Report #2896912

Received May 18, 2026

Life-threateningHospitalizedER / ED visitOffice visitDisabled

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Overview

Sex: Male
Age: 25 yrs
State: NY
Recovered: Not recovered
Vaccinated: May 4, 2021
Onset: Apr 1, 2022
Days to onset: 332
Hospital days: 15

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (UNKNOWN))	UNKNOWN MANUFACTURER	1	201A21A	SYR / UN

Symptoms (7)

Catheterisation cardiacComputerised tomogram thoraxEndarterectomyPulmonary embolismPulmonary hypertensionStent placementThrombectomy

Symptom narrative

May 2022, hospitalized with bilateral pulmonary embolism treated with mechanical thrombectomy and stent. Complicated by chronic thromboembolic pulmonary hypertension requiring endarterectomy on 9/12/25.

Current illness

Torn Achilles Tendon

Allergies

NKDA

Lab data

May 2022, Hospital, CT pulmonary angiogram, Right heart catheterization 7/23/25.