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This is VAERS ID 1237164

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1237164
VAERS Form:2
Age:61.0
Sex:Female
Location:Florida
Vaccinated:2021-04-01
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Blood fibrinogen increased, Dizziness, Fibrin D dimer increased, Haematocrit normal, Haemoglobin normal, International normalised ratio normal, Platelet count normal, Prothrombin level increased, Transverse sinus thrombosis, Vertigo, Vomiting, White blood cell count normal, Computerised tomogram head abnormal

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: METFORMIN, AMLODIPINE-BENAZEPRIL, GLIPIZIDE
Current Illness: N/A
Preexisting Conditions: DIABETES, HYPERTENSION
Allergies: OMEPRAZOLE
Diagnostic Lab Data: ALL LABS DRAWN ON 4/21/2021 : D-DIMER: 0.94 FIBRINOGEN: 413 INR: 1.06 PRO-THROMBIN 13.6 WBC: 7.7 HGB: 13.7 HCT: 43.9 PLATELETS: 323 PF4 ASSAY, DIC, IgM, PROTEIN C & S PENDING
CDC 'Split Type':

Write-up: PATIENT PRESENTED TO OUR EMERGENCY ROOM WITH COMPLAINTS OF DIZZINESS, VERTIGO, AND VOMITING WHICH ONSET WAS ONE DAY. PATIENT REPORTS RECEIVING JOHNSON & JOHNSON COVID VACCINE 2 WEEKS AGO . CTA OF HEAD SHOW POSSIBLE TRANSVERSE VENOUS SINUS THROMBOSIS ABOUT 7MM, PATIENT IS ADMITTED TO ICU FOR FURTHER WORK UP .


Changed on 5/7/2021

VAERS ID: 1237164 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:Florida
Vaccinated:2021-04-01
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Blood fibrinogen increased, Dizziness, Fibrin D dimer increased, Haematocrit normal, Haemoglobin normal, International normalised ratio normal, Platelet count normal, Prothrombin level increased, Transverse sinus thrombosis, Vertigo, Vomiting, White blood cell count normal, Computerised tomogram head abnormal

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: METFORMIN, AMLODIPINE-BENAZEPRIL, GLIPIZIDE
Current Illness: N/A
Preexisting Conditions: DIABETES, HYPERTENSION
Allergies: OMEPRAZOLE OMEPRAZOLE
Diagnostic Lab Data: ALL LABS DRAWN ON 4/21/2021 : D-DIMER: 0.94 FIBRINOGEN: 413 INR: 1.06 PRO-THROMBIN 13.6 WBC: 7.7 HGB: 13.7 HCT: 43.9 PLATELETS: 323 PF4 ASSAY, DIC, IgM, PROTEIN C & S PENDING
CDC 'Split Type':

Write-up: PATIENT PRESENTED TO OUR EMERGENCY ROOM WITH COMPLAINTS OF DIZZINESS, VERTIGO, AND VOMITING WHICH ONSET WAS ONE DAY. PATIENT REPORTS RECEIVING JOHNSON & JOHNSON COVID VACCINE 2 WEEKS AGO . CTA OF HEAD SHOW POSSIBLE TRANSVERSE VENOUS SINUS THROMBOSIS ABOUT 7MM, PATIENT IS ADMITTED TO ICU FOR FURTHER WORK UP .


Changed on 5/14/2021

VAERS ID: 1237164 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:Florida
Vaccinated:2021-04-01
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Blood fibrinogen increased, Dizziness, Fibrin D dimer increased, Haematocrit normal, Haemoglobin normal, International normalised ratio normal, Platelet count normal, Prothrombin level increased, Transverse sinus thrombosis, Vertigo, Vomiting, White blood cell count normal, Computerised tomogram head abnormal

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: METFORMIN, AMLODIPINE-BENAZEPRIL, GLIPIZIDE
Current Illness: N/A
Preexisting Conditions: DIABETES, HYPERTENSION
Allergies: OMEPRAZOLE OMEPRAZOLE
Diagnostic Lab Data: ALL LABS DRAWN ON 4/21/2021 : D-DIMER: 0.94 FIBRINOGEN: 413 INR: 1.06 PRO-THROMBIN 13.6 WBC: 7.7 HGB: 13.7 HCT: 43.9 PLATELETS: 323 PF4 ASSAY, DIC, IgM, PROTEIN C & S PENDING
CDC 'Split Type':

Write-up: PATIENT PRESENTED TO OUR EMERGENCY ROOM WITH COMPLAINTS OF DIZZINESS, VERTIGO, AND VOMITING WHICH ONSET WAS ONE DAY. PATIENT REPORTS RECEIVING JOHNSON & JOHNSON COVID VACCINE 2 WEEKS AGO . CTA OF HEAD SHOW POSSIBLE TRANSVERSE VENOUS SINUS THROMBOSIS ABOUT 7MM, PATIENT IS ADMITTED TO ICU FOR FURTHER WORK UP .

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