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From the 6/11/2021 release of VAERS data:

This is VAERS ID 1250901



Case Details

VAERS ID: 1250901 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-08
Onset:2021-04-21
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Peripheral embolism, Pulmonary embolism
SMQs:, Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Dilaudid morphine Lasix
Current Illness: Copd
Preexisting Conditions: Copd
Allergies: None
Diagnostic Lab Data: Chest X-ray and blood work
CDC Split Type:

Write-up: Blood clots in each lung and leg


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1250901


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