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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1450280



Case Details

VAERS ID: 1450280 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-01
Onset:2021-06-01
   Days after vaccination:61
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH LOT: ER8733 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH LOT: EW0162 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Immunoglobulin therapy, Platelet count decreased, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: adapalene-benzoyl peroxide (EPIDUO) 0.1-2.5 % GlwP Apply 1 Pump topically nightly 45 g 11 ? albuterol (PROAIR HFA) 90 mcg/actuation inhaler Inhale 2 inhalations into the lungs every 4 (four) hours as needed for Wheezing or Shortness of Bre
Current Illness: none
Preexisting Conditions: Contraceptive use ? Asthma, exercise induced ? Allergic rhinitis ? Seborrheic dermatitis of scalp ? Acne vulgaris ? Gastroesophageal reflux disease with hiatal hernia ? Mild intermittent asthma without complication
Allergies: none
Diagnostic Lab Data: ER visit at Wake Med Hospitalization from 6/2/2021 - 6/4/2021 (2 days) HOSPITAL patient received IVIG/dex and prednisone
CDC Split Type:

Write-up: patient developed severe thrombocytopenia (platelet count =10K)


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