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This is VAERS ID 1432533

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1432533
VAERS Form:2
Age:49.0
Sex:Female
Location:Maryland
Vaccinated:2021-03-10
Onset:2021-06-16
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Catheterisation cardiac, Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Pericarditis, Troponin increased, Blood test

Life Threatening? Yes
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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Losartan Potassium 100 mg Ayorvastatin 10mg Vitamin D3 Elderberry Zinc 30mcg
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: EKG, Elevated Troponin Levels-several blood draws over hours, Echocardiogram, Cardiac Catherization
CDC 'Split Type':

Write-up: Shortness of breath and chest pains (left side) ; urgent care-$g abnormal EKG, Emergency Room of hospital, admitted, additional testing and observation, procedures, and diagnosed Acute Pericarditis - shortness of breadth June 16, 2021, chest pains June 17, 2021, visit to primary care June 18, 2021, additional chest pains June 19/June 20, 2021 middle of the night, urgent care June 20, 2021, tested, observed, treatment started, released June 21 evening.

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