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

This is VAERS ID 1467125

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Case Details

VAERS ID: 1467125 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Male  
Location: Michigan  
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

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:
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.

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