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This is VAERS ID 1202475

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1202475
VAERS Form:2
Age:47.0
Sex:Male
Location:Georgia
Vaccinated:2021-04-01
Onset:2021-04-02
Submitted:0000-00-00
Entered:2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Chills, Computerised tomogram, Dyspnoea, Electrocardiogram, Headache, Hyperhidrosis, Pericarditis, Pyrexia, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Related to the pericarditis, comprehensive bloodwork, X-rays and CT scan were performed as well as EKG work.
CDC 'Split Type':

Write-up: The morning of 2 April, I woke up with a fever, chills, sweating and an excruciating headache. The symptoms persisted for approximately 10 hours. The following Monday, I woke up with sharp pains across my chest and shortness of breath. I was admitted to the hospital Emergency Room for about 7 hours and subsequently diagnosed with pericarditis. It is unknown if the pericarditis was associated to the vaccine but thought it was a good idea to document here.


Changed on 5/7/2021

VAERS ID: 1202475 Before After
VAERS Form:2
Age:47.0
Sex:Male
Location:Georgia
Vaccinated:2021-04-01
Onset:2021-04-02
Submitted:0000-00-00
Entered:2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Chills, Computerised tomogram, Dyspnoea, Electrocardiogram, Headache, Hyperhidrosis, Pericarditis, Pyrexia, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Related to the pericarditis, comprehensive bloodwork, X-rays and CT scan were performed as well as EKG work.
CDC 'Split Type':

Write-up: The morning of 2 April, I woke up with a fever, chills, sweating and an excruciating headache. The symptoms persisted for approximately 10 hours. The following Monday, I woke up with sharp pains across my chest and shortness of breath. I was admitted to the hospital Emergency Room for about 7 hours and subsequently diagnosed with pericarditis. It is unknown if the pericarditis was associated to the vaccine but thought it was a good idea to document here.


Changed on 5/14/2021

VAERS ID: 1202475 Before After
VAERS Form:2
Age:47.0
Sex:Male
Location:Georgia
Vaccinated:2021-04-01
Onset:2021-04-02
Submitted:0000-00-00
Entered:2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Chills, Computerised tomogram, Dyspnoea, Electrocardiogram, Headache, Hyperhidrosis, Pericarditis, Pyrexia, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Related to the pericarditis, comprehensive bloodwork, X-rays and CT scan were performed as well as EKG work.
CDC 'Split Type':

Write-up: The morning of 2 April, I woke up with a fever, chills, sweating and an excruciating headache. The symptoms persisted for approximately 10 hours. The following Monday, I woke up with sharp pains across my chest and shortness of breath. I was admitted to the hospital Emergency Room for about 7 hours and subsequently diagnosed with pericarditis. It is unknown if the pericarditis was associated to the vaccine but thought it was a good idea to document here.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1202475&WAYBACKHISTORY=ON

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