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This is VAERS ID 1172846

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1172846
VAERS Form:2
Age:22.0
Sex:Male
Location:Kansas
Vaccinated:2021-04-06
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood glucose decreased, Dizziness, Hypoglycaemia, Loss of consciousness, Syncope, Eyelid disorder

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? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: latex
Diagnostic Lab Data: hypoglycemia
CDC 'Split Type':

Write-up: Two minutes after the vaccination, PT walked up to the counter and said he feels dizzy. I asked him to sit down and started walking around the counter to check on him and check his blood pressure. At that moment he fainted and lost consciousness. Another patient caught his head and he did not hit his head. He remained unconscious for 30 seconds and we were preparing to start CPR breaths as he had a pulse but was not breathing. His eyelids were fluttering. He regained consciousness at that time and we waited with him until EMS arrived. His blood sugar was very low when EMS arrived.


Changed on 5/7/2021

VAERS ID: 1172846 Before After
VAERS Form:2
Age:22.0
Sex:Male
Location:Kansas
Vaccinated:2021-04-06
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood glucose decreased, Dizziness, Hypoglycaemia, Loss of consciousness, Syncope, Eyelid disorder

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? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: latex latex
Diagnostic Lab Data: hypoglycemia
CDC 'Split Type':

Write-up: Two minutes after the vaccination, PT walked up to the counter and said he feels dizzy. I asked him to sit down and started walking around the counter to check on him and check his blood pressure. At that moment he fainted and lost consciousness. Another patient caught his head and he did not hit his head. He remained unconscious for 30 seconds and we were preparing to start CPR breaths as he had a pulse but was not breathing. His eyelids were fluttering. He regained consciousness at that time and we waited with him until EMS arrived. His blood sugar was very low when EMS arrived.


Changed on 5/14/2021

VAERS ID: 1172846 Before After
VAERS Form:2
Age:22.0
Sex:Male
Location:Kansas
Vaccinated:2021-04-06
Onset:2021-04-06
Submitted:0000-00-00
Entered:2021-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood glucose decreased, Dizziness, Hypoglycaemia, Loss of consciousness, Syncope, Eyelid disorder

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? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: latex latex
Diagnostic Lab Data: hypoglycemia
CDC 'Split Type':

Write-up: Two minutes after the vaccination, PT walked up to the counter and said he feels dizzy. I asked him to sit down and started walking around the counter to check on him and check his blood pressure. At that moment he fainted and lost consciousness. Another patient caught his head and he did not hit his head. He remained unconscious for 30 seconds and we were preparing to start CPR breaths as he had a pulse but was not breathing. His eyelids were fluttering. He regained consciousness at that time and we waited with him until EMS arrived. His blood sugar was very low when EMS arrived.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1172846&WAYBACKHISTORY=ON

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