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From the 7/16/2021 release of VAERS data:

This is VAERS ID 928339



Case Details

VAERS ID: 928339 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Colorado  
Vaccinated:2020-12-22
Onset:2020-12-24
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH4899 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Deep vein thrombosis, Ultrasound scan
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: oxycodone 5mg Q4h
Current Illness:
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data: U/S performed on 12/28/20, confirming diagnosis.
CDC Split Type:

Write-up: Developed a infrapopliteal DVT in the left leg two days after vaccine was received. I also had minor knee surgery on December 18, four days prior to receiving the vaccine. No risk factors/medical history for developing a DVT.


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