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This is VAERS ID 1389742

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1389742
VAERS Form:2
Age:53.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-06
Onset:2021-03-06
Submitted:0000-00-00
Entered:2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805020 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Arthralgia, Chest pain, Fatigue, Lyme disease, Pericardial effusion, Pericarditis, Pyrexia, Blood test abnormal, Cardiac stress test, Echocardiogram abnormal

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine Zyrtec Vitamin D3
Current Illness:
Preexisting Conditions: Hashimotos Thyroiditis
Allergies: Keflex, Cipro
Diagnostic Lab Data: Bloodwork: reveals Lyme disease (waiting to see a rheumatologist) Nuclear stress test, echo cardiogram: pericardial effusion, pericarditis
CDC 'Split Type':

Write-up: Immediately: Fever, extreme fatigue, joint pain Continued: Extreme fatigue, joint pain, chest pain

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