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

This is VAERS ID 1775027

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Case Details

VAERS ID: 1775027 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-10-05
Onset:2021-10-09
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Chills, Decreased appetite, Discomfort, Headache, Hyperhidrosis, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: Centrum multivitamin, Fish Oil, Finasteride, Htp-5
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: Gluten
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chest pain, sweating, discomfort. Began decrease after ibuprofen and 3hrs. Also, day 2&3 after second dose had fever (100-101.2 peak), aches, chills, shivering, sore, reduced appetite, headache. These all subsided in the 12-18hrs before the onset on chest pain.


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