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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||043A21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Disorientation, Dizziness, Loss of consciousness, Muscle twitching
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: N?A
Preexisting Conditions: N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':
Write-up: Patient started feeling lightheaded about 2- 3 mins of vaccine administration. Patient moved from the chair to the floor because he felt like he was going to pass out. Patient passed out for about 30 seconds, slight twitching during episode and then came through. He was a bit disoriented but alert, we had him stick around until his wife came and picked him up.
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