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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||1808978 / 1||RA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Loss of consciousness
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: not known
Current Illness: not known
Preexisting Conditions: non known
Diagnostic Lab Data: none
CDC 'Split Type':
Write-up: Pt passed out after receiving vaccine. Patient had gone to the restroom post vaccine and passed out. Patient was given two glucose tablets and water. Rested at pharmacy for 30 minutes and was fine.
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