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

This is VAERS ID 1471824

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Case Details

VAERS ID: 1471824 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-08
Onset:2021-07-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW 0151 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Adverse event following immunisation, Chest pain, Dyspnoea, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Epipen
Current Illness: None
Preexisting Conditions: None
Allergies: Peanuts
Diagnostic Lab Data: Observation. Treated with Acetaminophen 500mg QD PRN and Ketoprofen 2.5% Topical gel BD PRN
CDC Split Type:

Write-up: Youth developed sensation of shortness of breath and chest pain. He was admitted to a local hospital for observation overnight and diagnosed with musculo-skeletal pain post vaccination. No other diagnoses or abnormal findings.


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