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This is VAERS ID 1269641

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1269641
VAERS Form:2
Age:49.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-04-22
Onset:2021-04-23
Submitted:0000-00-00
Entered:2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Condition aggravated, Dyspnoea, Pericarditis

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: Amlodipine, aspirin, Lipitor, vitamin D3, Nexium, ferrous sulfate, folic acid, plaquenil, lisinopril, methotrexate, reglan, metoprolol succinate, prednisone (5mg daily)
Current Illness: No recent acute illnesses.
Preexisting Conditions: SLE, hypertension, iron deficiency anemia. Remote hx of pericarditis
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pleuritic chest pain and shortness of breath starting on the day after admission. Clinically suggestive of acute pericarditis. She has a history of this which was thought to be due to lupus.

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