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From the 11/26/2021 release of VAERS data:

Found 253 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'

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Case Details

This is page 7 out of 26

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VAERS ID: 1505485 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Arizona  
Vaccinated:2021-07-23
Onset:2021-07-25
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Chest discomfort, Chest pain, Diarrhoea, Dizziness, Dyspnoea, Echocardiogram normal, Electrocardiogram ST segment elevation, Fibrin D dimer normal, Full blood count normal, Glomerular filtration rate normal, Hyperhidrosis, Injection site pain, Intensive care, Malaise, Red blood cell sedimentation rate increased, Troponin increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Doxycycline (chronic, for acne) Ibuprofen 600 mg taken X 2 for pain on presentation
Current Illness: None
Preexisting Conditions: Asthma (mild, PRN medications only, no admits or ER visits) Acne
Allergies: None.
Diagnostic Lab Data: Initial troponin (day 2): 0.01; Repeat troponin (day 3): 0.61; Repeat troponin after admission, ibuprofen (day 4): 0.29 CBC normal. ESR 13. D-dimer < 150. AST/ALT normal. GFR normal. EKG: ST-elevation in leads I, II, V5 ECHO: normal
CDC Split Type:

Write-up: Developed shortness of breath with chest tightness 2 days after vaccination, accompanied by injection site pain, loose stools, and malaise. Chest tightness progressed over 1 day to become chest pain with diaphoresis, dizziness, and continued dyspnea. Patient evaluated twice at Pediatric ED; 1st time (2 days after vaccination): EKG and troponin were normal, discharged home on ibuprofen. 2nd time (3 days after vaccination): elevated troponin and ST-elevation on EKG; admitted to Pediatric ICU.


VAERS ID: 1505850 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-07-09
Onset:2021-07-15
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Chest pain, Dyspnoea, Ear pruritus, Electrocardiogram normal, Feeling abnormal, Laboratory test, Malaise, Urine analysis, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Buspar, Zoloft, Medroxyprogesterone, Polyethylene glycol, Hydrocortisone, Prazosin.
Current Illness: No.
Preexisting Conditions: Depression, Anxiety
Allergies: Latex.
Diagnostic Lab Data: Lab work, Urinalysis, EKG(normal results)
CDC Split Type: vsafe

Write-up: I don''t know if any of his adverse events are related I wanted the CDC to be aware. He started feeling uneasy, unwell, vomiting, itchy ears (both), upper chest pain, upper back pain and difficulty breathing. We went to the ER at 17:00 - 22:00 on 7/18 was discharged couldn''t figure out what was happening was given medication for migraine, Benadryl, Loratadine.


VAERS ID: 1510195 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-24
Onset:2021-07-27
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Echocardiogram, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (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? 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: Troponin elevated $g300
CDC Split Type:

Write-up: Chest pain, Troponin Elevated suggestive of myocarditis, hospitalized, ECHO Cardiography was done.


VAERS ID: 1510244 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: New York  
Vaccinated:2021-07-09
Onset:2021-07-19
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood culture negative, Blood lactate dehydrogenase increased, Brain natriuretic peptide, C-reactive protein increased, Chest X-ray normal, Conjunctivitis, Echocardiogram normal, Electrocardiogram normal, Fibrin D dimer increased, Lip erythema, Procalcitonin normal, Pyrexia, Rash, Red blood cell sedimentation rate increased, SARS-CoV-2 antibody test negative, Serum ferritin increased, Transaminases increased, Troponin, Urticaria, White blood cell count decreased
SMQs:, Liver related investigations, signs and symptoms (narrow), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: 7/23 (day of presentation) COVID anti-nucleocapsid antibody test negative Blood culture negative Labs remarkable for mild transaminitis (AST/ALT 70/45), CRP 11.17, ESR 80, WBC 2.6, Ferritin 571, D-dimer 539, LDH 775; BNP, troponin, procalcitonin within normal limits. Extensive work-up completed including further labs and imaging. Echo, EKG, chest x ray all normal.
CDC Split Type:

Write-up: Concern for a possible post-vaccine MIS-C-like inflammatory reaction Symptoms at presentation included intermittent fever and hives-like rash x 5 days, conjunctivitis x 1 day, and lip erythema x 1 day.


VAERS ID: 1510685 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-07-22
Onset:2021-07-27
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Electrocardiogram abnormal, Myocarditis, Sinus tachycardia, Troponin normal, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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: none
Diagnostic Lab Data: ECG sinus tachycardia 120 bpm. Troponin negative. WBC 16.4. 7/28/2021
CDC Split Type:

Write-up: Presented to ER with tachycardia, chest pain. Evaluation most c/w a myocarditis.


VAERS ID: 1511852 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-07-27
Onset:2021-07-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Myocarditis, Tachycardia, Troponin increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Strattera
Current Illness:
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tachycardia in the 170s, chest pressure, elevated troponin. Diagnosed with myocarditis.


