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This is VAERS ID 1281795

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1281795
VAERS Form:2
Age:17.0
Sex:Female
Location:Minnesota
Vaccinated:2021-04-08
Onset:2021-05-01
Submitted:0000-00-00
Entered:2021-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: C-reactive protein increased, Chest pain, Echocardiogram normal, Intensive care, Myocarditis, Troponin increased, Troponin I increased, Immunoglobulin therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None; does have an IUD
Current Illness: Seen at urgent care for abdominal pain about 2 week prior to symptom onset. Workup with CT scan was negative for appendicitis and she got better. She has been also receiving treatment for a rash diagnosed as molluscum contagiosum which has been present for several months prior to vaccinations including acyclovir, topical medications and cryotherapy.
Preexisting Conditions: April 2020 had several episodes of syncope that was evaluated with echocardiography and MRI which were negative
Allergies: None
Diagnostic Lab Data: Echocardiogram Normal right ventricular systolic function. Low-normal left ventricular systolic function. M-mode fractional shortening 27% and biplane left ventricular ejection fraction 56%. Troponin 10.89 ng/mL-max troponin I CRP 5.2 mg/dL
CDC 'Split Type':

Write-up: acute myocarditis; acute onset chest pain; admitted to the pediatric intensive care unit; about to receive IVIG. Chest pain started 5/1/20 about 2 days after her 2nd Pfizer COVID-19 vaccination

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