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This is VAERS ID 1232476

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1232476
VAERS Form:2
Age:53.0
Sex:Female
Location:Florida
Vaccinated:2021-03-25
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180529 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Full blood count normal, Headache, Platelet count normal, Venogram abnormal, Anticoagulant therapy, Metabolic function test normal, Cerebral venous sinus thrombosis, Magnetic resonance imaging head normal

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)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Baby Aspirin, Lorazepam, Pepcid, Protonix
Current Illness:
Preexisting Conditions: Myocardial infarction (x4), colorectal cancer treated in 2005, tobacco use (1/2 ppd), gastritis, migraine; back pain, herniated disc, lumbar canal stenosis, hysterectomy, obesity, anxiety
Allergies: Augmentin, Ampicillin, Erythromycin, Percocet
Diagnostic Lab Data: CT Head Venogram 4/17/21, MRI Brain 4/18/21
CDC 'Split Type':

Write-up: Patient presented to Emergency Department on 4/17/21 with a severe headache that started 5-7 days prior. CBC and Chem-8 were normal with platelets of 314. Findings from CT head venogram showed irregularities of the left transverse sinus with possible sinus thrombosis. Patient was admitted for further work-up and treatment. Patient was followed by Neurology. On 4/18 MRI revealed no cavernoma seen and no stroke or hemorrhage. Per Neurology, the areas of filling defects seen on CTV are still present which could be nonocclusive thrombus vs stenosis with prominent arachnoid granulations, but given history and risk factors, would treat as cerebral sinus venous thrombosis. Patient was treated with heparin then transitioned to apixaban, which she was discharged on. Patient was instructed to follow up with neurology in 3 months for a repeat CTV. Patient was discharged 4/19/21.


Changed on 5/7/2021

VAERS ID: 1232476 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:Florida
Vaccinated:2021-03-25
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180529 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Full blood count normal, Headache, Platelet count normal, Venogram abnormal, Anticoagulant therapy, Metabolic function test normal, Cerebral venous sinus thrombosis, Magnetic resonance imaging head normal

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)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Baby Aspirin, Lorazepam, Pepcid, Protonix
Current Illness:
Preexisting Conditions: Myocardial infarction (x4), colorectal cancer treated in 2005, tobacco use (1/2 ppd), gastritis, migraine; back pain, herniated disc, lumbar canal stenosis, hysterectomy, obesity, anxiety
Allergies: Augmentin, Ampicillin, Erythromycin, Percocet Percocet
Diagnostic Lab Data: CT Head Venogram 4/17/21, MRI Brain 4/18/21
CDC 'Split Type':

Write-up: Patient presented to Emergency Department on 4/17/21 with a severe headache that started 5-7 days prior. CBC and Chem-8 were normal with platelets of 314. Findings from CT head venogram showed irregularities of the left transverse sinus with possible sinus thrombosis. Patient was admitted for further work-up and treatment. Patient was followed by Neurology. On 4/18 MRI revealed no cavernoma seen and no stroke or hemorrhage. Per Neurology, the areas of filling defects seen on CTV are still present which could be nonocclusive thrombus vs stenosis with prominent arachnoid granulations, but given history and risk factors, would treat as cerebral sinus venous thrombosis. Patient was treated with heparin then transitioned to apixaban, which she was discharged on. Patient was instructed to follow up with neurology in 3 months for a repeat CTV. Patient was discharged 4/19/21.


Changed on 5/14/2021

VAERS ID: 1232476 Before After
VAERS Form:2
Age:53.0
Sex:Female
Location:Florida
Vaccinated:2021-03-25
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 180529 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Full blood count normal, Headache, Platelet count normal, Venogram abnormal, Anticoagulant therapy, Metabolic function test normal, Cerebral venous sinus thrombosis, Magnetic resonance imaging head normal

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)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Baby Aspirin, Lorazepam, Pepcid, Protonix
Current Illness:
Preexisting Conditions: Myocardial infarction (x4), colorectal cancer treated in 2005, tobacco use (1/2 ppd), gastritis, migraine; back pain, herniated disc, lumbar canal stenosis, hysterectomy, obesity, anxiety
Allergies: Augmentin, Ampicillin, Erythromycin, Percocet Percocet
Diagnostic Lab Data: CT Head Venogram 4/17/21, MRI Brain 4/18/21
CDC 'Split Type':

Write-up: Patient presented to Emergency Department on 4/17/21 with a severe headache that started 5-7 days prior. CBC and Chem-8 were normal with platelets of 314. Findings from CT head venogram showed irregularities of the left transverse sinus with possible sinus thrombosis. Patient was admitted for further work-up and treatment. Patient was followed by Neurology. On 4/18 MRI revealed no cavernoma seen and no stroke or hemorrhage. Per Neurology, the areas of filling defects seen on CTV are still present which could be nonocclusive thrombus vs stenosis with prominent arachnoid granulations, but given history and risk factors, would treat as cerebral sinus venous thrombosis. Patient was treated with heparin then transitioned to apixaban, which she was discharged on. Patient was instructed to follow up with neurology in 3 months for a repeat CTV. Patient was discharged 4/19/21.

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