Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||- / UNK||- / -|
Administered by: Private Purchased by: ??
Symptoms: Chest X-ray, Echocardiogram, Electrocardiogram, Myocarditis, Laboratory test
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 1
Write-up: This patient had his first mRNA vaccines when he was under 12 years old from a pharmacy outside of hospital. . He had his second mRNA vaccine on 6/30/21 also from an outside pharmacy. He had post-vaccine myocarditis and was treated at hospital.
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166