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This is VAERS ID 1327787

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1327787
VAERS Form:2
Age:21.0
Sex:Male
Location:New York
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: Cold sweat, Dizziness, Hyperhidrosis

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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient felt faint shortly after immunization during 15 minute observation. Upon first presentation, patient was clammy, sweating and lightheaded. EMS was notified and patient verbalized feeling better after drinking fluids. EMS came and evaluated the patient further.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327787&WAYBACKHISTORY=ON


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