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This is VAERS ID 1301219

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1301219
VAERS Form:2
Age:27.0
Sex:Male
Location:Minnesota
Vaccinated:2021-05-06
Onset:2021-05-06
Submitted:0000-00-00
Entered:2021-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Chest discomfort, Echocardiogram normal, Myocarditis, Troponin increased

Life Threatening? No
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)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: cefixime
Diagnostic Lab Data: troponin of 8 5/9/21 , elevated x3
CDC 'Split Type':

Write-up: Found to have myocarditis with troponin of 8 after presenting with three days of chest discomfort following the vaccine. Normal echocardiogram.

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