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Report #2830713

Received Mar 11, 2025

Hospitalized
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
Male
Age
16 yrs
State
MN
Recovered
Not recovered
Vaccinated
Apr 16, 2021
Onset
Feb 11, 2025
Days to onset
1397
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2ER8731—

Symptoms (2)

Deep vein thrombosisPeripheral artery thrombosis

Symptom narrative

blood clots in my popliteal vein and lower limbs; blood clots in my popliteal vein and lower limbs; This is a spontaneous report received from a Consumer or other non HCP. A 20-year-old male patient received BNT162b2 (BNT162B2), on 16Apr2021 as dose 2, single (Lot number: ER8731) at the age of 16 years for covid-19 immunisation. The patient had no relevant medical history. The patient's concomitant medications were not reported. Vaccination history included: BNT162b2 (DOSE 1, SINGLE; Lot number: Ep7534), administration date: 19Mar2021, when the patient was 16-year-old, for COVID-19 Immunization. The following information was reported: DEEP VEIN THROMBOSIS (hospitalization, medically significant), PERIPHERAL ARTERY THROMBOSIS (hospitalization) all with onset 11Feb2025, outcome "recovering" and all described as "blood clots in my popliteal vein and lower limbs". Therapeutic measures were taken as a result of deep vein thrombosis, peripheral artery thrombosis included Eliquis. Clinical course: 3 weeks ago, the patient was diagnosed with blood clots in his popliteal vein and lower limbs.

Medical history

Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None