National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1671372

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1671372
VAERS Form:2
Age:49.0
Sex:Female
Location:Utah
Vaccinated:2021-08-17
Onset:2021-09-02
Submitted:0000-00-00
Entered:2021-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Myocarditis, Troponin increased, Magnetic resonance imaging heart

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Excedrin migraine, multivitamin with iron
Current Illness: None
Preexisting Conditions: borderline hyperlipidemia; hypertriglyceridemia, hepatic steatosis
Allergies: No known allergies
Diagnostic Lab Data: Elevated troponin level, peak level ng/mL (reference range 0.00 to 0.04ng/mL) on 9/2/21 Cardiac MRI positive for myocarditis 9/3/21
CDC 'Split Type':

Write-up: Acute myocarditis. Symptoms of chest pain for about 5 days prior to presenting to the hospital

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1671372&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166