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

This is VAERS ID 1342932

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Case Details

VAERS ID: 1342932 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-06
Onset:2021-05-19
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / N/A RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Catheterisation cardiac normal, Chest X-ray abnormal, Computerised tomogram thorax normal, Myocardial necrosis marker increased, Pericarditis, Scan with contrast normal, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
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: Zyrtec, multi vitamin, B12
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: elevated enzymes, tachycardia chest xray, ct with contrast and Cath all clear
CDC Split Type:

Write-up: experienced acute pericarditis


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