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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1474828

Case Details

VAERS ID: 1474828 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: California  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: ?
Symptoms: Musculoskeletal chest pain

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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Client reported to EMTs pain on her left side around her ribs that she described as "pulsating." Vitals obtained at 2:08PM were as follows: BP 130/76, HR 75, and O2 98%. The client denied any SOB, chest pressure, or throat tightness. The client reports a history of a similar pain on her left side of unknown origin. The client was alert and oriented to person, place, time, and events. The client rated the pain at a 3-4 on a scale of 10. The client has a history of hypertension, which is controlled with Lisinopril. Repeat vitals obtained at 2:20PM were as follows: BP 138/76, HR 67, and O2 98%. The client stated, "I''m okay I can walk." The client stated her symptoms were unchanged. The client elected to leave the vaccination site. Client ambulated away from the observation area unassisted with a steady gait at 2:23PM.

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