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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||1816022 / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Fall, Hyperhidrosis, Syncope, Tremor
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: every vaccine and blood draw
Other Medications: Midodrine
Current Illness: N/A
Preexisting Conditions: Vagovasal Syncope
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Janssen COVID-19 vaccine EUA. Technician administered Janssen Covid-19 vaccine and upon removal of needle patient began to tense up and slide down chair. He began to shake and sweat. Technician asked patient if he was okay and his wife responded "no, he is passing out." The technician then went to get the pharmacist. The patient passed out for 5-10 seconds and then began coming back to. Patient was provided with ice packs and cold water. Pharmacist had the patient lie down with feet elevated until patient felt well enough to stand back up. He was comfortable to leave and divulged that he takes midodrine daily for his vagovasal syncope and has a history of passing out every time he is injected with a vaccine or has a blood draw.
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