National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1104764

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1104764
VAERS Form:2
Age:54.0
Sex:Female
Location:Maryland
Vaccinated:2021-03-10
Onset:2021-03-12
Submitted:0000-00-00
Entered:2021-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Condition aggravated, Petechiae, Platelet count decreased, Rash, Immunoglobulin therapy, Immune thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vit D Calcium MVI Escitalopram Levothyroxine
Current Illness: UTI
Preexisting Conditions: ITP
Allergies: None
Diagnostic Lab Data: See above.
CDC 'Split Type':

Write-up: Patient with known history of ITP status post splenectomy in 2018, with stable platelet counts off treatment, developed petecchial rash in lower extremities 2 days after receiving COVID vaccine during a mass vaccination campaign. Platelet counts check 2 days after the vaccination was 1,000. Patient was admitted to the hospital for ITP, received 2 doses of IVIG and was initiated on prednisone with improvement in platelet count to 72,000 by 03/14/2021. Give


Changed on 5/7/2021

VAERS ID: 1104764 Before After
VAERS Form:2
Age:54.0
Sex:Female
Location:Maryland
Vaccinated:2021-03-10
Onset:2021-03-12
Submitted:0000-00-00
Entered:2021-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Condition aggravated, Petechiae, Platelet count decreased, Rash, Immunoglobulin therapy, Immune thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vit D Calcium MVI Escitalopram Levothyroxine
Current Illness: UTI
Preexisting Conditions: ITP
Allergies: None None
Diagnostic Lab Data: See above.
CDC 'Split Type':

Write-up: Patient with known history of ITP status post splenectomy in 2018, with stable platelet counts off treatment, developed petecchial rash in lower extremities 2 days after receiving COVID vaccine during a mass vaccination campaign. Platelet counts check 2 days after the vaccination was 1,000. Patient was admitted to the hospital for ITP, received 2 doses of IVIG and was initiated on prednisone with improvement in platelet count to 72,000 by 03/14/2021. Give


Changed on 5/14/2021

VAERS ID: 1104764 Before After
VAERS Form:2
Age:54.0
Sex:Female
Location:Maryland
Vaccinated:2021-03-10
Onset:2021-03-12
Submitted:0000-00-00
Entered:2021-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Other      Purchased by: ??
Symptoms: Condition aggravated, Petechiae, Platelet count decreased, Rash, Immunoglobulin therapy, Immune thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vit D Calcium MVI Escitalopram Levothyroxine
Current Illness: UTI
Preexisting Conditions: ITP
Allergies: None None
Diagnostic Lab Data: See above.
CDC 'Split Type':

Write-up: Patient with known history of ITP status post splenectomy in 2018, with stable platelet counts off treatment, developed petecchial rash in lower extremities 2 days after receiving COVID vaccine during a mass vaccination campaign. Platelet counts check 2 days after the vaccination was 1,000. Patient was admitted to the hospital for ITP, received 2 doses of IVIG and was initiated on prednisone with improvement in platelet count to 72,000 by 03/14/2021. Give

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1104764&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166