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This is VAERS ID 1213373

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1213373
VAERS Form:2
Age:48.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Vision blurred, Visual acuity tests normal, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Calcium, Magnesium, and Vitamin D.
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: CT Brain- Negative Visual Acuity-normal Labs: WNL
CDC 'Split Type':

Write-up: Blurry vision onset approximately 4 hours after vaccine administration


Changed on 5/7/2021

VAERS ID: 1213373 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Vision blurred, Visual acuity tests normal, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Calcium, Magnesium, and Vitamin D.
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A N/A
Diagnostic Lab Data: CT Brain- Negative Visual Acuity-normal Labs: WNL
CDC 'Split Type':

Write-up: Blurry vision onset approximately 4 hours after vaccine administration


Changed on 5/14/2021

VAERS ID: 1213373 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:New Jersey
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Vision blurred, Visual acuity tests normal, Computerised tomogram head

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Calcium, Magnesium, and Vitamin D.
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A N/A
Diagnostic Lab Data: CT Brain- Negative Visual Acuity-normal Labs: WNL
CDC 'Split Type':

Write-up: Blurry vision onset approximately 4 hours after vaccine administration

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1213373&WAYBACKHISTORY=ON

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