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

This is VAERS ID 1259961



Case Details

VAERS ID: 1259961 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-04-12
Onset:2021-04-19
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A31A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Cerebrovascular accident, Computerised tomogram thorax abnormal, Dyspnoea, Hemiparesis, Hypoaesthesia, Limb discomfort, Magnetic resonance imaging head abnormal
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: multivitamin, zinc b 12
Current Illness: HTN,Diabetes
Preexisting Conditions: HTN for a while, Diabetes
Allergies: shell fish, seafood, mushrooms, and honey, Tetracyclines, sulfa, carvedilol,sudafed,atenolol, metoprolol, amlodipine,buprenorphine,morphine,
Diagnostic Lab Data: Blood Work, CT scan, MRI
CDC Split Type:

Write-up: Patient had a stroke, left leg felt heavy, started having breathing problems, and you entire left side went numb and weak. Patient went to the hospital, referred to Medical Center


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1259961


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