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

Found 527 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



Case Details

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VAERS ID: 1351950 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2021-05-22
Onset:2021-05-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arrhythmia, Blood bilirubin increased, Blood creatine phosphokinase increased, Chest pain, Chills, Differential white blood cell count, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Electrocardiogram normal, Full blood count abnormal, Headache, Hyperhidrosis, Immunoglobulin therapy, Intensive care, Magnetic resonance imaging, Metabolic function test, Myocarditis, Nausea, Respiratory viral panel, Troponin
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (narrow), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Arrhythmia related investigations, signs and symptoms (broad), Biliary system related investigations, signs and symptoms (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: hives after taking penicillin 1x as a toddler; no other known
Diagnostic Lab Data: 10/23/21 - EKG & labwork - . EKG normal; Troponin @ .03; no inflammatory markers run. 05/25/21: Clinic: C-Reactive Protien, 5.3 mg/dl (H); CBC w/ Differential - multiple results abnormal; CPK, 1050 ph (HH); EKG - normal sinus rhythym, diffuse ST elevation; Troponin level - 14 05/25/21: Hospital: Troponin level - 16; CPK, 711; Comprehensive Metabolic Panel - elevated bilirubin; Respiratory panel - no virus detected; Echocardiogram showed no apparent problems with heart function. Ped. Cardiologist ordered additional tests and IVIg infusion, which was started at approximately 3 a.m. 05/26/21: Hospital: troponin - 13.85; ECG - 5:44 a.m. Sinus rhythm with marked arrhythmia, rightward axis; ST elevation; possible lateral injury or acute infarct - abnormal. Compared to 10:26 ECG on 5/25, Rt axis deviation now present, ST(T Wave) deviation now present; myocardial infarct finding now present; troponin (2) @ 12.71; CPK @ 228; troponin (3) @ 10.80 (noon draw). (MRI conducted - results not provided yet). * addition tests to be conducted as he is still in the hospital.
CDC Split Type:

Write-up: chest pain, nausea, sweating w/ alternate chills, and headaches onset at approximately 10-11 a.m. Sunday, 5/23/21. Because he was reporting for work to a camp, he reported to the camp nurse. After conferring with parents, he reported to Hospital for testing. EKG there was normal; minimal labwork performed - Troponin test requested by parent came back at 0.03. Advil taken earlier had resolved pain at that time, but pain was persistent the following day. Parent retrieved patient, and he reported to his pediatrician at the PCP Clinic and more labwork was performed at approximately 10 a.m. Troponin level had increased to 14, with other inflammatory markers elevated and abnormal EKG result. Pediatrician consulted with pediatric cardiologists, and parents were advised to proceed to the ER. Mother arrived with Hospital at approximately 5:30 p.m. Troponin results from 6:45 elevated to 16. Ped. Cardiologist performed echo-cardiogram, which showed no abnormal heart functioning. Ped. Cardiolgist diagnosed myocarditis and prescribed 15-hour IVIg infusion. As of Wednesday, 5/26, at noon, troponin level had decreased to 10.8 and other inflammatory markers were improving. Patient is currently still hospitalized in the ICU Step Down Unit at Hospital.


VAERS ID: 1354101 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: New York  
Vaccinated:2021-05-19
Onset:2021-05-24
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood creatine phosphokinase, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Myocarditis, Overdose, Rhabdomyolysis, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (narrow), Cardiac failure (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Drug abuse and dependence (broad), Cardiomyopathy (narrow), Medication errors (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient hospitalized for overdose. Patient found to have potential myocarditis. Patient overdosed on antihistamines loratadine and doxylamine. Found to have rhabdomyolysis. CK levels have been trending downward. Patient found to have elevated troponin and ECHO showed decreased EF raising concern for myocarditis. Also with EKG changes. Patient is asymptomatic without chest pain or palpitations. Cannot differentiate cause of myocarditis, can be due to over dose and related to rhabdomyolysis or other causes.


