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This is VAERS ID 1135839

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1135839
VAERS Form:2
Age:19.0
Sex:Male
Location:Unknown
Vaccinated:2021-03-25
Onset:2021-03-25
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Loss of consciousness

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient felt dizzy, lightheaded and passed out. Cleared by EMS


Changed on 5/7/2021

VAERS ID: 1135839 Before After
VAERS Form:2
Age:19.0
Sex:Male
Location:Unknown
Vaccinated:2021-03-25
Onset:2021-03-25
Submitted:0000-00-00
Entered:2021-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808609 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Dizziness, Loss of consciousness

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient felt dizzy, lightheaded and passed out. Cleared by EMS

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1135839&WAYBACKHISTORY=ON


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