National Vaccine
Information Center

Your Health. Your Family. Your Choice.
Search Results

From the 5/7/2021 release of VAERS data (an older release, current is 1/14/2022):

This is VAERS ID 985480

Government Disclaimer on use of this data

Case Details

VAERS ID: 985480 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Unknown  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Catheterisation venous, Embolism, Infection, Mucosal inflammation, Neutropenia, Oropharyngeal pain
SMQs:, Agranulocytosis (broad), Haematopoietic leukopenia (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: hyperlipidemia, uterine leiomyosarcoma with metastasis to the right lung
Preexisting Conditions: hypertension, diabetes mellitus type 2
Diagnostic Lab Data:
CDC Split Type:

Write-up: after second dose of vaccine, patient had Internal jugular (IJ) vein thromboembolism, acute, right; Mucositis; Sore throat. Admitted for Chemotherapy-induced neutropenia; Infection of venous access port. Discharged after one day.

New Search

Link To This Search Result:

Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166