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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||204A21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Syncope, Unresponsive to stimuli, Medical counselling
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Systemic: Fainting / Unresponsive-Mild, Additional Details: Counseled patient. She said she ate very little before the vaccination. She fainted for a couple minutes and had to lie down. She informed pharmacy staff. I went over to her and offered her a bottle of water and stayed with her for approximately 10 minutes until she felt fine. She said after a couple minutes and drinking some water she felt fine. She stayed sitting in the vaccination/observation area for 10 more minutes. She was at the store for approximately 45 mins and waited 30 min after shot
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