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

This is VAERS ID 1486847



Case Details

VAERS ID: 1486847 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram, Pain, Pericarditis
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: verapamil 120 mg melatonin 5mg
Current Illness: bronchitis
Preexisting Conditions: afib complicated by svt
Allergies: codeine bandage adhesive
Diagnostic Lab Data: ekg - 7/19/2021
CDC Split Type:

Write-up: Diagnosed with pericarditis. Chest pain/pressure that did not resolve itself after a week, shortness of breath, pain in left


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1486847


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