Report #2852540

Received Aug 4, 2025

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: 72 yrs
State: SC
Recovered: Unknown
Vaccinated: Oct 17, 2023
Onset: Dec 17, 2023
Days to onset: 61
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3031281	IM / LA

Symptoms (3)

Limb massPeripheral swellingThrombosis

Symptom narrative

Reported Symptoms: 10043607: THROMBOSIS; Narrative: 12/17/24 - Pt presented to ED with c/o right lower extremity swelling and pain since 5:30 pm today. Pt does have history of DVT/PE on Eliquis. No calf tenderness noted to extremity. Pt currently on Eliquis 2.5mg twice daily. Pt stated he felt a knot in his leg earlier today and began to have some swelling in the anterior medical region. ED provider noted some tenderness and swelling. Venous duplex ordered to rule out DVT. Imaging shows bilateral femoral clots (chronic) and SVT in left leg below the knee. Apixaban 10mg BID x 7d, then 5mg BID for at least 6 months was prescribed. 11/5/24 - Nurse documented Pt had DVT after each Covid vaccine. Other Relevant HX: PMH: Hypertension, peripheral neuropathy, PE, diabetes, anxiety, hyperlipidemia, depression, CVA Other: THROMBOSIS

Lab data

PHYSICAL EXAM; Current Vitals: T: 98.2 F [36.8C] (12/17/2023 21:31) P: 58 (12/17/2023 21:31) R: 16 (12/17/2023 21:31) BP: 147/78 (12/17/2023 21:31) Pain: 3 (12/17/2023 21:31) Height: 67.5 in [171.5 cm] (09/06/2023 10:31) Weight 173 lb [78.47 kg] (11/09/2023 10:36) BMI: 26.7 (11/09/23) Pulse Oximetry: 97% on room air