VAERS ID: 1578316

AGE: 14| SEX: M|STATE: MN (United States)

Description

First Pfizer COVID 19 given IM 6/3/21 ,second dose 6/28/21 lot no EW0168. Patient reports that he was well until 08/01/2021. He presented to the Emergency Room on 08/03/2021 with concerns of chest pain, shortness of breath, which had been ongoing for the last 2 days. He initially started with a history of diarrhea, abdominal pain, and low-grade fever. Both he and his brother had the same symptoms at the same time On 08/01/2021, he had gone swimming in the lake at that time and thought it was due to exertion, but he developed chest pain and shortness of breath and his heart beating fast(palpable tachycardia). Over the next 24 hours, his diarrhea resolved and his fever discontinued, but he continued to have chest pain intermittently throughout the day and shortness of breath. He went to Hospital on 08/03/2021 and they transferred him, as they noted that he had an elevated troponin at 30 and EKG changes with ST-segment elevation and depression. He was actually feeling much better. He had no headache, no history of seizures, no dizziness, no fainting, and a little lightheadedness. Occasionally his pain would extend to the jaw, but no radiation to the back. The upper abdominal pain he had was in the epigastrium. His appetite has now come back to normal. He is able to drink, able to keep fluids down, and his chest pain has almost resolved in the last 36 hours. He also has no diarrhea, and does not have any joint pains. No skin rash. Initially, he felt the heart rate going fast, but now he does not feel any tachycardia. He has had no chills. Admitted 8/3/21 -8/7/21

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Dizziness, Pyrexia, Dyspnoea, Pain, Tachycardia, Diarrhoea, Red blood cell sedimentation rate increased, Aspartate aminotransferase increased, Chest pain, Electrocardiogram ST segment depression, Electrocardiogram ST segment elevation, White blood cell count normal, Decreased appetite, Chest X-ray normal, Abdominal pain upper, Haemoglobin decreased, Pain in jaw, Heart rate increased, C-reactive protein increased, Alanine aminotransferase normal, Blood albumin normal, Blood sodium normal, Troponin increased, Neutrophil percentage, Lymphocyte percentage decreased, Epstein-Barr virus test negative, Immunology test normal, Monocyte percentage increased, Serum ferritin increased, Cytomegalovirus test negative, Blood magnesium increased, Human herpes virus 6 serology negative, Parvovirus B19 test negative, Brain natriuretic peptide normal, Adenovirus test, Enterovirus test negative, Mycoplasma test positive, Procalcitonin, Respiratory viral panel, SARS-CoV-2 test negative, SARS-CoV-2 antibody test negative

Vaccines

VAX DATE: 06-28-2021| ONSET DATE: 08-01-2021| DAYS TO ONSET: 34
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0168 IM RA

RECVDATE:08-17-2021
RPT_DATE:
CAGE_YR:14
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:4
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:his troponin was 4.6, and 0.48 on discharge BNP was 84. Sedimentation rate was 14. WBC was 5400, hemoglobin 15.6, monocytes 12%, 19% lymphocytes, neutrophils 69%, and ferritin 218. Mycoplasma antibody was positive for IgG and IgM, IFA negative. Adenovirus PCR- Plasma Result- ADVPP 8/3/2021 22:44 CDT Negative & CMV DNA Detection PCR, Blood CMV DNA Detection P... 8/3/2021 22:44 CDT Undetected IU/mL & Enterovirus PCR- Plasma Negative Epstein Barr Virus by ... 8/3/2021 Undetected IU/mL & Parvovirus B19 PCR- Plasma 8/3/2021 Negative & HHV6 negative PCR SARS-CoV-2 IgG antibody was negative 8/4/2`1. Epstein-Barr virus undetected. RV panel negative. COVID PCR negative. Chest x-ray with no focal consolidation, normal cardiothymic shadow. Sodium was 139, procalcitonin 0.16, CRP 11.05, magnesium 1.9, albumin 4.1, ALT 31, and AST 111. SARS COV 2 spike ab semi Quant (Clinic) >250U/ml 8/5/21
V_ADMINBY:PVT
OTHER_MEDS:none
CUR_ILL:Ill with anosmia ,chills and low grade fever, malaise in December 2020 4 members in family ill in December Dad tested positive for Coronavirus PCR ,others not tested
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:08-17-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:None
V_FUNDBY:

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.