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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||207A21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Pallor, Syncope
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
Previous Vaccinations: Fainted frequently happens after getting vaccinations according to the patients mother.
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Patient fainted after receiving shot. He came too after 1 to 2 minutes. He was pale in the face but was back to normal after waiting for 30 minutes after the episode.
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