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This is VAERS ID 1233945

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1233945
VAERS Form:2
Age:49.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-04-10
Onset:2021-04-11
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

Life Threatening? No
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)? 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.


Changed on 5/7/2021

VAERS ID: 1233945 Before After
VAERS Form:2
Age:49.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-04-10
Onset:2021-04-11
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

Life Threatening? No
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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: uknown
Current Illness:
Preexisting Conditions: Autistic and Deaf
Allergies: None 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.


Changed on 5/14/2021

VAERS ID: 1233945 Before After
VAERS Form:2
Age:49.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-04-10
Onset:2021-04-11
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

Life Threatening? No
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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: uknown
Current Illness:
Preexisting Conditions: Autistic and Deaf
Allergies: None 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&WAYBACKHISTORY=ON


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