VAERS ID: 1789105

AGE: 16| SEX: M|STATE: FR (Unknown)

Description

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Rash, Hypotension, Headache, Vomiting, Pain, Conjunctivitis, Myocarditis, Hyponatraemia, Musculoskeletal stiffness, Angina pectoris, Cheilitis, Full blood count, Echocardiogram, Sinus tachycardia, White blood cell count, Electrocardiogram, Liver function test, Odynophagia, Lymphopenia, Heart rate, Scan brain, Haemoglobin, Troponin, Troponin increased, Fibrin D dimer, C-reactive protein, Neurological examination, Brain natriuretic peptide increased, Angiogram, Platelet count, Serum ferritin, General physical health deterioration, Blood urea, Blood electrolytes, Meningeal disorder, Renal function test, Coronary artery dilatation, Brain natriuretic peptide, Blood sodium, Blood fibrinogen, Blood creatine, N-terminal prohormone brain natriuretic peptide increased, Procalcitonin, Specialist consultation, Pulmonary physical examination, N-terminal prohormone brain natriuretic peptide, SARS-CoV-2 test, Magnetic resonance imaging heart, Troponin decreased, Mean arterial pressure, Multisystem inflammatory syndrome in children

Vaccines

VAX DATE: 09-03-2021| ONSET DATE: 09-09-2021| DAYS TO ONSET: 6
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FE7051 OT LA

RECVDATE:10-15-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:12
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-15-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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