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This is VAERS ID 1091789

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1091789
VAERS Form:2
Age:74.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-08
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
CDC 'Split Type':

Write-up: patient had chest pain, went to ER, and was found to have heart attack


Changed on 5/7/2021

VAERS ID: 1091789 Before After
VAERS Form:2
Age:74.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-08
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
CDC 'Split Type':

Write-up: patient had chest pain, went to ER, and was found to have heart attack


Changed on 5/14/2021

VAERS ID: 1091789 Before After
VAERS Form:2
Age:74.0
Sex:Female
Location:Ohio
Vaccinated:2021-03-08
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Myocardial infarction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
CDC 'Split Type':

Write-up: patient had chest pain, went to ER, and was found to have heart attack

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1091789&WAYBACKHISTORY=ON


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