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From the 1/14/2022 release of VAERS data:

Found 583 cases where Age is 12-or-more-and-under-18 and Location is U.S., Territories, or Unknown and Vaccine is COVID19 and Manufacturer is PFIZER/BIONTECH and Symptom is Myocarditis or Pericarditis

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Case Details

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VAERS ID: 1400260 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-12
Onset:2021-06-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chronic myeloid leukaemia (in remission), Dyspnoea, Echocardiogram, Headache, Hypotension, Myocarditis, Pyrexia, Troponin I increased
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Haematological malignant tumours (narrow), Dehydration (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: dasatinib 50mg daily
Current Illness: none
Preexisting Conditions: CML diagnosed 12/30/2018. He has not achieved molecular remission as of his last BCR-ABL test 3/2021. He remains on dasatinib 50mg which he takes at 1730 daily.
Allergies: amoxillin
Diagnostic Lab Data: Results for patient as of 6/15/2021 14:12 6/14/2021 10:20 Troponin I: 0.35 (H) 6/14/2021 16:00 Troponin I: 1.35 (H) 6/15/2021 03:50 Troponin I: 0.50 (H) Reading Physician Reading Date Result Priority MD 6/14/2021 Narrative & Impression Pediatric/Congenital Transthoracic Echocardiography (TTE) Report Demographics Patient Name Gender Male Date of Study 06/14/2021 Age 16 year(s) Referring Physician MD Sonographer To Interpreting Physician MD Procedure Type of Study Pediatric/Congenital TTE Procedure:CONGENITAL TRANSTHORACIC COMPLETE. Procedure Date Date: 06/14/2021Start: 01:39 PMEnd: 02:39 PM Indications: Myocarditis. Technical Quality: Adequate visualization Study Location: Portable Patient Status: Inpatient Height: 167 cmWeight: 63.09 kgBSA: 1.71 m^2BMI: 22.62 kg/m^2 Rhythm: Normal Sinus RhythmHR: 117 bpmBP: 99/62 mmHg Allergies - Other allergy:(amoxicillin, dust mite extract). Conclusions Summary Echo to evaluate function in patient with possible vaccine related myocarditis. Normal intracardiac and great vessel relationships. No intracardiac shunting. Normal biventricular function. No pericardial effusion. Signature ---------------------------------------------------------------- Electronically signed by MD (Interpreting physician) on 06/14/2021 at 03:00 PM ----------------------------------------------------------------
CDC Split Type:

Write-up: 16 yo male with h/o CML in remission without known cardiac dysfunction (no history of cardiotoxic chemotherapy) who had his second Pfizer COVID vaccine on 6/12 afternoon and then presented to the ER with fever, headache, and hypotension requiring multiple fluid boluses and admission. No complaint of chest pain on admission, but does complain of 6/10 chest pressure in the left chest 6/14, leaning forward, with mild difficulty breathing. No palpitations, skipped beats, racing beats, dizziness or syncope. Troponin was checked 6/14 at 1020 which was elevated to 0.35. Repeat one at 1600 peaked at 1.35. Then 6/15 at 0350 it came down to 0.5. Antibiotics stopped after one dose 6/13, he received acetaminophen and ibuprofen for symptomatic management.


VAERS ID: 1400385 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: New York  
Vaccinated:2021-06-10
Onset:2021-06-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 UN / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH IN ERROR ENTRY / N/A UN / OT

