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VAERS ID: 1382003

AGE: 12| SEX: F|State: FL

Description

Complaining of chest tightness in the morning, then it progressed to pain, subjective fever, chest, rashes on arm and face, shivering. Feels throat is tightening.

Symptoms

Chest discomfort, Throat tightness, Chest pain, Chills, Pyrexia, Rash

Vaccines

VAX DATE: 03 June 2021 | ONSET DATE: 03 June 2021 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 2
  • IM
  • LA
  • ew0171

RECVDATE:07 June 2021
CAGE_YR:12
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:U
LAB_DATA:
V_ADMINBY:UNK
OTHER_MEDS:omeprazole
CUR_ILL:
HISTORY:pneumonia a couple years ago
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:07 June 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:Y
ALLERGIES:NKA
V_FUNDBY:
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