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This is VAERS ID 1213435

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1213435
VAERS Form:2
Age:33.0
Sex:Male
Location:Tennessee
Vaccinated:2021-03-31
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Aphasia, Asthenia, Chest discomfort, Computerised tomogram normal, Deafness, Diarrhoea, Feeling abnormal, Headache, Hypertension, Hypoaesthesia, Pain in extremity, Ultrasound scan, Balance disorder, Loss of personal independence in daily activities

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: Wellbutrin, Lithium, Pro-Air
Current Illness: None
Preexisting Conditions: None
Allergies: Ceclore
Diagnostic Lab Data: Cat Scan, 4/13/21 Ultrasound of right leg 4/14/21 Both results came back normal. Neurologist cannot see me until June.
CDC 'Split Type':

Write-up: Noticed headache bottom left back of head before bed. Woke up at 2:30am with right leg fully asleep. Attempted to wake leg up, lost equilibrium, stumbled, lost hearing, couldn''t put words together to tell wife what was going on and ended up on the floor to regain composure. Had difficulty putting on clothes to go to hospital. Went to ER, had severe diarrhea there, they did blood work and EKG, sent me home saying maybe I feinted. Had high blood pressure at ER, 150/86. Felt weak and ''off'' sense the event, felt tightness in chest and odd limb pain past 72 hours. Woke up at 3:30am on 4/15 with left arm asleep, went back to bed fine. Never had these symptoms before.


Changed on 5/7/2021

VAERS ID: 1213435 Before After
VAERS Form:2
Age:33.0
Sex:Male
Location:Tennessee
Vaccinated:2021-03-31
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Aphasia, Asthenia, Chest discomfort, Computerised tomogram normal, Deafness, Diarrhoea, Feeling abnormal, Headache, Hypertension, Hypoaesthesia, Pain in extremity, Ultrasound scan, Balance disorder, Loss of personal independence in daily activities

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: Wellbutrin, Lithium, Pro-Air
Current Illness: None
Preexisting Conditions: None
Allergies: Ceclore Ceclore
Diagnostic Lab Data: Cat Scan, 4/13/21 Ultrasound of right leg 4/14/21 Both results came back normal. Neurologist cannot see me until June.
CDC 'Split Type':

Write-up: Noticed headache bottom left back of head before bed. Woke up at 2:30am with right leg fully asleep. Attempted to wake leg up, lost equilibrium, stumbled, lost hearing, couldn''t put words together to tell wife what was going on and ended up on the floor to regain composure. Had difficulty putting on clothes to go to hospital. Went to ER, had severe diarrhea there, they did blood work and EKG, sent me home saying maybe I feinted. Had high blood pressure at ER, 150/86. Felt weak and ''off'' sense the event, felt tightness in chest and odd limb pain past 72 hours. Woke up at 3:30am on 4/15 with left arm asleep, went back to bed fine. Never had these symptoms before.


Changed on 5/14/2021

VAERS ID: 1213435 Before After
VAERS Form:2
Age:33.0
Sex:Male
Location:Tennessee
Vaccinated:2021-03-31
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Aphasia, Asthenia, Chest discomfort, Computerised tomogram normal, Deafness, Diarrhoea, Feeling abnormal, Headache, Hypertension, Hypoaesthesia, Pain in extremity, Ultrasound scan, Balance disorder, Loss of personal independence in daily activities

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: Wellbutrin, Lithium, Pro-Air
Current Illness: None
Preexisting Conditions: None
Allergies: Ceclore Ceclore
Diagnostic Lab Data: Cat Scan, 4/13/21 Ultrasound of right leg 4/14/21 Both results came back normal. Neurologist cannot see me until June.
CDC 'Split Type':

Write-up: Noticed headache bottom left back of head before bed. Woke up at 2:30am with right leg fully asleep. Attempted to wake leg up, lost equilibrium, stumbled, lost hearing, couldn''t put words together to tell wife what was going on and ended up on the floor to regain composure. Had difficulty putting on clothes to go to hospital. Went to ER, had severe diarrhea there, they did blood work and EKG, sent me home saying maybe I feinted. Had high blood pressure at ER, 150/86. Felt weak and ''off'' sense the event, felt tightness in chest and odd limb pain past 72 hours. Woke up at 3:30am on 4/15 with left arm asleep, went back to bed fine. Never had these symptoms before.

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