Administered by: Private       Purchased by: ?
Symptoms: Adenovirus test, Basophil percentage, Blood bicarbonate decreased, Blood calcium normal, Blood chloride normal, Blood creatine phosphokinase MB increased, Blood creatinine increased, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal, C-reactive protein increased, Chest pain, Coxsackie virus test, Differential white blood cell count, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Eosinophil percentage increased, Full blood count abnormal, Haematocrit increased, Haemoglobin increased, Headache, Human metapneumovirus test, Immature granulocyte count, Influenza A virus test negative, Influenza B virus test, Insomnia, Laboratory test, Laevocardia, Lymphocyte percentage, Magnetic resonance imaging heart, Metabolic function test, Monocyte percentage increased, Myalgia, Mycoplasma test positive, Myocarditis, Myoglobin blood, Neutrophil percentage decreased, Pericardial effusion, Pericarditis, Platelet count normal, Red blood cell count increased, Red blood cell sedimentation rate normal, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Sinus arrhythmia, Sinus rhythm, Streptococcus test, Troponin I increased, Viral titre, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Agranulocytosis (broad), Haematopoietic leukopenia (narrow), Lactic acidosis (broad), Systemic lupus erythematosus (narrow), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Disorders of sinus node function (narrow), Retroperitoneal fibrosis (broad), Congenital, familial and genetic disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (narrow), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No medications at that time. Took a few doses of tylenol with minimal relief.
Current Illness: No identified recent illnesses.
Preexisting Conditions: None
Allergies: No known allergies
Diagnostic Lab Data: 6/13/2021: CBC with differential (WBC 4.8, RBC 5.76, HgB 16.3, Hct 48.2, platelets 193, 42.4% neutrophils, 33.3% lymphocytes, 13.2% onocytes, 9.7% eosinophils, 1% basophils. 0.4% immature granulocytes) ESR 5, CRP 51.27. BMP (sodium 141, potassium 4.4, chloride 108, Bicarb 21, BUN 7, Creatinin 0.81, Calcium 9.4, glucose 93). 6/13/21 early morning Cardiac Enzymes: Troponin I POC 2.76 ng/mL, CKMB 17.6 ng/mL, myoglobin $g500ng/mL. 6/13/21 late morning Troponin I: 2.56ng/mL 6/14/21 troponin I: 1.35ng/mL 6/13 Respiratory viral panel: negative for Influenza A, Influenza B, RSV, Parainfluenza 1-4, Adenovirus, human metapneumovirus, and SARS-CoV-2. 6/13 SARS-CoV-2 IgG: <1.4 (negative) 6/13 Mycoplasma IgG: 1.30 (positive) 6/13 ASO: 146 unit/mL (normal) 6/13 Pending infectious disease tests: Anti-DNaseB titer, Coxsackie A titer, Coxsackie B titer, Mycoplasma IgM, Echovirus antibody 6/13 EKG: Sinus Rhythm with Sinus arrhythmia, Diffuse ST Elevation consistent with injury, pericarditis. 6/14 EKG: Sinus Rhythm with sinus arrhythmia 6/13 Echocardiogram: Structurally normal heart, normal appearing proximal coronary arteries (proximal LCA 3.9mm z -0.05; proximal RCA 3.6mm z 0.4), normal biventricular systolic function. no pericardial effusion. 6/15 cardiac MRI: HISTORY/REASON FOR STUDY: Patient is a 16-year-old boy with suspected vaccination induced myocarditis/pericarditis IMAGING SEQUENCES: Breath hold non-ECG gated 3-plane localizers; breath hold ECG gated 2,4 chamber and short axis ventricular SSFP imaging; Bright and block blood imaging across the chest; T1 myocardial imaging in the short axis pre- and post-contrast; early and delayed myocardial enhancement imaging 5 and 10-15 minutes following intravenous injection of Gadolinium. QUALITY/COMPLICATIONS: The patient was able to hold his breath throughout the study with no significant difficulty. The images are of adequate quality for interpretation. There were no complications related to the study. FINDINGS: CARDIAC MRI STUDY with and without CONTRAST: There is levocardia, levoversion and {S,D,S} normal chamber/vessel interrelationships. Some pulmonary venous return to the left atrium is visualized. Systemic venous returns are normal to the right atrium. The cardiac septa appear intact. There is normal LV size with normal LV mass and no significant wall motion abnormality. The right ventricle is grossly normal in size and systolic function with no segmental wall motion abnormalities or free wall thinning. The cardiac valves appear grossly normal. The outflow tracts are patent. There are no obvious intracardiac masses. There is trace/small pericardial effusion. There are no perfusion defects or areas of myocardial delayed enhancement. Myocardial T1 relaxation times are not abnormally increased. SUMMARY: {S,D,S} normal anatomy. Normal LV function with no segmental wall motion abnormalities, perfusion defects, abnormally increased myocardial T1 relaxation time or areas of delayed myocardial enhancement. Trace/small pericardial effusion.
CDC Split Type:

Write-up: 16 year old male with no PMH who presented with chest pain. Initially on 6/10-6/11 had expected myalgias and headaches post vaccination similar to dose #1, but later 6/11 developed chest pain that made it impossible for him to sleep. It was waxing and waning but continued through 6/12 which after discussion with PMD ultimately led to referral into our facility for further evaluation. Received a dose of ibuprofen with marked symptomatic relief. No further medications given during his time, his chest pain had resolved after that ibuprofen dose and was at clinical baseline until discharge on 6/15. Prolonged hospital course was to arrange for cardiac MRI to be done for comparison. Otherwise had serial labs (documented below) which had trended in the right direction.


