VAERS ID: 1765513

AGE: 16| SEX: M|STATE: UT (United States)

Description

He presented with excessive fatigue, fevers, emesis, and chest pain. He received his second COVID-19 vaccination on 9/29, 3 days prior to ED presentation on 10/1. Per patient, he went to work the same day after receiving his second COVID vaccination. While at work, he became lightheaded and had to leave early. He went home and went to bed. He woke up in the middle of the night and vomited then went back to sleep for the rest of the night. The following day (9/30) he reports excessive fatigue and says he slept all day (~12-13 hours). Per mom, he was also very hot to the touch throughout the day. He then woke up on 10/1 with "really bad" left anterior, non-radiating chest pain in addition to his persistent dizziness, 3-4 episodes of emesis, and not being able to keep anything down - which prompted mom to bring him to the ED. He was transferred and admitted to a local hospital for myocarditis with a troponin of 27.33 and diffuse ST elevation with PR depression on EKG. A complete infectious disease workup was negative for other viral or bacterial causes of myocarditis. He received IVIG on 10/3. He also got tylenol and motrin and one dose of aspirin. His troponin down trended after receiving IVIG and his symptoms resolved. He was discharged on 10/6 with cardiology follow up outpatient.

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Symptoms

Dizziness, Pyrexia, Vomiting, Alanine aminotransferase increased, Aspartate aminotransferase increased, Chest pain, Myocarditis, Sleep disorder, Electrocardiogram ST segment elevation, Fatigue, Hypersomnia, Impaired work ability, Metabolic function test, Skin warm, Viral test negative, White blood cell count increased, Platelet count normal, Immunoglobulin therapy, HIV antibody negative, Cytomegalovirus test positive, Haemoglobin normal, Epstein-Barr virus antibody positive, Culture stool, Blood culture negative, Troponin increased, Epstein-Barr virus antibody negative, Varicella virus test negative, Full blood count abnormal, Bacterial test negative, Culture throat, Cytomegalovirus test negative, Human herpes virus 6 serology negative, Parvovirus B19 test negative, Adenovirus test, Enterovirus test negative, Respiratory viral panel, HIV antigen negative, Electrocardiogram PR segment depression, SARS-CoV-2 antibody test, SARS-CoV-2 antibody test positive

Vaccines

VAX DATE: 09-29-2021| ONSET DATE: 09-29-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH 30145BA IM LA

RECVDATE:10-06-2021
RPT_DATE:
CAGE_YR:16
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:6
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:(10/3) COVID-19 IgG by ELISA (Spike Ab) - Positive (10/3) Covid-19 IgG, Qualitative by CIA (Nucleocaspid Ab) - Negative (10/1) Blood culture - No growth (10/3) Enterovirus PCR - Negative (10/3) Enterovirus Stool culture- Pending (10/3) Enterovirus Throat culture - Pending (10/1) Adenovirus, Qualitative PCR - Negative (10/1) HHV 6 PCR - Pending (10/1) Parvovirus B19 Ab (IgG and IgM) - Negative (10/1) EBV Ab Panel - IgG Positive, IgM negative (10/1) CMV IgG screen - Positive, (10/1) CMV IgM screen - Negative (10/3) Varicella Zoster IgM - Negative (10/3) Varicella Zoster IgG - Negative (10/3) Varicella Zoster serology - Negative (10/3) HIV Ag/Ab combo 1/2 screen - Negative (10/1) VRP - Negative (10/1) Troponin 27.33 (10/6) Troponin 1.19 (10/1) CBC with WBC 17.6, Hg 15.4, Platelets 361 (10/1) CMP with AST/ALT 134/39
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:ADHD, exercise induced asthma, delayed puberty
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-06-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:Onions (tongue swelling)
V_FUNDBY:

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