National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 1214410

Government Disclaimer on use of this data



Case Details

VAERS ID: 1214410 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2021-04-10
Onset:2021-04-13
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein increased, Chest discomfort, Chest pain, Electrocardiogram normal, Influenza virus test negative, Magnetic resonance imaging heart, Myocarditis, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test negative, Troponin
SMQs:, Anaphylactic reaction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: levothyroxine loratadine topiramate
Current Illness: between 1st and 2nd covid shots she had dizziness/vertigo for several days which resolved
Preexisting Conditions: hypothyroidism migranes
Allergies: hydrocodone
Diagnostic Lab Data: EKG: NSR With mild nonspecific ST T wave changes troponin peaked at 9.59 on 4/14/21 CRP = 25 on 4/13/21 covid negative 4/14 respiratory pathogen screen negative 4 plex nasal screen, influenza, covid, RSV all negative Cardiac MRI on 4/14/21 report: 1. The left ventricle is normal in cavity size with normal wall thickness, global systolic function is normal with an LVEF at 64%. 2. The right ventricle is normal in cavity size with normal wall thickness, global systolic function is normal with RVEF at 50%. 3. Normal left and right atrium. 4. Delayed contrast enhancement imaging of the left ventricle is abnormal, with evidence of epicardial delayed enhancement in the basal inferolateral wall, with increase in signal in STIR imaging (edema). The prior is most likely consistent with myocarditis. 5. There is no evidence of subendocardial enhancement (myocardial infarction related to coronary artery disease)
CDC Split Type:

Write-up: Myocarditis after 2nd covid shot 27 year old female received her 2nd covid shot on 4/10/21 then presented to the hospital with substernal chest pressure upon waking radiating to the left arm on 4/13/21. No previous cardiac history. test shown below, discharged from hospital on 4/15/21. She was improved, no chest pain at time of discharge.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1214410


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166