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Pneumonia III: Complications and Assessment01:30

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Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
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Pneumonia I: Introduction01:30

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Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
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Updated: Jun 17, 2025

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Acute extensive pulmonary embolism after mRNA SARS-CoV-2 immunization.

Safi Ur Rehman Daim1, Aya Alsermani2, Renad Khalid Althomali2

  • 1Mayo hospital, Anarkali, Lahore 54000, Punjab, Pakistan.

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Severe thromboembolism is a rare but serious adverse effect of COVID-19 vaccines. This case report details a pulmonary embolism in a young woman after the Pfizer-BNT162b2 mRNA vaccine, emphasizing prompt diagnosis and management.

Keywords:
COVID 19Pfizer- BNT162b2Pulmonary embolismThromboembolismVaccinationmRNA Vaccine

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Area of Science:

  • Immunology
  • Cardiology
  • Pharmacovigilance

Background:

  • COVID-19 vaccines are crucial for disease control, with generally mild side effects.
  • Severe adverse events, including thromboembolism, are rare but monitored post-authorization.
  • Viral vector vaccines have been more frequently associated with thromboembolic events.

Observation:

  • A 26-year-old female without prior risk factors developed extensive pulmonary embolism post-Pfizer-BNT162b2 mRNA vaccination.
  • The patient required hospitalization, enoxaparin, and Altaplase thrombolytic therapy for treatment.
  • Thrombophilia screening at six months was negative.

Findings:

  • Successful treatment with anticoagulation (Apixaban) and thrombolysis led to patient recovery.
  • The case demonstrates a rare instance of severe thromboembolism linked to an mRNA COVID-19 vaccine.
  • Absence of pre-existing risk factors underscores the need for vigilance.

Implications:

  • Highlights the importance of pharmacovigilance for detecting uncommon vaccine side effects.
  • Underscores the necessity for prompt clinical recognition and management of post-vaccination thromboembolism.
  • Suggests that even mRNA vaccines, while generally safe, can rarely be associated with severe adverse events.