VAERS ID: 1404010

AGE: 18| SEX: F|STATE: WA (United States)

Description

Chest and neck pain, shortness of breath, slight nausea, hot flashes Chest pain was from myopericarditis- inflammation of heart

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

Dyspnoea, Nausea, Neck pain, Chest pain, Myocarditis, Echocardiogram, Blood test, X-ray, Computerised tomogram, Inflammation, Hot flush, Magnetic resonance imaging

Vaccines

VAX DATE: 05-25-2021| ONSET DATE: 06-10-2021| DAYS TO ONSET: 16
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 2 COVID19 MODERNA 022B21A SC LA

RECVDATE:06-16-2021
RPT_DATE:
CAGE_YR:18
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:1
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:X-rays, MRI, CT, Echocardiogram, blood draws
V_ADMINBY:PHM
OTHER_MEDS:Testosterone
CUR_ILL:
HISTORY:Slight irregular heartbeat
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:06-16-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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