Report #2848525

Received Jul 5, 2025

Office visit

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: 54 yrs
State: FL
Recovered: Not recovered
Vaccinated: Jun 3, 2021
Onset: Sep 1, 2021
Days to onset: 90
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	—	—

Symptoms (3)

Pain in extremitySuperficial vein thrombosisUltrasound Doppler abnormal

Symptom narrative

Blood clots formed in superficial veins in right leg. They dissipated after 5 weeks with no treatment. Blood clots returned on 7/4/2025 in right leg. Moderate pain is being observed by the patient.

Current illness

None

Medical history

High blood pressure, seasonal allergies

Other medications

Valsartan, multivitamin

Allergies

Metroprolol, Lisinopril

Lab data

Ultrasound imagery was performed on September 2021 and found clots to be in superficial veins.