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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1456656



Case Details

VAERS ID: 1456656 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-06-19
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac disorder, Chest discomfort, Circumstance or information capable of leading to medication error, Dyspnoea, Feeling abnormal, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PROPRANOLOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety (Never been diagnosed with anxiety. He does not have anxiety.); Cardiac arrest (His father did pass away at 48 of cardiac arrest); Lung cancer
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021766700

Write-up: received the first dose of the Pfizer Covid-19 vaccine on 19Jun2021 and by 21Jun2021 he was in the heart hospital; he is trying to go back to how he was feeling before and has regrets about taking it now; when he walks from the truck to the office he gets short of breath.; He does not know if it is the rhythm of his heart or palpitations; Caller states the people he got the shot from didn''t follow procedure, they don''t need to be giving anybody a shot.; He reports he laid down and woke up and his chest was going something funny; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 39-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, in left arm on 19Jun2021 11:00 as dose 1, single for covid-19 immunization. Medical history included anxiety. Caller has never been diagnosed with anxiety. He does not have anxiety. Sometimes he gets nervous, he will take it to keep the jitters away and patient had family history of cardiac arrest as his father did pass away at 48 of cardiac arrest and his brother has lung cancer at 37 and is sick, from an unknown date and unknown if ongoing. Caller states his brother who is 37 has lung cancer and he is very sick. He had heard you can be asymptomatic with COVID. He goes to visit his brother, and he did not want to visit him and get make him sicker than he was right now, even though he wears his mask. Concomitant medication included propranolol (PROPRANOLOL) taken for anxiety, start and stop date were not reported. Started taking medication about 5 years ago He does not take it daily. He takes it if he has a major meeting. Caller states he received the first dose of the Pfizer Covid-19 vaccine on 19Jun2021 and by 21Jun2021 he was in the heart hospital (24-hour clock). Caller is wondering if there was anything he can do to reverse the vaccine in his body. Caller states he was trying to go back to how he was feeling before and has regrets about taking it now. Caller states, he want to let you know not really a question but a statement, you all doing very important work he know you all employed by Pfizer, but you all doing important work by taking these reports because if he had not seen some of this stuff, he would have asked the question before hand all he heard was it was safe and effective he did not know all of the other things that happen, thank you. On 21Jun2021 patient went to the heart hospital and on unspecified date rhythm of his heart or palpitations, on 21Jun2021 patient it made his chest do something funny, on 22Jun2021 patient experienced for walks from truck to office and has shortness of breath. Caller states he was calling about the vaccine, COVID-19. He states they said it was safe. He was reporting an adverse event. He would like this to be reported. He states he took the 19Jun2021 at 11am, by 21Jun2021 he was in the heart hospital. He states he was 39 years old and about as healthy as he can get. he works out 4 days a week. He was in exceptional shape. He is trying to get this off of the market. He does not want anyone else to experience this. He wants this reported all over the world. Caller states he has been getting a little better. He does not know if he can work out. He was going to the doctor to see. Caller clarifies that he went to ER and was not admitted to the hospital. He will also see the cardiologist. He does not know if it was the rhythm of his heart or palpitations, it made his chest do something funny. He reports he laid down and woke up and his chest was going something funny. He states he works out, and now when he walks from the truck to the office, he gets short of breath. He states it was not persisting, he feels a lot better. He states the shortness of breath started on 22Jun2021, when he went to work. He reports it was new so he will see how he was going to do. Patient had not received any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. Caller states he has not received a vaccination since his mama took him in elementary school. Patient had attended emergency Room and physician Office after experiencing events. Outcome of event received the first dose of the Pfizer Covid-19 vaccine on 19Jun2021 and by 21Jun2021 he was in the heart hospital, when he walks from the truck to the office he gets short of breath, He does not know if it is the rhythm of his heart or palpitations was recovering, he is trying to go back to how he was feeling before and has regrets about taking it now, Caller states the people he got the shot from didn''t follow procedure, they don''t need to be giving anybody a shot, He reports he laid down and woke up and his chest was going something funny was unknown. No follow-up attempts are possible. No further information is expected.


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