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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1463774



Case Details

VAERS ID: 1463774 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-01
Onset:2021-07-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 035C21A / 2 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Blood creatinine normal, C-reactive protein increased, Chest X-ray normal, Chest discomfort, Electrocardiogram repolarisation abnormality, Full blood count, Haematocrit normal, Haemoglobin normal, International normalised ratio normal, Metabolic function test, Palpitations, Platelet count normal, Prothrombin time normal, Troponin normal, White blood cell count normal
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (narrow), Conduction defects (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Wolff-Parkinson-White syndrome s/p cardiac ablation in 2014.
Allergies: None
Diagnostic Lab Data: 7/2/2021: ECG showing normal sinus rhythm with probable benign early repolarization pattern. Chest x-ray read "no discernible active lung lesion." CBC - wbc 6.5K, Hgb 12.3 g/dL, Hct 38%, platelet 341K. CRP 0.22 mg/dL. CMP - creatinine 1.04 mg/dL, all else within normal limits. PT, INR, aPTT within normal limits. Troponin-T <0.003 ng/mL. Covid-19 PCR negative.
CDC Split Type:

Write-up: Acute onset of heart palpitations and chest discomfort around 0100 the day after receiving second Moderna Covid-19 vaccine. She presented initially to the Health Clinic and was transferred to Hospital emergency department with negative workup (see below). She was treated with 1L normal saline and 30mg of ketorolac in the ED with subsequent resolution of symptoms, and discharged home without recurrence of symptoms.


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