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From the 10/8/2021 release of VAERS data:

Found 232 cases where Age is under-19 and Vaccine is COVID19 and Manufacturer is PFIZER/BIONTECH and Patient Did Not Die and Hospitalized and Vaccination Date from '2021-07-01' to '2021-07-31'



Case Details

This is page 3 out of 24

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VAERS ID: 1464677 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH WAG3859 / 2 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Blood calcium normal, Blood magnesium normal, Blood phosphorus normal, Chest pain, Chills, Dyspnoea, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram repolarisation abnormality, Full blood count abnormal, Influenza like illness, Intensive care, Leukocytosis, Metabolic function test normal, Myocarditis, Nausea, Oropharyngeal pain, Pain in extremity, Pyrexia, Troponin increased, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (narrow), Conduction defects (narrow), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Whey Protein
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: PT is a 17 y/o previously healthy boy who presented with 3 days of moderate-severe, substernal chest pain, dyspnea, and nausea 2 days after receiving the 2nd dose of the Pfizer COVID-19 vaccine found to have elevated troponins at 3.36 and ST elevation, probably early repolarization on EKG consistent with perimyocarditis. 7/11 Cardiac ECHO showed "Normal biventricular systolic function. No pericardial effusion." He was initially admitted to the PICU. His initial CBC showed a mild leukocytosis with normal BMP, Ca, Mg, and Phos. Troponins were trended q8h and were downtrending (1.59 <- 2.91 <- 3.36) at the time of discharge. - He remained asymptomatic and hemodynamically stable throughout his entire admission and his physical exam at the time of discharge was significant for "Regular rate and rhythm; normal S1/S2. No murmurs, rubs, or gallops. Capillary refill <2 seconds. 2+ Radial pulses. No tibial edema present."
CDC Split Type:

Write-up: PT is a 17 y/o previously healthy boy who presents with 3 days of moderate-severe, substernal chest pain, dyspnea, and nausea 2 days after receiving the 2nd dose of the Pfizer COVID-19 vaccine. On Tuesday (7/6), PT received the second Pfizer COVID-19 vaccine. The following day (Wednesday 7/7) PT had "flu-like symptoms" with chills, subjective fever, and a sore arm that resolved by Thursday (7/8). He was back to his baseline state of health on Thursday (7/8) and felt fine that whole day. On Friday afternoon (7/9) when he was at work washing dishes where he had some physical exertion he began to notice at 16:30-17:00 that he developed substernal, sharp, 7/10 chest pain that did not radiate, improve/worsen with deep breaths, sitting up, laying down or with movement of his upper extremities. It worsened towards the end of the night and peaked at 8/10 by 22:00-23:00 that same evening. His sister picked him up from work per his regular routine and he went home and took a shower which improved the pain to a 5-6/10 when he went to sleep. He woke up at 3 AM on Saturday (7/10) AM and had one episode of NBNB emesis associated with the chest pain. When he woke up later that morning he felt improved until 10-12 AM he developed mild chest pain again which he took Tums for. He also tried Motrin which did not help his pain at all. On the morning of admission (7/11), he woke up at 6-7 AM with upper right back pain, dyspnea, and nausea along with the persistent chest pain which prompted him to present to MFSH. He does endorse mild sore throat but denies any fevers, recent sick contacts, known COVID-19 exposure or previous history of COVID-19. There is a family history of cardiac disease including a fatal MI in his father. His mother''s family also has a history of heart disease and both sides have a history of high cholesterol. He did add Whey Protein recently to his diet to for muscle building, but he DENIES any drug, alcohol, tobacco, vaping, marijuana, THC use. He does not play any sports regularly. He also denies any recent bug/tick bites or rashes.


VAERS ID: 1465574 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-12
Onset:2021-07-12
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Anxiety, Dyspnoea, Heart rate increased, Hypoaesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: At 2:25pm patient c/o SOB, increasing heart rate, hard to breathe, numbness all over body, and high level anxiety. Nurse took his blood pressure and tried to help patient stabilize his breathing in brown bag. Requested EMS immediately and patient was transported to hospital. HR: 170 BP: 150/100 Resp: 26


VAERS ID: 1466584 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-07-08
Onset:2021-07-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Chest discomfort, Chest pain, Electrocardiogram normal, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: Booster MRI-August 2019 he exp lightheadedness, passed out due to needle not vaccine.
Other Medications: Prozac 20 mg
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: EKG(results normal)
CDC Split Type: vsafe

Write-up: On Friday he stayed in bed all day with body aches, joints pains, fever 102. Then on Saturday he got up out of bed with complaints of chest discomfort (felt as if someone had punched him in the chest). On Sunday around 12:30 am he was still exp chest pain he was taken to Hospital. He got EKG around 1:45 am by that time he wasn''t exp chest pains. Since early Sunday morning he hasn''t had any chest pains starting to gradually feel better. On Monday he was able to do he normal routine.


