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This is VAERS ID 1371943

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371943
VAERS Form:2
Age:50.0
Sex:Female
Location:Texas
Vaccinated:2021-03-22
Onset:2021-03-22
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Headache, Hypoaesthesia, Pericarditis, Rash, Computerised tomogram thorax, Magnetic resonance imaging head

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient has been suffering from headaches, rashes, chest pain, and numbness to her hands and fingers. Patient was order a CT scan of the chest. CT scan indicates mild pericarditis as well as post inflammatory lung changes. Echocardiogram is pending to confirm the diagnoses of pericarditis. Patient had MRI of the head and brain and that showed up as unremarkable. Patient continues to have these symptoms and denies having any of these symptoms before the COVID-19 vaccine.


Record is removed as of 11/5/2021

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