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This is VAERS ID 1376626

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1376626
VAERS Form:2
Age:13.0
Sex:Male
Location:California
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arteriogram coronary abnormal, Chest pain, Electrocardiogram abnormal, Electrocardiogram ST segment elevation, Fatigue, Injection site pain, Intensive care, Musculoskeletal stiffness, Troponin increased, Immunoglobulin therapy

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Cats
Diagnostic Lab Data: 6/5/21 EKG- ST segment elevation 6/5/21 Rising troponin 6/6/21 CT angio done 6/6/21 IVIG given 6/5/21 Motrin for pain
CDC 'Split Type':

Write-up: 8 hrs post vaccine- 6/3 -Site pain and fatigue 24 hrs post vaccine-6/4- stiff neck 48hrs post- 6/5 severe chest pain- went to ER, 6/5 20:00 Admitted to Hospital

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