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This is VAERS ID 1431981

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1431981
VAERS Form:2
Age:59.0
Sex:Female
Location:Ohio
Vaccinated:2021-06-26
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 AR / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Aphasia, Confusional state, Dizziness, Feeling abnormal, Intracranial aneurysm, Surgery, Balance disorder, Laboratory test, Angiogram, Computerised tomogram head normal, Computerised tomogram neck

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)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: trazodone, pregabalin, potassium chloride, lidocaine ointment, lamotrigine, furosemide, folic acid, eszopiclone, clopidogrel, clonazepam, Breo Ellipta, baclofen, atorvastatin, aspirin, aripiprazole, albuterol inhaler
Current Illness:
Preexisting Conditions: COPD, obesity, type 2 diabetes, left internal carotid artery aneurysm with stenting, obstructive sleep apnea, coronary artery disease, bipolar depression, hepatitis C, hyperlipidemia, gastroparesis, restless leg syndrome, dysarthria, urinary incontinence, GERD, history of CVA, migraine
Allergies: beta blockers, ACEIs, diphenhydramine, cyclobenzaprine, adhesive tape
Diagnostic Lab Data: 6/28/21 CT head and neck (non-contrast) - no acute abnormality CTA head and neck - no large vessel occlusion other labs WNL
CDC 'Split Type':

Write-up: Patient reports that for the past two days (since date of vaccination) she has felt dizzy. She also reports ongoing confusion since her surgery for her cerebral aneurysm. She reports that for the past few days she has been bumping into walls and generally feeling off balance as well as experiencing word-finding difficulties. Patient is being admitted for MRI and neurology evaluation. CT and CTA of the head show no acute abnormalities.

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