| |
Age | Vaccine/Manufacturer | Count | Percent |
< 6 Months | COVID19 / PFIZER/BIONTECH | 1 | 0.02% |
total | 1 | 0.02% |
6-17 Years | COVID19 / MODERNA | 2 | 0.05% |
COVID19 / PFIZER/BIONTECH | 11 | 0.25% |
total | 13 | 0.29% |
18-29 Years | COVID19 / JANSSEN | 9 | 0.2% |
COVID19 / MODERNA | 26 | 0.59% |
COVID19 / PFIZER/BIONTECH | 28 | 0.63% |
COVID19 / UNKNOWN MANUFACTURER | 1 | 0.02% |
total | 64 | 1.45% |
30-39 Years | ADEN_4_7 / TEVA PHARMACEUTICALS | 1 | 0.02% |
COVID19 / JANSSEN | 12 | 0.27% |
COVID19 / MODERNA | 25 | 0.56% |
COVID19 / PFIZER/BIONTECH | 49 | 1.11% |
COVID19 / UNKNOWN MANUFACTURER | 2 | 0.05% |
COVID19-2 / MODERNA | 1 | 0.02% |
COVID19-2 / PFIZER/BIONTECH | 1 | 0.02% |
UNK / UNKNOWN MANUFACTURER | 1 | 0.02% |
total | 92 | 2.08% |
40-49 Years | COVID19 / JANSSEN | 27 | 0.61% |
COVID19 / MODERNA | 77 | 1.74% |
COVID19 / PFIZER/BIONTECH | 75 | 1.69% |
COVID19 / UNKNOWN MANUFACTURER | 2 | 0.05% |
FLUC4 / SEQIRUS, INC. | 1 | 0.02% |
TDAP / SANOFI PASTEUR | 1 | 0.02% |
total | 183 | 4.13% |
50-59 Years | COVID19 / JANSSEN | 29 | 0.66% |
COVID19 / MODERNA | 124 | 2.8% |
COVID19 / PFIZER/BIONTECH | 151 | 3.41% |
COVID19 / UNKNOWN MANUFACTURER | 2 | 0.05% |
COVID19-2 / MODERNA | 3 | 0.07% |
COVID19-2 / PFIZER/BIONTECH | 1 | 0.02% |
FLUX / UNKNOWN MANUFACTURER | 2 | 0.05% |
PNC20 / PFIZER/WYETH | 1 | 0.02% |
UNK / UNKNOWN MANUFACTURER | 2 | 0.05% |
total | 315 | 7.12% |
60-64 Years | COVID19 / JANSSEN | 34 | 0.77% |
COVID19 / MODERNA | 102 | 2.3% |
COVID19 / PFIZER/BIONTECH | 131 | 2.96% |
COVID19 / UNKNOWN MANUFACTURER | 3 | 0.07% |
COVID19-2 / MODERNA | 3 | 0.07% |
COVID19-2 / PFIZER/BIONTECH | 1 | 0.02% |
FLUC4 / SEQIRUS, INC. | 1 | 0.02% |
total | 275 | 6.21% |
65-79 Years | COVID19 / JANSSEN | 67 | 1.51% |
COVID19 / MODERNA | 424 | 9.58% |
COVID19 / PFIZER/BIONTECH | 493 | 11.14% |
COVID19 / UNKNOWN MANUFACTURER | 4 | 0.09% |
COVID19-2 / MODERNA | 6 | 0.14% |
COVID19-2 / PFIZER/BIONTECH | 13 | 0.29% |
FLU4 / GLAXOSMITHKLINE BIOLOGICALS | 1 | 0.02% |
FLU4 / SANOFI PASTEUR | 2 | 0.05% |
FLUA3 / NOVARTIS VACCINES AND DIAGNOSTICS | 1 | 0.02% |
FLUA4 / SEQIRUS, INC. | 1 | 0.02% |
FLUX / SANOFI PASTEUR | 1 | 0.02% |
FLUX / UNKNOWN MANUFACTURER | 1 | 0.02% |
UNK / UNKNOWN MANUFACTURER | 3 | 0.07% |
total | 1,017 | 22.98% |
80+ Years | ADEN_4_7 / TEVA PHARMACEUTICALS | 1 | 0.02% |
COVID19 / JANSSEN | 29 | 0.66% |
COVID19 / MODERNA | 245 | 5.54% |
COVID19 / PFIZER/BIONTECH | 466 | 10.53% |
COVID19 / UNKNOWN MANUFACTURER | 4 | 0.09% |
COVID19-2 / MODERNA | 2 | 0.05% |
COVID19-2 / PFIZER/BIONTECH | 11 | 0.25% |
FLU4 / SANOFI PASTEUR | 4 | 0.09% |
FLUA3 / NOVARTIS VACCINES AND DIAGNOSTICS | 1 | 0.02% |
FLUA4 / SEQIRUS, INC. | 2 | 0.05% |
FLUX / UNKNOWN MANUFACTURER | 3 | 0.07% |
PNC20 / PFIZER/WYETH | 1 | 0.02% |
RSV / GLAXOSMITHKLINE BIOLOGICALS | 1 | 0.02% |
total | 770 | 17.4% |
Unknown | COVID19 / JANSSEN | 200 | 4.52% |
COVID19 / MODERNA | 64 | 1.45% |
COVID19 / PFIZER/BIONTECH | 1,747 | 39.47% |
COVID19 / UNKNOWN MANUFACTURER | 22 | 0.5% |
COVID19-2 / MODERNA | 4 | 0.09% |
COVID19-2 / PFIZER/BIONTECH | 18 | 0.41% |
FLU4 / GLAXOSMITHKLINE BIOLOGICALS | 1 | 0.02% |
FLU4 / SANOFI PASTEUR | 1 | 0.02% |
FLUA3 / NOVARTIS VACCINES AND DIAGNOSTICS | 2 | 0.05% |
FLUX / SANOFI PASTEUR | 1 | 0.02% |
FLUX / UNKNOWN MANUFACTURER | 13 | 0.29% |
PNC15 / MERCK & CO. INC. | 1 | 0.02% |
PPV / UNKNOWN MANUFACTURER | 3 | 0.07% |
UNK / UNKNOWN MANUFACTURER | 27 | 0.61% |
VARZOS / GLAXOSMITHKLINE BIOLOGICALS | 1 | 0.02% |
VARZOS / UNKNOWN MANUFACTURER | 1 | 0.02% |
total | 2,106 | 47.58% |
TOTAL | † 4,836 | † 109.26% |
