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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1798420

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Case Details

VAERS ID: 1798420 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-04-30
Onset:2021-05-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Amenorrhoea, Blood thyroid stimulating hormone, Cardiac murmur, Chest X-ray, Chest pain, Computerised tomogram abdomen, Contusion, Dyspnoea, Echocardiogram, Fatigue, Full blood count, HIV test, Heart rate increased, Human chorionic gonadotropin, Laboratory test, Mitral valve incompetence, Mononucleosis heterophile test, Myalgia, Pain, Pituitary tumour, Thyroid mass, Thyroxine free, Ultrasound abdomen
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Fertility disorders (broad), Tendinopathies and ligament disorders (broad), Non-haematological tumours of unspecified malignancy (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: TSH, FT4, CBC, CHM7, Abdominal U/S, HCG, HIV, Mono, CT Scan Abd, ECHO, CXR, Cardiology consult, endocrine consult, Neurosurgery consult.
CDC Split Type:

Write-up: 29 yr old student who was preparing to go to School. Pt did not want the vaccine and reported being bullied, threatened and coerced into getting it in order to progress in her career. Pt was vaccinated with J&J on 30 April, 2021 and had an acute onset of symptoms within 24 hrs. Pt had severe fatigue, all over body aches, muscle pain, erratic, elevated resting heart rates, easy, unprovoked bruising all over her body, chest pain and difficulty breathing. Pt was subsequently diagnosed with new onset murmur, mitral regurg, PITUITARY BRAIN TUMOR, MULTINODULAR THYROID, AMENORRHEA x 5 months. Pt has NOT recovered to pre-vaccination physical functioning or health. SM had extensive lab and physical exam prior to vaccination in preparation for School and was the PICTURE OF HEALTH and fitness.


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