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

This is VAERS ID 1700203

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Case Details

VAERS ID: 1700203 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-01
Onset:2021-06-21
   Days after vaccination:112
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN CVS17781 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest pain, Computerised tomogram, Electrocardiogram, Myocarditis, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Loloestrine Birth Control
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: N/a
Diagnostic Lab Data: 10+ EKG, Bloodtests, Chest Xrays, CT scan (all preformed at ER)
CDC Split Type:

Write-up: Roughly 3 months after receiving J&J I was admitted into the ER with severe chest pains. I had inflamed arteries suggesting a pulmonary embolism. After many tests they suggested myocarditis. It cleared up in about 4 days (received blood thinners at the ER & took 1000mg ibuprofen for 7 days). I believe that this wasn''t more harmful to me as I am in great health. I was also on a estrogen birth control for about 5 years. I also received 2 rounds of the HPV vaccine within the past 12 months. It''s hard to assume what could have caused this but wanted to share my experience


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