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This is VAERS ID 1207772

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1207772
VAERS Form:2
Age:31.0
Sex:Female
Location:New York
Vaccinated:2021-04-06
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Back pain, C-reactive protein increased, Catheterisation cardiac, Chest pain, Dizziness, Electrocardiogram normal, Fibrin D dimer increased, Nausea, Pain in jaw, Pericarditis, Hospitalisation, Troponin increased, Angiogram

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lo Loestrin FE 1mg-10mcg/10mcg
Current Illness: NONE
Preexisting Conditions: Anxiety, GERD
Allergies: NKDA
Diagnostic Lab Data: + elevated Troponin, Elevated D Dimer, Elevated CRP Had Cardiac Cath, CTA chest, Echo - normal EKG with inferior and lateral STE
CDC 'Split Type':

Write-up: CHest pain radiating to Back and Jaw , nausea , lightheadedness , Admitted for 2 days to hospital for testing Diagnosed with Pericarditis-


Changed on 5/7/2021

VAERS ID: 1207772 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:New York
Vaccinated:2021-04-06
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Back pain, C-reactive protein increased, Catheterisation cardiac, Chest pain, Dizziness, Electrocardiogram normal, Fibrin D dimer increased, Nausea, Pain in jaw, Pericarditis, Hospitalisation, Troponin increased, Angiogram

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lo Loestrin FE 1mg-10mcg/10mcg
Current Illness: NONE
Preexisting Conditions: Anxiety, GERD
Allergies: NKDA NKDA
Diagnostic Lab Data: + elevated Troponin, Elevated D Dimer, Elevated CRP Had Cardiac Cath, CTA chest, Echo - normal EKG with inferior and lateral STE
CDC 'Split Type':

Write-up: CHest pain radiating to Back and Jaw , nausea , lightheadedness , Admitted for 2 days to hospital for testing Diagnosed with Pericarditis-


Changed on 5/14/2021

VAERS ID: 1207772 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:New York
Vaccinated:2021-04-06
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 041A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Back pain, C-reactive protein increased, Catheterisation cardiac, Chest pain, Dizziness, Electrocardiogram normal, Fibrin D dimer increased, Nausea, Pain in jaw, Pericarditis, Hospitalisation, Troponin increased, Angiogram

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lo Loestrin FE 1mg-10mcg/10mcg
Current Illness: NONE
Preexisting Conditions: Anxiety, GERD
Allergies: NKDA NKDA
Diagnostic Lab Data: + elevated Troponin, Elevated D Dimer, Elevated CRP Had Cardiac Cath, CTA chest, Echo - normal EKG with inferior and lateral STE
CDC 'Split Type':

Write-up: CHest pain radiating to Back and Jaw , nausea , lightheadedness , Admitted for 2 days to hospital for testing Diagnosed with Pericarditis-

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1207772&WAYBACKHISTORY=ON

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