VAERS ID: 1400396 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-06-10
Onset:2021-06-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Laboratory test, Myocarditis
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chest pain, went to ER. DX with Myocarditis. Treated with pain medications in the hospital. He was then transfer to Hospital were again dx was Acute idiopathic myocarditis and elevated Troponin level. Was given discharge instructions to Follow up in 1 week with Cardiology, lab draws to repeat Troponin levels before Cardiology visit. No heavy lifting or physical activity until after visit with cardiology.


VAERS ID: 1400402 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-06-11
Onset:2021-06-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Blood test, Brain natriuretic peptide normal, Chest X-ray normal, Chest pain, Dizziness, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Enterovirus test, Haemoglobin normal, Headache, Hypophagia, Mycoplasma test, N-terminal prohormone brain natriuretic peptide, Nausea, Oral pain, Oropharyngeal pain, Pain, Pain in extremity, Painful respiration, Parvovirus B19 test, Pericarditis, Platelet count normal, Pyrexia, Red blood cell sedimentation rate normal, SARS-CoV-2 antibody test, Troponin, Viral test, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: started on motrin q8h. ECHO was unremarkable. EKG showed evidence of pericarditis. CXR was normal. Troponin here was 2.77, BNP 40. Myocarditis infection panel was sent (parecho, parvo, entero, mycoplasma). COVID IgG negative.
CDC Split Type:

Write-up: a 14 year old male with no significant past medical history who was in his usual state of health until he after his 2nd dose of Pfizer COVID-19 vaccination on Friday afternoon 6/11. On Saturday 6/12 he had headache, fever in the AM and had poor oral intake during the day and in the afternoon had developed mid sternal chest pain that Described as thumping and wrapped around his chest under his arms. He felt that it was worse with inspiration and continued to worsen despite tylenol. He went to a medical center where his workup on Saturday evening 6/12 was normal (including EKG and blood work). He also had some dizziness at that time but no syncope. He was changed from as needed tylenol to as needed motrin and instructed to take famotidine. On Sunday his chest pain persisted but was stable and he continued on motrin. On Monday 6/14 he had chest pain that felt like pounding this AM, headache, body aches, and pain in his bilateral arms, mouth and throat. He had some nausea but no vomiting or diarrhea. He represented to a medical center where his troponin was 0.25 ng/ml (normal 0-0.03 ng/ml) pro-BNP 324 (normal 0-125 pg/ml); ESR 9; CK 359; CK-MB 20.3; WBC 3.9; Hgb 14.1; plts 181. And he was noted to have ST elevations on EKG. He received toradol at 2:30pm with some improvement in his pain. His pain level has been variable 5-10/10; currently reporting that his chest pain is resolved. He has had no shortness of breath, palpitations, sick contacts, URI symptoms including cough, congestion, runny nose; no travel.


