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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1700742

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Case Details

VAERS ID: 1700742 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-09-10
Onset:2021-09-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Echocardiogram, Myocarditis
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: Echocardiogram
CDC Split Type:

Write-up: Started having chest pain the day of the 2nd dose. Went to the Emergency Room 9/13/2021. Released with a diagnosis of Myocarditis. Has appointment with Cardiologist Monday 9/20/2021.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1700742


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