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This is VAERS ID 1371799

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371799
VAERS Form:2
Age:23.0
Sex:Male
Location:Delaware
Vaccinated:2021-05-18
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 AR / SYR

Administered by: Private      Purchased by: ??
Symptoms: Paraesthesia, Ischaemic stroke, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Migraine with aura
Allergies: None
Diagnostic Lab Data: MRI on 6/2
CDC 'Split Type':

Write-up: Acute L thalamic ischemic stroke Initial symptoms of right sided paresthesias

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371799&WAYBACKHISTORY=ON


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