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This is VAERS ID 1350646

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1350646
VAERS Form:2
Age:37.0
Sex:Female
Location:North Carolina
Vaccinated:2021-03-14
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Asthenia, Cardiac failure, Catheterisation cardiac, Computerised tomogram, Dyspnoea, Fatigue, Fluid retention, Myocarditis, Peripheral swelling, Magnetic resonance imaging

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 12     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Adderall XR 30mg
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 05/07 emergency room visit. MRI catscans. Heart catherization. Admission in hospital from 05/07 -05/19 Heart failure - heart transplant needed
CDC 'Split Type':

Write-up: Jannsen covid-19 vaccine EUA Shortness of breath. Leg swelling. Myocarditis, fluid retention, fatigue, weakness. Heart failure symptoms

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