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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||RA / IM|
Administered by: Unknown Purchased by: ??
Symptoms: Posture abnormal, Syncope, Unresponsive to stimuli
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
Other Medications: none
Current Illness: none
Preexisting Conditions: 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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