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

This is VAERS ID 1053274

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Case Details

VAERS ID: 1053274 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-02-12
Onset:2021-02-21
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013M20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein normal, Full blood count, Immune thrombocytopenia, International normalised ratio normal, Metabolic function test normal, Platelet count decreased, Prothrombin time normal, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: daily MV
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: CBC with platelet count of 5, normal PT/INR, normal CMP, normal crp
CDC Split Type:

Write-up: thrombocytopenia, ITP


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