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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1331495



Case Details

VAERS ID: 1331495 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821286 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: No according to patient''s answers
Preexisting Conditions: No according to patient''s answers
Allergies: No according to patient''s answers
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient lay down because he felt dizzy per EMS''s notes. Per patient, he has this kind of reaction when receives injections. Patient left walking with family member.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1331495


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