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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1440686



Case Details

VAERS ID: 1440686 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 202A21A / UNK UN / IM

Administered by: Other       Purchased by: ?
Symptoms: Crying, Dysstasia, Panic attack, Seizure, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (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: PER PT NONE
Current Illness: PER PT NONE
Preexisting Conditions: PER PT NONE
Allergies: NKA
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: STOP BY AIRPORT OFFICER PT HAVING SEIZURE IN TERMINAL D WHO JUST GOT VACCINATED. I ARRIVED TO TERMINAL D PT IS TREMBLING CRYING CAN BARELY STAND FIRE RESCUSE KEEP SAYING SHES FINE JUST A LITTLE PANIC ATTACK PT CAN BARELY STAND. PT AND PT BOYFRIEND HAS NOT EATEN SINCE YESTERDAY WILL GET SOMETHING TO EAT CLOSER TO FLIGHT GATE. DOES NOT HAVE MONEY TO TAKE LATER FLIGHT. PT REFUSE ANY FURTHER MEDICAL CARE DUE TO MONEY


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440686


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