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

This is VAERS ID 1361923

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Case Details

VAERS ID: 1361923 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2021-05-26
Onset:2021-05-30
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Echocardiogram normal, Electrocardiogram abnormal, Enterovirus test positive, Human rhinovirus test positive, Pericarditis, Respiratory tract congestion, Troponin increased
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: +rhinovirus by PCR at time of admission, developed rhinorrhea/congestion night of 2nd COVID vaccine (Pfizer)
Preexisting Conditions: asthma- well-controlled
Allergies: PCN- vomiting
Diagnostic Lab Data: EKG: ST elevation; elevated Troponin 5.68; normal ECHO all on 5/30/21
CDC Split Type:

Write-up: pericarditis 5/30/21 Tested + for rhinovirus/enterovirus on PCR Resp Pathogen Panel at time of admission, so unclear if from rhinovirus (more likely)


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