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This is VAERS ID 1134651

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1134651
VAERS Form:2
Age:63.0
Sex:Female
Location:North Carolina
Vaccinated:2021-03-07
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Haemorrhagic stroke

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-10
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: Losartan
Current Illness: unknown
Preexisting Conditions: hypertension; hyperthyroidism
Allergies: unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The patient had a hemorrhagic stroke approximately 3 days after receiving the vaccine and died.


Changed on 5/7/2021

VAERS ID: 1134651 Before After
VAERS Form:2
Age:63.0
Sex:Female
Location:North Carolina
Vaccinated:2021-03-07
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Haemorrhagic stroke

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-10
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: Losartan
Current Illness: unknown
Preexisting Conditions: hypertension; hyperthyroidism
Allergies: unknown unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The patient had a hemorrhagic stroke approximately 3 days after receiving the vaccine and died.


Changed on 5/14/2021

VAERS ID: 1134651 Before After
VAERS Form:2
Age:63.0
Sex:Female
Location:North Carolina
Vaccinated:2021-03-07
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Death, Haemorrhagic stroke

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-10
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: Losartan
Current Illness: unknown
Preexisting Conditions: hypertension; hyperthyroidism
Allergies: unknown unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The patient had a hemorrhagic stroke approximately 3 days after receiving the vaccine and died.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1134651&WAYBACKHISTORY=ON


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