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

Found 12,296 cases where Vaccine is COVID19 and Manufacturer is PFIZER/BIONTECH and Symptom is Myocarditis or Pericarditis

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Case Details

This is page 22 out of 1,230

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VAERS ID: 1302279 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-26
Onset:2021-05-09
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Echocardiogram, Electrocardiogram abnormal, Myocarditis, Pericarditis, Troponin abnormal
SMQs:, Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Troponin level, EKG, Echocardiogram.
CDC Split Type:

Write-up: Myocarditis, pericarditis, symptoms of chest pain and abnormal EKG/Troponin. Treated with NSAIDS


VAERS ID: 1302473 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-08
Onset:2021-05-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Electrocardiogram PR segment depression, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Other ischaemic heart disease (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EKG with diffuse ST elevations and PR depression Troponin $g700
CDC Split Type:

Write-up: Acute myopericarditis 24h after 2nd dose


VAERS ID: 1302519 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-04-18
Onset:2021-04-22
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (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, 1 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: 3 days after receiving the first dose I was hospitalized with Pericarditis.


VAERS ID: 1303262 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-06
Onset:2021-05-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Angiogram pulmonary abnormal, Anion gap, Blood albumin decreased, Blood triglycerides increased, C-reactive protein increased, Chest X-ray normal, Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram T wave inversion, Hepatic lesion, High density lipoprotein decreased, International normalised ratio normal, Lymphadenopathy, Myocarditis, Nausea, Pain in extremity, Pericardial effusion, Pleural effusion, Prothrombin time normal, Troponin increased, Vomiting, White blood cell count increased
SMQs:, Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Acute pancreatitis (broad), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Lipodystrophy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (broad), Hypokalaemia (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Balziva, cetirizine
Current Illness:
Preexisting Conditions: N/A
Allergies: Sulfa drugs
Diagnostic Lab Data: In ED: WBC 11.09, initial troponin 345, anion gap 8, 2-hour troponin 365, CRP 107, PT/INR normal, chest xray normal. Echo and EKG with no acute changes, but EKG showed "diffuse ST elevation without reciprocal changes". After admission: 6-hour troponin 402, CT angio of thorax with "no pulmonary embolism, trace pericardial and small bilateral pleural effusions, indeterminate liver lesion, nonspecific mild bilateral axillary lymphadenopathy suggest possibly being reactive"; 5/10 0800 troponin 351, albumin 2.7, triglycerides 241, HDL cholesterol 39
CDC Split Type:

Write-up: Pt presented to Urgent Care on the third day after vaccine (5/9) with chest pain, left arm pain, nausea and vomiting. EKG showed T-wave inversion on V2 and pt was sent to the ED for further evaluation. At the ED, bloodwork showed a significantly elevated troponin level. Pt was admitted for a possible NSTEMI and placed on a heparin gtt, diagnosis changed to myocardial injury within the setting of myo/pericarditis.


VAERS ID: 1303394 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-03
Onset:2021-05-07
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Echocardiogram normal, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), 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? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Echo WNL. Trponin as high as 15
CDC Split Type:

Write-up: Chest pain with myocarditis


VAERS ID: 1303530 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Utah  
Vaccinated:2021-04-27
Onset:2021-04-29
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ERS736 / 2 UN / UN

