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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1214246



Case Details

VAERS ID: 1214246 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-04-06
Onset:2021-04-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Computerised tomogram thorax, Contusion, Induration, Mobility decreased, Muscle spasms, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Dystonia (broad), Parkinson-like events (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: estrogen replacement therapy
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: CT scan of the chest on 4/8/21
CDC Split Type:

Write-up: Pt called LPHA to report she was seen in the ER on 4/8/21 for a potential blood clot in her left leg. Pt reported she awoke from sleep late 4/7/21 early 4/8/21 with severe pain in her left leg. She reported it hurt so bad she was "screaming". She stated it felt like a "charley horse" and her husband noted a knot in her leg. She went to the ER on 4/8/21 due to the inability to put pressure on her leg and/or walk on her leg. She reports having a CT scan of her chest at the ER and no clots were noted. She stated they did not image her leg at that time and scheduled an ultrasound/doppler for around 4/27. She was prescribed some oral blood thinner, but could not recall the name. She stated she stopped the blood thinner on 4/12/21 after the new reports regarding the J & J vaccine and not using blood thinners to treat. Today she states her leg is purple, black and blue and is swelling more when she is up on it at work. RN instructed pt to call her primary provider regarding stopping the blood thinner and to see if re-evaluation of her leg is needed. Pt also instructed to seek emergency treatment for increased swelling or pain to her leg, headache, abdominal pain, shortness of breath or any other concerns. Pt plans to speak with or see her primary provider today.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1214246

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