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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1268870

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Case Details

VAERS ID: 1268870 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: Utah  
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Chills, Gait inability, Inflammation, Magnetic resonance imaging thoracic abnormal, Migraine, Myalgia, Myocarditis, Pain, Pain in extremity, Pyrexia, Thirst
SMQs:, Rhabdomyolysis/myopathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 40 Mg of Fluoxetine 5 Mg Montelukast
Current Illness:
Preexisting Conditions:
Allergies: Mild Latex Allergy just a small rash if worn for long periods of time.
Diagnostic Lab Data: X-ray didn''t find and issues. The MRI determined that the cause was Myocarditis.
CDC Split Type:

Write-up: On Wednesday April 14th I got my second vaccination shot. The following day I had a 103 F fever, body aches, chills, migraine, sore muscles, couldn''t walk, excessive thirst. Those effects lasted all day and I felt better on Friday. Saturday night chest pain started along with sore arm getting worse. I took ibuprofen and melatonin to sleep. Woke up Sunday morning and pain came back and gradually got worse until I went into the ER around 9 am. They gave me Morphine to put the chest pain at bay. Then transferred me by ambulance to a different hospital with a cariology department. They treated me as if it was Myocarditis and also got an x-ray of my chest. The next morning I had an MRI and that is what confirmed it to be Myocarditis. I was then discharged with lots of medications to keep the inflammation down.

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