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From the 10/15/2021 release of VAERS data:

Found 114 cases where Location is U.S., Territories, or Unknown and Vaccine is COVID19 and Manufacturer is JANSSEN and Symptom is Myocarditis or Pericarditis



Case Details

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VAERS ID: 1466865 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-07
Onset:2021-06-28
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Pericardial effusion, Pericarditis, Sinus tachycardia
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), 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)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 50mg
Current Illness: hypothyroidism
Preexisting Conditions: Polimiositis and hypothyroidism
Allergies: Dipirona
Diagnostic Lab Data: Echocardiogram date: 07/08/2021 ECG date: 07/08/2021
CDC Split Type:

Write-up: 3 weeks and a few days after the day I got my shot, i started experiencing tachycardia and shortness of breath. I went to my cardiologist and he prescribed and Echocardiogram and ecg. The Echocardiogram showed that I was experiencing pericarditis with Pericardial effusion and my eco showed a sinus tachycardia.


VAERS ID: 1478366 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-14
Onset:2021-06-25
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN JINJ / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac disorder, Chest pain, Dyspnoea, Fatigue, Headache, Impaired work ability, Investigation, Myalgia, Oropharyngeal pain, Pericarditis, Pyrexia, Vaccination complication
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril/Hydraclorathorazide; Multivitamin; Vitamin D
Current Illness: Absolutely none! I have been healthy most of my life.
Preexisting Conditions: High blood pressure (treated).
Allergies: Allergic to hay.
Diagnostic Lab Data: I had daily tests 7/7/21 through 7/9/21 and again on 7/13/21. I will have them weekly for at least the next 2 weeks. You will have to get the medical reports from the facility.
CDC Split Type:

Write-up: June 14, I had the vaccine. June 25, I started having muscle aches, severe headache and sore throat. This continued through the next week along with being extremely tired. July 5, I went to the ER due to severe chest pains (I have NEVER had chest pains before). They sent me home that same day. By July 7th, I felt like my heart was seizing and went back to the ER this time also with shortness of breath and a fever. I was admitted on July 7th and discharge on July 9th, with diagnosis of Pericarditis--a SIDE EFFECT OF THE VACCINE. I am now currently on sick leave as I cannot work. I was told by medical staff to report this so that is what I am doing.


VAERS ID: 1481541 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-05-26
Onset:2021-05-30
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Autopsy, Cardiac arrest, Myocarditis, Sudden cardiac death
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-30
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lomotil Immodium
Current Illness: None. Had actually seen by her gyn-onc and colon surgery physicians and her stoma wound care nurse in the 3 days prior to her sudden death, and was given a clean bill of health.
Preexisting Conditions: Endometrial adenocarcinoma 5/2020 treated with definitive radiation therapy, palliative surgery, developed a colovaginal fistula and needed an ileostomy in 12/2020. She had a saddle pulmonary embolus in 6/2020.
Allergies: None
Diagnostic Lab Data: Autopsy noted myocarditis as the most significant anatomic finding.
CDC Split Type:

Write-up: Sudden cardiac arrest 5/30/21 (4 days after vaccination)


VAERS ID: 1490649 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-06-29
Onset:2021-07-13
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / N/A - / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood creatine phosphokinase increased, Chest discomfort, Chest pain, Dyspnoea, Echocardiogram normal, Ejection fraction normal, Electrocardiogram ST segment elevation, Haemodynamic test normal, Pain, Pericarditis, Troponin I, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: baclofen 10mg bid carbamazepine 200mg TID citalopram 40mg daily fluticasone nasal spray bid PRN Allergy eye drops, PRN daily
Current Illness:
Preexisting Conditions: Epilepsy
Allergies: aspirin
Diagnostic Lab Data: 7/18: CK total 281, troponin I high sens <3, WBC 6.4, Afebrile, stable vitals with HR 70s-80s, RR 35-18, BP 121/58 ECG diffuse ST elevation and P wave depression
CDC Split Type:

Write-up: Diagnosed with pericarditis Presented to the emergency department on 7/18/2021 with chest pain (substernal) and does not radiate, but reports heaviness and pressure. The pain was severe at onset. This is exacerbated by exercise but are relieved by nitroglycerine and fentanyl. Family history of CAD. Also reports shortness of breath. Pain onset was abrupt while riding his bicycle. ECG shows diffuse ST selevation in multiple coronary distributions with P depression. Bedside ECHO showed normal heart. EF was ~60%. Hemodynamically stable. Given one dose of Toradol., SL nitro 0.4mg Admitted to the hospital Started on colchicine 0.6mg bid and ibuprofen 600mg tid with plan of 10 days of treatment.


