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

This is VAERS ID 1257935



Case Details

VAERS ID: 1257935 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-04-21
Onset:2021-04-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Echocardiogram, Electrocardiogram, Myocarditis, Troponin I increased
SMQs:, Myocardial infarction (narrow), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: cough a few days prior to illness.
Preexisting Conditions: NA
Allergies: pine needles
Diagnostic Lab Data: troponin elevated on 4/25, downtrending.
CDC Split Type:

Write-up: myocarditis. Positive troponin, downtrended. Neg EKG , echo.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1257935


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