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This is VAERS ID 1753952

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1753952
VAERS Form:2
Age:51.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-09-05
Onset:2021-09-06
Submitted:0000-00-00
Entered:2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Dizziness, Heart rate increased, Hyperthyroidism, Pain, Thyroxine, Laboratory test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Penicillin
Diagnostic Lab Data: At the Emergency Department, they ran thyroid tests and said her thyroid was "over reacting". Her T4 was at a 5. They believe that it may be an immune response to the vaccine. The doctor is sending her to another facility for another scan. The doctor at the ED thinks that it is possible that she has Pericarditis.
CDC 'Split Type':

Write-up: Patient''s heart rate increased into the 110 to 120 range for weeks. She experienced a shooting pain across her chest and became dizzy. Patient went to the Emergency Department.

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