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This is VAERS ID 1213429

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1213429
VAERS Form:2
Age:54.0
Sex:Male
Location:Utah
Vaccinated:2021-03-08
Onset:2021-03-22
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Blood chloride normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Carbon dioxide normal, Haematocrit normal, Haemoglobin normal, Mean cell haemoglobin normal, Pain in extremity, Red blood cell count normal, Tendonitis, Thrombophlebitis superficial, White blood cell count normal, Muscle strain, Deep vein thrombosis, Red cell distribution width normal

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin, Latex
Diagnostic Lab Data: LAB RESULTS: This is an incomplete list of lab results from this encounter. Refer to Results Review for all results. Heme WBC: 7.6 K/mcL RBC: 4.97 x10^6/mcL Hemoglobin: 15 g/dL Hematocrit: 43.5 % MCV: 87.5 fL MCH: 30.2 pg MCHC: 34.5 g/dL RDW SD: 38.6 fL RDW: 12.1 % Chemistries Sodium Level: 140 mmol/L Potassium Level: 4.3 mmol/L Chloride Level: 106 mmol/L CO2: 28 mmol/L Anion Gap (Na Cl CO2): 6 mmol/L Glucose Level: 101 mg/dL High
CDC 'Split Type':

Write-up: DIAGNOSIS: 1. Superficial thrombophlebitis MEDICAL DECISION MAKING/DIFFERENTIAL DX: Differential diagnosis includes DVT, superficial thrombophlebitis, muscle strain, tendinitis. The patient presented to the emergency department with atraumatic left leg pain. An ultrasound reveals a fairly large blood clot in the greater saphenous vein. Although this is a superficial clot, given its extent, I think it warrants anticoagulation. Per the trial, the patient would benefit from 45 days of 10 mg Xarelto treatment. The patient was given good precautions regarding bleeding risk while on a blood thinner. He will schedule follow-up appoint with his primary care doctor. He will also use Tylenol and warm packs to help with the discomfort from the superficial thrombophlebitis. He was discharged in satisfactory condition.


Changed on 5/7/2021

VAERS ID: 1213429 Before After
VAERS Form:2
Age:54.0
Sex:Male
Location:Utah
Vaccinated:2021-03-08
Onset:2021-03-22
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Blood chloride normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Carbon dioxide normal, Haematocrit normal, Haemoglobin normal, Mean cell haemoglobin normal, Pain in extremity, Red blood cell count normal, Tendonitis, Thrombophlebitis superficial, White blood cell count normal, Muscle strain, Deep vein thrombosis, Red cell distribution width normal

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin, Latex Latex
Diagnostic Lab Data: LAB RESULTS: This is an incomplete list of lab results from this encounter. Refer to Results Review for all results. Heme WBC: 7.6 K/mcL RBC: 4.97 x10^6/mcL Hemoglobin: 15 g/dL Hematocrit: 43.5 % MCV: 87.5 fL MCH: 30.2 pg MCHC: 34.5 g/dL RDW SD: 38.6 fL RDW: 12.1 % Chemistries Sodium Level: 140 mmol/L Potassium Level: 4.3 mmol/L Chloride Level: 106 mmol/L CO2: 28 mmol/L Anion Gap (Na Cl CO2): 6 mmol/L Glucose Level: 101 mg/dL High
CDC 'Split Type':

Write-up: DIAGNOSIS: 1. Superficial thrombophlebitis MEDICAL DECISION MAKING/DIFFERENTIAL DX: Differential diagnosis includes DVT, superficial thrombophlebitis, muscle strain, tendinitis. The patient presented to the emergency department with atraumatic left leg pain. An ultrasound reveals a fairly large blood clot in the greater saphenous vein. Although this is a superficial clot, given its extent, I think it warrants anticoagulation. Per the trial, the patient would benefit from 45 days of 10 mg Xarelto treatment. The patient was given good precautions regarding bleeding risk while on a blood thinner. He will schedule follow-up appoint with his primary care doctor. He will also use Tylenol and warm packs to help with the discomfort from the superficial thrombophlebitis. He was discharged in satisfactory condition.


Changed on 5/14/2021

VAERS ID: 1213429 Before After
VAERS Form:2
Age:54.0
Sex:Male
Location:Utah
Vaccinated:2021-03-08
Onset:2021-03-22
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Blood chloride normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Carbon dioxide normal, Haematocrit normal, Haemoglobin normal, Mean cell haemoglobin normal, Pain in extremity, Red blood cell count normal, Tendonitis, Thrombophlebitis superficial, White blood cell count normal, Muscle strain, Deep vein thrombosis, Red cell distribution width normal

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin, Latex Latex
Diagnostic Lab Data: LAB RESULTS: This is an incomplete list of lab results from this encounter. Refer to Results Review for all results. Heme WBC: 7.6 K/mcL RBC: 4.97 x10^6/mcL Hemoglobin: 15 g/dL Hematocrit: 43.5 % MCV: 87.5 fL MCH: 30.2 pg MCHC: 34.5 g/dL RDW SD: 38.6 fL RDW: 12.1 % Chemistries Sodium Level: 140 mmol/L Potassium Level: 4.3 mmol/L Chloride Level: 106 mmol/L CO2: 28 mmol/L Anion Gap (Na Cl CO2): 6 mmol/L Glucose Level: 101 mg/dL High
CDC 'Split Type':

Write-up: DIAGNOSIS: 1. Superficial thrombophlebitis MEDICAL DECISION MAKING/DIFFERENTIAL DX: Differential diagnosis includes DVT, superficial thrombophlebitis, muscle strain, tendinitis. The patient presented to the emergency department with atraumatic left leg pain. An ultrasound reveals a fairly large blood clot in the greater saphenous vein. Although this is a superficial clot, given its extent, I think it warrants anticoagulation. Per the trial, the patient would benefit from 45 days of 10 mg Xarelto treatment. The patient was given good precautions regarding bleeding risk while on a blood thinner. He will schedule follow-up appoint with his primary care doctor. He will also use Tylenol and warm packs to help with the discomfort from the superficial thrombophlebitis. He was discharged in satisfactory condition.

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