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This is VAERS ID 1271366

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1271366
VAERS Form:2
Age:62.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-08
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Pain in extremity, Ultrasound Doppler, Deep vein thrombosis, Limb discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: protonix Montelukast vitamin d
Current Illness: none
Preexisting Conditions: HLD
Allergies: Sulfa PCN
Diagnostic Lab Data: B/L venous Duplex. B/L femoral DVT
CDC 'Split Type':

Write-up: Patient was seen in my office by me on April 27th. She reports having left leg pain discomfort which started 3 days after receive Johnson and Johnson COVID vaccine. She denies swelling or any other associated symptoms. I ordered Venous Duplex which was done today and revealed b/l femoral DVT. Patient immediately started on Eliquis .


Changed on 5/7/2021

VAERS ID: 1271366 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-08
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Pain in extremity, Ultrasound Doppler, Deep vein thrombosis, Limb discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: protonix Montelukast vitamin d
Current Illness: none
Preexisting Conditions: HLD
Allergies: Sulfa PCN PCN
Diagnostic Lab Data: B/L venous Duplex. B/L femoral DVT
CDC 'Split Type':

Write-up: Patient was seen in my office by me on April 27th. She reports having left leg pain discomfort which started 3 days after receive Johnson and Johnson COVID vaccine. She denies swelling or any other associated symptoms. I ordered Venous Duplex which was done today and revealed b/l femoral DVT. Patient immediately started on Eliquis .


Changed on 5/14/2021

VAERS ID: 1271366 Before After
VAERS Form:2
Age:62.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-08
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Pain in extremity, Ultrasound Doppler, Deep vein thrombosis, Limb discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: protonix Montelukast vitamin d
Current Illness: none
Preexisting Conditions: HLD
Allergies: Sulfa PCN PCN
Diagnostic Lab Data: B/L venous Duplex. B/L femoral DVT
CDC 'Split Type':

Write-up: Patient was seen in my office by me on April 27th. She reports having left leg pain discomfort which started 3 days after receive Johnson and Johnson COVID vaccine. She denies swelling or any other associated symptoms. I ordered Venous Duplex which was done today and revealed b/l femoral DVT. Patient immediately started on Eliquis .

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1271366&WAYBACKHISTORY=ON


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