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This is VAERS ID 1341490

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1341490
VAERS Form:2
Age:12.0
Sex:Male
Location:Oregon
Vaccinated:2021-05-20
Onset:2021-05-21
Submitted:0000-00-00
Entered:2021-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Body temperature increased, Chest pain, Pericarditis, Brain natriuretic peptide normal, Troponin normal

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: trop negative, bnp not elevated
CDC 'Split Type':

Write-up: Pericarditis, temp 100, chest pain

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