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This is VAERS ID 1150540

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1150540
VAERS Form:2
Age:56.0
Sex:Female
Location:Texas
Vaccinated:2021-03-24
Onset:2021-03-30
Submitted:0000-00-00
Entered:2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Atrial fibrillation, Electrocardiogram, Fatigue, Headache, Myalgia, Rhinorrhoea, Laboratory test, Troponin, Coagulation test

Life Threatening? Yes
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? 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1150540&WAYBACKHISTORY=ON


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