| Days after vaccination:||18
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH
||- / 2
||- / -
Administered by: Private Purchased by: ?
Symptoms: Acute myocardial infarction,
Catheterisation cardiac abnormal,
Chest X-ray normal,
Left ventricular end-diastolic pressure,
Pain in extremity,
Respiratory viral panel,
SARS-CoV-2 test negative,
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Ventricular tachyarrhythmias (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Hypokalaemia (broad), Opportunistic infections (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
Extended hospital stay? No
Current Illness: None
Preexisting Conditions: Anxiety History of asthma; this is mild. He has a rescue inhaler that he has not used recently.
Allergies: peanuts, nuts, cashews
Diagnostic Lab Data: Initial troponin on 5/22 was 472, second was 558; remained elevated through admission (last taken 5/25 - 444) . COVID test 5/22 negative, chest xray negative. Respiratory virus panel results pending. No premature family history of coronary disease or hypercoagulable states. Cardiac cath completed 5/24/21 CONCLUSIONS: No CAD, likely myocarditis. Ao valve crossed but unable to assess LV EDP secondary to significant ectopy. No gradient across the Ao valve. Ecocardiogram completed 5/24/21 * Normal left ventricular size and systolic function, LVEF 70%. Normal diastolic function. * Normal right ventricular size and systolic function. * Normal atrial sizes. * No hemodynamically significant valvular heart disease present. **Patient was discharged home on 5/25/2021; not fully recovered but improved.
CDC Split Type:
Write-up: 27-year-old gentleman with history of mild intermittent asthma, anxiety, presented with complaints of fever of 99.8 ?F on 5/22/2021 associated to fatigue and body aches and then chest pain, generalized with radiation to left arm since afternoon of 5/23/2021, which got worse on 5/24/2021 and he was admitted for further evaluation with initial troponin of 472. Had an NSTEMI; chest tightness, pain in left arm, lightheadedness, dizziness, presyncope. Discharge diagnosis - probable myocarditis; clinical picture most consistent with viral myocarditis.