Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Alanine aminotransferase normal, Albumin globulin ratio, Albumin urine, Anion gap
Clinical narrative: blood clots; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 68-year-old female patient received bnt162b2 (BNT162B2), on 21May2021 at 09:20 as dose 2, single (Lot number: EW0153) at the age of 66 years for covid-19 immunisation. The patient's relevant medical history included: "Spinal Infusion", start date: 24Jun2004 (ongoing); "Removal hardware", start date: 26Sep2008 (ongoing), notes: Became Allergic to almost everything; "Food allergy test: Almond, Beef, Chocolate, Cinnamon, Clam, Corn, crab, egg white, egg yolk, Peanut, pecan, Scallops, Shrimp" (unspecified if ongoing); "sulfa" (unspecified if ongoing); "Food allergy test: penicillin and derv" (unspecified if ongoing); "latex (Unknown)" (unspecified if ongoing); "Cardiovascular" (unspecified if ongoing), notes: Durgesic Patches - Cardiovascular; "Itching" (unspecified if ongoing), notes: Durgesic Patches - itching; "Sulfur" (unspecified if ongoing); "Histamine allergy" (unspecified if ongoing); "Hives" (unspecified if ongoing), notes: Sulfur - Cardiovascular & Hives; "nausea" (unspecified if ongoing), notes: Durgesic Patches - nausea; "Food allergy test: balsam Peru compounding powder/Balsam of Peru - Medicated lozenges, hand sanitizers, Parabens, Petroleum Jelly" (unspecified if ongoing), notes: balsam Peru compounding powder/Balsam of Peru; "Food Allergies & Chemical Sensitivities : Balsam of Peru - Medicated lozenges, hand sanitizers, Parabens, Petroleum Jelly" (unspecified if ongoing), notes: Balsam of Peru - Medicated lozenges, hand sanitizers, Parabens, Petroleum Jelly; "Food Allergies & Chemical Sensitivities : Balsam of Peru - Medicated lozenges, hand sanitizers, Parabens, Petroleum Jelly" (unspecified if ongoing), notes: Balsam of Peru - Medicated lozenges, hand sanitizers, Parabens, Petroleum Jelly; "Food Allergies & Chemical Sensitivities : Dental Medicament - Cement, Sun Flex Partial, Amalagams Filling" (unspecified if ongoing), notes: Cement, Sun Flex Partial, Amalagams Filling; "Food Allergies & Chemical Sensitivities : Denntal Medicament - Cement" (unspecified if ongoing), notes: Cement, Sun Flex Partial, Amalagams Filling; "Food Allergies & Chemical Sensitivities: Dental Medicament - Amalagams Filling" (unspecified if ongoing), notes: Cement, Sun Flex Partial, Amalagams Filling; "Food Allergies & Chemical Sensitivities : Dental Medicament - Sun Flex Partial" (unspecified if ongoing), notes: Cement, Sun Flex Partial, Amalagams Filling; "Food Allergies & Chemical Sensitivities : Latex, Velcro, Rubber Foam Chairs, Adhesive - Causes Heart Palpitation, and Burns Skin" (unspecified if ongoing), notes: Food Allergies & Chemical Sensitivities; "Food Allergies & Chemical Sensitivities : Latex, Velcro, Rubber Foam Chairs, Adhesive - Causes Heart Palpitation, and Burns Skin" (unspecified if ongoing), notes: Food Allergies & Chemical Sensitivities: Causes Heart Palpitation.; "Food Allergies & Chemical Sensitivities : Latex, Velcro, Rubber Foam Chairs, Adhesive - Causes Heart Palpitation, and Burns Skin" (unspecified