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This is VAERS ID 1377873

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1377873
VAERS Form:2
Age:14.0
Sex:Male
Location:Unknown
Vaccinated:2021-06-02
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 AR / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Chest pain, Echocardiogram normal, Myocarditis, Troponin increased, Magnetic resonance imaging heart

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Troponin elevation to 12 upon admission with subsequent downtrending over the course of the next two days Echocardiogram with normal cardiac function Cardiac MRI pending at the time of submission
CDC 'Split Type':

Write-up: After patient''s second dose of Pfizer vaccine, he developed chest pain, consistent with myocarditis. Got his second vaccine on 6/2 and then developed symptoms on 6/3 and 6/4 which prompted ER visit on 6/5. He has been on Ibuprofen ATC.

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