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This is VAERS ID 1498157

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/30/2021

VAERS ID: 1498157
VAERS Form:2
Age:16.0
Sex:Male
Location:Florida
Vaccinated:2021-07-19
Onset:2021-07-20
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: Chest pain, Echocardiogram normal, Electrocardiogram abnormal, Myocarditis, Pericarditis, Cardiac telemetry, Troponin increased, Ejection fraction normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     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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