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From the 10/15/2021 release of VAERS data:

This is VAERS ID 946900



Case Details

VAERS ID: 946900 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2020-12-18
Onset:2021-01-03
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angioplasty, Computerised tomogram abdomen abnormal, Computerised tomogram pelvis abnormal, Deep vein thrombosis, Iliac vein occlusion, May-Thurner syndrome, Pain in extremity, Pelvic venous thrombosis, Peripheral artery stent insertion, Peripheral swelling, Scan with contrast abnormal, Thrombectomy, Thrombolysis, Ultrasound Doppler abnormal, Venogram
SMQs:, Cardiac failure (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Medication List As of 12/18/2020 9:22 AM Amoxicillin-Pot Clavulanate 875-125 mg 1 tablet Oral Every 12 hours scheduled Ergocalciferol 50,000 Units Oral Weekly Patient not taking: Reported on 7/23/2020 Liraglutide -Weight Management 3
Current Illness: increasing sinus pressure postnasal drainage sore throat 99 temp congestion
Preexisting Conditions: Problem List As of 12/18/2020 9:10 AM Class II obesity Dysmetabolic syndrome X Facial rhytids Family history of uterine cancer Lipoprotein deficiency Low serum HDL Vitamin D insufficiency Prediabetes
Allergies: nka
Diagnostic Lab Data: 1/4/21 CT ABDOMEN AND PELVIS WITH IV CONTRAST VESSELS: There is enlargement and complete thrombosis of the left common, internal and external iliac veins, with adjacent fat stranding noted. There is thrombus in the visualized left femoral vein. No thrombus appreciated in the right-sided iliac veins or inferior vena cava. Normal abdominal aorta. IMPRESSION: Extensive occlusive thrombus in the left common, internal and external iliac veins. VAS lower limb venous duplex study, complete bilateral RIGHT LOWER LIMB: No gross evidence of acute or chronic deep vein thrombosis. No evidence of superficial thrombophlebitis noted. Doppler evaluation shows a normal response to augmentation maneuvers. Popliteal, posterior tibial and anterior tibial arterial Doppler waveforms are triphasic. LEFT LOWER LIMB: Slow flow versus acute deep vein thrombosis is noted in the common femoral vein, saphenofemoral junction, and proximal femoral vein. No evidence of superficial thrombophlebitis noted. Doppler evaluation shows a normal response to augmentation maneuvers. Popliteal, posterior tibial and anterior tibial arterial Doppler waveforms are triphasic/biphasic. 1/5/21 LEFT LOWER EXTREMITY AND PELVIC VENOGRAM. MECHANICAL THROMBECTOMY, ANGIOPLASTY, AND STENT IMPRESSION: Impression: Successful mechanical thrombectomy of the iliofemoral thrombus demonstrating a May Thurner syndrome treated with a 16 mm stent and angioplasty
CDC Split Type:

Write-up: Hospital Course: Patient is a 43 y.o. female patient who originally presented to the hospital on 1/3/2021 due to Left lower extremity pain and swelling. Patient found to have extensive DVT of left lower extremity and started on heparin drip. Vascular was consulted and recommended thrombolysis. Patient was also seen by IR who took patient for thrombectomy and left iliac stent placement on 01/05/2021. Patient tolerated procedure well. Patient was transitioned from heparin drip to Eliquis upon discharge. Patient given vascular follow-up as well as Hematology follow-up.


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