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This is VAERS ID 1229724

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1229724
VAERS Form:2
Age:62.0
Sex:Male
Location:Ohio
Vaccinated:2021-03-10
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Cellulitis, Erythema, Pain in extremity, Ultrasound scan, Peripheral swelling, Deep vein thrombosis

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: Zebeta 5mg, Losartan 100mg, Norvasc 10mg, HCTZ 25mg, Bystolic 10mg, DEPADE 50mg
Current Illness: N/A
Preexisting Conditions: A Fib & HTN
Allergies: None
Diagnostic Lab Data: 4.7.21 Left lower leg Ultra sound 4.7.21 Apixaban 5mg 2 BID x 7 days
CDC 'Split Type':

Write-up: Patient started with Left lower leg pain and redness on 4.1.21. Went to Emergency dept on 4.4.21 and diagnosis of Left leg cellulitis and prescribed Doxycycline. Patient came to PCP office on 4.6.21 with worsening left lower leg pain and swelling. Order L lower leg doppler. Diagnosis of L lower leg deep vein thrombosis of tibial vein on 4.7.21 and prescribed Apixaban 5mg 2 BID x 7 days on 4.7.21


Changed on 5/7/2021

VAERS ID: 1229724 Before After
VAERS Form:2
Age:62.0
Sex:Male
Location:Ohio
Vaccinated:2021-03-10
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Cellulitis, Erythema, Pain in extremity, Ultrasound scan, Peripheral swelling, Deep vein thrombosis

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: Zebeta 5mg, Losartan 100mg, Norvasc 10mg, HCTZ 25mg, Bystolic 10mg, DEPADE 50mg
Current Illness: N/A
Preexisting Conditions: A Fib & HTN
Allergies: None None
Diagnostic Lab Data: 4.7.21 Left lower leg Ultra sound 4.7.21 Apixaban 5mg 2 BID x 7 days
CDC 'Split Type':

Write-up: Patient started with Left lower leg pain and redness on 4.1.21. Went to Emergency dept on 4.4.21 and diagnosis of Left leg cellulitis and prescribed Doxycycline. Patient came to PCP office on 4.6.21 with worsening left lower leg pain and swelling. Order L lower leg doppler. Diagnosis of L lower leg deep vein thrombosis of tibial vein on 4.7.21 and prescribed Apixaban 5mg 2 BID x 7 days on 4.7.21


Changed on 5/14/2021

VAERS ID: 1229724 Before After
VAERS Form:2
Age:62.0
Sex:Male
Location:Ohio
Vaccinated:2021-03-10
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802068 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Cellulitis, Erythema, Pain in extremity, Ultrasound scan, Peripheral swelling, Deep vein thrombosis

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: Zebeta 5mg, Losartan 100mg, Norvasc 10mg, HCTZ 25mg, Bystolic 10mg, DEPADE 50mg
Current Illness: N/A
Preexisting Conditions: A Fib & HTN
Allergies: None None
Diagnostic Lab Data: 4.7.21 Left lower leg Ultra sound 4.7.21 Apixaban 5mg 2 BID x 7 days
CDC 'Split Type':

Write-up: Patient started with Left lower leg pain and redness on 4.1.21. Went to Emergency dept on 4.4.21 and diagnosis of Left leg cellulitis and prescribed Doxycycline. Patient came to PCP office on 4.6.21 with worsening left lower leg pain and swelling. Order L lower leg doppler. Diagnosis of L lower leg deep vein thrombosis of tibial vein on 4.7.21 and prescribed Apixaban 5mg 2 BID x 7 days on 4.7.21

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