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This is VAERS ID 1240893

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1240893
VAERS Form:2
Age:44.0
Sex:Male
Location:Maine
Vaccinated:2021-04-10
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Disturbance in attention, Feeling abnormal, Vision blurred, Paranasal sinus discomfort, Motor dysfunction

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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None known
Allergies: None known
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Starting 8 days after injection I will go into a brain fog for several hours mid morning. Difficulty concentrating and motor function seems mildly impaired. Visuon is slightly blurred. Also slight pressure across sinuses.


Changed on 5/7/2021

VAERS ID: 1240893 Before After
VAERS Form:2
Age:44.0
Sex:Male
Location:Maine
Vaccinated:2021-04-10
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Disturbance in attention, Feeling abnormal, Vision blurred, Paranasal sinus discomfort, Motor dysfunction

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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None known
Allergies: None known known
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Starting 8 days after injection I will go into a brain fog for several hours mid morning. Difficulty concentrating and motor function seems mildly impaired. Visuon is slightly blurred. Also slight pressure across sinuses.


Changed on 5/14/2021

VAERS ID: 1240893 Before After
VAERS Form:2
Age:44.0
Sex:Male
Location:Maine
Vaccinated:2021-04-10
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Disturbance in attention, Feeling abnormal, Vision blurred, Paranasal sinus discomfort, Motor dysfunction

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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None known
Allergies: None known known
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Starting 8 days after injection I will go into a brain fog for several hours mid morning. Difficulty concentrating and motor function seems mildly impaired. Visuon is slightly blurred. Also slight pressure across sinuses.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1240893&WAYBACKHISTORY=ON


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