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This is VAERS ID 1462079

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1462079
VAERS Form:2
Age:32.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Pallor, Syncope, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness: no illnesses day of or up to one month prior
Preexisting Conditions: no long-standing conditions
Allergies: no allergies
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient became lightheaded, pale, and dizzy several minutes after vaccine. She vomited into a trash can and had fainted into her chair during the minutes following the husband alerting the pharmacy team she was having a reaction (we were there to witness and aid the patient.) After vomiting and having water, the patient recovered quickly. We monitored her one on one in the vaccine room for about 10 to 15 additional minutes and also took her blood pressure and temperature (both normal.) Patient remarked that she felt completely fine thereafter.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1462079&WAYBACKHISTORY=ON


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