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

This is VAERS ID 1002102

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Case Details

VAERS ID: 1002102 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-12-18
Onset:2021-01-02
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Blood test, C-reactive protein increased, Chest X-ray, Chest pain, Computerised tomogram, Echocardiogram, Electrocardiogram, Fibrin D dimer, Limb discomfort, Pericarditis, Red blood cell sedimentation rate increased, Troponin, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT Blood work BMP chest x-ray Echo troponin EKG D-dimer
CDC Split Type: vsafe

Write-up: The first couple days just some arm discomfort. January 2 I woke up about 3:45AM with chest pain, I thought it was heart burn. It didn''t improve so I ended up going to the Hospital, they did test to rule things out. I had a little bit elevated ESR,CRP and little high white count with a left shift. They did an echo and they found pericarditis. They started me on treatment and by the next day I was pain free.


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