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This is VAERS ID 1502431

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/30/2021

VAERS ID: 1502431
VAERS Form:2
Age:15.0
Sex:Male
Location:Florida
Vaccinated:2021-07-23
Onset:2021-07-25
Submitted:0000-00-00
Entered:2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Electrocardiogram abnormal, Intensive care, Myocarditis, Troponin 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)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: migraines
Allergies: None
Diagnostic Lab Data: Troponin 7/26 AM - 18
CDC 'Split Type':

Write-up: Approximately 24 hours after receiving his Covid he developed chest pain. This initially was intermittent and then became persistent and severe approximately 48 hours after receiving his vaccine. In the emergency department labs were drawn that showed an elevated troponin to 18 and EKG consistent with myocarditis. He was then admitted to the intermediate care unit

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