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This is VAERS ID 1274110

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1274110
VAERS Form:2
Age:39.0
Sex:Female
Location:Maryland
Vaccinated:2021-04-21
Onset:2021-04-25
Submitted:0000-00-00
Entered:2021-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Chest pain, 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)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multi vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe chest pain diagnosed finally as PERICARDITIS

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