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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1198147



Case Details

VAERS ID: 1198147 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-03-24
Onset:2021-04-03
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 UN / IM

Administered by: Other       Purchased by: ?
Symptoms: Echocardiogram normal, Ischaemic stroke, Scan brain, Vascular imaging
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: brain and vessel imaging (4/3), echo, vascular studies to look for DVT (negative)
CDC Split Type:

Write-up: pt with a history of eosinophilia treated with xeljanz 5 bid presented 9 days after covid vaccine with symptoms of acute LCMA ischemic stroke and was treated with tPA.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1198147

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