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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1233945



Case Details

VAERS ID: 1233945 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Gait disturbance
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: uknown
Current Illness:
Preexisting Conditions: Autistic and Deaf
Allergies: None
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient states that the day after the vaccine when he would stand or move that his equilibirum was off, causing him to stumble. He described it as if he was "drunk" and stumbling without the alcohol as he does not drink.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1233945


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