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This is VAERS ID 1140111

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1140111
VAERS Form:2
Age:35.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-27
Onset:2021-03-27
Submitted:0000-00-00
Entered:2021-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Blood glucose, Computerised tomogram, Dysarthria, Facial paralysis, Syncope, Laboratory test, Angiogram, Magnetic resonance imaging, Muscle strength abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: estradiol, gabapentin, mirtazapine, pantoprazole, promethazine, tizanidine
Current Illness: recent hiatal hernia repair recent bells palsy
Preexisting Conditions: anxiety depression
Allergies: ancef, Percocet, reglan
Diagnostic Lab Data: CT, MRI/MRA, labs, glucose, given TPA
CDC 'Split Type':

Write-up: had syncope approx. 15 mins after injection - after pt aroused she was noted to right have facial droop, slurred speech, dysarthria, 2/5 strength to RLE, 4/5 strength to RUE.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1140111&WAYBACKHISTORY=ON


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