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This is VAERS ID 1395792

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1395792
VAERS Form:2
Age:58.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-30
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Computerised tomogram, Ultrasound Doppler, Deep vein thrombosis, Computerised tomogram abdomen, Angiogram, Computerised tomogram pelvis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Anastrazole 1mg po Daily (2019) Ascorbic Acid 100mg po Daily ASA 81mg Calcium 500mg Celecoxib 200mg po BID Cholecalciferol 5,000units po Daily Cyanocobalamin 1000mcg po daily Magnesium 400mg po Daily Oxycodone-acetaminophen 5-325 Q6HPRN Ve
Current Illness:
Preexisting Conditions: Chronic Venous Insufficiency Hx Breast Cancer Hx DVT while on hormones
Allergies: No Known Drug Allergies
Diagnostic Lab Data: 06/03 Ultrasound duplex Venous right leg = acute DT of distal vein of RLE 06/09 CTA Pulm arteries and CT abdomen/pelvis with contrast - Negative for aortic aneurysm, aortic dissection or acute pulmonary embolus.
CDC 'Split Type':

Write-up: New/Acute DVT in right calf

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