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From the 4/30/2021 release of VAERS data:

This is VAERS ID 1136613



Case Details

VAERS ID: 1136613 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-03-26
Onset:2021-03-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: UNK
Diagnostic Lab Data: BP 143/90
CDC Split Type:

Write-up: Patient complained of lightheadedness within 15 minutes of receiving vaccine. Patient was still in observation area at time of event. Blood pressure was WNL, gliucose testing was not available. Patient was given high sugar snack (candy bar) and felt better within 30 minutes. EMS was not contacted. No further issue.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1136613


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