if ongoing), notes: Latex, Velcro, Adhesive - Causes Heart Palpitation, and Burns Skin; "Food Allergies & Chemical Sensitivities : Rubber Foam Chairs" (unspecified if ongoing), notes: Rubber Foam Chairs; "Food Allergies & Chemical Sensitivities : Adhesive" (unspecified if ongoing), notes: Adhesive; "Food allergy test: Almond, pecan" (unspecified if ongoing); "Food allergy test: egg white, egg yolk" (unspecified if ongoing), notes: egg white, egg yolk; "Food allergy test: Peanut" (unspecified if ongoing); "Food allergy test: Shrimp" (unspecified if ongoing); "Food allergy test: Beef" (unspecified if ongoing); "Food Allergies & Chemical Sensitivities : Food coloring" (unspecified if ongoing), notes: Food coloring; "Illness/AE: Immune system Allergies", start date: 30Apr2021 (ongoing), notes: Did not have allergies before the Titanium surgery. The patient's family history included: "Food allergy test: Latex" (unspecified if ongoing), notes: Latex Allergies. There were no concomitant medications. Past drug history included: Histamin, reaction(s): "Food allergy test: Histamine"; Phenytoin, reaction(s): "Food allergy test:Phenytoin"; Cyclobenzaprine, reaction(s): "Food allergy test:cyclobenzaprine"; Codeine, reaction(s): "Food allergy test:codeine"; Oxycodone, reaction(s): "Food allergy test:oxycodone"; Hydrocodone, reaction(s): "Food allergy test:hydrocodone"; Iodine, reaction(s): "Cardiovascular"; Clarithromycin, reaction(s): "Food allergy test:clarithromycin"; Doxycycline, reaction(s): "Cardiovascular"; Codeine, reaction(s): "Cardiovascular"; Codeine, reaction(s): "insomnia"; Clarithromycin, reaction(s): "Food allergy test: clarithromycin"; Doxycycline, reaction(s): "Food allergy test: Doxycycline"; Fentanyl, reaction(s): "Food allergy test: fentanyl"; Triamcinolone, reaction(s): "Food allergy test:triamcinolone"; Ampicillin, reaction(s): "Food allergy test:ampicillin"; Tramadol, reaction(s): "Food allergy test:tramadol"; Procaine, reaction(s): "Food allergy test:procaine"; Levothyroxine, reaction(s): "Food allergy test:levothyroxine"; Coumadin, reaction(s): "Food allergy test:Coumadin"; Nickel, reaction(s): "Food allergy test: nickel"; Prednisone, reaction(s): "Food allergy test:prednisone"; Decadron, reaction(s): "Food allergy test:Decadron"; Petroleum jelly nasacort, reaction(s): "Food allergy test:Petroleum Jelly Nasacort"; Xyzal, reaction(s): "Food allergy test:Xyzal"; Petroleum jelly, reaction(s): "Food allergy test:Petroleum Jelly"; Budesonide hydrocortisone, reaction(s): "Food allergy test:budesonide hydrocortisone"; Rhinocort, reaction(s): "Food allergy test:Rhinocort"; Valium, reaction(s): "Food allergy test:Valium"; Avelox, reaction(s): "Food allergy test: Avelox"; Avelox, reaction(s): "Migraine"; Avelox, reaction(s): "insomnia"; Avinza, reaction(s): "Food allergy test:Avinza"; Avinza, reaction(s): "Night sweats"; Avinza, reaction(s): "Fever"; Avinza, reaction(s): "Insomnia"; Avinza, reaction(s): "chills"; Avinza, reaction(s): "irritability"; Avinza, reaction(s): "body pain"; Bethanechol, reaction(s): "Food allergy test:bethanechol"; Bethanechol, reaction(s): "Cardiovascular"; Bethanechol, reaction(s): "itching"; Biaxin, reaction(s): "Food