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This is VAERS ID 1206334

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1206334
VAERS Form:2
Age:56.0
Sex:Female
Location:Oregon
Vaccinated:2021-03-12
Onset:2021-04-05
Submitted:0000-00-00
Entered:2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain upper, Computerised tomogram abnormal, Headache, Injection site erythema, Portal vein thrombosis, Computerised tomogram head, Scan with contrast

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Morphine 15, 1 every 12 hours,, Zofran 4 mg as needed, Lyrica 100 mg 3 times a day, Allegra 1 X a day, lisinopril 10,5 mg 2 -1X a day, Enlyta 5 mg 1-2X a day, Keytruda every 3 weeks for cancer, Zometa every 6 weeks
Current Illness: Renal Cell Carcinoma
Preexisting Conditions: Renal Cell Carcinoma
Allergies: Riosemary, grass and trees pollens
Diagnostic Lab Data: 4/5/21- CT W/Contrast on Stomach 4/5/21-CT. W/Contrast for Head 4/6/21- Transportation by ambulance to Hospital Many other tests too numerous to cover here
CDC 'Split Type':

Write-up: Redness at site. On April 5, I had severe stomach pains and then a head ache started. They did a CT Scan and found a Portal Deep Vein Thrombosis. I had to be rushed by ambulance to a bigger hospital and was in the hospital for 2 days.


Changed on 5/7/2021

VAERS ID: 1206334 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:Oregon
Vaccinated:2021-03-12
Onset:2021-04-05
Submitted:0000-00-00
Entered:2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain upper, Computerised tomogram abnormal, Headache, Injection site erythema, Portal vein thrombosis, Computerised tomogram head, Scan with contrast

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Morphine 15, 1 every 12 hours,, Zofran 4 mg as needed, Lyrica 100 mg 3 times a day, Allegra 1 X a day, lisinopril 10,5 mg 2 -1X a day, Enlyta 5 mg 1-2X a day, Keytruda every 3 weeks for cancer, Zometa every 6 weeks
Current Illness: Renal Cell Carcinoma
Preexisting Conditions: Renal Cell Carcinoma
Allergies: Riosemary, grass and trees pollens pollens
Diagnostic Lab Data: 4/5/21- CT W/Contrast on Stomach 4/5/21-CT. W/Contrast for Head 4/6/21- Transportation by ambulance to Hospital Many other tests too numerous to cover here
CDC 'Split Type':

Write-up: Redness at site. On April 5, I had severe stomach pains and then a head ache started. They did a CT Scan and found a Portal Deep Vein Thrombosis. I had to be rushed by ambulance to a bigger hospital and was in the hospital for 2 days.


Changed on 5/14/2021

VAERS ID: 1206334 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:Oregon
Vaccinated:2021-03-12
Onset:2021-04-05
Submitted:0000-00-00
Entered:2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain upper, Computerised tomogram abnormal, Headache, Injection site erythema, Portal vein thrombosis, Computerised tomogram head, Scan with contrast

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Morphine 15, 1 every 12 hours,, Zofran 4 mg as needed, Lyrica 100 mg 3 times a day, Allegra 1 X a day, lisinopril 10,5 mg 2 -1X a day, Enlyta 5 mg 1-2X a day, Keytruda every 3 weeks for cancer, Zometa every 6 weeks
Current Illness: Renal Cell Carcinoma
Preexisting Conditions: Renal Cell Carcinoma
Allergies: Riosemary, grass and trees pollens pollens
Diagnostic Lab Data: 4/5/21- CT W/Contrast on Stomach 4/5/21-CT. W/Contrast for Head 4/6/21- Transportation by ambulance to Hospital Many other tests too numerous to cover here
CDC 'Split Type':

Write-up: Redness at site. On April 5, I had severe stomach pains and then a head ache started. They did a CT Scan and found a Portal Deep Vein Thrombosis. I had to be rushed by ambulance to a bigger hospital and was in the hospital for 2 days.

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