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This is VAERS ID 1417921

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1417921
VAERS Form:2
Age:67.0
Sex:Male
Location:Montana
Vaccinated:2021-06-02
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Angiogram pulmonary abnormal, Arthralgia, Atelectasis, C-reactive protein increased, Chest pain, Discomfort, Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Lung consolidation, Myalgia, Pericarditis, Pleuritic pain, Supraventricular tachycardia, Red blood cell sedimentation rate increased, Diastolic dysfunction, Cardiac monitoring, Troponin increased, Ejection fraction normal, N-terminal prohormone brain natriuretic peptide increased, Atrial enlargement, Lung opacity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: One month earlier had norovirus symptoms with nausea, vomiting, diarrhea and chills for 24 hours.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 6/20/21: - NT Pro BNP 320 - High sensitivity troponin 195, 2 hours later 212, 18 hours later 268 - CRP 15.90 - ESR 50 - CTA chest without evidence of PE though with consolidation of the inferior lingular segment and LLL felt to be reactive inflammatory change and atelectasis. - TTE with normal LV function, EF 70%. Diastolic dysfunction. Mild biatrial enlargement. No hemodynamically significant valvular disease. No visible pericardial effusion. - EKG NSR, EKG #2 paroxysmal with rate of 142.
CDC 'Split Type':

Write-up: Developed myalgias and joint pains approximately 48 hours after the injection, then improved. Then about a week after the injection, developed severe myalgias and joint pains. Treated with Medrol dose pack (6 days) with improvement. 3 days later developed pleuritic chest pain as well as shortness of breath. Presented 48 hours after this started for medical care and was diagnosed with acute pericarditis. Started on ibuprofen 600 mg TID and colchicine 0.6 mg BID with significant improvement in discomfort. Discharged from the hospital after 48 hours of observation. Did develop paroxysmal SVT which was felt to be 2/2 to the acute pericarditis. Started on metoprolol tartrate 50 mg BID to help with rate control and sent home with zio patch for additional cardiac monitoring.

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