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

This is VAERS ID 1346528



Case Details

VAERS ID: 1346528 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-04-23
Onset:2021-05-22
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 UN / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time shortened, Condition aggravated, Contusion, Diarrhoea, Epistaxis, Fatigue, Immune thrombocytopenia, Immunoglobulin therapy, International normalised ratio normal, Occult blood positive, Platelet count decreased, Platelet transfusion
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Systemic lupus erythematosus (broad), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: acetaminophen (TYLENOL) 650 MG tablet atorvastatin (LIPITOR) 80 MG tablet coenzyme Q10 50 MG capsule Fe Bisgly-Vit C-Vit B12-FA (GENTLE IRON PO) Cranberry supplement lansoprazole (PREVACID) 15 MG capsule loratadine (CLARITIN) 10 MG tablet
Current Illness: Immune Thrombocytopenia - Decreased platelet count Acid reflux disease High cholesterol or triglycerides High blood pressure disorder Heart murmur
Preexisting Conditions: Acid reflux disease High cholesterol or triglycerides High blood pressure disorder Heart murmur
Allergies: Azor [amlodipine-olmesartan] Bactrim [sulfamethoxazole-trimethoprim] Benadryl [diphenhydramine] Benicar [olmesartan] Bystolic [nebivolol Hcl] Cardura [doxazosin Mesylate] Ciprofloxacin Feldene [piroxicam] Furosemide Hydrocortisone Hyoscyamine Indapamide Prinivil [lisinopril] Procardia [nifedipine] Quinine Derivatives Relafen [nabumetone] Sular [nisoldipine Er] Tiazac [diltiazem] Voltaren [diclofenac Sodium] Ampicillin Hydrochlorothiazide W-triamterene Latex Penicillins
Diagnostic Lab Data: Labs performed by PCP 5/21/2021 showed platelet count of 2000 and when labs resulted on 5/22/2021 patient was instructed to present to the emergency department where her count was repeated and was less than 2000 Coags on 5/22/2021 with INR 1.07, PTT 38.4 Positive fecal occult blood 5/23/2021 Platelet count increasing but still low, currently at 30000 as of 5/25/2021
CDC Split Type:

Write-up: Approximately 1 week prior to admission patient developed increased bruising and a few minor episodes of epistaxis. She also experienced 1 day of diarrhea which was followed by 4 days of significant fatigue with subsequent improvement. Labs performed by PCP 5/21/2021 showed platelet count of 2000 and when labs resulted on 5/22/2021 patient was instructed to present to the emergency department where her count was repeated and was less than 2000. Patient is receiving 4-day course of IV immune globulin 20 g and prednisone 1 mg/kg (60 mg) daily for 2-3 weeks Patient received 1 unit platelet transfusion in emergency department on 5/22/2021 COVID-19 vaccination could have precipitated relapse of ITP


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