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This is VAERS ID 928339

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 928339
VAERS Form:2
Age:
Sex:Female
Location:Colorado
Vaccinated:2020-12-22
Onset:2020-12-24
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH4899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ultrasound scan, Deep vein thrombosis

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: oxycodone 5mg Q4h
Current Illness:
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data: U/S performed on 12/28/20, confirming diagnosis.
CDC 'Split Type':

Write-up: Developed a infrapopliteal DVT in the left leg two days after vaccine was received. I also had minor knee surgery on December 18, four days prior to receiving the vaccine. No risk factors/medical history for developing a DVT.


Changed on 5/7/2021

VAERS ID: 928339 Before After
VAERS Form:2
Age:
Sex:Female
Location:Colorado
Vaccinated:2020-12-22
Onset:2020-12-24
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH4899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ultrasound scan, Deep vein thrombosis

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: oxycodone 5mg Q4h
Current Illness:
Preexisting Conditions:
Allergies: none none
Diagnostic Lab Data: U/S performed on 12/28/20, confirming diagnosis.
CDC 'Split Type':

Write-up: Developed a infrapopliteal DVT in the left leg two days after vaccine was received. I also had minor knee surgery on December 18, four days prior to receiving the vaccine. No risk factors/medical history for developing a DVT.


Changed on 5/14/2021

VAERS ID: 928339 Before After
VAERS Form:2
Age:
Sex:Female
Location:Colorado
Vaccinated:2020-12-22
Onset:2020-12-24
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH4899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ultrasound scan, Deep vein thrombosis

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: oxycodone 5mg Q4h
Current Illness:
Preexisting Conditions:
Allergies: none none
Diagnostic Lab Data: U/S performed on 12/28/20, confirming diagnosis.
CDC 'Split Type':

Write-up: Developed a infrapopliteal DVT in the left leg two days after vaccine was received. I also had minor knee surgery on December 18, four days prior to receiving the vaccine. No risk factors/medical history for developing a DVT.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=928339&WAYBACKHISTORY=ON


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