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This is VAERS ID 1154739

History of Changes from the VAERS Wayback Machine

First Appeared on 4/8/2021

VAERS ID: 1154739
VAERS Form:2
Age:55.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-08
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ischaemic stroke

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: borderline hypothyroidism
Allergies: prevacid latex synthroid
Diagnostic Lab Data: Extensive Hospital admission 3/10-3/15
CDC 'Split Type':

Write-up: Ischemic stroke right cerebellar, left thalamic


Changed on 5/7/2021

VAERS ID: 1154739 Before After
VAERS Form:2
Age:55.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-08
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ischaemic stroke

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: borderline hypothyroidism
Allergies: prevacid latex synthroid synthroid
Diagnostic Lab Data: Extensive Hospital admission 3/10-3/15
CDC 'Split Type':

Write-up: Ischemic stroke right cerebellar, left thalamic


Changed on 5/14/2021

VAERS ID: 1154739 Before After
VAERS Form:2
Age:55.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-08
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ischaemic stroke

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: borderline hypothyroidism
Allergies: prevacid latex synthroid synthroid
Diagnostic Lab Data: Extensive Hospital admission 3/10-3/15
CDC 'Split Type':

Write-up: Ischemic stroke right cerebellar, left thalamic

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1154739&WAYBACKHISTORY=ON

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