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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1286225

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Case Details

VAERS ID: 1286225 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Unknown  
Location: New Mexico  
Vaccinated:2021-04-28
Onset:2021-04-30
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Echocardiogram normal, Electrocardiogram normal, Myocarditis, Troponin 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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None known.
Preexisting Conditions: Gender dysphoria. Female to male transitioning, on testosterone injections, but none for at least 1 month prior to covid-19 immunization
Allergies: None known
Diagnostic Lab Data: Elevated Troponin to 17 ng/mL. EKG normal. Echocardiography with structurally normal heart, with borderline diastolic function.
CDC Split Type:

Write-up: The patient developed acute perimyocarditis 2 days following Covid-19 vaccination. Ultimately this was mild, with recovery with NSAIDs alone.


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