Report #2860259

Received Sep 21, 2025

Life-threateningHospitalizedER / ED visit

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Overview

Sex: Female
Age: 50 yrs
State: MD
Recovered: Recovered
Vaccinated: Sep 21, 2021
Onset: Jul 1, 2023
Days to onset: 648
Hospital days: 5

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (JANSSEN))	JANSSEN	1	206A21A	IM / AR

Symptoms (4)

Computerised tomogramDeep vein thrombosisPulmonary embolismUltrasound scan

Symptom narrative

Pulmonary embolism , deep vein thrombosis, multiple clots in legs and lungs

Medical history

Hypothyroidism , anemia

Other medications

Levothyroxine

Allergies

Cipro

Lab data

CT scan, ultrasound