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This is VAERS ID 1420308

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1420308
VAERS Form:2
Age:16.0
Sex:Male
Location:Florida
Vaccinated:2021-06-17
Onset:2021-06-20
Submitted:0000-00-00
Entered:2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH AW0168 / 2 - / IM

Administered by: Unknown      Purchased by: ??
Symptoms: C-reactive protein increased, Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation, Malaise, Pyrexia, Troponin increased, Magnetic resonance imaging heart

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Troponin 1.01 on presentation, 24 hours later increased to 5.560 and today. CRP 1.55 ECHO- Normal Awaiting Cardiac MRI
CDC 'Split Type':

Write-up: The day of vaccination general malaise and low grade fever which resolved with Motrin. Four days after woke up with chest pain. Presented to ER where he was found to have elavated troponin 1.01. EKG showed Normal sinus rhythm, with ST elevation.

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