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

This is VAERS ID 1035907

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Case Details

VAERS ID: 1035907 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: New York  
Vaccinated:2021-01-21
Onset:2021-02-01
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20-2A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Contusion, Heavy menstrual bleeding, Immune thrombocytopenia, Mean platelet volume increased, Platelet count decreased, Rash erythematous, Rash vesicular, Skin haemorrhage
SMQs:, Anaphylactic reaction (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Accidents and injuries (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
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: Magnesium Supplement Vitamin B12 Supplement Vitamin D Supplement NOW Super Cortisol Support Supplement
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Blood test from 02/09/2021 -Platelet count of 22 (Thousand/uL) = Low -MPV 12.9 = High
CDC Split Type:

Write-up: Red blister rash all over body and head, bleeding on scalp and gums, and extremely easy bruising. Period longer and heavier bleeding. When symptoms had not resolved one week after appearing, went in-person to GP. Blood test revealed extremely low platelet count. Hematologist consulted diagnosed Immune Thrombocytopenia (Immunte Thrombocytopenic Purpura) or ITP.


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