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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1474786

Case Details

VAERS ID: 1474786 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: California  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Denies
Current Illness: Denies
Preexisting Conditions: Denies
Allergies: Denies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Client received covid vaccine @ 12:06 pm, complained of feeling lightheaded @ 12:07pm. Client placed in zero-gravity chair and vital signs taken. Client denies shortness of breath, denies allergies to anything. Client given water to drink. Symptom resolved by 12:28pm, able to stand and walk to observation area. Client left with steady gait @ 1:00pm.

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