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This is VAERS ID 1693844

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1693844
VAERS Form:2
Age:55.0
Sex:Male
Location:New Jersey
Vaccinated:2021-08-24
Onset:2021-08-29
Submitted:0000-00-00
Entered:2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805031 / UNK LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Condition aggravated, Echocardiogram, Heart rate increased, Hypertension, Supraventricular tachycardia, Cardiac stress test

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metoprol and Rosuvastatin
Current Illness: NONE!!!!!!
Preexisting Conditions: High Blood Pressure and high cholesterol
Allergies:
Diagnostic Lab Data: All test related to a cardiac event including Stress Test and Echocardiogram. Aug. 31, 2021
CDC 'Split Type':

Write-up: Elevated Heart rate, extremely high blood pressure. Hospital ER {Cardizem administered), two days in the telemetry unit. Now diagnosed with supraventricular tachycardia, scheduled for ablation Sept. 24, 2021.

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