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This is VAERS ID 920726

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 920726
VAERS Form:2
Age:48.0
Sex:Female
Location:Kentucky
Vaccinated:2020-12-29
Onset:2020-12-31
Submitted:0000-00-00
Entered:2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dysarthria, Electrocardiogram normal, Full blood count normal, Hypoaesthesia, Injection site rash, Lymphadenopathy, Platelet count normal, Troponin normal, Magnetic resonance imaging brain normal, Magnetic resonance imaging 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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 12/31/20 MRI of brain, Carotid Artery CBC, Platelet panel, Troponin, EKG
CDC 'Split Type':

Write-up: 12/31/20 around 11am Numbness in right hand and right cheek, 5 minutes later, slurred speech. Episode lasted approximately 10 minutes. Treated in ER. Labs, MRI, all normal 1/3/21 Swollen lymph node to left axilla 1/4/21 Rash to injection site


Changed on 5/7/2021

VAERS ID: 920726 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Kentucky
Vaccinated:2020-12-29
Onset:2020-12-31
Submitted:0000-00-00
Entered:2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dysarthria, Electrocardiogram normal, Full blood count normal, Hypoaesthesia, Injection site rash, Lymphadenopathy, Platelet count normal, Troponin normal, Magnetic resonance imaging brain normal, Magnetic resonance imaging 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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: 12/31/20 MRI of brain, Carotid Artery CBC, Platelet panel, Troponin, EKG
CDC 'Split Type':

Write-up: 12/31/20 around 11am Numbness in right hand and right cheek, 5 minutes later, slurred speech. Episode lasted approximately 10 minutes. Treated in ER. Labs, MRI, all normal 1/3/21 Swollen lymph node to left axilla 1/4/21 Rash to injection site


Changed on 5/14/2021

VAERS ID: 920726 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Kentucky
Vaccinated:2020-12-29
Onset:2020-12-31
Submitted:0000-00-00
Entered:2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dysarthria, Electrocardiogram normal, Full blood count normal, Hypoaesthesia, Injection site rash, Lymphadenopathy, Platelet count normal, Troponin normal, Magnetic resonance imaging brain normal, Magnetic resonance imaging 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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: 12/31/20 MRI of brain, Carotid Artery CBC, Platelet panel, Troponin, EKG
CDC 'Split Type':

Write-up: 12/31/20 around 11am Numbness in right hand and right cheek, 5 minutes later, slurred speech. Episode lasted approximately 10 minutes. Treated in ER. Labs, MRI, all normal 1/3/21 Swollen lymph node to left axilla 1/4/21 Rash to injection site

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