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This is VAERS ID 1136946

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1136946
VAERS Form:2
Age:32.0
Sex:Female
Location:South Dakota
Vaccinated:2021-03-25
Onset:2021-03-26
Submitted:0000-00-00
Entered:2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Diplopia, Headache, Hypoaesthesia

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: unknown
Current Illness: denies
Preexisting Conditions: none
Allergies: none noted
Diagnostic Lab Data: unsure at time of report
CDC 'Split Type':

Write-up: numbness to left side, headache and double vision


Changed on 5/7/2021

VAERS ID: 1136946 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:South Dakota
Vaccinated:2021-03-25
Onset:2021-03-26
Submitted:0000-00-00
Entered:2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808978 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Diplopia, Headache, Hypoaesthesia

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: unknown
Current Illness: denies
Preexisting Conditions: none
Allergies: none noted noted
Diagnostic Lab Data: unsure at time of report
CDC 'Split Type':

Write-up: numbness to left side, headache and double vision

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136946&WAYBACKHISTORY=ON


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