| Days after vaccination:||29
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA
||- / 1
||- / IM
Administered by: Private Purchased by: ?
Symptoms: Angiogram pulmonary abnormal,
Catheter directed thrombolysis,
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Life Threatening? Yes
Birth Defect? No
Permanent Disability? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
Extended hospital stay? No
Other Medications: Levemir, novolog
Preexisting Conditions: Diabetes
Diagnostic Lab Data: CTA chest for PE. EKOS for large burden of pulmonary emboli.
CDC Split Type:
Write-up: Patient presented to our facility complaining of shortness of breath. A CTA of the chest revealed bilateral pulmonary emboli.