allergy test:Biaxin"; Biaxin, reaction(s): "Cardiovascular"; Buspar, reaction(s): "Food allergy test:Buspar"; Dilantin, reaction(s): "Food allergy test:Dilantin"; Dilantin, reaction(s): "Nausea"; Duragesic, reaction(s): "Food allergy test:Duragesic"; Lovenox, reaction(s): "Food allergy test:Lovenox"; Lovenox, reaction(s): "Chest pain"; Lovenox, reaction(s): "Joint ache"; Lovenox, reaction(s): "Migraine"; Flexeril, reaction(s): "rash"; Flexeril, reaction(s): "Food allergy test:Flexeril"; Hydroxyzjne, reaction(s): "Food allergy test:hydroxyzjne"; Hydroxyzine, reaction(s): "Diarrhea"; Hydroxyzine, reaction(s): "Insomria"; Hyoscyamine, reaction(s): "Food allergy test:hyoscyamine"; Lyrica, reaction(s): "Food allergy test:Lyrica"; Lyrica, reaction(s): "Rash"; Lyrica, reaction(s): "Face rash"; Lyrica, reaction(s): "Diarrhea"; Methylprednisolone, reaction(s): "Food allergy test:Methylprednisolone"; Methylprednisolone, reaction(s): "Cardiovascular"; Methylprednisolone, reaction(s): "insomnia"; Gabapentin, reaction(s): "Food allergy test:gabapentin"; Novocain, reaction(s): "Food allergy test:Novocain"; Novocain, reaction(s): "Insomnia"; Paxil, reaction(s): "Food allergy test: paxil"; Paxil, reaction(s): "body rash"; Skelaxin, reaction(s): "Food allergy test:Skelaxin"; Skelaxin, reaction(s): "Facial Rash"; Triazolam, reaction(s): "Food allergy test:Triazolam"; Triazolam, reaction(s): "Itching"; Halcion, reaction(s): "Food allergy test:Halcion"; Halcion, reaction(s): "Itching"; Ampicillin, reaction(s): "Cardiovascular"; Ampicillin, reaction(s): "Itching"; Buspirone, reaction(s): "Facial rash"; Buspirone, reaction(s): "insomnia"; Coumadin, reaction(s): "Cardiovascular"; Coumadin, reaction(s): "nausea"; Coumadin, reaction(s): "leg swelling"; Coumadin, reaction(s): "migraine"; Coumadin, reaction(s): "body ache"; Coumadin, reaction(s): "pain"; Coumadin, reaction(s): "and unable to sleep due to severe leg pain"; Coumadin, reaction(s): "burning"; Detrol, reaction(s): "Itching"; Enoxaprin, reaction(s): "Swelling in legs"; Enoxaprin, reaction(s): "migraine"; Enoxaprin, reaction(s): "joint pain"; Enoxaprin, reaction(s): "tightening in the chest"; Enoxaprin, reaction(s): "fatigueless"; Enoxaprin, reaction(s): "skin rash"; Flexril, reaction(s): "Body Rash"; Hydrocodone, reaction(s): "Cardiovascular"; Hysocyamine, reaction(s): "Cardiovascular"; Hysocyamine, reaction(s): "nausea"; Levinsex, reaction(s): "Cardiovascular"; Levinsex, reaction(s): "Nausea"; Lorcet, reaction(s): "Cardiovascular"; Lorcet, reaction(s): "Rash"; Lortab, reaction(s): "Cardiovascular"; Lortab, reaction(s): "rash"; Percocet, reaction(s): "Cardiovascular"; Percocet, reaction(s): "rash"; Morphine, reaction(s): "insomnia"; Morphine, reaction(s): "irritabilit"; Morphine, reaction(s): "body pain"; Nasacort, reaction(s): "Irritates the nose"; Neurontin, reaction(s): "Insomnia"; Neurontin, reaction(s): "Clinching of the teeth"; Synthroid, reaction(s): "Cardiovascular"; Trazodone, reaction(s): "Insomnia"; Ultram for Cardiovascular; Valium, reaction(s): "Insomnia"; Valium, reaction(s): "Irritability"; Warfarin, reaction(s): "Tightness in the chest"; Warfarin, reaction(s): "Leg