|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN
||1805022 / 1
||RA / -
Administered by: Pharmacy Purchased by: ?
Magnetic resonance imaging abnormal,
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Other Medications: I was taking prescribed medication.
Current Illness: None.
Preexisting Conditions: None.
Allergies: I am allergic to tetracycline.
Diagnostic Lab Data: I had a EKG test done and a MRI.
CDC Split Type: vsafe
Write-up: After the vaccine every joint in my body was aching, my muscles were aching. I was also nausea and I had a very headache. I went to my doctor on April 13, 2021. My doctor sent me to the emergency room because I had shortness of breath. When I got to the ER I was placed on oxygen. I had a MRI test done and this is when the doctor told me I had blood clots.