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VAERS Report 2095727

Case Report Section

Détails du rapport Vaer

Âge: 67 ans

Genre: Female

Région : Floride

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (MODERNA))

Type : Coronavirus 2019 vaccine

Fabricant: MODERNA

Lot: 012f21a


Date de réception du rapport
2022-02-08
Date à laquelle le formulaire est complèté
Date de vaccination
2021-10-27
Date d’apparition
14
Nombre de jours (date d’apparition – date de vaccination)
14
Description de l’événement indésirable

i had some stiffness in my left leg couple of weeks after receiving my booster shot; i kind of ignored it and noticed the leg started turning black from discoloration after a couple of days from noticing the stiffness. my husband took me to local hospital on 12/13/2021 where they performed ultrasound and blood work testing on me; i was there for 5 hours and wasn't discharged until 2am. the doctor informed me i had a severe blood clot in my left leg that damaged the veins and disrupted blood circulation. they prescribed me eliquis and pain medicine to tolerate sore pain. since then, i currently attend physical therapy twice a week to try to regain mobility in walking in my left leg

Données de laboratoire
ultrasound, blood work: 12/13/2021
Liste des symptômes
cardiovascular insufficiency musculoskeletal stiffness pain gait disturbance skin discolouration thrombosis mobility decreased blood test ultrasound doppler abnormal anticoagulant therapy venous injury
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Pharmacy or store
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na