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This is VAERS ID 1378059

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1378059
VAERS Form:2
Age:16.0
Sex:Male
Location:California
Vaccinated:2021-06-02
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Chest pain, Echocardiogram normal, Electrocardiogram normal, Fibrin D dimer increased, Full blood count normal, Hyperhidrosis, Pain, Vomiting, Drug screen negative, Brain natriuretic peptide increased, Hospitalisation, Troponin increased, Angiogram, Metabolic function test, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: asthma and obesity
Allergies: none
Diagnostic Lab Data: 6/5- EKG showed normal sinus rhythm. elevated troponin and d-dimer. CR and CTA of chest normal. UDS negative. Rapid Covid negative. CBC and CMP WNL. Elevated BNP 6/6- Echo normal. EKG normal sinus rhythm, still had elevated troponin, last troponin level was 426 before discharge
CDC 'Split Type':

Write-up: two days of recurrent sudden, severe, crushing right sided chest pain lasting 10 min to 3 hrs that occurred 2 days after second dose of covid vaccine. pain radiation to back presented to ED, found to have elevated troponin and d-dimer. also endorsed emesis and diaphoresis. Denies sob. discharged two days after hospitalization.

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