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This is VAERS ID 1273447

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1273447
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Chest X-ray normal, Electrocardiogram normal, Myocarditis, Pericardial effusion, Ventricular hypokinesia, Ejection fraction decreased, Computerised tomogram thorax normal, Troponin increased, Echocardiogram abnormal, Magnetic resonance imaging heart

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Patient was not taking any medications
Current Illness: No past medical history
Preexisting Conditions: No past medical history
Allergies: NKA
Diagnostic Lab Data: Troponins x2 4/27 @ 11:27 and 14:20 ECG X2 on 4/28 at 11:31 and 11:48 CT Pulmonary embolism on 4/27 @ 12:21 Chest xray on 4/27 @ 11:40 ECHO on 4/29 @ 08:54 Cardiac MRI on 4/29 @ 16:13
CDC 'Split Type':

Write-up: 1 day after the 2nd shot in the Pfizer COVID vaccine series he began to develop substernal pressure like chest pain . Patient was admitted into the hospital for 2 days (4/27-4/29) for this substernal chest pain. A CTPE, EKG, and CXR were ordered that were unrevealing as to the etiology of the chest pain. Troponins were elevated on admission with a slightly decreased delta (515-$g479). An ECHO was ordered that showed a LVEF of 35-40% with moderate global hypokinesis of the left ventricle, right ventricles moderately dilated, and no pericardial effusion. A Cardiac MRI was then ordered to determine etiology that showed subepicardial late gadolinium enhancement of the basal inferior and mid-inferior and inferoseptal wall consistent with acute myocarditis. Additionally, a small pericardial effusion without signs of inflammation, calcification, or cardiac tamponade physiology. Patient was then D/C on 4/29 after the cardiac MRI with no medical therapy with the recommendation to not partake in physical activity for one month. Will have follow up with cardiology clinic in 1 month and will participate in cardiac rehab.

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