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This is VAERS ID 1314425

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1314425
VAERS Form:2
Age:50.0
Sex:Male
Location:Indiana
Vaccinated:2021-03-30
Onset:2021-05-11
Submitted:0000-00-00
Entered:2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Arteriogram coronary abnormal, Echocardiogram normal, Electrocardiogram normal, Myocarditis, Troponin increased

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data: Elevated tropin levels Normal ecg and echocardiogram Did an angiogram that revealed no blockage but there was inflammation in the hear
CDC 'Split Type':

Write-up: Myocarditis

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