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This is VAERS ID 1007452

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1007452
VAERS Form:2
Age:33.0
Sex:Male
Location:Unknown
Vaccinated:2021-01-25
Onset:2021-01-25
Submitted:0000-00-00
Entered:2021-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Chills, Electrocardiogram abnormal, Fatigue, Myalgia, Myocarditis, Pyrexia, Troponin abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported moderate fever, chills, muscle aches, and fatigue for 2 days following dose 2 vaccination. Then, began complaining of chest pain. EKG abnormal and referred to Hospital for evaluation. Found to have elevated troponins and myocarditis. Then discharged home.


Changed on 5/7/2021

VAERS ID: 1007452 Before After
VAERS Form:2
Age:33.0
Sex:Male
Location:Unknown
Vaccinated:2021-01-25
Onset:2021-01-25
Submitted:0000-00-00
Entered:2021-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Chills, Electrocardiogram abnormal, Fatigue, Myalgia, Myocarditis, Pyrexia, Troponin abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported moderate fever, chills, muscle aches, and fatigue for 2 days following dose 2 vaccination. Then, began complaining of chest pain. EKG abnormal and referred to Hospital for evaluation. Found to have elevated troponins and myocarditis. Then discharged home.


Changed on 5/14/2021

VAERS ID: 1007452 Before After
VAERS Form:2
Age:33.0
Sex:Male
Location:Unknown
Vaccinated:2021-01-25
Onset:2021-01-25
Submitted:0000-00-00
Entered:2021-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Chills, Electrocardiogram abnormal, Fatigue, Myalgia, Myocarditis, Pyrexia, Troponin abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported moderate fever, chills, muscle aches, and fatigue for 2 days following dose 2 vaccination. Then, began complaining of chest pain. EKG abnormal and referred to Hospital for evaluation. Found to have elevated troponins and myocarditis. Then discharged home.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1007452&WAYBACKHISTORY=ON


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