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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1218735

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Case Details

VAERS ID: 1218735 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-17
Onset:2021-03-24
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein increased, Catheterisation cardiac abnormal, Chest pain, Coronary artery stenosis, Echocardiogram, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Percutaneous coronary intervention, Pericardial effusion, Pericarditis, Pleuritic pain
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: CAD, esophagitis
Preexisting Conditions: HTN, DM
Allergies: NKDA
Diagnostic Lab Data: 1st hospitalization: 3/25/21: CRP = 4.7 and not repeated; EKG showed diffuse ST elevation, consistent with acute pericarditis 2nd hospitalization: 4/14/21: Elevated CRP = 139.5; 4/15/21 = 206.7; 4/16/21 = 156.6 EKG did not show any obvious ST elevations Repeat TTE 4/14 showed small pericardial effusion. Repeat on 4/15 showed no significant interval change in pericardial effusion.
CDC Split Type:

Write-up: Patient received 1st COVID vaccine on 3/17. On 3/24, he experience pleuritic chest pain and was admitted to the hospital for pericarditis confirmed by EKG. During this hospitalization, he was incidentally found to have left main stenosis 60-70% on the LHC, requiring PCI. Patient did not have an acute MI - hence Dressler Syndrome was thought to be less likely. He was discharged after a week on 3/30/21 with colchicine and other cardioprotective medications. He received his 2nd vaccine on 4/7/21. On 4/14/21, patient was readmitted for pleuritic chest pain attributed to recurrent pericarditis.


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