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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1238456



Case Details

VAERS ID: 1238456 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-04-16
Onset:2021-04-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8729 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Magnetic resonance imaging heart, Myocarditis, Troponin increased
SMQs:, Cardiac failure (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Albuterol
Current Illness: None.
Preexisting Conditions: Asthma.
Allergies: None.
Diagnostic Lab Data: 4/18 labs: troponin 9.46 (normal 0 - 0.034ng/mL), CRP 29.9 (normal 0-10mg/L), pro-BNP 547 (normal 0-93pg/mL) - EKG: diffuse ST segment elevation - Echocardiogram: low normal left ventricular systolic function (ejection fraction = 58%) 4/19: troponin 16.7, CRP 40.3, pro-BNP 1,140 4/21: troponin 2.34, CRP 15.5, pro-BNP 630 - Cardiac MRI pending
CDC Split Type:

Write-up: Presented with chest pain, found to have diffuse ST elevation, elevated troponin/CRP/pro-BNP and echo concerning for low normal left ventricular systolic function. Ultimately diagnosed with myopericarditis.


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