Adverse Event Reporting
| VAERS ID | 959017 |
|---|---|
| Gender | Female |
| Age | 41 |
| StateCode | VT |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EK9231 |
| Number of vaccinations | 2 |
| Vaccinated | 2021-01-08 |
| Onset | 2021-01-15 |
| Condition | Hospitalized Life Threatening Permanent Disability Recovered |
Symptoms
- Chest pain
- Rash
- Chest X-ray abnormal
- Platelet count decreased
- Immune thrombocytopenia
- Immunoglobulin therapy
- Purpura
- Pulmonary hilar enlargement
Current Illness
none known.
Preexisting Conditions
lower extremity neuropathy
Other Medications
melatonin 3mg daily, magnesium 500mg daily, gabapentin 300mg BID
Previous Vaccinations
Allergies
meperidine = hives/dyspnea
Laboratory Data
Upon arrival to ED on 1/15 patient had CXR and blood work ordered.
CXR showed hilar prominence and thickening paratracheal strip - recommended to get chest CT.
Labwork revealed extremely low level of platelets, 11,000.
Discussed with hematology who concurred it was probably ITP.
Advised to admit patient, start prednisone 1 mg/kg/day and IVIG 1 g/kg/day x 2 days.
On 1/16 platelets increased to 42,000 and on 1/17 they were 104,000.
Patient responded well to treatment and was discharged on 1/17.
At discharge plan for a slow taper of prednisosone over 4-6 weeks, weekly CBC's and PCP prophylaxis with Bactrim.
She was advised to f/u with PCP in 1 week and should consider getting lung lesion biopsy when platelet count allows.
Write-up
Patient got her 2nd dose of Pfizer covid vaccine on 1/8.
On 1/11 she had intermittent chest pain that lasted a few days and started to notice small purpura rash on left breast.
She didn't think much of it but noticed the same type of rash on her pant line and then right thigh.
On 1/15 she called Occupational Health who advised her to go straight to the ED.