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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||205A21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Loss of consciousness, Syncope, Gaze palsy, Foaming at mouth
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: Unknown
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Blood pressure 100/58
CDC 'Split Type':
Write-up: Patient lost consciousness for approximately 30 seconds immediately after receiving the vaccination. Her eyes and head rolled back, and there was a small amount of foam coming from the mouth. The patient did not enter anaphylaxis or stop breathing at any point. A pharmacy technician called 911 while the pharmacist moved the patient to the ground to lay down and monitor for further reaction. The patient was provided with food and water. EMS arrived on the scene approximately 10 minutes later. They took the patient''s pulse and blood pressure, which was slightly low (100/58 - I believe). The paramedics determined that the patient experienced syncope and there was no need for further evaluation at the facility. The patient remained in the pharmacy for about an hour until she felt strong enough to go home.
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