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This is VAERS ID 1446900

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1446900
VAERS Form:2
Age:63.0
Sex:Male
Location:Illinois
Vaccinated:2021-06-14
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Blood luteinising hormone abnormal, Cerebrovascular accident, Echocardiogram normal, Electrocardiogram ambulatory, Full blood count normal, Glycosylated haemoglobin normal, Hemiparesis, Ultrasound Doppler normal, Visual impairment, Diastolic dysfunction, Metabolic function test normal, Ejection fraction normal, Troponin normal, Computerised tomogram head normal, Wall motion score index normal, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: obesity
Allergies: nkda
Diagnostic Lab Data: CT of the head was unremarkable but MRI revealed foci of restricted diffusion within the right occipital lobe concerning for acute infarct/ischemia as well as old right basal ganglia infarct CBC, CMP, and troponin unremarkable Hemoglobin A1c 5.9 Carotid Dopplers without hemodynamically significant stenosis Echocardiogram with grade 1 diastolic dysfunction with normal ejection fracture, no regional wall motion abnormalities, and a negative bubble study. Holter pending
CDC 'Split Type':

Write-up: cva with left sided weakness, LH and vision changes

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