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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||1821286 / 1||RA / IM|
Administered by: Pharmacy Purchased by: ??
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: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: The patient experienced vasovagal syncope a few minutes following vaccine administration. Patient became alert seconds after fainting and made a full recovery.
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