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This is VAERS ID 1152218

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1152218
VAERS Form:2
Age:56.0
Sex:Female
Location:Missouri
Vaccinated:2021-03-30
Onset:2021-03-30
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, Pyrexia, Seizure, Postictal state

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)? 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&WAYBACKHISTORY=ON


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