
"CEREBRAL THROMBOSIS" "10008132" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"CEREBROVASCULAR ACCIDENT" "10008190" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"CEREBROVASCULAR ACCIDENT" "10008190" "COVID19 (COVID19 (MODERNA))" "1201"
"1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"CHEST PAIN" "10008479" "COVID19 (COVID19 (MODERNA))" "1201"
"1242520-1" "1242520-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "35 y/o with asthma (on alvesco and singulair), GERD, morbid
obesity (BMI 45) and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12.
and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50
minutes, no shock advised. PEA, gave Epi X 4. Normal BS. Considered narcan. Over
the weekend- 4/17 Chest pain that started with eating. Labile blood pressure. EKG
showed NSR rate 64. Treated with ASA 325, clear liquid diet and rest. Treated
with toradol and Zofran. Improved. At f/u on Monday, discussed chronic knee pain
was overall better. Normal for her exam. BP 136/79. Felt dizzy and then passed
out, hitting her head, became pulseless an apneic and was coded for over an hour."
"CHEST PAIN" "10008479" "COVID19 (COVID19 (MODERNA))" "1201"
"1244990-1" "1244990-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "After receiving the second dose of the vaccine, my husband
experienced left arm pain which he thought was from the injection. About a week
later, the pain got worse and moved toward his chest. It got so bad, he had to be
taken by ambulance to the hospital to find out he had been having a heart attack.
He spent nearly three weeks in the hospital before he died on 4/15/21"
"CHEST PAIN" "10008479" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1124794-1" "1124794-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "Extreme head ache, chest pain, fever 101 F. Gave 1000 mg
Tylenol, albuterol via nebulizer Q4hr. Died 3/20/2021 approx 11:00 am from Cardiac
Arrest."
"CHEST PAIN" "10008479" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1223650-1" "1223650-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "In the evening on March 15th, she began having shortness of
breath and chest pain. She asked her boyfriend for her blood pressure cuff so she
could take her blood pressure. As he was getting it she told him to call 911 and
then her eyes rolled back in her head and she stopped breathing. Paramedics
attempted to revive her but were unsuccessful. She was taken to the hospital and
pronounced dead. Cause of death listed as heart disease."
"CHEST X-RAY ABNORMAL" "10008499" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"CHEST X-RAY ABNORMAL" "10008499" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"CHILLS" "10008531" "COVID19 (COVID19 (MODERNA))" "1201" "1281531-1"
"1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04" "Received
2nd dose of vaccine, 5 days later his left leg started hurting and swelling. He
had severe headache afterwards, dizzy and blurred vision. 04/24/2021 he complained
of not feeling right, coughed and passed out. Had fever and chills when he came to.
Wife called 911 and was talking and walking. Was awake and talking in ambulance,
oxygen level was low. Once arrived at hospital, he became restless and passed away
within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing
illnesses - was determined he died of Pulmonary Thrumbo Embolism"
"CHILLS" "10008531" "COVID19 (COVID19 (MODERNA))" "1201" "1322484-1"
"1322484-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "About a week
after his first dose he developed a skin reaction at the injection site. Redness,
swelling, itching. The affected area was about 10 inches by 6 inches. The day
following the second dose of the vaccine he developed chills, sweats, aches, and a
low grade fever. He also developed the same skin reaction. He had these symptoms
for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was
even better, Monday evening he died. He was 37 with no known medical issues. He
just died out of nowhere."
"CHILLS" "10008531" "COVID19 (COVID19 (MODERNA))" "1201" "1365485-1"
"1365485-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05" "On
05/27/2021 the decedent began complaining of shortness of breath, cough, fever,
chills, and pain at the injection site. On 05/28/2021 the decedent complained of
the same symptoms."
"CHILLS" "10008531" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1293657-1" "1293657-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "34
y/o male with no PMHx presenting in cardiac arrest from home. Per pt's wife, he
received 2nd dose of the Pfizer vaccine roughly 24 hours prior. He complained of
arm soreness yesterday afternoon and some chills this morning, took Tylenol for
these symptoms. She found him unresponsive in bed after speaking to him roughly 2
hours earlier. Per EMS, patient was in asystole upon their arrival. He received ~
30 minutes of prehospital ACLS and an additional 20 minutes in the ED and remained
in asystole throughout."
"CHLAMYDIA TEST NEGATIVE" "10070273" "COVID19 (COVID19 (MODERNA))" "1201"
"1228010-1" "1228010-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Death Narrative: Patient was not previously Covid positive and
did not have any predisposing factors(PMH, allergies, etc.) for experiencing an
adverse drug event. The ADR did not occur at the time of administration of the
vaccine nor was there an ADR that occurred between the observation period and the
date of death. Patient died of a drug overdose and had a UDS positive for fentanyl
and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual
behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to
detox from alcohol."
"CHLAMYDIAL INFECTION" "10061041" "COVID19 (COVID19 (MODERNA))" "1201"
"1228010-1" "1228010-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Death Narrative: Patient was not previously Covid positive and
did not have any predisposing factors(PMH, allergies, etc.) for experiencing an
adverse drug event. The ADR did not occur at the time of administration of the
vaccine nor was there an ADR that occurred between the observation period and the
date of death. Patient died of a drug overdose and had a UDS positive for fentanyl
and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual
behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to
detox from alcohol."
"COMPUTERISED TOMOGRAM ABNORMAL" "10010235" "COVID19 (COVID19 (MODERNA))"
"1201" "1198211-1" "1198211-1" "Apr., 2021" "2021/04" "Feb., 2021"
"2021/02" "The patient received his 2nd dose of Moderna (LOT#, site, time
unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED
with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.
He had quadriplegic spinal paralysis as a result of a remote MVA and has been
hospitalized and critically ill in the past due to recurrent UTI's and pneumonia
with associated sepsis. CT negative for pulmonary embolism and showed bilateral
infiltrates. Clinical presentation consistent with bilateral pneumonia and started
on Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02.
The following evening he became febrile and acutely developed asystole without any
pre-existing arrhythmia. Resuscitation was attempted for 45 minutes but
unsuccessful. Overall, I suspect his death was related to bacterial pneumonia and
resulting acute respiratory failure, complicated by his quadriplegia and autonomic
dysreflexia but reported this event as it did occur within 2 days of receiving his
2nd Moderna vaccination."
"COMPUTERISED TOMOGRAM HEAD ABNORMAL" "10072168" "COVID19 (COVID19
(JANSSEN))" "1203" "1201543-1" "1201543-1" "Apr., 2021" "2021/04" "Apr.,
2021" "2021/04" "Death"
"COMPUTERISED TOMOGRAM HEAD ABNORMAL" "10072168" "COVID19 (COVID19
(MODERNA))" "1201" "1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "fall on May 19 and admitted to ER May 22 with subacute R MCA
stroke resulting in obtundation and left sided hemiparalysis. Complicating his
presentation is acute COVID 19 infection with pneumonia along with acute on chronic
systolic congestive heart failure."
"COMPUTERISED TOMOGRAM THORAX ABNORMAL" "10057799" "COVID19 (COVID19
(JANSSEN))" "1203" "1201543-1" "1201543-1" "Apr., 2021" "2021/04" "Apr.,
2021" "2021/04" "Death"
"CONDITION AGGRAVATED" "10010264" "COVID19 (COVID19 (JANSSEN))" "1203"
"1104671-1" "1104671-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "Patient has a long history of seizures. He has seizures on a
daily basis. He lives with his family, who are his primary caregivers, they
family provides all of his activities of daily living. Patient received vaccine on
Friday morning, feeling well throughout the day according to the father. Went to
bed, during the night in bed he had seizures which is typical for him, and during
the episode the father noticed that he had stopped breathing. called 911 who came
to the house and the patient died in the house. I do not believe he went to the
hospital."
"CONDITION AGGRAVATED" "10010264" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"COUGH" "10011224" "COVID19 (COVID19 (MODERNA))" "1201" "1186348-1"
"1186348-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Copied from MD discharge note - Patient is a 38 y.o. female with PMH
significant for asthma and lupus not on any treatment admitted on 3/27/2021 with
progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"COUGH" "10011224" "COVID19 (COVID19 (MODERNA))" "1201" "1198211-1"
"1198211-1" "Apr., 2021" "2021/04" "Feb., 2021" "2021/02" "The
patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an
outside clinic the morning of 2/10/21 and presented to the ED with coughing and
hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day. He had
quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized
and critically ill in the past due to recurrent UTI's and pneumonia with associated
sepsis. CT negative for pulmonary embolism and showed bilateral infiltrates.
Clinical presentation consistent with bilateral pneumonia and started on
Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02. The
following evening he became febrile and acutely developed asystole without any pre-
existing arrhythmia. Resuscitation was attempted for 45 minutes but unsuccessful.
Overall, I suspect his death was related to bacterial pneumonia and resulting acute
respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but
reported this event as it did occur within 2 days of receiving his 2nd Moderna
vaccination."
"COUGH" "10011224" "COVID19 (COVID19 (MODERNA))" "1201" "1201114-1"
"1201114-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "Due
date 4/18/2021. Pt presented in labor on 4/10/21. Her labor was uncomplicated and
progressing appropriately. She had sudden onset of coughing following by loss of
consciousness. Code blue was called. Emergency bedside C/S was performed.
Despite resuscitative efforts of 1 hour and 15 minutes, the patient expired."
"COUGH" "10011224" "COVID19 (COVID19 (MODERNA))" "1201" "1281531-1"
"1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04" "Received
2nd dose of vaccine, 5 days later his left leg started hurting and swelling. He
had severe headache afterwards, dizzy and blurred vision. 04/24/2021 he complained
of not feeling right, coughed and passed out. Had fever and chills when he came to.
Wife called 911 and was talking and walking. Was awake and talking in ambulance,
oxygen level was low. Once arrived at hospital, he became restless and passed away
within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing
illnesses - was determined he died of Pulmonary Thrumbo Embolism"
"COUGH" "10011224" "COVID19 (COVID19 (MODERNA))" "1201" "1365485-1"
"1365485-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05" "On
05/27/2021 the decedent began complaining of shortness of breath, cough, fever,
chills, and pain at the injection site. On 05/28/2021 the decedent complained of
the same symptoms."
"COVID-19" "10084268" "COVID19 (COVID19 (MODERNA))" "1201" "1313922-1"
"1313922-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04" "PT NO SHOW
FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT REPORTED DECEASED 5/14-
CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21- AUTOPSY Completed"
"COVID-19" "10084268" "COVID19 (COVID19 (MODERNA))" "1201" "1347160-1"
"1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall on May 19
and admitted to ER May 22 with subacute R MCA stroke resulting in obtundation
and left sided hemiparalysis. Complicating his presentation is acute COVID 19
infection with pneumonia along with acute on chronic systolic congestive heart
failure."
"COVID-19" "10084268" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1212820-1" "1212820-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Unexpected death 3 days after vaccination"
"COVID-19" "10084268" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1332849-1" "1332849-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"passed away from COVID (positive test on 24Apr2021); passed away from COVID
(positive test on 24Apr2021); This is a spontaneous report from a contactable
physician. A 37-years-old female patient received second dose of bnt162b2 (Pfizer-
BioNTech COVID-19 Vaccine), at the age of 37-years-old, via an unspecified route of
administration on 20Mar2021 (Lot Number: EP7534, also reported as EPT534) as single
dose for covid-19 immunisation. Medical history was none. The patient's concomitant
medications were not reported. Patient received first dose of bnt162b2 at the age
of 37-years-old on 27Feb2021 (Lot Number: EN6205) for covid-19 immunisation.
Patient with no comorbidities passed away from COVID (positive test on 24Apr2021)
in the ICU on 09May2021. Autopsy is still pending. Patient's family members
provided vaccination card and she would like to verify if the lot numbers are from
Pfizer Covid-19 vaccine. Added that it is freighting as the patient developed fatal
Covid a month after being fully vaccinated. Additionally, she would like to verify
if it is possible to know where the vaccines were shipped or any other distribution
or facility information she could get from these lots. Stated that the vaccination
card has something written on a box from the right hand side. Reporter seriousness
for Tested Positive for Covid was Hospitalization, Death. Cause of death: Autopsy
Pending, they assume Covid. Autopsy performed, Autopsy details not available.
Events outcome was fatal. The patient died on 09May2021.; Sender's Comments: A
possible contributory effect of suspect BNT162B2 on reported events cannot be
excluded in a context of LOE. The impact of this report on the benefit/risk
profile of the Pfizer drug 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. ; Reported Cause(s) of Death: passed
away from COVID (positive test on 24Apr2021)"
"COVID-19 PNEUMONIA" "10084380" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"CRANIOTOMY" "10011322" "COVID19 (COVID19 (MODERNA))" "1201"
"1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"CULTURE" "10061447" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"CULTURE URINE POSITIVE" "10011640" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"CYANOSIS" "10011703" "COVID19 (COVID19 (MODERNA))" "1201" "1040170-1"
"1040170-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02"
"Received vaccine on 2/6/2021. was a bit off all week per caregivers - low
grade temp and reporting pain which they treated with Tylenol. She was pretty much
herself on morning of 2/13/2021 - got up, had shower. caregivers noted her
extremities were cool and face was red. temp was 97.4. She was placed in
wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"DEATH" "10011906" "COVID19 (COVID19 (JANSSEN))" "1203" "1098028-1"
"1098028-1" "Mar., 2021" "2021/03" "Mar., 2021" "2021/03"
"Cardiac arrest, death approx 12 hours later"
"DEATH" "10011906" "COVID19 (COVID19 (JANSSEN))" "1203" "1104671-1"
"1104671-1" "Mar., 2021" "2021/03" "Mar., 2021" "2021/03"
"Patient has a long history of seizures. He has seizures on a daily basis.
He lives with his family, who are his primary caregivers, they family provides all
of his activities of daily living. Patient received vaccine on Friday morning,
feeling well throughout the day according to the father. Went to bed, during the
night in bed he had seizures which is typical for him, and during the episode the
father noticed that he had stopped breathing. called 911 who came to the house and
the patient died in the house. I do not believe he went to the hospital."
"DEATH" "10011906" "COVID19 (COVID19 (JANSSEN))" "1203" "1154639-1"
"1154639-1" "Mar., 2021" "2021/03" "Mar., 2021" "2021/03"
"Patient began having seizures about four hours post vaccine while at a
friends house and passed away"
"DEATH" "10011906" "COVID19 (COVID19 (JANSSEN))" "1203" "1201543-1"
"1201543-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Death"
"DEATH" "10011906" "COVID19 (COVID19 (JANSSEN))" "1203" "1220723-1"
"1220723-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "36
year old male with hx of hypertension , asthma, schizophrenia . he recieved
Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14 and on 4/15 he was
found by his father unresponsive then sent to the hospital. Pt was diagnosed with
massive pulmonary embolism, severe shock, acute renal failure ,Diabetic
ketoacidosis , hyperglycemic hyperosmolar nonketotic coma, acute respiratory
failure, patient expried from massive pulmonary embolism within 48 hours after
admission."
"DEATH" "10011906" "COVID19 (COVID19 (JANSSEN))" "1203" "1223714-1"
"1223714-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "This
information is second hand, I have not been in contact with next of kin- I am
reporting this because I don't know if anyone else including a medical examiner or
his PCP would know that he was recently vaccinated. I was told that this patient
was feeling sick for a couple of weeks. A friend visited him within the last couple
days and he had a migraine headache. When they went to check on him today they
found him deceased in his chair. Further investigation would be needed."
"DEATH" "10011906" "COVID19 (COVID19 (JANSSEN))" "1203" "1223941-1"
"1223941-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "Death
4/17/21"
"DEATH" "10011906" "COVID19 (COVID19 (JANSSEN))" "1203" "1247816-1"
 "1247816-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"patient called EMS with pain crisis and noted that she had lost vision in
both eyes. was transported to Emergency room by EMS and had cardiac arrest and
died."
"DEATH" "10011906" "COVID19 (COVID19 (JANSSEN))" "1203" "1366333-1"
"1366333-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05" "Death"
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1037207-1"
"1037207-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02" "She
had pain in the injection site Tuesday night and then during Tuesday she got worse
with nausea and some fever. By Wednesday she was complaining that she could not
pee even though she was drinking a lot of fluids. She continued to complain it was
the worst she ever felt and then at 0600 Thursday morning she woke us up and said
she needed to go to the hospital. We arrived at the hospital just before 0700 and
she immediately threw up in the trash can. We went into a treatment room and they
took blood and started fluids as she became incoherent. She said she had taken
Tylenol so they started a drug to counter that but her liver function was all wrong
and they started to look for a hospital that could transplant a liver. She was air
evade about 0930 to Medical center and just over 30 hours latter she was dead.
There is a pending autopsy. She was a healthy 39 year old mother who got the shots
because she worked as a surgical tech and she was the single mother of a 9 year old
little girl."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1054160-1"
"1054160-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02"
"2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with headache
around 1am. Headache and nausea all morning. Mid-late afternoon started having
seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on 2/25/2021."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1176010-1"
"1176010-1" "Apr., 2021" "2021/04" "Mar., 2021" "2021/03" "He
got his vaccine, and mother had talked to his girlfriend said that he felt fine
other than a sore arm. He called his mother and told her that he was sick to his
stomach with cramps and that he was throwing up blood. The girlfriend found him on
the floor on the 21st dead on the floor in his hotel room at 8:00 AM. The
girlfriend said she had spoken with him around 10:00 PM and that he said he was
going to sleep on the floor in the bathroom as he was throwing up and the floor was
cool. She subsequently found out that he was throwing up blood, and autopsy report
showed that his stomach was full of blood and further testing is being done to see
what has caused the bleeding."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1186348-1"
"1186348-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Copied from MD discharge note - Patient is a 38 y.o. female with PMH
significant for asthma and lupus not on any treatment admitted on 3/27/2021 with
progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1198211-1"
 "1198211-1" "Apr., 2021" "2021/04" "Feb., 2021" "2021/02" "The
patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an
outside clinic the morning of 2/10/21 and presented to the ED with coughing and
hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day. He had
quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized
and critically ill in the past due to recurrent UTI's and pneumonia with associated
sepsis. CT negative for pulmonary embolism and showed bilateral infiltrates.
Clinical presentation consistent with bilateral pneumonia and started on
Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02. The
following evening he became febrile and acutely developed asystole without any pre-
existing arrhythmia. Resuscitation was attempted for 45 minutes but unsuccessful.
Overall, I suspect his death was related to bacterial pneumonia and resulting acute
respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but
reported this event as it did occur within 2 days of receiving his 2nd Moderna
vaccination."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1198967-1"
"1198967-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Cardiac arrest, death"
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1228010-1"
"1228010-1" "Apr., 2021" "2021/04" "Mar., 2021" "2021/03" "Death
Narrative: Patient was not previously Covid positive and did not have any
predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event.
The ADR did not occur at the time of administration of the vaccine nor was there an
ADR that occurred between the observation period and the date of death. Patient
died of a drug overdose and had a UDS positive for fentanyl and alcohol on 3/8/21
patient tested positive for Chlamydia due to high risk sexual behavior and
substance use disorder. Patient was admitted to facility on 2/26/21 to detox from
alcohol."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1232541-1"
"1232541-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Patient found unresponsive at approximately 12:00 am 10/11. EMS called and
patient was pronounced dead at scene."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1243650-1"
"1243650-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Unexpected death; found unresponsive 04/20/21 morning and pronounced dead
after unsuccessful resuscitative efforts"
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1244990-1"
"1244990-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "After
receiving the second dose of the vaccine, my husband experienced left arm pain
which he thought was from the injection. About a week later, the pain got worse and
moved toward his chest. It got so bad, he had to be taken by ambulance to the
hospital to find out he had been having a heart attack. He spent nearly three weeks
in the hospital before he died on 4/15/21"
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1246534-1"
"1246534-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Patient felt initially well, but later in that afternoon her arm started
hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two
hours later she was pronounced dead at approximately 12:30am."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1247401-1"
"1247401-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Patient received Moderna Vaccine on Friday 4/16/2021 12:00pm in dialysis
clinic. Over the weekend family called and left a message stating that patient CTB
on Friday 4/16/2021 around 8pm."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1257204-1"
"1257204-1" "Apr., 2021" "2021/04" "Mar., 2021" "2021/03"
"Patient began experiencing pain and difficulty walking on Tuesday, March 23.
Later that afternoon she was taken to an Urgent care, who sent her to the ER for
evaluation. She was diagnosed with a very large blood clot in her leg, spanning
from just above the knee to her groin area. They admitted her and began treating
her with blood thinners. While undergoing that treatment, her heart stopped 3
times and she had to be resuscitated. They discovered a pulmonary embolism. While
removing a large clot from her lungs, the doctor found that her lungs were riddled
with hundreds of tiny blood clots. They also said that she was bleeding internally,
very heavily, from an unknown location. In all, they gave her 20 units of blood,
and none of it stayed in her veins. The doctor said it seemed to just disintegrate.
