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This is VAERS ID 1546334

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First Appeared on 8/13/2021

VAERS ID: 1546334
VAERS Form:2
Age:61.0
Sex:Female
Location:California
Vaccinated:2021-07-31
Onset:2021-08-01
Submitted:0000-00-00
Entered:2021-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Computerised tomogram normal, Dehydration, Diarrhoea, Fatigue, Hypoaesthesia, Myocardial infarction, Myocarditis, Oxygen saturation decreased, Platelet count decreased, Vomiting, Cardiac imaging procedure abnormal, Myocardial necrosis marker increased

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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications: no made aware to provider
Current Illness: Healthy and fit individual
Preexisting Conditions: no chornic health condition
Allergies: Polyethyleneglycol
Diagnostic Lab Data: Low platelet Heart inflammation Elevated cardiac enzyme
CDC 'Split Type':

Write-up: Patient received J and J vaccine July 31st around noon. Pt was waited 15 minutes and was fine when left the pharmacy. Patients symptoms started at night. Pt vomitted, had diarrhea and dehydration and numbness on the legs. Monday, pt was given 2 iv bags. Platelet count was low. Tue: pt was at ER for having dehydration, diarrhea and was given 1 iv bag of fluid. On Wed, was briefly was without symptoms, except being tired. Since then, patient continue to have dehydation, and vomitting up until the following Monday (August 9th, 2021). Pt was admitted to the ER. Oxy level dropped to around 60%. Pt was given oxygen. CT scan did not indicate any blood clot. Cardiac enzym was elevated. Scan also showed cardiac inflammation. Doctor determined patient might have experienced minor heart attack or cardiac inflammation. Pt has been transported to Cardiac clinic for further evaluation.

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