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This is VAERS ID 1213411

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1213411
VAERS Form:2
Age:62.0
Sex:Female
Location:Nevada
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chest X-ray, Dyspnoea, Electrocardiogram, Fatigue, Full blood count, Gait inability, Muscle spasms, Pain in extremity, Tenderness, Ultrasound Doppler abnormal, Peripheral swelling, Deep vein thrombosis, Anticoagulant therapy, Metabolic function test

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan 50 mg once a day Melaleuca bone and joint supplements for women over 50 years old
Current Illness:
Preexisting Conditions: Psoriatic arthritis
Allergies: Allergies to sulfas
Diagnostic Lab Data: At the ER, a freestanding facility, my mother underwent the following tests: X-Ray of the chest Electrocardiogram Ultrasound of the legs Basic metabolic panel (Blood work) CBC panel (blood work) After interpreting the results, doctor diagnosed my mother with Deep Vein Thrombosis in the right leg (DVT). They put her on blood thinners and transfer her to ER to be under blood thinners and monitoring for 2 more days.
CDC 'Split Type':

Write-up: The day after having been vaccinated with Johnson & Johnson/Janssen COVID19 vaccine (04/11/2021), my mother started to feel intense pain, swelling, tenderness and cramping in her legs, especially her right leg, to the point that she couldn''t walk. By the fourth day after the vaccine her right leg was completely swollen, twice as big as its normal size, the pain was unbearable and she experienced fatigue and shortness of breath. I took her to the ER on 04/14/2021


Changed on 5/7/2021

VAERS ID: 1213411 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:Nevada
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chest X-ray, Dyspnoea, Electrocardiogram, Fatigue, Full blood count, Gait inability, Muscle spasms, Pain in extremity, Tenderness, Ultrasound Doppler abnormal, Peripheral swelling, Deep vein thrombosis, Anticoagulant therapy, Metabolic function test

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan 50 mg once a day Melaleuca bone and joint supplements for women over 50 years old
Current Illness:
Preexisting Conditions: Psoriatic arthritis
Allergies: Allergies to sulfas sulfas
Diagnostic Lab Data: At the ER, a freestanding facility, my mother underwent the following tests: X-Ray of the chest Electrocardiogram Ultrasound of the legs Basic metabolic panel (Blood work) CBC panel (blood work) After interpreting the results, doctor diagnosed my mother with Deep Vein Thrombosis in the right leg (DVT). They put her on blood thinners and transfer her to ER to be under blood thinners and monitoring for 2 more days.
CDC 'Split Type':

Write-up: The day after having been vaccinated with Johnson & Johnson/Janssen COVID19 vaccine (04/11/2021), my mother started to feel intense pain, swelling, tenderness and cramping in her legs, especially her right leg, to the point that she couldn''t walk. By the fourth day after the vaccine her right leg was completely swollen, twice as big as its normal size, the pain was unbearable and she experienced fatigue and shortness of breath. I took her to the ER on 04/14/2021


Changed on 5/14/2021

VAERS ID: 1213411 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:Nevada
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chest X-ray, Dyspnoea, Electrocardiogram, Fatigue, Full blood count, Gait inability, Muscle spasms, Pain in extremity, Tenderness, Ultrasound Doppler abnormal, Peripheral swelling, Deep vein thrombosis, Anticoagulant therapy, Metabolic function test

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan 50 mg once a day Melaleuca bone and joint supplements for women over 50 years old
Current Illness:
Preexisting Conditions: Psoriatic arthritis
Allergies: Allergies to sulfas sulfas
Diagnostic Lab Data: At the ER, a freestanding facility, my mother underwent the following tests: X-Ray of the chest Electrocardiogram Ultrasound of the legs Basic metabolic panel (Blood work) CBC panel (blood work) After interpreting the results, doctor diagnosed my mother with Deep Vein Thrombosis in the right leg (DVT). They put her on blood thinners and transfer her to ER to be under blood thinners and monitoring for 2 more days.
CDC 'Split Type':

Write-up: The day after having been vaccinated with Johnson & Johnson/Janssen COVID19 vaccine (04/11/2021), my mother started to feel intense pain, swelling, tenderness and cramping in her legs, especially her right leg, to the point that she couldn''t walk. By the fourth day after the vaccine her right leg was completely swollen, twice as big as its normal size, the pain was unbearable and she experienced fatigue and shortness of breath. I took her to the ER on 04/14/2021

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