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This is VAERS ID 1213048

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1213048
VAERS Form:2
Age:60.0
Sex:Female
Location:North Carolina
Vaccinated:2021-03-09
Onset:2021-03-18
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / UNK LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Blood pressure increased, Full blood count abnormal, Headache, Joint swelling, Platelet count decreased, Pruritus, Rash, Ultrasound Doppler abnormal, Deep vein thrombosis, Computerised tomogram thorax abnormal

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Bupropion, HCTz, Ibuprofen, Levothyroxine, Losartan
Current Illness:
Preexisting Conditions: hypothyroid, obesity
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: initial symptoms- rash, itching, elevated BP, headache, ankle swelling ultrasound on 4/6/2021 - bilateral DVT CBC low platelets - 16 thousand CT chest - moderate burden PE Pt. was hospitalized


Changed on 5/7/2021

VAERS ID: 1213048 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:North Carolina
Vaccinated:2021-03-09
Onset:2021-03-18
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / UNK LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Blood pressure increased, Full blood count abnormal, Headache, Joint swelling, Platelet count decreased, Pruritus, Rash, Ultrasound Doppler abnormal, Deep vein thrombosis, Computerised tomogram thorax abnormal

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Bupropion, HCTz, Ibuprofen, Levothyroxine, Losartan
Current Illness:
Preexisting Conditions: hypothyroid, obesity
Allergies: none none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: initial symptoms- rash, itching, elevated BP, headache, ankle swelling ultrasound on 4/6/2021 - bilateral DVT CBC low platelets - 16 thousand CT chest - moderate burden PE Pt. was hospitalized


Changed on 5/14/2021

VAERS ID: 1213048 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:North Carolina
Vaccinated:2021-03-09
Onset:2021-03-18
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / UNK LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Blood pressure increased, Full blood count abnormal, Headache, Joint swelling, Platelet count decreased, Pruritus, Rash, Ultrasound Doppler abnormal, Deep vein thrombosis, Computerised tomogram thorax abnormal

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Bupropion, HCTz, Ibuprofen, Levothyroxine, Losartan
Current Illness:
Preexisting Conditions: hypothyroid, obesity
Allergies: none none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: initial symptoms- rash, itching, elevated BP, headache, ankle swelling ultrasound on 4/6/2021 - bilateral DVT CBC low platelets - 16 thousand CT chest - moderate burden PE Pt. was hospitalized

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1213048&WAYBACKHISTORY=ON

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