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This is VAERS ID 1248441

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1248441
VAERS Form:2
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:2021-04-08
Onset:2021-04-08
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Arteriogram coronary normal, Myocarditis, Left ventricular dysfunction, Troponin increased, Echocardiogram abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Echo showing left ventricular dysfunction. Elevated troponins Coronary CTA showing normal cors
CDC 'Split Type':

Write-up: Acute Myocarditis

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1248441&WAYBACKHISTORY=ON

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