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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1371386



Case Details

VAERS ID: 1371386 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-04-24
Onset:2021-06-01
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Exposure during pregnancy, Oedema peripheral, Pain in extremity, Peripheral vein occlusion, Thrombosis, Ultrasound Doppler abnormal
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Tendinopathies and ligament disorders (broad)

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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal Vitamin daily
Current Illness: No others listed per H&P; excessive weight gain with this pregnancy.
Preexisting Conditions: None per H&P
Allergies: No known allergies
Diagnostic Lab Data: Doppler confirmed
CDC Split Type:

Write-up: 30yof, 36w pregnant, came to clinic on 6/1 with 2 week history of lower leg tenderness and edema. Doppler confirmed on 6/1 that patient had an acute proximal DVT in the left lower extremity, with occlusive thrombus within the distal femoral vein. She denies personal history of clot; this is her 2nd pregnancy; she notes no family history of clot; this pregnancy is complicated by excessive weight gain (current BMI 32.28 kg/m2). Pt received Pfizer COVID vaccine on 4/24/21.


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