VAERS ID: 1400623 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-05-17
Onset:2021-05-28
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain lower, Activated partial thromboplastin time shortened, Alanine aminotransferase increased, Angiogram pulmonary normal, Aspartate aminotransferase increased, Bacterial test negative, Basophil count decreased, Basophil percentage decreased, Bilirubin conjugated normal, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood bilirubin unconjugated normal, Blood chloride normal, Blood creatinine increased, Blood fibrinogen increased, Blood glucose normal, Blood lactate dehydrogenase increased, Blood lactic acid normal, Blood potassium normal, Blood sodium normal, Blood triglycerides normal, Blood urea normal, Bradycardia, Brain natriuretic peptide normal, C-reactive protein increased, Calcium ionised normal, Carbon dioxide normal, Cardiac telemetry, Chest pain, Coagulation test normal, Colitis, Computerised tomogram abdomen, Computerised tomogram thorax normal, Condition aggravated, Coronary artery dilatation, Cough, Culture stool positive, Diarrhoea, Differential white blood cell count, Dyspnoea, Echocardiogram, Ejection fraction, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Enterovirus infection, Enterovirus test positive, Eosinophil count normal, Eosinophil percentage decreased, Fibrin D dimer, Glomerular filtration rate, Glucose urine absent, Haematocrit increased, Haemoglobin increased, Haemoglobin urine present, Headache, Hypotension, Immature granulocyte count, Immunoglobulin therapy, Intensive care, International normalised ratio decreased, Left ventricular hypertrophy, Lipase normal, Lymphocyte count, Lymphocyte percentage decreased, Magnetic resonance imaging abnormal, Magnetic resonance imaging heart, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Monocyte count increased, Monocyte percentage increased, Multisystem inflammatory syndrome in children, Myocarditis, Neutrophil count increased, Neutrophil percentage increased, Nitrite urine absent, Oropharyngeal pain, Pain, Pericardial effusion, Platelet count normal, Procalcitonin normal, Protein total normal, Protein urine present, Prothrombin time prolonged, Pyrexia, Red blood cell count increased, Red blood cell nucleated morphology, Red blood cell sedimentation rate increased, Red blood cells urine, Red cell distribution width, Red cell distribution width normal, SARS-CoV-2 antibody test positive, Scan with contrast abnormal, Serum ferritin normal, Specific gravity urine normal, Streptococcus test negative, Systolic dysfunction, Troponin I increased, Troponin increased, Urinary casts, Urinary casts absent, Urinary sediment present, Urine analysis, Urine analysis abnormal, Urine ketone body absent, Urine leukocyte esterase, Viral infection, Wheezing, White blood cell count increased, White blood cells urine negative, pH urine normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Liver-related coagulation and bleeding disturbances (narrow), Haemolytic disorders (narrow), Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Toxic-septic shock conditions (broad), Pseudomembranous colitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (broad), Dehydration (broad), Hypokalaemia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Albuterol several times a day Singulair
Current Illness: Was ill with nasal congestion, sore throat and cough for 5 days starting on April 15, 2021
Preexisting Conditions: mild-moderate intermittent asthma
Allergies: KNMA
Diagnostic Lab Data: 5/30- Normal CT chest, abdomen and pelvis with contrast consistent with colitis, and CT angio pulmonary which was normal LDH: 252 unit/L High Triglycerides: 87 mg/dL Procalcitonin: 0.14 ng/mL High troponin was 2.93, d-Dimer 2.56, Ferritin 262, normal coags with fibrinogen 643, LDH 252, ESR 17, CRP 14.8, AST 71, ALT 53, Lipase 16. Troponin peaked at 11 on 5/30 CO2 Whole Blood: 23 mmol/L (05/30/21 05:32:00) WBC: 13.1 K/mcL High (05/30/21 05:27:00) RBC: 5.57 x10^6/mcL High (05/30/21 05:27:00) Hemoglobin: 15.7 g/dL (05/30/21 05:27:00) Hgb, Calc: 17.3 g/dL High (05/30/21 05:32:00) Hematocrit: 48.7 % (05/30/21 05:27:00) Hematocrit POC: 51 % High (05/30/21 05:32:00) MCV: 87.4 fL (05/30/21 05:27:00) MCH: 