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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1299996



Case Details

VAERS ID: 1299996 (history)  
Form: Version 2.0  
Age: 6.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-04-23
Onset:2021-05-02
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Confusional state, Disorientation, Lumbar puncture
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: copd
Allergies: no
Diagnostic Lab Data: Blood spinal tap and many other test.
CDC Split Type:

Write-up: 36 HR. after confusion and disorganization led to hospital.


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