Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood count, Chest discomfort, Computerised tomogram, Electrocardiogram, Fibrin D dimer
Clinical narrative: D Dimer was high; Chest tightness; blood clots in the lungs; This is a spontaneous report from a contactable consumer. A 63-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 2 via an unspecified route of administration, administered in Arm Right on 14Apr2021 10:30 (Lot Number: ER2613) as SINGLE DOSE for covid-19 immunization. Medical history included ongoing retinal tear from an unknown date (long ago, maybe 2005), Blood pressure, anxiety, reflux, irritable bowel syndrome, eye care. Three years ago, patient had a blood clot on the portal vein. She was treated with Eliquis, referring to Apixaban, for six months. Then they went into the D Dimer and found out she only had one gene for the blood clots, so they discontinued Eliquis, referring to Apixaban. The doctor said the protocol didn't call for it because she only had one gene. Eliquis, referring to Apixaban, was discontinued a year and half ago. The reporter mentioned the specifically didn't get the Johnson and Johnson shot due to blood clots. Family History included that her mother and sister had blood clots in the past unrelated to the vaccine, anxiety which her mom has. Concomitant medications included ramipril taken for blood pressure from an unspecified start date (for five to ten years) and ongoing; ongoing omeprazole taken for reflux; fluoxetine  taken for anxiety (for what her mom has) taking for three years and ongoing; linaclotide (LINZESS) taken for irritable bowel syndrome taking for 3 year and ongoing; magnesium sulfate taken for eye care taking for 3 year and ongoing; latanoprost taken for retinal tear from 2005 and ongoing.  Prior Vaccinations (within 4 weeks) was none. The patient previously received the first dose of the Pfizer COVID 19 vaccine on 26MAR2021 at 1000AM in the right upper arm (Lot number for first dose is ER8732; expiration date 31Jul2021). Last Wednesday she started to have tightness in her chest so they called an ambulance. She was admitted to the hospital 28Apr2021 and was discharged Saturday 01May2021. In the hospital they did a CT and it came out that she had bilateral blood clots in the lungs; the doctor said it was a shower of blood clots in the lungs, small enough not to occlude anything. They treated with a 72 hour heparin drip. They didn't do any more CT but they did put her on Eliquis, referring to Apixaban, for the rest of her life. For the Eliquis he mentioned the generic Apixaban; unknown manufacturer; caller did not see NDC, lot, or expiration date on product dispensed in a pharmacy vial. Last time she was also on the Apixaban, not the brand Eliquis but they have discarded all the old product. The patient also did an X Ray; EKG (Electrocardiogram) was normal sinus; all the blood work including the CBC (Full blood count) was normal on an unknown date; her D Dimer was high on 01May2021. The events required a visit to Emergency Room. The outcome of the event chest pain was recovered with sequelae, of  blood clots in the lungs was not recovered, of other events was unknown.   Batch/Lot number had been obtained. Further information has been requested