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This is VAERS ID 1381854

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1381854
VAERS Form:2
Age:38.0
Sex:Male
Location:New York
Vaccinated:2021-04-05
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 2 AR / IM

Administered by: Public      Purchased by: ??
Symptoms: C-reactive protein increased, Catheterisation cardiac normal, Chest pain, Dyspnoea, Dyspnoea exertional, Electrocardiogram abnormal, Electrocardiogram ST segment elevation, Myocarditis, Ventricular tachycardia, Red blood cell sedimentation rate increased, Ejection fraction decreased, Cardiac imaging procedure abnormal, Troponin increased, Echocardiogram abnormal, SARS-CoV-2 antibody test

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: ESR -42 6/8/21 CRP 82 6/8/21 Troponin 2.23 6/8/21 Covid Spike Protein Domain Antibody $g250 6/7/21 Echo: 1. Normal global left ventricular systolic function. 2. Left ventricular ejection fraction, by visual estimation, is 55 to 60%. 3. Trivial pericardial effusion.
CDC 'Split Type':

Write-up: Chest pain, SOB, DOE Pt presented to hospital - transferred to university hospital - underwent LHC which was clean - Troponin rose to 2.23 - ESR, CRP elevated - active chest pain, EKG w/ diffuse ST elevation - myopericarditis - Cardiac MRI - colchicine/ibuprophen - developed NSVT, required beta blockade

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