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This is VAERS ID 1735141

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1735141
VAERS Form:2
Age:67.0
Sex:Female
Location:Illinois
Vaccinated:2021-09-23
Onset:2021-09-25
Submitted:0000-00-00
Entered:2021-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013M20A / 2 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Dysarthria, Gait disturbance, Haemorrhage intracranial, Speech disorder, Drain of cerebral subdural space, Laboratory test normal, Dysgraphia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: d3 cetirizine hydruchoride metroprolol pregabalin amlodopine losartin triamterene/hctz ezetimibe magesium tumeric
Current Illness: none
Preexisting Conditions: left lung removed brain tumor removed
Allergies: statins
Diagnostic Lab Data: Had full testing done and they find nothing wrong
CDC 'Split Type':

Write-up: head filled up with blood - Doctor drained. Over 3 months have had trouble walking, talking. writing and typing. I slur my words. I have had pt, st, and ot.

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