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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1189386



Case Details

VAERS ID: 1189386 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210329765

Write-up: HEART ATTACK SYMPTOMS; This spontaneous report received from a consumer concerned a female of unspecified age. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose, 1 total, start therapy date were not reported for prophylactic vaccination. Batch number was not reported. Per procedure, no follow up will be requested for this case. No concomitant medications were reported. The patient got the J&J shot Wednesday and on Thursday afternoon, she was admitted to hospital with heart attack symptoms. They kept her overnight, done all test they could on her heart and it all came back good. Doctor said it was reaction to her shot. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of heart attack symptoms was not reported. The reporter considered the causality between covid-19 vaccine ad26.cov2.s and heart attack symptoms as related. Company causality between covid-19 vaccine ad26.cov2.s and heart attack symptoms was possible. This report was serious (Hospitalization Caused / Prolonged).; Sender''s Comments: V0:20210329765-Covid-19 vaccine ad26.cov2.s-Heart Attack Symptoms. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.


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