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

This is VAERS ID 1341671

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Case Details

VAERS ID: 1341671 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-21
Onset:2021-05-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Echocardiogram abnormal, Electrocardiogram abnormal, Pericardial effusion, Pericarditis, Troponin normal
SMQs:, Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: minocycline, escitalopram, buproprion, dextroamphetamine-amphetamine, multivitamin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ekg with PR depression, echo with trace pericardial effusion, negative trop
CDC Split Type:

Write-up: pericarditis


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