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This is VAERS ID 1695482

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1695482
VAERS Form:2
Age:34.0
Sex:Female
Location:Vermont
Vaccinated:2021-09-02
Onset:2021-09-03
Submitted:0000-00-00
Entered:2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Fibrin D dimer, Gait inability, Pain in extremity, Peripheral swelling, Impaired work ability

Life Threatening? No
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa 10mg
Current Illness: None
Preexisting Conditions: None
Allergies: Allergies to pertussis vaccine and amoxicillin
Diagnostic Lab Data: D-dimer at ER.
CDC 'Split Type':

Write-up: Arm swollen and extremely painful. Morning after vaccine same reaction on lower leg. Went to ER and they refused an ultrasound to check for blood clot but did a d-diner. Same place on leg has gotten worse, unable to walk right. Fatigue so bad I am unable to get out of bed to work. Had not ever felt this way prior to this vaccine.

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