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This is VAERS ID 1230562

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1230562
VAERS Form:2
Age:49.0
Sex:Male
Location:Nevada
Vaccinated:2021-04-06
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / SC

Administered by: Private      Purchased by: ??
Symptoms: Cerebral haemorrhage, Computerised tomogram abnormal, Electroencephalogram abnormal, Generalised tonic-clonic seizure, Seizure, Magnetic resonance imaging abnormal

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)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE WE ARE AWARE OF
Diagnostic Lab Data: HAD 1 CT SCAN AND HAD 3 MRI''S WHILE IN THE HOSPITAL SHOWING A BRAIN BLEED AND ALSO AN EEG WHICH SHOWED HE HAD A GRAN MAUL SEIZURE
CDC 'Split Type':

Write-up: HAD A SEIZURE AND THEN RUSHED TO THE ER AND ALSO HAD A BRAIN BLEED ALSO.


Changed on 5/7/2021

VAERS ID: 1230562 Before After
VAERS Form:2
Age:49.0
Sex:Male
Location:Nevada
Vaccinated:2021-04-06
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / SC

Administered by: Private      Purchased by: ??
Symptoms: Cerebral haemorrhage, Computerised tomogram abnormal, Electroencephalogram abnormal, Generalised tonic-clonic seizure, Seizure, Magnetic resonance imaging abnormal

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)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE WE ARE AWARE OF OF
Diagnostic Lab Data: HAD 1 CT SCAN AND HAD 3 MRI''S WHILE IN THE HOSPITAL SHOWING A BRAIN BLEED AND ALSO AN EEG WHICH SHOWED HE HAD A GRAN MAUL SEIZURE
CDC 'Split Type':

Write-up: HAD A SEIZURE AND THEN RUSHED TO THE ER AND ALSO HAD A BRAIN BLEED ALSO.


Changed on 5/14/2021

VAERS ID: 1230562 Before After
VAERS Form:2
Age:49.0
Sex:Male
Location:Nevada
Vaccinated:2021-04-06
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 RA / SC

Administered by: Private      Purchased by: ??
Symptoms: Cerebral haemorrhage, Computerised tomogram abnormal, Electroencephalogram abnormal, Generalised tonic-clonic seizure, Seizure, Magnetic resonance imaging abnormal

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)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE WE ARE AWARE OF OF
Diagnostic Lab Data: HAD 1 CT SCAN AND HAD 3 MRI''S WHILE IN THE HOSPITAL SHOWING A BRAIN BLEED AND ALSO AN EEG WHICH SHOWED HE HAD A GRAN MAUL SEIZURE
CDC 'Split Type':

Write-up: HAD A SEIZURE AND THEN RUSHED TO THE ER AND ALSO HAD A BRAIN BLEED ALSO.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1230562&WAYBACKHISTORY=ON


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