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This is VAERS ID 1534072

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History of Changes from the VAERS Wayback Machine

First Appeared on 8/13/2021

VAERS ID: 1534072
VAERS Form:2
Age:
Sex:Male
Location:Maine
Vaccinated:2021-07-18
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-08-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Blood pressure abnormal, Chest pain, Heart rate, Heart rate increased, Myocarditis, Blood pressure measurement

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202107; Test Name: Blood Pressure; Result Unstructured Data: Test Result:Not stable; Comments: Blood pressure is not stable.; Test Date: 202107; Test Name: Heart beat; Result Unstructured Data: Test Result:fast
CDC 'Split Type': USPFIZER INC202100950916

Write-up: myocarditis; chest hurt; fastheart beat; blood pressure is not stable; This is a spontaneous report from a contactable consumer (patient) via Pfizer sponsored program. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 18Jul2021 (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. On an unspecified date in Jul2021, after a couple of days the patient felt side effects like myocarditis, chest hurt, fast heart beat and blood pressure was not stable. The outcome of the events was unknown. Information on lot/batch number has been requested.

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