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This is VAERS ID 1484104

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1484104
VAERS Form:2
Age:17.0
Sex:Male
Location:California
Vaccinated:2021-07-18
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Heart rate increased, Palpitations, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Pineapples
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Around 4pm, the same day I got my vaccine, I got horrible heart palpitations, and my heart rate went up very high. I also started to get very shaky (not related to the chills). This lasted for hours at first, but now it is on & off.

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