VAERS ID: 2331068

AGE: 42| SEX: M|STATE: (United States)

Description

14 Sept 21: One day following initial vaccination: pleuritic chest pain, palpitations, body/joint aches 4 Oct 21: Headaches, fatigue, shortness of breath, joint pain, rt eye weakness, tingling sensation on head/groin area, testicle/abdomen discomfort. 27 Dec 21: Chest pain/tightness 25 Feb 22: Continued chest pain, reduced endurance 16 Mar 22: Continued chest pain, reduced endurance

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Symptoms

Arthralgia, Headache, Dyspnoea, Pain, Paraesthesia, Palpitations, Ophthalmoplegia, Ventricular extrasystoles, Fatigue, Echocardiogram, Chest discomfort, Red blood cell sedimentation rate normal, Exercise electrocardiogram, Electrocardiogram, Laboratory test normal, Abdominal discomfort, Low density lipoprotein increased, Pleuritic pain, Epstein-Barr virus test negative, Electrocardiogram ambulatory abnormal, Cytomegalovirus test negative, DNA antibody negative, Human herpes virus 6 serology negative, Parvovirus B19 test negative, Immune complex assay, Coxsackie virus test negative, Arteriogram coronary normal, Cardiac imaging procedure normal, Testis discomfort

Vaccines

VAX DATE: 09-10-2021| ONSET DATE: 09-14-2021| DAYS TO ONSET: 4
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FF2587 IM RA

RECVDATE:06-24-2022
RPT_DATE:
CAGE_YR:42
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:Cardiology workup #1 (November 2021) :normal labs (exception elevated LDL 130, ESR 9 (March 2022), EKG, Holter monitor with PVC burden of 1%, adequate/normal Treadmill stress test, Echo ( % EF, no wall motion abnormalities), normal coronary CT angiography Cardiology workup #2 (February 2022): normal labs, EKG, Treadmill stress test, Echo (no wall motion abnormalities), normal coronary CT angiography June 2022: Parvovirus/EBV/CMV/HHV6, coxsackie/antiDNA, C1q - negative, June 2022: Cardiac MRI: No perfusion defect at LV myocardium, on cine imagines, there is no regional wall motion abnormality at LV myocardium, normal LV systolic function with LV enlargement. On delayed phase, there is focal subtle subepicardial LGE at segment 7,8,12 of LV myocardium. Recc clinical correlation.
V_ADMINBY:MIL
OTHER_MEDS:None
CUR_ILL:None, last vaccine over 6 months prior
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:06-24-2022
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:None
V_FUNDBY:

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