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This is VAERS ID 1771822

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1771822
VAERS Form:2
Age:33.0
Sex:Female
Location:New York
Vaccinated:2021-09-23
Onset:2021-10-01
Submitted:0000-00-00
Entered:2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 212A21A / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Electrocardiogram abnormal, Ventricular extrasystoles

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control pills
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: EKG done on 10/2/21 showed PVCs.
CDC 'Split Type':

Write-up: Premature ventricular contractions very frequently (less than 1 min apart). Began on 10/1/21 at 6pm and continued until 10/2/21 all day. Fewer on 10/3/21 and 10/4/21. Disappeared by 10/5/21.

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