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This is VAERS ID 1223831

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1223831
VAERS Form:2
Age:55.0
Sex:Male
Location:New York
Vaccinated:2021-04-08
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A71A / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Cerebral haemorrhage, Fatigue, Headache, Hypoaesthesia, Intensive care, Platelet count decreased, Cerebral haematoma

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: vit d 3 Levothyroxine amoxicillin
Current Illness: toothache (was on antibiotic)
Preexisting Conditions: Hypothyroidism
Allergies: chloroquine
Diagnostic Lab Data: BRAIN BLEED (HEMATOMA) LOW PLATELETS CURRENTLY IN ICU SINCE 4/13/21
CDC 'Split Type':

Write-up: SEVERE HEADACHES, LEG NUMBNESS, CHRONIC FATIQUE SYMPTOMS STARTED WITHIN 24HRS AND PROGRESSED


Changed on 5/7/2021

VAERS ID: 1223831 Before After
VAERS Form:2
Age:55.0
Sex:Male
Location:New York
Vaccinated:2021-04-08
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A71A / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Cerebral haemorrhage, Fatigue, Headache, Hypoaesthesia, Intensive care, Platelet count decreased, Cerebral haematoma

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: vit d 3 Levothyroxine amoxicillin
Current Illness: toothache (was on antibiotic)
Preexisting Conditions: Hypothyroidism
Allergies: chloroquine chloroquine
Diagnostic Lab Data: BRAIN BLEED (HEMATOMA) LOW PLATELETS CURRENTLY IN ICU SINCE 4/13/21
CDC 'Split Type':

Write-up: SEVERE HEADACHES, LEG NUMBNESS, CHRONIC FATIQUE SYMPTOMS STARTED WITHIN 24HRS AND PROGRESSED


Changed on 5/14/2021

VAERS ID: 1223831 Before After
VAERS Form:2
Age:55.0
Sex:Male
Location:New York
Vaccinated:2021-04-08
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A71A / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Cerebral haemorrhage, Fatigue, Headache, Hypoaesthesia, Intensive care, Platelet count decreased, Cerebral haematoma

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: vit d 3 Levothyroxine amoxicillin
Current Illness: toothache (was on antibiotic)
Preexisting Conditions: Hypothyroidism
Allergies: chloroquine chloroquine
Diagnostic Lab Data: BRAIN BLEED (HEMATOMA) LOW PLATELETS CURRENTLY IN ICU SINCE 4/13/21
CDC 'Split Type':

Write-up: SEVERE HEADACHES, LEG NUMBNESS, CHRONIC FATIQUE SYMPTOMS STARTED WITHIN 24HRS AND PROGRESSED

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1223831&WAYBACKHISTORY=ON


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