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This is VAERS ID 1267547

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1267547
VAERS Form:2
Age:25.0
Sex:Male
Location:Tennessee
Vaccinated:2021-04-15
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / IM

Administered by: Military      Purchased by: ??
Symptoms: Catheterisation cardiac normal, Chest pain, Echocardiogram normal, Myocarditis, Cardiac monitoring, Troponin increased, Magnetic resonance imaging abnormal, Magnetic resonance imaging heart, SARS-CoV-2 test negative

Life Threatening? Yes
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Echocardiogram (22APR), Holter Monitor (20APR), Cardiac Cath (19APR), Cardiac MRI (27APR).
CDC 'Split Type':

Write-up: 4 days after vaccination, patient woke up with severe chest pain, radiating to L arm. Presented to ED where he was found to have elevated troponins. Cardiac cath normal. Echocardiogram normal. Cardiac MRI with evidence of Myocarditis. COVID testing at the time of chest pain NEGATIVE.

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