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

This is VAERS ID 1019334

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Case Details

VAERS ID: 1019334 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-01-29
Onset:2021-02-06
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 UN / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Platelet count decreased, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Symbicort, montelukast, albuterol, hctz, benicar, nisoldipine
Current Illness: None
Preexisting Conditions: HTN, HLD, asthma
Allergies: None
Diagnostic Lab Data: Platelets of 1
CDC Split Type:

Write-up: Developed thrombocytopenia to 1 after vaccine, being treated for ITP


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