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This is VAERS ID 1133212

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1133212
VAERS Form:2
Age:38.0
Sex:Female
Location:Missouri
Vaccinated:2021-03-08
Onset:2021-03-17
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Headache, Cerebral haematoma, Computerised tomogram head abnormal, Cerebral venous sinus thrombosis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Amoxicillin
Diagnostic Lab Data: CT head without contrast (3/25/2021): Parenchymal hemorrhage and persistent hyperdensity in the left transverse sinus, consistent with known venous sinus thrombosis.
CDC 'Split Type':

Write-up: The patient was experiencing headaches 1 week ago. She also had aphasia later in the week. She went to an outside hospital on 3/24/2021 and was found to have intraparenchymal hemorrhage in addition to venous sinus thrombosis. She is being treated for the venous sinus thrombosis with heparin.


Changed on 5/7/2021

VAERS ID: 1133212 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Missouri
Vaccinated:2021-03-08
Onset:2021-03-17
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Headache, Cerebral haematoma, Computerised tomogram head abnormal, Cerebral venous sinus thrombosis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data: CT head without contrast (3/25/2021): Parenchymal hemorrhage and persistent hyperdensity in the left transverse sinus, consistent with known venous sinus thrombosis.
CDC 'Split Type':

Write-up: The patient was experiencing headaches 1 week ago. She also had aphasia later in the week. She went to an outside hospital on 3/24/2021 and was found to have intraparenchymal hemorrhage in addition to venous sinus thrombosis. She is being treated for the venous sinus thrombosis with heparin.


Changed on 5/14/2021

VAERS ID: 1133212 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Missouri
Vaccinated:2021-03-08
Onset:2021-03-17
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Headache, Cerebral haematoma, Computerised tomogram head abnormal, Cerebral venous sinus thrombosis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data: CT head without contrast (3/25/2021): Parenchymal hemorrhage and persistent hyperdensity in the left transverse sinus, consistent with known venous sinus thrombosis.
CDC 'Split Type':

Write-up: The patient was experiencing headaches 1 week ago. She also had aphasia later in the week. She went to an outside hospital on 3/24/2021 and was found to have intraparenchymal hemorrhage in addition to venous sinus thrombosis. She is being treated for the venous sinus thrombosis with heparin.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1133212&WAYBACKHISTORY=ON


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