VAERS ID: 1493374 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Myocarditis, Pericarditis
SMQs:, Systemic lupus erythematosus (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210742124

Write-up: PERICARDITIS; MYOCARDITIS; This spontaneous report received from a consumer via social media concerned 20 patient. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown, expiry: UNKNOWN) dose, start therapy date were not reported, frequency 1, total, for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the patient experienced pericarditis, and myocarditis. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the pericarditis and myocarditis was not reported. This report was serious (Other Medically Important Condition).; Sender''s Comments: V0: 20210742124-covid-19 vaccine ad26.cov2.s-pericarditis and myocarditis. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).


VAERS ID: 1493735 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-02
Onset:2021-04-16
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest discomfort, Pericarditis
SMQs:, Anaphylactic reaction (broad), 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PCOS
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pericarditis - went to the Emergency Room, advised to take NSAIDs for the next two weeks until the chest discomfort went away. It never did, and it''s been three months since my vaccine.


VAERS ID: 1500944 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-06-14
Onset:2021-07-19
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Military       Purchased by: ?
Symptoms: C-reactive protein increased, Chest pain, Computerised tomogram thorax abnormal, Electrocardiogram ST segment elevation, Fibrin D dimer, Pericardial effusion, Pericarditis, Red blood cell sedimentation rate increased, Troponin normal, Ultrasound scan abnormal
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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? No
Office Visit? Yes
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: 23 JULY 2021: ESR, CRP, troponins, D-dimer, ECG, CT chest, ultrasound
CDC Split Type:

Write-up: Acute pericarditis. 4 days of worsening substernal chest pain. Diffuse ST elevations on ECG. Large pericardial effusion on CT and ultrasound. Troponins negative. ESR and CRP elevated. No previous history of viral illness or autoimmune disease. Treated with course of Colchicine and Indomethacin with close Cardiology follow up outpatient. Patient otherwise afebrile and hemodynamically stable.


VAERS ID: 1502170 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-02
Onset:2021-05-31
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 043A21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Brain natriuretic peptide, Chest pain, Echocardiogram, Ejection fraction decreased, Pericarditis
SMQs:, Cardiac failure (narrow), Systemic lupus erythematosus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (narrow), Chronic kidney disease (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? Yes
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: ASA 81 mg q day Vit-D 1000 units daily levothyroxine 75 mcg daily Xanax 0.5 mg BID PRN
Current Illness: None
Preexisting Conditions: None; History breast cancer
Allergies: NKA
Diagnostic Lab Data: ECHO performed 6/1/21 BNP 1200 5/31/21
CDC Split Type:

Write-up: Admitted to acute care hospital 5/31/21 with chest pain consistant with pericarditis and reduced ejection fraction.


VAERS ID: 1515244 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-24
Onset:2021-07-22
   Days after vaccination:59
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, General physical health deterioration, Hepatic failure, Lung assist device therapy, Malaise, Mechanical ventilation, Myocarditis, Renal failure, Respiratory symptom, SARS-CoV-2 test positive, Upper respiratory tract infection
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), 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 (broad), Cardiomyopathy (broad), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? Yes
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: Unknown
Preexisting Conditions: None
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received J&J vaccine in May. Returned from tour of duty with the army sometime in July. Became ill on 7/22 with URI symptoms. Tested Covid Positive on 7/23. Rapidly deteriorated and developed fulminant myocarditis requiring mechanical ventilation and VA ECMO. Also with failing kidneys and liver.


VAERS ID: 1517882 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Aortic valve incompetence, Blood bicarbonate, Blood creatine phosphokinase, Blood creatinine, Blood culture, Blood lactic acid, Blood pressure measurement, Body mass index, C-reactive protein, Death, Echocardiogram, Electrocardiogram, Heart rate, Incorrect dose administered, Myocarditis, Off label use, Oxygen saturation, PCO2, PO2, Procalcitonin, Pulmonary arterial wedge pressure, Renal impairment, Respiratory failure, Respiratory rate, Septic shock, Troponin, pH body fluid
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Respiratory failure (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (broad), Sepsis (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Multiple sclerosis
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data: Test Name: Heart rate; Result Unstructured Data: 145 bpm; Test Name: Heart rate; Result Unstructured Data: 125 BPM; Test Name: Blood pressure; Result Unstructured Data: 117/70 mmHg; Test Name: Respiratory rate; Result Unstructured Data: 39; Test Name: Body mass index; Result Unstructured Data: 27.5; Test Name: Electrocardiogram; Result Unstructured Data: sinus tachycardia; Test Name: Blood culture; Result Unstructured Data: Negative for all viruses; Test Name: Procalcitonin; Result Unstructured Data: 185.71 ng/mL; Test Name: Troponin; Result Unstructured Data: 1.260-2.050 ng/mL; Test Name: Transthoracic echocardiogram; Result Unstructured Data: 2+ aortic regurgitation and diffuse left ventricular hypokinesis; Test Name: Echocardiogram; Result Unstructured Data: Diffuse left ventricular hypokinesis with severely reduced contraction; Test Name: Pulmonary arterial wedge pressure; Result Unstructured Data: 14 mmHg; Test Name: Creatinine; Result Unstructured Data: 1.21 mg/dL; Test Name: Bicarbonate; Result Unstructured Data: 16 mmol/L; Test Name: Troponin; Result Unstructured Data: <0.010 ng/mL; Comments: reference range =0010 ng/mL; Test Name: Creatine phosphokinase; Result Unstructured Data: 53 U/L; Test Name: Procalcitonin; Result Unstructured Data: 0.07 ng/mL; Test Name: C-reactive protein; Result Unstructured Data: 7.2 mg/L; Test Name: pH; Result Unstructured Data: 7.02; Test Name: Partial pressure CO2; Result Unstructured Data: 94 mmHg; Test Name: PaO2; Result Unstructured Data: 27 mmHg; Test Name: Lactate; Result Unstructured Data: 8.3 mmol/L; Test Name: Creatinine; Result Unstructured Data: worsening; Test Name: Oxygen saturation; Result Unstructured Data: 75 %
CDC Split Type: USJNJFOC20210754113

