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Report #2899978

Received Jun 12, 2026

Life-threateningHospitalizedOffice visitDisabled
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
64 yrs
State
CA
Recovered
Not recovered
Vaccinated
Jun 1, 2021
Onset
Jun 1, 2021
Days to onset
0
Hospital days
5

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (UNKNOWN))UNKNOWN MANUFACTURER1—UN / RA

Symptoms (5)

Computerised tomogram abnormalDeep vein thrombosisDyspnoeaFibrin D dimer increasedPulmonary embolism

Symptom narrative

Within days, I started to get winded easily. I would get out of breath. Over a period of several months it would get worse. Eventually, as I would walk up a single flight of stairs, I was so winded I couldn't talk. On the morning of 10-26-21, I suffered from a DVT with a clot headed to my lungs. A Bi-lateral Pulmonary Embolism.

Current illness

Was finishing up my Immunotherapy for throat cancer.

Medical history

I am on Eliquis for blood clots

Other medications

Mulit vitamin, Flowmax, Proscar,

Allergies

sulfa

Lab data

elevated D-Dimer and a CT confirmed. at Hospital.