From the 6/4/2021 release of VAERS data:
This is VAERS ID 1185189
| Days after vaccination:||0
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN
||042A21A / 1
||LA / IM
Administered by: Pharmacy Purchased by: ?
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Previous Vaccinations: pt did not state
Diagnostic Lab Data:
CDC Split Type:
Write-up: pt fainted, the pt was sitting in the chair and fell off. the pt immediately woke up after falling. the pt said he was ok. he said he just wanted to lie down. he did so for about 10 minutes and then sat back up in the chair. we said he was feeling ok. he said he fainted because he was nervous. he did not think that it was because of the covid shot.
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