This is VAERS ID 909635

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

Vaccin­ation / Manu­facturer (1 vaccine)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EK5730 / 1	LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Atrial fibrillation, Cardioversion, Chest discomfort, Dyspnoea, Echocardiogram normal, Palpitations, Presyncope

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: metformin, Jardiance, Losartan, HCTZ
Current Illness:
Preexisting Conditions: DM, HTN
Allergies: Amoxicillin
Diagnostic Lab Data: Normal echocardiogram
CDC 'Split Type':

Write-up: Palpitations, shortness of breath, chest tightness, presyncope, which led to New onset atrial fibrillation with rapid ventricular response and required synchronized cardioversion and hospitalization. Discharged on anticoagulation and beta-blocker.

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