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

This is VAERS ID 1491872

Case Details

VAERS ID: 1491872 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: California  
   Days after vaccination:94
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test abnormal, Cardiac stress test, Dizziness, Migraine, Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

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: klonopin
Current Illness: none
Preexisting Conditions: epilepsy traumatic brain injury
Allergies: pollen flouresce eye drops used at the eye doctor to contrast the eye gel deoderant
Diagnostic Lab Data: heart stress hormone blood test was elevated
CDC Split Type:

Write-up: extreme heart palpitations, dizziness, severe migraine

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