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This is VAERS ID 1315842

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1315842
VAERS Form:2
Age:38.0
Sex:Female
Location:Illinois
Vaccinated:2021-03-15
Onset:2021-05-04
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: Pulmonary embolism, Angiogram

Life Threatening? Yes
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:
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&WAYBACKHISTORY=ON


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