VAERS ID: 1466592 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-07-08
Onset:2021-07-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0817 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aspartate aminotransferase increased, Blood cholesterol increased, Blood triglycerides normal, Brain natriuretic peptide increased, Chest discomfort, Chest pain, Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Glycosylated haemoglobin, High density lipoprotein normal, Intensive care, Malaise, Non-high-density lipoprotein cholesterol, Rash, SARS-CoV-2 antibody test positive, Troponin increased, Urticaria, Vomiting
SMQs:, Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Lipodystrophy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Desmopressin intranasal prn for bleeds Epi Pen prn allergic reaction Allegra 180mg once daily Luvox 200mg (2 x 100mg tabs) at bedtime daily Ibuprofen prn pains/headaches Minocycline 100mg Q12H (for acne) Singulair 10mg at bedtime
Current Illness: nothing in past 30 days In past 60 days however, mom and stepdad in household had COVID (2nd infection - they did not get tested but on-call physician felt fit all symptoms of delta variant type infection so to self-treat at home). Patient was exposed but not known whether he may have had it or not. Did have cold like symptoms and was quarantined in case, but not officially tested.
Preexisting Conditions: Morbid Obesity Von Willebrand Disease Mixed OCD Anxiety
Allergies: Fish Perfume Shellfish Penicillins Sulfa Antibiotics
Diagnostic Lab Data: Troponins being trended. Initial 1708 on 7/10 @2020, highest = 2166 7/11 @0300. Trended down after except for a bump again on 7/13 @0559 = 1399 from lowest of 947 on 7/12 @1400. 7/10 BNP = 309, 7/11 = 558 7/11 AST - 142 7/11 Cholesterol Panel: Total = 117, Triglycerides = 114, HDL = 35, LDL = 59, Non HDL = 82 A1C 7/11 = 5.4 ECHO and various EKG''s performed throughout stay. SARS COV-2 Antibody - POSITIVE on 7/11
CDC Split Type:

Write-up: Patient is currently admitted to the ICU since 7/10/21 with potential post-vaccination myocarditis with associated troponin elevation and EKG changes. Initial symptoms included chest pain (pressure type), shortness of breath, vomiting, and generally not feeling well. Rash was noted by mom on his abdomen that became full body hives and welts (this has now improved). Cardiology is consulted in addition to primary intensivist team. He has been improving from a clinical stability standpoint, is hemodynamically stable now, but is still currently admitted and being monitored.


VAERS ID: 1466636 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-10
Onset:2021-07-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Myocarditis
SMQs:, 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chest pain-- suspected myocarditis


VAERS ID: 1467125 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-07-08
Onset:2021-07-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0202 / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, C-reactive protein increased, Chest X-ray normal, Chest pain, Culture urine, Echocardiogram normal, Electrocardiogram ST segment elevation, Full blood count, Lipase, Metabolic function test, Myocarditis, Troponin increased, Ultrasound abdomen normal, Urine analysis, Vaccination complication
SMQs:, Acute pancreatitis (broad), Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PEDI NUTRITION,IRON,LACT-FREE (PEDIASURE ORAL)
Current Illness: None.
Preexisting Conditions: Joubert Syndrome, congenital nystagmus, developmental delay.
Allergies: No known allergies.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient presented to the ED with 10/10 chest pain. Two days prior, he''d gotten his second COVID-19 pfizer vaccine. He denied any fever, congestion, cough, vomiting, diarrhea, or other signs of infection recently; no sick contacts. On arrival to the ED, he had normal vital signs, but physical exam was notable for sternal/epigastric pain. Laboratory evaluation, including CBC, CMP, CRP, urinalysis, urine culture, high sensitivity troponins, and lipase were obtained and notable for HS troponin of 303 pg/mL with a 2 hour repeat of 291 pg/mL. CRP was 3.5 mg/dL. His EKG had diffuse ST elevations. CXR was obtained with no evidence of cardiac border or consolidation. RUQ ultrasound showed no evidence of cholecystitis or other abnormality. Patient was admitted for presumed COVID-19 vaccine-induced myopericarditis. Echocardiogram showed normal biventricular function and no pericardial infusion. He was treated with IV toradol, with resolution of chest pain. HS troponins reached the 400s, with downtrend to the 300s prior to discharge. He was discharged on PO ibuprofen with follow-up cardiac MRI and labs.


