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This is VAERS ID 1147890

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1147890
VAERS Form:2
Age:48.0
Sex:Female
Location:Nebraska
Vaccinated:2021-03-09
Onset:2021-03-22
Submitted:0000-00-00
Entered:2021-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Coagulopathy, Acquired dysfibrinogenaemia, Haemorrhage

Life Threatening? Yes
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:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient currently hospitalized with profound bleeding and clotting, suspect dysfibrinogenemia, otherwise healthy without history of dysfibrinogenmeia


Changed on 5/7/2021

VAERS ID: 1147890 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Nebraska
Vaccinated:2021-03-09
Onset:2021-03-22
Submitted:0000-00-00
Entered:2021-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Coagulopathy, Acquired dysfibrinogenaemia, Haemorrhage

Life Threatening? Yes
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:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient currently hospitalized with profound bleeding and clotting, suspect dysfibrinogenemia, otherwise healthy without history of dysfibrinogenmeia


Changed on 5/14/2021

VAERS ID: 1147890 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Nebraska
Vaccinated:2021-03-09
Onset:2021-03-22
Submitted:0000-00-00
Entered:2021-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Coagulopathy, Acquired dysfibrinogenaemia, Haemorrhage

Life Threatening? Yes
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:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient currently hospitalized with profound bleeding and clotting, suspect dysfibrinogenemia, otherwise healthy without history of dysfibrinogenmeia

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1147890&WAYBACKHISTORY=ON

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