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This is VAERS ID 1431483

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1431483
VAERS Form:2
Age:31.0
Sex:Female
Location:Texas
Vaccinated:2021-06-03
Onset:2021-06-21
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 1 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Acute myocardial infarction, Catheterisation cardiac, Chest discomfort, Chest pain, Echocardiogram normal, Electrocardiogram abnormal, Myocarditis, Nausea, Palpitations, Sinus bradycardia, Sleep disorder, Vomiting, Troponin I increased, Laboratory test, SARS-CoV-2 test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Acetaminophen - as needed
Current Illness:
Preexisting Conditions: No significant past medical history
Allergies: No known medication/food allergies
Diagnostic Lab Data: See above documentation of laboratory results - cardiac enzymes (troponin) elevated; ECHO and cardiac catheterization normal.
CDC 'Split Type':

Write-up: Received 2 doses of COVID19 (Moderna) vaccine - 1st dose: 5/6/2021; 2nd dose: 6/3/2021. Presented to hospital Emergency Dept on 6/22 with complaint of substernal non-radiating chest pain of 1 day duration. Patient reported she was asleep when chest pain began and severity wok her up. Reports the pain "pressure-like" in quality. Associated symptoms include nausea, vomiting, and palpitations. Laboratory tests were performed, including the following: Troponin-I - 6/22/21 09:05 = 1.05; 6/22/21 10:11 = 3.00; 6/22/21 14:09 = 8.00; 6/24/21 12:17 = 8.10; 6/25 06:39 = 7.90 (note: elevated) Coronavirus NAA - 6/22/21 12:15 = not detected Diagnostics tests performed during hospitalization: EKG - 6/22/21 08:59 = sinus bradycardia Echocardiogram - 6/22 11:23 = normal left ventricular systolic dysfunction, LVEF 55-60%; valves normal Pt underwent cardiac catheterization for NSTEMI. No lesions noted. Right coronary artery small and normal; left coronary artery dominant and normal. Pt diagnosed with myocarditis and discharged on 6/25 (3 day hospitalization) with MYOCARDITIS and NSTEMI.

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