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This is VAERS ID 1154628

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1154628
VAERS Form:2
Age:58.0
Sex:Female
Location:Indiana
Vaccinated:2021-03-25
Onset:2021-03-29
Submitted:0000-00-00
Entered:2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / UNK - / IM

Administered by: Other      Purchased by: ??
Symptoms: Bone pain, Catheterisation cardiac abnormal, Chest discomfort, Dizziness, Headache, Muscular weakness, Myalgia, Myocarditis, Pain in extremity, Troponin increased, Blood test abnormal, Stress cardiomyopathy, Magnetic resonance imaging heart

Life Threatening? Yes
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? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: 3/4/2021: sore arm after 1st COVID-10 vaccine dose; 3/25/2021: sore are, headache, muscle and bone aches for approx. 36 hours fo
Other Medications: OTC multi-vitamin, OTC multi-mineral, OTC Omega3 supplement, OTC glucosamine HCl/ginger/chondroitin/MSM, OTC magnesium citrate
Current Illness: none
Preexisting Conditions: none
Allergies: erythromucin
Diagnostic Lab Data: at least 2 blood tests on 3/29/2021 showed elevated troponin levels, additional blood tests were run 3/30/2021 & 3/31 2021, but results weren''t shared with patient heart catheterization (3/29/2021) cardiac MRI (3/30/2021)
CDC 'Split Type':

Write-up: Patient felt pressure on chest & weakness on inside of left are in the bicep area shortly after getting up at 6 am 3/29/2021. Slight light-headedness was felt shortly afterwards. Symptoms did not change after moving around & on the advice of patient''s insurance company''s Nurse Line, she went to the Emergency Room shortly after 7 am. Patient underwent a heart catheterization that day (3/29/2021) and a cardiac MRI the following day (3/30/2021). Cardiologist informed patient he suspected either Stress Cardiomyopathy or Myocarditis. Patient was discharged 3/31/2021 with 4 medications and follow-up appointments scheduled


Changed on 5/7/2021

VAERS ID: 1154628 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Indiana
Vaccinated:2021-03-25
Onset:2021-03-29
Submitted:0000-00-00
Entered:2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / UNK - / IM

Administered by: Other      Purchased by: ??
Symptoms: Bone pain, Catheterisation cardiac abnormal, Chest discomfort, Dizziness, Headache, Muscular weakness, Myalgia, Myocarditis, Pain in extremity, Troponin increased, Blood test abnormal, Stress cardiomyopathy, Magnetic resonance imaging heart

Life Threatening? Yes
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? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: 3/4/2021: sore arm after 1st COVID-10 vaccine dose; 3/25/2021: sore are, headache, muscle and bone aches for approx. 36 hours fo
Other Medications: OTC multi-vitamin, OTC multi-mineral, OTC Omega3 supplement, OTC glucosamine HCl/ginger/chondroitin/MSM, OTC magnesium citrate
Current Illness: none
Preexisting Conditions: none
Allergies: erythromucin erythromucin
Diagnostic Lab Data: at least 2 blood tests on 3/29/2021 showed elevated troponin levels, additional blood tests were run 3/30/2021 & 3/31 2021, but results weren''t shared with patient heart catheterization (3/29/2021) cardiac MRI (3/30/2021)
CDC 'Split Type':

Write-up: Patient felt pressure on chest & weakness on inside of left are in the bicep area shortly after getting up at 6 am 3/29/2021. Slight light-headedness was felt shortly afterwards. Symptoms did not change after moving around & on the advice of patient''s insurance company''s Nurse Line, she went to the Emergency Room shortly after 7 am. Patient underwent a heart catheterization that day (3/29/2021) and a cardiac MRI the following day (3/30/2021). Cardiologist informed patient he suspected either Stress Cardiomyopathy or Myocarditis. Patient was discharged 3/31/2021 with 4 medications and follow-up appointments scheduled


Changed on 5/14/2021

VAERS ID: 1154628 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Indiana
Vaccinated:2021-03-25
Onset:2021-03-29
Submitted:0000-00-00
Entered:2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / UNK - / IM

Administered by: Other      Purchased by: ??
Symptoms: Bone pain, Catheterisation cardiac abnormal, Chest discomfort, Dizziness, Headache, Muscular weakness, Myalgia, Myocarditis, Pain in extremity, Troponin increased, Blood test abnormal, Stress cardiomyopathy, Magnetic resonance imaging heart

Life Threatening? Yes
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? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: 3/4/2021: sore arm after 1st COVID-10 vaccine dose; 3/25/2021: sore are, headache, muscle and bone aches for approx. 36 hours fo
Other Medications: OTC multi-vitamin, OTC multi-mineral, OTC Omega3 supplement, OTC glucosamine HCl/ginger/chondroitin/MSM, OTC magnesium citrate
Current Illness: none
Preexisting Conditions: none
Allergies: erythromucin erythromucin
Diagnostic Lab Data: at least 2 blood tests on 3/29/2021 showed elevated troponin levels, additional blood tests were run 3/30/2021 & 3/31 2021, but results weren''t shared with patient heart catheterization (3/29/2021) cardiac MRI (3/30/2021)
CDC 'Split Type':

Write-up: Patient felt pressure on chest & weakness on inside of left are in the bicep area shortly after getting up at 6 am 3/29/2021. Slight light-headedness was felt shortly afterwards. Symptoms did not change after moving around & on the advice of patient''s insurance company''s Nurse Line, she went to the Emergency Room shortly after 7 am. Patient underwent a heart catheterization that day (3/29/2021) and a cardiac MRI the following day (3/30/2021). Cardiologist informed patient he suspected either Stress Cardiomyopathy or Myocarditis. Patient was discharged 3/31/2021 with 4 medications and follow-up appointments scheduled

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