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This is VAERS ID 1375296

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1375296
VAERS Form:2
Age:20.0
Sex:Male
Location:Oregon
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Pneumothorax

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ibuprofen 800mg Cyclobenzaprine 10mg
Current Illness: None
Preexisting Conditions: None
Allergies: Cats
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient experienced left sided chest pain that started a few hours prior to getting his second dose of the covid vaccine on June 1, 2021. Patient states the pain worsened after receiving his second dose of the vaccine. He was admitted for a small pneumothorax on his left side.

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