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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1185917



Case Details

VAERS ID: 1185917 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: New York  
Vaccinated:2021-04-09
Onset:2021-04-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 AR / IM

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

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

Write-up: Felt faint. Felt faint, slumped over in chair, within 5 minutes of vaccination, brought to cot via wheelchair to lie down. Upon lygin down stated "I feel better, alert and oriented x 3, Took vitals, stable throughout. States no breakfast or lunch today and nothing to drink. No difficulty breathing, no acute distress. Final disposition, feeling better, to home, driven by friends, encouraged fluids and rest.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1185917


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