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This is VAERS ID 1310189

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First Appeared on 5/21/2021

VAERS ID: 1310189
VAERS Form:2
Age:18.0
Sex:Male
Location:Kansas
Vaccinated:2021-05-07
Onset:2021-05-10
Submitted:0000-00-00
Entered:2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood magnesium, Chest pain, Dyspnoea, Electrocardiogram, Full blood count, Myocarditis, Pain, Vomiting, Troponin increased, Echocardiogram abnormal, Metabolic function test, Ejection fraction normal, Magnetic resonance imaging heart

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Fluoxetine
Current Illness: None
Preexisting Conditions: Depression, Intermittent Asthma, ADHD
Allergies: Jackfruit
Diagnostic Lab Data: Cardiac MRI - 5/11/2021 Echocardiogram - 5/11/2021 Troponin and EKG - 5/10 CBC, CMP, Mag - 5/10 - 5/12
CDC 'Split Type':

Write-up: Patient presented as a transfer to our facility for Myopericarditis. He had received 2nd covid vaccine on Friday (5/7/21), subsequently had mild body aches the next day that improved with otc Tylenol. On sunday night he started to develop mild chest pain. Monday morning his pain acutely worsened with 8/10 chest pain, shortnes of breath, and emesis x1. He was ultimately found to have myopericaridits after being transferred to our facility for cardiac MRI. His troponin peaked at 5.71, had no pericardial effuison, and normal EF. Pain well controlled with colchicine and ibuprofen. After 2 days of observation he was discharged home. He did not have any viral prodrome or illness recently, no hx of family hx of rheumatological conditions.

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