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This is VAERS ID 1194232

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1194232
VAERS Form:2
Age:51.0
Sex:Female
Location:Minnesota
Vaccinated:2021-04-07
Onset:2021-04-08
Submitted:0000-00-00
Entered:2021-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: C-reactive protein increased, Chest discomfort, Chest pain, Echocardiogram normal, Pain, Pericarditis, Blood test normal, Metabolic function test, SARS-CoV-2 test negative

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: amlodipine, certrazine, famotidine, fluoxetine, Levothyroxine, lisinopril-hydrochlorothiazide, minocycline, pantoprazole, rivaroxaban, trazadone, vitamins b-12, d, multi, vitron c
Current Illness: None
Preexisting Conditions: High blood pressure, pre-diabetic, hypothyroid, factor 5 leiden, DVT, PE, depression, acne, GERD
Allergies: Septra, NSAIDS
Diagnostic Lab Data: Cardiac blood markers and echocardiogram were normal. CRP was elevated at 7.7 mg/dL. Basic metabolic panel, hemogram/platelets, TROPONIN, ESR, magnesium normal. COVID-19 test negative. Started prednisone (no NSAIDS due to past gastric bypass surgery), colchicine on evening 4/9. Followup CRP test on 4/10 remained elevated at 3.7 mg/dL, but significantly reduced from prior. Followup CRP test on 4/11 normalized at .7 mg/dL. Discharged from hospital at noon 4/11/21. Followup with primary within a week, taking prednisone and colchicine as prescribed.
CDC 'Split Type':

Write-up: Acute onset of chest pain at 2:00 am on 4/8/21. Arrived at ER via ambulance at 4:30 am. Chest pain was extreme pressure, in chest radiating up through neck and lower left chest. Constant, worse when lying down or breathing deeply. Evaluated in ER and subsequently admitted to the hospital. Diagnosed: Acute Idiopathic Pericarditis.

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