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

This is VAERS ID 1430084



Case Details

VAERS ID: 1430084 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Hawaii  
Vaccinated:2021-06-01
Onset:2021-06-21
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Deafness unilateral, Ear pain, Migraine, Painful respiration, Tinnitus
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Doctor examination. X-ray
CDC Split Type:

Write-up: Hearing loss (right ear) Non stop Loud Ringing in ear (right ear) Migraine due to ear pain. Pain in left chest when breathing.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430084


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