VAERS ID: 1354648 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac imaging procedure abnormal, Electrocardiogram P wave abnormal, Electrocardiogram ST segment abnormal, Magnetic resonance imaging heart, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Supraventricular tachyarrhythmias (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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: None
Preexisting Conditions: None
Allergies: NKDA
Diagnostic Lab Data: Troponin elevated to max 12.44 on 5/25 Cardiac MRI with findings consistent with myocarditis ST changes and P wave inversions on EKG on 5/25
CDC Split Type:

Write-up: myocarditis with elevated troponins, findings on cardiac MRI. No treatment required, self-resolved. Admitted for close monitoring


VAERS ID: 1354654 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-05-17
Onset:2021-05-21
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: C-reactive protein normal, Chest X-ray normal, Chest pain, Electrocardiogram normal, Full blood count normal, Pericarditis, Troponin normal
SMQs:, Systemic lupus erythematosus (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec 10mg as needed
Current Illness: none
Preexisting Conditions: none
Allergies: Brazil nuts
Diagnostic Lab Data: EKG and CXR were done at Emergency Room on 5/21-22/21 and were reported to the parent as normal. Laboratory tests were done on 5/24: CBC - normal, CRP - normal, troponins - normal
CDC Split Type:

Write-up: Patient presented to ER with severe unrelenting chest pain beginning abruptly 4 days after receiving first dose of Pfizer COVID19 vaccine. He was diagnosed at the ER with pericarditis and discharged with ibuprofen. Chest pain has gradually improved over past 6 days though is still intermittently present.


VAERS ID: 1357792 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: California  
Vaccinated:2021-05-09
Onset:2021-05-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood fibrinogen, Brain natriuretic peptide normal, Chest pain, Echocardiogram normal, Electrocardiogram abnormal, Fibrin D dimer normal, Magnetic resonance imaging abnormal, Myocardial oedema, Myocarditis, Pain, Pain in extremity, Troponin normal
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: recovering from ACL repair from fall injury in 2019.
Preexisting Conditions: n/A
Allergies: N/A
Diagnostic Lab Data: Seen by Dr. two weeks later on 5/26 and underwent ECG where found to have t-wave inversions in inferior leads. Echo normal LV function, no effusion. Trop, BNP, DD and fibrinogen WNL. Referred to Stanford for MRI where he was found to have DGE and edema in the lateral wall of the LV, toward the epicardial surface, c/w myocarditis.
CDC Split Type:

Write-up: Received 2nd Pfizer COVID vaccine 5/9. On the evening of 5/10 he awoke with severe 7/10 CP located centrally and radiating down both arms. Not a distinct pain such as sharp, stabbing, burning, throbbing but located in center of chest and was really uncomfortable. No other associated CV symptoms (palpitations, SOB, syncope). Pain slightly worse supine. Pain self-resolved but recurred on 5/12. he had no symptoms of COVID disease.


VAERS ID: 1357884 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-15
Onset:2021-04-17
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Echocardiogram abnormal, Fatigue, Left ventricular dysfunction, Magnetic resonance imaging heart, Myocarditis, Presyncope, Troponin increased
SMQs:, Cardiac failure (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data: Echocardiogram showed mild left ventricular systolic dysfunction. MRI showed no scarring.
CDC Split Type:

Write-up: Myocarditis. Chest pain started 2 days after the 2nd shot. Elevated troponin and went upto 20. Near syncope and tiredness.


VAERS ID: 1358844 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-22
Onset:2021-05-26
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Chest pain, Echocardiogram, Magnetic resonance imaging heart, Myocarditis, Troponin
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Flonase, Claritin, Singulair
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Augmentin, Cephalosporins, Grass, Penicillins, pollen, rondec
Diagnostic Lab Data: Troponin, echocardiography and cardiac MRI
CDC Split Type:

