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

This is VAERS ID 1089346



Case Details

VAERS ID: 1089346 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-03-07
Onset:2021-03-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Chest X-ray, Dizziness, Electrocardiogram, Full blood count, Troponin
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypertension (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Methotrexate, sulfasalizine, metoprolol, lisinopril, chlorthalidone, omeprazole, gabapentin
Current Illness: None
Preexisting Conditions: Rheumatoid arthritis, hypertension, hyperlipidemia
Allergies: None
Diagnostic Lab Data: Full CBC, Trop enzymes, EKG, chest x-ray all executed in the ER Hospital.
CDC Split Type:

Write-up: Substantial rise in blood pressure to 205/110. This was recorded 20 minutes after injection. The dizziness associated with the high blood pressure started within 5 minutes of the injection.


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