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From the 1/7/2022 release of VAERS data:

This is VAERS ID 1498157

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Case Details

VAERS ID: 1498157 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-07-19
Onset:2021-07-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac telemetry, Chest pain, Echocardiogram normal, Ejection fraction normal, Electrocardiogram abnormal, Myocarditis, Pericarditis, Troponin increased
SMQs:, Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Chronic kidney disease (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: 16 year old previously healthy male presented with chest pain consistent with cardiac chest pain that developed 24 hours after the initial vaccination. On presentation, EKG with findings consistent with myocarditis vs pericarditis. Troponin peak was approximately 5.2 on 7/22 and subsequently downtrended. Echocardiogram obtained which showed normal EF, no pericardial effusion, and no wall motion abnormalities. He was observed on cardiac telemetry with serial EKGs and troponins and was cleared for discharge by cardiology and infectious disease. Symptoms were treated conservatively--NSAIDs PRN. He is currently in the recovery phase from the myocarditis and will follow outpatient with cardiology.


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