VAERS ID: 1771486

AGE: 15| SEX: M|STATE: NY (United States)

Description

Chest pain 3 days after first dose of COVID-19 vaccine.

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Symptoms

Chest pain, Electrocardiogram ST segment elevation, Troponin T increased

Vaccines

VAX DATE: 10-05-2021| ONSET DATE: 10-08-2021| DAYS TO ONSET: 3
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EW0186 SYR

RECVDATE:10-08-2021
RPT_DATE:
CAGE_YR:15
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:EKG - Diffuse ST elevation Troponin (high sensitivity troponin T) 683
V_ADMINBY:PVT
OTHER_MEDS:none
CUR_ILL:COVID-19 virus PCR (nasal swab) positive
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-08-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:none
V_FUNDBY:

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