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This is VAERS ID 1474795

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474795
VAERS Form:2
Age:37.0
Sex:Male
Location:California
Vaccinated:2021-07-15
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 201A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Blood glucose normal, Deafness, Dizziness, Dyspnoea, Electrocardiogram normal, Hyperventilation, Hypoaesthesia, Loss of consciousness, Pallor, Paraesthesia, Vision blurred, Immediate post-injection reaction

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 911 was called and BP, glucose and EKG were checked which were normal. Patient was cleared to go home.
CDC 'Split Type':

Write-up: Right after the vaccine was administered, patient complained about dizziness, temporary blurred vision & loss of hearing. Patient became pale, hyperventilating and complaining of shortness of breath. Soon after, he passed out for 20 seconds. When he gained consciousness, he felt tingling and numbing on both hands.

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