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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1437625



Case Details

VAERS ID: 1437625 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-16
Onset:2021-06-29
   Days after vaccination:74
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 2 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest discomfort, Chest pain, Electrocardiogram, Limb discomfort, Musculoskeletal discomfort
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

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: Penicillin and Percocet
Diagnostic Lab Data: Ekg, chest x-rays, blood work
CDC Split Type:

Write-up: Right Chest discomfort, achy, and tightness. Goes into right shoulder. Right arm feels heavy


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437625


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