pain"; Warfarin, reaction(s): "Migraine"; Warfarin, reaction(s): "Teeth ache"; Warfarin, reaction(s): "Body Ache"; Warfarin, reaction(s): "Swelling in the leg"; Warfarin, reaction(s): "Muscle  Weakness"; Warfarin, reaction(s): "Vein Bruise on the Legs"; Xyzal; Iodine derivatives, reaction(s): "Food allergy test: iodine derivatives"; Titanium, reaction(s): "swelling"; Titanium, reaction(s): "burning around the hip areas"; Titanium, reaction(s): "sinus condition"; Titanium, reaction(s): "back pain"; Tixocortol, reaction(s): "Food Allergies & Chemical Sensitivities : Tixocorol - Creams, Lotions, Ointments, Powders, and Fragrances with smells"; Titanium, reaction(s): "Food Allergies & Chemical Sensitivities : Titanium - Causes swelling and burning around the hip areas, sinus condition. and back pain.". Vaccination history included: covid-19 vaccine (Dose: 01 Time: 09.20, Batch/Lot number: ER8737.), administration date: 30Apr2021, when the patient was 66-year-old, for Covid-19 Immunization. The following information was reported: THROMBOSIS (medically significant), outcome "unknown", described as "blood clots". The patient underwent the following laboratory tests and procedures: Alanine aminotransferase increased (6-29): (03Jan2022) 24, notes: Units: U/L; (03Jan2022) 16, notes: U/L; Alanine aminotransferase normal (7-52): (30Mar2021) 21, notes: U/L; (03Jan2022) 2.0, notes: (calc); Albumin globulin ratio (1.0-2.8): (30Mar2021) 1.8, notes: calc; Albumin globulin ratio (1.0-2.5): (03Jan2022) 1.8, notes: (calc); (25Jul2022) 2.0, notes: (calc); Albumin urine (20-275): (03Jan2022) 97 mg/dl; (25Jul2022) 127 mg/dl; Albumin urine: (03Jan2022) 0.3 mg/dl; (25Jul2022) Less than 0.2; Anion gap: (30Mar2021) 9.4, notes: Units: mg/dL: CALC; Antibody test: (25Jul2022) 2/2; Aspartate aminotransferase (10-35): (03Jan2022) 18, notes: U/L; (25Jul2022) 20, notes: U/L; Aspartate aminotransferase (13-39): (30Mar2021) 20, notes: U/L; Bacterial test: (25Jul2022) None Seen; Basophil count (0-200): (03Jan2022) 10; Basophil count (0-200): (03Jan2022) 10 cells/uL; (25Jul2022) 21 cells/uL; Basophil count (0.0-0.2): (30Mar2021) 0.0, notes: Units: K/uL; Basophil count: (30Mar2021) 0.5 %; (03Jan2022) 0.3 %; (25Jul2022) 0.8 %; Bilirubin urine: (03Jan2022) Negative; (25Jul2022) Negative; Blood albumin (3.5-5.7): (03Jan2022) 4.2 g/dl; Blood albumin (3.6-5.1): (03Jan2022) 3.9 g/mL; (25Jul2022) 4.1 g/mL; Blood alkaline phosphatase (37-153): (30Mar2021) 76, notes: U/L; (25Jul2022) 70, notes: U/L; Blood alkaline phosphatase (20-128): (03Jan2022) 79, notes: U/L; Blood bilirubin (0.2-1.2): (03Jan2022) 1.0 mg/dl; Blood bilirubin (0.30-1.00): (30Mar2021) 0.78 mg/dl; (03Jan2022) 0.7 mg/dl; (25Jul2022) 1.0 mg/dl; Blood calcium (8.6-10.4): (30Mar2021) 8.6 mg/dl; (25Jul2022) 9.0 mg/dl; Blood calcium (8.8-10.6): (30Mar2021) 9.3 mg/dl; Blood chloride (98-110): (30Mar2021) 108 mmol/L; (25Jul2022) 107 mmol/L; Blood chloride (100-115): (03Jan2022) 107 mmol/L; Blood cholesterol (20-180): (30Mar2021) 166 mg/dl; Blood cholesterol: (25Jul2022) 172 mg/dl, notes: Less than 200 mg/dL; Blood creatinine (0.50-0.99): (03Jan2022) 0.81 mg/dl; Blood creatinine (0.50-1.05): (25Jul2022) 0.87 mg/dl; Blood