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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1282301

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Case Details

VAERS ID: 1282301 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-04-06
Onset:2021-04-25
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Catheterisation cardiac, Chest pain, Computerised tomogram, Diarrhoea, Magnetic resonance imaging heart, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Truvada
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: Avocado
Diagnostic Lab Data: mri, catscan, cardiac catherterization - april 29th
CDC Split Type:

Write-up: Mycrocarditis, truponin levels were at 20, Diahreah , chest pain, back pain -1 werk


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