VAERS ID: 1793655

AGE: 12| SEX: F|STATE: IA (United States)

Description

Patient had common side effects on post-vaccination day 1 (body aches, fatigue, HA) which resolved within 24hr however patient then developed stabbing mid-sternal chest pain on the morning of 10/11 (3 days post-vaccination). Initial troponin level was 2.18 as well as CKMB at 19.6. Troponin peaked at 7.84 (roughly 24hr after symptom onset - 10/12@0400) then began declining that evening (10/12@1600). Chest pain was mild, intermittent and completely resolved within 12 hours of arrival after NSAID initiated.

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Symptoms

Headache, Pain, Chest pain, Blood creatine phosphokinase increased, Fatigue, Electrocardiogram normal, Troponin increased, Echocardiogram normal, Blood creatine phosphokinase MB

Vaccines

VAX DATE: 10-08-2021| ONSET DATE: 10-11-2021| DAYS TO ONSET: 3
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FF8841 IM

RECVDATE:10-16-2021
RPT_DATE:
CAGE_YR:12
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:2
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:Troponin: 2.18 -- >7.01 -- > 7.84 -- > 3.52 -- > 3.42 CKMB: 19.6, total CK 189 (normal) EKG: no abnormal rhythms noted ECHO: normal structure and function
V_ADMINBY:PHM
OTHER_MEDS:levocarnitine
CUR_ILL:asymptomatic COVID19 infection - tested positive 9/1/2021
HISTORY:MCAD deficiency
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-16-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:none
V_FUNDBY:

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