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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1536049

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Case Details

VAERS ID: 1536049 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-06
Onset:2021-05-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Dyspnoea exertional, Electrocardiogram T wave abnormal, Pain, Pericarditis, Stress echocardiogram normal, Troponin normal
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: asthma
Allergies: none
Diagnostic Lab Data: see above
CDC Split Type:

Write-up: Johnson/Johnson vaccine 5/6/21 at 2 PM. About 7 hours later, body aches gradually worsening. Around 9 AM 5/7/21, developed substernal CP aching/sharp quality, 6/10, accompanied by SOB. He notes mild increased SOB/CP with exertion. EKG was abnormal with inverted t waves V1-4, III, he was admitted over night and diagnosed with pericarditis. Stress echo showed no abnormality. Negative troponin. On follow ekg changes normalized, he improved with ibuprofen alone


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