Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: HIV test negative, Hepatitis viral test, Immune thrombocytopenia, Platelet count
Clinical narrative: idiopathic thrombocytopenic purpura/Hematoma on thigh that was softball size/rash everywhere on body; This spontaneous case was reported by an other caregiver and describes the occurrence of IMMUNE THROMBOCYTOPENIA (idiopathic thrombocytopenic purpura/Hematoma on thigh that was softball size/rash everywhere on body) in an 18-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 043B21A) for COVID-19 vaccination.     The patient's past medical history included No adverse event (No medical history was reported).    On 19-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Apr-2021, the patient experienced IMMUNE THROMBOCYTOPENIA (idiopathic thrombocytopenic purpura/Hematoma on thigh that was softball size/rash everywhere on body) (seriousness criteria hospitalization, medically significant and life threatening). The patient was hospitalized on 28-Apr-2021 due to IMMUNE THROMBOCYTOPENIA. At the time of the report, IMMUNE THROMBOCYTOPENIA (idiopathic thrombocytopenic purpura/Hematoma on thigh that was softball size/rash everywhere on body) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Apr-2021, Platelet count: 3 (Inconclusive) diagnosed with idiopathic thrombocytopenic purpura (ITP). On 30-Apr-2021, Platelet count: 0 (Inconclusive) 0. On an unknown date, HIV test negative: (Negative) Negative/Condition was ruled out. On an unknown date, Hepatitis viral test: (Negative) Negative/Condition was ruled out.     The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown.       Patient experienced a rash on 28 Apr 2021 everywhere on her body that kept getting worse. She also had a hematoma on her thigh that was softball size and she did not remember bumping it. She went to the emergency room at Hospital at about 5 PM. They did bloodwork and her platelet count was 3 she was diagnosed with ITP idiopathic thrombocytopenic purpura. She was perfectly healthy before this. This condition leads to bleeding and bruising her rash was actually very small bruises. That hospital felt she needed to be seen by a hematologist and oncologist so they transferred her to their main campus. Where she was admitted around midnight to the Hospital. They ruled out HIV and Hepatitis. They started her on a five day prednisone taper and did a 10% Privigen IV IG transfusion to try to increase her platelet count. In morning 30 Apr 2021, her platelet count was down to zero. Now they are going to do a brain magnetic resonance imaging (MRI) and a platelet transfusion.  Company comment: Based on the current available information and temporal association between the use of the product and the start date of the event (ITP), a causal relationship cannot be excluded.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event (ITP), a causal relationship cannot be excluded.