creatinine (0.6-1.3): (30Mar2021) 0.9 mg/dl; Blood folate abnormal: (25Jul2022) 14.2 ng/ml; Blood glucose (97.0-140.0): (30Mar2021) 105.4 mg/dl; Blood glucose: (30Mar2021) Negative; Blood glucose (70-100): (30Mar2021) 94 mg/dl; Blood glucose (65-99): (03Jan2022) 84 mg/dl; (25Jul2022) 77 mg/dl; Blood iron (45-160): (25Jul2022) 76; Blood ketone body: (03Jan2022) Negative; (25Jul2022) Negative; Blood potassium (3.5-5.3): (15Jul2021) 4.1 mmol/L; (25Jul2022) 3.9 mmol/L; Blood potassium (3.5-5.5): (15Jul2021) 4.1 mmol/L; Blood sodium (135-145): (30Mar2021) 145 mmol/L; Blood sodium (135-146): (03Jan2022) 140 mmol/L; (25Jul2022) 142 mmol/L; Blood thyroid stimulating hormone (0.40-4.50): (25Jul2022) 3.16 MiU/L; Blood thyroid stimulating hormone (0.2700-4.2000): (30Mar2021) 1.8600 uiU/mL; Blood triglycerides (30-150): (30Mar2021) 66 mg/dl; (03Jan2022) 83 mg/dl, notes: Less than 150 mg/dL; (25Jul2022) 56 mg/dl, notes: Less than 150; Blood urea (7-25): (30Mar2021) 15 mg/dl; (03Jan2022) 17 mg/dl; Blood urea increased (7-25): (03Jan2022) 15 mg/dl; Blood urea nitrogen/creatinine ratio (6-22): (30Mar2021) 17.44, notes: Units: CALC; (03Jan2022) Not Applicable; (03Jan2022) Not applicable, notes: Not Applicable 6-22 (calc); Blood uric acid (2.5-7.0): (30Mar2021) 3.9 mg/dl, notes: Therapeutic target for gout patient : <6.0 mg/dl; Carbon dioxide (21-33): (30Mar2021) 29 mmol/L; Carbon dioxide (20-32): (03Jan2022) 28 mmol/L; (25Jul2022) 29 mmol/L; C-reactive protein: (30Mar2021) 1.2 mg/l, notes: Less than 8.0; Creatinine urine (20-275): (03Jan2022) 127 mg/dl; Eosinophil count (15-500): (03Jan2022) 99; (11Jan2023) 88; Eosinophil count (15-500): (03Jan2022) 88 cells/uL; Eosinophil count (0.1-1.0): (30Mar2021) 0.0, notes: Units: Ku/L; Eosinophil count: (30Mar2021) 1.2 %; (03Jan2022) 3.1 %; (25Jul2022) 3.4 %; Globulin (1.9-3.7): (03Jan2022) 2.2 g/dl; (25Jul2022) 2.1 g/dl; (04Jun2023) 2.1 g/dl; Globulin (1.3-4.0): (30Mar2021) 2.4 g/dl; Glomerular filtration rate: (30Mar2021) 85, notes: Ref range: greater than 60 ml/min/1.73 m2; (30Mar2021) 70, notes: Ref range: greater than 60 ml/min/1.73 m2; (03Jan2022) 76, notes: Ref range: Greater than or = 60 ml/min/ 1.73m2; (25Jul2022) 73, notes: Ref range: Greater than or = 60 ml/min/ 1.73m2; (04Jun2023) 88, notes: Ref range: Greater than or = 60 ml/min/ 1.73m2; Glucose urine: (03Jan2022) Negative; Glycosylated haemoglobin increased: (30Mar2021) 5.3, notes: Less than 5.7% of total Hgb; Glycosylated haemoglobin increased (4.3-5.6): (03Jan2022) 5.3 %; Haematocrit (35.0-45.0): (30Mar2021) 41.50 %; (03Jan2022) 38.0 %; (25Jul2022) 38.8 %; Haemoglobin (11.7-15.5): (25Jul2022) 12.8 g/dl; Haemoglobin (12.0-15.0): (unspecified date) 12.9 g/dl; (30Mar2021) 13.6 g/dl; High density lipoprotein (23-92): (30Mar2021) 59 mg/dl; (25Jul2022) 61 mg/dl, notes: Greater than OR= 50 mg/dL; Albumin Creatinin Ratio: (03Jan2022) 3, notes: Less than 30; (30Mar2021) Negative, notes: Ref range: Negative; (25Jul2022) clear, notes: Reference Range: Clear; (30Mar2021) 3, notes: Less than 3.5 optimal; (03Jan2022) 3.1, notes: Reference range: less than 5.0 (Calc); (25Jul2022) 2.8, notes: less than 5.0; (25Jul2022) None seen, notes: Reference Range: None