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

This is VAERS ID 1029529

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Case Details

VAERS ID: 1029529 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-01-04
Onset:2021-01-08
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Aplastic anaemia, Biopsy bone marrow abnormal, Chromosome analysis normal, Cytogenetic analysis normal, Cytomegalovirus test negative, Epstein-Barr virus test negative, Granulocytopenia, Haemoglobin decreased, Karyotype analysis normal, Neutrophil count decreased, Normocytic anaemia, Pancytopenia, Paroxysmal nocturnal haemoglobinuria, Parvovirus B19 test negative, Platelet count decreased, Thrombocytopenia, White blood cell count decreased
SMQs:, Haemolytic disorders (narrow), Agranulocytosis (narrow), Haematopoietic cytopenias affecting more than one type of blood cell (narrow), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Chronic kidney disease (broad), Malignant lymphomas (broad), Myelodysplastic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: celexa requip x yeasrs both of them
Current Illness: restless leg syndrome anger management
Preexisting Conditions: as above
Allergies: NKDA
Diagnostic Lab Data: 1/30/21 WBC 1,1 HGB 5.7 PLT 1 1/30/21 BONE MARROW: 1. Acquired aplastic anemia a. Bone marrow cellularity: 0% b. No hematopoietic elements 2. Negative for B-cell, T-cell and plasma cell neoplasms 3. Negative for Parvovirus, CMV and EBV viral inclusions 4. Cytogenetic studies: a. Preliminary studies show normal male karyotype (46;XY) b. Final results will be appended to this report 5. See comment PERIPHERAL BLOOD: 1. Severe pancytopenia a. Moderate-marked normocytic anemia (hgb = 7.1 g/dl) b. Agranulocytopenia (absolute neutrophil count = 0.0) c. Severe thrombocytopenia (platelet count = 1 K) 2. Small clonal paroxysmal nocturnal hemoglobinuria (PNH) population detected Chromosome analysis revealed a normal male karyotype with no abnormal clonal population of metaphases detected.
CDC Split Type:

Write-up: I saw the patient in consultation during his hospitalization for pancytopenia which proved to be severe aplastic anemia after bone marrow biopsy. He has been a blood donor. 1/4 Moderna vaccine HGB 1/8 12.8 - blood bank refused him to be a donor due to the HGB being too low. Recommended to repeat CBC at his primary care office. 1/26 7.8 1/29 7.1 1/30 5.7 No reticulocytes


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