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From the 4/30/2021 release of VAERS data:

This is VAERS ID 1150540

Case Details

VAERS ID: 1150540 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Texas  
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Atrial fibrillation, Coagulation test, Electrocardiogram, Fatigue, Headache, Laboratory test, Myalgia, Rhinorrhoea, Troponin
SMQs:, Rhabdomyolysis/myopathy (broad), Supraventricular tachyarrhythmias (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EKG''s, baseline labs, troponin, coag''s
CDC Split Type:

Write-up: Pt had J&J vaccine 1 week ago and developed spontaneous afib with RVR rates to 150, difficult to rate control, admitted to hospital for conversion. Reports se felt myalgias, rhinorrhea, headache, and fatigue for several days. Today she is extremely tired.

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