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This is VAERS ID 1645949

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/3/2021

VAERS ID: 1645949
VAERS Form:2
Age:39.0
Sex:Male
Location:Illinois
Vaccinated:2021-08-27
Onset:2021-08-27
Submitted:0000-00-00
Entered:2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 203A21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest discomfort, Chills, Heart rate increased, Myalgia, Myocarditis, Peripheral coldness, Pyrexia, Visual impairment, Cluster headache

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: I don''t take any medication nor have any medical history. I own a CrossFit, work out consistently, eat healthy, rarely drink, have never done any illicit drugs.
Current Illness: no illness
Preexisting Conditions: none
Allergies: n/a
Diagnostic Lab Data: no medical test yet as of this time
CDC 'Split Type':

Write-up: 9 hours after the shot I began to experience extreme chills, extremeties (hands and toes where ice cold). Approximately 12 hours after the shot, I woke up with a heart rate 130-140s, with a sensation that my heart was going to cut down into my chest. I had a fever of 102.1. After vagal maneuvers I was able to bring my heart rate down to 70-80s which still lasted for a couple hours. The sad thing is that my resting heart rate walking around is 50-52 bpm, and I''ve never experience anything like this before in my life. I''m sure I''ve now induced some myocarditis. Upon waking this morning 16 hours after the shot, I have an extreme cluster headache with difficulty looking forward with my vision and severe muscle aches as if I''ve worked out for hours at a time.

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