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

This is VAERS ID 1293585

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Case Details

VAERS ID: 1293585 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-03-30
Onset:2021-03-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Biopsy bone marrow abnormal, Chemotherapy, Haemophagocytic lymphohistiocytosis, Leukocytosis, Myocarditis, Pyrexia
SMQs:, Haematopoietic cytopenias affecting more than one type of blood cell (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Cardiomyopathy (broad), Malignant lymphomas (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 34 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: GERD
Allergies: None
Diagnostic Lab Data: Hospitalized 4/3 to 5/6 Myopericarditis High fever Leukocytosis Abnormal bone marrow Treated with steroids and chemotherapy
CDC Split Type:

Write-up: Developed hemophagocytosis syndrome (hemophagocytic lymphohistiocytosis) resulting in hospitalization


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