VAERS ID: 1787968

AGE: 13| SEX: M|STATE: VA (United States)

Description

Previously healthy 13 yo old boy presenting with chest pain and vomiting. Symptoms started Sunday night with myalgias and generalized body aches. Received 2nd COVID19 vaccine on Sun. Post vaccine complained of generalized body aches, malaise, until Tuesday morning, when the patient returned to feeling at baseline. Tuesday night complaints of new onset substernal chest pain. Pain was worse when laying down and when raising hands. Sitting up helped with pain but walking around made pain increasingly achy. EMS was called who performed EKG, which was reportedly read as normal and at that time did not pursue further treatment. The patient only slept about 3 hours and the next morning, experienced multiple episodes of vomiting that worsened pain. The patient was subsequently brought to the ED.

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Symptoms

Myalgia, Vomiting, Insomnia, Pain, Malaise, Chest pain, Myocarditis, Electrocardiogram ST segment elevation, Chest X-ray normal, Intensive care, Immunoglobulin therapy, Troponin increased, Echocardiogram normal, Brain natriuretic peptide increased

Vaccines

VAX DATE: 10-10-2021| ONSET DATE: 10-12-2021| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FF2587 IM

RECVDATE:10-15-2021
RPT_DATE:
CAGE_YR:13
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:3
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:In ED (10/13) Troponin 7.78 and BNP 99 EKG: diffuse ST segment concerning for pericarditis ECHO normal ventricular function Chest X-ray: unremarkable. On 10/13 the patient was admitted to the local medical center for NSAID therapy and serial troponin evaluation. On 10/14 the patient was transferred to the ICU after a follow-up troponin, approximately 8 hrs after initial, resulted at 22. Cardiology was contacted and the on-call cardiologist recommended transfer to the ICU for IVIG therapy and repeat EKG. 10/14: Repeat EKG showed normal sinus rhythm with ST elevation in inferior leads. Troponin level has begun to downtrend (see below) s/p IVIG. BNP was elevated slightly at 118. Troponin: 10/13[08:57]=7.78, [17:30]=21.72,10/14 [04:30]=14.3, 10/14 [13:24]=9.22, 10/14 [22:49]=7.74, 10/15 [6:25]=4.44 Originally for Pericarditis, but then was diagnosed with myopericarditis due to persistently elevated troponin level
V_ADMINBY:PVT
OTHER_MEDS:none
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-15-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:Cats, dogs, penicillin, soy
V_FUNDBY:

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