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This is VAERS ID 1226343

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1226343
VAERS Form:2
Age:71.0
Sex:Male
Location:Texas
Vaccinated:2021-04-01
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Fibrin D dimer increased, Pulmonary embolism, Computerised tomogram thorax abnormal, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: glipizide , metformin, actos, simvastatin, tramadol, cyanocobalamin.
Current Illness: covid positive, fever, weakness.
Preexisting Conditions: diabetes, hyperlipidemia
Allergies: no allergies
Diagnostic Lab Data: Ct scan with PE protocol. elevated d-dimer, patient also positive for covid 19
CDC 'Split Type':

Write-up: pulmonary emboli- sob confirmed with CT scan


Changed on 5/7/2021

VAERS ID: 1226343 Before After
VAERS Form:2
Age:71.0
Sex:Male
Location:Texas
Vaccinated:2021-04-01
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Fibrin D dimer increased, Pulmonary embolism, Computerised tomogram thorax abnormal, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: glipizide , metformin, actos, simvastatin, tramadol, cyanocobalamin.
Current Illness: covid positive, fever, weakness.
Preexisting Conditions: diabetes, hyperlipidemia
Allergies: no allergies allergies
Diagnostic Lab Data: Ct scan with PE protocol. elevated d-dimer, patient also positive for covid 19
CDC 'Split Type':

Write-up: pulmonary emboli- sob confirmed with CT scan


Changed on 5/14/2021

VAERS ID: 1226343 Before After
VAERS Form:2
Age:71.0
Sex:Male
Location:Texas
Vaccinated:2021-04-01
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Fibrin D dimer increased, Pulmonary embolism, Computerised tomogram thorax abnormal, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: glipizide , metformin, actos, simvastatin, tramadol, cyanocobalamin.
Current Illness: covid positive, fever, weakness.
Preexisting Conditions: diabetes, hyperlipidemia
Allergies: no allergies allergies
Diagnostic Lab Data: Ct scan with PE protocol. elevated d-dimer, patient also positive for covid 19
CDC 'Split Type':

Write-up: pulmonary emboli- sob confirmed with CT scan

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1226343&WAYBACKHISTORY=ON


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