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This is VAERS ID 1251493

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1251493
VAERS Form:2
Age:78.0
Sex:Female
Location:Colorado
Vaccinated:2021-03-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident, Loss of consciousness, Visual field defect, Visual impairment, Ischaemic stroke, Computerised tomogram head abnormal, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Biotin, Calcium supplement, Celebrex, Fish oil supplement, OXcarbazepine, Vitamin C & D3 supplements
Current Illness: None
Preexisting Conditions: Post neuropathic Shingles
Allergies: None
Diagnostic Lab Data: CT Scan & MRI indicated partial blockage leading to unconsciousness and stroke
CDC 'Split Type':

Write-up: Ischemic Stroke requiring hospitalization. Significant reduction in field of vision. Loss of nearly all Left Side peripheral vision


Changed on 5/7/2021

VAERS ID: 1251493 Before After
VAERS Form:2
Age:78.0
Sex:Female
Location:Colorado
Vaccinated:2021-03-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident, Loss of consciousness, Visual field defect, Visual impairment, Ischaemic stroke, Computerised tomogram head abnormal, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Biotin, Calcium supplement, Celebrex, Fish oil supplement, OXcarbazepine, Vitamin C & D3 supplements
Current Illness: None
Preexisting Conditions: Post neuropathic Shingles
Allergies: None None
Diagnostic Lab Data: CT Scan & MRI indicated partial blockage leading to unconsciousness and stroke
CDC 'Split Type':

Write-up: Ischemic Stroke requiring hospitalization. Significant reduction in field of vision. Loss of nearly all Left Side peripheral vision


Changed on 5/14/2021

VAERS ID: 1251493 Before After
VAERS Form:2
Age:78.0
Sex:Female
Location:Colorado
Vaccinated:2021-03-11
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident, Loss of consciousness, Visual field defect, Visual impairment, Ischaemic stroke, Computerised tomogram head abnormal, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Biotin, Calcium supplement, Celebrex, Fish oil supplement, OXcarbazepine, Vitamin C & D3 supplements
Current Illness: None
Preexisting Conditions: Post neuropathic Shingles
Allergies: None None
Diagnostic Lab Data: CT Scan & MRI indicated partial blockage leading to unconsciousness and stroke
CDC 'Split Type':

Write-up: Ischemic Stroke requiring hospitalization. Significant reduction in field of vision. Loss of nearly all Left Side peripheral vision

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1251493&WAYBACKHISTORY=ON


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