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From the 6/11/2021 release of VAERS data:

This is VAERS ID 904072



Case Details

VAERS ID: 904072 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: allegra Klonopin Lamictal Latuda Implanon PRILOSEC Synthroid albuterol inhaler
Current Illness:
Preexisting Conditions: Asthma gerd hypothyroid gastric sleeve GI bleed
Allergies: Latex, eggs, pork, shellfish, beef, cinamon
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chest Tightness and shortness of breath


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=904072


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