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

This is VAERS ID 991213

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Case Details

VAERS ID: 991213 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-01-19
Onset:2021-01-23
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 - / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Acute myocardial infarction, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Electrocardiogram abnormal, Full blood count normal, Pericarditis, Troponin increased, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prozac Adderall (I have since discontinued)
Current Illness: none
Preexisting Conditions: None
Allergies: NONE NKDA
Diagnostic Lab Data: EKG (STEMI) next 3 EKGs NORMAL Troponin- Saturday 0.63, then 1.84 then 1.87 finally 3.3 next day. WBC count normal none out of range CBC normal. CK elevated ALT elevated, AST slight elevation.
CDC Split Type:

Write-up: Heart swelling (pericarditis) , abnormal EKG showing STEMI initially on Saturday approximately 3 days after 2nd vaccine dose administration.


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