Write-up: Abdominal pain, chest pain and myopericarditis


VAERS ID: 1359871 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-21
Onset:2021-05-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH LOT NUMBER EW01 / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain, Activated partial thromboplastin time shortened, Agitation, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood albumin decreased, Blood alkaline phosphatase normal, Blood creatine phosphokinase increased, Blood fibrinogen, Blood fibrinogen increased, Blood glucose normal, Blood immunoglobulin A normal, Blood immunoglobulin G normal, Blood immunoglobulin M normal, Blood lactate dehydrogenase increased, Blood lactic acid normal, Blood magnesium increased, Body temperature increased, Brain natriuretic peptide increased, Catheterisation cardiac normal, Chest X-ray normal, Chest discomfort, Chest pain, Diarrhoea, Discomfort, Echocardiogram normal, Fatigue, Fibrin D dimer increased, Haematocrit normal, Haemoglobin normal, Insomnia, International normalised ratio normal, Irritability, Laboratory test normal, Lymphocyte count normal, Lymphocyte percentage decreased, Magnetic resonance imaging abnormal, Magnetic resonance imaging heart, Mean cell volume normal, Mean platelet volume normal, Monocyte percentage, Mycoplasma test positive, Myocarditis, Nausea, Neutrophil percentage increased, Platelet count normal, Procalcitonin normal, Protein total decreased, Prothrombin time shortened, Red blood cell count decreased, Red blood cell sedimentation rate increased, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Serum ferritin increased, Sleep disorder, Troponin I increased, Troponin increased, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

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: None
Current Illness: Acute COVID with positive PCR on april 1 ,2021all 2 sibs twin sister and older sister 21 also positive He had loss of sense of taste and smell x 2 weeks and fatigue ,staying in bed x 5 days and no fever,no headache,no rash,no cough,no chest pain or shortness of breath Not hospitalized Recovered to 100% normal by april 15 2021l
Preexisting Conditions: Diagnosed as Beckwith Wideman as a baby with Hypoglycemia, Genetics not confirmatory No endocrine f/u after 2013 at age 8 Normal growth and development Normal high school in Track
Allergies: amoxicillin
Diagnostic Lab Data: Magnesium 1.8 mg/dL (L) (Ref. Range 2.00 - 2.90) Albumin 3.4 g/dL & (L) (Ref. Range 4.1 - 5.1) Protein- Total 5.9 g/dL (L) (Ref. Range 6.5 - 8.1) Lactate 9.0 mg/dL (Ref. Range 4.5 - 19.8) Procalcitonin 0.10 ng/mL & (H) (Ref. Range 0 - 0.09) ALK Phosphatase 111 U/L (Ref. Range 89 - 365) ALT 41 U/L (H) (Ref. Range 9 - 24) AST 91 U/L (H) (Ref. Range 14 - 35) CPK 1,000 U/L (H) (Ref. Range 80 - 354) LDH 380 U/L (H) (Ref. Range 130 - 250) B-Type Natriuretic Peptide 170 pg/mL (H) (Ref. Range - <100) IgA 112.0 mg/dL (Ref. Range 53.0 - 287.0) IgG 504 mg/dL (L) (Ref. Range 658 - 1,534) IgM 47.0 mg/dL (L) (Ref. Range 48.0 - 186.0) Sedimentation Rate 11 mm/hr (Ref. Range 0 - 20) WBC 14.3 k/uL (H) (Ref. Range 4.5 - 13.0) RBC 5.06 M/uL (Ref. Range 4.50 - 5.30) HEMOGLOBIN 15.0 g/dL (Ref. Range 13.0 - 16.0) HEMATOCRIT 43.6 % (Ref. Range 36 - 51) MCV 86 fL (Ref. Range 78 - 98) PLATELET COUNT 229 k/uL (Ref. Range 150 - 450) Mean Platelet Volume 9.8 fL (Ref. Range 7.4 - 10.4) Diff Type Manual Monocytes 8 % (Ref. Range 4 - 10) Lymphocytes 17 % (L) (Ref. Range 25 - 45) Absolute Lymphocyte Count 2.431 k/uL (Ref. Range 1.10 - 6.00) Neutrophils 73 % (H) (Ref. Range 34 - 64) Bands 2 % (Ref. Range 0 - 11) Ferritin 249 ng/mL (H) (Ref. Range 12.7 - 82.8) Mycoplasma IgG Positive & (A) Mycoplasma IgM Negative & Protime 10.8 Seconds (Ref. Range 8.5 - 12.4) INR 1.0 (Ref. Range 0.8 - 1.2) PTT 23.6 Seconds (Ref. Range 20.0 - 34.4) Fibrinogen 438 mg/dL (H) (Ref. Range 200 - 400) D-Dimer Screen 1.04 mg/L FEU & (H) (Ref. Range - <0.50) BNP 170pg/ml, Ferritin 220ng/mlCOVID PCR NP negative 5/27/2021 15:22 CDT Troponin I 11.82 ng/mL (H) (Ref. Range 0.00 - 0.08 COVID AB positive Glucose 192mg/dl CARDIAC MRI abnormal c/w myocarditis
CDC Split Type:

