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This is VAERS ID 1357976

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1357976
VAERS Form:2
Age:33.0
Sex:Female
Location:Connecticut
Vaccinated:2021-05-18
Onset:2021-05-27
Submitted:0000-00-00
Entered:2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK UN / UN

Administered by: Private      Purchased by: ??
Symptoms: Pericarditis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
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:
Current Illness:
Preexisting Conditions:
Allergies: allergy to Penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: mild pericarditis

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1357976&WAYBACKHISTORY=ON


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