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This is VAERS ID 1459911

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1459911
VAERS Form:2
Location:Rhode Island
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / -

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Echocardiogram, Electrocardiogram, Pericarditis, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Multivitamin D3 supplement
Current Illness: No
Preexisting Conditions: No
Allergies: Sulpha base
Diagnostic Lab Data: Ekg, blood work, echo cardio, cat scan, heart monitor.
CDC 'Split Type': vsafe

Write-up: She developed Pericarditis treated by doctor.

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