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

This is VAERS ID 1229128



Case Details

VAERS ID: 1229128 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-05
Onset:2021-04-16
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Cerebral venous sinus thrombosis, Computerised tomogram head abnormal, Headache
SMQs:, Embolic and thrombotic events, venous (narrow), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: labetalol 100 mg oral tablet: 1 tab(s) orally 2 times a day labetalol 100 mg oral tablet: 1 tab(s) orally 2 times a day simvastatin 40 mg oral tablet: 1 tab(s) orally once a day (at bedtime) lisinopril-hydroCHLOROthiazide 20 mg-25 mg oral
Current Illness: GERD, COPD, HTN, Migraines
Preexisting Conditions:
Allergies: ampicillin Drug Vomiting Macrodantin Drug Vomiting amoxicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Presented with heahache Head CT showed dural sinus venous thrombosis currently treated with argatroban


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1229128

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