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This is VAERS ID 1454204

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454204
VAERS Form:2
Age:60.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-04-06
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6199 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Echocardiogram, Ejection fraction decreased, Cardiac assistance device user

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinipril 20mg ad Corey 25mg bid Omeprazole 29mg qd
Current Illness:
Preexisting Conditions: Cardiomyopathy Depression An3 Arthritis
Allergies:
Diagnostic Lab Data: Had a heart echocardiogram. Will be having a stress sonogram. Wearing a life vest.
CDC 'Split Type':

Write-up: My EF went from 45 to 30. Two months after vaccination.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454204&WAYBACKHISTORY=ON


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