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This is VAERS ID 1351020

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1351020
VAERS Form:2
Age:51.0
Sex:Female
Location:Minnesota
Vaccinated:2021-03-24
Onset:2021-05-15
Submitted:0000-00-00
Entered:2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Aphasia, Hypoxia, Pulmonary embolism, Unresponsive to stimuli, Deep vein thrombosis, Computerised tomogram thorax abnormal, Right ventricular dysfunction

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)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Spironolactone, baclofen, omeprazole, potassium chloride, pregabalin, nystatin powder, mupirocin, morphine, mesalamine, meclizine, gabapentin, ibuprofen, fludrocortisone, eszopiclone, duloxetine, diazepam, cyclobenzaprine, Vitamin D, aspiri
Current Illness: Quadrapelegic, urinary tract infections history. CVA
Preexisting Conditions: Quadrapelegic, urogenic bladder, CVA, gastric bypasxs
Allergies: Adhesive tapes
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Unresponsive and unable to speak at home. Hypoxic, CT showed large bilateral pulmonary embolism with heart strain, as well as bilateral femoral DVT.

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