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This is VAERS ID 933935

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 933935
VAERS Form:2
Age:43.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-01-02
Onset:2021-01-10
Submitted:0000-00-00
Entered:2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Haemoglobin normal, Platelet count decreased, Thrombocytopenia, White blood cell count normal, Immune thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Omeprazole
Current Illness: None
Preexisting Conditions: GERD
Allergies: NKDA
Diagnostic Lab Data: CBC showed platelet count of 2,000. WBC and Hgb normal
CDC 'Split Type':

Write-up: Sever thrombocytopenia (platelet count 2,000) 8 days following Moderna COVID vaccine. Clinically suspicious for ITP.


Changed on 5/7/2021

VAERS ID: 933935 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-01-02
Onset:2021-01-10
Submitted:0000-00-00
Entered:2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Haemoglobin normal, Platelet count decreased, Thrombocytopenia, White blood cell count normal, Immune thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Omeprazole
Current Illness: None
Preexisting Conditions: GERD
Allergies: NKDA NKDA
Diagnostic Lab Data: CBC showed platelet count of 2,000. WBC and Hgb normal
CDC 'Split Type':

Write-up: Sever thrombocytopenia (platelet count 2,000) 8 days following Moderna COVID vaccine. Clinically suspicious for ITP.


Changed on 5/14/2021

VAERS ID: 933935 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-01-02
Onset:2021-01-10
Submitted:0000-00-00
Entered:2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Haemoglobin normal, Platelet count decreased, Thrombocytopenia, White blood cell count normal, Immune thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Omeprazole
Current Illness: None
Preexisting Conditions: GERD
Allergies: NKDA NKDA
Diagnostic Lab Data: CBC showed platelet count of 2,000. WBC and Hgb normal
CDC 'Split Type':

Write-up: Sever thrombocytopenia (platelet count 2,000) 8 days following Moderna COVID vaccine. Clinically suspicious for ITP.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=933935&WAYBACKHISTORY=ON

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