† Because VAERS cases can have multiple vaccinations, symptoms, and event outcomes,
a single case can account for multiple entries in this table.
This is why the Total Count is greater than 4,426 (the number of cases found),
and the Total Percent is greater than 100. |
|
VAERS ID: |
914917 (history) |
Form: |
Version 2.0 |
Age: |
63.0 |
Sex: |
Male |
Location: |
Illinois |
Vaccinated: | 2020-12-19 |
Onset: | 2020-12-23 |
Days after vaccination: | 4 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-30 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / UNK |
- / - |
Administered by: Work Purchased by: ? Symptoms: Death,
Myocardial infarction SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2020-12-23
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Atenolol, Chlorthalidone, Tamsulosin Current Illness: None Preexisting Conditions: hypertension Allergies: None Diagnostic Lab Data: Death certificate CDC Split Type:
Write-up: Death by massive heart attack. Pfizer-BioNTech COVID-19 Vaccine EUA |
|
VAERS ID: |
930466 (history) |
Form: |
Version 2.0 |
Age: |
82.0 |
Sex: |
Female |
Location: |
Louisiana |
Vaccinated: | 2021-01-05 |
Onset: | 2021-01-05 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-08 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
UN / IM |
Administered by: Private Purchased by: ? Symptoms: Chest pain,
Dyspnoea,
Myocardial infarction,
Pyrexia SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-01-05
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: None Diagnostic Lab Data: CDC Split Type:
Write-up: Fever, shortness of breath and chest pain that resulted in a heart attack a few hours after vaccination |
|
VAERS ID: |
930487 (history) |
Form: |
Version 2.0 |
Age: |
86.0 |
Sex: |
Male |
Location: |
North Carolina |
Vaccinated: | 2021-01-08 |
Onset: | 2021-01-08 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-08 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
037K20A / UNK |
- / - |
Administered by: Senior Living Purchased by: ? Symptoms: Myocardial infarction SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-01-08
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: calcium-D tablet, cholecalciferol, fish oil, melatonin, tylenol, Current Illness: na Preexisting Conditions: bph, apraxia, , dysphagia, muscle weakness, alzheimers disease Allergies: cephalexin Diagnostic Lab Data: na CDC Split Type:
Write-up: Medical docter state patient has a acute cardiac attack |
|
VAERS ID: |
934745 (history) |
Form: |
Version 2.0 |
Age: |
79.0 |
Sex: |
Female |
Location: |
Iowa |
Vaccinated: | 2021-01-09 |
Onset: | 2021-01-10 |
Days after vaccination: | 1 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-11 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL1284 / 1 |
LA / IM |
Administered by: Senior Living Purchased by: ? Symptoms: Heart rate increased,
Musculoskeletal stiffness,
Oxygen saturation decreased,
Peripheral coldness,
Presyncope,
Pulse absent,
Respiratory rate increased,
Seizure like phenomena,
Skin discolouration,
Skin warm,
Thrombosis,
Unresponsive to stimuli SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Parkinson-like events (broad), Thrombophlebitis (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad)
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died: 2021-01-12
Days after onset: 2
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Exelon 13.3 mg daily, APAP 500 mg three times a day, Namenda 10 mg two times a day, Senna 8.6 mg two tablets daily, Mirilax 27 grams two times a day, 2 cal 4oz three times a day, Amlodipine 5 mg daily Current Illness: NA Preexisting Conditions: Alzheimers, dementia, hypertension, Allergies: NKA Diagnostic Lab Data: Family requested comfort cares. No tests provided. CDC Split Type:
