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

This is VAERS ID 1485656



Case Details

VAERS ID: 1485656 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Puerto Rico  
Vaccinated:2021-07-17
Onset:2021-07-18
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0198 / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Painful respiration, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Only acetaminophen after vaccination.
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Severe chest pain (he said it hurt to breath) Fever for 2 days. He had acetaminophen every 4 hours.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1485656


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