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

This is VAERS ID 1421556



Case Details

VAERS ID: 1421556 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood culture negative, Chest pain, Culture throat negative, Cytomegalovirus test, Echocardiogram normal, Electrocardiogram abnormal, Enterovirus test, Epstein-Barr virus test, Troponin increased, Urine analysis normal
SMQs:, Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: see above
CDC Split Type:

Write-up: Chest pain 2 days after 2nd dose of vaccine, elevated Troponin 10.2 which continues to downtrend, now down to 1.29 (during hospital day 2). EKG on admission with borderline ST abnormality in lead V1, subsequent EKGs were NSR. Echo showed normal function. EBC, CMV, Enterovirus PCR sent (pending). Blood, Urine, Throat Culture negative to date. Chest pain treated with Ibuprofen. She received no other treatments.


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