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This is VAERS ID 1536049

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History of Changes from the VAERS Wayback Machine

First Appeared on 8/13/2021

VAERS ID: 1536049
VAERS Form:2
Age:31.0
Sex:Male
Location:Washington
Vaccinated:2021-05-06
Onset:2021-05-07
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, Pain, Pericarditis, Electrocardiogram T wave abnormal, Stress echocardiogram normal, Troponin normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 1     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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