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This is VAERS ID 1402424

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1402424
VAERS Form:2
Age:60.0
Sex:Male
Location:Georgia
Vaccinated:2021-04-06
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Blood pressure increased, Cerebrovascular accident, Dysphagia, Headache, Hemiparesis, Intensive care, Gastrostomy, Feeding disorder, Brain stem stroke, Computerised tomogram head abnormal, Illness, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Hbp medicine Hbp been under control maintained Multi vitamin Type 2 diabetic Blood sugar was under control maintained
Current Illness: None
Preexisting Conditions: Hbp
Allergies: Penicillin
Diagnostic Lab Data: All test done in hospital . MRI CT scan etc
CDC 'Split Type':

Write-up: Patient had a stroke on June 4. Developed unusual headache evening of June 3. Went to see doctor on June 4 . Bp remained elevated even after taking bp medicine . Doctors office sent him to ER. First it was said he had a aneurysm in heart which was ruled out . Then it was advised to us he had a brain stem stroke . Patient still in icu. Still in hospital as of today .06/16/2021. Patient will be going to pt therapy snd of therapy . Has dysphagia unable to eat and left side weakness . Peg tube inserted . Want to establish if Johnson and Johnson vaccination was linked to him having stroke . Patient current illness was maintained and under control until this event happened suddenly .

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1402424&WAYBACKHISTORY=ON


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