At that point, her brain and organs had begun shutting down and family made the
decision to remove her from life support. She passed away Thursday evening, March
25, 2021."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1264618-1"
"1264618-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "103
fever 2 days after the vaccine. Then became afebrile. Then found deceased on 4-26-
2021"
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1267278-1"
"1267278-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Patient passed away 4/12/2021 suddenly, found by family on couch. Was having
shortness of breath day before. Per mom, patient had been laughing and talking the
morning before patient passed away."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1281531-1"
"1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04" "Received
2nd dose of vaccine, 5 days later his left leg started hurting and swelling. He
had severe headache afterwards, dizzy and blurred vision. 04/24/2021 he complained
of not feeling right, coughed and passed out. Had fever and chills when he came to.
Wife called 911 and was talking and walking. Was awake and talking in ambulance,
oxygen level was low. Once arrived at hospital, he became restless and passed away
within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing
illnesses - was determined he died of Pulmonary Thrumbo Embolism"
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1289723-1"
"1289723-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Death.
Approximately 12 hours after administering the vaccination shot, patient
experienced a medical emergency and lost her pulse. Paramedics attempted to
resuscitate her for about 80 minutes. Her heart was unable to be restarted. She was
declared deceased at 3:00 AM locally."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1306986-1"
"1306986-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Patient expired
of probable aneurysm at Hospital on 5/10/2021"
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1312456-1"
"1312456-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Death. While
driving patient passed out and was found by County Sheriffs Office. EMT was called
and could not save patient. M.E. Declared patient dead at 7:20 PM on May 4, 2021"
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1313922-1"
"1313922-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04" "PT NO SHOW
FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT REPORTED DECEASED 5/14-
CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21- AUTOPSY Completed"
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1317203-1"
"1317203-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04" "Started
having lain in right home on 4/15/2021. On 4/16/2021 complained more about right
hip, said feels like he got hit by a truck, and that he felt like he was starting
to get a cold. Then he died the night of 4/16/2021."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1322484-1"
"1322484-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "About a week
after his first dose he developed a skin reaction at the injection site. Redness,
swelling, itching. The affected area was about 10 inches by 6 inches. The day
following the second dose of the vaccine he developed chills, sweats, aches, and a
low grade fever. He also developed the same skin reaction. He had these symptoms
for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was
even better, Monday evening he died. He was 37 with no known medical issues. He
just died out of nowhere."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1338625-1"
 "1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Outcome:
unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described
body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36
hours, and then felt fine. Had dose # 2 Moderna vaccine about 6:50 PM at Community
vaccination site. She was driver, received left deltoid injection from Doctor.
During observation period reported no symptoms, was happy and talkative with family
and staff. Family reports later that evening she did not feel well ? ?just not
hungry? and wanting to lie down. Slept well, then woke up feeling better except for
left arm achiness at injection site. Did not report redness, rash, or any
difficulty breathing. Was talkative, walking around, took a shower, and was
planning to drive to the grocery store later that day. Mid morning ? maybe
beginning about 11 AM, family said she went in and out of bathroom several times.
She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1365485-1"
"1365485-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05" "On
05/27/2021 the decedent began complaining of shortness of breath, cough, fever,
chills, and pain at the injection site. On 05/28/2021 the decedent complained of
the same symptoms."
"DEATH" "10011906" "COVID19 (COVID19 (MODERNA))" "1201" "1368271-1"
"1368271-1" "Jun., 2021" "2021/06" "Apr., 2021" "2021/04" "On
April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in
a hospital from a massive stroke and seizures related to encephalitis of unknown
cause. She recovered easily from Covid19 back in November of 2020, along with
several of her close friends and family members with no lingering effects. On
March 30th, she was given a single dose of the Moderna vaccine along with her
teaching colleagues at a local high school. She initially complained of mild nausea
and vomiting but quickly developed a severe headache prompting her to visit the
local ER where she received treatment for a migraine. She returned to the ER at
least one more time after no relief from the headache. By April 3rd,Saturday, she
no longer recognized her sister nor knew what a mask was for. Her family rushed
her again to the same ER and she was subsequently transferred the following day to
a Hospital. Due to dangerously high intracranial pressure, she suffered a stroke
with paralysis of her left side and a seizure. Multiple lesions were noted on her
brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and
placed into a deep coma from which she would never awaken. Despite these medical
interventions and pharmacological interventions, the pressure did not subside. A
craniotomy was performed the following Saturday as a last ditch effort to relieve
the unrelenting pressure in her brain. The craniotomy was able to reduce the
pressure but it was too late. There was no longer any brain activity and my
cousin's daughter was removed from life support after they were able to say their
goodbyes. The medical examiner will be examining her brain to attempt to find a
cause but that report may take 6 months."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"0948418-1" "0948418-1" "Jan., 2021" "2021/01" "Jan., 2021"
"2021/01" "Expired on 1/12/2021; unknown cause of death"
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"0986901-1" "0986901-1" "Jan., 2021" "2021/01" "Jan., 2021"
"2021/01" "Patient received vaccine uneventfully with no acute concerns.
Left clinic and by report went out with friends. Spoke to father on phone at or
around 9:00 pm. Failed to show up to work and was found dead at home. Other details
pending"
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1026362-1" "1026362-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Patient stated he had a migraine after the vaccine. We were
advised of a change in appetite on Thursday February 4th. Patient died on February
6th."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1085413-1" "1085413-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "patient was on treadmill at home on 3/4/21 and became shortness
of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to
ED arrival 30 minutes. Arrived at ER at 8:48AM. Intubated by EMS. initially
shocked 1x but otherwise was in asystole. Eventually after about 70 minutes of CPR
at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced
dead."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1095327-1" "1095327-1" "Mar., 2021" "2021/03" "Feb., 2021"
"2021/02" "I was alerted on 3.11.21 by the patient's wife that patient had
passed away the night after having received the vaccine. The wife informed me that
she did not wake up the next morning."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1104175-1" "1104175-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "She received the 2nd Dose on 3/9/2021. On 3/10/2021 She
complained of a headache. On the morning of 3/11/2021 she complained of abdominal
pain and had no appetite. We then found her unresponsive, called 911 and the
medics pronounced her at around 1300."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1124794-1" "1124794-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "Extreme head ache, chest pain, fever 101 F. Gave 1000 mg
Tylenol, albuterol via nebulizer Q4hr. Died 3/20/2021 approx 11:00 am from Cardiac
Arrest."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1177548-1" "1177548-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "On the evening of 4/3/2021 the patient was at home, prone in
bed, gasped suddenly and became unresponsive. EMS was called and unable to
resuscitate. She expired."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1212820-1" "1212820-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Unexpected death 3 days after vaccination"
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1223650-1" "1223650-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "In the evening on March 15th, she began having shortness of
breath and chest pain. She asked her boyfriend for her blood pressure cuff so she
could take her blood pressure. As he was getting it she told him to call 911 and
then her eyes rolled back in her head and she stopped breathing. Paramedics
attempted to revive her but were unsuccessful. She was taken to the hospital and
pronounced dead. Cause of death listed as heart disease."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1242117-1" "1242117-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Healthy male, no substance use, no symptoms reported made plans
to go hiking with a friend the following Sunday (4/18/21) on 4/16/2021 in
afternoon. This was last known contact, patient stopped responding to phone after
text and was found deceased in home on 4/22/2021, appearing to have passed away in
sleep, likely 4/16/2021 in evening."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1246604-1" "1246604-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" ""Patient presented to ED on 04/18/2021 with cardiopulmonary
arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency. Two
rounds epi. Asystole and then went into V-tach. Got shocked once. Then after
that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at
05:14AM.""
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1290128-1" "1290128-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Patient collapsed at home with cardiopulmonary arrest. He had been
complaining of shortness of breath 1 week prior to the event, starting when he
received his covid vaccination. The differential diganosis was pulmonary embolism,
myocardial infarction or arrythmia. CPR was started immediately and patient
received tPA during ACLS without return of spontaneous circulation."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1296030-1" "1296030-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Unknown cardiac event. Found on sidewalk down. Revived but resulted in
extensive neurological damage. Was put in life support. Never came to. Passed away
05/05/2021."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1310174-1" "1310174-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Death
on 2 May 2021"
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1314342-1" "1314342-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"He died. He got the shot then several hours later he was found DEAD in his
sleep. We are still awaiting coroners reports."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1322310-1" "1322310-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Death. Coroner said collapsed of unknown cause. Autopsy performed. Awaiting
final report and toxicology report."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1337198-1" "1337198-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Patient presented to ED after receiving covid vaccination the month prior,
with hemoptysis, petechiae, blood in stool and urine, and platelets . Prior to
this, patient presented to the ED on 4/30 with kidney stone, no other significant
PMH and prescribed medications mentioned on prior page. Suspected ITP, patient
received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11,
patient had AMS, became unresponsive and was evaluated for stroke. Patient had
large intra-axial hemorrhage with significant midline shift, transferred to the
Hospital and died the same day."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1337439-1" "1337439-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11 HE WAS
COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC
ARREST AND DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS
CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND
DIED ON 5/20 THIS MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS
IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1337723-1" "1337723-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"PATIENT WAS IMMUNIZED 5/13. PATIENT WAS FOUND DECEASED IN THEIR APARTMENT ON
5/18. FAMILY LAST SAW HIM ON 5/16 WHEN THEY DROPPED HIM OFF AT HIS APARTMENT.
MEDICAL EXAMINER HAS NOT YET DETERMINED CAUSE OF DEATH OR EXACT DATE OF DEATH."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1364631-1" "1364631-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05"
""This is reported by his mother. Around 10:00 AM he got his vaccine.
Mother met him at 12:30 and went to lunch, said he felt OK. She stayed with him a
couple of hours, went home and apparently he went to sleep. The next day he texted
his mother and said that he felt yucky. She told him to give it a couple of days,
and he went to work all week, but said that after he ate he felt ""funny"". Then
on Sunday, Mother's day on 5/9/21 and they face timed and was supposed to meet him
at 5:30. At 12:45 he had finished eating, ate some enchilladas and said that he
felt weird. He said that he was going to be ok to meet him at 5:30. At 4:37 PM
she texted him to say that she was on her way to meet him. She got at the meeting
place at 5:30 and he was usually there before her, this is a normal weekend ritual
to exchange his dog. She waited 9 minutes and she tried to facetime him thinking
he was in traffic, and he didn't answer. She thought he was just not answering.
She then waited 9 more minutes and then called his phone and local Hospital
answered the phone and asked who she was, and she answered the questions, and she
told her to get to the hospital. She went to the hospital and the doctor came in
and told her that he had the car running and he went to the gas pump to get gas and
he stepped out of the car and collapsed. The person who saw him told the attended
that he had collapsed and they called 9-1-1 and he was pronounced dead. He worked
in a warehouse and was doing well and about to be certified to be a forklift
driving. They said that they worked on him and that they could not get his heart
started again. They had to do an autopsy which is against her religion and she
will not find out those results for 3-6 months. She said that he was healthy and
looking forward to get tested at work. They told her that he had an enlarged heart
and an enlarged spleen, and had never had any heart issues in the past. He
walked 20,000 steps a day in the warehouse. He was living in a sober man's
facility, he has been clean for 18 months. He had an addiction to pain pills and
Xanax. She feels that there was something in the vaccine that had something to
do with it as he was perfectly healthy before the vaccine.""
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1378118-1" "1378118-1" "Jun., 2021" "2021/06" "Jun., 2021"
"2021/06" "Decedent passed 06/05/2021 at 1042 hours. Exam showed bilateral
pulmonary emboli."
"DEATH" "10011906" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1381705-1" "1381705-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05"
"First shot Lot# ER 8732 administered 04/03/2021 Death"
"DECREASED APPETITE" "10061428" "COVID19 (COVID19 (MODERNA))" "1201"
"1338625-1" "1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine
3/31/21. She described body aches and mild fever ? ?like I had COVID again for a
day? ? lasting about 36 hours, and then felt fine. Had dose # 2 Moderna vaccine
about 6:50 PM at Community vaccination site. She was driver, received left deltoid
injection from Doctor. During observation period reported no symptoms, was happy
and talkative with family and staff. Family reports later that evening she did not
feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up
feeling better except for left arm achiness at injection site. Did not report
redness, rash, or any difficulty breathing. Was talkative, walking around, took a
shower, and was planning to drive to the grocery store later that day. Mid morning
? maybe beginning about 11 AM, family said she went in and out of bathroom several
times. She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"DECREASED APPETITE" "10061428" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1104175-1" "1104175-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "She received the 2nd Dose on 3/9/2021. On 3/10/2021 She
complained of a headache. On the morning of 3/11/2021 she complained of abdominal
pain and had no appetite. We then found her unresponsive, called 911 and the
medics pronounced her at around 1300."
"DEEP VEIN THROMBOSIS" "10051055" "COVID19 (COVID19 (JANSSEN))" "1203"
"1201543-1" "1201543-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Death"
"DEPRESSED LEVEL OF CONSCIOUSNESS" "10012373" "COVID19 (COVID19 (MODERNA))"
"1201" "1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "fall on May 19 and admitted to ER May 22 with subacute R MCA
stroke resulting in obtundation and left sided hemiparalysis. Complicating his
presentation is acute COVID 19 infection with pneumonia along with acute on chronic
systolic congestive heart failure."
"DIABETIC HYPEROSMOLAR COMA" "10012669" "COVID19 (COVID19 (JANSSEN))" "1203"
"1220723-1" "1220723-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "36 year old male with hx of hypertension , asthma,
schizophrenia . he recieved Janssen vaccine on 4/6/2021. he started to fell unwell
on 4/14 and on 4/15 he was found by his father unresponsive then sent to the
hospital. Pt was diagnosed with massive pulmonary embolism, severe shock, acute
renal failure ,Diabetic ketoacidosis , hyperglycemic hyperosmolar nonketotic coma,
acute respiratory failure, patient expried from massive pulmonary embolism within
48 hours after admission."
"DIABETIC KETOACIDOSIS" "10012671" "COVID19 (COVID19 (JANSSEN))" "1203"
"1220723-1" "1220723-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "36 year old male with hx of hypertension , asthma,
schizophrenia . he recieved Janssen vaccine on 4/6/2021. he started to fell unwell
on 4/14 and on 4/15 he was found by his father unresponsive then sent to the
hospital. Pt was diagnosed with massive pulmonary embolism, severe shock, acute
renal failure ,Diabetic ketoacidosis , hyperglycemic hyperosmolar nonketotic coma,
acute respiratory failure, patient expried from massive pulmonary embolism within
48 hours after admission."
"DIARRHOEA" "10012735" "COVID19 (COVID19 (MODERNA))" "1201" "1293909-1"
"1293909-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Per family, pt
reported fatigue and elevated glucose, nausea and diarrhea 3-4 days after
immunization. She was seen by her PCP following week and again was experiencing
elevated blood glucose."
"DIZZINESS" "10013573" "COVID19 (COVID19 (MODERNA))" "1201" "1242520-1"
"1242520-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "35
y/o with asthma (on alvesco and singulair), GERD, morbid obesity (BMI 45) and RA
(on prednisone and MTX, SZA.) Vaccinated for COVID 2.12. and 3.10 Recent lab 3/17-
normal, including negative CRP. Code continued for 50 minutes, no shock advised.
PEA, gave Epi X 4. Normal BS. Considered narcan. Over the weekend- 4/17 Chest pain
that started with eating. Labile blood pressure. EKG showed NSR rate 64. Treated
with ASA 325, clear liquid diet and rest. Treated with toradol and Zofran.
Improved. At f/u on Monday, discussed chronic knee pain was overall better.
Normal for her exam. BP 136/79. Felt dizzy and then passed out, hitting her head,
became pulseless an apneic and was coded for over an hour."
"DIZZINESS" "10013573" "COVID19 (COVID19 (MODERNA))" "1201" "1281531-1"
"1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04" "Received
2nd dose of vaccine, 5 days later his left leg started hurting and swelling. He
had severe headache afterwards, dizzy and blurred vision. 04/24/2021 he complained
of not feeling right, coughed and passed out. Had fever and chills when he came to.
Wife called 911 and was talking and walking. Was awake and talking in ambulance,
oxygen level was low. Once arrived at hospital, he became restless and passed away
within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing
illnesses - was determined he died of Pulmonary Thrumbo Embolism"
"DOUBLE STRANDED DNA ANTIBODY" "10050418" "COVID19 (COVID19 (MODERNA))"
"1201" "1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"DRUG SCREEN" "10050837" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1101884-1" "1101884-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21
and 2nd Pfizer COVID-19 vaccine on 2/17/21 Unsure if any relation but patient was
treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine
unresponsive. Patient received ACLS support for unknown cause with suspected
neurological/respiratory/cardiac complications. Patient was transferred to higher
level of care."
"DRUG SCREEN POSITIVE" "10049177" "COVID19 (COVID19 (MODERNA))" "1201"
"1228010-1" "1228010-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Death Narrative: Patient was not previously Covid positive and
did not have any predisposing factors(PMH, allergies, etc.) for experiencing an
adverse drug event. The ADR did not occur at the time of administration of the
vaccine nor was there an ADR that occurred between the observation period and the
date of death. Patient died of a drug overdose and had a UDS positive for fentanyl
and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual
behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to
detox from alcohol."
"DYSPNOEA" "10013968" "COVID19 (COVID19 (MODERNA))" "1201" "1186348-1"
"1186348-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Copied from MD discharge note - Patient is a 38 y.o. female with PMH
significant for asthma and lupus not on any treatment admitted on 3/27/2021 with
progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"DYSPNOEA" "10013968" "COVID19 (COVID19 (MODERNA))" "1201" "1267278-1"
"1267278-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Patient passed away 4/12/2021 suddenly, found by family on couch. Was having
shortness of breath day before. Per mom, patient had been laughing and talking the
morning before patient passed away."
"DYSPNOEA" "10013968" "COVID19 (COVID19 (MODERNA))" "1201" "1365485-1"
"1365485-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05" "On
05/27/2021 the decedent began complaining of shortness of breath, cough, fever,
chills, and pain at the injection site. On 05/28/2021 the decedent complained of
the same symptoms."
"DYSPNOEA" "10013968" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1085413-1" "1085413-1" "Mar., 2021" "2021/03" "Mar., 2021"
 "2021/03" "patient was on treadmill at home on 3/4/21 and became shortness
of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to
ED arrival 30 minutes. Arrived at ER at 8:48AM. Intubated by EMS. initially
shocked 1x but otherwise was in asystole. Eventually after about 70 minutes of CPR
at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced
dead."
"DYSPNOEA" "10013968" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1177548-1" "1177548-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "On the evening of 4/3/2021 the patient was at home, prone in
bed, gasped suddenly and became unresponsive. EMS was called and unable to
resuscitate. She expired."
"DYSPNOEA" "10013968" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1223650-1" "1223650-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "In the evening on March 15th, she began having shortness of
breath and chest pain. She asked her boyfriend for her blood pressure cuff so she
could take her blood pressure. As he was getting it she told him to call 911 and
then her eyes rolled back in her head and she stopped breathing. Paramedics
attempted to revive her but were unsuccessful. She was taken to the hospital and
pronounced dead. Cause of death listed as heart disease."
"DYSPNOEA" "10013968" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1290128-1" "1290128-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Patient collapsed at home with cardiopulmonary arrest. He had been
complaining of shortness of breath 1 week prior to the event, starting when he
received his covid vaccination. The differential diganosis was pulmonary embolism,
myocardial infarction or arrythmia. CPR was started immediately and patient
received tPA during ACLS without return of spontaneous circulation."
"DYSPNOEA" "10013968" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1297262-1" "1297262-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "The
patient had developed a rash, fatigue, difficulty breathing, stomach pain, possible
fever and began to cough up blood. He took Tylenol and a Chinese herbal medication
called Lianhua Qingwen Jiaonang on 5/5/21. It is unclear when his symptoms began,
as he did not share that information with his wife until 5/5/21."
"ECHOCARDIOGRAM ABNORMAL" "10061593" "COVID19 (COVID19 (MODERNA))" "1201"
"1244990-1" "1244990-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "After receiving the second dose of the vaccine, my husband
experienced left arm pain which he thought was from the injection. About a week
later, the pain got worse and moved toward his chest. It got so bad, he had to be
taken by ambulance to the hospital to find out he had been having a heart attack.
He spent nearly three weeks in the hospital before he died on 4/15/21"
"ECHOCARDIOGRAM NORMAL" "10014115" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"ELECTROCARDIOGRAM NORMAL" "10014373" "COVID19 (COVID19 (MODERNA))" "1201"
"1242520-1" "1242520-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "35 y/o with asthma (on alvesco and singulair), GERD, morbid
obesity (BMI 45) and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12.
and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50
minutes, no shock advised. PEA, gave Epi X 4. Normal BS. Considered narcan. Over
the weekend- 4/17 Chest pain that started with eating. Labile blood pressure. EKG
showed NSR rate 64. Treated with ASA 325, clear liquid diet and rest. Treated
with toradol and Zofran. Improved. At f/u on Monday, discussed chronic knee pain
was overall better. Normal for her exam. BP 136/79. Felt dizzy and then passed
out, hitting her head, became pulseless an apneic and was coded for over an hour."
