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This is VAERS ID 1328500

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1328500
VAERS Form:2
Age:23.0
Sex:Female
Location:Unknown
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 205A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Flushing, Loss of consciousness, Nausea, Vomiting, Neurological symptom

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 stated
Current Illness: none
Preexisting Conditions: anxiety and panic disorder
Allergies: none stated
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up: patient passed out on floor and appeared to have seizure like symptom. Felt faint , dizzy, and flushed. called 911. Medical team arrived and patient proceeded to get nauseated and throw up.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328500&WAYBACKHISTORY=ON


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