VAERS ID: 1382003

AGE: 12| SEX: F|STATE: FL (United States)

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.

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(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

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

Vaccines

VAX DATE: 06-04-2021| ONSET DATE: 06-04-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH ew0171 IM LA

RECVDATE:06-08-2021
RPT_DATE:
CAGE_YR:12
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:omeprazole
CUR_ILL:
HISTORY:pneumonia a couple years ago
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:06-08-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:NKA
V_FUNDBY:

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