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

This is VAERS ID 1474690



Case Details

VAERS ID: 1474690 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-13
Onset:2021-07-15
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6680 / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Fatigue, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, Amlodipine Besylate, Potassium Chloride, Rosuvastatin and Vitamin D2
Current Illness:
Preexisting Conditions: Hypertension and Hyperlipidemia
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: July 13th and 14th pain at injection site and fatigue. July 15th at 6:00am to current chest pain


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474690


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