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This is VAERS ID 1437376

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437376
VAERS Form:2
Age:19.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-06-25
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Blood creatine phosphokinase MB increased, Chest discomfort, Chest pain, Chest X-ray normal, Echocardiogram, Electrocardiogram abnormal, Fatigue, Myocarditis, Nausea, Pain, Pain in extremity, Palpitations, Sensory disturbance, Sinus arrhythmia, Sinus bradycardia, Sleep disorder, Vomiting, Ventricular hypokinesia, Ejection fraction decreased, Troponin increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Buspar
Current Illness: Anxiety and depression
Preexisting Conditions:
Allergies: Amoxicillin, Cephalexin
Diagnostic Lab Data: 6/29 - EKG showed sinus bradycardia with rate of 53 and sinus arrhythmia. Chest x-ray was clear. Troponin elevated at 10.7. Cardiology was consulted in the ED and ordered a TTE which showed decrease LVEF of 40%, mild left ventricular global hypokinesis, which is suggestive of myocarditis. Troponin was trended and continued to rise up to 19.5. CK-MB and CK were both elevated.
CDC 'Split Type':

Write-up: Patient is a 19 y.o. male with PMH significant for anxiety and ADHD who presents with chest pain and palpitations. He was woken up this morning by chest pain described as sharp, midsternal, 7/10, radiating down right arm, with no exacerbating or alleviating factors. He also reports chest pressure. During episode of chest pain he felt his heart was beating fast. He felt nauseous and vomited once. He received his 2nd Pfizer COVID vaccine 4 days ago. He states that he felt fatigue and aching for a day following the vaccine.

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