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This is VAERS ID 1515244

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History of Changes from the VAERS Wayback Machine

First Appeared on 8/6/2021

VAERS ID: 1515244
VAERS Form:2
Age:27.0
Sex:Female
Location:Texas
Vaccinated:2021-05-24
Onset:2021-07-22
Submitted:0000-00-00
Entered:2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Hepatic failure, Malaise, Myocarditis, Renal failure, Upper respiratory tract infection, General physical health deterioration, Mechanical ventilation, Respiratory symptom, Lung assist device therapy, COVID-19, SARS-CoV-2 test positive

Life Threatening? Yes
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: None
Allergies: No known allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received J&J vaccine in May. Returned from tour of duty with the army sometime in July. Became ill on 7/22 with URI symptoms. Tested Covid Positive on 7/23. Rapidly deteriorated and developed fulminant myocarditis requiring mechanical ventilation and VA ECMO. Also with failing kidneys and liver.

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