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This is VAERS ID 1257935

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1257935
VAERS Form:2
Age:16.0
Sex:Male
Location:Virginia
Vaccinated:2021-04-21
Onset:2021-04-22
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Echocardiogram, Electrocardiogram, Myocarditis, Troponin I increased

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? No
Previous Vaccinations:
Other Medications: none
Current Illness: cough a few days prior to illness.
Preexisting Conditions: NA
Allergies: pine needles
Diagnostic Lab Data: troponin elevated on 4/25, downtrending.
CDC 'Split Type':

Write-up: myocarditis. Positive troponin, downtrended. Neg EKG , echo.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1257935&WAYBACKHISTORY=ON


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