National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1222221

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1222221
VAERS Form:2
Age:48.0
Sex:Female
Location:Puerto Rico
Vaccinated:2021-04-07
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Defaecation urgency, Dizziness, Dyskinesia, Dysphagia, Electrocardiogram, Facial paralysis, Headache, Nausea, Urinary incontinence, Scan with contrast, Blood test, Vascular test, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Hypertension
Allergies: Penicillin
Diagnostic Lab Data: Various MRI with and without contrast. Electrocardiogram, blood test, aorta studies and physical exams. It haven''t been delivered yet, I need to request them at the hospital.
CDC 'Split Type':

Write-up: Strong dizziness till lose the control of the left side of my body, headache, nausea, urgency to evacuate, couldn''t control my bladder, left side of the face deformity, was unable to swallow even saliva


Changed on 5/7/2021

VAERS ID: 1222221 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Puerto Rico
Vaccinated:2021-04-07
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Defaecation urgency, Dizziness, Dyskinesia, Dysphagia, Electrocardiogram, Facial paralysis, Headache, Nausea, Urinary incontinence, Scan with contrast, Blood test, Vascular test, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Hypertension
Allergies: Penicillin Penicillin
Diagnostic Lab Data: Various MRI with and without contrast. Electrocardiogram, blood test, aorta studies and physical exams. It haven''t been delivered yet, I need to request them at the hospital.
CDC 'Split Type':

Write-up: Strong dizziness till lose the control of the left side of my body, headache, nausea, urgency to evacuate, couldn''t control my bladder, left side of the face deformity, was unable to swallow even saliva


Changed on 5/14/2021

VAERS ID: 1222221 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Puerto Rico
Vaccinated:2021-04-07
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Defaecation urgency, Dizziness, Dyskinesia, Dysphagia, Electrocardiogram, Facial paralysis, Headache, Nausea, Urinary incontinence, Scan with contrast, Blood test, Vascular test, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Hypertension
Allergies: Penicillin Penicillin
Diagnostic Lab Data: Various MRI with and without contrast. Electrocardiogram, blood test, aorta studies and physical exams. It haven''t been delivered yet, I need to request them at the hospital.
CDC 'Split Type':

Write-up: Strong dizziness till lose the control of the left side of my body, headache, nausea, urgency to evacuate, couldn''t control my bladder, left side of the face deformity, was unable to swallow even saliva

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1222221&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166