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We present a compilation of spectroscopic observations of the sgB[e] star CI Cam, the optical counterpart of XTE J0421+560. This includes data from before, during, and after its 1998 outburst, with quantitative results spanning 37 years. The object shows a rich emission line spectrum originating from circumstellar material, rendering it difficult to determine the nature of either star involved or the cause of the outburst. We collate all available pre-outburst data to determine the state of the system before this occurred and provide a baseline for comparison with outburst and post-outburst data. During the outburst all lines become stronger, and hydrogen and helium lines become significantly broader and asymmetric. After the outburst, spectral changes persist for at least three years, with Fe II and [N II] lines still a factor of simi...