seen/HPF Lab: # Final; (25Jul2022) 1+, notes: Reference Range: negative; Saturation (16-45): (25Jul2022) 25 %; (25Jul2022) 10-20, notes: Less than Or=5 /HPF; (03Jan2022) Normal to mildly increased, notes: Result: Less than 30 Moderately increased Result: 30-299 Severely increased. Result: Greater than Or =300; Iron binding capacity total (250-450): (25Jul2022) 302; LDL/HDL ratio: (03Jan2022) 1.8; (25Jul2022) 1.6; Low density lipoprotein: (25Jul2022) 97 mg/dl; (08May2023) 103H, notes: Reference Range: <100; (30Mar2021) 94 mg/dl; (unspecified date) 113 mg/dl, notes: Reference range: Less than 100 mg/dl (calc); (03Jan2022) 103 H, notes: Reference range: Less than 100 mg/dl (calc); Lymphocyte count (850-3900): (03Jan2022) 1834; (25Jul2022) 1453; Lymphocyte count (0.8-4.0): (30Mar2021) 46.1 %; (30Mar2021) 1.5 %; (03Jan2022) 57.3 %; (25Jul2022) 55.9 %; Mean cell haemoglobin (27.0-33.0): (30Mar2021) 30.4 pg; (03Jan2022) 30.3 pg; (25Jul2022) 30.8 pg; Mean cell haemoglobin concentration (32.0-36.0): (30Mar2021) 32.7 g/dl; (03Jan2022) 33.2 g/dl; (25Jul2022) 33.7 g/dl; Mean cell volume (80.0-100.0): (03Jan2022) 91.1; (25Jul2022) 91.6; Mean cell volume (80.0-99.0): (30Mar2021) 92.7; Mean platelet volume (7.4-10.4): (30Mar2021) 8.8; Mean platelet volume (7.5-12.5): (03Jan2022) 10.5; (25Jul2022) 10.5; Monocyte count (200-950): (03Jan2022) 339 cells/uL; (25Jul2022) 299 cells/uL; Monocyte count (0.1-1.0): (30Mar2021) 8.1 %; (30Mar2021) 0.3 %; (03Jan2022) 10.6 %; (25Jul2022) 11.5 %; Neutrophil count (1500-7800): (03Jan2022) 918 L; (25Jul2022) 738 L; Neutrophil count (1.5-7.5): (30Mar2021) 44.1 %; (30Mar2021) 1.4 %; (03Jan2022) 28.7 %; (25Jul2022) 28.4 %; Nitrite urine: (25Jul2022) Negative; Non-high-density lipoprotein cholesterol: (30Mar2021) 107 mg/dl, notes: Desirable is Less than 130 mg/dl; (03Jan2022) 120 mg/dl, notes: Reference range: Greater than  (less than) 130 mg/dl (calc). Lab: TP; (25Jul2022) 111 mg/dl, notes: Less than 130; Nucleated red cells (0.00-2.00): (30Mar2021) 0.10 %; Occult blood: (25Jul2022) Negative; pH body fluid (5.0-8.0): (25Jul2022) 6.5; pH urine (5.0-8.0): (03Jan2022) 6.5; Platelet count (140-440): (30Mar2021) 211, notes: Units: K/uL; (31Jul2022) 217, notes: Units: K/uL; Platelet count (140-400): (25Jul2022) 212, notes: Thousand/uL; Platelet factor 4: (31Jul2022) 2/2; Protein total normal (6.1-8.1): (03Jan2022) 6.1 g/dl; (25Jul2022) 6.2 g/dl; Protein total normal (6.2-8.6): (30Mar2021) 6.6 g/dl; Protein urine: (25Jul2022) Negative; Red blood cell count: (25Jul2022) None Seen, notes: Reference Range: less than OR = 2/HPF; Red blood cell count (3.90-5.00): (30Mar2021) 4.48, notes: Ref range: 3.90-5.00 Units: M/uL; Red blood cell count (3.80-5.10): (30Mar2021) 4.15, notes: Reference Range 3.80-5.10 Million/uL; (31Jul2022) 4.26, notes: Ref range: 3.80-5.10 million/uL; (25Jul2022) 4.15, notes: Reference Range 3.80-5.10 Million/uL; Red blood cell sedimentation rate: (30Mar2021) 2, notes: Less than Or =30; Red cell distribution width (11.0-15.0): (30Mar2021) 13.2 %; (25Jul2022) 12.3 %; (31Jul2022) 12.7 %; Rheumatoid factor: (30Mar2021) less than 14; Specific gravity urine (1.001-1.035): (03Jan2022) 1.018; (25Jul2022) 1.018; Thyroxine (0.8-1.8): (25Jul2022) 0.9 ng/dL; Tri-iodothyronine (2.3-4.2): (25Jul2022) 3.0 pg/mL; Tri-iodothyronine (8-25): (03Jan2022) 11 mg/dl; Ultrasound testes: (15Jul2021) Blood clot, notes: Left leg Normal vascular flow; (31Jul2022) DVT, notes: Left leg Normal vascular flow; (19Sep2022) DVT, notes: Left leg Normal vascular flow; (05Dec2022) DVT, notes: Left leg Normal vascular flow; (05Dec2022) DVT, notes: Left leg Normal vascular flow; (11Jan2023) DVT, notes: Left leg Normal vascular flow; (08May2023) DVT; (04Jun2023) DVT; Urinary casts: (25Jul2022) None Seen; Urine albumin/creatinine ratio: (31Jul2022) 3, notes: Reference range: Less than 30 mcg /mg create; Urine analysis: (03Jan2022) Clear; (03Jan2022) Yellow; (25Jul2022) Yellow, notes: Reference Range: Yellow; Very low density lipoprotein: (30Mar2021) 13.20 mg/dl; Vitamin B12 (200-1100): (05Dec2022) 734 pg/mL; Vitamin D (30.00-100.00): (30Mar2021) 37.80 ng/ml; White blood cell count: (11Jan2023) None Seen, notes: Reference Range: less than OR = 5/HPF; (31Jul2022) 3.1-2.6 L, notes: Reference Range 3.8-10.8 Thousand/uL; White blood cell count (3.6-10.0): (30Mar2021) 3.3, notes: Ref range: 3.6-10 Units: K/ul; White blood cell count (3.8-10.8): (unspecified date) 3.3; (unspecified date) 3.1, notes: Thousand/uL; (25Jul2022) 2.6 L, notes: Thousand/uL; (31Jul2022) 3.2 L, notes: Thousand/uL.Clinical information: Prior vaccinations (within 4 weeks) was none. Test name: Creatinine, Ref range: 0.50-0.99 mg/dL, for patient more than 49 years of sage, the reference limit for creatinine is approximately 13 % higher for people identified as (withheld). Test name: BUN/Creatinine ratio In Range: Not Applicable, Ref range: Not Applicable 6-22 (calc). Food allergy test: Date: 20Aug2009 Histamine: 3.0, Almond: 2.0, Beef: 2.0, Chocolate: 2.0, Cinnamon: 1.0, Clam: 2.0, Corn: 1.0, Crab: 2.0, Egg White: 1.0, Egg yolk: 1.0, Peanut: 2.0, Pecan: 2.0, Scallops: 2.0, Shrimp: 2.0, Latex: 2.0. Phenytoin, cyclobenzaprine, codeine, sulfa, oxycodone, hydrocodone, penicillin and derv, iodine derivatives, clarithromycin, doxycycline, fentanyl, triamcinolone, ampicillin, tramadol, procaine, levothyroxine, latex (Unknown), Coumadin, nickel, prednisone, Decadron, Petroleum Jelly Nasacort, Xyzal, balsam Peru compounding powder, budesonide hydrocortisone, Rhino Cort, Valium, Avelox (Insomnia) (Migraine) Avinza (Night sweats) (Fever) (Insomnia), bethanechol ,Biaxin, BuSpar, Dilantin Duragesic, Lovenox (Chest pain) (Joint ache) (Migraine) Flexeril (Rash), hydroxyzine (Diarrhea) (Insomnia), hyoscyamine, Lyrica (Rash) (Diarrhea) Methylprednisolone, gabapentin, Novocain, Paxil, Skelaxin, Triazolam, Halcion. ANA IFA is a first Iino screen for detecting the presence of up to approximately 150 in various autoimmune diseases. A negative ANA IFA result suggests an AM-associated autoimmune is not present at this time. but is not definitive. If there is high clinical suspicion for Sjogren's syndrome, testing for anti-SS-A/Ro antibody should be considered. Anti-Jo-1 antibody should be considered for clinically suspected myopathies.; Sender's Comments: Linked Report(s) : US-PFIZER INC-PV202300185598 same patient, different dose and AE;