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This is VAERS ID 1361923

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1361923
VAERS Form:2
Age:17.0
Sex:Male
Location:Minnesota
Vaccinated:2021-05-26
Onset:2021-05-30
Submitted:0000-00-00
Entered:2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Echocardiogram normal, Electrocardiogram abnormal, Pericarditis, Respiratory tract congestion, Troponin increased, Human rhinovirus test positive, Enterovirus test positive

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: +rhinovirus by PCR at time of admission, developed rhinorrhea/congestion night of 2nd COVID vaccine (Pfizer)
Preexisting Conditions: asthma- well-controlled
Allergies: PCN- vomiting
Diagnostic Lab Data: EKG: ST elevation; elevated Troponin 5.68; normal ECHO all on 5/30/21
CDC 'Split Type':

Write-up: pericarditis 5/30/21 Tested + for rhinovirus/enterovirus on PCR Resp Pathogen Panel at time of admission, so unclear if from rhinovirus (more likely)

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