VAERS ID: 1959696

AGE: 58| SEX: F|STATE: CA

Description

Day after booster on 11/16/21 my right leg was aching. 7 days later on 11/23/21 my sole of my right foot was very painful upon walking. This resolved 2 days later by 11/25/21. On day 11 (11/26/21) my ankle was slightly swollen and painful to touch. These symptoms continued to migrate up my leg to my inner thigh. On 12/13/21 I was seen by my primary care Doctor and was sent for a d-dimer blood test which was 1.77. I was seen in vascular dept and ultrasound indicated multiple DVT from my groin to my ankle.

Symptoms

Deep vein thrombosis, Fibrin D dimer, Joint swelling, Pain, Pain in extremity, Tenderness, Ultrasound Doppler abnormal

Vaccines

VAX DATE: 11-16-2021| ONSET DATE: 11-17-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (JANSSEN)) 2 COVID19 JANSSEN 1855191 SYR LA

RECVDATE:12-17-2021
RPT_DATE:
CAGE_YR:58
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:12/13/21 D-dimer blood test and Ultrasound.
V_ADMINBY:PVT
OTHER_MEDS:40 mg Lisinopril
CUR_ILL:Diverticulitis 10/21
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:12-17-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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