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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||205A21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Loss of consciousness, Syncope
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)? Yes
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: No Known Allergies
Diagnostic Lab Data: Blood pressure 05/18/2021 @ 10:12 am was 113/60
CDC 'Split Type':
Write-up: Patient fainted within 5 minutes of vaccine administration. She came to within 15 seconds, at that time she was laid down in a supine position. Once she stabilized and identified who she was, where she was, and what had just happened, I sat her up and checked her blood pressure (113/60 at 10:12am). I stayed with the patient and continued to assess the situation and her until EMS arrived and took over care.
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