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This is VAERS ID 1282301

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1282301
VAERS Form:2
Age:21.0
Sex:Male
Location:Massachusetts
Vaccinated:2021-04-06
Onset:2021-04-25
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, Myocarditis, Troponin increased, Magnetic resonance imaging heart

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)? Yes
Hospitalized? Yes, days: 3     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


Changed on 5/14/2021

VAERS ID: 1282301 Before After
VAERS Form:2
Age:21.0
Sex:Male
Location:Massachusetts
Vaccinated:2021-04-06
Onset:2021-04-25
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, Myocarditis, Troponin increased, Magnetic resonance imaging heart

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)? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Truvada
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: Avocado 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1282301&WAYBACKHISTORY=ON


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