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This is VAERS ID 1374219

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First Appeared on 6/11/2021

VAERS ID: 1374219
VAERS Form:2
Age:64.0
Sex:Male
Location:Indiana
Vaccinated:2021-03-12
Onset:2021-04-20
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805025 / UNK LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Arteriogram carotid, Blindness unilateral, Cerebrovascular accident, Chest X-ray, Hemiparesis, Spinal X-ray, Mobility decreased, Impaired driving ability, Balance disorder, Walking aid user, Computerised tomogram head, Laboratory test, Quality of life decreased, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metforma 1000 mg twice daily Jardiance 10mg 1 day
Current Illness: None
Preexisting Conditions: Diabetes
Allergies: None
Diagnostic Lab Data: CT head scan, Ct scan of Carotid arteries, Xray of back and chest, MRI Many Lab tests
CDC 'Split Type':

Write-up: April 20, 2021. PT needed to use the restroom. We stopped, he walked to the restroom, I went to the gift shop. Upon returning, I saw PT sitting on a bench. He was leaning to his left, could not see out of his left eye, very unstable when sitting. We missed lunch, so we thought it was his sugar dropping. I started to feed him jam and a chocolate bar. After 2 hours, his vision returned & he seemed better. He drove us back to the rental cabin. He rested the next 2 days. Then on Friday, we packed up our vehicle and Pt drove us back home. After arriving home, Pt''s condition got worse. We went to the Dr, explained the events of the previous week & she came to the same conclusion, Diabetes spell. His condition continued to worsen, we went back to Dr several times, the ER 2 times and finally we got into see a Neurologist. That appointment, the doctor said he thought stroke. Dr scheduled a MRI for June 1, 2021. Results of that MRI was a definite stroke. Now he has started outpatient rehab with no promise he will ever regain full mobility. He can no longer drive, mow grass, walk without a cane and help, etc. Life has changed dramatically for both of us.

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