Write-up: On 5/23 two days after vaccine he was irritable, tired, fatigued, not sleeping well. He could not complete his track meet . He had abdominal pain, felt bloated, and he felt this nausea & discomfort. He thought he might be constipated, so he took MiraLAX and then he had diarrhea all day yesterday. on 5/26 he had a temperature of 99.2, he had acute chest pain retrosternal and feeling of compression on the chest, head fullness as if he is going to explode. He had nausea, insomnia. Ibuprofen was given to him by his mother and this helped a lot But he woke up on morning of 5/27 , but the chest pain returned with increased pressure, very nauseous, agitated, unable to be comfortable. No fever,, the pain was a sharp pressure. He had no syncope or chest shortness of breath He was seen at Hospital ER where a chest x-ray was normal. Echocardiogram was done, ,noted to have EKG changes. Troponin was elevated. He had a cardiac catheterization done emergently at hospital through the right radial artery and was noted to have normal coronaries. He also had a chest x-ray done which was negative for pulmonary lesions, and his abdominal pain he says was relieved after the MiraLAX and the diarrhea. His twin sister who received the vaccine 15 minutes after him is completely asymptomatic.


VAERS ID: 1360627 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-17
Onset:2021-05-21
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW1077 / 1 - / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Myocarditis, SARS-CoV-2 test
SMQs:, Cardiomyopathy (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? 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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20210522; Test Name: covid-19 test; Test Result: Negative ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC2021594817

Write-up: Myocarditis; This is a spontaneous report from a contactable pharmacist. A 15-year-old male patient received the first dose of BNT162B2 (PFIZER COVID-19 VACCINE, lot number: EW1077), at the age of 15 years old, intramuscularly on 17May2021 at single dose for covid-19 immunisation. The patient medical history was reported as none. The patient had no known allergies. The patient was not diagnosed with covid-19 prior to vaccination. The patient did not receive any other vaccines within 4 weeks prior to vaccination. The patient experienced myocarditis on 21May2021. The event resulted in hospitalization for 2 days. The patient was currently still in hospital. The patient had been tested for covid-19 since the vaccination. The patient underwent lab tests and procedures, which included covid-19 test: negative on 22May2021 by nasal swab. Therapeutic measures were taken as a result of myocarditis and included treatment with analgesic. The outcome of event was not recovered. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: As an individual case report there is not enough evidence to establish a causal relationship with the suspect vaccine. Currently there is no clear biological plausibility between the vaccine use and the even onset. More information such as complete medical history and concomitant medications are needed for fully medical assessment. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.


VAERS ID: 1360764 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-05-25
Onset:2021-05-28
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Echocardiogram abnormal, Electrocardiogram ST segment elevation, Myocarditis, Troponin increased, Vaccination complication, Ventricular hypokinesia
SMQs:, Anaphylactic reaction (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: claritin
Current Illness: diarrhea x1
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: trop above, ekg above,
CDC Split Type:

Write-up: I saw and evaluated the patient. I agree with the findings and the plan of care as documented in the Fellow note. Of note patient is a 17yo male with no significant past medical history who received the second dose of his Pfizer COVID19 vaccine on 5/25/21. This morning he woke up with chest pressure and eventually was seen at an outside hospital ED. EKG was concerning for possible myocarditis and he was transferred further work-up of myocarditis. On arrival, echocardiogram was performed demonstrating grossly normal LV function with some suggestion of apex hypokinesis. EKG was repeated and showed ST elevation in lead I and V1. Troponin was elevated at 1.11. On exam, no murmurs rubs or gallops. No known family history cardiomyopathy. I personally reviewed the echocardiogram. Overall, patient is a 17yo male with what appears to be myocarditis that is temporally associated with the second dose of the MRNA Pfizer COVID19 vaccine. We have seen several of these patients with similar presentations over the past few weeks and most seem to respond well to treatment with IVIG and steroids. We will confer with our Rheumatology and ID colleagues. Plan will be to obtain cardiac MRI in the next 24 hrs. Ibuprofen PRN for pain. Will trend troponin and EKG.


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