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This is VAERS ID 1371386

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371386
VAERS Form:2
Age:30.0
Sex:Female
Location:Ohio
Vaccinated:2021-04-24
Onset:2021-06-01
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: Oedema peripheral, Pain in extremity, Thrombosis, Ultrasound Doppler abnormal, Deep vein thrombosis, Exposure during pregnancy, Peripheral vein occlusion

Life Threatening? Yes
Birth Defect? No
Died? No
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? Yes, days: 2     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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