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This is VAERS ID 1346768

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1346768
VAERS Form:2
Age:32.0
Sex:Male
Location:Utah
Vaccinated:2021-05-21
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Tunnel vision

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reports feeling dizzy spells and tunnel vision. Was not temperature related. As he was working, he felt dizzy enough that he may fall down. Started 24-32 hours after dose, and is still going 5 days later. Referred patient to care or emergency room.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1346768&WAYBACKHISTORY=ON


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