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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1190483



Case Details

VAERS ID: 1190483 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: California  
Vaccinated:2021-03-16
Onset:2021-03-20
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Intensive care, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Hashmoto
Preexisting Conditions: Hashmoto
Allergies: Penacillin
Diagnostic Lab Data: Admitted it ICU for treatment
CDC Split Type:

Write-up: 4 days after vaccinated I had massive pulmonary embolism in both lungs.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1190483

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