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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||203A21A / 1||LA / 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: None mentioned
Preexisting Conditions: Unknown
Diagnostic Lab Data: None,
CDC 'Split Type':
Write-up: The patient fainted shortly after receiving his vaccination. He claimed to have a history of fainting after blood draws. He was fully recovered shortly after.
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