"ENCEPHALITIS" "10014581" "COVID19 (COVID19 (MODERNA))" "1201"
"1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"ENCEPHALOPATHY" "10014625" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1337439-1" "1337439-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11 HE WAS
COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC
ARREST AND DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS
CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND
DIED ON 5/20 THIS MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS
IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
"ENDOTRACHEAL INTUBATION" "10067450" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"ENDOTRACHEAL INTUBATION" "10067450" "COVID19 (COVID19 (MODERNA))" "1201"
 "1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"ENDOTRACHEAL INTUBATION" "10067450" "COVID19 (COVID19 (MODERNA))" "1201"
"1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"ENDOTRACHEAL INTUBATION" "10067450" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1085413-1" "1085413-1" "Mar., 2021" "2021/03" "Mar.,
2021" "2021/03" "patient was on treadmill at home on 3/4/21 and became shortness
of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to
ED arrival 30 minutes. Arrived at ER at 8:48AM. Intubated by EMS. initially
shocked 1x but otherwise was in asystole. Eventually after about 70 minutes of CPR
at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced
dead."
"ERYTHEMA" "10015150" "COVID19 (COVID19 (MODERNA))" "1201" "1040170-1"
"1040170-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02"
"Received vaccine on 2/6/2021. was a bit off all week per caregivers - low
grade temp and reporting pain which they treated with Tylenol. She was pretty much
herself on morning of 2/13/2021 - got up, had shower. caregivers noted her
extremities were cool and face was red. temp was 97.4. She was placed in
wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"ESCHERICHIA TEST POSITIVE" "10070090" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"EXPOSURE DURING PREGNANCY" "10073513" "COVID19 (COVID19 (MODERNA))" "1201"
"1201114-1" "1201114-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Due date 4/18/2021. Pt presented in labor on 4/10/21. Her
labor was uncomplicated and progressing appropriately. She had sudden onset of
coughing following by loss of consciousness. Code blue was called. Emergency
bedside C/S was performed. Despite resuscitative efforts of 1 hour and 15 minutes,
the patient expired."
"EYE MOVEMENT DISORDER" "10061129" "COVID19 (COVID19 (MODERNA))" "1201"
"1338625-1" "1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine
3/31/21. She described body aches and mild fever ? ?like I had COVID again for a
day? ? lasting about 36 hours, and then felt fine. Had dose # 2 Moderna vaccine
about 6:50 PM at Community vaccination site. She was driver, received left deltoid
injection from Doctor. During observation period reported no symptoms, was happy
and talkative with family and staff. Family reports later that evening she did not
feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up
feeling better except for left arm achiness at injection site. Did not report
redness, rash, or any difficulty breathing. Was talkative, walking around, took a
shower, and was planning to drive to the grocery store later that day. Mid morning
? maybe beginning about 11 AM, family said she went in and out of bathroom several
times. She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"EYE MOVEMENT DISORDER" "10061129" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1223650-1" "1223650-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "In the evening on March 15th, she began having shortness of
breath and chest pain. She asked her boyfriend for her blood pressure cuff so she
could take her blood pressure. As he was getting it she told him to call 911 and
then her eyes rolled back in her head and she stopped breathing. Paramedics
attempted to revive her but were unsuccessful. She was taken to the hospital and
pronounced dead. Cause of death listed as heart disease."
"FALL" "10016173" "COVID19 (COVID19 (MODERNA))" "1201" "1338625-1"
"1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Outcome:
unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described
body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36
hours, and then felt fine. Had dose # 2 Moderna vaccine about 6:50 PM at Community
vaccination site. She was driver, received left deltoid injection from Doctor.
During observation period reported no symptoms, was happy and talkative with family
and staff. Family reports later that evening she did not feel well ? ?just not
hungry? and wanting to lie down. Slept well, then woke up feeling better except for
left arm achiness at injection site. Did not report redness, rash, or any
difficulty breathing. Was talkative, walking around, took a shower, and was
planning to drive to the grocery store later that day. Mid morning ? maybe
beginning about 11 AM, family said she went in and out of bathroom several times.
She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"FALL" "10016173" "COVID19 (COVID19 (MODERNA))" "1201" "1347160-1"
"1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall on May 19
and admitted to ER May 22 with subacute R MCA stroke resulting in obtundation
and left sided hemiparalysis. Complicating his presentation is acute COVID 19
infection with pneumonia along with acute on chronic systolic congestive heart
failure."
"FATIGUE" "10016256" "COVID19 (COVID19 (MODERNA))" "1201" "1293909-1"
"1293909-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Per family, pt
reported fatigue and elevated glucose, nausea and diarrhea 3-4 days after
immunization. She was seen by her PCP following week and again was experiencing
elevated blood glucose."
"FATIGUE" "10016256" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1297262-1" "1297262-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "The
patient had developed a rash, fatigue, difficulty breathing, stomach pain, possible
fever and began to cough up blood. He took Tylenol and a Chinese herbal medication
called Lianhua Qingwen Jiaonang on 5/5/21. It is unclear when his symptoms began,
as he did not share that information with his wife until 5/5/21."
"FEELING ABNORMAL" "10016322" "COVID19 (COVID19 (MODERNA))" "1201"
"1281531-1" "1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Received 2nd dose of vaccine, 5 days later his left leg started hurting and
swelling. He had severe headache afterwards, dizzy and blurred vision. 04/24/2021
he complained of not feeling right, coughed and passed out. Had fever and chills
when he came to. Wife called 911 and was talking and walking. Was awake and
talking in ambulance, oxygen level was low. Once arrived at hospital, he became
restless and passed away within 3 minutes. Autopsy was performed due to his age -
35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo
Embolism"
"FEELING ABNORMAL" "10016322" "COVID19 (COVID19 (MODERNA))" "1201"
"1317203-1" "1317203-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Started having lain in right home on 4/15/2021. On 4/16/2021 complained more
about right hip, said feels like he got hit by a truck, and that he felt like he
was starting to get a cold. Then he died the night of 4/16/2021."
"FEELING ABNORMAL" "10016322" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1364631-1" "1364631-1" "Jun., 2021" "2021/06" "May, 2021"
"2021/05" ""This is reported by his mother. Around 10:00 AM he got his
vaccine. Mother met him at 12:30 and went to lunch, said he felt OK. She stayed
with him a couple of hours, went home and apparently he went to sleep. The next
day he texted his mother and said that he felt yucky. She told him to give it a
couple of days, and he went to work all week, but said that after he ate he felt
""funny"". Then on Sunday, Mother's day on 5/9/21 and they face timed and was
supposed to meet him at 5:30. At 12:45 he had finished eating, ate some
enchilladas and said that he felt weird. He said that he was going to be ok to
meet him at 5:30. At 4:37 PM she texted him to say that she was on her way to meet
him. She got at the meeting place at 5:30 and he was usually there before her,
this is a normal weekend ritual to exchange his dog. She waited 9 minutes and she
tried to facetime him thinking he was in traffic, and he didn't answer. She
thought he was just not answering. She then waited 9 more minutes and then called
his phone and local Hospital answered the phone and asked who she was, and she
answered the questions, and she told her to get to the hospital. She went to the
hospital and the doctor came in and told her that he had the car running and he
went to the gas pump to get gas and he stepped out of the car and collapsed. The
person who saw him told the attended that he had collapsed and they called 9-1-1
and he was pronounced dead. He worked in a warehouse and was doing well and about
to be certified to be a forklift driving. They said that they worked on him and
that they could not get his heart started again. They had to do an autopsy which
is against her religion and she will not find out those results for 3-6 months.
She said that he was healthy and looking forward to get tested at work. They told
her that he had an enlarged heart and an enlarged spleen, and had never had any
heart issues in the past. He walked 20,000 steps a day in the warehouse. He
was living in a sober man's facility, he has been clean for 18 months. He had an
addiction to pain pills and Xanax. She feels that there was something in the
vaccine that had something to do with it as he was perfectly healthy before the
vaccine.""
"FULL BLOOD COUNT" "10017411" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1101884-1" "1101884-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21
and 2nd Pfizer COVID-19 vaccine on 2/17/21 Unsure if any relation but patient was
treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine
unresponsive. Patient received ACLS support for unknown cause with suspected
neurological/respiratory/cardiac complications. Patient was transferred to higher
level of care."
"GAIT DISTURBANCE" "10017577" "COVID19 (COVID19 (MODERNA))" "1201"
"1257204-1" "1257204-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Patient began experiencing pain and difficulty walking on
Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent
her to the ER for evaluation. She was diagnosed with a very large blood clot in her
leg, spanning from just above the knee to her groin area. They admitted her and
began treating her with blood thinners. While undergoing that treatment, her heart
stopped 3 times and she had to be resuscitated. They discovered a pulmonary
embolism. While removing a large clot from her lungs, the doctor found that her
lungs were riddled with hundreds of tiny blood clots. They also said that she was
bleeding internally, very heavily, from an unknown location. In all, they gave her
20 units of blood, and none of it stayed in her veins. The doctor said it seemed to
just disintegrate. At that point, her brain and organs had begun shutting down and
family made the decision to remove her from life support. She passed away Thursday
evening, March 25, 2021."
"HAEMATEMESIS" "10018830" "COVID19 (COVID19 (MODERNA))" "1201"
"1176010-1" "1176010-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "He got his vaccine, and mother had talked to his girlfriend said
that he felt fine other than a sore arm. He called his mother and told her that he
was sick to his stomach with cramps and that he was throwing up blood. The
girlfriend found him on the floor on the 21st dead on the floor in his hotel room
at 8:00 AM. The girlfriend said she had spoken with him around 10:00 PM and that
he said he was going to sleep on the floor in the bathroom as he was throwing up
and the floor was cool. She subsequently found out that he was throwing up blood,
and autopsy report showed that his stomach was full of blood and further testing is
being done to see what has caused the bleeding."
"HAEMATOCHEZIA" "10018836" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1337198-1" "1337198-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Patient presented to ED after receiving covid vaccination the month prior,
with hemoptysis, petechiae, blood in stool and urine, and platelets . Prior to
this, patient presented to the ED on 4/30 with kidney stone, no other significant
PMH and prescribed medications mentioned on prior page. Suspected ITP, patient
received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11,
patient had AMS, became unresponsive and was evaluated for stroke. Patient had
large intra-axial hemorrhage with significant midline shift, transferred to the
Hospital and died the same day."
"HAEMATOCRIT DECREASED" "10018838" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"HAEMOGLOBIN DECREASED" "10018884" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"HAEMOGLOBIN DECREASED" "10018884" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"HAEMOPTYSIS" "10018964" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1297262-1" "1297262-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "The
patient had developed a rash, fatigue, difficulty breathing, stomach pain, possible
fever and began to cough up blood. He took Tylenol and a Chinese herbal medication
called Lianhua Qingwen Jiaonang on 5/5/21. It is unclear when his symptoms began,
as he did not share that information with his wife until 5/5/21."
"HAEMOPTYSIS" "10018964" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1337198-1" "1337198-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Patient presented to ED after receiving covid vaccination the month prior,
with hemoptysis, petechiae, blood in stool and urine, and platelets . Prior to
this, patient presented to the ED on 4/30 with kidney stone, no other significant
PMH and prescribed medications mentioned on prior page. Suspected ITP, patient
received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11,
patient had AMS, became unresponsive and was evaluated for stroke. Patient had
large intra-axial hemorrhage with significant midline shift, transferred to the
Hospital and died the same day."
"HEAD INJURY" "10019196" "COVID19 (COVID19 (MODERNA))" "1201"
"1242520-1" "1242520-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "35 y/o with asthma (on alvesco and singulair), GERD, morbid
obesity (BMI 45) and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12.
and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50
minutes, no shock advised. PEA, gave Epi X 4. Normal BS. Considered narcan. Over
the weekend- 4/17 Chest pain that started with eating. Labile blood pressure. EKG
showed NSR rate 64. Treated with ASA 325, clear liquid diet and rest. Treated
with toradol and Zofran. Improved. At f/u on Monday, discussed chronic knee pain
was overall better. Normal for her exam. BP 136/79. Felt dizzy and then passed
out, hitting her head, became pulseless an apneic and was coded for over an hour."
 "HEAD INJURY" "10019196" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1085413-1" "1085413-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "patient was on treadmill at home on 3/4/21 and became shortness
of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to
ED arrival 30 minutes. Arrived at ER at 8:48AM. Intubated by EMS. initially
shocked 1x but otherwise was in asystole. Eventually after about 70 minutes of CPR
at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced
dead."
"HEADACHE" "10019211" "COVID19 (COVID19 (JANSSEN))" "1203" "1243648-1"
"1243648-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"headache on 4/8/21, sudden death 4/11/2021"
"HEADACHE" "10019211" "COVID19 (COVID19 (MODERNA))" "1201" "1054160-1"
"1054160-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02"
"2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with headache
around 1am. Headache and nausea all morning. Mid-late afternoon started having
seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on 2/25/2021."
"HEADACHE" "10019211" "COVID19 (COVID19 (MODERNA))" "1201" "1281531-1"
"1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04" "Received
2nd dose of vaccine, 5 days later his left leg started hurting and swelling. He
had severe headache afterwards, dizzy and blurred vision. 04/24/2021 he complained
of not feeling right, coughed and passed out. Had fever and chills when he came to.
Wife called 911 and was talking and walking. Was awake and talking in ambulance,
oxygen level was low. Once arrived at hospital, he became restless and passed away
within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing
illnesses - was determined he died of Pulmonary Thrumbo Embolism"
"HEADACHE" "10019211" "COVID19 (COVID19 (MODERNA))" "1201" "1368271-1"
"1368271-1" "Jun., 2021" "2021/06" "Apr., 2021" "2021/04" "On
April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in
a hospital from a massive stroke and seizures related to encephalitis of unknown
cause. She recovered easily from Covid19 back in November of 2020, along with
several of her close friends and family members with no lingering effects. On
March 30th, she was given a single dose of the Moderna vaccine along with her
teaching colleagues at a local high school. She initially complained of mild nausea
and vomiting but quickly developed a severe headache prompting her to visit the
local ER where she received treatment for a migraine. She returned to the ER at
least one more time after no relief from the headache. By April 3rd,Saturday, she
no longer recognized her sister nor knew what a mask was for. Her family rushed
her again to the same ER and she was subsequently transferred the following day to
a Hospital. Due to dangerously high intracranial pressure, she suffered a stroke
with paralysis of her left side and a seizure. Multiple lesions were noted on her
brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and
placed into a deep coma from which she would never awaken. Despite these medical
interventions and pharmacological interventions, the pressure did not subside. A
craniotomy was performed the following Saturday as a last ditch effort to relieve
the unrelenting pressure in her brain. The craniotomy was able to reduce the
pressure but it was too late. There was no longer any brain activity and my
cousin's daughter was removed from life support after they were able to say their
goodbyes. The medical examiner will be examining her brain to attempt to find a
cause but that report may take 6 months."
"HEADACHE" "10019211" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1104175-1" "1104175-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "She received the 2nd Dose on 3/9/2021. On 3/10/2021 She
complained of a headache. On the morning of 3/11/2021 she complained of abdominal
pain and had no appetite. We then found her unresponsive, called 911 and the
medics pronounced her at around 1300."
"HEADACHE" "10019211" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1124794-1" "1124794-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "Extreme head ache, chest pain, fever 101 F. Gave 1000 mg
Tylenol, albuterol via nebulizer Q4hr. Died 3/20/2021 approx 11:00 am from Cardiac
Arrest."
"HEADACHE" "10019211" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1337439-1" "1337439-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11 HE WAS
COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC
ARREST AND DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS
CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND
DIED ON 5/20 THIS MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS
IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
"HEMIPLEGIA" "10019468" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"HEMIPLEGIA" "10019468" "COVID19 (COVID19 (MODERNA))" "1201"
"1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"HIGH RISK SEXUAL BEHAVIOUR" "10020082" "COVID19 (COVID19 (MODERNA))" "1201"
"1228010-1" "1228010-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Death Narrative: Patient was not previously Covid positive and
did not have any predisposing factors(PMH, allergies, etc.) for experiencing an
adverse drug event. The ADR did not occur at the time of administration of the
vaccine nor was there an ADR that occurred between the observation period and the
date of death. Patient died of a drug overdose and had a UDS positive for fentanyl
and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual
behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to
detox from alcohol."
"HIV TEST NEGATIVE" "10020187" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"HYPERHIDROSIS" "10020642" "COVID19 (COVID19 (MODERNA))" "1201"
"1322484-1" "1322484-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "About
a week after his first dose he developed a skin reaction at the injection site.
Redness, swelling, itching. The affected area was about 10 inches by 6 inches.
The day following the second dose of the vaccine he developed chills, sweats,
aches, and a low grade fever. He also developed the same skin reaction. He had
these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving.
Sunday was even better, Monday evening he died. He was 37 with no known medical
issues. He just died out of nowhere."
"HYPOTENSION" "10021097" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"HYPOTENSION" "10021097" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"HYPOXIA" "10021143" "COVID19 (COVID19 (MODERNA))" "1201" "1186348-1"
"1186348-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Copied from MD discharge note - Patient is a 38 y.o. female with PMH
significant for asthma and lupus not on any treatment admitted on 3/27/2021 with
progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"HYPOXIA" "10021143" "COVID19 (COVID19 (MODERNA))" "1201" "1198211-1"
"1198211-1" "Apr., 2021" "2021/04" "Feb., 2021" "2021/02" "The
patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an
outside clinic the morning of 2/10/21 and presented to the ED with coughing and
hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day. He had
quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized
and critically ill in the past due to recurrent UTI's and pneumonia with associated
sepsis. CT negative for pulmonary embolism and showed bilateral infiltrates.
Clinical presentation consistent with bilateral pneumonia and started on
Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02. The
following evening he became febrile and acutely developed asystole without any pre-
existing arrhythmia. Resuscitation was attempted for 45 minutes but unsuccessful.
Overall, I suspect his death was related to bacterial pneumonia and resulting acute
respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but
reported this event as it did occur within 2 days of receiving his 2nd Moderna
vaccination."
"IMMUNE THROMBOCYTOPENIA" "10083842" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1337198-1" "1337198-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "Patient presented to ED after receiving covid vaccination the
month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .
Prior to this, patient presented to the ED on 4/30 with kidney stone, no other
significant PMH and prescribed medications mentioned on prior page. Suspected ITP,
patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning
of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.
Patient had large intra-axial hemorrhage with significant midline shift,
transferred to the Hospital and died the same day."
"IMMUNOGLOBULIN THERAPY" "10069534" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1337198-1" "1337198-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "Patient presented to ED after receiving covid vaccination the
month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .
Prior to this, patient presented to the ED on 4/30 with kidney stone, no other
significant PMH and prescribed medications mentioned on prior page. Suspected ITP,
patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning
of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.
Patient had large intra-axial hemorrhage with significant midline shift,
transferred to the Hospital and died the same day."
"INCOHERENT" "10021630" "COVID19 (COVID19 (MODERNA))" "1201"
"1037207-1" "1037207-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "She had pain in the injection site Tuesday night and then during
Tuesday she got worse with nausea and some fever. By Wednesday she was complaining
that she could not pee even though she was drinking a lot of fluids. She continued
to complain it was the worst she ever felt and then at 0600 Thursday morning she
woke us up and said she needed to go to the hospital. We arrived at the hospital
just before 0700 and she immediately threw up in the trash can. We went into a
treatment room and they took blood and started fluids as she became incoherent.
She said she had taken Tylenol so they started a drug to counter that but her liver
function was all wrong and they started to look for a hospital that could
transplant a liver. She was air evade about 0930 to Medical center and just over
30 hours latter she was dead. There is a pending autopsy. She was a healthy 39
year old mother who got the shots because she worked as a surgical tech and she was
the single mother of a 9 year old little girl."
"INFLUENZA A VIRUS TEST NEGATIVE" "10070417" "COVID19 (COVID19 (MODERNA))"
"1201" "1313922-1" "1313922-1" "May, 2021" "2021/05" "Apr., 2021"
"2021/04" "PT NO SHOW FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system
SHOWS PT REPORTED DECEASED 5/14- CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN
5/14/21- AUTOPSY Completed"
"INFLUENZA B VIRUS TEST" "10071544" "COVID19 (COVID19 (MODERNA))" "1201"
"1313922-1" "1313922-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"PT NO SHOW FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT
REPORTED DECEASED 5/14- CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21-
AUTOPSY Completed"
"INJECTION SITE ERYTHEMA" "10022061" "COVID19 (COVID19 (MODERNA))" "1201"
"1322484-1" "1322484-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "About
a week after his first dose he developed a skin reaction at the injection site.
Redness, swelling, itching. The affected area was about 10 inches by 6 inches.
