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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1008359

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Case Details

VAERS ID: 1008359 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-01-12
Onset:2021-02-01
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Fibrin D dimer increased, Pulmonary embolism, Scan with contrast
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase nasal spray
Current Illness: none
Preexisting Conditions: Protein C deficiency
Allergies: sulfa antibiotics cashews and pistachio food intolerance
Diagnostic Lab Data: D-dimer was elevated on 2/1/21 (2.11) Contrast enhanced CT pulmonary angiogram protocol with coronal and sagittal reformations: FINDINGS: Thrombus is present in the proximal right upper lobe pulmonary artery extending into the segmental branches anteriorly and posteriorly. Opacification of the more distal branches is not optimal but there do appear to be small filling defects in segmental and subsegmental branches in the left upper lobe and possibly the right lower lobe. The RV/LV is greater than 1 consistent with right heart strain. There is no pleural effusion or pericardial effusion. The lungs are free of infiltrate.
CDC Split Type:

Write-up: I developed acute right posterior pleuritic chest pain and shortness of breath. Diagnosed with multiple pulmonary emboli (see below). I was started on Eliquis initially, but then had worsening symptoms on 2/4/21 and switched to Lovenox injections. Symptoms have been slowly improving since then.


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