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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1360635

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Case Details

VAERS ID: 1360635 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Myocarditis
SMQs:, Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021600303

Write-up: have swelling of the heart muscle after getting vaccinated.; This is a spontaneous report from a contactable consumer. A patient of unspecified age and gender received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: unknown), via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. On an unknown date, the patient experienced swelling of the heart muscle after getting vaccinated. The clinical outcome of swelling of the heart muscle after getting vaccinated was unknown. The lot number for the vaccine, BNT162b2, was not provided and will be requested during follow up. Amendment: This follow-up report is being submitted to amend previously report: patient initials updated. Follow-up attempts are completed; information about lot number cannot be obtained. Follow-up (25May2021): This is a follow-up report to notify that the case 2021475747 and case 2021600303 are duplicates. All subsequent follow-up information will be reported under Manufacturer report number 2021600303.


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