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

This is VAERS ID 1374518



Case Details

VAERS ID: 1374518 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-28
Onset:2021-06-01
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047C21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Adrenal mass, Alanine aminotransferase normal, Angiogram abnormal, Angiogram pulmonary, Arthralgia, Aspartate aminotransferase normal, Blood chloride increased, Blood glucose increased, C-reactive protein normal, Chest X-ray normal, Computerised tomogram abdomen, Computerised tomogram abdomen abnormal, Computerised tomogram pelvis abnormal, Computerised tomogram thorax, Fibrin D dimer increased, Haematocrit decreased, Haemoglobin decreased, Haemoperitoneum, Headache, Hepatic lesion, Hypotension, Laboratory test, Musculoskeletal chest pain, Nausea, Painful respiration, Red blood cell count decreased, Red blood cell sedimentation rate increased, SARS-CoV-2 test negative, Scan with contrast, Scan with contrast abnormal, Splenectomy, Splenic haemorrhage, Splenic rupture, Tachycardia, Toxicologic test abnormal, Transfusion, Troponin increased, Vomiting, White blood cell count increased
SMQs:, Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (narrow), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None noted
Current Illness: None noted
Preexisting Conditions: Hypertension
Allergies: Penicillin Ibuprofen Bactrim
Diagnostic Lab Data: Labs/Results:on admit: 6/2/2021 Covid neg, neg monospot , Tox positive for THC, Blood cultures pending. Glucose 140, ALT 8, Troponin HS 30/35 , CRP < 0.5, WBC 17.5, RBC 3.45, HGB 10.4, HCT 31.7, Sed rate 26 ,D-Dimber 477 6/3/2021 Chloride 109, AST 10, ALT 5, Troponin 13, WBC 23.6, RBC 2.33, HGB 7.1, HCT 21.6 Procedure _ blood transfusion 6/3/2021 - O positive-hemoglobin did drop again to 7.1, patient also became tachycardic with a heart rate in the 120s and slightly hypotensive in the 80s systolic, normal mentation, patient was given 2 units of blood, CT of the abdomen and chest are currently pending as well. Diagnostic studies: 6/2/2021-CXR- No acute cardiopulmonary disease is evident. - 6/2/2021-CTA chest and pelvis w/wo contrast . CT of pelvis w/contrast 1. Negative for pulmonary embolism. 2. Moderate to large amount of intraperitoneal hemorrhage. There is a low-density focus along the posterior margin of the spleen. While not excluded as a focus of laceration there is no provided history of trauma. Unfortunately, clearly seen on this exam. 3. Low-density lesion along the posterior inferior aspect of liver is favored for a hemangioma. 4. Nodule left adrenal gland is indeterminate. In the nonemergent outpatient setting, follow-up by means of adrenal gland mass protocol CT is recommended. 6/3/2021 -CTA abdomen and pelvis w/wo contrast Marked abnormal appearance of the spleen, suggesting at least a grade III type laceration, with intermittent recurrent bleeding from the spleen since the most recent exam.
CDC Split Type:

Write-up: Nausea, vomiting, headache, severe abdominal pain- intensity is 7, painful to breath, rib and shoulder pain. Referred to clinic Admitted 6/2/2021 Diagnosis: Ruptured spleen with massive hemoperitoneum Splenectomy performed


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