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This is VAERS ID 1259961

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1259961
VAERS Form:2
Age:52.0
Sex:Female
Location:Virginia
Vaccinated:2021-04-12
Onset:2021-04-19
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: Cerebrovascular accident, Dyspnoea, Hemiparesis, Hypoaesthesia, Computerised tomogram thorax abnormal, Limb discomfort, Blood test, Magnetic resonance imaging head abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     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


Changed on 5/7/2021

VAERS ID: 1259961 Before After
VAERS Form:2
Age:52.0
Sex:Female
Location:Virginia
Vaccinated:2021-04-12
Onset:2021-04-19
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: Cerebrovascular accident, Dyspnoea, Hemiparesis, Hypoaesthesia, Computerised tomogram thorax abnormal, Limb discomfort, Blood test, Magnetic resonance imaging head abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     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, 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


Changed on 5/14/2021

VAERS ID: 1259961 Before After
VAERS Form:2
Age:52.0
Sex:Female
Location:Virginia
Vaccinated:2021-04-12
Onset:2021-04-19
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: Cerebrovascular accident, Dyspnoea, Hemiparesis, Hypoaesthesia, Computerised tomogram thorax abnormal, Limb discomfort, Blood test, Magnetic resonance imaging head abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     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, 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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Link To This Search Result:

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


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