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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||1808978 / 1||RA / IM|
Administered by: Private Purchased by: ??
Symptoms: Fall, 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
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Passed out (twice) within 5 minutes of receiving shot. 1st time she was standing and fell to the ground. 2nd time she passed out while still laying on ground.
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