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This is VAERS ID 1327665

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1327665
VAERS Form:2
Age:23.0
Sex:Female
Location:California
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 1808978 / 1 LA / -

Administered by: Other      Purchased by: ??
Symptoms: Presyncope, Unresponsive to stimuli, Eye movement disorder

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: HX VASOVAGAL EPISODE. AFTER RECD J AND J VACCINE, EYES ROLLED, UNRESPONSIVE X 30 SECS, THEN BECAME RESPONSIVE, BP 106/76 HR 59. CODE GREEN CALLED, SX RESOLVED, NO TRANSPORT.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327665&WAYBACKHISTORY=ON


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