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This is VAERS ID 1387211

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1387211
VAERS Form:2
Age:15.0
Sex:Male
Location:Colorado
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Palpitations, Pericarditis

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Na
Current Illness: Na
Preexisting Conditions: Na
Allergies: Na
Diagnostic Lab Data: Na
CDC 'Split Type':

Write-up: Apparent percarditis. Heart palpitations, chest pain, trouble breathing ( due to chest pain). Worse when lying down. NSAIDs helped. Waited in ER lobby for an hour ( approx hour 6 after onset of symptoms when symptoms began to dissipate). Only intake triage performed at hospital. 10 hours duration

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1387211&WAYBACKHISTORY=ON


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