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This is VAERS ID 1190483

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1190483
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-03-16
Onset:2021-03-20
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

Life Threatening? Yes
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)? No
Hospitalized? Yes, days: 4     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.


Changed on 5/7/2021

VAERS ID: 1190483 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-03-16
Onset:2021-03-20
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

Life Threatening? Yes
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)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Hashmoto
Preexisting Conditions: Hashmoto
Allergies: Penacillin 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.


Changed on 5/14/2021

VAERS ID: 1190483 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-03-16
Onset:2021-03-20
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

Life Threatening? Yes
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)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Hashmoto
Preexisting Conditions: Hashmoto
Allergies: Penacillin 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.


Changed on 5/21/2021

VAERS ID: 1190483 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-03-16
Onset:2021-03-20
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

Life Threatening? Yes
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)? No
Hospitalized? Yes, days: 4     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.


Changed on 7/30/2021

VAERS ID: 1190483 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-03-16
Onset:2021-03-20
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

Life Threatening? Yes
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)? No
Hospitalized? Yes, days: 4     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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