VAERS ID: 1779162

AGE: 17| SEX: M|STATE: MD (United States)

Description

Pneumothorax (Several seen during surgery) Surgery to correct pneumothorax Enlarged right atrium still under investigation

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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

Pneumothorax, Surgery, Electrocardiogram, Right atrial enlargement

Vaccines

VAX DATE: 05-08-2021| ONSET DATE: 09-17-2021| DAYS TO ONSET: 132
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH ew0167 IM LA

RECVDATE:10-12-2021
RPT_DATE:
CAGE_YR:17
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:11
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Several EKGs One upon admittance to the hospital on 9/18/2021 and one on release 9/29/2021
V_ADMINBY:PVT
OTHER_MEDS:none
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-12-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:oxycodone
V_FUNDBY:

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