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This is VAERS ID 1157733

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1157733
VAERS Form:2
Age:60.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-12
Onset:2021-03-15
Submitted:0000-00-00
Entered:2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Brain stem haemorrhage, Cerebral haemorrhage, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-24
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? No
Previous Vaccinations:
Other Medications: calcium channel blocker; anti-nausea medication
Current Illness:
Preexisting Conditions: Polycythemia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient experienced a brain hemorrhage and was hospitalized on Monday, March 15. Despite numerous tests, doctors could not find the source or cause of the bleeding. Over time, the bleeding spread to other areas of her brain including her brain stem. Damage from the bleeding was so severe that she would not recover. She passed away on March 24 after being removed from life support.


Changed on 5/7/2021

VAERS ID: 1157733 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-12
Onset:2021-03-15
Submitted:0000-00-00
Entered:2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Brain stem haemorrhage, Cerebral haemorrhage, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-24
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? No
Previous Vaccinations:
Other Medications: calcium channel blocker; anti-nausea medication
Current Illness:
Preexisting Conditions: Polycythemia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient experienced a brain hemorrhage and was hospitalized on Monday, March 15. Despite numerous tests, doctors could not find the source or cause of the bleeding. Over time, the bleeding spread to other areas of her brain including her brain stem. Damage from the bleeding was so severe that she would not recover. She passed away on March 24 after being removed from life support.


Changed on 5/14/2021

VAERS ID: 1157733 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-12
Onset:2021-03-15
Submitted:0000-00-00
Entered:2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Brain stem haemorrhage, Cerebral haemorrhage, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-24
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? No
Previous Vaccinations:
Other Medications: calcium channel blocker; anti-nausea medication
Current Illness:
Preexisting Conditions: Polycythemia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient experienced a brain hemorrhage and was hospitalized on Monday, March 15. Despite numerous tests, doctors could not find the source or cause of the bleeding. Over time, the bleeding spread to other areas of her brain including her brain stem. Damage from the bleeding was so severe that she would not recover. She passed away on March 24 after being removed from life support.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1157733&WAYBACKHISTORY=ON


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