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

Found 6,687 cases where Vaccine is COVID19 and Manufacturer is PFIZER/BIONTECH and Symptom is Myocarditis or Pericarditis



Case Details

This is page 8 out of 669

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VAERS ID: 1141547 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-02-04
Onset:2021-03-08
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9269 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Angiogram normal, Blood pressure increased, Chest discomfort, Chills, Computerised tomogram normal, Echocardiogram normal, Lymph node pain, Myalgia, Myocardial infarction, Pericarditis, Pyrexia, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Hypertension (narrow), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), 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: Probiotic, Vitamin C, Vitamin D, Multivitamin, Omega 3- Collagen powder, magnesium and calcium
Current Illness: None
Preexisting Conditions: Migraine
Allergies: Penicillin, Rhubarb
Diagnostic Lab Data: 3/8/21Troponin series - elevated. 3/9/21 Echocardiogram - normal; 3/8/21 Angiogram - normal - no blockages. 3/16/21 CT scan of heart and lungs normal.
CDC Split Type:

Write-up: 3 phases- within 24 hrs of shot - low grade fever and chills lasting 24 hours; during the following 2 weeks, strong pain in arm muscle that travelling under arm into lymph nodes. Approximately 30 days after injection experienced a mild heart attack and unexplained pericarditis. Symptoms at onset were major pressure in chest and elevated blood pressure 210/99. Prescribed blood pressure medication, blood thinners and 4 does of indomethacin for pericarditis


VAERS ID: 1141993 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Nevada  
Vaccinated:2021-02-08
Onset:2021-02-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN9581 / 2 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Acute myocardial infarction, Angiogram normal, Blood test abnormal, Chest X-ray, Chest pain, Echocardiogram normal, Electrocardiogram normal, Headache, Heart rate increased, Impaired work ability, Myocarditis, Nausea, Pain, Troponin increased
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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? Yes
Office Visit? No
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: None
Diagnostic Lab Data: Elevated Troponin levels of 9585.8 ng/L in my blood. EKG, Echocargiogram, and CT Angiogram showed normal results
CDC Split Type:

Write-up: At 2-8-21 at approximately 1:00pm I recieved my 2nd shot. At 5:00am on 2-9-21, I woke up experiencing an extreme headache, nausea, body aches, and severe chest pain. I checked my heartrate with a PulseOximeter and found it to be elevated at 105-115. I called out of work and rested in bed for the day. On 2-10-21 most of my symptoms had subsided however the chest pain persisted through 2-11-21. On 2-11-21 at 2:00pm, I visited the Urgent Care. While there, the provider ran an ECG, Chest X-Ray, and bloodwork. Test results showed Troponin levels in my blood had reached critical levels of 7.72ng/ml. I was immediately transported to the ER at the Hospital, where upon arrival they did an EKG and bloodwork. I was then admitted and seen by a cardiologist, who ordered an CT Angiogram, more bloodwork, and an Echocardiogram. After I was admitted, my mother contact the nurses station to check on me and asked what was wrong. She was then told the hospital was treating me for an NSTEMI and Myocarditis. This resulted in a 3 day hospital stay where the results of the tests showed there was nothing wrong with my heart other than the increased Troponin levels. It should be noted that I have had ZERO previous cardiac issues, or any other significant health issues. I was discharged from the hospital with lower but still elevated Troponin levels, and told to follow up with my primary care doctor. I had no health issues and felt fine until I had my second dose of the Covid-19 vaccine. I have copies of my hospital records detailing all of this.


VAERS ID: 1147032 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-03-25
Onset:2021-03-28
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute left ventricular failure, Blood creatine phosphokinase increased, Cardiogenic shock, Chest pain, Dizziness, Dyspnoea, Ejection fraction, Fatigue, Muscle necrosis, Myocarditis, Nausea, Pain, Pulmonary oedema, Pyrexia, Respiratory failure, Troponin increased, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (narrow), Cardiac failure (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (narrow), Myocardial infarction (narrow), Anticholinergic syndrome (broad), 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), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cetirizine 10mg PO daily Cyclobenzaprine 10mg PO Q8H PRN Montelukast 10mg PO daily
Current Illness: None
Preexisting Conditions: None
Allergies: Ketorolac
Diagnostic Lab Data: 3/28 0909 CPK 388 U/L 3/28 1431 CPK 2334 U/L 3/29 0803 CPK 1273 U/L 3/28 0440 Troponin (T) 1438 ng/L 3/28 0738 Troponin(T) 2118 ng/L 3/28 1814 Troponin(T) 3064 ng/L 3/29 0527 Troponin(T) 2644 ng/L 3/30 0800 Troponin(T) 2824 ng/L 3/28 0900 Echo EF 38%
CDC Split Type:

Write-up: Pt reports generalized body aches, fatigue, fever 3/26, one day after receiving vaccine. Evaluated at ED 3/28, received Ketorolac and was discharged. While in parking lot, patient experienced blurring of vision, lightheadedness, nausea, SOB, and left-sided chest pain with return for re-evaluation. Pt treated for possible allergic reaction and concurrent EKG and blood work showed elevated troponin and transient ST elevation. Cardiology consulted and evaluated patient to have severe acute onset systolic heart failure, cardiogenic shock with pulmonary edema, Idiopathic fulminant myocarditis with myonecrosis, and hypoxic respiratory failure. Placed on furosemide, supplemental oxygen, and pending MRI.


