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This is VAERS ID 1100607

History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 1100607
VAERS Form:2
Age:55.0
Sex:Male
Location:Nevada
Vaccinated:2021-03-12
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Electroencephalogram normal, Seizure, Thrombocytopenia, Computerised tomogram head normal, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NIL
Current Illness: NIL
Preexisting Conditions: NIL
Allergies: NIL
Diagnostic Lab Data: Head CT wo - normal EEG - normal Covid-19 NP swab PCR neg Mild thrombocytopenia
CDC 'Split Type':

Write-up: Seizure


Changed on 5/7/2021

VAERS ID: 1100607 Before After
VAERS Form:2
Age:55.0
Sex:Male
Location:Nevada
Vaccinated:2021-03-12
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Electroencephalogram normal, Seizure, Thrombocytopenia, Computerised tomogram head normal, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NIL
Current Illness: NIL
Preexisting Conditions: NIL
Allergies: NIL NIL
Diagnostic Lab Data: Head CT wo - normal EEG - normal Covid-19 NP swab PCR neg Mild thrombocytopenia
CDC 'Split Type':

Write-up: Seizure


Changed on 5/14/2021

VAERS ID: 1100607 Before After
VAERS Form:2
Age:55.0
Sex:Male
Location:Nevada
Vaccinated:2021-03-12
Onset:2021-03-13
Submitted:0000-00-00
Entered:2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / UNK RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Electroencephalogram normal, Seizure, Thrombocytopenia, Computerised tomogram head normal, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NIL
Current Illness: NIL
Preexisting Conditions: NIL
Allergies: NIL NIL
Diagnostic Lab Data: Head CT wo - normal EEG - normal Covid-19 NP swab PCR neg Mild thrombocytopenia
CDC 'Split Type':

Write-up: Seizure

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1100607&WAYBACKHISTORY=ON


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