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

This is VAERS ID 1470340

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Case Details

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


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