28.2 pg (05/30/21 05:27:00) MCHC: 32.2 g/dL (05/30/21 05:27:00) RDW SD: 42.5 fL (05/30/21 05:27:00) RDW: 13.2 % (05/30/21 05:27:00) Platelets: 249 K/mcL (05/30/21 05:27:00) MPV: 9.5 fL (05/30/21 05:27:00) Nucleated RBC Auto: 0 /100(WBCs) (05/30/21 05:27:00) Immature Granulocytes: 0.3 % (05/30/21 05:27:00) Differential Type: Auto (05/30/21 05:27:00) Neutrophil % Auto: 74.1 % High (05/30/21 05:27:00) Lymphocyte % Auto: 15.9 % Low (05/30/21 05:27:00) Monocyte % Auto: 8.7 % (05/30/21 05:27:00) Eosinophil % Auto: 0.8 % (05/30/21 05:27:00) Basophil % Auto: 0.2 % (05/30/21 05:27:00) Immature Granulocyte, Abs: 0.04 K/mcL (05/30/21 05:27:00) Neutrophil, Abs: 9.7 K/mcL High (05/30/21 05:27:00) Lymphocyte, Abs: 2.1 K/mcL (05/30/21 05:27:00) Monocyte, Abs: 1.1 K/mcL High (05/30/21 05:27:00) Eosinophil, Abs: 0.1 K/mcL (05/30/21 05:27:00) Basophil, Abs: 0 K/mcL (05/30/21 05:27:00) ESR: 17 mm/hr High (05/30/21 05:27:00) Prothrombin Time: 14 seconds (05/30/21 05:27:00) International Normalized Ratio: 1 (05/30/21 05:27:00) Partial Thromboplastin Time (aPTT): 29 seconds (05/30/21 05:27:00) Fibrinogen Level: 643 mg/dL High (05/30/21 05:27:00) D-dimer, quant. (ug/mL): 2.56 mcg FEU/mL High (05/30/21 05:27:00) Sodium Level: 139 mmol/L (05/30/21 05:32:00) Potassium Level: 4.2 mmol/L (05/30/21 05:32:00) Chloride Level: 105 mmol/L (05/30/21 05:32:00) Glucose Level: 128 mg/dL High (05/30/21 05:32:00) BUN: 10 mg/dL (05/30/21 05:32:00) Creatinine Level: 1.2 mg/dL High (05/30/21 05:32:00) est GFR (Schwartz for dosing): 61.61 mL/min/1.73 m2 (05/30/21 05:32:00) Creatinine GFR: No calculation (05/30/21 05:32:00) Protein Total: 7.8 g/dL (05/30/21 05:27:00) Albumin Level: 4.2 g/dL (05/30/21 05:27:00) Bilirubin Total: 0.4 mg/dL (05/30/21 05:27:00) Bilirubin Direct: 0.2 mg/dL (05/30/21 05:27:00) Bilirubin Indirect: 0.2 mg/dL (05/30/21 05:27:00) Alk Phos: 139 unit/L (05/30/21 05:27:00) AST: 71 unit/L High (05/30/21 05:27:00) ALT: 53 unit/L High (05/30/21 05:27:00) LDH: 252 unit/L High (05/30/21 11:27:00) Ferritin Level: 262 ng/mL High (05/30/21 05:27:00) Lactic Acid, Plasma (Venous): 1.6 mmol/L (05/30/21 05:27:00) Lipase Level: 16 unit/L (05/30/21 05:27:00) Calcium, Ionized (Whole Blood): 1.26 mmol/L (05/30/21 05:32:00) Triglycerides: 87 mg/dL (05/30/21 11:27:00) Troponin-I: 2.77 ng/mL High (05/30/21 05:27:00) Troponin-I: 2.93 ng/mL High (05/30/21 05:27:00) Cmt: Troponin I: See Comments (05/30/21 05:27:00) Cmt: Troponin I: See Comments (05/30/21 05:27:00) BNP: 10 pg/mL (05/30/21 05:27:00) Procalcitonin: 0.14 ng/mL High (05/30/21 11:27:00) Cmt: Procalcitonin: See Comments (05/30/21 11:27:00) Collect Method, Ur: Clean Catch (05/30/21 05:59:00) Color Urine: Normal (05/30/21 05:59:00) Appear: Normal (05/30/21 05:59:00) Specific Gravity, Urine: $g1.029 (05/30/21 05:59:00) pH Urine: 5.5 (05/30/21 05:59:00) Glucose Urine: Negative (05/30/21 05:59:00) UA Ketones: Negative (05/30/21 05:59:00) Nitrite: Negative (05/30/21 05:59:00) Hgb Urine: Small Abnormal (05/30/21 05:59:00) Protein Urine: Trace Abnormal (05/30/21 05:59:00) Leuk Esterase: Negative (05/30/21 05:59:00) WBC Urine: 2 /HPF (05/30/21 05:59:00) RBC Urine: 1 /HPF (05/30/21 05:59:00) Epithelial Cells: 0 /HPF (05/30/21 05:59:00) Bacteria Urine: Negative (05/30/21 05:59:00) Mucus Urine: 1+ Abnormal (05/30/21 05:59:00) Hyaline Cast: Negative (05/30/21 05:59:00) CRP (not for CV risk): 14.8 mg/dL High (05/30/21 05:27:00) Cardiac MRI on 6/2 1. Concern for MIS-C 2. Left ventricular hypertrophy, mild, with hyperdynamic systolic function. LV ejection fraction was 75%. No resting regional wall motion abnormalities. 3. Patchy areas of delayed enhancement are noted in the epicardial aspect of the left ventricular free wall and the left ventricular inferior wall. This is consistent with possible myopericarditis. 4. Normal rest perfusion. 5. Normal right ventricular size and systolic function. RV ejection fraction was 62%. 6. Mild dilation or ectasia of the left main coronary artery (4.2 - 4.4 mm). Left anterior descending, left circumflex and right coronary arteries appear normal. 7. Small pericardial effusion. Positive COVID -19 IgG antibody IV 9.3 Positive COVID19 IgG Negative COVID-19 IgG Qualitative CXCL + Stool enterovirus positive on ENTCX collected on 6/3
CDC Split Type:

