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This is VAERS ID 1282202

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First Appeared on 5/21/2021

VAERS ID: 1282202
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private      Purchased by: ??
Symptoms: C-reactive protein increased, Chest discomfort, Chronic sinusitis, Electrocardiogram ST segment elevation, Myocarditis, White blood cell count increased, Red blood cell sedimentation rate increased, Troponin increased, Echocardiogram abnormal, Inflammatory marker increased, Systolic dysfunction

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Found to be Rhino/enterovirus positive at time of admission, though asymptomatic from it
Preexisting Conditions: Recurrent chronic sinusitis
Allergies: Augmentin
Diagnostic Lab Data: Troponin 5/3: 12.7 5/2 labs: WBC 10.4K, initial troponin 6.17, and elevated inflammatory markers with CRP 80.6mg/L and ESR 26mm/hr. EKG: diffuse ST segment elevation ECHO: Mild to moderately decreased left ventricular systolic function
CDC 'Split Type':

Write-up: Received dose #1 on 4/8/21 and dose #2 on 4/30/21. On 5/1 evening developed chest pain and tightness. He told his family about the chest pain the following day, on 5/2, which prompted his Mom to take him to an ED. In ED on 5/2 and found to have ST elevation, elevated troponins and elevated inflammatory markers. ECHO with mildly decreased systolic function. Picture consistent with perimyocarditis. Admitted to Hospital 5/3 AM. Currently clinically stable but admitted for close monitoring.

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