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

This is VAERS ID 1753339

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Case Details

VAERS ID: 1753339 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-09-29
Onset:2021-09-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF8839 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest discomfort, Differential white blood cell count, Electrocardiogram, Feeling cold, Fibrin D dimer, Full blood count, Headache, Injected limb mobility decreased, Metabolic function test, Myocardial necrosis marker, Palpitations, Red blood cell sedimentation rate
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamins.
Current Illness: Covid on 09/06/2021
Preexisting Conditions: Athsma
Allergies: None
Diagnostic Lab Data: Basic Metabolic Panel. Card ENZ CBC with differential. D-Dimer Differential Erythrocyte sedimenation rate ECG DIAG-Portable Chest Doctor confirmed all results were good.
CDC Split Type:

Write-up: I had trouble all day. In the morning, my shoulder where the shot was administered, I couldn''t lift my 19 month old out of her crib. Checked my heart rate, and it was at 130 with O2 at 97%. Shoulder then got better throughout the day, but then my knees felt like they were 87 years old. I had a major headache all day and felt like I was having an asthma attack all day as my chest was tight. After I went to a doctor visit (heart rate at 115 and O2 at 96%), I came home, sat on the couch and picked up my youngest daughter and my heart started racing. I felt cold and was wanting to sleep. I put my daughter down and checked heart rate - 150 and O2 at 96%. I felt like I was working out, but was not moving at the time. This lasted for 20 or so minutes and had to call ambulance. On the way to hospital, heart rate flucuated from 120 to 95. Again, not doing anything except sitting in the ambulance. At the moment, my heart rate has been at a steady 100-110. Before, my resting heart rate was 60.


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