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This is VAERS ID 1486847

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1486847
VAERS Form:2
Age:50.0
Sex:Female
Location:Ohio
Vaccinated:2021-07-01
Onset:2021-07-01
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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