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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||1820095 / 1||LA / SYR|
Administered by: Pharmacy Purchased by: ??
Symptoms: Loss of consciousness
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
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Patient passed out for about 15 seconds about 3 to 5 minutes after receiving vaccine. pharmacy staff called EMS. Patient woke up after 15 seconds and was alert. He was given a bottle of water and stated that he was okay. He refused to go to hospital. Pharmacy followed up with him the next day and patient stated that he was completely back to normal health status.
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