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From the 5/7/2021 release of VAERS data:

This is VAERS ID 1152218



Case Details

VAERS ID: 1152218 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-03-30
Onset:2021-03-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Postictal state, Pyrexia, Seizure
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atenolol, Atorvastatin, Gabapentin, Lisinopril, Zoloft
Current Illness:
Preexisting Conditions: HTN, depression, HLD
Allergies: PCN
Diagnostic Lab Data:
CDC Split Type:

Write-up: went today to get a COVID-19 vaccination (Johnson & Johnson) today. She is here for seizures. Apparently she was fine shortly after the shot and then this afternoon started having chills and fever and then had with the family said was a 30-minute seizure before EMS was called. EMS found her postictal and during the transport they had she had another seizure in route. In the emergency room she had a fever of 101 and was postictal


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1152218


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