The day following the second dose of the vaccine he developed chills, sweats,
aches, and a low grade fever. He also developed the same skin reaction. He had
these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving.
Sunday was even better, Monday evening he died. He was 37 with no known medical
issues. He just died out of nowhere."
"INJECTION SITE PAIN" "10022086" "COVID19 (COVID19 (MODERNA))" "1201"
"1037207-1" "1037207-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "She had pain in the injection site Tuesday night and then during
Tuesday she got worse with nausea and some fever. By Wednesday she was complaining
that she could not pee even though she was drinking a lot of fluids. She continued
to complain it was the worst she ever felt and then at 0600 Thursday morning she
woke us up and said she needed to go to the hospital. We arrived at the hospital
just before 0700 and she immediately threw up in the trash can. We went into a
treatment room and they took blood and started fluids as she became incoherent.
She said she had taken Tylenol so they started a drug to counter that but her liver
function was all wrong and they started to look for a hospital that could
transplant a liver. She was air evade about 0930 to Medical center and just over
30 hours latter she was dead. There is a pending autopsy. She was a healthy 39
year old mother who got the shots because she worked as a surgical tech and she was
the single mother of a 9 year old little girl."
"INJECTION SITE PAIN" "10022086" "COVID19 (COVID19 (MODERNA))" "1201"
"1244990-1" "1244990-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "After receiving the second dose of the vaccine, my husband
experienced left arm pain which he thought was from the injection. About a week
later, the pain got worse and moved toward his chest. It got so bad, he had to be
taken by ambulance to the hospital to find out he had been having a heart attack.
He spent nearly three weeks in the hospital before he died on 4/15/21"
"INJECTION SITE PAIN" "10022086" "COVID19 (COVID19 (MODERNA))" "1201"
"1338625-1" "1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine
3/31/21. She described body aches and mild fever ? ?like I had COVID again for a
day? ? lasting about 36 hours, and then felt fine. Had dose # 2 Moderna vaccine
about 6:50 PM at Community vaccination site. She was driver, received left deltoid
injection from Doctor. During observation period reported no symptoms, was happy
and talkative with family and staff. Family reports later that evening she did not
feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up
feeling better except for left arm achiness at injection site. Did not report
redness, rash, or any difficulty breathing. Was talkative, walking around, took a
shower, and was planning to drive to the grocery store later that day. Mid morning
? maybe beginning about 11 AM, family said she went in and out of bathroom several
times. She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"INJECTION SITE PAIN" "10022086" "COVID19 (COVID19 (MODERNA))" "1201"
"1365485-1" "1365485-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05"
"On 05/27/2021 the decedent began complaining of shortness of breath, cough,
fever, chills, and pain at the injection site. On 05/28/2021 the decedent
complained of the same symptoms."
"INJECTION SITE PRURITUS" "10022093" "COVID19 (COVID19 (MODERNA))" "1201"
"1322484-1" "1322484-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "About
a week after his first dose he developed a skin reaction at the injection site.
Redness, swelling, itching. The affected area was about 10 inches by 6 inches.
The day following the second dose of the vaccine he developed chills, sweats,
aches, and a low grade fever. He also developed the same skin reaction. He had
these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving.
Sunday was even better, Monday evening he died. He was 37 with no known medical
issues. He just died out of nowhere."
"INJECTION SITE REACTION" "10022095" "COVID19 (COVID19 (MODERNA))" "1201"
"1322484-1" "1322484-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "About
a week after his first dose he developed a skin reaction at the injection site.
Redness, swelling, itching. The affected area was about 10 inches by 6 inches.
The day following the second dose of the vaccine he developed chills, sweats,
aches, and a low grade fever. He also developed the same skin reaction. He had
these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving.
Sunday was even better, Monday evening he died. He was 37 with no known medical
issues. He just died out of nowhere."
"INJECTION SITE SWELLING" "10053425" "COVID19 (COVID19 (MODERNA))" "1201"
"1322484-1" "1322484-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "About
a week after his first dose he developed a skin reaction at the injection site.
Redness, swelling, itching. The affected area was about 10 inches by 6 inches.
The day following the second dose of the vaccine he developed chills, sweats,
aches, and a low grade fever. He also developed the same skin reaction. He had
these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving.
Sunday was even better, Monday evening he died. He was 37 with no known medical
issues. He just died out of nowhere."
"INTENSIVE CARE" "10022519" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"INTERNAL HAEMORRHAGE" "10075192" "COVID19 (COVID19 (MODERNA))" "1201"
"1176010-1" "1176010-1" "Apr., 2021" "2021/04" "Mar., 2021"
 "2021/03" "He got his vaccine, and mother had talked to his girlfriend said
that he felt fine other than a sore arm. He called his mother and told her that he
was sick to his stomach with cramps and that he was throwing up blood. The
girlfriend found him on the floor on the 21st dead on the floor in his hotel room
at 8:00 AM. The girlfriend said she had spoken with him around 10:00 PM and that
he said he was going to sleep on the floor in the bathroom as he was throwing up
and the floor was cool. She subsequently found out that he was throwing up blood,
and autopsy report showed that his stomach was full of blood and further testing is
being done to see what has caused the bleeding."
"INTERNAL HAEMORRHAGE" "10075192" "COVID19 (COVID19 (MODERNA))" "1201"
"1257204-1" "1257204-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Patient began experiencing pain and difficulty walking on
Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent
her to the ER for evaluation. She was diagnosed with a very large blood clot in her
leg, spanning from just above the knee to her groin area. They admitted her and
began treating her with blood thinners. While undergoing that treatment, her heart
stopped 3 times and she had to be resuscitated. They discovered a pulmonary
embolism. While removing a large clot from her lungs, the doctor found that her
lungs were riddled with hundreds of tiny blood clots. They also said that she was
bleeding internally, very heavily, from an unknown location. In all, they gave her
20 units of blood, and none of it stayed in her veins. The doctor said it seemed to
just disintegrate. At that point, her brain and organs had begun shutting down and
family made the decision to remove her from life support. She passed away Thursday
evening, March 25, 2021."
"INTERNATIONAL NORMALISED RATIO INCREASED" "10022595" "COVID19 (COVID19
(PFIZER-BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021"
"2021/02" "Feb., 2021" "2021/02" "2/12/2021 Vaccine 2/13/2021
Weakness, oral ulcers 2/17/2021 Brought to ER for loss of consciousness, altered
mental status, rectal bleeding; work up showed sepsis, UTI, anemia, pneumonia,
pleural effusion, pancytopenia, hypotension; persistent hypotension and respiratory
failure 2/18/2021 Passed away at 5:54AM"
"INTRACRANIAL PRESSURE INCREASED" "10022773" "COVID19 (COVID19 (MODERNA))"
"1201" "1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"LABILE BLOOD PRESSURE" "10023533" "COVID19 (COVID19 (MODERNA))" "1201"
"1242520-1" "1242520-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "35 y/o with asthma (on alvesco and singulair), GERD, morbid
obesity (BMI 45) and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12.
and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50
minutes, no shock advised. PEA, gave Epi X 4. Normal BS. Considered narcan. Over
the weekend- 4/17 Chest pain that started with eating. Labile blood pressure. EKG
showed NSR rate 64. Treated with ASA 325, clear liquid diet and rest. Treated
with toradol and Zofran. Improved. At f/u on Monday, discussed chronic knee pain
was overall better. Normal for her exam. BP 136/79. Felt dizzy and then passed
out, hitting her head, became pulseless an apneic and was coded for over an hour."
"LABORATORY TEST" "10059938" "COVID19 (COVID19 (MODERNA))" "1201"
"1244990-1" "1244990-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "After receiving the second dose of the vaccine, my husband
experienced left arm pain which he thought was from the injection. About a week
later, the pain got worse and moved toward his chest. It got so bad, he had to be
taken by ambulance to the hospital to find out he had been having a heart attack.
He spent nearly three weeks in the hospital before he died on 4/15/21"
"LEFT VENTRICULAR FAILURE" "10024119" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"LEUKOCYTOSIS" "10024378" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"LIFE SUPPORT" "10024447" "COVID19 (COVID19 (JANSSEN))" "1203"
"1216091-1" "1216091-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Patient at gym working out and had a seizure, when 9-1-1 crews
arrived patient was post-ictal, while treating the patient he had another seizure,
during transport patient went into cardiac arrest, crews provided ACLS care and
transported patient to hospital for treatment. Resuscitation efforts were
terminated by physician in emergency room."
"LIFE SUPPORT" "10024447" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"LIFE SUPPORT" "10024447" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1296030-1" "1296030-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Unknown cardiac event. Found on sidewalk down. Revived but resulted in
extensive neurological damage. Was put in life support. Never came to. Passed away
05/05/2021."
"LIVER FUNCTION TEST ABNORMAL" "10024690" "COVID19 (COVID19 (MODERNA))"
"1201" "1037207-1" "1037207-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "She had pain in the injection site Tuesday night and then during
Tuesday she got worse with nausea and some fever. By Wednesday she was complaining
that she could not pee even though she was drinking a lot of fluids. She continued
to complain it was the worst she ever felt and then at 0600 Thursday morning she
woke us up and said she needed to go to the hospital. We arrived at the hospital
just before 0700 and she immediately threw up in the trash can. We went into a
treatment room and they took blood and started fluids as she became incoherent.
She said she had taken Tylenol so they started a drug to counter that but her liver
function was all wrong and they started to look for a hospital that could
transplant a liver. She was air evade about 0930 to Medical center and just over
30 hours latter she was dead. There is a pending autopsy. She was a healthy 39
year old mother who got the shots because she worked as a surgical tech and she was
the single mother of a 9 year old little girl."
"LOSS OF CONSCIOUSNESS" "10024855" "COVID19 (COVID19 (MODERNA))" "1201"
"1201114-1" "1201114-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Due date 4/18/2021. Pt presented in labor on 4/10/21. Her
labor was uncomplicated and progressing appropriately. She had sudden onset of
coughing following by loss of consciousness. Code blue was called. Emergency
bedside C/S was performed. Despite resuscitative efforts of 1 hour and 15 minutes,
the patient expired."
"LOSS OF CONSCIOUSNESS" "10024855" "COVID19 (COVID19 (MODERNA))" "1201"
"1242520-1" "1242520-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "35 y/o with asthma (on alvesco and singulair), GERD, morbid
obesity (BMI 45) and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12.
and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50
minutes, no shock advised. PEA, gave Epi X 4. Normal BS. Considered narcan. Over
the weekend- 4/17 Chest pain that started with eating. Labile blood pressure. EKG
showed NSR rate 64. Treated with ASA 325, clear liquid diet and rest. Treated
with toradol and Zofran. Improved. At f/u on Monday, discussed chronic knee pain
was overall better. Normal for her exam. BP 136/79. Felt dizzy and then passed
out, hitting her head, became pulseless an apneic and was coded for over an hour."
"LOSS OF CONSCIOUSNESS" "10024855" "COVID19 (COVID19 (MODERNA))" "1201"
"1281531-1" "1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Received 2nd dose of vaccine, 5 days later his left leg started hurting and
swelling. He had severe headache afterwards, dizzy and blurred vision. 04/24/2021
he complained of not feeling right, coughed and passed out. Had fever and chills
when he came to. Wife called 911 and was talking and walking. Was awake and
talking in ambulance, oxygen level was low. Once arrived at hospital, he became
restless and passed away within 3 minutes. Autopsy was performed due to his age -
35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo
Embolism"
 "LOSS OF CONSCIOUSNESS" "10024855" "COVID19 (COVID19 (MODERNA))" "1201"
"1312456-1" "1312456-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Death. While driving patient passed out and was found by County Sheriffs
Office. EMT was called and could not save patient. M.E. Declared patient dead at
7:20 PM on May 4, 2021"
"LOSS OF CONSCIOUSNESS" "10024855" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"LOSS OF CONSCIOUSNESS" "10024855" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1296030-1" "1296030-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "Unknown cardiac event. Found on sidewalk down. Revived but
resulted in extensive neurological damage. Was put in life support. Never came to.
Passed away 05/05/2021."
"LUMBAR PUNCTURE" "10024999" "COVID19 (COVID19 (MODERNA))" "1201"
"1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"LUNG INFILTRATION" "10025102" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"LUNG INFILTRATION" "10025102" "COVID19 (COVID19 (MODERNA))" "1201"
"1198211-1" "1198211-1" "Apr., 2021" "2021/04" "Feb., 2021"
"2021/02" "The patient received his 2nd dose of Moderna (LOT#, site, time
unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED
with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.
He had quadriplegic spinal paralysis as a result of a remote MVA and has been
hospitalized and critically ill in the past due to recurrent UTI's and pneumonia
with associated sepsis. CT negative for pulmonary embolism and showed bilateral
infiltrates. Clinical presentation consistent with bilateral pneumonia and started
on Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02.
The following evening he became febrile and acutely developed asystole without any
pre-existing arrhythmia. Resuscitation was attempted for 45 minutes but
unsuccessful. Overall, I suspect his death was related to bacterial pneumonia and
resulting acute respiratory failure, complicated by his quadriplegia and autonomic
dysreflexia but reported this event as it did occur within 2 days of receiving his
2nd Moderna vaccination."
"MAGNETIC RESONANCE IMAGING" "10078223" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1296030-1" "1296030-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "Unknown cardiac event. Found on sidewalk down. Revived but
resulted in extensive neurological damage. Was put in life support. Never came to.
Passed away 05/05/2021."
"MAGNETIC RESONANCE IMAGING HEAD ABNORMAL" "10085256" "COVID19 (COVID19
(MODERNA))" "1201" "1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr.,
2021" "2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"MALAISE" "10025482" "COVID19 (COVID19 (JANSSEN))" "1203" "1104671-1"
"1104671-1" "Mar., 2021" "2021/03" "Mar., 2021" "2021/03"
"Patient has a long history of seizures. He has seizures on a daily basis.
He lives with his family, who are his primary caregivers, they family provides all
of his activities of daily living. Patient received vaccine on Friday morning,
feeling well throughout the day according to the father. Went to bed, during the
night in bed he had seizures which is typical for him, and during the episode the
father noticed that he had stopped breathing. called 911 who came to the house and
the patient died in the house. I do not believe he went to the hospital."
 "MALAISE" "10025482" "COVID19 (COVID19 (JANSSEN))" "1203" "1220723-1"
"1220723-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "36
year old male with hx of hypertension , asthma, schizophrenia . he recieved
Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14 and on 4/15 he was
found by his father unresponsive then sent to the hospital. Pt was diagnosed with
massive pulmonary embolism, severe shock, acute renal failure ,Diabetic
ketoacidosis , hyperglycemic hyperosmolar nonketotic coma, acute respiratory
failure, patient expried from massive pulmonary embolism within 48 hours after
admission."
"MALAISE" "10025482" "COVID19 (COVID19 (JANSSEN))" "1203" "1223714-1"
"1223714-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "This
information is second hand, I have not been in contact with next of kin- I am
reporting this because I don't know if anyone else including a medical examiner or
his PCP would know that he was recently vaccinated. I was told that this patient
was feeling sick for a couple of weeks. A friend visited him within the last couple
days and he had a migraine headache. When they went to check on him today they
found him deceased in his chair. Further investigation would be needed."
"MALAISE" "10025482" "COVID19 (COVID19 (MODERNA))" "1201" "1037207-1"
"1037207-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02" "She
had pain in the injection site Tuesday night and then during Tuesday she got worse
with nausea and some fever. By Wednesday she was complaining that she could not
pee even though she was drinking a lot of fluids. She continued to complain it was
the worst she ever felt and then at 0600 Thursday morning she woke us up and said
she needed to go to the hospital. We arrived at the hospital just before 0700 and
she immediately threw up in the trash can. We went into a treatment room and they
took blood and started fluids as she became incoherent. She said she had taken
Tylenol so they started a drug to counter that but her liver function was all wrong
and they started to look for a hospital that could transplant a liver. She was air
evade about 0930 to Medical center and just over 30 hours latter she was dead.
There is a pending autopsy. She was a healthy 39 year old mother who got the shots
because she worked as a surgical tech and she was the single mother of a 9 year old
little girl."
"MALAISE" "10025482" "COVID19 (COVID19 (MODERNA))" "1201" "1338625-1"
"1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Outcome:
unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described
body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36
hours, and then felt fine. Had dose # 2 Moderna vaccine about 6:50 PM at Community
vaccination site. She was driver, received left deltoid injection from Doctor.
During observation period reported no symptoms, was happy and talkative with family
and staff. Family reports later that evening she did not feel well ? ?just not
hungry? and wanting to lie down. Slept well, then woke up feeling better except for
left arm achiness at injection site. Did not report redness, rash, or any
difficulty breathing. Was talkative, walking around, took a shower, and was
planning to drive to the grocery store later that day. Mid morning ? maybe
beginning about 11 AM, family said she went in and out of bathroom several times.
She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"MATERNAL DEATH DURING CHILDBIRTH" "10066376" "COVID19 (COVID19 (MODERNA))"
"1201" "1201114-1" "1201114-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Due date 4/18/2021. Pt presented in labor on 4/10/21. Her
labor was uncomplicated and progressing appropriately. She had sudden onset of
coughing following by loss of consciousness. Code blue was called. Emergency
bedside C/S was performed. Despite resuscitative efforts of 1 hour and 15 minutes,
the patient expired."
"MEDICAL INDUCTION OF COMA" "10070677" "COVID19 (COVID19 (MODERNA))" "1201"
 "1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"MEMORY IMPAIRMENT" "10027175" "COVID19 (COVID19 (MODERNA))" "1201"
"1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"MENTAL STATUS CHANGES" "10048294" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"MENTAL STATUS CHANGES" "10048294" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1337198-1" "1337198-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "Patient presented to ED after receiving covid vaccination the
month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .
Prior to this, patient presented to the ED on 4/30 with kidney stone, no other
significant PMH and prescribed medications mentioned on prior page. Suspected ITP,
patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning
of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.
Patient had large intra-axial hemorrhage with significant midline shift,
transferred to the Hospital and died the same day."
"METABOLIC FUNCTION TEST" "10062191" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1101884-1" "1101884-1" "Mar., 2021" "2021/03" "Mar.,
2021" "2021/03" "History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21
and 2nd Pfizer COVID-19 vaccine on 2/17/21 Unsure if any relation but patient was
treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine
unresponsive. Patient received ACLS support for unknown cause with suspected
neurological/respiratory/cardiac complications. Patient was transferred to higher
level of care."
"MIGRAINE" "10027599" "COVID19 (COVID19 (JANSSEN))" "1203" "1223714-1"
"1223714-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "This
information is second hand, I have not been in contact with next of kin- I am
reporting this because I don't know if anyone else including a medical examiner or
his PCP would know that he was recently vaccinated. I was told that this patient
was feeling sick for a couple of weeks. A friend visited him within the last couple
days and he had a migraine headache. When they went to check on him today they
found him deceased in his chair. Further investigation would be needed."
"MIGRAINE" "10027599" "COVID19 (COVID19 (MODERNA))" "1201" "1368271-1"
"1368271-1" "Jun., 2021" "2021/06" "Apr., 2021" "2021/04" "On
April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in
a hospital from a massive stroke and seizures related to encephalitis of unknown
cause. She recovered easily from Covid19 back in November of 2020, along with
several of her close friends and family members with no lingering effects. On
March 30th, she was given a single dose of the Moderna vaccine along with her
teaching colleagues at a local high school. She initially complained of mild nausea
and vomiting but quickly developed a severe headache prompting her to visit the
local ER where she received treatment for a migraine. She returned to the ER at
least one more time after no relief from the headache. By April 3rd,Saturday, she
no longer recognized her sister nor knew what a mask was for. Her family rushed
her again to the same ER and she was subsequently transferred the following day to
a Hospital. Due to dangerously high intracranial pressure, she suffered a stroke
with paralysis of her left side and a seizure. Multiple lesions were noted on her
brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and
placed into a deep coma from which she would never awaken. Despite these medical
interventions and pharmacological interventions, the pressure did not subside. A
craniotomy was performed the following Saturday as a last ditch effort to relieve
the unrelenting pressure in her brain. The craniotomy was able to reduce the
pressure but it was too late. There was no longer any brain activity and my
cousin's daughter was removed from life support after they were able to say their
goodbyes. The medical examiner will be examining her brain to attempt to find a
cause but that report may take 6 months."
"MIGRAINE" "10027599" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1026362-1" "1026362-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Patient stated he had a migraine after the vaccine. We were
advised of a change in appetite on Thursday February 4th. Patient died on February
6th."
