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This is VAERS ID 1460161

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1460161
VAERS Form:2
Age:24.0
Sex:Male
Location:Texas
Vaccinated:2021-04-01
Onset:2021-04-30
Submitted:0000-00-00
Entered:2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805018 / 1 RA / IM

Administered by: Military      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Echocardiogram, Pericarditis, Tachycardia, Ultrasound scan

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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies: NKA
Diagnostic Lab Data: ECHO, US,
CDC 'Split Type':

Write-up: PRESENTED WTIH CHEST PAIN, SOB, TACHYCARDIA; WAS ADMITTED TO A FACILITY WITH DX WITH PERICARDITIS. SENT BACK HOME, REHOSPITALIZED FOR FOUR DAYS

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