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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1237452



Case Details

VAERS ID: 1237452 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-07
Onset:2021-04-10
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Deep vein thrombosis, Ultrasound scan
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xarelto
Current Illness: Right distal fibular avulsion fracture.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Ultra sound of lower extremity
CDC Split Type:

Write-up: Acute deep vein thrombosis (DVT) of right peroneal vein


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1237452

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