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This is VAERS ID 1392118

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1392118
VAERS Form:2
Age:22.0
Sex:Female
Location:Colorado
Vaccinated:2021-04-15
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8727 / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Cardiac failure congestive, Chest pain, Dyspnoea, Pericardial effusion, Pleural effusion, Pleurisy, Pulmonary oedema, Right ventricular failure, Troponin, Echocardiogram abnormal, Respiratory viral panel, Myocardial necrosis marker increased, COVID-19, SARS-CoV-2 test positive

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 6/3/21: Initial rapid PCR test for COVID-19 (Abbott ID Now) was negative, subsequent PCR Respiratory Panel detected SARS-CoV-2.
CDC 'Split Type':

Write-up: After fully vaccinated, patient vacationed and had a negative test prior to return home (end of May). Early June, patient experienced burning chest pain & difficulty breathing. Found to be COVID positive, with elevated cardiac enzymes (troponin 0.45ng/mL). Echocardiogram showed pleural effusion, pleurisy, acute congestive right ventricular heart failure, possible myocarditis vs. severe pulmonary vascular edema, and scant pericardial effusion. Patient was transferred to hospital for higher level of care. Unknown if cardiac effects are related to vaccination or acute disease process.

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