| Days after vaccination:||9
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH
||- / 1
||LA / SYR
Administered by: Private Purchased by: ?
Symptoms: Deep vein thrombosis,
Fibrin D dimer,
Pain in extremity,
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)
Life Threatening? Yes
Birth Defect? No
Permanent Disability? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Other Medications: Cymbalta (30 mg every other day for past pinched nerve pain - weaning off )
Current Illness: N/A
Preexisting Conditions: arthritis
Diagnostic Lab Data: - FIBRIN D-DIMER, PLASMA,QN - Based on +d-dimer test, ordered right lower extremity venous ultrasound to be performed.
CDC Split Type:
Write-up: Had swelling in leg for a couple of days prior to the early morning of 1/31 where the knee and entire lower leg was swollen and painful and made it very painful to walk. After sending photo to primary care physician had mom evaluated for a blood clot. It was determined based on blood test, vascular ultrasound that right non occlusive (mid) Femoral vein DVT.