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

This is VAERS ID 1443236

Case Details

VAERS ID: 1443236 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Pennsylvania  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Computerised tomogram, Electrocardiogram, Laboratory test, Pain, Pyrexia, Retching, SARS-CoV-2 test negative, Tachycardia, Tremor, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Two EKG''s CT scan of the abdomen covid test
CDC Split Type: vsafe

Write-up: Took to ER at 5am because he was dry heaving, and vomiting. They did an EKG and a CT scan of the abdomen and lab work. He was placed on hydratation, 6 bags of fluids as well as Zofran for the vomiting also he also had tachycardia. He also experienced chills to the point he was shakiness when he go the tachycardia. He also has fever of 108.F and he was given Tylenol for relief of pain. He was then transferred to Hospital at 4pm and stayed there till 11pm. He also received an EKG exam at the Hospital. They also did a Covid test which was negative. As far os today my son has recovered.

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