Write-up: VACCINE INDUCED MYOCARDITIS (VIRAL MYOCARDITIS); ACUTE HYPOXIC HYPERCAPNIC RESPIRATORY FAILURE; SEPTIC SHOCK; DECLINE IN RENAL FUNCTION; 2+ AORTIC REGURGITATION; PATIENT ADMINISTERED WITH 2 DOSES OF VACCINE; OFF LABEL USE; DEATH; This spontaneous report was received from literature: Case report with literature review. This report concerned a 70 year old female. The patient''s height, and weight were not reported. The patient''s concurrent conditions included multiple sclerosis. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: unknown, expiry: unknown), frequency 2 total doses, start therapy date were not reported for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On an unspecified date, after two days post second dose (inappropriate dose of vaccine administered and off label use) the patient experienced developed dyspnea at home and eventually required an ambulance for hospital transfer. The vital signs on arrival included a heart rate of 145 bpm, a 75% oxygen saturation level on room air, a blood pressure of 117/70 mmHg, a respiratory rate of 39, and a BMI of 27.5. The electrocardiogram (ECG) on admission revealed sinus tachycardia with a heart rate of 125bpm and T-wave inversions in leads V4-V6 without any ST-segment change. The patient arrived at the emergency department in severe respiratory distress that warranted immediate intubation. She was admitted to the intensive care unit (ICU) with the provisional diagnoses of acute hypoxic hypercapnic respiratory failure and septic shock. The laboratory screening and blood culture proved negative for all viruses, Mycoplasma pneumonia, and chlamydophila pneumonia. A repeat investigation revealed marked elevations in procalcitonin [185.71(ng/mL)] and troponin [1.260-2.050 ng/mL] levels on the second day of admission. The patient required multiple vasopressors to maintain the mean arterial pressure above 65 mmHg. The transthoracic echocardiogram on admission revealed 2+ aortic regurgitation and diffuse left ventricular hypokinesis with severely decreased left ventricular ejection fraction (10%). A repeat echocardiogram with contrast medium showed diffuse left ventricular hypokinesis with diagnostic monitoring via Swanz-Ganz catheter revealed a pulmonary wedge pressure (PWP) of 14mmHg. The patient continued receiving vasopressors and antibiotic therapy, while her renal function deterioration since admission warranted the prompt administration of renal replacement therapy. Further decline in renal function was marked by oliguria and worsening of creatinine levels. The patient declined cardiac catheterization and remained. On an unspecified date the patient was hospitalized and it was for 8 days. On unspecified date patient died with vaccine induced myocarditis (viral myocarditis) on eighth day of admission to hospital. The exact cause of death was not reported and it was unknown whether autopsy was performed. The other laboratory data includes, Creatinine (NR: 0.05 - 1.20) 1.21 mg/dL, Bicarbonate (NR: 22 - 29) 16 mmol/L, Creatine phosphokinase (NR: 20 - 190) 53 U/L, Procalcitonin (NR: 0.02 - 0.10) 0.07 ng/mL, C-reactive protein (NR: 0 - 3.00) 7.2 mg/L, pH (NR: 7.35 - 7.45) 7.02 (units unspecified), Partial pressure CO2 (NR: 35 - 48) 94 mmHg, Lactate (NR: 0.6 - 1.4) 8.3 mmol/L, PaO2 (NR: 83 - 108) 27 mmHg, The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of vaccine induced myocarditis (viral myocarditis), acute hypoxic hypercapnic respiratory failure, septic shock, decline in renal function, 2+ aortic regurgitation, patient administered with 2 doses of vaccine, off label use was not reported. This report was serious (Death, Life Threatening, and Hospitalization Caused / Prolonged).; Sender''s Comments: V0: 20210754113-covid-19 vaccine ad26.cov2.s - Death, vaccine induced myocarditis, acute hypoxic hypercapnic respiratory failure, septic shock, decline in renal function, 2+ aortic regurgitation. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).; Reported Cause(s) of Death: UNKNOWN CAUSE OF DEATH


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