National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1493763

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1493763
VAERS Form:2
Age:15.0
Sex:Male
Location:Montana
Vaccinated:2021-07-15
Onset:2021-07-17
Submitted:0000-00-00
Entered:2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 2 - / IM

Administered by: Public      Purchased by: ??
Symptoms: C-reactive protein increased, Chest pain, Fatigue, Myocarditis, Palpitations, Pericardial effusion, Left ventricular dysfunction, Ejection fraction decreased, Cardiac imaging procedure abnormal, Troponin increased, Right ventricular dysfunction, Echocardiogram abnormal, Immediate post-injection reaction, Immunoglobulin therapy, Right ventricular ejection fraction decreased

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)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Melatonin
Current Illness: None
Preexisting Conditions: Autism Spectrum Disorder
Allergies: Amoxicillin
Diagnostic Lab Data: 7/17 Troponin 20,987 at 1450 and CRP 79.4. 7/17 Troponin 28,338 at 2336. 7/18 Troponin 23376, CRP 53. 7/19 Troponin 19,463, CRP 29. 7/20 Troponin 4,658, CRP 16.6. 7/21 Troponin 2,076, CRP 9.3. 7/17 Echo - LVEF 40-50%, with LV+RV mildly depressed systolic function + diastolic function. 7/19 Echo- LVEF 50%, low-normal function, slightly improved. 7/19 Cardiac MRI - Mildly decreased global LV systolic function (EF 47%), decreased RV systolic function (EF 37%), small pericardial effusion. 7/21 Echo normal.
CDC 'Split Type':

Write-up: Chest pain and palpitations, fatigue immediately post vaccine and chest pain starting 43 hours later. Admitted at 48 hours with troponin 20,000 and decreased biventricular function on echo (RVEF 37%) consistent with myocarditis. Symptomatic improvement post IVIG treatment. Hospital stay 4 days without arrhythmia or other events. Treated with IVIG alone.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1493763&WAYBACKHISTORY=ON


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