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This is VAERS ID 1463682

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1463682
VAERS Form:2
Age:30.0
Sex:Male
Location:Texas
Vaccinated:2021-07-06
Onset:2021-07-10
Submitted:0000-00-00
Entered:2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1821281 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Electrocardiogram, Palpitations, Pericarditis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Doctor told me and an EKG scan I had Pericarditis and prescribed me Presnisone and Colchicine
CDC 'Split Type':

Write-up: After I finished a light jog, I felt a pulse type feeling near my heart. It dropped my too my knees, but I did it lose consciousness. Early on that same day I felt light headed,?but nothing serious.

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