VAERS ID: 1152205 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-22
Onset:2021-03-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP6955 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Acute myocardial infarction, Cardiogenic shock, Catheterisation cardiac normal, Chills, Diarrhoea, Endotracheal intubation, Intensive care, Myalgia, Myocarditis, Pain, Sedation, Ventricular arrhythmia
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Cardiac failure (narrow), Angioedema (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Tendinopathies and ligament disorders (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine 10 cymbalta DR 60 mg estradiol 0.5 mg flonase nasal spray probiotic levothyroxine 50 mcg mometasone 0.1% lotion topiratmate Xr 200 mg eletriptan 40 mg advair HFA inhaler omeprazole 20 mg EC proair HFA inhaler garlic turmeric
Current Illness: None
Preexisting Conditions: atypical chest pain arthritis asthma celiac disease chronic kidney disease epilepsy (last sz 18 yrs ago) GERD migraine/headache TMJ
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received first dose of Pfizer COVID-19 vaccine on 3/22/21, the next day the patient reported feeling myalgia, diarrhea, and body aches and chills. The patient presented to the ED and was admitted with myocarditis and NSTEMI. Left heart cath did not show evidence of epicardial coronary artery disease. The patient was discharged from the hospital after receiving fluid resuscitation and supportive care. The patient returned to the ED with worsening myocarditis and was found to be in cardiogenic shock requiring vasopressor support. The patient developed VT storm and was intubated and sedated. The patient is currently in the ICU and remains intubated and sedated


VAERS ID: 1154628 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-03-25
Onset:2021-03-29
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / UNK - / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test abnormal, Bone pain, Catheterisation cardiac abnormal, Chest discomfort, Dizziness, Headache, Magnetic resonance imaging heart, Muscular weakness, Myalgia, Myocarditis, Pain in extremity, Stress cardiomyopathy, Troponin increased
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (narrow), Eosinophilic pneumonia (broad), Other ischaemic heart disease (narrow), Vestibular disorders (broad), Osteonecrosis (broad), Tendinopathies and ligament disorders (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: 3/4/2021: sore arm after 1st COVID-10 vaccine dose; 3/25/2021: sore are, headache, muscle and bone aches for approx. 36 hours fo
Other Medications: OTC multi-vitamin, OTC multi-mineral, OTC Omega3 supplement, OTC glucosamine HCl/ginger/chondroitin/MSM, OTC magnesium citrate
Current Illness: none
Preexisting Conditions: none
Allergies: erythromucin
Diagnostic Lab Data: at least 2 blood tests on 3/29/2021 showed elevated troponin levels, additional blood tests were run 3/30/2021 & 3/31 2021, but results weren''t shared with patient heart catheterization (3/29/2021) cardiac MRI (3/30/2021)
CDC Split Type:

Write-up: Patient felt pressure on chest & weakness on inside of left are in the bicep area shortly after getting up at 6 am 3/29/2021. Slight light-headedness was felt shortly afterwards. Symptoms did not change after moving around & on the advice of patient''s insurance company''s Nurse Line, she went to the Emergency Room shortly after 7 am. Patient underwent a heart catheterization that day (3/29/2021) and a cardiac MRI the following day (3/30/2021). Cardiologist informed patient he suspected either Stress Cardiomyopathy or Myocarditis. Patient was discharged 3/31/2021 with 4 medications and follow-up appointments scheduled


VAERS ID: 1155211 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-03-08
Onset:2021-03-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, Imaging procedure abnormal, Inflammatory marker increased, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Malignancy related therapeutic and diagnostic procedures (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? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: atorvastatin, nexium, metoprolol
Current Illness: hx of pericarditis, was under control prior to vaccine
Preexisting Conditions: afib, pericarditis
Allergies: colchicine, latex
Diagnostic Lab Data: imaging and inflammatory marker confirmed pericarditis
CDC Split Type:

Write-up: Pt experienced an episode of pericarditis 2 days after receiving vaccine; had been dealing with on and off pericarditis but this was worst episode he had experienced


VAERS ID: 1162090 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-02-13
Onset:2021-03-17
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / -

Administered by: Private       Purchased by: ?
Symptoms: Catheterisation cardiac, Computerised tomogram, Echocardiogram, Electrocardiogram, 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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ATORVASTATIN; TERAZOSIN
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data: Test Name: Catheterization; Result Unstructured Data: Test Result:Unknown results; Test Name: CT scan; Result Unstructured Data: Test Result:Unknown results; Test Name: Echocardiogram; Result Unstructured Data: Test Result:Unknown results; Test Name: EKG; Result Unstructured Data: Test Result:Unknown results
CDC Split Type: USPFIZER INC2021305606

