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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1430160

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Case Details

VAERS ID: 1430160 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-02
Onset:2021-04-26
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK AR / IM

Administered by: Work       Purchased by: ?
Symptoms: Chest X-ray normal, Electrocardiogram normal, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: melatonin 5mg qd
Current Illness:
Preexisting Conditions: atopic triad
Allergies: fish sauce
Diagnostic Lab Data: EKG, normal; chest x-ray, normal
CDC Split Type:

Write-up: Pericarditis, treated OTC


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