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This is VAERS ID 1700914

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1700914
VAERS Form:2
Age:37.0
Sex:Female
Location:North Carolina
Vaccinated:2021-08-20
Onset:2021-08-01
Submitted:0000-00-00
Entered:2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

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

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: Patient did state on vaccine consent form that had, allergic reactions to other medications or vaccines other than the COVID vaccine
Diagnostic Lab Data: I do not have that information
CDC 'Split Type':

Write-up: Patient fainted and was dizzy within a few minutes of getting the vaccine (Janssen), patient was alert. Made the patient comfortable and helped to keep her cool, with an ice pack, as the pharmacist I spoke with her and did not see any signs of swelling. There was no loss of conscienceness and 911 was called with the ambulance coming to escort the patient. A follow up call was made the following day and the patient was doing fine.

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