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This is VAERS ID 1500944

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/30/2021

VAERS ID: 1500944
VAERS Form:2
Age:20.0
Sex:Male
Location:North Carolina
Vaccinated:2021-06-14
Onset:2021-07-19
Submitted:0000-00-00
Entered:2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Military      Purchased by: ??
Symptoms: C-reactive protein increased, Chest pain, Electrocardiogram ST segment elevation, Fibrin D dimer, Pericardial effusion, Pericarditis, Red blood cell sedimentation rate increased, Computerised tomogram thorax abnormal, Ultrasound scan abnormal, Troponin normal

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)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 23 JULY 2021: ESR, CRP, troponins, D-dimer, ECG, CT chest, ultrasound
CDC 'Split Type':

Write-up: Acute pericarditis. 4 days of worsening substernal chest pain. Diffuse ST elevations on ECG. Large pericardial effusion on CT and ultrasound. Troponins negative. ESR and CRP elevated. No previous history of viral illness or autoimmune disease. Treated with course of Colchicine and Indomethacin with close Cardiology follow up outpatient. Patient otherwise afebrile and hemodynamically stable.

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