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This is VAERS ID 1149738

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1149738
VAERS Form:2
Age:49.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-03-29
Onset:2021-03-29
Submitted:0000-00-00
Entered:2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arteriogram carotid abnormal, Cerebral artery occlusion, Cerebrovascular accident, Fibrin D dimer increased, Angiogram cerebral abnormal, Computerised tomogram head abnormal, Computerised tomogram neck

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D2, loperamide PRN, multivitamin
Current Illness: Breast cancer treated in 20 with partial mastectomy, treated with chemo, radiation
Preexisting Conditions: Breast cancer treated in 20 with partial mastectomy, treated with chemo, radiation
Allergies: None
Diagnostic Lab Data: -CT/CTA of the head and neck demonstrating a large vessel occlusion in the right MCA territory. Patient underwent TPA therapy. Market improvement and examination. Overall currently doing well. Patient?s labs notable for D dimer elevated greater than 21,600 (greater than assay)? She has multiple reasons to have an elevated D dimer including having a stroke, cancer, and recently having receive TPA therapy. Again, unclear to us whether or not these events are causative, coincidental, or otherwise. But we felt it was reasonable to report
CDC 'Split Type':

Write-up: Patient presented to Medical center with right sided MCA stroke (proximal M1) occlusion. She underwent tPA therapy and is recovering. She has a history of breast cancer that was treated in 2017. It?s unclear to us whether or not these events are related. However, given the thrombosis occurred on the same day as the vaccine was administered, we felt it was a reportable event


Changed on 5/7/2021

VAERS ID: 1149738 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-03-29
Onset:2021-03-29
Submitted:0000-00-00
Entered:2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arteriogram carotid abnormal, Cerebral artery occlusion, Cerebrovascular accident, Fibrin D dimer increased, Angiogram cerebral abnormal, Computerised tomogram head abnormal, Computerised tomogram neck

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D2, loperamide PRN, multivitamin
Current Illness: Breast cancer treated in 20 with partial mastectomy, treated with chemo, radiation
Preexisting Conditions: Breast cancer treated in 20 with partial mastectomy, treated with chemo, radiation
Allergies: None None
Diagnostic Lab Data: -CT/CTA of the head and neck demonstrating a large vessel occlusion in the right MCA territory. Patient underwent TPA therapy. Market improvement and examination. Overall currently doing well. Patient?s labs notable for D dimer elevated greater than 21,600 (greater than assay)? She has multiple reasons to have an elevated D dimer including having a stroke, cancer, and recently having receive TPA therapy. Again, unclear to us whether or not these events are causative, coincidental, or otherwise. But we felt it was reasonable to report
CDC 'Split Type':

Write-up: Patient presented to Medical center with right sided MCA stroke (proximal M1) occlusion. She underwent tPA therapy and is recovering. She has a history of breast cancer that was treated in 2017. It?s unclear to us whether or not these events are related. However, given the thrombosis occurred on the same day as the vaccine was administered, we felt it was a reportable event

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1149738&WAYBACKHISTORY=ON


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