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This is VAERS ID 1198147

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1198147
VAERS Form:2
Age:78.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-24
Onset:2021-04-03
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, Vascular imaging, Ischaemic stroke, Scan brain

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     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.


Changed on 5/7/2021

VAERS ID: 1198147 Before After
VAERS Form:2
Age:78.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-24
Onset:2021-04-03
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, Vascular imaging, Ischaemic stroke, Scan brain

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     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.


Changed on 5/14/2021

VAERS ID: 1198147 Before After
VAERS Form:2
Age:78.0
Sex:Female
Location:Connecticut
Vaccinated:2021-03-24
Onset:2021-04-03
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, Vascular imaging, Ischaemic stroke, Scan brain

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     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&WAYBACKHISTORY=ON

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