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This is VAERS ID 1490272

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1490272
VAERS Form:2
Age:13.0
Sex:Male
Location:Texas
Vaccinated:2021-07-16
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chest discomfort, Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation, Myocarditis, Pain, Troponin increased, Inflammation

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)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: 1 week of cough, congestion, loss of smell/taste about 2-3 weeks prior to presentation to hospital with chest pain after vaccine.
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: EKG: NSR, diffuse ST elevation Echo: normal biventricular function Troponins: highest ~ 15, down-trending by day two of admission.
CDC 'Split Type':

Write-up: Presented with pressure-like chest pain, elevated troponins and diffuse ST elevations on EKG consistent with perimyocarditis. Troponins continue to up-trend during first day of admission (highest ~15). Started on scheduled ibuprofen for pain and inflammation. Pain resolved by day 2 of admission and troponins were down-trending. Echo with normal biventricular function. Discharged home on ibuprofen PRN and cardiology follow-up.

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