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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1341174



Case Details

VAERS ID: 1341174 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-04-22
Onset:2021-05-02
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Epistaxis, Immunoglobulin therapy, Mouth haemorrhage, Petechiae, Platelet count decreased
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 1. Tamsulosin (Flomax) - BPH 2. Occasional Osteo Bi-Flex Regular Strength - Joint Soreness
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Blood Draw on 5-3-21 showed platelet count on ER entry at 2 (2,000), Blood Draw on 5-13-21
CDC Split Type:

Write-up: Sun, 5-2-21, Petechiae appears on my lower feet, ankles, and lower legs/shins. Random bruises appearing without contact/bump. Mon, 5-3-21, Petechiae now appearing on my hands, forearms. Petechiae spots beginning to appear on my face. Nose and mouth bleeding. Went to hospital ER on 5-3-21. Rec''d IGIV (2 days), and Decadron (Steroid) 40mg daily (5 days). Discharged from Hospital after 5 days on 5-7-21, with platelet count at 58 (58,000). - Follow-up blood draw post-discharge on 5-13-21 showed platelet level back down to 1 (1,000). Directed to hospital by hematologist office, re-admitted on 5-13-21. Rec''d IGIV (3 days) and IV Solumedrol (Steroid), and Oral Steroid (2 days). Discharged again from Hospital after 2nd 5-day hospital stay.


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