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This is VAERS ID 1342146

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1342146
VAERS Form:2
Age:16.0
Sex:Male
Location:Oregon
Vaccinated:2021-05-22
Onset:2021-05-23
Submitted:0000-00-00
Entered:2021-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 12345678 / 2 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: C-reactive protein increased, Electrocardiogram abnormal, Pericardial effusion, Pericarditis

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: acetaminophen
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: codeine, vicodin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Suspect pericarditis, elevated CRP, very very slight pericardial effusion, classic story, few EKG findings

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