"MOUTH ULCERATION" "10028034" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
 "MULTIPLE ORGAN DYSFUNCTION SYNDROME" "10077361" "COVID19 (COVID19
(MODERNA))" "1201" "1257204-1" "1257204-1" "Apr., 2021" "2021/04" "Mar.,
2021" "2021/03" "Patient began experiencing pain and difficulty walking on
Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent
her to the ER for evaluation. She was diagnosed with a very large blood clot in her
leg, spanning from just above the knee to her groin area. They admitted her and
began treating her with blood thinners. While undergoing that treatment, her heart
stopped 3 times and she had to be resuscitated. They discovered a pulmonary
embolism. While removing a large clot from her lungs, the doctor found that her
lungs were riddled with hundreds of tiny blood clots. They also said that she was
bleeding internally, very heavily, from an unknown location. In all, they gave her
20 units of blood, and none of it stayed in her veins. The doctor said it seemed to
just disintegrate. At that point, her brain and organs had begun shutting down and
family made the decision to remove her from life support. She passed away Thursday
evening, March 25, 2021."
"MUSCULOSKELETAL DISCOMFORT" "10053156" "COVID19 (COVID19 (MODERNA))" "1201"
"1317203-1" "1317203-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Started having lain in right home on 4/15/2021. On 4/16/2021 complained more
about right hip, said feels like he got hit by a truck, and that he felt like he
was starting to get a cold. Then he died the night of 4/16/2021."
"MYOCARDIAL INFARCTION" "10028596" "COVID19 (COVID19 (MODERNA))" "1201"
"1244990-1" "1244990-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "After receiving the second dose of the vaccine, my husband
experienced left arm pain which he thought was from the injection. About a week
later, the pain got worse and moved toward his chest. It got so bad, he had to be
taken by ambulance to the hospital to find out he had been having a heart attack.
He spent nearly three weeks in the hospital before he died on 4/15/21"
"MYOCARDIAL INFARCTION" "10028596" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1290128-1" "1290128-1" "May, 2021" "2021/05" "Apr., 2021"
"2021/04" "Patient collapsed at home with cardiopulmonary arrest. He had
been complaining of shortness of breath 1 week prior to the event, starting when he
received his covid vaccination. The differential diganosis was pulmonary embolism,
myocardial infarction or arrythmia. CPR was started immediately and patient
received tPA during ACLS without return of spontaneous circulation."
"NASOPHARYNGITIS" "10028810" "COVID19 (COVID19 (MODERNA))" "1201"
"1317203-1" "1317203-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Started having lain in right home on 4/15/2021. On 4/16/2021 complained more
about right hip, said feels like he got hit by a truck, and that he felt like he
was starting to get a cold. Then he died the night of 4/16/2021."
"NAUSEA" "10028813" "COVID19 (COVID19 (MODERNA))" "1201" "1037207-1"
"1037207-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02" "She
had pain in the injection site Tuesday night and then during Tuesday she got worse
with nausea and some fever. By Wednesday she was complaining that she could not
pee even though she was drinking a lot of fluids. She continued to complain it was
the worst she ever felt and then at 0600 Thursday morning she woke us up and said
she needed to go to the hospital. We arrived at the hospital just before 0700 and
she immediately threw up in the trash can. We went into a treatment room and they
took blood and started fluids as she became incoherent. She said she had taken
Tylenol so they started a drug to counter that but her liver function was all wrong
and they started to look for a hospital that could transplant a liver. She was air
evade about 0930 to Medical center and just over 30 hours latter she was dead.
There is a pending autopsy. She was a healthy 39 year old mother who got the shots
because she worked as a surgical tech and she was the single mother of a 9 year old
little girl."
"NAUSEA" "10028813" "COVID19 (COVID19 (MODERNA))" "1201" "1054160-1"
"1054160-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02"
"2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with headache
around 1am. Headache and nausea all morning. Mid-late afternoon started having
seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on 2/25/2021."
 "NAUSEA" "10028813" "COVID19 (COVID19 (MODERNA))" "1201" "1246534-1"
"1246534-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Patient felt initially well, but later in that afternoon her arm started
hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two
hours later she was pronounced dead at approximately 12:30am."
"NAUSEA" "10028813" "COVID19 (COVID19 (MODERNA))" "1201" "1293909-1"
"1293909-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Per family, pt
reported fatigue and elevated glucose, nausea and diarrhea 3-4 days after
immunization. She was seen by her PCP following week and again was experiencing
elevated blood glucose."
"NAUSEA" "10028813" "COVID19 (COVID19 (MODERNA))" "1201" "1368271-1"
"1368271-1" "Jun., 2021" "2021/06" "Apr., 2021" "2021/04" "On
April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in
a hospital from a massive stroke and seizures related to encephalitis of unknown
cause. She recovered easily from Covid19 back in November of 2020, along with
several of her close friends and family members with no lingering effects. On
March 30th, she was given a single dose of the Moderna vaccine along with her
teaching colleagues at a local high school. She initially complained of mild nausea
and vomiting but quickly developed a severe headache prompting her to visit the
local ER where she received treatment for a migraine. She returned to the ER at
least one more time after no relief from the headache. By April 3rd,Saturday, she
no longer recognized her sister nor knew what a mask was for. Her family rushed
her again to the same ER and she was subsequently transferred the following day to
a Hospital. Due to dangerously high intracranial pressure, she suffered a stroke
with paralysis of her left side and a seizure. Multiple lesions were noted on her
brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and
placed into a deep coma from which she would never awaken. Despite these medical
interventions and pharmacological interventions, the pressure did not subside. A
craniotomy was performed the following Saturday as a last ditch effort to relieve
the unrelenting pressure in her brain. The craniotomy was able to reduce the
pressure but it was too late. There was no longer any brain activity and my
cousin's daughter was removed from life support after they were able to say their
goodbyes. The medical examiner will be examining her brain to attempt to find a
cause but that report may take 6 months."
"NAUSEA" "10028813" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1337439-1" "1337439-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11 HE WAS
COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC
ARREST AND DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS
CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND
DIED ON 5/20 THIS MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS
IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
"NERVOUSNESS" "10029216" "COVID19 (COVID19 (MODERNA))" "1201"
"1338625-1" "1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine
3/31/21. She described body aches and mild fever ? ?like I had COVID again for a
day? ? lasting about 36 hours, and then felt fine. Had dose # 2 Moderna vaccine
about 6:50 PM at Community vaccination site. She was driver, received left deltoid
injection from Doctor. During observation period reported no symptoms, was happy
and talkative with family and staff. Family reports later that evening she did not
feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up
feeling better except for left arm achiness at injection site. Did not report
redness, rash, or any difficulty breathing. Was talkative, walking around, took a
shower, and was planning to drive to the grocery store later that day. Mid morning
? maybe beginning about 11 AM, family said she went in and out of bathroom several
times. She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"NEUROLOGICAL SYMPTOM" "10060860" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1101884-1" "1101884-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21
and 2nd Pfizer COVID-19 vaccine on 2/17/21 Unsure if any relation but patient was
treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine
unresponsive. Patient received ACLS support for unknown cause with suspected
neurological/respiratory/cardiac complications. Patient was transferred to higher
level of care."
"OVERDOSE" "10033295" "COVID19 (COVID19 (MODERNA))" "1201" "1228010-1"
"1228010-1" "Apr., 2021" "2021/04" "Mar., 2021" "2021/03" "Death
Narrative: Patient was not previously Covid positive and did not have any
predisposing factors(PMH, allergies, etc.) for experiencing an adverse drug event.
The ADR did not occur at the time of administration of the vaccine nor was there an
ADR that occurred between the observation period and the date of death. Patient
died of a drug overdose and had a UDS positive for fentanyl and alcohol on 3/8/21
patient tested positive for Chlamydia due to high risk sexual behavior and
substance use disorder. Patient was admitted to facility on 2/26/21 to detox from
alcohol."
"OXYGEN SATURATION DECREASED" "10033318" "COVID19 (COVID19 (MODERNA))" "1201"
"1281531-1" "1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Received 2nd dose of vaccine, 5 days later his left leg started hurting and
swelling. He had severe headache afterwards, dizzy and blurred vision. 04/24/2021
he complained of not feeling right, coughed and passed out. Had fever and chills
when he came to. Wife called 911 and was talking and walking. Was awake and
talking in ambulance, oxygen level was low. Once arrived at hospital, he became
restless and passed away within 3 minutes. Autopsy was performed due to his age -
35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo
Embolism"
"PAIN" "10033371" "COVID19 (COVID19 (JANSSEN))" "1203" "1247816-1"
"1247816-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"patient called EMS with pain crisis and noted that she had lost vision in
both eyes. was transported to Emergency room by EMS and had cardiac arrest and
died."
"PAIN" "10033371" "COVID19 (COVID19 (MODERNA))" "1201" "1040170-1"
"1040170-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02"
"Received vaccine on 2/6/2021. was a bit off all week per caregivers - low
grade temp and reporting pain which they treated with Tylenol. She was pretty much
herself on morning of 2/13/2021 - got up, had shower. caregivers noted her
extremities were cool and face was red. temp was 97.4. She was placed in
wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"PAIN" "10033371" "COVID19 (COVID19 (MODERNA))" "1201" "1257204-1"
"1257204-1" "Apr., 2021" "2021/04" "Mar., 2021" "2021/03"
"Patient began experiencing pain and difficulty walking on Tuesday, March 23.
Later that afternoon she was taken to an Urgent care, who sent her to the ER for
evaluation. She was diagnosed with a very large blood clot in her leg, spanning
from just above the knee to her groin area. They admitted her and began treating
her with blood thinners. While undergoing that treatment, her heart stopped 3
times and she had to be resuscitated. They discovered a pulmonary embolism. While
removing a large clot from her lungs, the doctor found that her lungs were riddled
with hundreds of tiny blood clots. They also said that she was bleeding internally,
very heavily, from an unknown location. In all, they gave her 20 units of blood,
and none of it stayed in her veins. The doctor said it seemed to just disintegrate.
At that point, her brain and organs had begun shutting down and family made the
decision to remove her from life support. She passed away Thursday evening, March
25, 2021."
"PAIN" "10033371" "COVID19 (COVID19 (MODERNA))" "1201" "1322484-1"
"1322484-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "About a week
after his first dose he developed a skin reaction at the injection site. Redness,
swelling, itching. The affected area was about 10 inches by 6 inches. The day
following the second dose of the vaccine he developed chills, sweats, aches, and a
low grade fever. He also developed the same skin reaction. He had these symptoms
for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was
even better, Monday evening he died. He was 37 with no known medical issues. He
just died out of nowhere."
"PAIN IN EXTREMITY" "10033425" "COVID19 (COVID19 (MODERNA))" "1201"
"1054160-1" "1054160-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with
headache around 1am. Headache and nausea all morning. Mid-late afternoon started
having seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on
2/25/2021."
"PAIN IN EXTREMITY" "10033425" "COVID19 (COVID19 (MODERNA))" "1201"
"1176010-1" "1176010-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "He got his vaccine, and mother had talked to his girlfriend said
that he felt fine other than a sore arm. He called his mother and told her that he
was sick to his stomach with cramps and that he was throwing up blood. The
girlfriend found him on the floor on the 21st dead on the floor in his hotel room
at 8:00 AM. The girlfriend said she had spoken with him around 10:00 PM and that
he said he was going to sleep on the floor in the bathroom as he was throwing up
and the floor was cool. She subsequently found out that he was throwing up blood,
and autopsy report showed that his stomach was full of blood and further testing is
being done to see what has caused the bleeding."
"PAIN IN EXTREMITY" "10033425" "COVID19 (COVID19 (MODERNA))" "1201"
"1246534-1" "1246534-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Patient felt initially well, but later in that afternoon her arm
started hurting and she felt increasingly nauseous and started vomiting at 10:49pm,
two hours later she was pronounced dead at approximately 12:30am."
"PAIN IN EXTREMITY" "10033425" "COVID19 (COVID19 (MODERNA))" "1201"
"1281531-1" "1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Received 2nd dose of vaccine, 5 days later his left leg started hurting and
swelling. He had severe headache afterwards, dizzy and blurred vision. 04/24/2021
he complained of not feeling right, coughed and passed out. Had fever and chills
when he came to. Wife called 911 and was talking and walking. Was awake and
talking in ambulance, oxygen level was low. Once arrived at hospital, he became
restless and passed away within 3 minutes. Autopsy was performed due to his age -
35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo
Embolism"
"PAIN IN EXTREMITY" "10033425" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1293657-1" "1293657-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "34 y/o male with no PMHx presenting in cardiac arrest from home.
Per pt's wife, he received 2nd dose of the Pfizer vaccine roughly 24 hours prior.
He complained of arm soreness yesterday afternoon and some chills this morning,
took Tylenol for these symptoms. She found him unresponsive in bed after speaking
to him roughly 2 hours earlier. Per EMS, patient was in asystole upon their
arrival. He received ~ 30 minutes of prehospital ACLS and an additional 20 minutes
in the ED and remained in asystole throughout."
"PANCYTOPENIA" "10033661" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"PARASYSTOLE" "10033929" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1246604-1" "1246604-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" ""Patient presented to ED on 04/18/2021 with cardiopulmonary
arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency. Two
rounds epi. Asystole and then went into V-tach. Got shocked once. Then after
that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at
05:14AM.""
"PATHOLOGY TEST" "10068056" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1372096-1" "1372096-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "Patient died abruptly 2-3 hours after receiving shot."
"PERIPHERAL COLDNESS" "10034568" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"PERIPHERAL EMBOLISM" "10061340" "COVID19 (COVID19 (MODERNA))" "1201"
"1257204-1" "1257204-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Patient began experiencing pain and difficulty walking on
Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent
her to the ER for evaluation. She was diagnosed with a very large blood clot in her
leg, spanning from just above the knee to her groin area. They admitted her and
began treating her with blood thinners. While undergoing that treatment, her heart
stopped 3 times and she had to be resuscitated. They discovered a pulmonary
embolism. While removing a large clot from her lungs, the doctor found that her
lungs were riddled with hundreds of tiny blood clots. They also said that she was
bleeding internally, very heavily, from an unknown location. In all, they gave her
20 units of blood, and none of it stayed in her veins. The doctor said it seemed to
just disintegrate. At that point, her brain and organs had begun shutting down and
family made the decision to remove her from life support. She passed away Thursday
evening, March 25, 2021."
"PERIPHERAL SWELLING" "10048959" "COVID19 (COVID19 (MODERNA))" "1201"
"1281531-1" "1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Received 2nd dose of vaccine, 5 days later his left leg started hurting and
swelling. He had severe headache afterwards, dizzy and blurred vision. 04/24/2021
he complained of not feeling right, coughed and passed out. Had fever and chills
when he came to. Wife called 911 and was talking and walking. Was awake and
talking in ambulance, oxygen level was low. Once arrived at hospital, he became
restless and passed away within 3 minutes. Autopsy was performed due to his age -
35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo
Embolism"
"PETECHIAE" "10034754" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1337198-1" "1337198-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Patient presented to ED after receiving covid vaccination the month prior,
with hemoptysis, petechiae, blood in stool and urine, and platelets . Prior to
this, patient presented to the ED on 4/30 with kidney stone, no other significant
PMH and prescribed medications mentioned on prior page. Suspected ITP, patient
received IVIG x 3 days and prednisone x 4 days while admitted. On morning of 5/11,
patient had AMS, became unresponsive and was evaluated for stroke. Patient had
large intra-axial hemorrhage with significant midline shift, transferred to the
Hospital and died the same day."
"PLATELET COUNT DECREASED" "10035528" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"PLEURAL EFFUSION" "10035598" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"PNEUMONIA" "10035664" "COVID19 (COVID19 (MODERNA))" "1201" "1198211-1"
"1198211-1" "Apr., 2021" "2021/04" "Feb., 2021" "2021/02" "The
patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an
outside clinic the morning of 2/10/21 and presented to the ED with coughing and
hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day. He had
quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized
and critically ill in the past due to recurrent UTI's and pneumonia with associated
sepsis. CT negative for pulmonary embolism and showed bilateral infiltrates.
Clinical presentation consistent with bilateral pneumonia and started on
Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02. The
following evening he became febrile and acutely developed asystole without any pre-
existing arrhythmia. Resuscitation was attempted for 45 minutes but unsuccessful.
Overall, I suspect his death was related to bacterial pneumonia and resulting acute
respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but
reported this event as it did occur within 2 days of receiving his 2nd Moderna
vaccination."
"PNEUMONIA" "10035664" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"PNEUMONIA BACTERIAL" "10060946" "COVID19 (COVID19 (MODERNA))" "1201"
"1198211-1" "1198211-1" "Apr., 2021" "2021/04" "Feb., 2021"
"2021/02" "The patient received his 2nd dose of Moderna (LOT#, site, time
unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED
with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.
He had quadriplegic spinal paralysis as a result of a remote MVA and has been
hospitalized and critically ill in the past due to recurrent UTI's and pneumonia
with associated sepsis. CT negative for pulmonary embolism and showed bilateral
infiltrates. Clinical presentation consistent with bilateral pneumonia and started
on Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02.
The following evening he became febrile and acutely developed asystole without any
pre-existing arrhythmia. Resuscitation was attempted for 45 minutes but
unsuccessful. Overall, I suspect his death was related to bacterial pneumonia and
resulting acute respiratory failure, complicated by his quadriplegia and autonomic
dysreflexia but reported this event as it did occur within 2 days of receiving his
2nd Moderna vaccination."
"POSTICTAL STATE" "10048727" "COVID19 (COVID19 (JANSSEN))" "1203"
"1216091-1" "1216091-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Patient at gym working out and had a seizure, when 9-1-1 crews
arrived patient was post-ictal, while treating the patient he had another seizure,
during transport patient went into cardiac arrest, crews provided ACLS care and
transported patient to hospital for treatment. Resuscitation efforts were
terminated by physician in emergency room."
"PROTHROMBIN TIME PROLONGED" "10037063" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"PULMONARY EMBOLISM" "10037377" "COVID19 (COVID19 (JANSSEN))" "1203"
"1201543-1" "1201543-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Death"
"PULMONARY EMBOLISM" "10037377" "COVID19 (COVID19 (JANSSEN))" "1203"
"1220723-1" "1220723-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "36 year old male with hx of hypertension , asthma,
schizophrenia . he recieved Janssen vaccine on 4/6/2021. he started to fell unwell
on 4/14 and on 4/15 he was found by his father unresponsive then sent to the
hospital. Pt was diagnosed with massive pulmonary embolism, severe shock, acute
renal failure ,Diabetic ketoacidosis , hyperglycemic hyperosmolar nonketotic coma,
acute respiratory failure, patient expried from massive pulmonary embolism within
48 hours after admission."
"PULMONARY EMBOLISM" "10037377" "COVID19 (COVID19 (JANSSEN))" "1203"
"1237092-1" "1237092-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Massive pulmonary thromboemboli"
"PULMONARY EMBOLISM" "10037377" "COVID19 (COVID19 (MODERNA))" "1201"
"1257204-1" "1257204-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Patient began experiencing pain and difficulty walking on
Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent
her to the ER for evaluation. She was diagnosed with a very large blood clot in her
leg, spanning from just above the knee to her groin area. They admitted her and
began treating her with blood thinners. While undergoing that treatment, her heart
stopped 3 times and she had to be resuscitated. They discovered a pulmonary
embolism. While removing a large clot from her lungs, the doctor found that her
lungs were riddled with hundreds of tiny blood clots. They also said that she was
bleeding internally, very heavily, from an unknown location. In all, they gave her
20 units of blood, and none of it stayed in her veins. The doctor said it seemed to
just disintegrate. At that point, her brain and organs had begun shutting down and
family made the decision to remove her from life support. She passed away Thursday
evening, March 25, 2021."
"PULMONARY EMBOLISM" "10037377" "COVID19 (COVID19 (MODERNA))" "1201"
"1281531-1" "1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Received 2nd dose of vaccine, 5 days later his left leg started hurting and
swelling. He had severe headache afterwards, dizzy and blurred vision. 04/24/2021
he complained of not feeling right, coughed and passed out. Had fever and chills
when he came to. Wife called 911 and was talking and walking. Was awake and
talking in ambulance, oxygen level was low. Once arrived at hospital, he became
restless and passed away within 3 minutes. Autopsy was performed due to his age -
35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo
Embolism"
"PULMONARY EMBOLISM" "10037377" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1290128-1" "1290128-1" "May, 2021" "2021/05" "Apr., 2021"
"2021/04" "Patient collapsed at home with cardiopulmonary arrest. He had
been complaining of shortness of breath 1 week prior to the event, starting when he
received his covid vaccination. The differential diganosis was pulmonary embolism,
myocardial infarction or arrythmia. CPR was started immediately and patient
received tPA during ACLS without return of spontaneous circulation."
"PULMONARY EMBOLISM" "10037377" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1357369-1" "1357369-1" "May, 2021" "2021/05" "Mar., 2021"
"2021/03" "Passed away from a Pulmonary Embolism; This is a spontaneous
report from a contactable consumer. A 39-year-old male patient received the first
dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of
administration at the age of 39 years old, on 11Mar2021 (Lot Number: EN6208) as
single dose for covid-19 immunisation. Medical history included wolff-parkinson-
white syndrome from an unknown date to 15Mar2021. The patient was diagnosed with
this later in life, but was told he probably had it his entire life it just hadn't
caused any issues for him. The patient did not receive any other vaccines within 4
weeks prior to the COVID vaccine. The patient's concomitant medications were not
reported. The patient previously got the flu vaccine for immunization every year
with no issues. The patient passed away from a pulmonary embolism on 15Mar2021. The
patient was not hospitalized prior to his death. He died from the pulmonary
embolism in his sleep. The reporter denied any medications, labs, testing, or
treatments for her husband relevant to these events. The patient died on 15Mar2021.
