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Report #2832069

Received Mar 19, 2025

HospitalizedER / ED visitDisabled
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
31 yrs
State
TN
Recovered
Recovered
Vaccinated
Mar 19, 2021
Onset
Oct 6, 2023
Days to onset
931
Hospital days
4

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2EN6200IM / RA

Symptoms (9)

Cancer screeningCoagulation testComputerised tomogramDeep vein thrombosisPulmonary embolismScan with contrastThrombectomyUltrasound scanX-ray

Symptom narrative

Deep Vein Thrombosis (DVT) in lower left leg; requiring emergency thrombectomy & hospitalization (6 October 2023); Subsequent pulmonary embolism (roughly 3-4 weeks later) requiring life-long course of anticoagulant medication.

Current illness

None

Medical history

Only emotional conditions at time of COVID19 vaccine administration; other conditions have developed since.

Other medications

Zoloft, Alprazolam, and Clonidine, to the best of my memory.

Allergies

Zofran

Lab data

Ultrasounds, CT scans (with contrast); clotting disorder & blood cancer screenings, X-rays over the course of time since onset. Too many to list all dates.