VAERS ID: 1470340 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-05
Onset:2021-07-11
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Condition aggravated, Echocardiogram normal, Electrocardiogram normal, Intensive care, Troponin increased
SMQs:, Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), 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? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: None
Preexisting Conditions: Psoriac Arthritis
Allergies: Shellfish
Diagnostic Lab Data: Echo negative EKG negative Troponins elevated: 7/12 @ 1029 - 1.59 7/12 @ 1359 - 2.73 7/12 @ 1743 - 3.12 7/12 @ 2201 - 2.39 7/13 @ 0156 - 2.07 7/13 @ 0556 - 2.61 7/13 @ 2027 - 2.21 7/14 @ 0820 - 2.36
CDC Split Type:

Write-up: Chest pain started 7/11 in evening and worsened by morning of 7/12, patient went to ED was admitted to Pediatric ICU, chest pain treated with tylenol, resolved on its own Discharged to follow up with cardiologist in 2 weeks


VAERS ID: 1470490 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-09
Onset:2021-07-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Troponin increased
SMQs:, Myocardial infarction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: JIA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: chest pain and elevated troponin


VAERS ID: 1471280 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-10
Onset:2021-07-12
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 1 RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Blood chloride normal, Blood glucose normal, Blood potassium normal, Blood sodium decreased, Blood urea normal, C-reactive protein increased, Carbon dioxide increased, Chest discomfort, Chest pain, Eosinophil percentage, Full blood count, Haematocrit normal, Haemoglobin normal, Lymphocyte percentage increased, Malaise, Mean cell volume normal, Monocyte percentage increased, Myocarditis, Nausea, Neutrophil percentage decreased, Platelet count normal, Troponin increased, Vomiting, White blood cell count normal
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Haematopoietic leukopenia (broad), Myocardial infarction (narrow), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Autism Spectrum disorder and Speech delay
Allergies: nka
Diagnostic Lab Data: 07/13/21 2313 NA 135 K 3.5 CO2 30 CL 97* BUN 11 CR 0.46 RBS 106 CBC Recent Labs 07/13/21 1554 WBC 5.8 HGB 14.8 HCT 41.2 PLT 273 MCV 81 NEUT 46 LYMPH 41 MONO 11 EOS 1 Cardiac Recent Labs 07/14/21 1130 07/14/21 0543 07/13/21 2313 TROP 8.20* 7.57* 11.05* Results as of 7/14/2021 17:40 7/13/2021 15:54 CRP, SER QL: 1.0 (H) 7/13/2021 23:13 CRP, SER QL: 0.9 7/14/2021 11:30 CRP, SER QL: 0.6
CDC Split Type:

Write-up: 12 Y 4 M old male with a history of chest pain that started two days ago on Monday. On 7/11 night, he didn''t feel well felt nauseous. He was able to sleep but had chest pain the following morning that improved after he vomited. The chest pain is midsternal and feels pressure-like. It lasted a few hours. He swam on 7/12 without problems (at a swim club) for an hour. He had his second dose of COVID-19 vaccine on Saturday 7/10/21. There has not been any fevers. Elevated troponin and CRP with recent COVID-19 vaccine, suspicious for post-vaccine myocarditis. He is hemodynamically stable with normal vitals and no evidence of ventricular ectopy or depressed left ventricular function. His troponin peaked at 11.05 and trended down, but his most recent value is slightly up at 8.2 from 7.6. Recommended continuing to trend the troponins for now (if they show a downward trend then twice daily is adequate, unless he develops chest pain). At this time, IVIG is held unless he becomes unstable or the troponins trend upward .


VAERS ID: 1471824 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-07-08
Onset:2021-07-15
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW 0151 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Adverse event following immunisation, Chest pain, Dyspnoea, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Epipen
Current Illness: None
Preexisting Conditions: None
Allergies: Peanuts
Diagnostic Lab Data: Observation. Treated with Acetaminophen 500mg QD PRN and Ketoprofen 2.5% Topical gel BD PRN
CDC Split Type:

Write-up: Youth developed sensation of shortness of breath and chest pain. He was admitted to a local hospital for observation overnight and diagnosed with musculo-skeletal pain post vaccination. No other diagnoses or abnormal findings.


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