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This is VAERS ID 1236791

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1236791
VAERS Form:2
Age:31.0
Sex:Male
Location:North Carolina
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Coronary artery thrombosis, Electrocardiogram, Coronary angioplasty, Impaired work ability, Ultrasound scan abnormal, Blood test

Life Threatening? No
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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: 4/9 - 4/11/2021 - EKG, ultrasound, blood work
CDC 'Split Type':

Write-up: Client awoke with chest pain and visited local ER for suspect M.I. Transferred to Hospital for angioplasty, related to thrombosis in R) coronary artery. Treated for 3 days and released to home with 3 months of follow-up cardiac rehab. Scheduled to return back to work as an auto mechanic on 4/26/2021.


Changed on 5/7/2021

VAERS ID: 1236791 Before After
VAERS Form:2
Age:31.0
Sex:Male
Location:North Carolina
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Coronary artery thrombosis, Electrocardiogram, Coronary angioplasty, Impaired work ability, Ultrasound scan abnormal, Blood test

Life Threatening? No
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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: 4/9 - 4/11/2021 - EKG, ultrasound, blood work
CDC 'Split Type':

Write-up: Client awoke with chest pain and visited local ER for suspect M.I. Transferred to Hospital for angioplasty, related to thrombosis in R) coronary artery. Treated for 3 days and released to home with 3 months of follow-up cardiac rehab. Scheduled to return back to work as an auto mechanic on 4/26/2021.


Changed on 5/14/2021

VAERS ID: 1236791 Before After
VAERS Form:2
Age:31.0
Sex:Male
Location:North Carolina
Vaccinated:2021-04-08
Onset:2021-04-09
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Coronary artery thrombosis, Electrocardiogram, Coronary angioplasty, Impaired work ability, Ultrasound scan abnormal, Blood test

Life Threatening? No
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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: 4/9 - 4/11/2021 - EKG, ultrasound, blood work
CDC 'Split Type':

Write-up: Client awoke with chest pain and visited local ER for suspect M.I. Transferred to Hospital for angioplasty, related to thrombosis in R) coronary artery. Treated for 3 days and released to home with 3 months of follow-up cardiac rehab. Scheduled to return back to work as an auto mechanic on 4/26/2021.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1236791&WAYBACKHISTORY=ON

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