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

This is VAERS ID 1437525



Case Details

VAERS ID: 1437525 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-06-29
Onset:2021-06-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 - / IM

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Electrocardiogram, Hyperhidrosis, Hypertension, Tachypnoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Denied, but family reported multiple illnesses as a small child.
Allergies:
Diagnostic Lab Data: Abnormal EKG
CDC Split Type:

Write-up: Client reported acute, sharp chest pain the moment the needle entered his arm. Chest pain was temporarily relieved by pressure, accompanied by diaphoresis, tachypnea and hypertension. EMS was called and initial EKG showed abnormal T waves. Client was transported to hospital for further care.


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