|
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts.org |
History of Changes from the VAERS Wayback Machine |
VAERS ID: | 2498126 |
VAERS Form: | 2 |
Age: | 12.0 |
Sex: | Male |
Location: | Kansas |
Vaccinated: | 2022-09-09 |
Onset: | 2022-10-06 |
Submitted: | 0000-00-00 |
Entered: | 2022-11-03 |
Vaccination / Manufacturer (2 vaccines) | Lot / Dose | Site / Route |
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH | GH9694 / 1 | - / - |
FLUA4: INFLUENZA (SEASONAL) (FLUAD QUADRIVALENT) / SEQIRUS, INC. | - / 1 | AR / SYR |
Administered by: Pharmacy Purchased by: ??
Symptoms: Chest pain, Chest X-ray normal, Electrocardiogram normal, White blood cell count increased, Blood test abnormal, Myocardial necrosis marker normal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Budesonide inhaler; omega 3; multivitamin; vitamin D; probiotic
Current Illness: N/A
Preexisting Conditions: ADHD; Asthma; Autism Spectrum.
Allergies: AUGMENTIN
Diagnostic Lab Data: EKG normal; blood panel elevated white blood count, heart markers were in normal range. Chest X-ray normal.
CDC 'Split Type': vsafe
Write-up: Woke up with chest pains and BPM was over 160. Mother took him to the ER where he was tested and observed for about 4 hours. Went and saw PCP, then was referred to a Cardiologist. Seeing Cardiology doctor at the end of this month.
Copyright © 2024 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166