Write-up: Resident had seizure like activity followed by a vagel response with large bowel movement. Resident then began to show signs of blood clot to left lower extremity. No pedal pulse, area on leg warm to touch. Left lower leg now cold to touch, stiff, purple and white in color. No other signs of modeling, body warm to touch, no fever noted. Respirations and pulse increased with low oxygen levels. Resident not responding to stimuli. |
|
VAERS ID: |
937444 (history) |
Form: |
Version 2.0 |
Age: |
86.0 |
Sex: |
Female |
Location: |
Illinois |
Vaccinated: | 2021-01-11 |
Onset: | 2021-01-11 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-12 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL3246 / 1 |
LA / IM |
Administered by: Senior Living Purchased by: ? Symptoms: Death,
Myocardial infarction SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-01-11
Days after onset: 0
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Current Illness: Brain bleed, sleep apnea, htn Preexisting Conditions: Brain bleed, sleep apnea, htn Allergies: Diagnostic Lab Data: The county coroner declared her death was related to a heart attack CDC Split Type:
Write-up: Resident was found deceased at approximately 6pm in her apartment |
|
VAERS ID: |
940602 (history) |
Form: |
Version 2.0 |
Age: |
83.0 |
Sex: |
Male |
Location: |
Texas |
Vaccinated: | 2021-01-08 |
Onset: | 2021-01-10 |
Days after vaccination: | 2 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-13 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
037K209 / 5 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Death,
Injection site pain,
Myocardial infarction,
Pain,
Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 0000-00-00
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: see attached Current Illness: None reported Preexisting Conditions: HTN, Type II DM, High cholesterol Allergies: None Diagnostic Lab Data: CDC Split Type:
Write-up: Patient received vaccine on 1/8/2021. On 1/9/2021 I checked on patient via phone for symptoms or problems and he reported none but mild soreness at injection site. On 1/10/2021 family friend called me to tell me that patient had expired at about 8:00 pm. Patient reportedly complained of "pain" unspecific and collapsed at home. Hospital reportedly told family that it appeared to be a "heart attack". |
|
VAERS ID: |
943266 (history) |
Form: |
Version 2.0 |
Age: |
88.0 |
Sex: |
Female |
Location: |
Arizona |
Vaccinated: | 2021-01-12 |
Onset: | 2021-01-12 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-14 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL3249 / 1 |
LA / SYR |
Administered by: Other Purchased by: ? Symptoms: Cerebral haemorrhage,
Coma,
Craniotomy,
Death,
Endotracheal intubation,
Headache,
Intracranial aneurysm,
Magnetic resonance imaging brain abnormal,
Vomiting SMQs:, Acute pancreatitis (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Haemorrhagic central nervous system vascular conditions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Respiratory failure (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-01-13
Days after onset: 1
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
Extended hospital stay? No Previous Vaccinations: Other Medications: Losartan, Levothyroxine, Carvedilol Current Illness: Preexisting Conditions: Arthritis, high blood pressure Allergies: Penicillin, Sulfa, Gluten Diagnostic Lab Data: CDC Split Type:
