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This is VAERS ID 1361035

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1361035
VAERS Form:2
Age:71.0
Sex:Female
Location:New York
Vaccinated:2021-03-16
Onset:2021-03-19
Submitted:0000-00-00
Entered:2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6199 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Carcinoembryonic antigen increased, Catheterisation cardiac, Death, Dyspnoea exertional, Microangiopathic haemolytic anaemia, Pulmonary hypertension, Vasodilatation, Echocardiogram abnormal, ADAMTS13 activity normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-29
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MVT
Current Illness: anxiety, h/o limited stage colon CA s/p resection 2016
Preexisting Conditions: none
Allergies: PCN
Diagnostic Lab Data: multiple Right heart cath and echo trial of PLEX ADAMTS level wnl multiple echo CEA very elevated 221
CDC 'Split Type':

Write-up: 3 days post vaccine, patient developed progressive DOE. Ultimately dx with microagiopathic hemolytic anemia and severe pulmonary HTN thought to be pre- and post capillary. TTP ruled out with normal ADAMTS 13, attempted IV vasodilation but ultimately died.

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