Write-up: Pericarditis; This is a spontaneous report from a contactable consumer reporting for self. This 74-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration, in right arm on 13Feb2021 (at 73 years of age) at 10:30 (Batch/Lot number was not reported) as a single dose for COVID-19 Immunisation. Medical history included was none. There were no known allergies. The patient did not have COVID prior to vaccination. Concomitant medication(s) included atorvastatin and terazosin, both taken for an unspecified indication, with start and stop date not reported. There was no other vaccine received in the 4 weeks prior. The patient experienced pericarditis on 17Mar2021 at 17:00. The event resulted in a visit to the emergency room/department or urgent care, and Hospitalization for 2 days. Treatment and relevant tests included: EKG, CT scan, catheterization and echocardiogram. The patient was not COVID tested post-vaccination. The outcome of the event was recovering. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.


VAERS ID: 1164186 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-03-20
Onset:2021-03-22
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6203 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Autoimmune disorder, Catheterisation cardiac, Chest pain, Chills, Condition aggravated, Feeling abnormal, Hyperhidrosis, Magnetic resonance imaging abnormal, Magnetic resonance imaging heart, Myocardial infarction, Myocarditis, Oropharyngeal pain, Pain, Poor quality sleep, Sleep disorder, Throat irritation, Troponin
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

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: none
Diagnostic Lab Data: cardiac catherization - done on March 23rd cardiac MRI - done on March 25th lots of medications given to me
CDC Split Type:

Write-up: I received my second shot of the Pfizer coronavirus vaccine on Saturday, March 20th at noon. Saturday at midnight, I woke up in full body sweats and aches. I took two ibuprofen and tried to go back to sleep, but I would toss and turn in full body sweats and aches for the next 8 hours. I took another 2 ibuprofen around 400am. Sunday morning I woke up feeling OK, not great, but OK. Sunday night ? it was very strange ? the full body chills and aches came back. Not as bad as Saturday night, but they returned nevertheless. I had another restless night of sleep, and I took another two rounds of ibuprofen to try and help me sleep. Monday I woke up feeling OK again. Monday evening, around 8:00pm, I could feel the full body chills and aches coming back again, creeping up slightly. This time, I also felt a mild burning in my upper chest and throat. I went to bed around 8:00pm, then woke up at 9:00pm, this time in a lot of pain. It felt like burning and a stabbing sensation in my throat and upper chest. I took some ibuprofen, and tried to fall asleep. I tossed and turned in agony for the next few hours, apparently falling asleep at some point around 1:00am. At 2:00am I woke up in severe pain again. It was very bad, like an 8 out of a 10. It felt like a burning and stabbing sensation in my lower throat and upper chest. I had my wife call 911, and I was brought to hospital in an ambulance. I would stay in the hospital for the next 3 days, getting discharged Thursday at around 5:00pm. I had peak troponin levels of 5, so I basically had a moderate heart attack. I had a cardiac catherization procedure done, as well as a cardiac MRI. The cardiac catherization procedure showed I had no blockages at all in my arteries. The cardiologists diagnosed me with myocarditis. The cardiologists told me they believe the vaccine triggered a heavy response from my auto immune system. The response from my auto immune system in turn caused my heart to become inflamed, giving me myocarditis. It was a horrible experience, and my doctors are convinced that it was brought on by the second coronavirus vaccine shot that I received.


VAERS ID: 1167616 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-03-20
Onset:2021-03-26
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Echocardiogram abnormal, 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? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril-HCTZ, allopurinol
Current Illness: none
Preexisting Conditions: HTN and gout
Allergies: none
Diagnostic Lab Data: abnormal EKG
CDC Split Type:

Write-up: Pt developed acute pericarditis 6 days after receiving COVID 19 vaccination.


VAERS ID: 1167955 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-03-26
Onset:2021-03-28
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 2 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Catheterisation cardiac abnormal, Chest pain, Chills, Echocardiogram abnormal, Electrocardiogram abnormal, Headache, Hyperhidrosis, Myocarditis, Nausea, Pain, Pain in extremity, Pyrexia, Troponin increased, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (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? No
Office Visit? No
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: Cluster Headaches
Allergies: One time allergic reaction to penicillin
Diagnostic Lab Data: EKG Various and Numerous Blood Panels/Tests Heart Catheterization Echocardiogram Other Various Tests
CDC Split Type:

Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA (administered on 03/26/21) Fever, chills, headache, general soreness all began on 03/27/2021. On 03/28/2021, I began to notice chest pain and simultaneous pain in my left arm on 03/28/2021. The fever, chills, headache, and general soreness subsided on 03/29/2021, but the periodic chest and arm pain persisted and continued to get worse. On 03/29/2021 I also had nausea/vomiting and sweating. On the morning of 03/30/2021 during an episode of chest and arm pain we went to the Emergency Department at. At the emergency department, they detected elevated troponin levels indicating damage to the heart muscle. I was rushed via ambulance for an emergency heart catheterization. I was admitted to the hospital and monitored while various other tests were performed. It was determined that there was inflammation of the heart muscle (myocarditis).


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