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This is VAERS ID 1478366

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First Appeared on 7/23/2021

VAERS ID: 1478366
VAERS Form:2
Age:65.0
Sex:Female
Location:Illinois
Vaccinated:2021-06-14
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JINJ / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Fatigue, Headache, Myalgia, Pericarditis, Pyrexia, Vaccination complication, Impaired work ability, Cardiac disorder, Investigation, Oropharyngeal pain

Life Threatening? No
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: Lisinopril/Hydraclorathorazide; Multivitamin; Vitamin D
Current Illness: Absolutely none! I have been healthy most of my life.
Preexisting Conditions: High blood pressure (treated).
Allergies: Allergic to hay.
Diagnostic Lab Data: I had daily tests 7/7/21 through 7/9/21 and again on 7/13/21. I will have them weekly for at least the next 2 weeks. You will have to get the medical reports from the facility.
CDC 'Split Type':

Write-up: June 14, I had the vaccine. June 25, I started having muscle aches, severe headache and sore throat. This continued through the next week along with being extremely tired. July 5, I went to the ER due to severe chest pains (I have NEVER had chest pains before). They sent me home that same day. By July 7th, I felt like my heart was seizing and went back to the ER this time also with shortness of breath and a fever. I was admitted on July 7th and discharge on July 9th, with diagnosis of Pericarditis--a SIDE EFFECT OF THE VACCINE. I am now currently on sick leave as I cannot work. I was told by medical staff to report this so that is what I am doing.

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