National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1437575

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437575
VAERS Form:2
Age:51.0
Sex:Female
Location:D.C.
Vaccinated:2021-06-01
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Arteriovenous fistula, Cavernous sinus thrombosis, Cellulitis orbital, Jugular vein thrombosis, Platelet count normal, Anticoagulant therapy, Parophthalmia, Scan with contrast abnormal, White matter lesion, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Cognitive delay
Allergies: no known allergies
Diagnostic Lab Data: JUN 11 05:15 140 | H 109 | 12 / _____________________ 129 L 3.3 | 24 | 0.76 / JUN 11 09:08 / L 10.9 / H 17.1 ---------- 227 / L 32.4 / MRI brain/orbits: (06/10/2021 02:22 EDT MRI Brain wo w Contrast) IMPRESSION: 1. Inflammatory changes in the right orbit. 2. Consider thrombosis of the right cavernous sinus and enlargement of the superior ophthalmic vein or a carotid cavernous fistula on the right with enlargement of the superior ophthalmic vein. 3. Atrophy and chronic white matter changes. [1] (06/10/2021 02:22 EDT MRI Brain wo w Contrast) IMPRESSION: Question thrombosis left sigmoid sinus and internal jugular bulb. [2]
CDC 'Split Type':

Write-up: Patient had orbital cellulitis and cavernous venous sinus thrombosis accompanied by IJ thromboses. She has significant cognitive delay and was not able to give much details; she lives in a group home so I was told that she had 2nd Moderna vaccine on 6/1, but I was unable to confirm. Her platelets were normal and she improved despite treatment with heparin.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437575&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166