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From the 11/12/2021 release of VAERS data:

This is VAERS ID 1208348

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Case Details

VAERS ID: 1208348 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: California  
Vaccinated:2021-03-30
Onset:2021-04-05
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 6023251 / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Brain natriuretic peptide increased, Electrocardiogram abnormal, Myocarditis, Pyrexia, Troponin increased, Ultrasound scan
SMQs:, Cardiac failure (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: tested positive for COVID vis PCR on 3/10 was asymptomatic
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Echo trop bnp ecg plan for outpatient cardiac MRI
CDC Split Type:

Write-up: mild myocarditis with fevers +constitutional symptoms, trop and BNP elevation (without other cause), ekg abnormalities, EF wl


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