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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1302455

Case Details

VAERS ID: 1302455 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Male  
Location: New York  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Dyspnoea, Impaired work ability, Insomnia, Nausea, Pain
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Testosterone intramuscular
Current Illness: None
Preexisting Conditions: Pituitary adenoma, migraines, chest pain (sees cardiologist), herniated disc in spine, growth on liver.
Allergies: Unknown
Diagnostic Lab Data: Have yet to see any doctor. I have been too nervous to go. I will be going today though. 5/10/21
CDC Split Type:

Write-up: Pain when breathing and difficulty breathing. Nausea. Started 12 hours after the 2nd dose and has yet to go away 1 week later. It''s hard to breathe without coughing and pain. And the nausea came I had body aches too. But everything else went away except for the nausea which has been haunting me and the difficulty breathing which has limited the amount of work i do at work and has had an impact on my sleeping as well.

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