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

This is VAERS ID 1141547

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Case Details

VAERS ID: 1141547 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Texas  
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Angiogram normal, Blood pressure increased, Chest discomfort, Chills, Computerised tomogram normal, Echocardiogram normal, Lymph node pain, Myalgia, Myocardial infarction, Pericarditis, Pyrexia, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Hypertension (narrow), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Probiotic, Vitamin C, Vitamin D, Multivitamin, Omega 3- Collagen powder, magnesium and calcium
Current Illness: None
Preexisting Conditions: Migraine
Allergies: Penicillin, Rhubarb
Diagnostic Lab Data: 3/8/21Troponin series - elevated. 3/9/21 Echocardiogram - normal; 3/8/21 Angiogram - normal - no blockages. 3/16/21 CT scan of heart and lungs normal.
CDC Split Type:

Write-up: 3 phases- within 24 hrs of shot - low grade fever and chills lasting 24 hours; during the following 2 weeks, strong pain in arm muscle that travelling under arm into lymph nodes. Approximately 30 days after injection experienced a mild heart attack and unexplained pericarditis. Symptoms at onset were major pressure in chest and elevated blood pressure 210/99. Prescribed blood pressure medication, blood thinners and 4 does of indomethacin for pericarditis

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