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This is VAERS ID 1371348

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371348
VAERS Form:2
Age:16.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-07
Onset:2021-04-22
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Dizziness, Dyspnoea, Myocarditis, Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: DM2
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Myocarditis (with chest pain, shortness of breath, dizziness) starting after first dose, worsening after second

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