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This is VAERS ID 1258007

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1258007
VAERS Form:2
Age:22.0
Sex:Female
Location:New York
Vaccinated:2021-04-08
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Transverse sinus thrombosis

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: aurovela fe 1/20
Current Illness:
Preexisting Conditions:
Allergies: flagyl
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: diagnosed with transverse sinus thrombosis, outcome unknown transferred to Hospital upstate


Changed on 5/7/2021

VAERS ID: 1258007 Before After
VAERS Form:2
Age:22.0
Sex:Female
Location:New York
Vaccinated:2021-04-08
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Transverse sinus thrombosis

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: aurovela fe 1/20
Current Illness:
Preexisting Conditions:
Allergies: flagyl flagyl
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: diagnosed with transverse sinus thrombosis, outcome unknown transferred to Hospital upstate


Changed on 5/14/2021

VAERS ID: 1258007 Before After
VAERS Form:2
Age:22.0
Sex:Female
Location:New York
Vaccinated:2021-04-08
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Transverse sinus thrombosis

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: aurovela fe 1/20
Current Illness:
Preexisting Conditions:
Allergies: flagyl flagyl
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: diagnosed with transverse sinus thrombosis, outcome unknown transferred to Hospital upstate

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1258007&WAYBACKHISTORY=ON


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