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This is VAERS ID 1205963

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First Appeared on 6/4/2021

VAERS ID: 1205963
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain upper, Chest pain, Chest X-ray, Computerised tomogram, Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue, Headache, Pain, Pericarditis, Pyrexia, Sleep disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Singular, Adderall XR, metformin
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Peanuts, sulfa drugs, penicillin, codeine, morphine
Diagnostic Lab Data: 3/22/21 - ER-chest x-ray, blood work, EKG 4/7/21 - appt w/ cardiologist 4/13/21 - appt w/primary care 4/14/21- appt for echocardiogram TBD - CT Scan w/contrast 4/21/21 follow up/ discuss results of echocardiogram with cardiologist TBD - following up with primary care after CTScan is done
CDC 'Split Type':

Write-up: Day 1-3 severe headache, fever, fatigue, body aches I was in the bed for 2.5 days. Day 5 - severe chest pain landed me in the ER at Hospital - pericarditis caused by the vaccine. Day 21- finally got into see a cardiologist, started colchicine to try to reduce the inflammation around my heart and prevent it from coming back. An echocardiogram is going to be performed on 4/14/21. Also, right upper quadrant pain when taking a deep breath, a ct scan is being scheduled. Ive not been able to sleep laying down since day 5 following the vaccine. Chest pain, shortness of breath and right upper quadrant pain are all a result of the vaccine.

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