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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1394348



Case Details

VAERS ID: 1394348 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Virginia  
Vaccinated:2021-05-17
Onset:2021-06-03
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone normal, C-reactive protein increased, Cardiomegaly, Chest discomfort, Chest pain, Computerised tomogram thorax abnormal, Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram abnormal, Fibrin D dimer, Full blood count, Haematocrit normal, Haemoglobin normal, Neck pain, Painful respiration, Pericardial effusion, Platelet count normal, Red blood cell sedimentation rate increased, Sinus tachycardia, Thyroxine normal, Troponin normal, White blood cell count increased
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Asthma
Allergies: Sulfa, Amoxicillin
Diagnostic Lab Data: Medical Tests: 6/9/2021 Troponin ? normal; ESR ? 43(H); CRP 63.6 (H); d-dimer 930 (H); CBC ? WBC 12.2, Hgb 14.2, Hct 42.6, Plts 352; TSH and T4 normal 6/9/2021 EKG - sinus tachycardia 6/9/2021 Chest CT ? Impression: 1. No evidence of pulmonary embolus. 2. No acute infiltrate. 3. Minimal cardiomegaly with small pericardial effusion 6/10/2021 Cardiac Echo ? Impression: Normal global left ventricular size, wall thickness, systolic function with no obvious regional wall motion abnormalities. Left ventricular ejection fraction is estimated at 60 %. Normal diastolic function. No significant valvular abnormalities Small circumferential pericardial effusion.
CDC Split Type:

Write-up: Woke up with chest pains when breathing, overall tightness with sharp pain in the right pectoral as well as neck pain. Waited a week and then went to an urgent care for symptoms and they sent me to ED. After evaluation I was admitted for more testing and started on treatment. Discharged on 6/10 taking ibuprofen and colchicine with outpatient follow-up on 6/17/2021.


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