Write-up: Presented to urgent care on 5/28 with complaints of sore throat, Headache, body aches and fever for 103, slight cough, denies chest pain or SOB. Had a neg rapid strep. Diagnosed with viral illness 5/30 presented to the ED with chest pain, cough, wheezing and SOB. Also had diarrhea and low abdominal pain. Was hypotensive and bradycardia. Received 2 bolus of Lactated Ringers . EKG with ST segment elevation. Concern for MISC. Transferred to hospital. 5/30 at the hospital he had another bolus of fluid, continued bradycardia admitted to the ICU for potential for hypotension during IVIG for suspected MISC, worsening ST elevation on EKG. TTE unremarkable. Started on IVIG, anakinra, lovenox and solumedrol. Monitored on telemetry. EKGs consistent with myopericarditis. discharged home on prednisone on 6/4 with a long taper, has follow up with rheumatology and cardiology. Stool enterovirus positive culture positive. He had previously been diagnosed with COVID-19 in November 2020


VAERS ID: 1400629 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-09
Onset:2021-06-12
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 AR / SYR

Administered by: Public       Purchased by: ?
Symptoms: Arteriogram coronary normal, Brain natriuretic peptide increased, C-reactive protein increased, Chest pain, Chills, Dysphagia, Echocardiogram normal, Electrocardiogram ST segment elevation, Myocarditis, Troponin increased
SMQs:, Cardiac failure (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: TROPONIN --- initial 4.27 ng/mL; peak 12.0 ng/mL on 6/13/2021 BNP --- 435 (normal) CRP --- 3.2 mg/dL (elevated) EKG --- ST segment elevation ECHO --- normal cardiac structure and function CT ANGIOGRAM --- normal coronary artery anatomy and caliber
CDC Split Type:

Write-up: Acute myocarditis on 6/12/2021 --- chest pain, dysphagia, transient chills


VAERS ID: 1402129 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-12
Onset:2021-06-15
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Myocarditis/elevated troponin


