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

This is VAERS ID 1667385

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Case Details

VAERS ID: 1667385 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: New York  
Vaccinated:2021-04-16
Onset:2021-07-14
   Days after vaccination:89
Submitted: 0000-00-00
Entered: 2021-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Autopsy, Death, General symptom, Malaise, Myocarditis, Viral infection
SMQs:, Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-07-16
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Irbesartan, lipitor, chlorthalidone, ambien, rybelsus, clindaycin
Current Illness: None
Preexisting Conditions: High blood pressure, high cholesterol
Allergies: N/a
Diagnostic Lab Data: Autopsy says myocarditis from viral infection. I wanted to share our story to help research in case it was linked to his recent vaccine.
CDC Split Type:

Write-up: My dad had received the Johnson and Johnson shot end of April. He was sick for a few days with the normal side effects. In July he died from myocarditis the autopsy came back as. Research has been showing that it is linked to the vaccine and to report it to help research just in case.


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