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This is VAERS ID 1490585

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1490585
VAERS Form:2
Age:35.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-07-13
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040B21A / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Pulmonary embolism, Anticoagulant therapy, Computerised tomogram thorax abnormal

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? No
Previous Vaccinations:
Other Medications: sertraline, flovent discus 100 mg bid, desogestrel-ethinyl Estradiol, methocarbamol, gabapentin
Current Illness: Unknown couth has been going on for months- being evaluated for allergies. Fh of lupus, she having muscle aches is seeing a rheumatologist getting bloodwork. All previous testing negative
Preexisting Conditions: fibromyalgia bipolardisorder/major depressive disorder
Allergies: Bee stings
Diagnostic Lab Data: CT Chest 7/19/2021 +PE
CDC 'Split Type':

Write-up: Had Chest pain 7/19/2021 went to er and was diagnosed with pulmonary embolism. Started on rivaroxaban/ xarelto. Was discharged from ER same day. Stable. Would not say she is "recovered" as we are early out from PE. Stopped combination oral contraception.

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