VAERS ID: 1402390 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-11
Onset:2021-06-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Adenovirus test, Alanine aminotransferase increased, Albumin globulin ratio, Anion gap normal, Aspartate aminotransferase increased, Basophil count decreased, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride increased, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal, C-reactive protein normal, Carbon dioxide normal, Chest X-ray normal, Chest pain, Chlamydia test negative, Coronavirus test negative, Echocardiogram, Electrocardiogram normal, Enterovirus test negative, Eosinophil count normal, Full blood count normal, Globulin, Haematocrit normal, Haemoglobin normal, Human metapneumovirus test, Human rhinovirus test, Immature granulocyte count, Influenza A virus test negative, Intensive care, Lymphocyte count normal, Magnetic resonance imaging heart, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count decreased, Mycoplasma test negative, Myocarditis, N-terminal prohormone brain natriuretic peptide, Neutrophil count normal, Pain, Platelet count normal, Protein total increased, Red blood cell count normal, Red cell distribution width, Respiratory syncytial virus test negative, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Sleep disorder, Troponin I increased, Viral test, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Haematopoietic leukopenia (narrow), Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin
Diagnostic Lab Data: NT proBNP: 187 (H) 6/14/2021 15:33 TROPONIN I: 32.70 (HH) 6/14/2021 15:33 TROPONIN I: 25.30 (HH) 6/14/2021 23:40 TROPONIN I: 22.70 (HH) 6/15/2021 07:51 TROPONIN I: 23.10 (HH) 6/15/2021 17:04 CMP 6/15/2021 07:51 Sodium: 139 Potassium: 4.3 Chloride: 108 (H) CO2: 24 ANION GAP: 11 Glucose: 98 BUN: 10 Creatinine: 0.79 Glomerular Filtration Rate: Pend BUN/CREATININE RATIO: 13 CALCIUM: 8.5 TOTAL BILIRUBIN: 0.4 AST/SGOT: 48 (H) ALT/SGPT: 41 ALK PHOSPHATASE: 76 Albumin: 3.3 (L) GLOBULIN: 3.3 A/G Ratio, Serum: 1.0 TOTAL PROTEIN: 6.6 CBC with Diff 6/14/2021 15:33 WBC: 7.4 RBC: 5.16 HGB: 14.8 HCT: 41.4 MCV: 80.2 MCH: 28.7 MCHC: 35.7 RDW-SD: 35.8 (L) RDW-CV: 12.5 PLT: 250 NRBC: 0 Neutrophil: 56 LYMPH: 30 MONO: 9 EOSIN: 5 BASO: 0 Absolute Neutrophil: 4.1 Absolute Lymph: 2.2 Absolute Mono: 0.7 Absolute Eos: 0.4 Absolute Baso: 0.0 Immature Granulocytes: 0 Absolute Immature Granulocytes: 0.0 C-REACTIVE PROTEIN: 0.9 6/15/2021 07:51 Results for patient as of 6/16/2021 09:07 6/14/2021 16:59 2019 NOVEL CORONAVIRUS (SARS-COV-2): Attch SARS CoV 2 Qualitative RT PCR: Not Detected Respiratory Pathogen Panel 6/14/2021 23:40 Chlamydophila pneumoniae: Not Detected Mycoplasma pneumoniae: Not Detected ADENOVIRUS: Not Detected Bocavirus: Not Detected Coronavirus, 229E: Not Detected Coronavirus, HKU1: Not Detected Coronavirus, NL63: Not Detected Coronavirus, OC43: Not Detected CSF Enterovirus: Not Detected Rhinovirus / Enterovirus: Not Detected Influenza A, 2009 H1N1 Subtype: Not Detected Influenza A, Not Subtyped: Not Applicable Influenza A, Subtype H1: Not Detected Influenza A, Subtype H3: Not Detected INFLUENZA B: Not Detected PARAINFLUENZA,TYPE 1: Not Detected PARAINFLUENZA,TYPE 2: Not Detected PARAINFLUENZA,TYPE 3: Not Detected PARAINFLUENZA,TYPE 4: Not Detected METAPNEUMOVIRUS: Not Detected RESPIRATORY PATHOGEN PANEL: Attch Respiratory Syncytial Virus (RSV), Subtype A: Not Detected Respiratory Syncytial Virus (RSV), Subtype B: Not Detected SARS-CoV-2 IgG: Negative 6/15/2021 17:04 Enterovirus (genus A - D) Not Detected 6/14/2021 23:40 EKG: 6/14/2021 15:05 Ventricular Rate EKG/Min (BPM): 74 Atrial Rate (BPM): 74 PR-Interval (MSEC): 118 QRS-Interval (MSEC): 81 QT-Interval (MSEC): 364 QTc: 404 P Axis (Degrees): 56 R Axis (Degrees): 41 T Axis (Degrees): 51 Complete transthoracic echocardiogram with 2-dimensional imaging from all standard views. 6/14/2021 6:04 PM SUMMARY: Normal ventricular systolic performance and dimensions. LV average longitudinal strain -19.3 No shunts. . No outflow tract obstruction. Study negative for pulmonary artery hypertension. Study negative for coronary artery ectasia or aneurysm. DETAILED FINDINGS: Situs: Levocardia with abdominal situs solitus. Normal intracardiac connections. Systemic Venous Return: Normal return of the superior & inferior vena cava to the right atrium with no apparent obstruction to flow. Right Atrium: Normal right atrial size and structure. Tricuspid Valve: Structurally normal tricuspid valve without stenosis and with physiologic regurgitation with PISG 22 mmHg. Right Ventricle: Qualitatively normal right ventricular size, wall thickness, and systolic function. Structurally normal right ventricular outflow tract without obstruction. Pulmonary Valve: Structurally normal pulmonary valve with physiologic trivial regurgitation and no stenosis. Pulmonary Artery: Normal size and structure of the main and branch pulmonary arteries with normal flow velocities. Ductus Arteriosus: No patent ductus arteriosus identified. Pulmonary Venous Return: Normal return of at least one right and one left pulmonary vein to the left atrium. Left Atrium: Normal left atrial size. Interatrial septum: No shunt was identified. Mitral Valve: Structurally normal mitral valve without stenosis and with trace regurgitation. There was no valve prolapse. Left Ventricle: Qualitatively normal left ventricular size, wall thickness, and systolic function. LV average longitudinal strain -19.3 Structurally normal left ventricular outflow tract without obstruction. Interventricular septum: Intact ventricular septum. Aortic Valve: Trileaflet aortic valve without stenosis or regurgitation. Aortic Root: Normal dimension of the aortic root. Aortic Arch: No coarcation of the aorta was identified. Coronary Arteries: Normal origins of the left main and right coronary arteries by two-dimensional imaging. No coronary artery ectasia or aneurysm was identified. Effusion: No pericardial effusion. EXAM: XR CHEST PA AND LATERAL 2 VIEWS 6/14/2021 16:46 FINDINGS: External monitor leads overlie the chest. The lungs are clear. There is no evidence of pneumothorax or pleural effusion. The heart size is within normal limits. No other significant findings are appreciated. IMPRESSION: No acute disease.
CDC Split Type:

