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From the 1/14/2022 release of VAERS data:

This is VAERS ID 902479

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Case Details

VAERS ID: 902479 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Kansas  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Feeling abnormal, Flushing, Intensive care
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (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: unknown
Current Illness: No
Preexisting Conditions: unknown
Allergies: No
Diagnostic Lab Data: Unknown but sent to SICU for monitoring
CDC Split Type:

Write-up: rPfizer-BionNTech COVID-19 Vaccine EUA 5-7 minutes after the vaccine Associate stated she did not feel right, mentioned chest pain. "My chest feels funny. It feels like when you have really bad heartburn coming on". "I feel flushed like when you get contrast for a CT". Pulse 90 BP 160/90 checked later 130/90

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