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This is VAERS ID 1295341

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1295341
VAERS Form:2
Age:40.0
Sex:Male
Location:Nebraska
Vaccinated:2021-04-27
Onset:2021-04-29
Submitted:0000-00-00
Entered:2021-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / 2 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Catheterisation cardiac, Chest pain, Echocardiogram, Electrocardiogram abnormal, Myocarditis, Magnetic resonance imaging heart

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     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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