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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1351506

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Case Details

VAERS ID: 1351506 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-04-07
Onset:2021-04-28
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Computerised tomogram, Dyspnoea, Fibrin D dimer increased, Gaze palsy, Pain in extremity, Peripheral swelling, Pulmonary function test, Ultrasound scan
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Ocular motility disorders (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: I passed out right away when I received the guardasil vaccine. I think I was around 22, which would be the year 2006.
Other Medications: I was taking generic camreselo (birth control pill).
Current Illness: I did not have any other illnesses.
Preexisting Conditions: I do not have any chronic or long-standing health conditions.
Allergies: I do not have any allergies.
Diagnostic Lab Data: The tests that were completed were Pulmonary embolism, CT scan, D-Dimer test and ultrasound.
CDC Split Type: vsafe

Write-up: I was taking a shower the night of 04/28/21 and I had a bad pain in my right leg. It felt like it could be a blood clot. The area was swollen and I was in a lot of pain. My blood pressure started getting high and it kept going up. On the way to the hospital, I started getting a headache and shortness of breath. I tried to elevate my leg on the way there. I took an aspirin. I had to sit in the waiting room for 2 1/2 hours and my pain in my leg and headache continued. Once I was taken back, they ran a few tests. I was told that my D-Dimer was elevated which indicates a blood clot. I was checked for a pulmonary embolism and that was negative. I was given a blood thinner because an ultrasound technician was not on duty. I went home at 4 am. I went back for an ultrasound the next day for my entire leg. Everything came back normal. The pain slowly went away.


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