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This is VAERS ID 1084138

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1084138
VAERS Form:2
Age:38.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-06
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Facial paralysis, Hypoaesthesia, Panic attack

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Unknown vaccine information dose given outside of presenting facility. Facial numbness and droop that began after Janssen COVID vaccine. Patient also with panic attack.


Changed on 5/7/2021

VAERS ID: 1084138 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-06
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Facial paralysis, Hypoaesthesia, Panic attack

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Unknown vaccine information dose given outside of presenting facility. Facial numbness and droop that began after Janssen COVID vaccine. Patient also with panic attack.


Changed on 5/14/2021

VAERS ID: 1084138 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-06
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Facial paralysis, Hypoaesthesia, Panic attack

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Unknown vaccine information dose given outside of presenting facility. Facial numbness and droop that began after Janssen COVID vaccine. Patient also with panic attack.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1084138&WAYBACKHISTORY=ON


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