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

This is VAERS ID 1431237



Case Details

VAERS ID: 1431237 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: South Dakota  
Vaccinated:2021-06-17
Onset:2021-06-21
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angina pectoris, Increased upper airway secretion, Malaise, Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Other ischaemic heart disease (narrow)

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

Write-up: My heart feels like it pinches when it beats. The upper part of my heart hurts. I fell sick. My throat has been full of mucus and is scratchy. More importantly my heart hurts. I am a healthy person who is fit with a low resting heartrate.


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