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

This is VAERS ID 1771943

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Case Details

VAERS ID: 1771943 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-10-01
Onset:2021-10-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 3015582 / 3 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram, Pain
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xyzal twice daily, 40mg pepcid BID, 2000 Vitamin D, Iron, Flovent, Dynamist 1 spray BID, singulair at bedtime, and zoloft daily.
Current Illness: General cold two weeks prior. Shortness of breath from pre-existing condition.
Preexisting Conditions: Chronic idiopathic urticaria, asthma.
Allergies: Dapsone, Xolair, Methotrexate, plaquenil, and amoxicillin, severe beef and severe pork.
Diagnostic Lab Data: EKG 10/7, Echo 10/8
CDC Split Type:

Write-up: Severe shortness of breath while peak flow was 470 and O2 was 98%. Sharp chest pain on the left side on october 4 which has continued but become an ache.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1771943


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