VAERS ID: 1796085

AGE: 16| SEX: M|STATE: FR (Unknown)

Description

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

Pyrexia, Malaise, Chest pain, Myocarditis, Thyroid function test, Echocardiogram, White blood cell count, Electrocardiogram, Haemoglobin, Blood creatine phosphokinase, Platelet count, Scan myocardial perfusion, Renal function test, Ejection fraction, Troponin T, Coagulation test, Investigation, Catarrh, N-terminal prohormone brain natriuretic peptide, SARS-CoV-2 test, Magnetic resonance imaging thoracic

Vaccines

VAX DATE: 09-30-2021| ONSET DATE: 09-30-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FH9951

RECVDATE:10-18-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-18-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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