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This is VAERS ID 1251176

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1251176
VAERS Form:2
Age:34.0
Sex:Female
Location:West Virginia
Vaccinated:2021-04-07
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Angiogram pulmonary abnormal, Colitis, Mesenteric vein thrombosis, Platelet count decreased, Portal vein thrombosis, Pulmonary embolism, Splenomegaly, Thrombocytopenia, Angiogram cerebral abnormal, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Computerised tomogram head abnormal, Computerised tomogram pelvis 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)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT angio of Chest, Abdomen, Pelvis and Head Blood work showing: 1) Bilateral acute appearing pulmonary embolism right greater than left, clot burden moderately large. 2) . Probable portal vein thrombosis with partial superior mesenteric vein thrombosis. 3) Changes of mild diffuse colitis are suspect. Potential etiologies for colitis includes infectious processes, inflammatory processes, as well as ischemic etiologies. 4) Splenomegaly. 5) Thrombocytopenia. Platelets of 39000
CDC 'Split Type':

Write-up: 1) Bilateral acute appearing pulmonary embolism right greater than left, clot burden moderately large. 2) . Probable portal vein thrombosis with partial superior mesenteric vein thrombosis. 3) Changes of mild diffuse colitis are suspect. Potential etiologies for colitis includes infectious processes, inflammatory processes, as well as ischemic etiologies. 4) Splenomegaly. 5) Thrombocytopenia. Platelets of 39000


Changed on 5/7/2021

VAERS ID: 1251176 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:West Virginia
Vaccinated:2021-04-07
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Angiogram pulmonary abnormal, Colitis, Mesenteric vein thrombosis, Platelet count decreased, Portal vein thrombosis, Pulmonary embolism, Splenomegaly, Thrombocytopenia, Angiogram cerebral abnormal, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Computerised tomogram head abnormal, Computerised tomogram pelvis 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)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT angio of Chest, Abdomen, Pelvis and Head Blood work showing: 1) Bilateral acute appearing pulmonary embolism right greater than left, clot burden moderately large. 2) . Probable portal vein thrombosis with partial superior mesenteric vein thrombosis. 3) Changes of mild diffuse colitis are suspect. Potential etiologies for colitis includes infectious processes, inflammatory processes, as well as ischemic etiologies. 4) Splenomegaly. 5) Thrombocytopenia. Platelets of 39000
CDC 'Split Type':

Write-up: 1) Bilateral acute appearing pulmonary embolism right greater than left, clot burden moderately large. 2) . Probable portal vein thrombosis with partial superior mesenteric vein thrombosis. 3) Changes of mild diffuse colitis are suspect. Potential etiologies for colitis includes infectious processes, inflammatory processes, as well as ischemic etiologies. 4) Splenomegaly. 5) Thrombocytopenia. Platelets of 39000


Changed on 5/14/2021

VAERS ID: 1251176 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:West Virginia
Vaccinated:2021-04-07
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Angiogram pulmonary abnormal, Colitis, Mesenteric vein thrombosis, Platelet count decreased, Portal vein thrombosis, Pulmonary embolism, Splenomegaly, Thrombocytopenia, Angiogram cerebral abnormal, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Computerised tomogram head abnormal, Computerised tomogram pelvis 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)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT angio of Chest, Abdomen, Pelvis and Head Blood work showing: 1) Bilateral acute appearing pulmonary embolism right greater than left, clot burden moderately large. 2) . Probable portal vein thrombosis with partial superior mesenteric vein thrombosis. 3) Changes of mild diffuse colitis are suspect. Potential etiologies for colitis includes infectious processes, inflammatory processes, as well as ischemic etiologies. 4) Splenomegaly. 5) Thrombocytopenia. Platelets of 39000
CDC 'Split Type':

Write-up: 1) Bilateral acute appearing pulmonary embolism right greater than left, clot burden moderately large. 2) . Probable portal vein thrombosis with partial superior mesenteric vein thrombosis. 3) Changes of mild diffuse colitis are suspect. Potential etiologies for colitis includes infectious processes, inflammatory processes, as well as ischemic etiologies. 4) Splenomegaly. 5) Thrombocytopenia. Platelets of 39000

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