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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1105352

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Case Details

VAERS ID: 1105352 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: New York  
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Arteriogram carotid normal, Arthralgia, Chest pain, Dyspnoea, Electrocardiogram QT prolonged, Electrocardiogram T wave abnormal, Electrocardiogram T wave inversion, Electrocardiogram abnormal, Neck pain, Pain, Pericarditis, Troponin
SMQs:, Torsade de pointes/QT prolongation (narrow), Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Conduction defects (narrow), Torsade de pointes, shock-associated conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Chronic kidney disease (broad), Arthritis (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: omeprazole, Synthroid, venlafaxine, vitamin
Current Illness: none
Preexisting Conditions: gastroparesis, hoshimoto hypothyroidism, epilepsy
Allergies: Tree fruits
Diagnostic Lab Data: Troponin 3/14/21 @1445 was 0.255, @ 2008 was 0.218 and 3/15/21 at 0002 was 0.159 EKG - 3/14/21 - low voltage qrs and t wave abnormality EKG - 3/15/21 - prolonged QT interval or TU fusion, Diffuse T Wave Inversions anterior and lateral leads ? Ischemia Cardiologist diagnosed her with pericarditis
CDC Split Type:

Write-up: Patient woke with severe chest pain and difficult to take deep breaths. Chest pain extended over her shoulder and around her neck. Pain worsened during the day, went to ER, found to have positive troponins and subsequent ecg were abnormal. Echo was negative and angiogram showed no blocked arteries. Cardiologist diagnosed her with pericarditis

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