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This is VAERS ID 1694990

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1694990
VAERS Form:2
Age:62.0
Sex:Male
Location:Georgia
Vaccinated:2021-05-11
Onset:2021-09-12
Submitted:0000-00-00
Entered:2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Electroencephalogram, Loss of consciousness, Lumbar puncture, Positron emission tomogram, Seizure, Single photon emission computerised tomogram, Neurological examination, Blood test, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: All tests on May 11, 2021- Neurological exam Blood tests Lumbar puncture EEG, MRI, CT scan, PET, SPECT
CDC 'Split Type':

Write-up: Seizures and loss of consciousness

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