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This is VAERS ID 1667385

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/3/2021

VAERS ID: 1667385
VAERS Form:2
Age:69.0
Sex:Male
Location:New York
Vaccinated:2021-04-16
Onset:2021-07-14
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: Death, Malaise, Myocarditis, Viral infection, Autopsy, General symptom

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-07-16
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: 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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