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This is VAERS ID 1327298

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1327298
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Chest X-ray, Dyspnoea, Electrocardiogram, Heart rate increased, Pulmonary embolism, Ultrasound Doppler abnormal, Deep vein thrombosis, Computerised tomogram thorax abnormal, Laboratory test

Life Threatening? Yes
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? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid 112, Liothyronine 5 mcg, Atorvastatin 10 mg, Fish Oil 1290 mg, and Calcium Citrate with Vitamin D
Current Illness: None
Preexisting Conditions: Thyroid cancer
Allergies: None known
Diagnostic Lab Data: 5/02/21: EKG, Lab work, CT of Chest, Ultrasound od legs, Chest X-ray, etc.
CDC 'Split Type':

Write-up: Recall right knee pain about 10 days after injection. Have had previous knee surgery years ago and discounted it. Then on morning of 5/02 had two episodes of severe shortness of breath with elevated, resting heart rate (high 130 beats per minute) per Fitbit. Went to Emergency Room at 1 PM and was diagnosed with two large, bilateral pulmonary embolisms and two DVTs in right leg. Transferred to another Hospital as this hospital did not have a Pulmonologist on site for the weekend. Admitted ICU at about 6 PM.

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