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Report #2896912

Received May 18, 2026

Life-threateningHospitalizedER / ED visitOffice visitDisabled

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex
Male
Age
25 yrs
State
NY
Recovered
Not recovered
Vaccinated
May 4, 2021
Onset
Apr 1, 2022
Days to onset
332
Hospital days
15

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (UNKNOWN))UNKNOWN MANUFACTURER1201A21ASYR / UN

Symptoms (7)

Catheterisation cardiacComputerised tomogram thoraxEndarterectomyPulmonary embolismPulmonary hypertensionStent placementThrombectomy

Symptom narrative

May 2022, hospitalized with bilateral pulmonary embolism treated with mechanical thrombectomy and stent. Complicated by chronic thromboembolic pulmonary hypertension requiring endarterectomy on 9/12/25.

Current illness

Torn Achilles Tendon

Allergies

NKDA

Lab data

May 2022, Hospital, CT pulmonary angiogram, Right heart catheterization 7/23/25.