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This is VAERS ID 1425280

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1425280
VAERS Form:2
Age:33.0
Sex:Female
Location:Indiana
Vaccinated:2021-05-24
Onset:2021-06-08
Submitted:0000-00-00
Entered:2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808986 / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Chest X-ray, Echocardiogram, Electrocardiogram, Myocarditis, Troponin increased, Blood test, Magnetic resonance imaging heart

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: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Na
Current Illness: Na
Preexisting Conditions: Na
Allergies: Na
Diagnostic Lab Data: Echo pictures of the heart MRI- for the heart Blood work EKG X-ray of chest
CDC 'Split Type':

Write-up: 1. Chest pain 2. Elevated troponin 3. Myocarditis Went to hospital first than transported to another facility, then transported to another facility.

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