National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 946900

History of Changes from the VAERS Wayback Machine

First Appeared on 1/22/2021

VAERS ID: 946900
VAERS Form:2
Age:43.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-18
Onset:2021-01-03
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, Pain in extremity, Pelvic venous thrombosis, Thrombectomy, Thrombolysis, Ultrasound Doppler abnormal, Venogram, Peripheral swelling, Deep vein thrombosis, Computerised tomogram abdomen abnormal, Iliac vein occlusion, Scan with contrast abnormal, May-Thurner syndrome, Peripheral artery stent insertion, Computerised tomogram pelvis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     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.


Changed on 5/7/2021

VAERS ID: 946900 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-18
Onset:2021-01-03
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, Pain in extremity, Pelvic venous thrombosis, Thrombectomy, Thrombolysis, Ultrasound Doppler abnormal, Venogram, Peripheral swelling, Deep vein thrombosis, Computerised tomogram abdomen abnormal, Iliac vein occlusion, Scan with contrast abnormal, May-Thurner syndrome, Peripheral artery stent insertion, Computerised tomogram pelvis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Medication List As of 12/18/2020 ?9:22  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  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 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.


Changed on 5/14/2021

VAERS ID: 946900 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-18
Onset:2021-01-03
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, Pain in extremity, Pelvic venous thrombosis, Thrombectomy, Thrombolysis, Ultrasound Doppler abnormal, Venogram, Peripheral swelling, Deep vein thrombosis, Computerised tomogram abdomen abnormal, Iliac vein occlusion, Scan with contrast abnormal, May-Thurner syndrome, Peripheral artery stent insertion, Computerised tomogram pelvis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Medication List As of 12/18/2020  9:22 ?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 ?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 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.


Changed on 10/8/2021

VAERS ID: 946900 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-18
Onset:2021-01-03
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, Pain in extremity, Pelvic venous thrombosis, Thrombectomy, Thrombolysis, Ultrasound Doppler abnormal, Venogram, Peripheral swelling, Deep vein thrombosis, Computerised tomogram abdomen abnormal, Iliac vein occlusion, Scan with contrast abnormal, May-Thurner syndrome, Peripheral artery stent insertion, Computerised tomogram pelvis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Medication List As of 12/18/2020 ?9:22 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 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.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=946900&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


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