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This is VAERS ID 1229128

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1229128
VAERS Form:2
Age:52.0
Sex:Female
Location:Florida
Vaccinated:2021-04-05
Onset:2021-04-16
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: Headache, Computerised tomogram head abnormal, Cerebral venous sinus thrombosis

Life Threatening? No
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)? 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


Changed on 5/7/2021

VAERS ID: 1229128 Before After
VAERS Form:2
Age:52.0
Sex:Female
Location:Florida
Vaccinated:2021-04-05
Onset:2021-04-16
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: Headache, Computerised tomogram head abnormal, Cerebral venous sinus thrombosis

Life Threatening? No
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)? 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 amoxicillin
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 5/14/2021

VAERS ID: 1229128 Before After
VAERS Form:2
Age:52.0
Sex:Female
Location:Florida
Vaccinated:2021-04-05
Onset:2021-04-16
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: Headache, Computerised tomogram head abnormal, Cerebral venous sinus thrombosis

Life Threatening? No
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)? 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 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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Link To This Search Result:

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

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