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

This is VAERS ID 1502022

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Case Details

VAERS ID: 1502022 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-07-21
Onset:2021-07-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Myocarditis, Troponin
SMQs:, Cardiomyopathy (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? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aripiprazole, Vyvanse, Clonidine, Lamotrigine
Current Illness:
Preexisting Conditions: ADHD, Bipolar
Allergies:
Diagnostic Lab Data: Troponin 2.96 (7/26), 2.71 (7/25)
CDC Split Type:

Write-up: Myocarditis- on ibuprofen, 2 days post admission


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