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This is VAERS ID 1471824

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1471824
VAERS Form:2
Age:15.0
Sex:Male
Location:Unknown
Vaccinated:2021-07-08
Onset:2021-07-15
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: Chest pain, Dyspnoea, Musculoskeletal pain, Adverse event following immunisation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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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