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

This is VAERS ID 1257314



Case Details

VAERS ID: 1257314 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-06
Onset:2021-04-12
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Disturbance in attention, Dizziness, Head discomfort, Headache, Hypertension, Ultrasound scan
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood test, CT scan - April 18 More blood tests - April 22 Leg ultrasound - April 25
CDC Split Type:

Write-up: Severe pressure headache, lightheaded, trouble concentrating, elevated blood pressure


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1257314


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