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This is VAERS ID 1208468

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1208468
VAERS Form:2
Age:45.0
Sex:Female
Location:New York
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / UN

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Asthenia, Dizziness, Echocardiogram normal, Electrocardiogram normal, Fatigue, Headache, Hypertension, Hypoaesthesia, Injection site pain, Myalgia, Paraesthesia, Ultrasound Doppler, Venogram abnormal, Balance disorder, Limb discomfort, Ultrasound scan normal, Blood test, Scan with contrast abnormal, Computerised tomogram head abnormal, Magnetic resonance imaging abnormal, Computerised tomogram neck, Cerebral venous sinus thrombosis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: NONE
Preexisting Conditions: MTHFR
Allergies: NONE
Diagnostic Lab Data: ECHO-NORMAL 4/12, EKG-NORMAL 4/11, ULTRASOUND OF RIGHT LEG-NORMAL 4/11, CAROTID ULTRASOUND-NORMAL 4/12, BLOOD WORK, CT W/ CONTRAST OF HEAD&NECK-ABNORMAL4/11, MRI &MRV-ABNORMAL 4/12
CDC 'Split Type':

Write-up: DAY 1- two hours after vaccine my right arm and right leg felt restricted, numb and had some tingling in my hand, dull headche, muscle pain and dizziness. Day 2- mild pain at injection sight, muscle pain and general tirednes, dull headache,dizzy, right arm& left arm felt restricted and numbness in right pointer finger. Right leg felt restricted and pain behind the knee. Day 3- dizzy, dull headache, faint, high blood pressure, right arm & leg and left arm felt restricted and numbness/tingling in right hand. Pain behind right knee persisted. Went to ER Sunday early afternoon. Diagnosis is a cerebral venous thrombosis in sinus cavity. Still experiencing general weakness/tired, dizzy/unbalanced.


Changed on 5/14/2021

VAERS ID: 1208468 Before After
VAERS Form:2
Age:45.0
Sex:Female
Location:New York
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / UN

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Asthenia, Dizziness, Echocardiogram normal, Electrocardiogram normal, Fatigue, Headache, Hypertension, Hypoaesthesia, Injection site pain, Myalgia, Paraesthesia, Ultrasound Doppler, Venogram abnormal, Balance disorder, Limb discomfort, Ultrasound scan normal, Blood test, Scan with contrast abnormal, Computerised tomogram head abnormal, Magnetic resonance imaging abnormal, Computerised tomogram neck, Cerebral venous sinus thrombosis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: NONE
Preexisting Conditions: MTHFR
Allergies: NONE NONE
Diagnostic Lab Data: ECHO-NORMAL 4/12, EKG-NORMAL 4/11, ULTRASOUND OF RIGHT LEG-NORMAL 4/11, CAROTID ULTRASOUND-NORMAL 4/12, BLOOD WORK, CT W/ CONTRAST OF HEAD&NECK-ABNORMAL4/11, MRI &MRV-ABNORMAL 4/12
CDC 'Split Type':

Write-up: DAY 1- two hours after vaccine my right arm and right leg felt restricted, numb and had some tingling in my hand, dull headche, muscle pain and dizziness. Day 2- mild pain at injection sight, muscle pain and general tirednes, dull headache,dizzy, right arm& left arm felt restricted and numbness in right pointer finger. Right leg felt restricted and pain behind the knee. Day 3- dizzy, dull headache, faint, high blood pressure, right arm & leg and left arm felt restricted and numbness/tingling in right hand. Pain behind right knee persisted. Went to ER Sunday early afternoon. Diagnosis is a cerebral venous thrombosis in sinus cavity. Still experiencing general weakness/tired, dizzy/unbalanced.

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