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This is VAERS ID 1293316

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1293316
VAERS Form:2
Age:18.0
Sex:Male
Location:Mississippi
Vaccinated:2021-05-03
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Myocarditis

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ethinyl estradiol 0.02mg and Drospirenone 3mg (Yaz) take one tablet by mouth once daily at the same time for abnormal uterine bleeding
Current Illness: None
Preexisting Conditions: Allergic rhinitis Anemia, iron deficiency - previously resolved Abnormal uterine bleeding - Improved on Yaz Headaches
Allergies: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Myopericarditis

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