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This is VAERS ID 1197638

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1197638
VAERS Form:2
Age:38.0
Sex:Female
Location:Colorado
Vaccinated:2021-03-13
Onset:2021-03-19
Submitted:0000-00-00
Entered:2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Public      Purchased by: ??
Symptoms: Abdominal pain, Blood fibrinogen decreased, Blood lactic acid, Disseminated intravascular coagulation, Fibrin D dimer, Intensive care, Laparotomy, Mesenteric artery thrombosis, Platelet count decreased, Small intestinal resection, Small intestine gangrene, Thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: morbid obesity, alcohol use.
Preexisting Conditions: morbid obesity
Allergies: nkda
Diagnostic Lab Data: Platelets 20000 on 3/20/21. Lactate 13.9 on 3/20/21. fibrinogen 127 on 3/20/21. D-Dimer 10.10 on 3/20/21.
CDC 'Split Type':

Write-up: Patient presented with acute abdominal pain, DIC , thrombocytopenia and found have small bowel gangrene due to SMA thrombosis. Underwent Laparotomy with small bowel resection. Was in the ICU and currently on TPN and IV antibiotics.


Changed on 5/7/2021

VAERS ID: 1197638 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Colorado
Vaccinated:2021-03-13
Onset:2021-03-19
Submitted:0000-00-00
Entered:2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Public      Purchased by: ??
Symptoms: Abdominal pain, Blood fibrinogen decreased, Blood lactic acid, Disseminated intravascular coagulation, Fibrin D dimer, Intensive care, Laparotomy, Mesenteric artery thrombosis, Platelet count decreased, Small intestinal resection, Small intestine gangrene, Thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: morbid obesity, alcohol use.
Preexisting Conditions: morbid obesity
Allergies: nkda nkda
Diagnostic Lab Data: Platelets 20000 on 3/20/21. Lactate 13.9 on 3/20/21. fibrinogen 127 on 3/20/21. D-Dimer 10.10 on 3/20/21.
CDC 'Split Type':

Write-up: Patient presented with acute abdominal pain, DIC , thrombocytopenia and found have small bowel gangrene due to SMA thrombosis. Underwent Laparotomy with small bowel resection. Was in the ICU and currently on TPN and IV antibiotics.


Changed on 5/14/2021

VAERS ID: 1197638 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Colorado
Vaccinated:2021-03-13
Onset:2021-03-19
Submitted:0000-00-00
Entered:2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / IM

Administered by: Public      Purchased by: ??
Symptoms: Abdominal pain, Blood fibrinogen decreased, Blood lactic acid, Disseminated intravascular coagulation, Fibrin D dimer, Intensive care, Laparotomy, Mesenteric artery thrombosis, Platelet count decreased, Small intestinal resection, Small intestine gangrene, Thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: morbid obesity, alcohol use.
Preexisting Conditions: morbid obesity
Allergies: nkda nkda
Diagnostic Lab Data: Platelets 20000 on 3/20/21. Lactate 13.9 on 3/20/21. fibrinogen 127 on 3/20/21. D-Dimer 10.10 on 3/20/21.
CDC 'Split Type':

Write-up: Patient presented with acute abdominal pain, DIC , thrombocytopenia and found have small bowel gangrene due to SMA thrombosis. Underwent Laparotomy with small bowel resection. Was in the ICU and currently on TPN and IV antibiotics.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1197638&WAYBACKHISTORY=ON

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