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From the 11/12/2021 release of VAERS data:

This is VAERS ID 1295341

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Case Details

VAERS ID: 1295341 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Nebraska  
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: ?
Symptoms: Catheterisation cardiac, Chest pain, Echocardiogram, Electrocardiogram abnormal, Magnetic resonance imaging heart, Myocarditis
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
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: clomid - 75mg/week probiotic multivitamin vitamin d finasteride
Current Illness: none
Preexisting Conditions: sleep apnea
Allergies: none
Diagnostic Lab Data: Heart Catheterization - 5/1 EKG - 5/1, 2, 3 Cardiac MRI - 5/3 Echocardiogram - 5/3
CDC Split Type:

Write-up: Developed chest pains 48 hours after vaccination. Had chest pains daily for several days. 96 hours after vaccination, went to clinic. Tests showed irregular EKG, confirmed myocarditis

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