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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1310120

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Case Details

VAERS ID: 1310120 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-05-06
Onset:2021-05-10
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Echocardiogram, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Lymphadenopathy, Magnetic resonance imaging abnormal, Magnetic resonance imaging heart, Myocarditis, Troponin T increased
SMQs:, Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKG 5/10/21 abnormal, diffusely elevated ST segments Troponin T (ng/L) 5/10/21 were 849, 869 Echo (TTE) on 5/10/21 (limited) and 5/11/21 (full) with normal EF and grossly unremarkable Cardiac MRI 5/11/21 showed focal inflammatory changes in the lateral and apical walls consistent with myocarditis. reactive appearing left axillary lymphadenopathy consistent with recent vaccine
CDC Split Type:

Write-up: The patient developed severe chest pain on the 4th day after the vaccine, he presented to the local emergency room and had the abnormal tests as described below. His symptoms improved rapidly but due to active myocarditis was given recommendations for limited activity to reduce risk of fatal arrhythmia


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