Administered by: Pharmacy       Purchased by: ?
Symptoms: Adenovirus test, Antineutrophil cytoplasmic antibody negative, Antinuclear antibody positive, Blood immunoglobulin M, C-reactive protein increased, Chest pain, Dyspepsia, Electrocardiogram ST-T segment abnormal, Enterovirus test positive, Epstein-Barr virus test negative, Human herpes virus 6 serology negative, Human rhinovirus test positive, Interferon gamma release assay positive, Laboratory test, Myocarditis, Pain, Pain in extremity, Pain in jaw, Protein total, Pyrexia, Respiratory viral panel, Rheumatoid factor negative, SARS-CoV-2 test negative, Troponin I increased, Troponin increased
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Osteonecrosis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Melatonin QHS PRN
Current Illness: None known
Preexisting Conditions: None
Allergies: None known
Diagnostic Lab Data: Besides labs and tests described in 18, he also had an ECG at hospital upon presentation that reportedly showed diffuse ST segment changes. He had a viral respiratory panel at hospital on 4/30 or 5/1 that was positive for rhinovirus/enterovirus. He had Parvovirus serologies on 5/1 that was positive for IgG, negative for IgM. Enterovirus, HHV-6, and adenovirus PCRs from blood were sent on 5/5 and were negative. On 5/1, the following labs were also sent from the hospital, and their results: Rheumatoid factor: Neg c-ANCA titer: Neg p-ANCA titer: Neg Atypical p-ANCA: Neg Myeloperoxidase ab: Neg Serine Protease 3 ab: Neg EBV DNA (PCR): Neg Anti-Nuclear antibody: Positive ANA homegenous pattern: 1:320 (high)
CDC Split Type:

Write-up: Patient received his 2nd Pfizer COVID vaccine on Tuesday 4/27/2021; he had low grade fever (100.3 deg F) on Wed 4/28/2021. On Thursday 4/29/2021, he developed "heartburn", and on Friday 4/30/2021 he developed chest pain that radiated to his jaw and left arm. He presented to Hospital on late 4/30/2021 or early 5/1/2021 for evaluation; initial labs showed a CRP of 1.23, POC troponin of 6.56 ng/mL (03:18 on 5/1) and lab level of 17.6 ng/mL (03:05 on 5/1) that increased to 24 ng/mL later in the morning on 5/1. COVID-19 PCR was negative. He was transferred to another Hospital mid-day on 5/1/2021 due to concerns for myocarditis/myopericarditis. He was started on NSAIDs. His troponin level improved, had decreased to 9.69 ng/mL on 5/2/2021; at that point as his chest pain had improved and labs were improving, parents requested that he be discharged from the hospital. He had 2 echocardiograms at PCH which reportedly showed normal biventricular systolic function. He had an echo at the hospital on 5/2/2021 which showed normal biventricular systolic function, no pericardial effusion, and normal valves. As an outpatient, he had repeat troponin-I levels: 2.49 ng/mL on 5/3; 0.31 ng/mL on 5/5; the troponin level was reportedly normal on 5/10/2021 per his primary cardiologist


VAERS ID: 1303631 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-06
Onset:2021-05-08
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood creatine phosphokinase increased, Catheterisation cardiac normal, Chest X-ray normal, Chest discomfort, Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram, Electrocardiogram T wave inversion, Fatigue, Fibrin D dimer normal, Full blood count normal, Hyperglycaemia, Malaise, Metabolic function test, Myocarditis, Pain, Pyrexia, Red blood cell sedimentation rate normal, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Bupropion
Current Illness: none
Preexisting Conditions: Anxiety Depression Tobacco use
Allergies: None
Diagnostic Lab Data: CRP 6, ESR 4, troponin peak at 7, d-dimer negative. CBC and CMP overall normal other than mild hyperglycemia. TTE normal Left heart cath with normal coronary arteries
CDC Split Type:

Write-up: 5/6 - 2nd dose of Pfizer COVID mRNA vaccine 5/7 - fatigue, malaise, muscle aches, fever 5/8 - near resolution of symptoms 5/8 - dinner with family and 6-7 beers; chest pressure sensation at bedtime with fatigue, malaise, some dyspnea 5/9 early AM - woke with acute L chest pain, stabbing, radiation through chest, worse with exertion, 7/10 in severity, pleuritic, also with dyspnea 5/9 - presented to ED. Afebrile, hemodynamically stable, CBC and CMP overall wnl other than mild hyperglycemia. CPK 500s. ESR 4, troponin 3.77, EKG with t wave inversion in III, chest xray normal, d-dimer negative. COVID/resp viral panel negative. Initially admitted to the ICU and treated as NSTEMI/ACS with heparin drip, aspirin, beta blocker, and statin. left heart cath with normal coronaries and TTE was normal. Troponin peaked at 7 and downtrended to 5. a1c is pending. 5/10 early AM - symptoms had resolved. Cardiology recommending cardiac MRI to further evaluate but working diagnosis is myocarditis. He has no precedent viral illness, and no history of tick bite but does live in a wooded area and goes for hikes, states he always checks for ticks after being outside.


