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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1315842



Case Details

VAERS ID: 1315842 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-15
Onset:2021-05-04
   Days after vaccination:50
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angiogram, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? Yes
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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CTA, 5/5/21
CDC Split Type:

Write-up: pulmonary embolism


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1315842


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