There was a private autopsy performed and they said that the Pfizer Covid Vaccine
was one of the contributing factors to the patient's death. The autopsy said the
vaccine was a contributing factor. The reporter stated she told them since they
said it was the pulmonary embolism that killed him, then that's what it should say.
The Medical Examiner was saying that the science for the vaccine is so new, they
just don't have the data that they need.; Reported Cause(s) of Death: Pulmonary
embolism"
"PULMONARY EMBOLISM" "10037377" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1378118-1" "1378118-1" "Jun., 2021" "2021/06" "Jun., 2021"
"2021/06" "Decedent passed 06/05/2021 at 1042 hours. Exam showed bilateral
pulmonary emboli."
"PULMONARY IMAGING PROCEDURE ABNORMAL" "10082582" "COVID19 (COVID19
(PFIZER-BIONTECH))" "1200" "1378118-1" "1378118-1" "Jun., 2021"
"2021/06" "Jun., 2021" "2021/06" "Decedent passed 06/05/2021 at 1042
hours. Exam showed bilateral pulmonary emboli."
"PULSE ABSENT" "10037469" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"PULSE ABSENT" "10037469" "COVID19 (COVID19 (MODERNA))" "1201"
"1242520-1" "1242520-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "35 y/o with asthma (on alvesco and singulair), GERD, morbid
obesity (BMI 45) and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12.
and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50
minutes, no shock advised. PEA, gave Epi X 4. Normal BS. Considered narcan. Over
the weekend- 4/17 Chest pain that started with eating. Labile blood pressure. EKG
showed NSR rate 64. Treated with ASA 325, clear liquid diet and rest. Treated
with toradol and Zofran. Improved. At f/u on Monday, discussed chronic knee pain
was overall better. Normal for her exam. BP 136/79. Felt dizzy and then passed
out, hitting her head, became pulseless an apneic and was coded for over an hour."
"PULSE ABSENT" "10037469" "COVID19 (COVID19 (MODERNA))" "1201"
"1289723-1" "1289723-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Death. Approximately 12 hours after administering the vaccination shot,
patient experienced a medical emergency and lost her pulse. Paramedics attempted to
resuscitate her for about 80 minutes. Her heart was unable to be restarted. She was
declared deceased at 3:00 AM locally."
"PULSELESS ELECTRICAL ACTIVITY" "10058151" "COVID19 (COVID19 (MODERNA))"
"1201" "1242520-1" "1242520-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "35 y/o with asthma (on alvesco and singulair), GERD, morbid
obesity (BMI 45) and RA (on prednisone and MTX, SZA.) Vaccinated for COVID 2.12.
and 3.10 Recent lab 3/17- normal, including negative CRP. Code continued for 50
minutes, no shock advised. PEA, gave Epi X 4. Normal BS. Considered narcan. Over
the weekend- 4/17 Chest pain that started with eating. Labile blood pressure. EKG
showed NSR rate 64. Treated with ASA 325, clear liquid diet and rest. Treated
with toradol and Zofran. Improved. At f/u on Monday, discussed chronic knee pain
was overall better. Normal for her exam. BP 136/79. Felt dizzy and then passed
out, hitting her head, became pulseless an apneic and was coded for over an hour."
"PUPIL FIXED" "10037515" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1085413-1" "1085413-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "patient was on treadmill at home on 3/4/21 and became shortness
of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to
ED arrival 30 minutes. Arrived at ER at 8:48AM. Intubated by EMS. initially
shocked 1x but otherwise was in asystole. Eventually after about 70 minutes of CPR
at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced
dead."
"PYREXIA" "10037660" "COVID19 (COVID19 (MODERNA))" "1201" "1037207-1"
"1037207-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02" "She
had pain in the injection site Tuesday night and then during Tuesday she got worse
with nausea and some fever. By Wednesday she was complaining that she could not
pee even though she was drinking a lot of fluids. She continued to complain it was
the worst she ever felt and then at 0600 Thursday morning she woke us up and said
she needed to go to the hospital. We arrived at the hospital just before 0700 and
she immediately threw up in the trash can. We went into a treatment room and they
took blood and started fluids as she became incoherent. She said she had taken
Tylenol so they started a drug to counter that but her liver function was all wrong
and they started to look for a hospital that could transplant a liver. She was air
evade about 0930 to Medical center and just over 30 hours latter she was dead.
There is a pending autopsy. She was a healthy 39 year old mother who got the shots
because she worked as a surgical tech and she was the single mother of a 9 year old
little girl."
"PYREXIA" "10037660" "COVID19 (COVID19 (MODERNA))" "1201" "1040170-1"
"1040170-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02"
"Received vaccine on 2/6/2021. was a bit off all week per caregivers - low
grade temp and reporting pain which they treated with Tylenol. She was pretty much
herself on morning of 2/13/2021 - got up, had shower. caregivers noted her
extremities were cool and face was red. temp was 97.4. She was placed in
wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"PYREXIA" "10037660" "COVID19 (COVID19 (MODERNA))" "1201" "1198211-1"
"1198211-1" "Apr., 2021" "2021/04" "Feb., 2021" "2021/02" "The
patient received his 2nd dose of Moderna (LOT#, site, time unavailable) at an
outside clinic the morning of 2/10/21 and presented to the ED with coughing and
hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day. He had
quadriplegic spinal paralysis as a result of a remote MVA and has been hospitalized
and critically ill in the past due to recurrent UTI's and pneumonia with associated
sepsis. CT negative for pulmonary embolism and showed bilateral infiltrates.
Clinical presentation consistent with bilateral pneumonia and started on
Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02. The
following evening he became febrile and acutely developed asystole without any pre-
existing arrhythmia. Resuscitation was attempted for 45 minutes but unsuccessful.
Overall, I suspect his death was related to bacterial pneumonia and resulting acute
respiratory failure, complicated by his quadriplegia and autonomic dysreflexia but
reported this event as it did occur within 2 days of receiving his 2nd Moderna
vaccination."
"PYREXIA" "10037660" "COVID19 (COVID19 (MODERNA))" "1201" "1264618-1"
"1264618-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "103
fever 2 days after the vaccine. Then became afebrile. Then found deceased on 4-26-
2021"
"PYREXIA" "10037660" "COVID19 (COVID19 (MODERNA))" "1201" "1281531-1"
"1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04" "Received
2nd dose of vaccine, 5 days later his left leg started hurting and swelling. He
had severe headache afterwards, dizzy and blurred vision. 04/24/2021 he complained
of not feeling right, coughed and passed out. Had fever and chills when he came to.
Wife called 911 and was talking and walking. Was awake and talking in ambulance,
oxygen level was low. Once arrived at hospital, he became restless and passed away
within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing
illnesses - was determined he died of Pulmonary Thrumbo Embolism"
"PYREXIA" "10037660" "COVID19 (COVID19 (MODERNA))" "1201" "1322484-1"
"1322484-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "About a week
after his first dose he developed a skin reaction at the injection site. Redness,
swelling, itching. The affected area was about 10 inches by 6 inches. The day
following the second dose of the vaccine he developed chills, sweats, aches, and a
low grade fever. He also developed the same skin reaction. He had these symptoms
for 2 days (Thurs and fri). By Saturday his condition was improving. Sunday was
even better, Monday evening he died. He was 37 with no known medical issues. He
just died out of nowhere."
"PYREXIA" "10037660" "COVID19 (COVID19 (MODERNA))" "1201" "1365485-1"
"1365485-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05" "On
05/27/2021 the decedent began complaining of shortness of breath, cough, fever,
chills, and pain at the injection site. On 05/28/2021 the decedent complained of
the same symptoms."
"PYREXIA" "10037660" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1124794-1" "1124794-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "Extreme head ache, chest pain, fever 101 F. Gave 1000 mg
Tylenol, albuterol via nebulizer Q4hr. Died 3/20/2021 approx 11:00 am from Cardiac
Arrest."
"RASH" "10037844" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1297262-1" "1297262-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "The
patient had developed a rash, fatigue, difficulty breathing, stomach pain, possible
fever and began to cough up blood. He took Tylenol and a Chinese herbal medication
called Lianhua Qingwen Jiaonang on 5/5/21. It is unclear when his symptoms began,
as he did not share that information with his wife until 5/5/21."
"RECTAL HAEMORRHAGE" "10038063" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"RED BLOOD CELL COUNT DECREASED" "10038153" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"RENAL DISORDER" "10038428" "COVID19 (COVID19 (MODERNA))" "1201"
"1246534-1" "1246534-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Patient felt initially well, but later in that afternoon her arm
started hurting and she felt increasingly nauseous and started vomiting at 10:49pm,
two hours later she was pronounced dead at approximately 12:30am."
"RENAL IMPAIRMENT" "10062237" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"RENAL INFARCT" "10038470" "COVID19 (COVID19 (JANSSEN))" "1203"
"1201543-1" "1201543-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Death"
"RESPIRATION ABNORMAL" "10038647" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"RESPIRATORY ARREST" "10038669" "COVID19 (COVID19 (JANSSEN))" "1203"
"1104671-1" "1104671-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "Patient has a long history of seizures. He has seizures on a
daily basis. He lives with his family, who are his primary caregivers, they
family provides all of his activities of daily living. Patient received vaccine on
Friday morning, feeling well throughout the day according to the father. Went to
bed, during the night in bed he had seizures which is typical for him, and during
the episode the father noticed that he had stopped breathing. called 911 who came
to the house and the patient died in the house. I do not believe he went to the
hospital."
"RESPIRATORY ARREST" "10038669" "COVID19 (COVID19 (MODERNA))" "1201"
"1247401-1" "1247401-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Patient received Moderna Vaccine on Friday 4/16/2021 12:00pm in
dialysis clinic. Over the weekend family called and left a message stating that
patient CTB on Friday 4/16/2021 around 8pm."
"RESPIRATORY ARREST" "10038669" "COVID19 (COVID19 (MODERNA))" "1201"
"1338625-1" "1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine
3/31/21. She described body aches and mild fever ? ?like I had COVID again for a
day? ? lasting about 36 hours, and then felt fine. Had dose # 2 Moderna vaccine
about 6:50 PM at Community vaccination site. She was driver, received left deltoid
injection from Doctor. During observation period reported no symptoms, was happy
and talkative with family and staff. Family reports later that evening she did not
feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up
feeling better except for left arm achiness at injection site. Did not report
redness, rash, or any difficulty breathing. Was talkative, walking around, took a
shower, and was planning to drive to the grocery store later that day. Mid morning
? maybe beginning about 11 AM, family said she went in and out of bathroom several
times. She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"RESPIRATORY ARREST" "10038669" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1223650-1" "1223650-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "In the evening on March 15th, she began having shortness of
breath and chest pain. She asked her boyfriend for her blood pressure cuff so she
could take her blood pressure. As he was getting it she told him to call 911 and
then her eyes rolled back in her head and she stopped breathing. Paramedics
attempted to revive her but were unsuccessful. She was taken to the hospital and
pronounced dead. Cause of death listed as heart disease."
"RESPIRATORY DISORDER" "10038683" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1101884-1" "1101884-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21
and 2nd Pfizer COVID-19 vaccine on 2/17/21 Unsure if any relation but patient was
treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine
unresponsive. Patient received ACLS support for unknown cause with suspected
neurological/respiratory/cardiac complications. Patient was transferred to higher
level of care."
"RESPIRATORY FAILURE" "10038695" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"RESTLESSNESS" "10038743" "COVID19 (COVID19 (MODERNA))" "1201"
"1281531-1" "1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Received 2nd dose of vaccine, 5 days later his left leg started hurting and
swelling. He had severe headache afterwards, dizzy and blurred vision. 04/24/2021
he complained of not feeling right, coughed and passed out. Had fever and chills
when he came to. Wife called 911 and was talking and walking. Was awake and
talking in ambulance, oxygen level was low. Once arrived at hospital, he became
restless and passed away within 3 minutes. Autopsy was performed due to his age -
35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo
Embolism"
"RESUSCITATION" "10038749" "COVID19 (COVID19 (JANSSEN))" "1203"
"1216091-1" "1216091-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Patient at gym working out and had a seizure, when 9-1-1 crews
arrived patient was post-ictal, while treating the patient he had another seizure,
during transport patient went into cardiac arrest, crews provided ACLS care and
transported patient to hospital for treatment. Resuscitation efforts were
terminated by physician in emergency room."
"RESUSCITATION" "10038749" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"RESUSCITATION" "10038749" "COVID19 (COVID19 (MODERNA))" "1201"
"1198211-1" "1198211-1" "Apr., 2021" "2021/04" "Feb., 2021"
"2021/02" "The patient received his 2nd dose of Moderna (LOT#, site, time
unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED
with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.
He had quadriplegic spinal paralysis as a result of a remote MVA and has been
hospitalized and critically ill in the past due to recurrent UTI's and pneumonia
with associated sepsis. CT negative for pulmonary embolism and showed bilateral
infiltrates. Clinical presentation consistent with bilateral pneumonia and started
on Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02.
The following evening he became febrile and acutely developed asystole without any
pre-existing arrhythmia. Resuscitation was attempted for 45 minutes but
unsuccessful. Overall, I suspect his death was related to bacterial pneumonia and
resulting acute respiratory failure, complicated by his quadriplegia and autonomic
dysreflexia but reported this event as it did occur within 2 days of receiving his
2nd Moderna vaccination."
"RESUSCITATION" "10038749" "COVID19 (COVID19 (MODERNA))" "1201"
"1201114-1" "1201114-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Due date 4/18/2021. Pt presented in labor on 4/10/21. Her
labor was uncomplicated and progressing appropriately. She had sudden onset of
coughing following by loss of consciousness. Code blue was called. Emergency
bedside C/S was performed. Despite resuscitative efforts of 1 hour and 15 minutes,
the patient expired."
"RESUSCITATION" "10038749" "COVID19 (COVID19 (MODERNA))" "1201"
"1243650-1" "1243650-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Unexpected death; found unresponsive 04/20/21 morning and
pronounced dead after unsuccessful resuscitative efforts"
"RESUSCITATION" "10038749" "COVID19 (COVID19 (MODERNA))" "1201"
"1257204-1" "1257204-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Patient began experiencing pain and difficulty walking on
Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent
her to the ER for evaluation. She was diagnosed with a very large blood clot in her
leg, spanning from just above the knee to her groin area. They admitted her and
began treating her with blood thinners. While undergoing that treatment, her heart
stopped 3 times and she had to be resuscitated. They discovered a pulmonary
embolism. While removing a large clot from her lungs, the doctor found that her
lungs were riddled with hundreds of tiny blood clots. They also said that she was
bleeding internally, very heavily, from an unknown location. In all, they gave her
20 units of blood, and none of it stayed in her veins. The doctor said it seemed to
just disintegrate. At that point, her brain and organs had begun shutting down and
family made the decision to remove her from life support. She passed away Thursday
evening, March 25, 2021."
"RESUSCITATION" "10038749" "COVID19 (COVID19 (MODERNA))" "1201"
"1289723-1" "1289723-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
 "Death. Approximately 12 hours after administering the vaccination shot,
patient experienced a medical emergency and lost her pulse. Paramedics attempted to
resuscitate her for about 80 minutes. Her heart was unable to be restarted. She was
declared deceased at 3:00 AM locally."
"RESUSCITATION" "10038749" "COVID19 (COVID19 (MODERNA))" "1201"
"1338625-1" "1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine
3/31/21. She described body aches and mild fever ? ?like I had COVID again for a
day? ? lasting about 36 hours, and then felt fine. Had dose # 2 Moderna vaccine
about 6:50 PM at Community vaccination site. She was driver, received left deltoid
injection from Doctor. During observation period reported no symptoms, was happy
and talkative with family and staff. Family reports later that evening she did not
feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up
feeling better except for left arm achiness at injection site. Did not report
redness, rash, or any difficulty breathing. Was talkative, walking around, took a
shower, and was planning to drive to the grocery store later that day. Mid morning
? maybe beginning about 11 AM, family said she went in and out of bathroom several
times. She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"RESUSCITATION" "10038749" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1085413-1" "1085413-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "patient was on treadmill at home on 3/4/21 and became shortness
of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to
ED arrival 30 minutes. Arrived at ER at 8:48AM. Intubated by EMS. initially
shocked 1x but otherwise was in asystole. Eventually after about 70 minutes of CPR
at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced
dead."
"RESUSCITATION" "10038749" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1177548-1" "1177548-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "On the evening of 4/3/2021 the patient was at home, prone in
bed, gasped suddenly and became unresponsive. EMS was called and unable to
resuscitate. She expired."
"RESUSCITATION" "10038749" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1223650-1" "1223650-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "In the evening on March 15th, she began having shortness of
breath and chest pain. She asked her boyfriend for her blood pressure cuff so she
could take her blood pressure. As he was getting it she told him to call 911 and
then her eyes rolled back in her head and she stopped breathing. Paramedics
attempted to revive her but were unsuccessful. She was taken to the hospital and
pronounced dead. Cause of death listed as heart disease."
"RESUSCITATION" "10038749" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1246604-1" "1246604-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" ""Patient presented to ED on 04/18/2021 with cardiopulmonary
arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency. Two
rounds epi. Asystole and then went into V-tach. Got shocked once. Then after
that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at
05:14AM.""
"RESUSCITATION" "10038749" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1290128-1" "1290128-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Patient collapsed at home with cardiopulmonary arrest. He had been
complaining of shortness of breath 1 week prior to the event, starting when he
received his covid vaccination. The differential diganosis was pulmonary embolism,
myocardial infarction or arrythmia. CPR was started immediately and patient
received tPA during ACLS without return of spontaneous circulation."
"SARS-COV-2 TEST" "10084354" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
 "1332849-1" "1332849-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"passed away from COVID (positive test on 24Apr2021); passed away from COVID
(positive test on 24Apr2021); This is a spontaneous report from a contactable
physician. A 37-years-old female patient received second dose of bnt162b2 (Pfizer-
BioNTech COVID-19 Vaccine), at the age of 37-years-old, via an unspecified route of
administration on 20Mar2021 (Lot Number: EP7534, also reported as EPT534) as single
dose for covid-19 immunisation. Medical history was none. The patient's concomitant
medications were not reported. Patient received first dose of bnt162b2 at the age
of 37-years-old on 27Feb2021 (Lot Number: EN6205) for covid-19 immunisation.
Patient with no comorbidities passed away from COVID (positive test on 24Apr2021)
in the ICU on 09May2021. Autopsy is still pending. Patient's family members
provided vaccination card and she would like to verify if the lot numbers are from
Pfizer Covid-19 vaccine. Added that it is freighting as the patient developed fatal
Covid a month after being fully vaccinated. Additionally, she would like to verify
if it is possible to know where the vaccines were shipped or any other distribution
or facility information she could get from these lots. Stated that the vaccination
card has something written on a box from the right hand side. Reporter seriousness
for Tested Positive for Covid was Hospitalization, Death. Cause of death: Autopsy
Pending, they assume Covid. Autopsy performed, Autopsy details not available.
Events outcome was fatal. The patient died on 09May2021.; Sender's Comments: A
possible contributory effect of suspect BNT162B2 on reported events cannot be
excluded in a context of LOE. The impact of this report on the benefit/risk
profile of the Pfizer drug 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. ; Reported Cause(s) of Death: passed
away from COVID (positive test on 24Apr2021)"
"SARS-COV-2 TEST NEGATIVE" "10084273" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"SARS-COV-2 TEST NEGATIVE" "10084273" "COVID19 (COVID19 (MODERNA))" "1201"
"1198211-1" "1198211-1" "Apr., 2021" "2021/04" "Feb., 2021"
"2021/02" "The patient received his 2nd dose of Moderna (LOT#, site, time
unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED
with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.
He had quadriplegic spinal paralysis as a result of a remote MVA and has been
hospitalized and critically ill in the past due to recurrent UTI's and pneumonia
with associated sepsis. CT negative for pulmonary embolism and showed bilateral
infiltrates. Clinical presentation consistent with bilateral pneumonia and started
on Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02.
The following evening he became febrile and acutely developed asystole without any
pre-existing arrhythmia. Resuscitation was attempted for 45 minutes but
unsuccessful. Overall, I suspect his death was related to bacterial pneumonia and
resulting acute respiratory failure, complicated by his quadriplegia and autonomic
dysreflexia but reported this event as it did occur within 2 days of receiving his
2nd Moderna vaccination."