VAERS ID: 1306198 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-03-20
Onset:2021-04-01
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Heart rate increased, Investigation, Pericardial effusion, Pericarditis, Pulmonary oedema, SARS-CoV-2 antibody test, SARS-CoV-2 test
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: AMLODIPINE
Current Illness: Blood pressure high (Verbatim: high blood pressure He says he has had this for roughly 3 years)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: tests done on his heart and lungs; Result Unstructured Data: Test Result:nothing was coming back scary; Comments: nothing was coming back scary, they were coming back as perhaps viral markers; Test Date: 20210415; Test Name: Standard COVID test; Test Result: Negative ; Test Date: 20210419; Test Name: Standard COVID test; Test Result: Negative ; Test Date: 20210407; Test Name: Rapid COVID test; Test Result: Negative ; Test Date: 20210415; Test Name: Rapid COVID test; Test Result: Negative ; Test Date: 20210419; Test Name: Rapid COVID test; Test Result: Negative ; Comments: at Patient First; Test Date: 20210419; Test Name: Rapid COVID test; Test Result: Negative ; Comments: at the hospital on admittance
CDC Split Type: USPFIZER INC2021488570

Write-up: Shortness of breath; pericardial effusion requiring drainage/fluid around the heart that made the heart beat super fast to pump up blood; inflammation of the heart sac; fluid overload on the lung; fluid around the heart that made the heart beat super fast to pump up blood; This is spontaneous report from a contactable consumer (patient) reported for himself. A 53-year-old male patient received bnt162b2 (Pfizer-BioNTech Covid-19 Vaccine), dose 1 via an unspecified route of administration, administered in left upper arm at 53 years old on 20Mar2021 08:00 (Lot Number: EP7534) as single dose for covid-19 immunisation. Medical history included ongoing high blood pressure from 2018, he says he has had this for roughly 3 years. Concomitant medication included amlodipine at 5mg once a day for high blood pressure from an unspecified start date in 2018 and ongoing, he says he has been taking this for a few years, maybe 3 years. No additional vaccines were administered on Same Date of the Pfizer Suspect or within 4 weeks. He was not sick at the time of vaccination previously. The patient was calling about the Pfizer COVID vaccine. He says he is just trying to get answers because what he experienced was very alarming to him. He got the vaccine at 8:00 in the morning. He says a student did it, she took a long time, she was very timid. He says she was being supervised by an RN. He experienced shortness of breath on 07Apr2021, he says it was in the morning that the shortness of breath started, because he did make an appointment to go the the COVID test, he got the COVID test around noon that same day. He says he was diagnosed with pericardial effusion requiring drainage and inflammation of the heart sac. He says he had fluid overload on the lungs that required IV diuretics. He says the symptoms started after the vaccine, and these symptoms were what was causing the shortness of breath. He says the fluid around the heart made the heart beat super fast to pump up blood. He says the fluid triggered the shortness of breath. He says when they removed fluid the breathing got easier but then it settled into the lungs. He says Tuesday he dropped off the cliff, Tuesday or Wednesday night, one of them, for two nights he was on oxygen, they gave him a diuretic for the lungs, after 12 hours he started feeling better, continued to get better and better after they moved the fluid from the lungs with Lasix through the IV. He says he doesn''t fit the profile of someone who would develop these issues, he has no history, no cancer, no autoimmune disorders. He says they say well maybe it is the virus but the doctors currently have no specific answers for the caller. He says they told him that someone having this would be the profile of an IV drug user. He says he never uses drugs, he does not fit a profile like this. He says he wants to be fully vaccinated. He says the timing is suspicious with the vaccine shot. He says it is 50/50 on the doctor''s opinions, half say to get the shot, the other half say don''t do it. He says they say the second shot is worse. He says he is confused as to what to do, that he understands this is a big experiment, he