Report #2830447

Received Mar 10, 2025

Life-threateningHospitalizedDisabled

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Female
Age: 35 yrs
State: FL
Recovered: Recovered
Vaccinated: Jan 28, 2021
Onset: Mar 5, 2021
Days to onset: 36
Hospital days: 10

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	028L20A	IM / LA

Symptoms (3)

Deep vein thrombosisLaboratory testUltrasound Doppler abnormal

Symptom narrative

Acute deep vein thrombosis (DVT) of axillary vein of left upper extremity

Current illness

None

Medical history

Mild Asthma, Ezema

Other medications

clonazePAM, montelukast, phentermine, valACYclovir

Allergies

None

Lab data

Left upper ext. Ultrasound and labs