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This is VAERS ID 1162619

History of Changes from the VAERS Wayback Machine

First Appeared on 4/8/2021

VAERS ID: 1162619
VAERS Form:2
Age:18.0
Sex:Female
Location:Nevada
Vaccinated:2021-03-16
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Superior sagittal sinus thrombosis, Angiogram cerebral, Magnetic resonance imaging head

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT angiogram head, MRI brain
CDC 'Split Type':

Write-up: Superior sagittal sinus thrombosis diagnosed on 4/1/2021. Symptoms started early on April 1, 2021


Changed on 5/7/2021

VAERS ID: 1162619 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:Nevada
Vaccinated:2021-03-16
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Superior sagittal sinus thrombosis, Angiogram cerebral, Magnetic resonance imaging head

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT angiogram head, MRI brain
CDC 'Split Type':

Write-up: Superior sagittal sinus thrombosis diagnosed on 4/1/2021. Symptoms started early on April 1, 2021


Changed on 5/14/2021

VAERS ID: 1162619 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:Nevada
Vaccinated:2021-03-16
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Superior sagittal sinus thrombosis, Angiogram cerebral, Magnetic resonance imaging head

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT angiogram head, MRI brain
CDC 'Split Type':

Write-up: Superior sagittal sinus thrombosis diagnosed on 4/1/2021. Symptoms started early on April 1, 2021

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1162619&WAYBACKHISTORY=ON


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