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This is VAERS ID 1327496

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1327496
VAERS Form:2
Age:33.0
Sex:Female
Location:Oklahoma
Vaccinated:2021-05-18
Onset:2021-05-18
Submitted:0000-00-00
Entered:2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Feeling abnormal, Loss of consciousness

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: sulfa drugs
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: patient passed out shortly(3-5 minutes) after receiving her vaccine. Patient got dizzy, fuzzy then blacked out for about 30 seconds then came to. After a few minutes patient was feeling better and left about 20-30 minutes after incident.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327496&WAYBACKHISTORY=ON


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