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This is VAERS ID 1091185

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1091185
VAERS Form:2
Age:58.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-06
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Condition aggravated, Full blood count, Platelet count, Platelet count decreased, Immune thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogel, Allegra, Flonase
Current Illness: no
Preexisting Conditions: ITP
Allergies: Latex
Diagnostic Lab Data: CBC and platelet count 3/8/9/10 and 11
CDC 'Split Type':

Write-up: ITP flare - Platelets declined, prednisone for 2 days, came back up


Changed on 5/7/2021

VAERS ID: 1091185 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-06
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Condition aggravated, Full blood count, Platelet count, Platelet count decreased, Immune thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogel, Allegra, Flonase
Current Illness: no
Preexisting Conditions: ITP
Allergies: Latex Latex
Diagnostic Lab Data: CBC and platelet count 3/8/9/10 and 11
CDC 'Split Type':

Write-up: ITP flare - Platelets declined, prednisone for 2 days, came back up


Changed on 5/14/2021

VAERS ID: 1091185 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-06
Onset:2021-03-08
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Condition aggravated, Full blood count, Platelet count, Platelet count decreased, Immune thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrogel, Allegra, Flonase
Current Illness: no
Preexisting Conditions: ITP
Allergies: Latex Latex
Diagnostic Lab Data: CBC and platelet count 3/8/9/10 and 11
CDC 'Split Type':

Write-up: ITP flare - Platelets declined, prednisone for 2 days, came back up

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1091185&WAYBACKHISTORY=ON


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