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This is VAERS ID 1775237

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775237
VAERS Form:2
Age:22.0
Sex:Male
Location:Ohio
Vaccinated:2021-10-09
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204B21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Cold sweat, Dizziness

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: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Lightheaded, dizzy, clammy to touch @ 12:25PM. BP 100/60 Left arm while having symptoms. BP 110/80 left arm after symptoms. Pt ate snacks and drink water. He felt better and stated he was ready to go home after 30'' monitoring

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