VAERS ID: 1382708

AGE: 13| SEX: M|STATE: CT (United States)

Description

tachycardia, chest pain, pressure

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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

Tachycardia, Chest pain, Blood test, Chest discomfort, Chest X-ray, Electrocardiogram

Vaccines

VAX DATE: 06-05-2021| ONSET DATE: 06-06-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0177 IM LA

RECVDATE:06-08-2021
RPT_DATE:
CAGE_YR:13
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:6/6/2021: seen in emergency room at hospital, EKG, chest x-ray and blood work completed (all within normal limits).
V_ADMINBY:PHM
OTHER_MEDS:Singular 40mg, Claritin 10mg, Flintstone's vitamins
CUR_ILL:none
HISTORY:asthma
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:06-08-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Environmental, pollen, dust, dogs
V_FUNDBY:

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