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This is VAERS ID 1484667

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1484667
VAERS Form:2
Age:16.0
Sex:Male
Location:Texas
Vaccinated:2021-06-09
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 UN / IM

Administered by: Public      Purchased by: ??
Symptoms: Electrocardiogram ST segment elevation, Myocarditis, Brain natriuretic peptide increased, Troponin increased, Echocardiogram abnormal, Ejection fraction normal, Systolic dysfunction

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)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Troponins: 24.86 (7/18 13:00), 33.07 (7/18 @ 20:31), 21.34 (7/19 @ 04:35) B-NP: 178 (7/19 @ 05:55) ECHO: systolic dysfunction, LF ejection fraction 56% (7/18 @ 14:22) EKG: ST elevation (7/18 @ 10:25)
CDC 'Split Type':

Write-up: Myocarditis starting 7/18/21. Treated with oral colchicine and IV ketorolac (NSAIDs). Today is day 2 of hospitalization and patient''s troponins are improving.

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