VAERS ID: 1782688

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

Description

Presented with acute chest pain, awakening him from sleep, elevated troponin, cardiac arrhythmia. CMRI confirms myocarditis. Treated with lidocaine for ventricular arrhythmia, IVIG given, noted to have HTN discharged home on lisinopril. Troponin I peak 14.3, last level 9/8 0.83.

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Symptoms

Chest pain, Electrocardiogram abnormal, Myocarditis, Hypertension, Sleep disorder, Arrhythmia, Ventricular extrasystoles, Sinus bradycardia, Ventricular arrhythmia, C-reactive protein increased, Troponin I increased, Immunoglobulin therapy, Cardiac telemetry abnormal, Ejection fraction, Imaging procedure, Cardiac imaging procedure, Right ventricular ejection fraction decreased, Accelerated idioventricular rhythm

Vaccines

VAX DATE: 08-30-2021| ONSET DATE: 09-03-2021| DAYS TO ONSET: 4
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0217 IM LA

RECVDATE:10-13-2021
RPT_DATE:
CAGE_YR:15
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:6
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:Troponin I elevated peak 14.3 last level 0.83 8/3-9/8), CRP elevated last level 28.5 9/5, cardiac MRI 9/8/2021: 1.Normal biventricular size and systolic function. LV EF 56% and RV EF 54% with good internal agreement in cardiac output. 2. LV septum measures at upper limits of normal at 12 mm (normal adult wall thickness < 13 mm). 3. Evidence of active myocarditis by original Lake Louise criteria, including positive findings on T2WI, T1WI, and late gadolinium enhancement. 4. No evidence of other nonischemic cardiomyopathy or cardiac infiltrative process. Serial EKGs and telemetry reveal sinus bradycardia accelerated idioventricular rhythm, polymorphic ventricular ectopy, ventricular runs.
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:BMI 35
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-13-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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