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This is VAERS ID 1292053

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1292053
VAERS Form:2
Age:48.0
Sex:Male
Location:South Carolina
Vaccinated:2021-04-06
Onset:2021-05-05
Submitted:0000-00-00
Entered:2021-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Chest X-ray abnormal, Electrocardiogram abnormal, Pericarditis, Blood test normal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Blood tests to check cardiac enzymes, rule out bloodclot, X-rays, EKGs.
CDC 'Split Type':

Write-up: Severe chest pain, diagnosed as Pericarditis. No prior history, no prior surgeries, no risk factors, no illnesses. In addition, patient is very healthy, has never had COVID, he is provided free COVID tests and work, has tested negative regularly for months, gets him temperature taken at work every day before entering.

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