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

This is VAERS ID 1351950

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Case Details

VAERS ID: 1351950 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Louisiana  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arrhythmia, Blood bilirubin increased, Blood creatine phosphokinase increased, Chest pain, Chills, Differential white blood cell count, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Electrocardiogram normal, Full blood count abnormal, Headache, Hyperhidrosis, Immunoglobulin therapy, Intensive care, Magnetic resonance imaging, Metabolic function test, Myocarditis, Nausea, Respiratory viral panel, Troponin
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (narrow), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Arrhythmia related investigations, signs and symptoms (broad), Biliary system related investigations, signs and symptoms (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: hives after taking penicillin 1x as a toddler; no other known
Diagnostic Lab Data: 10/23/21 - EKG & labwork - . EKG normal; Troponin @ .03; no inflammatory markers run. 05/25/21: Clinic: C-Reactive Protien, 5.3 mg/dl (H); CBC w/ Differential - multiple results abnormal; CPK, 1050 ph (HH); EKG - normal sinus rhythym, diffuse ST elevation; Troponin level - 14 05/25/21: Hospital: Troponin level - 16; CPK, 711; Comprehensive Metabolic Panel - elevated bilirubin; Respiratory panel - no virus detected; Echocardiogram showed no apparent problems with heart function. Ped. Cardiologist ordered additional tests and IVIg infusion, which was started at approximately 3 a.m. 05/26/21: Hospital: troponin - 13.85; ECG - 5:44 a.m. Sinus rhythm with marked arrhythmia, rightward axis; ST elevation; possible lateral injury or acute infarct - abnormal. Compared to 10:26 ECG on 5/25, Rt axis deviation now present, ST(T Wave) deviation now present; myocardial infarct finding now present; troponin (2) @ 12.71; CPK @ 228; troponin (3) @ 10.80 (noon draw). (MRI conducted - results not provided yet). * addition tests to be conducted as he is still in the hospital.
CDC Split Type:

Write-up: chest pain, nausea, sweating w/ alternate chills, and headaches onset at approximately 10-11 a.m. Sunday, 5/23/21. Because he was reporting for work to a camp, he reported to the camp nurse. After conferring with parents, he reported to Hospital for testing. EKG there was normal; minimal labwork performed - Troponin test requested by parent came back at 0.03. Advil taken earlier had resolved pain at that time, but pain was persistent the following day. Parent retrieved patient, and he reported to his pediatrician at the PCP Clinic and more labwork was performed at approximately 10 a.m. Troponin level had increased to 14, with other inflammatory markers elevated and abnormal EKG result. Pediatrician consulted with pediatric cardiologists, and parents were advised to proceed to the ER. Mother arrived with Hospital at approximately 5:30 p.m. Troponin results from 6:45 elevated to 16. Ped. Cardiologist performed echo-cardiogram, which showed no abnormal heart functioning. Ped. Cardiolgist diagnosed myocarditis and prescribed 15-hour IVIg infusion. As of Wednesday, 5/26, at noon, troponin level had decreased to 10.8 and other inflammatory markers were improving. Patient is currently still hospitalized in the ICU Step Down Unit at Hospital.

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