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This is VAERS ID 1251844

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1251844
VAERS Form:2
Age:69.0
Sex:Male
Location:New York
Vaccinated:2021-03-10
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arteriogram carotid, Cerebrovascular accident, Chest X-ray, Echocardiogram, Electrocardiogram, Glycosylated haemoglobin, Lipids, Saline infusion sonogram, Angiogram cerebral abnormal, Laboratory test, Computerised tomogram head abnormal, Magnetic resonance imaging neck, Magnetic resonance imaging head abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASA 81 mg, Brilinta 90 mg, Altace 5 mg, crestor 40 mg, lopressor tartrate 25 mg , vit C, calcium, saw palmetto, flomax, b6-mag
Current Illness: Non-ST elevation MI February 19, 2021
Preexisting Conditions: Underlying coronary artery disease, hypertension, hyperlipidemia, BPH, history of prostate cancer
Allergies: Penicillin - hives and Lovenox - rash
Diagnostic Lab Data: Hospital admission, head CT, EKG, chest x-ray, lab work, A1c, lipid profile, MRI/MRA brain/head/neck, transthoracic echocardiogram with bubble study
CDC 'Split Type':

Write-up: acute CVA


Changed on 5/7/2021

VAERS ID: 1251844 Before After
VAERS Form:2
Age:69.0
Sex:Male
Location:New York
Vaccinated:2021-03-10
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arteriogram carotid, Cerebrovascular accident, Chest X-ray, Echocardiogram, Electrocardiogram, Glycosylated haemoglobin, Lipids, Saline infusion sonogram, Angiogram cerebral abnormal, Laboratory test, Computerised tomogram head abnormal, Magnetic resonance imaging neck, Magnetic resonance imaging head abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASA 81 mg, Brilinta 90 mg, Altace 5 mg, crestor 40 mg, lopressor tartrate 25 mg , vit C, calcium, saw palmetto, flomax, b6-mag
Current Illness: Non-ST elevation MI February 19, 2021
Preexisting Conditions: Underlying coronary artery disease, hypertension, hyperlipidemia, BPH, history of prostate cancer
Allergies: Penicillin - hives and Lovenox - rash rash
Diagnostic Lab Data: Hospital admission, head CT, EKG, chest x-ray, lab work, A1c, lipid profile, MRI/MRA brain/head/neck, transthoracic echocardiogram with bubble study
CDC 'Split Type':

Write-up: acute CVA


Changed on 5/14/2021

VAERS ID: 1251844 Before After
VAERS Form:2
Age:69.0
Sex:Male
Location:New York
Vaccinated:2021-03-10
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Arteriogram carotid, Cerebrovascular accident, Chest X-ray, Echocardiogram, Electrocardiogram, Glycosylated haemoglobin, Lipids, Saline infusion sonogram, Angiogram cerebral abnormal, Laboratory test, Computerised tomogram head abnormal, Magnetic resonance imaging neck, Magnetic resonance imaging head abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ASA 81 mg, Brilinta 90 mg, Altace 5 mg, crestor 40 mg, lopressor tartrate 25 mg , vit C, calcium, saw palmetto, flomax, b6-mag
Current Illness: Non-ST elevation MI February 19, 2021
Preexisting Conditions: Underlying coronary artery disease, hypertension, hyperlipidemia, BPH, history of prostate cancer
Allergies: Penicillin - hives and Lovenox - rash rash
Diagnostic Lab Data: Hospital admission, head CT, EKG, chest x-ray, lab work, A1c, lipid profile, MRI/MRA brain/head/neck, transthoracic echocardiogram with bubble study
CDC 'Split Type':

Write-up: acute CVA

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