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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1460236

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Case Details

VAERS ID: 1460236 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-03
Onset:2021-04-10
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Antinuclear antibody positive, C-reactive protein increased, Chest pain, Computerised tomogram thorax, Pericarditis, Pyrexia, Rheumatoid factor negative
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: turmerick, black pepper
Current Illness: psoriatic arthritis
Preexisting Conditions:
Allergies: methotrexate
Diagnostic Lab Data: 6/26/21 CRP 11.7, 5/26 ANA 1:320, RF 14 CT chest 6/28 with small pericardial fluid greater attenuation than simple fluid
CDC Split Type:

Write-up: Prolonged fevers, chest pains for 2-3 months post vaccine. Imaging suggested pericarditis.


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