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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1391522



Case Details

VAERS ID: 1391522 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-01
Onset:2021-06-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blood test normal, Cardiac discomfort, Electrocardiogram normal, Musculoskeletal discomfort, Sleep disorder, Ultrasound scan normal
SMQs:, Rhabdomyolysis/myopathy (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lthyroix T4, Thybon T3, progesterone, estrogen, progenolone
Current Illness: none
Preexisting Conditions: No Thyroid, menopause :)
Allergies: penecillin
Diagnostic Lab Data: See above
CDC Split Type:

Write-up: Woke with heart attack like symptoms out of a deep sleep. Throbbing, pressure and pain on my left side by shoulder blades, shoulder. Would not go away for 10 min. then got up to use the bathroom and felt better, googled and said could be this, so leaned forward and was ok. Slept. the next night had same wake up, but had taken advil. was not as intense, leaned forward and was fine again. Saw a cardiologist on Monday and had ultrasound, EKG and bloodwork and was fine. After 3 days of advil, I guess it was temporary.


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