VAERS ID: 1815197

AGE: 16| SEX: M|STATE: NY (United States)

Description

I experienced extreme tiredness, heart condition

Open in Wayback Machine
(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

Fatigue, Cardiac disorder

Vaccines

VAX DATE: 04-03-2021| ONSET DATE: 07-01-2021| DAYS TO ONSET: 89
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH ER8736 IM LA

RECVDATE:10-25-2021
RPT_DATE:
CAGE_YR:16
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:Heart disease
PRIOR_VAX:
SPLTTYPE:vsafe
FORM_VERS:
TODAYS_DATE:10-25-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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