National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1470340

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470340
VAERS Form:2
Age:15.0
Sex:Male
Location:Texas
Vaccinated:2021-07-05
Onset:2021-07-11
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     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

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1470340&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166