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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1023722

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Case Details

VAERS ID: 1023722 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-01-26
Onset:2021-02-08
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 UN / SC

Administered by: Private       Purchased by: ?
Symptoms: Contusion, Differential white blood cell count normal, Epistaxis, Full blood count normal, Haemorrhage, Metabolic function test, Platelet count decreased, Thrombocytopenia, Ultrasound abdomen normal
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Accidents and injuries (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: BASA, atorvastin, Ca+, MVI
Current Illness: None
Preexisting Conditions: HLD
Allergies: None
Diagnostic Lab Data: CBC/diff, CMP neg Abd US neg.
CDC Split Type:

Write-up: Pt without h/o hematologic disease. Admitted to hospital <2 weeks after vaccination with acute severe thrombocytopenia (platelets 17) without otherwise normal CBC/diff. No symptoms other then bruising and minor bleeding (epistaxis). Pt treated as ITP with oral dexamethasone bolus (40mg PO qd x 4). Immediate improvement of thrombocytopenia. February 11, 2021 06:10 94 L 10 3/cumm February 10, 2021 06:50 36 L 10 3/cumm February 9, 2021 13:55 17 CL 10 3/cumm Will be discharged on to complete steroids on 2/12 and then labs/CBC will be monitored every few days as outpt. Pt to continue to hold BASA until at least confirm stability of platelets off Rx.


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