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This is VAERS ID 1357884

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1357884
VAERS Form:2
Age:16.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-15
Onset:2021-04-17
Submitted:0000-00-00
Entered:2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Fatigue, Myocarditis, Presyncope, Left ventricular dysfunction, Troponin increased, Echocardiogram abnormal, Magnetic resonance imaging heart

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: Echocardiogram showed mild left ventricular systolic dysfunction. MRI showed no scarring.
CDC 'Split Type':

Write-up: Myocarditis. Chest pain started 2 days after the 2nd shot. Elevated troponin and went upto 20. Near syncope and tiredness.

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