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VAERS ID: 1808614

AGE: 16| SEX: F|State: MI

Description

6am 10/16- shivering, 103 degree temperature, nausea, headache. 10/17- vomiting, extreme chest pain, shortness of breath, high heart rate, 104.8 temperature. Taken to a local hospital. Diagnosed with post covid 19 vaccination myocarditis with decreased cardiac function and elevated troponin which peaked at 573. Hospitalization inpatient cardiology floor at the hospital 10/18-10/10/21. Discharged with troponin levels at 170 and follow up echo and cardiology 10/28/21

Symptoms

Blood magnesium, Chest X-ray, Echocardiogram, Myocarditis, Respiratory viral panel, Body temperature increased, Chest pain, Electrocardiogram, Nausea, SARS-CoV-2 test, Brain natriuretic peptide, Chills, Full blood count, Red blood cell morphology, Troponin increased, C-reactive protein, Differential white blood cell count, Headache, Red blood cell sedimentation rate, Vomiting, Cardiac dysfunction, Dyspnoea, Heart rate increased, Renal function test

Vaccines

VAX DATE: 14 October 2021 | ONSET DATE: 16 October 2021 | DAYS TO ONSET: 2
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 2
  • IM

RECVDATE:21 October 2021
CAGE_YR:16
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:4
X_STAY:
DISABLE:
RECOVD:U
LAB_DATA:High sensitivity troponin every 6-12 hours 10/18-10/21 Echocardiogram 10/18, 10/20 Ekg 10-18 Chest x-ray 10-18 CBC with differential 10/18, 10/21 Renal function panel 10/21 Magnesium 10/21 Red blood cell morphology 10/21 Westergren sedimentation rate 10/18 Respiratory virus panel 10/18 Covid-19 test 10/18 C-reactive protein 10/18 Brain natriuretic peptide 10/18
V_ADMINBY:PVT
OTHER_MEDS:Singular, Allegra
CUR_ILL:None
HISTORY:Asthma, allergies, eczema
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:21 October 2021
BIRTH_DEFECT:
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:cats, dogs, trees, grass, allergy to cold temperature
V_FUNDBY:
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