Write-up: Patient is a 17 year old male presenting with post-vaccine myocarditis. He had his second dose of his Pfizer COVID vaccine 3 days ago (6/11/2021) and that evening felt some mild burning central chest pain. States that the pain has been intermittent since then, non-pleuritic, non-exertional, but last night he had a severe episode that woke him from sleep, so his mother called the pediatrician who recommended he come to the ED. ED Course: Vitals - T: 36.7 �C, P: 79, R: 20, BP: 119/73, O2 SAT: 98% RA EKG - NSR 74, no acute abnormalities CXR - no acute process Trop - 32 Echo - normal PICU Course Cards: Troponin downtrending from 32.7 =$g 25.3 =$g 22 =$g 23.1 at time of discharge. Has been without chest pain during admission. Cardiac MRI demonstrating "Subepicardial delayed gadolinium enhancement in the mid inferolateral wall consistent with suspected diagnosis of acute myocarditis. Normal biventricular size and function with no hypertrophy. Normal valve function and structure." He will follow up with cardiology on 7/12 with repeat troponin on 6/18. EKG and ECHO unremarkable. ID: CBC, CRP unremarkable. Enterovirus PCR and RPP Negative. COVID-19 PCR Negative. COVID-19 IgG negative. Afebrile though out admission.


VAERS ID: 1402451 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-04
Onset:2021-06-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest pain, Echocardiogram, Electrocardiogram, Immunoglobulin therapy, Myocardial necrosis marker increased, Myocarditis, Vaccination complication
SMQs:, Myocardial infarction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Blood test, EKG, Echo. Blood test showed enzyme levels were elevated.
CDC Split Type:

Write-up: Had chest pains on 06/05 he was admitted into the hospital on 06/06. His heart enzymes were elevated and was diagnosed with myocarditis which was directly linked to the vaccine. He was given IVIG treatment to bring down his enzyme levels.


VAERS ID: 1402642 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-12
Onset:2021-06-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: C-reactive protein increased, Echocardiogram normal, Electrocardiogram normal, Fibrin D dimer increased, Myocarditis, Troponin increased
SMQs:, Haemorrhage laboratory terms (broad), Myocardial infarction (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Elevated troponin, CRP, d-dimer. Normal EKG, ECHO and cardiac MRI pending
CDC Split Type:

Write-up: myocarditis


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