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This is VAERS ID 1327566

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1327566
VAERS Form:2
Age:24.0
Sex:Unknown
Location:Ohio
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 204A21A / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Posture abnormal, Syncope, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient experienced a brief episode of syncope immediately after receiving the Janssen Covid vaccine on 5/18/21 at approximately 1pm. Patient was seated at the time. Patient slumped over and was unresponsive for approximately 5 seconds. Patient resumed consciousness right away and blood pressure and respirations were checked by local paramedics. patient seemed alert and well when he left the store just after 1:30pm.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327566&WAYBACKHISTORY=ON


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