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From the 5/14/2021 release of VAERS data (an older release, current is 11/19/2021):

This is VAERS ID 912891

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Case Details

VAERS ID: 912891 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: California  
Vaccinated:2020-12-19
Onset:2020-12-22
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Exercise tolerance decreased, Painful respiration, Pericarditis, Pleuritic pain
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin Ambien as needed
Current Illness: None
Preexisting Conditions: History of kidney stones, low back pain, and Dupytren''s Contracture.
Allergies: None
Diagnostic Lab Data: No definitive proof of pericarditis. Was told to come in for an EKG if my symptoms persisted beyond the next few days. Since I''m improving I''m not planning on any additional testing.
CDC Split Type:

Write-up: Received the COVID-19 vaccine 12/19/2020 and felt great the next few days with zero symptoms. About 3-4 days later I felt some chest discomfort especially when taking a deep breath in. This occurred on both the front side and back side of chest. This continued for the next 5-7 days. Kept experiencing pain with deep breaths and my exercise tolerance was diminished. When I would hike up a small incline I felt I was not getting enough air and was a bit winded. Finally made an e-visit with my healthcare provider on 12/28/2020 after 5-7 days of symptoms. Knowing I work in healthcare my provider asked if my pain felt like, "pleuritic chest pain" and I think that is a spot on description of how it felt. Based on my symptoms he told me the most likely diagnosis is a mild case of pericarditis and prescribed me ibuprofen 400 mg by mouth 3 times daily for a few days. After ~36 hours of ibuprofen I''m feeling 80-90% better but still have some discomfort with deep breaths or exertion.


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