VAERS ID: 1771652

AGE: 15| SEX: M|STATE: OH (United States)

Description

Patient had a pulmonary embolism and infarct to his right lung, pleural effusions bilaterally and right heart strain from the clot.

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Symptoms

Pleural effusion, Pulmonary embolism, Echocardiogram, Blood test, Pulmonary infarction, Angiogram, Muscle strain, Computerised tomogram abdomen

Vaccines

VAX DATE: 06-03-2021| ONSET DATE: 10-02-2021| DAYS TO ONSET: 121
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0169 IM LA

RECVDATE:10-08-2021
RPT_DATE:
CAGE_YR:15
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:2
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:He was admitted to the hospital 10/5-6. He had CT of the abdomen and pelvis, and a CTA. He had numerous blood tests, he had an echocardiogram.
V_ADMINBY:PVT
OTHER_MEDS:Klonopin 2mg qhs, Cogentin ER 2mg qhs, wellbutrin XL 300mg qd, risperidal 1.5 mg po bid, topamax 100mg bid, neurontin 300mg qd, lithium 450mg bid, metformin 500mg bid, xyzal 5mg qam, fish oil, melatonin, vitamin D, albuterol hfa 90 mcg 2 pu
CUR_ILL:
HISTORY:autism, ADHD, depression/anxiety, insulin resistance, allergies and asthma
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-08-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Amoxicillin/Penicillins
V_FUNDBY:

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