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This is VAERS ID 1289438

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1289438
VAERS Form:2
Age:23.0
Sex:Male
Location:New York
Vaccinated:2021-03-01
Onset:2021-03-20
Submitted:0000-00-00
Entered:2021-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6205 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Arteriogram coronary abnormal, Back pain, Chest X-ray abnormal, Dyspepsia, Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Fatigue, Myocarditis, Neck pain, Pain in extremity, Pericarditis, Platelet count decreased, Pyrexia, Ultrasound liver, Ultrasound chest, Troponin increased, Computerised tomogram coronary artery abnormal, Blood test abnormal, Scan with contrast abnormal, Magnetic resonance imaging heart, Ultrasound spleen, Immune thrombocytopenia

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Wellbutrin
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data: 3/20/21 - 3/24/21 Blood tests every hour for 5 days 3 EKGS Cardiac MRI Angiogram Chest / Heart CT with dye 2 Ultrasounds of heart, lungs, spleen, liver etc Chest X ray 4/23/21 Cardiac MRI
CDC 'Split Type':

Write-up: Received first dose of Pfizer on 3/1. Felt tired for few days and was fine. Started having neck and back pain and then extreme heart burn, pain down left arm, trouble breathing etc. Admitted into hospital on 3/20/21 with Triponin Level at 1.8 and Blood Platelets level at 20,000. Fever and resting heart rate of 135 BPM. Extreme heart burn and pain down left arm. Triponin level rose to 4.5. Platelet levels did not increase. After multiple blood tests to make sure they were correct Cardiologist and Hematoligist diagnosed as Myopericarditis and ITP blood disorder. Spent 4 days in hospital on heavy Decadron dose for ITP and levels improved. Myopericarditis being treated with Colchicine and Metoprolol. Was discharged from hospital on 3/24 and monitored at home. ITP levels still fluctuating and Myocarditis and Pericarditis are still being treated. No previous history of any heart or blood problems and no family history. 23 year old healthy male with no previous health conditions.

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