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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1500664

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Case Details

VAERS ID: 1500664 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Indiana  
Vaccinated:2021-06-08
Onset:2021-06-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Myocarditis
SMQs:, Cardiomyopathy (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021877608

Write-up: Developed myocarditis two days after his second Pfizer vaccine; This is a spontaneous report from a contactable consumer. This consumer (patient''s mother) reported for son that, A 18-year-old male adolescent patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration on 08Jun2021 as a DOSE 2, SINGLE for covid-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient received bnt162b2 (PFIZ-ER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 18May2021 as a DOSE 1, SINGLE for covid-19 immunization. Patient had sore arm after dose 1. The patient developed myocarditis two days after his second pfizer vaccine on 10Jun2021. The patient was hospitalized for developing myocarditis two days after his second pfizer vaccine from 10Jun2021 to an unknown date. Patient was hospitalized with myocarditis on 10Jun2021 two days after his second dose of Pfizer''s COVID vaccine. Felt pressured at work by his employer and co-workers to get vaccinated. "They were uncomfortable that he wasn''t vaccinated" reporter stated. "So he got the COVID vaccine without telling me." Withheld other son, now 16, had an adverse reaction to his measlesmumps rubella (MMR) vaccine when he was younger, and has not been vaccinated since. After first Pfizer dose on May18 he experienced a sore arm but was otherwise ok. Teen suffers severe heart damage after second Pfizer Dose, mother Says Hospital ''Clueless'' About Reporting to VAERS Withheld whose 18-year-old son developed myocarditis two days after his second Pfizer vaccine, said she would never have connected the dots between the vaccine and patient''s symptoms if she hadn''t read about the condition. Dataset of 53 records, Found were sore arm. adverse reaction. COVID, myocarditis, measles, measles mumps, rubella, sore, MMR vaccine. Outcome of the event was unknown. No follow-up attempts are possible. No further information is expected


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