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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||2055A21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Blood glucose normal, Condition aggravated, Electrocardiogram normal, 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: Yes, patient reported fainting during childhood vaccine
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: No Known Allergies
Diagnostic Lab Data: N/A
CDC 'Split Type':
Write-up: Patient had two syncope events after vaccine administration lasting approximately 5-10 seconds. He was monitored continuously. EMS were called and checked blood pressure, blood glucose, and did an EKG -all values were normal. Additionally, patient remained being monitored for 30 minutes until picked up by family member. Patient recovered from adverse events.
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