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Report #2874068

Received Nov 21, 2025

Life-threateningHospitalized
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
Female
Age
68 yrs
State
NY
Recovered
Not recovered
Vaccinated
Nov 3, 2025
Onset
Nov 17, 2025
Days to onset
14
Hospital days
2

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA68146751IM / LA

Symptoms (3)

Computerised tomogram thorax abnormalFibrin D dimer increasedPulmonary embolism

Symptom narrative

Pulmonary Embolus onset day 15 following vaccination administration. Hospital admission, heparin drip, oral anticoagulation at discharge.

Current illness

None

Medical history

None

Other medications

Metamucil, Vitamin D

Allergies

Penicillin

Lab data

Elevated D dimer. Abnormal CT chest with pulmonary embolus left lower lobe.