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This is VAERS ID 1173076

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1173076
VAERS Form:2
Age:65.0
Sex:Female
Location:Hawaii
Vaccinated:2021-03-22
Onset:2021-03-23
Submitted:0000-00-00
Entered:2021-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Coagulopathy, Surgery

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nutritional supplements prescribed by her nephrologist
Current Illness:
Preexisting Conditions: Chronic renal failure
Allergies: Axcin
Diagnostic Lab Data: Surgery to clear clots
CDC 'Split Type': vsafe

Write-up: On 03-23-21, I woke up I felt a pulse and y dialysis access and there was no pulse which indicates that the graft has become clotted. I went to the dialyses center contacted dr. and he said I needed to go to another town, to get surgery to clear the clot with another Dr. I flew there had surgery to clear the surgery, surgery was success. I went to dialysis that night, when I checked the graft again it was clotted. I then had to go make arrangements again to fly to another town to get surgery again with Dr. to clear the clots. Surgery was successful and subsequently and I have had a good pulse on my dialysis access.


Changed on 5/7/2021

VAERS ID: 1173076 Before After
VAERS Form:2
Age:65.0
Sex:Female
Location:Hawaii
Vaccinated:2021-03-22
Onset:2021-03-23
Submitted:0000-00-00
Entered:2021-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Coagulopathy, Surgery

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nutritional supplements prescribed by her nephrologist
Current Illness:
Preexisting Conditions: Chronic renal failure
Allergies: Axcin Axcin
Diagnostic Lab Data: Surgery to clear clots
CDC 'Split Type': vsafe

Write-up: On 03-23-21, I woke up I felt a pulse and y dialysis access and there was no pulse which indicates that the graft has become clotted. I went to the dialyses center contacted dr. and he said I needed to go to another town, to get surgery to clear the clot with another Dr. I flew there had surgery to clear the surgery, surgery was success. I went to dialysis that night, when I checked the graft again it was clotted. I then had to go make arrangements again to fly to another town to get surgery again with Dr. to clear the clots. Surgery was successful and subsequently and I have had a good pulse on my dialysis access.


Changed on 5/14/2021

VAERS ID: 1173076 Before After
VAERS Form:2
Age:65.0
Sex:Female
Location:Hawaii
Vaccinated:2021-03-22
Onset:2021-03-23
Submitted:0000-00-00
Entered:2021-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Coagulopathy, Surgery

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nutritional supplements prescribed by her nephrologist
Current Illness:
Preexisting Conditions: Chronic renal failure
Allergies: Axcin Axcin
Diagnostic Lab Data: Surgery to clear clots
CDC 'Split Type': vsafe

Write-up: On 03-23-21, I woke up I felt a pulse and y dialysis access and there was no pulse which indicates that the graft has become clotted. I went to the dialyses center contacted dr. and he said I needed to go to another town, to get surgery to clear the clot with another Dr. I flew there had surgery to clear the surgery, surgery was success. I went to dialysis that night, when I checked the graft again it was clotted. I then had to go make arrangements again to fly to another town to get surgery again with Dr. to clear the clots. Surgery was successful and subsequently and I have had a good pulse on my dialysis access.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1173076&WAYBACKHISTORY=ON

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