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

This is VAERS ID 1463407



Case Details

VAERS ID: 1463407 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-06-30
Onset:2021-07-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 0150626-17236 / 2 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 111111 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test normal, Cardiac flutter, Chest pain, Computerised tomogram normal, Dyspnoea, Electrocardiogram normal, Inflammation, Laboratory test normal, Palpitations, X-ray normal
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ibuprofen
Current Illness: none
Preexisting Conditions: na
Allergies: no
Diagnostic Lab Data: We went to ER twice and all lab test result came out good. Test given that I remember:Heart CT scan, XRay, blood test, ticks, ekg, bp, temperature. Currently still feeling the symptoms multiple time in a day. Was adviced to consult a cardiologist, waiting for his cardiologist appointment this Wednesday.
CDC Split Type:

Write-up: ***Please ignore 2nd vaccine listed. Dont know how to delete it. Only recieved 2nd dose covid 19 vaccine on 6/30*** Heart inflamation with chest pain, a feeling of breathlessness and a pounding or fluttering heartbeat.


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