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This is VAERS ID 1023871

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1023871
VAERS Form:2
Age:72.0
Sex:Female
Location:Kansas
Vaccinated:2021-02-10
Onset:2021-02-11
Submitted:0000-00-00
Entered:2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Electrocardiogram, X-ray, Ischaemic stroke, Abnormal behaviour, Blood test

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:
Current Illness:
Preexisting Conditions: Diagnosed with COVID 19 in December. Required hospitalization.
Allergies: Sulfa, Bactrim, PCN
Diagnostic Lab Data: ECG, CT, blood studies, Xray,
CDC 'Split Type':

Write-up: Patient received vaccine during working hours on 2/10/2021. Coworkers reported patient was acting abnormally this morning upon arriving to work. After medical assessment and testing, patient was diagnosed with a ischemic stroke and transferred to higher level of care.


Changed on 5/7/2021

VAERS ID: 1023871 Before After
VAERS Form:2
Age:72.0
Sex:Female
Location:Kansas
Vaccinated:2021-02-10
Onset:2021-02-11
Submitted:0000-00-00
Entered:2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Electrocardiogram, X-ray, Ischaemic stroke, Abnormal behaviour, Blood test

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:
Current Illness:
Preexisting Conditions: Diagnosed with COVID 19 in December. Required hospitalization.
Allergies: Sulfa, Bactrim, PCN PCN
Diagnostic Lab Data: ECG, CT, blood studies, Xray,
CDC 'Split Type':

Write-up: Patient received vaccine during working hours on 2/10/2021. Coworkers reported patient was acting abnormally this morning upon arriving to work. After medical assessment and testing, patient was diagnosed with a ischemic stroke and transferred to higher level of care.


Changed on 5/14/2021

VAERS ID: 1023871 Before After
VAERS Form:2
Age:72.0
Sex:Female
Location:Kansas
Vaccinated:2021-02-10
Onset:2021-02-11
Submitted:0000-00-00
Entered:2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Electrocardiogram, X-ray, Ischaemic stroke, Abnormal behaviour, Blood test

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:
Current Illness:
Preexisting Conditions: Diagnosed with COVID 19 in December. Required hospitalization.
Allergies: Sulfa, Bactrim, PCN PCN
Diagnostic Lab Data: ECG, CT, blood studies, Xray,
CDC 'Split Type':

Write-up: Patient received vaccine during working hours on 2/10/2021. Coworkers reported patient was acting abnormally this morning upon arriving to work. After medical assessment and testing, patient was diagnosed with a ischemic stroke and transferred to higher level of care.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1023871&WAYBACKHISTORY=ON


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