wants the vaccine but not at the cost of another visit to the hospital. He says he was at the hospital on oxygen, he couldn''t get out of bed for a day. He says the doctor said there was a study in (Withheld), the caller says he did a lot of research in the hospital for 6 days, that says the demographic is younger but it is heart issues with men for the heart with the Pfizer vaccine. He says they are studying it. He says a couple of doctors referred to that, the ones that say don''t get the shot, not yet. He says he can''t pinpoint it exactly. He says it could have been a fluke but the timing is very suspicious. He says that because of some of the side effects, his week in hospital, he was concerned for his life, he wants to be fully vaccinated but not at the cost of going though this or cost of killing him. He says he does not want to go through this again, he will not get vaccinated unless he is comfortable. He asks should he switch to (Withheld), is that a safer bet, (Withheld), should he just skip it all together or not. He says he knows they are a different type of vaccine. He says they had to remove fluid form his pericardial sac, he had 2 days of draining, they drained a liter from around the heart so it could beat normal again. He says apparently some of the fluid went to the lungs so he needed oxygen. He says this all happened Tuesday morning, he came back home yesterday, he looks pretty good. He says he just wants to do the vaccine and asks should he take the second one or not. He would like to get any information. He says the fluid in his heart was starting to build up on 05Apr2021 or 06Apr2021, he started getting symptoms that come and go. He says he was admitted to the hospital on 19Apr2021 and his procedure was on 20Apr2021 so his shortness of breath resolved the day after the procedure. He says he was hospitalized from 19Apr2021 to 25Apr2021. After reporting shortness of breath he says that was it, basically. He says he went to the nurse treatment center on 19Apr2021 because he thought it might be COVID but this event landed him in the hospital. The events required a visit to emergency room, he said he went to the emergency room on 19Apr2021 and a doctor told him he might not make it. The patient said he was scared and he didn''t know why the doctor would have said that to him. He said he did not have an appointment date to physician office yet, he was waiting to get a call back. Relevant Tests included: Rapid COVID test, Date 07Apr2021 Result negative, Date 15Apr2021 Result negative, Date 19Apr2021 at Patient First Result negative, Date 19Apr2021 at the hospital on admittance, Result negative. Standard COVID test, Date 19Apr2021 Result negative, Date 15Apr2021 Result negative. He says at the hospital there was a lot of tests done on his heart and lungs, nothing was coming back scary, they were coming back as perhaps viral markers. The outcome of shortness of breath was recovered on 21Apr2021, of other events was unknown.


VAERS ID: 1306335 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2021-05-08
Onset:2021-05-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram, Myocarditis, Troponin increased
SMQs:, Cardiac failure (narrow), Myocardial infarction (narrow), Cardiomyopathy (narrow), 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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: unknown
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: ECHO, trop, EKG
CDC Split Type:

Write-up: Myopericarditis requiring hospital admission. Elevated trop and decreased EF on ECHO.


VAERS ID: 1306598 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-05-06
Onset:2021-05-09
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Cardiogenic shock, Dyspnoea, Electrocardiogram ST segment elevation, Haemoptysis, Hypoxia, Myocarditis, Nausea, Oxygen saturation decreased, Pericarditis, Respiratory failure, Troponin increased, Vomiting
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt came to ER with nausea, vomiting, difficulty breathing. Pt was coughing up blood O2 sat 90 room air initially then down to low 80''s. Put on high flow 10 L nasal cannula. Diagnosis hypoxia, dyspnea at rest, pericarditis, elevated troponin 35. Transferred to second hospital. Update from them : likely myopericarditis with cardiogenic shock, respiratory failure, diffuse ST elevation on EKG, on Inotropes


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