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This is VAERS ID 1446928

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1446928
VAERS Form:2
Age:69.0
Sex:Female
Location:California
Vaccinated:2021-06-22
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Confusional state, Thrombosis, 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)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: LEVOTHYROXINE 100 MCG, GABAPENTIN 300 MG, ATENOLOL 25MG, AMIODIPINE 10MG
Current Illness: NONE
Preexisting Conditions: HIGH BLOOD PRESSURE, THYROID DISEASE
Allergies: TETRACYCLINE
Diagnostic Lab Data: MULTIPLE TESTS - CONTACT HOSPITAL
CDC 'Split Type':

Write-up: SEVERE ABDOMINAL PAIN, BLOOD CLOT IN RIGHT LEG, CONFUSION (CURRENTLY STILL IN THE HOSPTIAL FOR THESE ISSUES)

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