VAERS ID: 1512395 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Arkansas  
Vaccinated:2021-07-27
Onset:2021-07-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 RA / IM
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. T025370 / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U6920AB / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C5757AA / 6 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Fall, Postictal state, Seizure, Unresponsive to stimuli, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type: AR2148

Write-up: Mom states she found her son around 9 PM in the bathroom vomiting. She stated she moved him to the couch and he continued to vomit. She stated he fell off the couch and he was seizing. She called 911, when they arrived he was no longer seizing. When her arrived at the hospital, it was documented he was postictal and would not respond to painful stimuli. The hospital kept him overnight and are discharging him home today. He has fully recovered.


VAERS ID: 1513156 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-23
Onset:2021-07-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Bartonella test, Brain natriuretic peptide increased, C-reactive protein increased, Chest pain, Cytomegalovirus test, Echocardiogram abnormal, Ejection fraction normal, Enterovirus test, Epstein-Barr virus antibody negative, Epstein-Barr virus antibody positive, Epstein-Barr virus test, Herpes virus test, Immunoglobulin therapy, Left ventricular dysfunction, Myocarditis, Nausea, Pain, Pain in extremity, Red blood cell sedimentation rate increased, Respiratory viral panel, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Troponin increased, Vomiting
SMQs:, Cardiac failure (broad), Acute pancreatitis (broad), Myocardial infarction (narrow), Retroperitoneal fibrosis (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 (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Learning disability
Allergies: None
Diagnostic Lab Data: Initial Echo demonstrated mild LV systolic dysfunction (EF 57%). Cardiac markers were trended, with a max troponin of 896 on 7/26, BNP of 453 7/26, ESR of 69 7/29, and CRP of 51.33 7/26. Troponin, BNP, and CRP downtrended throughout admission with final values on 7/29 of 181, 267, and 6.6, respectively. Follow up ECHO was performed on 7/29 and was normal. 7/26 RVP, EBV panel, Enterovirus PCR (NP), COVID IgG returned normal except +EBV IgG (IgM negative), and Bartonella, CMV PCR, and HHV6 PCR pending on day of discharge.
CDC Split Type:

Write-up: Myocarditis Presented to ED with 2 days of chest pain, back pain, and nausea and vomiting 1 day after receiving Pfizer vaccine. Patient initially had back pain starting the night of 7/24, sudden onset. The next day she began to complain of stabbing chest pain that radiated into her left arm. Outside ED found elevated troponin of 2.93 and transferred to the hospital. Patient was COVID negative on admission and remained afebrile throughout her hospital stay. Patient was given IVIG on 7/27 which was well-tolerated, did not require steroid treatment. Cardiac markers downtrended over course of admission and was discharged 7/29 after normal Echo with Cardiology follow up.


VAERS ID: 1515399 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-07-26
Onset:2021-07-28
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest pain, Echocardiogram normal, Ejection fraction normal, Electrocardiogram abnormal, Myocarditis, Troponin increased
SMQs:, Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), 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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: sulfa drugs
Diagnostic Lab Data:
CDC Split Type:

Write-up: Presented with left-sided chest pain 2 days after second dose of vaccine. Remained afebrile. Elevated troponin levels and EKG suggest myopericarditis. Echo showed normal ejection fraction. Received Toradol and aspirin at outside hospital, and then received ibuprofen at ED. He is now stable and under close cardiac monitoring.


VAERS ID: 1515428 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-07-18
Onset:2021-07-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Confusional state, Electrocardiogram normal, Fatigue, Headache, Hyponatraemia, Leukopenia, Ocular hyperaemia, Platelet count decreased, Pyrexia, Rash, SARS-CoV-2 test negative, Thrombocytopenia
SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (narrow), Glaucoma (broad), Chronic kidney disease (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Blood work(3 times a day due to platelets dropping), EKG(results normal),Covid Test (results negative)
CDC Split Type: vsafe

Write-up: He didn''t have irritation or redness at the injection site. The next morning at 7:45 am feeling really tired had headache he had a fever of 100. He went to bed his fever worsened that evening (on 7/19 100.4,5:25 PM ET,100.8, 8:30 PM ET ). At that point he was given cold compress to lower the temperature. On 7/20 at 3:23 PM temperature was 101 and 7:43 PM 103.1. We spoke with his pediatrician was advised to get him a 97.2 degree bath.His temperature went from 102.8 to 100.9.Then on 7/21 he became coherent in a state of confusion I gave him some Advil. Before we got to the hospital his temperature continued to elevate 103.8. At the hospital around 6:45 pm his temperature read 103.1 when we arrived they gave him Tylenol admitted him right away he was given IV fluids,pulse rate 189, platelets (150 to 112) was dropping and Tylenol was given every 4 hrs. On 7/23 8:24 AM still in the hospital rash started appearing all over his body and white of his eyes (both) developed red veins headache worsened was seen by a Infectious disease doctor. He was discharged on 7/24 diagnosis of Thrombocytopenia, Leukopenia and Acute hyponatremia.


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