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This is VAERS ID 1180214

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1180214
VAERS Form:2
Age:28.0
Sex:Male
Location:Florida
Vaccinated:2021-04-08
Onset:2021-04-08
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood glucose, Seizure

Life Threatening? No
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Occasional heat related syncope
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data: Blood Glucose 87mg/dL
CDC 'Split Type':

Write-up: Patient had a witnessed seizure while in observation area. Patient seizure activity lasted approximately 15 seconds. Patient became conscious, alert, and oriented, within 5 minutes of seizure activity starting.


Changed on 5/7/2021

VAERS ID: 1180214 Before After
VAERS Form:2
Age:28.0
Sex:Male
Location:Florida
Vaccinated:2021-04-08
Onset:2021-04-08
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood glucose, Seizure

Life Threatening? No
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Occasional heat related syncope
Preexisting Conditions:
Allergies: none none
Diagnostic Lab Data: Blood Glucose 87mg/dL
CDC 'Split Type':

Write-up: Patient had a witnessed seizure while in observation area. Patient seizure activity lasted approximately 15 seconds. Patient became conscious, alert, and oriented, within 5 minutes of seizure activity starting.


Changed on 5/14/2021

VAERS ID: 1180214 Before After
VAERS Form:2
Age:28.0
Sex:Male
Location:Florida
Vaccinated:2021-04-08
Onset:2021-04-08
Submitted:0000-00-00
Entered:2021-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood glucose, Seizure

Life Threatening? No
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Occasional heat related syncope
Preexisting Conditions:
Allergies: none none
Diagnostic Lab Data: Blood Glucose 87mg/dL
CDC 'Split Type':

Write-up: Patient had a witnessed seizure while in observation area. Patient seizure activity lasted approximately 15 seconds. Patient became conscious, alert, and oriented, within 5 minutes of seizure activity starting.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1180214&WAYBACKHISTORY=ON

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