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From the 10/15/2021 release of VAERS data:

This is VAERS ID 993137



Case Details

VAERS ID: 993137 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-01-29
Onset:2021-02-01
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042L20A / 2 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Chest X-ray normal, Chest pain, Dyspepsia, Dyspnoea, Electrocardiogram ST segment elevation, Full blood count normal, Lipase normal, Metabolic function test normal, Myocarditis, Troponin increased
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: N/A
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: Initial EKG not c/w STEMI, but there are STE in II and aVF w/ no reciprocal changes. TWI in aVR, V1, and V2. Normal intervals. Repeat EKG 10 minutes later w/o changes. CBC, CMP, lipase NAD. Trop ~6. CXR NAD. Bedside echo NAD. EKG not c/w STEMI and pt is currently CP free, pt has no RF for ACS--I doubt ACS/AMI. No tearing CP, neuro sx, or other historical/exam features to suggest aortic dissection. PERC neg, low concern for PE. Pt''s high trop and EKG findings could represent myocarditis.
CDC Split Type:

Write-up: pt presents with mid epigastric chest burning x1 hour after breakfast, 21 yo M w/ no known chronic medical conditions, presents w/ 2 hours MEG/central chest burning. Initial a/w mild SOB and LH; by time of my eval, LH/SOB had resolved and CP was 4/10. Pts sx completely resolved w/ GI cocktail. No exertional sx. No recent infectious sx. VS w/o acute abn. Well-appearing, NAD. Normal CV exam; no edema. LCTAB. PT transferred for troponemia.


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