Write-up: Initial pain in back of head and extreme headache. Some vomiting. At emergency, went into coma and was intubated. Hole drilled in skull to relieve pressure. MRI taken. Lot of bleeding in brain - anuerism lead to death approximately 14 hours after initial symptoms. |
|
VAERS ID: |
950108 (history) |
Form: |
Version 2.0 |
Age: |
53.0 |
Sex: |
Female |
Location: |
Kentucky |
Vaccinated: | 2021-01-05 |
Onset: | 2021-01-12 |
Days after vaccination: | 7 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-16 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
039K20A / 1 |
LA / IM |
Administered by: Public Purchased by: ? Symptoms: Catheterisation cardiac abnormal,
Death,
Myocardial infarction SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-01-15
Days after onset: 3
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
Extended hospital stay? No Previous Vaccinations: Other Medications: Unknown Current Illness: Pt. stated she was not ill at the time of vaccination. Preexisting Conditions: Unknown Allergies: Unknown Diagnostic Lab Data: Unknown CDC Split Type:
Write-up: "Moderna COVID-19 Vaccine EUA" It has been reported to me that pt. had gone into hospital for a heart catheterization on 1/12/2021. It was found during this procedure that pt. had suffered a MI. She was release to home the following day and passed away at her residence on 1/15/2021. |
|
VAERS ID: |
951678 (history) |
Form: |
Version 2.0 |
Age: |
75.0 |
Sex: |
Male |
Location: |
California |
Vaccinated: | 2021-01-13 |
Onset: | 1921-01-17 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-17 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL3249 / 2 |
RA / - |
Administered by: Private Purchased by: ? Symptoms: Death,
Myocardial infarction SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-01-17
Days after onset: 36525
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Crestor 20 mg, Claritin-D 24 hour, Zaria 10 mg, baby aspirin, replatha,valsart hits 160-12.5mg Fish oil, wheat germ oil, D3 1000 mg, testosterone 8% gel, CO Q 10, weirder prime , eye drops Current Illness: None Preexisting Conditions: None Allergies: None Diagnostic Lab Data: Heart attack death medical test CDC Split Type:
Write-up: Heart attack death medical test |
|
VAERS ID: |
953922 (history) |
Form: |
Version 2.0 |
Age: |
72.0 |
Sex: |
Male |
Location: |
Massachusetts |
Vaccinated: | 2020-12-26 |
Onset: | 2020-12-27 |
Days after vaccination: | 1 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-18 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / IM |
Administered by: Senior Living Purchased by: ? Symptoms: Anxiety,
Chest discomfort,
Death,
Dyspnoea,
Myocardial infarction,
Oropharyngeal discomfort,
SARS-CoV-2 test negative SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypoglycaemia (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2020-12-31
Days after onset: 4
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
Extended hospital stay? No Previous Vaccinations: Other Medications: Current Illness: Diabetes, COPD, Chrone''s Disease, DJD, OSA, PTSD, GERD, HLD, Depression, HTN, lobectomy 3/4/2019, cancer Preexisting Conditions: See above Allergies: NKDA Diagnostic Lab Data: CDC Split Type:
Write-up: The day following the vaccine, the patient complained of throat issues and anxiety. This was not new... however . That evening he reported difficulty breathing and was placed on oxygen; a COVID test was performed and was negative. On 12/30/2020, patient complained of sternal pressure and was transferred to the hospital. The patient died 12/31/2020 and records obtained from the hospital indicated the patient died from a massive myocardial infarction. |
|