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This is VAERS ID 1348644

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1348644
VAERS Form:2
Age:30.0
Sex:Female
Location:Washington
Vaccinated:2021-04-12
Onset:2021-04-26
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chest X-ray, Electrocardiogram, Headache, Nausea, Pericarditis

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: autoimmune disease
Allergies: apple, kiwi, penicillin
Diagnostic Lab Data: EkG 5/11 chest x ray 5/11
CDC 'Split Type':

Write-up: pericarditis, headache, nausea, lasting days. treatment - zofran, colchicine, aspirin, ibuprofen

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