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This is VAERS ID 1184738

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1184738
VAERS Form:2
Age:26.0
Sex:Male
Location:Florida
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hyperhidrosis, Syncope

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: Brief sweat and faint. Laid down on floor for a few minutes and was fine.


Changed on 5/7/2021

VAERS ID: 1184738 Before After
VAERS Form:2
Age:26.0
Sex:Male
Location:Florida
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hyperhidrosis, Syncope

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: Brief sweat and faint. Laid down on floor for a few minutes and was fine.


Changed on 5/14/2021

VAERS ID: 1184738 Before After
VAERS Form:2
Age:26.0
Sex:Male
Location:Florida
Vaccinated:2021-04-09
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hyperhidrosis, Syncope

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: Brief sweat and faint. Laid down on floor for a few minutes and was fine.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1184738&WAYBACKHISTORY=ON


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