Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Deep vein thrombosis, Full blood count abnormal, Gout, Laboratory test
Clinical narrative: LOW BLOOD COUNT; DEEP VEIN THROMBOSIS (RIGHT KNEE); CANNOT WORK DUE TO PAIN; GOUT; This spontaneous report received from a patient via a company representative concerned a 49 year old female. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included: No known allergies. The patient received covid-19 vaccine ad26.cov2.s (dose number in series 1, suspension for injection, route of admin, and batch number were not reported) dose was not reported, 1 total, administered on 21-SEP-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported.  On 28-SEP-2021, a week after vaccination patient developed swollen right and left ankles. Later on, her right knee became swollen and she experienced pain in her right knee and right and left calves. She noted that the pain was excruciating in the right knee and she could not walk well and that the pain in the right calf was a lot worse than the left calf pain. Patient saw an orthopedist who extracted fluid from the right knee and tested it for infection and other things. The results showed it was gout. She stated that pain in her knee was excruciating so she went to the emergency room. The first emergency room visit was 3 to 4 weeks after she received the vaccination (date was not reported). During her time in the emergency room, a scan was done and determined that she had a blood clot in the right knee and the doctor diagnosed her with a deep vein thrombosis. Patient was admitted to hospital for a couple days and was given Eliquis. Date of hospitalization was not reported. After discharge, patient spent a weekend at home and presented back to the emergency room because she was still experiencing excruciating knee pain and her doctor was not getting back to her. During her time in the emergency room, bloodwork was done and determined that she had a low blood count and required a blood transfusion. Reporter was unsure if her sister (patient) had low platelets or a low blood count. She stated that her level was 6.1. Patient was admitted to the hospital for at least 2 days to determine if she had bleeding somewhere, causing the low levels. It was unknown if or what other tests were done in hospital. Patient has not recovered from the blood clot and it was still there. Patient was on prednisone for pain otherwise she could not work due to the pain. Patient was out of work for a month due to the pain.  The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from deep vein thrombosis (right knee), and the outcome of gout, low blood count and cannot work due to pain was not reported. This report was serious (Hospitalization Caused / Prolonged).; Sender's Comments: V0 20211238279-COVID-19 VACCINE AD26.COV2.S-deep vein thrombosis (right knee), low blood count. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).