Received Nov 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (OTHER) | UNKNOWN MANUFACTURER | N/A | 1805029 | SYR / AR |
Fever in excess of 101, sweating, chills, nausea, severe body aches, severe headache, sore throat, extreme fatigue, muscle pain
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See medical record
See medical record
Adhesive, surgical glue
CT Calcium Score test 08/07/2025 (withheld) Radiology Riverview, (withheld state) DX: Ascending Aortic Ectasia measuring 4.0 cm, Echocardiogram Report cardiologist office Dr. (withheld), (state withheld) dated 10/23/2025 Ascending aorta enlarged 4.0 cm, Mitral valve regurgitation, Tricuspid valve regurgiation, Pulmonic valve regurgiation, Shortness of breath, heart palpitations, cardiac murmur. These findings were not present in a 2018 cardiac echo performed prior to receiving the Jassen Johnson & Johnson Covid vaccine that was recalled/revoked by the FDA