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This is VAERS ID 1185190

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1185190
VAERS Form:2
Age:36.0
Sex:Female
Location:New Hampshire
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 042A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, 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: fainted
Other Medications: NO
Current Illness:
Preexisting Conditions:
Allergies: NO
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Right after receiving the Janssen vaccine, patient got dizzy then she fainted for a few seconds. Patients was in the vaccination room with a technician and a pharmacist, reported she was getting better. She was fine and fully recovered after 30 minutes plus. She also stated that the reaction is just similar to what she got when she had other vaccines (she couldnot remember what it was)


Changed on 5/7/2021

VAERS ID: 1185190 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:New Hampshire
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 042A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, 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: fainted
Other Medications: NO
Current Illness:
Preexisting Conditions:
Allergies: NO NO
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Right after receiving the Janssen vaccine, patient got dizzy then she fainted for a few seconds. Patients was in the vaccination room with a technician and a pharmacist, reported she was getting better. She was fine and fully recovered after 30 minutes plus. She also stated that the reaction is just similar to what she got when she had other vaccines (she couldnot remember what it was)


Changed on 5/14/2021

VAERS ID: 1185190 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:New Hampshire
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 042A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, 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: fainted
Other Medications: NO
Current Illness:
Preexisting Conditions:
Allergies: NO NO
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Right after receiving the Janssen vaccine, patient got dizzy then she fainted for a few seconds. Patients was in the vaccination room with a technician and a pharmacist, reported she was getting better. She was fine and fully recovered after 30 minutes plus. She also stated that the reaction is just similar to what she got when she had other vaccines (she couldnot remember what it was)

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185190&WAYBACKHISTORY=ON


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