Connect Care prescribers should remain alert to patient presentations that might indicate emerging or established VITT 4 to 28 days post-immunization:
- a persistent and severe headache
- focal neurological symptoms or visual changes, including blurred or double vision, or episodes suspicious for seizure
- shortness of breath
- abdominal or chest pain
- swelling, pain and/or redness in a limb
- pallor and coldness in a limb
- unusual bleeding, multiple small bruises, reddish or purplish spots or blood blisters under the skin
The most important Connect Care action is to place an urgent order for a hematology consult (inpatient) or referral (outpatient) together with direct personal contact with a hematologist on call (RAAPID) who will guide initial investigations.