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This is VAERS ID 1420689

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1420689
VAERS Form:2
Age:13.0
Sex:Male
Location:Florida
Vaccinated:2021-06-18
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 EW0185 / 2 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Myocarditis, Cardiac imaging procedure abnormal, Troponin increased, Immunoglobulin therapy

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? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Elevated troponin Cardiac MRI positive for myocarditis
CDC 'Split Type':

Write-up: Chest pain with elevated troponin. Patient treated with corticosteroids and IVIG.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1420689&WAYBACKHISTORY=ON


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