"SARS-COV-2 TEST NEGATIVE" "10084273" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"SARS-COV-2 TEST NEGATIVE" "10084273" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1101884-1" "1101884-1" "Mar., 2021" "2021/03" "Mar.,
2021" "2021/03" "History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21
and 2nd Pfizer COVID-19 vaccine on 2/17/21 Unsure if any relation but patient was
treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine
unresponsive. Patient received ACLS support for unknown cause with suspected
neurological/respiratory/cardiac complications. Patient was transferred to higher
level of care."
"SARS-COV-2 TEST NEGATIVE" "10084273" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1246604-1" "1246604-1" "Apr., 2021" "2021/04" "Apr.,
2021" "2021/04" ""Patient presented to ED on 04/18/2021 with cardiopulmonary
arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency. Two
rounds epi. Asystole and then went into V-tach. Got shocked once. Then after
that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at
05:14AM.""
"SARS-COV-2 TEST POSITIVE" "10084271" "COVID19 (COVID19 (MODERNA))" "1201"
"1313922-1" "1313922-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"PT NO SHOW FOR APPT 5/11 FOR 2ND DOSE -CHECK OF agency system SHOWS PT
REPORTED DECEASED 5/14- CHECK OF database SHOWS PT FOUND DECEASED AT HOMEN 5/14/21-
AUTOPSY Completed"
"SARS-COV-2 TEST POSITIVE" "10084271" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"SARS-COV-2 TEST POSITIVE" "10084271" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1212820-1" "1212820-1" "Apr., 2021" "2021/04" "Apr.,
2021" "2021/04" "Unexpected death 3 days after vaccination"
"SCAN BRAIN" "10061500" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1296030-1" "1296030-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Unknown cardiac event. Found on sidewalk down. Revived but resulted in
extensive neurological damage. Was put in life support. Never came to. Passed away
05/05/2021."
"SEIZURE" "10039906" "COVID19 (COVID19 (JANSSEN))" "1203" "1104671-1"
"1104671-1" "Mar., 2021" "2021/03" "Mar., 2021" "2021/03"
"Patient has a long history of seizures. He has seizures on a daily basis.
He lives with his family, who are his primary caregivers, they family provides all
of his activities of daily living. Patient received vaccine on Friday morning,
feeling well throughout the day according to the father. Went to bed, during the
night in bed he had seizures which is typical for him, and during the episode the
father noticed that he had stopped breathing. called 911 who came to the house and
the patient died in the house. I do not believe he went to the hospital."
"SEIZURE" "10039906" "COVID19 (COVID19 (JANSSEN))" "1203" "1154639-1"
"1154639-1" "Mar., 2021" "2021/03" "Mar., 2021" "2021/03"
"Patient began having seizures about four hours post vaccine while at a
friends house and passed away"
"SEIZURE" "10039906" "COVID19 (COVID19 (JANSSEN))" "1203" "1216091-1"
"1216091-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Patient at gym working out and had a seizure, when 9-1-1 crews arrived
patient was post-ictal, while treating the patient he had another seizure, during
transport patient went into cardiac arrest, crews provided ACLS care and
transported patient to hospital for treatment. Resuscitation efforts were
terminated by physician in emergency room."
"SEIZURE" "10039906" "COVID19 (COVID19 (MODERNA))" "1201" "1054160-1"
"1054160-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02"
"2/12/2021 woke up with sore arm and back. 2/13/2021 woke up with headache
around 1am. Headache and nausea all morning. Mid-late afternoon started having
seizures. Admitted to Hospital 2/15/2021 expired. Reported per wife on 2/25/2021."
"SEIZURE" "10039906" "COVID19 (COVID19 (MODERNA))" "1201" "1368271-1"
"1368271-1" "Jun., 2021" "2021/06" "Apr., 2021" "2021/04" "On
April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in
a hospital from a massive stroke and seizures related to encephalitis of unknown
cause. She recovered easily from Covid19 back in November of 2020, along with
several of her close friends and family members with no lingering effects. On
March 30th, she was given a single dose of the Moderna vaccine along with her
teaching colleagues at a local high school. She initially complained of mild nausea
and vomiting but quickly developed a severe headache prompting her to visit the
local ER where she received treatment for a migraine. She returned to the ER at
least one more time after no relief from the headache. By April 3rd,Saturday, she
no longer recognized her sister nor knew what a mask was for. Her family rushed
her again to the same ER and she was subsequently transferred the following day to
a Hospital. Due to dangerously high intracranial pressure, she suffered a stroke
with paralysis of her left side and a seizure. Multiple lesions were noted on her
brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and
placed into a deep coma from which she would never awaken. Despite these medical
interventions and pharmacological interventions, the pressure did not subside. A
craniotomy was performed the following Saturday as a last ditch effort to relieve
the unrelenting pressure in her brain. The craniotomy was able to reduce the
pressure but it was too late. There was no longer any brain activity and my
cousin's daughter was removed from life support after they were able to say their
goodbyes. The medical examiner will be examining her brain to attempt to find a
cause but that report may take 6 months."
"SEIZURE LIKE PHENOMENA" "10071048" "COVID19 (COVID19 (MODERNA))" "1201"
"1338625-1" "1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"Outcome: unexpected/unexplained death Had first dose Moderna Vaccine
3/31/21. She described body aches and mild fever ? ?like I had COVID again for a
day? ? lasting about 36 hours, and then felt fine. Had dose # 2 Moderna vaccine
about 6:50 PM at Community vaccination site. She was driver, received left deltoid
injection from Doctor. During observation period reported no symptoms, was happy
and talkative with family and staff. Family reports later that evening she did not
feel well ? ?just not hungry? and wanting to lie down. Slept well, then woke up
feeling better except for left arm achiness at injection site. Did not report
redness, rash, or any difficulty breathing. Was talkative, walking around, took a
shower, and was planning to drive to the grocery store later that day. Mid morning
? maybe beginning about 11 AM, family said she went in and out of bathroom several
times. She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"SEPSIS" "10040047" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"SEPTIC SHOCK" "10040070" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"SHOCK" "10040560" "COVID19 (COVID19 (JANSSEN))" "1203" "1220723-1"
"1220723-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04" "36
year old male with hx of hypertension , asthma, schizophrenia . he recieved
Janssen vaccine on 4/6/2021. he started to fell unwell on 4/14 and on 4/15 he was
found by his father unresponsive then sent to the hospital. Pt was diagnosed with
massive pulmonary embolism, severe shock, acute renal failure ,Diabetic
ketoacidosis , hyperglycemic hyperosmolar nonketotic coma, acute respiratory
failure, patient expried from massive pulmonary embolism within 48 hours after
admission."
"SHOCK" "10040560" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1246604-1" "1246604-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" ""Patient presented to ED on 04/18/2021 with cardiopulmonary
arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency. Two
rounds epi. Asystole and then went into V-tach. Got shocked once. Then after
that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at
05:14AM.""
"SICKLE CELL ANAEMIA WITH CRISIS" "10040642" "COVID19 (COVID19 (JANSSEN))"
"1203" "1247816-1" "1247816-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "patient called EMS with pain crisis and noted that she had lost
vision in both eyes. was transported to Emergency room by EMS and had cardiac
arrest and died."
"SKIN REACTION" "10040914" "COVID19 (COVID19 (MODERNA))" "1201"
"1322484-1" "1322484-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "About
a week after his first dose he developed a skin reaction at the injection site.
Redness, swelling, itching. The affected area was about 10 inches by 6 inches.
The day following the second dose of the vaccine he developed chills, sweats,
aches, and a low grade fever. He also developed the same skin reaction. He had
these symptoms for 2 days (Thurs and fri). By Saturday his condition was improving.
Sunday was even better, Monday evening he died. He was 37 with no known medical
issues. He just died out of nowhere."
"SPLENIC INFARCTION" "10041648" "COVID19 (COVID19 (JANSSEN))" "1203"
"1201543-1" "1201543-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Death"
"SPLENOMEGALY" "10041660" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
 "1364631-1" "1364631-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05"
""This is reported by his mother. Around 10:00 AM he got his vaccine.
Mother met him at 12:30 and went to lunch, said he felt OK. She stayed with him a
couple of hours, went home and apparently he went to sleep. The next day he texted
his mother and said that he felt yucky. She told him to give it a couple of days,
and he went to work all week, but said that after he ate he felt ""funny"". Then
on Sunday, Mother's day on 5/9/21 and they face timed and was supposed to meet him
at 5:30. At 12:45 he had finished eating, ate some enchilladas and said that he
felt weird. He said that he was going to be ok to meet him at 5:30. At 4:37 PM
she texted him to say that she was on her way to meet him. She got at the meeting
place at 5:30 and he was usually there before her, this is a normal weekend ritual
to exchange his dog. She waited 9 minutes and she tried to facetime him thinking
he was in traffic, and he didn't answer. She thought he was just not answering.
She then waited 9 more minutes and then called his phone and local Hospital
answered the phone and asked who she was, and she answered the questions, and she
told her to get to the hospital. She went to the hospital and the doctor came in
and told her that he had the car running and he went to the gas pump to get gas and
he stepped out of the car and collapsed. The person who saw him told the attended
that he had collapsed and they called 9-1-1 and he was pronounced dead. He worked
in a warehouse and was doing well and about to be certified to be a forklift
driving. They said that they worked on him and that they could not get his heart
started again. They had to do an autopsy which is against her religion and she
will not find out those results for 3-6 months. She said that he was healthy and
looking forward to get tested at work. They told her that he had an enlarged heart
and an enlarged spleen, and had never had any heart issues in the past. He
walked 20,000 steps a day in the warehouse. He was living in a sober man's
facility, he has been clean for 18 months. He had an addiction to pain pills and
Xanax. She feels that there was something in the vaccine that had something to
do with it as he was perfectly healthy before the vaccine.""
"SUBSTANCE USE DISORDER" "10079384" "COVID19 (COVID19 (MODERNA))" "1201"
"1228010-1" "1228010-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Death Narrative: Patient was not previously Covid positive and
did not have any predisposing factors(PMH, allergies, etc.) for experiencing an
adverse drug event. The ADR did not occur at the time of administration of the
vaccine nor was there an ADR that occurred between the observation period and the
date of death. Patient died of a drug overdose and had a UDS positive for fentanyl
and alcohol on 3/8/21 patient tested positive for Chlamydia due to high risk sexual
behavior and substance use disorder. Patient was admitted to facility on 2/26/21 to
detox from alcohol."
"SUDDEN DEATH" "10042434" "COVID19 (COVID19 (JANSSEN))" "1203"
"1243648-1" "1243648-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "headache on 4/8/21, sudden death 4/11/2021"
"SUDDEN DEATH" "10042434" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1085783-1" "1085783-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "Sudden Unexpected Death - No signs or symptoms"
"SUDDEN DEATH" "10042434" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1228351-1" "1228351-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "He died unexpectedly early in the morning. He woke up suddenly,
said he needed help, and then was gone."
"SUDDEN DEATH" "10042434" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1372096-1" "1372096-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "Patient died abruptly 2-3 hours after receiving shot."
"SYNCOPE" "10042772" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1085413-1" "1085413-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "patient was on treadmill at home on 3/4/21 and became shortness
of breath, collaspsed, hitting head on floor. Family started CPR, Downtime prior to
ED arrival 30 minutes. Arrived at ER at 8:48AM. Intubated by EMS. initially
shocked 1x but otherwise was in asystole. Eventually after about 70 minutes of CPR
at ER patient had no ROSC, pupils dialted and fixed and at this point pronounced
dead."
"SYNCOPE" "10042772" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1290128-1" "1290128-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Patient collapsed at home with cardiopulmonary arrest. He had been
complaining of shortness of breath 1 week prior to the event, starting when he
received his covid vaccination. The differential diganosis was pulmonary embolism,
myocardial infarction or arrythmia. CPR was started immediately and patient
received tPA during ACLS without return of spontaneous circulation."
"SYNCOPE" "10042772" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1322310-1" "1322310-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Death. Coroner said collapsed of unknown cause. Autopsy performed. Awaiting
final report and toxicology report."
"SYNCOPE" "10042772" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1364631-1" "1364631-1" "Jun., 2021" "2021/06" "May, 2021" "2021/05"
""This is reported by his mother. Around 10:00 AM he got his vaccine.
Mother met him at 12:30 and went to lunch, said he felt OK. She stayed with him a
couple of hours, went home and apparently he went to sleep. The next day he texted
his mother and said that he felt yucky. She told him to give it a couple of days,
and he went to work all week, but said that after he ate he felt ""funny"". Then
on Sunday, Mother's day on 5/9/21 and they face timed and was supposed to meet him
at 5:30. At 12:45 he had finished eating, ate some enchilladas and said that he
felt weird. He said that he was going to be ok to meet him at 5:30. At 4:37 PM
she texted him to say that she was on her way to meet him. She got at the meeting
place at 5:30 and he was usually there before her, this is a normal weekend ritual
to exchange his dog. She waited 9 minutes and she tried to facetime him thinking
he was in traffic, and he didn't answer. She thought he was just not answering.
She then waited 9 more minutes and then called his phone and local Hospital
answered the phone and asked who she was, and she answered the questions, and she
told her to get to the hospital. She went to the hospital and the doctor came in
and told her that he had the car running and he went to the gas pump to get gas and
he stepped out of the car and collapsed. The person who saw him told the attended
that he had collapsed and they called 9-1-1 and he was pronounced dead. He worked
in a warehouse and was doing well and about to be certified to be a forklift
driving. They said that they worked on him and that they could not get his heart
started again. They had to do an autopsy which is against her religion and she
will not find out those results for 3-6 months. She said that he was healthy and
looking forward to get tested at work. They told her that he had an enlarged heart
and an enlarged spleen, and had never had any heart issues in the past. He
walked 20,000 steps a day in the warehouse. He was living in a sober man's
facility, he has been clean for 18 months. He had an addiction to pain pills and
Xanax. She feels that there was something in the vaccine that had something to
do with it as he was perfectly healthy before the vaccine.""
"THROMBOPHLEBITIS SUPERFICIAL" "10043595" "COVID19 (COVID19 (JANSSEN))"
"1203" "1201543-1" "1201543-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Death"
"TOXICOLOGIC TEST" "10061384" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1322310-1" "1322310-1" "May, 2021" "2021/05" "Apr., 2021"
"2021/04" "Death. Coroner said collapsed of unknown cause. Autopsy
performed. Awaiting final report and toxicology report."
"TRANSFUSION" "10066152" "COVID19 (COVID19 (MODERNA))" "1201"
"1257204-1" "1257204-1" "Apr., 2021" "2021/04" "Mar., 2021"
"2021/03" "Patient began experiencing pain and difficulty walking on
Tuesday, March 23. Later that afternoon she was taken to an Urgent care, who sent
her to the ER for evaluation. She was diagnosed with a very large blood clot in her
leg, spanning from just above the knee to her groin area. They admitted her and
began treating her with blood thinners. While undergoing that treatment, her heart
stopped 3 times and she had to be resuscitated. They discovered a pulmonary
embolism. While removing a large clot from her lungs, the doctor found that her
lungs were riddled with hundreds of tiny blood clots. They also said that she was
bleeding internally, very heavily, from an unknown location. In all, they gave her
20 units of blood, and none of it stayed in her veins. The doctor said it seemed to
just disintegrate. At that point, her brain and organs had begun shutting down and
family made the decision to remove her from life support. She passed away Thursday
evening, March 25, 2021."
"TROPONIN INCREASED" "10058267" "COVID19 (COVID19 (MODERNA))" "1201"
"1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"TROPONIN INCREASED" "10058267" "COVID19 (COVID19 (MODERNA))" "1201"
"1186348-1" "1186348-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Copied from MD discharge note - Patient is a 38 y.o. female with
PMH significant for asthma and lupus not on any treatment admitted on 3/27/2021
with progressive shortness of breath and cough for months, found to have hypoxia,
bilateral multifocal infiltrate without pulmonary embolism on CTA, leukocytosis,
elevated troponin, elevated BNP, normal EF on echocardiogram. COVID- 19 tests were
negative 4 times in the last 1 week. Blood cultures were negative. Urine and strep
antigens are negative. HIV-1 also negative. Rheum consulted for hx of lupus. They
did not feel this was lupus pneumonitis. Negative anti-dsDNA/SSA/SSB and RF. Pts
resp status continued to decline. She was intubated on 4/3 and transferred to the
ICU. Bronch washings were also neg for COVID. Despite neg cultures pt was given
multiple rounds of abx including vanc, merrem, azithromycin, cefepime, without
benefit. IV steroids added for possible reactive pneumonitis. Pt with shock,
likely multifactorial including septic and cardiogenic. Multiple pressors
maximized and BP remained low. Nephro following for worsening renal function.
CRRT initiated to attempt to correct electrolyte and acidosis. Pt did not tolerate
CRRT after several adjustments by neprho, pts electrolytes continued to drift from
normal. Hgb dropped and CRRT held. Pt went into cardiac arrest at 1329 on 4/8/21.
After several rounds of epinephrine and optimized ACLS, no pulse was recovered and
ROSC was not achieved. Family notified of death at 1344 on 4/8/21"
"TROPONIN INCREASED" "10058267" "COVID19 (COVID19 (MODERNA))" "1201"
"1347160-1" "1347160-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "fall
on May 19 and admitted to ER May 22 with subacute R MCA stroke resulting in
obtundation and left sided hemiparalysis. Complicating his presentation is acute
COVID 19 infection with pneumonia along with acute on chronic systolic congestive
heart failure."
"ULTRASOUND SCAN ABNORMAL" "10061606" "COVID19 (COVID19 (JANSSEN))" "1203"
"1201543-1" "1201543-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Death"
"UNRESPONSIVE TO STIMULI" "10045555" "COVID19 (COVID19 (JANSSEN))" "1203"
"1220723-1" "1220723-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "36 year old male with hx of hypertension , asthma,
schizophrenia . he recieved Janssen vaccine on 4/6/2021. he started to fell unwell
on 4/14 and on 4/15 he was found by his father unresponsive then sent to the
hospital. Pt was diagnosed with massive pulmonary embolism, severe shock, acute
renal failure ,Diabetic ketoacidosis , hyperglycemic hyperosmolar nonketotic coma,
acute respiratory failure, patient expried from massive pulmonary embolism within
48 hours after admission."
"UNRESPONSIVE TO STIMULI" "10045555" "COVID19 (COVID19 (MODERNA))" "1201"
"1232541-1" "1232541-1" "Apr., 2021" "2021/04" "Apr., 2021"
 "2021/04" "Patient found unresponsive at approximately 12:00 am 10/11. EMS
called and patient was pronounced dead at scene."
"UNRESPONSIVE TO STIMULI" "10045555" "COVID19 (COVID19 (MODERNA))" "1201"
"1243650-1" "1243650-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Unexpected death; found unresponsive 04/20/21 morning and
pronounced dead after unsuccessful resuscitative efforts"
"UNRESPONSIVE TO STIMULI" "10045555" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1101884-1" "1101884-1" "Mar., 2021" "2021/03" "Mar.,
2021" "2021/03" "History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21
and 2nd Pfizer COVID-19 vaccine on 2/17/21 Unsure if any relation but patient was
treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine
unresponsive. Patient received ACLS support for unknown cause with suspected
neurological/respiratory/cardiac complications. Patient was transferred to higher
level of care."
"UNRESPONSIVE TO STIMULI" "10045555" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1104175-1" "1104175-1" "Mar., 2021" "2021/03" "Mar.,
2021" "2021/03" "She received the 2nd Dose on 3/9/2021. On 3/10/2021 She
complained of a headache. On the morning of 3/11/2021 she complained of abdominal
pain and had no appetite. We then found her unresponsive, called 911 and the
medics pronounced her at around 1300."
"UNRESPONSIVE TO STIMULI" "10045555" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1177548-1" "1177548-1" "Apr., 2021" "2021/04" "Apr.,
2021" "2021/04" "On the evening of 4/3/2021 the patient was at home, prone in
bed, gasped suddenly and became unresponsive. EMS was called and unable to
resuscitate. She expired."
"UNRESPONSIVE TO STIMULI" "10045555" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1293657-1" "1293657-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "34 y/o male with no PMHx presenting in cardiac arrest from home.
Per pt's wife, he received 2nd dose of the Pfizer vaccine roughly 24 hours prior.
He complained of arm soreness yesterday afternoon and some chills this morning,
took Tylenol for these symptoms. She found him unresponsive in bed after speaking
to him roughly 2 hours earlier. Per EMS, patient was in asystole upon their
arrival. He received ~ 30 minutes of prehospital ACLS and an additional 20 minutes
in the ED and remained in asystole throughout."
"UNRESPONSIVE TO STIMULI" "10045555" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1337198-1" "1337198-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "Patient presented to ED after receiving covid vaccination the
month prior, with hemoptysis, petechiae, blood in stool and urine, and platelets .
Prior to this, patient presented to the ED on 4/30 with kidney stone, no other
significant PMH and prescribed medications mentioned on prior page. Suspected ITP,
patient received IVIG x 3 days and prednisone x 4 days while admitted. On morning
of 5/11, patient had AMS, became unresponsive and was evaluated for stroke.
