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This is VAERS ID 1327087

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1327087
VAERS Form:2
Age:18.0
Sex:Male
Location:Arkansas
Vaccinated:2021-04-30
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8731 / 2 RA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Myocardial infarction, Myocarditis

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: He had chest pains and could not breath after 48 hours, rushed to the ER. Stayed in the hospital for 4 days. He had a heart attack and was diagnosed with acute idiopathic myocarditis.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327087&WAYBACKHISTORY=ON


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