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This is VAERS ID 1454417

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454417
VAERS Form:2
Age:30.0
Sex:Male
Location:Unknown
Vaccinated:2021-06-19
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Electrocardiogram normal, Myalgia, Pyrexia, Blood pressure measurement

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: Amoxicillin, penicillins
Diagnostic Lab Data: EKG- normal BP- 160/101
CDC 'Split Type':

Write-up: Patient states he received his 2nd COVID vaccine last week and the day after he developed a fever, chest tightness myalgias. States that he has a device at home and checks his heart rate and monitors an EKG and states that it told him he had PVCs at that time.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454417&WAYBACKHISTORY=ON


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