Patient had large intra-axial hemorrhage with significant midline shift,
transferred to the Hospital and died the same day."
"URINARY RETENTION" "10046555" "COVID19 (COVID19 (MODERNA))" "1201"
"1037207-1" "1037207-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "She had pain in the injection site Tuesday night and then during
Tuesday she got worse with nausea and some fever. By Wednesday she was complaining
that she could not pee even though she was drinking a lot of fluids. She continued
to complain it was the worst she ever felt and then at 0600 Thursday morning she
woke us up and said she needed to go to the hospital. We arrived at the hospital
just before 0700 and she immediately threw up in the trash can. We went into a
treatment room and they took blood and started fluids as she became incoherent.
She said she had taken Tylenol so they started a drug to counter that but her liver
function was all wrong and they started to look for a hospital that could
transplant a liver. She was air evade about 0930 to Medical center and just over
30 hours latter she was dead. There is a pending autopsy. She was a healthy 39
year old mother who got the shots because she worked as a surgical tech and she was
the single mother of a 9 year old little girl."
 "URINARY TRACT INFECTION" "10046571" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"URINE ANALYSIS" "10046614" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1101884-1" "1101884-1" "Mar., 2021" "2021/03" "Mar., 2021"
"2021/03" "History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21
and 2nd Pfizer COVID-19 vaccine on 2/17/21 Unsure if any relation but patient was
treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine
unresponsive. Patient received ACLS support for unknown cause with suspected
neurological/respiratory/cardiac complications. Patient was transferred to higher
level of care."
"URINE ANALYSIS NORMAL" "10061578" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"VACCINATION FAILURE" "10046862" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1332849-1" "1332849-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "passed away from COVID (positive test on 24Apr2021); passed away
from COVID (positive test on 24Apr2021); This is a spontaneous report from a
contactable physician. A 37-years-old female patient received second dose of
bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine), at the age of 37-years-old, via an
unspecified route of administration on 20Mar2021 (Lot Number: EP7534, also reported
as EPT534) as single dose for covid-19 immunisation. Medical history was none. The
patient's concomitant medications were not reported. Patient received first dose of
bnt162b2 at the age of 37-years-old on 27Feb2021 (Lot Number: EN6205) for covid-19
immunisation. Patient with no comorbidities passed away from COVID (positive test
on 24Apr2021) in the ICU on 09May2021. Autopsy is still pending. Patient's family
members provided vaccination card and she would like to verify if the lot numbers
are from Pfizer Covid-19 vaccine. Added that it is freighting as the patient
developed fatal Covid a month after being fully vaccinated. Additionally, she would
like to verify if it is possible to know where the vaccines were shipped or any
other distribution or facility information she could get from these lots. Stated
that the vaccination card has something written on a box from the right hand side.
Reporter seriousness for Tested Positive for Covid was Hospitalization, Death.
Cause of death: Autopsy Pending, they assume Covid. Autopsy performed, Autopsy
details not available. Events outcome was fatal. The patient died on 09May2021.;
Sender's Comments: A possible contributory effect of suspect BNT162B2 on reported
events cannot be excluded in a context of LOE. The impact of this report on the
benefit/risk profile of the Pfizer drug 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. ; Reported
Cause(s) of Death: passed away from COVID (positive test on 24Apr2021)"
"VENOUS OCCLUSION" "10058990" "COVID19 (COVID19 (JANSSEN))" "1203"
"1201543-1" "1201543-1" "Apr., 2021" "2021/04" "Apr., 2021"
"2021/04" "Death"
"VENTRICULAR TACHYCARDIA" "10047302" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1246604-1" "1246604-1" "Apr., 2021" "2021/04" "Apr.,
2021" "2021/04" ""Patient presented to ED on 04/18/2021 with cardiopulmonary
arrest, per ED ""He was receiving CPR with EMS for arrival to the emergency. Two
rounds epi. Asystole and then went into V-tach. Got shocked once. Then after
that has been strip PA asystole."" ED called time of death on patient 04/18/2021 at
05:14AM.""
"VENTRICULO-PERITONEAL SHUNT" "10047304" "COVID19 (COVID19 (MODERNA))" "1201"
"1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"VIRAL TEST NEGATIVE" "10062362" "COVID19 (COVID19 (MODERNA))" "1201"
"1198211-1" "1198211-1" "Apr., 2021" "2021/04" "Feb., 2021"
"2021/02" "The patient received his 2nd dose of Moderna (LOT#, site, time
unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED
with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.
He had quadriplegic spinal paralysis as a result of a remote MVA and has been
hospitalized and critically ill in the past due to recurrent UTI's and pneumonia
with associated sepsis. CT negative for pulmonary embolism and showed bilateral
infiltrates. Clinical presentation consistent with bilateral pneumonia and started
on Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02.
The following evening he became febrile and acutely developed asystole without any
pre-existing arrhythmia. Resuscitation was attempted for 45 minutes but
unsuccessful. Overall, I suspect his death was related to bacterial pneumonia and
resulting acute respiratory failure, complicated by his quadriplegia and autonomic
dysreflexia but reported this event as it did occur within 2 days of receiving his
2nd Moderna vaccination."
"VISION BLURRED" "10047513" "COVID19 (COVID19 (MODERNA))" "1201"
"1281531-1" "1281531-1" "May, 2021" "2021/05" "Apr., 2021" "2021/04"
"Received 2nd dose of vaccine, 5 days later his left leg started hurting and
swelling. He had severe headache afterwards, dizzy and blurred vision. 04/24/2021
he complained of not feeling right, coughed and passed out. Had fever and chills
when he came to. Wife called 911 and was talking and walking. Was awake and
talking in ambulance, oxygen level was low. Once arrived at hospital, he became
restless and passed away within 3 minutes. Autopsy was performed due to his age -
35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo
Embolism"
"VISUAL IMPAIRMENT" "10047571" "COVID19 (COVID19 (PFIZER-BIONTECH))"
"1200" "1337439-1" "1337439-1" "May, 2021" "2021/05" "May, 2021"
"2021/05" "ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11 HE
WAS COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC
ARREST AND DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS
CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND
DIED ON 5/20 THIS MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS
IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
"VOMITING" "10047700" "COVID19 (COVID19 (MODERNA))" "1201" "1037207-1"
"1037207-1" "Feb., 2021" "2021/02" "Feb., 2021" "2021/02" "She
had pain in the injection site Tuesday night and then during Tuesday she got worse
with nausea and some fever. By Wednesday she was complaining that she could not
pee even though she was drinking a lot of fluids. She continued to complain it was
the worst she ever felt and then at 0600 Thursday morning she woke us up and said
she needed to go to the hospital. We arrived at the hospital just before 0700 and
she immediately threw up in the trash can. We went into a treatment room and they
took blood and started fluids as she became incoherent. She said she had taken
Tylenol so they started a drug to counter that but her liver function was all wrong
and they started to look for a hospital that could transplant a liver. She was air
evade about 0930 to Medical center and just over 30 hours latter she was dead.
There is a pending autopsy. She was a healthy 39 year old mother who got the shots
because she worked as a surgical tech and she was the single mother of a 9 year old
little girl."
"VOMITING" "10047700" "COVID19 (COVID19 (MODERNA))" "1201" "1246534-1"
"1246534-1" "Apr., 2021" "2021/04" "Apr., 2021" "2021/04"
"Patient felt initially well, but later in that afternoon her arm started
hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two
hours later she was pronounced dead at approximately 12:30am."
"VOMITING" "10047700" "COVID19 (COVID19 (MODERNA))" "1201" "1338625-1"
"1338625-1" "May, 2021" "2021/05" "May, 2021" "2021/05" "Outcome:
unexpected/unexplained death Had first dose Moderna Vaccine 3/31/21. She described
body aches and mild fever ? ?like I had COVID again for a day? ? lasting about 36
hours, and then felt fine. Had dose # 2 Moderna vaccine about 6:50 PM at Community
vaccination site. She was driver, received left deltoid injection from Doctor.
During observation period reported no symptoms, was happy and talkative with family
and staff. Family reports later that evening she did not feel well ? ?just not
hungry? and wanting to lie down. Slept well, then woke up feeling better except for
left arm achiness at injection site. Did not report redness, rash, or any
difficulty breathing. Was talkative, walking around, took a shower, and was
planning to drive to the grocery store later that day. Mid morning ? maybe
beginning about 11 AM, family said she went in and out of bathroom several times.
She told them she had vomited three times and was feeling shaky. Her oral
temperature was 101.3. About 1:30 PM, she was in her room and called out for her
mother. When family went into the room, she was shaking ?like she was having a
seizure? and then her eyes rolled back and she fell to her side and stopped
breathing. Family called 911 and started CPR. CPR was continued by EMT?s once they
arrived, but they were not able to resuscitate her."
"VOMITING" "10047700" "COVID19 (COVID19 (MODERNA))" "1201" "1368271-1"
"1368271-1" "Jun., 2021" "2021/06" "Apr., 2021" "2021/04" "On
April 15th, the otherwise healthy 30 year old daughter of my cousin passed away in
a hospital from a massive stroke and seizures related to encephalitis of unknown
cause. She recovered easily from Covid19 back in November of 2020, along with
several of her close friends and family members with no lingering effects. On
March 30th, she was given a single dose of the Moderna vaccine along with her
teaching colleagues at a local high school. She initially complained of mild nausea
and vomiting but quickly developed a severe headache prompting her to visit the
local ER where she received treatment for a migraine. She returned to the ER at
least one more time after no relief from the headache. By April 3rd,Saturday, she
no longer recognized her sister nor knew what a mask was for. Her family rushed
her again to the same ER and she was subsequently transferred the following day to
a Hospital. Due to dangerously high intracranial pressure, she suffered a stroke
with paralysis of her left side and a seizure. Multiple lesions were noted on her
brain via MRI. A shunt was inserted to relieve the pressure, she was intubated and
placed into a deep coma from which she would never awaken. Despite these medical
interventions and pharmacological interventions, the pressure did not subside. A
craniotomy was performed the following Saturday as a last ditch effort to relieve
the unrelenting pressure in her brain. The craniotomy was able to reduce the
pressure but it was too late. There was no longer any brain activity and my
cousin's daughter was removed from life support after they were able to say their
goodbyes. The medical examiner will be examining her brain to attempt to find a
cause but that report may take 6 months."
"VOMITING" "10047700" "COVID19 (COVID19 (PFIZER-BIONTECH))" "1200"
"1337439-1" "1337439-1" "May, 2021" "2021/05" "May, 2021" "2021/05"
"ACCORDING TO DAD, HE GOT THE VACCINE ON 4/28/21. ON MAY 11 HE WAS
COMPLAINING OF N/V, LATER HEADACHE AND ALTERED VISION, ENCEPHALOPATHY, CARDIAC
ARREST AND DEATH.... AFTER MULTIPLE LOCAL ER VISITS. HE NEVER HAD FEVER. I WAS
CALLED ON HIS CASE DUE TO CONCERN FOR CNS INFECTION. HE WAS ADMITTED ON 5/18 AND
DIED ON 5/20 THIS MAY OR MAY NOT BE RELATED TO THE COVID VACCINE, BUT IT IS
IMPORTANT IT IS REPORTED JUST INCASE IT IS AND MAY HELP SOMEONE."
"WHITE BLOOD CELL COUNT DECREASED" "10047942" "COVID19 (COVID19 (PFIZER-
BIONTECH))" "1200" "1046447-1" "1046447-1" "Feb., 2021" "2021/02" "Feb.,
2021" "2021/02" "2/12/2021 Vaccine 2/13/2021 Weakness, oral ulcers 2/17/2021
Brought to ER for loss of consciousness, altered mental status, rectal bleeding;
work up showed sepsis, UTI, anemia, pneumonia, pleural effusion, pancytopenia,
hypotension; persistent hypotension and respiratory failure 2/18/2021 Passed away
at 5:54AM"
"WHITE BLOOD CELL COUNT INCREASED" "10047943" "COVID19 (COVID19 (MODERNA))"
"1201" "1040170-1" "1040170-1" "Feb., 2021" "2021/02" "Feb., 2021"
"2021/02" "Received vaccine on 2/6/2021. was a bit off all week per
caregivers - low grade temp and reporting pain which they treated with Tylenol. She
was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers
noted her extremities were cool and face was red. temp was 97.4. She was placed
in wheelchair with book in the living room. caregivers noted she was not turning
pages of the book as she usually would. She was tracking, so they don't think she
had a seizure. Caregiver moved her back to bed with blanket and noted that her
lips were blue and at that point called 911. She was found with agonal breathing,
CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest
upon arrival. CPR was continued until family could be reached and decision was
made to stop resuscitation."
"WHITE BLOOD CELL COUNT INCREASED" "10047943" "COVID19 (COVID19 (MODERNA))"
"1201" "1198211-1" "1198211-1" "Apr., 2021" "2021/04" "Feb., 2021"
"2021/02" "The patient received his 2nd dose of Moderna (LOT#, site, time
unavailable) at an outside clinic the morning of 2/10/21 and presented to the ED
with coughing and hypoxia (sp02 occasionally dropping into 70's) at 8 PM that day.
He had quadriplegic spinal paralysis as a result of a remote MVA and has been
hospitalized and critically ill in the past due to recurrent UTI's and pneumonia
with associated sepsis. CT negative for pulmonary embolism and showed bilateral
infiltrates. Clinical presentation consistent with bilateral pneumonia and started
on Rocephin/azithromycin. He was initially stable in the hospital on 1-2 LPM 02.
The following evening he became febrile and acutely developed asystole without any
pre-existing arrhythmia. Resuscitation was attempted for 45 minutes but
unsuccessful. Overall, I suspect his death was related to bacterial pneumonia and
resulting acute respiratory failure, complicated by his quadriplegia and autonomic
dysreflexia but reported this event as it did occur within 2 days of receiving his
2nd Moderna vaccination."
"WITHDRAWAL OF LIFE SUPPORT" "10067595" "COVID19 (COVID19 (MODERNA))" "1201"
"1368271-1" "1368271-1" "Jun., 2021" "2021/06" "Apr., 2021"
"2021/04" "On April 15th, the otherwise healthy 30 year old daughter of my
cousin passed away in a hospital from a massive stroke and seizures related to
encephalitis of unknown cause. She recovered easily from Covid19 back in
November of 2020, along with several of her close friends and family members with
no lingering effects. On March 30th, she was given a single dose of the Moderna
vaccine along with her teaching colleagues at a local high school. She initially
complained of mild nausea and vomiting but quickly developed a severe headache
prompting her to visit the local ER where she received treatment for a migraine.
She returned to the ER at least one more time after no relief from the headache. By
April 3rd,Saturday, she no longer recognized her sister nor knew what a mask was
for. Her family rushed her again to the same ER and she was subsequently
transferred the following day to a Hospital. Due to dangerously high intracranial
pressure, she suffered a stroke with paralysis of her left side and a seizure.
Multiple lesions were noted on her brain via MRI. A shunt was inserted to relieve
the pressure, she was intubated and placed into a deep coma from which she would
never awaken. Despite these medical interventions and pharmacological
interventions, the pressure did not subside. A craniotomy was performed the
following Saturday as a last ditch effort to relieve the unrelenting pressure in
her brain. The craniotomy was able to reduce the pressure but it was too late.
There was no longer any brain activity and my cousin's daughter was removed from
life support after they were able to say their goodbyes. The medical examiner
will be examining her brain to attempt to find a cause but that report may take 6
months."
"---"
"Dataset: The Vaccine Adverse Event Reporting System (VAERS)"
"Query Parameters:"
"Age: 30-39 years"
"Date of Onset: 2021"
"Date Report Completed: 2021"
"Date Report Received: 2021"
"Date Vaccinated: 2021"
"Event Category: Death"
"Recovered: No"
"Serious: Yes"
"State / Territory: The United States/Territories/Unknown"
"Vaccine Products: COVID19 VACCINE (COVID19)"
"VAERS ID: All"
"Group By: Symptoms; Vaccine; VAERS ID; Month Reported; Month Died"
"Show Totals: False"
"Show Zero Values: Disabled"
"---"
"Help: See http://wonder.cdc.gov/wonder/help/vaers.html for more information."
"---"
"Query Date: Jun 19, 2021 11:49:27 AM"
"---"
"Suggested Citation: Accessed at http://wonder.cdc.gov/vaers.html on Jun 19, 2021
11:49:27 AM"
"---"
Messages:
"1. The full results are too long to be displayed, only non-zero rows are
available."
"2. VAERS data in CDC WONDER are updated every Friday. Hence, results for the same
query can change from week to week."
"3. These results are for 77 total events."
"4. When grouped by VAERS ID, results initially don't show Events Reported,
Percent, or totals. Use Quick or More Options to"
"restore them, if you wish."
"5. Click on a VAERS ID to see a report containing detailed information for the
event."
"---"
Footnotes:
"1. Submitting a report to VAERS does not mean that healthcare personnel or the
vaccine caused or contributed to the adverse"
"event (possible side effect)."
"---"
Caveats:
"1. <p> VAERS accepts reports of adverse events and reactions that occur following
vaccination. Healthcare providers, vaccine"
"manufacturers, and the public can submit reports to VAERS. While very important in
monitoring vaccine safety, VAERS reports"
"alone cannot be used to determine if a vaccine caused or contributed to an adverse
event or illness. The reports may contain"
"information that is incomplete, inaccurate, coincidental, or unverifiable. Most
reports to VAERS are voluntary, which means they"
"are subject to biases. This creates specific limitations on how the data can be
used scientifically. Data from VAERS reports"
"should always be interpreted with these limitations in mind. </p> <p> The
strengths of VAERS are that it is national in scope"
"and can quickly provide an early warning of a safety problem with a vaccine. As
part of CDC and FDA's multi-system approach to"
"post-licensure vaccine safety monitoring, VAERS is designed to rapidly detect
unusual or unexpected patterns of adverse events,"
"also known as ""safety signals."" If a safety signal is found in VAERS, further
studies can be done in safety systems such as"
"the CDC's Vaccine Safety Datalink (VSD) or the Clinical Immunization Safety
Assessment (CISA) project. These systems do not have"
"the same limitations as VAERS, and can better assess health risks and possible
connections between adverse events and a vaccine."
"</p> <p> Key considerations and limitations of VAERS data: <ul><li> Vaccine
providers are encouraged to report any clinically"
"significant health problem following vaccination to VAERS, whether or not they
believe the vaccine was the cause. </li><li>"
"Reports may include incomplete, inaccurate, coincidental and unverified
information. </li><li> The number of reports alone"
"cannot be interpreted or used to reach conclusions about the existence, severity,
frequency, or rates of problems associated"
"with vaccines. </li><li> VAERS data are limited to vaccine adverse event reports
received between 1990 and the most recent date"
"for which data are available. </li><li> VAERS data do not represent all known
safety information for a vaccine and should be"
"interpreted in the context of other scientific information. </li></ul> </p>"
"2."
"3. Some items may have more than 1 occurrence in any single event report, such as
Symptoms, Vaccine Products, Manufacturers, and"
"Event Categories. If data are grouped by any of these items, then the number in
the Events Reported column may exceed the total"
"number of unique events. If percentages are shown, then the associated percentage
of total unique event reports will exceed 100%"
"in such cases. For example, the number of Symptoms mentioned is likely to exceed
the number of events reported, because many"
"reports include more than 1 Symptom. When more then 1 Symptom occurs in a single
report, then the percentage of Symptoms to"
"unique events is more than 100%. More information:
http://wonder.cdc.gov/wonder/help/vaers.html#Suppress."
"4. Data contains VAERS reports processed as of 06/11/2021. The VAERS data in
WONDER are updated weekly, yet the VAERS system"
"receives continuous updates including revisions and new reports for preceding time
periods. Duplicate event reports and/or"
"reports determined to be false are removed from VAERS. More information:
http://wonder.cdc.gov/wonder/help/vaers.html#Reporting."
"5. Under Title 21, Code of Federal Regulations Section 600.80:
http://wonder.cdc.gov/wonder/help/vaers/21CFR600-80.htm., a"
"serious event is defined with any of the following outcomes: Death, a life-
threatening adverse experience, inpatient"
"hospitalization or prolongation of existing hospitalization, a persistent or
significant disability/incapacity, or a congenital"
"anomaly/birth defect."
"6. Values of Event Category field vary in their availability over time due to
changes in the reporting form. The ""Emergency"
"Room/Office Visit"" value was avaliable only for events reported using the VAERS-1
form, active 07/01/1990 to 06/29/2017. The"
"""Congenital Anomaly/Birth Defect"", ""Emergency Room"", and ""Office Visit""
values are available only for events reported"
"using the VAERS 2.0 form, active 06/30/2017 to present. These changes must be
considered when evaluating count of events for"
"these categories."
"7. For more information on how many persons have been vaccinated in the US for
COVID19 to date, see"
"https://covid.cdc.gov/covid-data-tracker/#vaccinations/"