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This is VAERS ID 1494141

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1494141
VAERS Form:2
Age:17.0
Sex:Male
Location:Florida
Vaccinated:2021-07-18
Onset:2021-07-19
Submitted:0000-00-00
Entered:2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY0584 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood creatine phosphokinase increased, Chest pain, Pain, Troponin, N-terminal prohormone brain natriuretic peptide increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Troponin of 1.75, proBNP 333, CK 1010 (7/22/2021)
CDC 'Split Type':

Write-up: Chest pain (retrosternal with left side radiation, then becoming more generalized) 1 day following vaccine administration

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