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This is VAERS ID 1262194

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1262194
VAERS Form:2
Age:16.0
Sex:Male
Location:Iowa
Vaccinated:2021-04-22
Onset:2021-04-24
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Myocarditis, Troponin

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Troponin 1500
CDC 'Split Type':

Write-up: Patient received vaccination on 4/22 and started developing chest pain on 4/24. patient presented to the Emergency Department on 4/25 and was evaluated and found to have a troponin of 1500 and was diagnosed with myocarditis. The source is unknown at this point but may be related to the vaccine.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1262194&WAYBACKHISTORY=ON


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