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

This is VAERS ID 1713986

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Case Details

VAERS ID: 1713986 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Oregon  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain lower, Angina pectoris, Arthralgia, Chest pain, Headache, Inflammation
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Arthritis (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:
Current Illness: none
Preexisting Conditions: unknown
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: at .5 hr had headache, at 1 hr had heart pain. few hrs later had bilateral lower abdominal pain, left shoulder pain. these resolved by day three except for chest/heart pain which has been persistent as of friday 9-17-21. pt saw urgent care wed 9-15-21, who prescribed meloxicam for possible heart inflammation from covid shot. symptoms sill persist on friday 9-17-21.

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