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This is VAERS ID 1437564

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437564
VAERS Form:2
Age:53.0
Sex:Male
Location:Maine
Vaccinated:2021-06-29
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 59676-0580-15 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hyperhidrosis, Syncope, Hot flush, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
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: Had immediate hot flash with lots of sweating and fainted. Unconscious for 1 minute and woke up feeling better and more cooled. Used ice packs and wet cloth to cool down. Took blood pressure and pulse - BP: 95/60 Pulse: 59; is on blood pressure meds and was told this was his normal by his wife.

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