VAERS ID: 1813985

AGE: 17| SEX: M|STATE: KS (United States)

Description

Patient developed chest pain on 10/18 with fever, headache, sore throat, nausea and fatigue noted 3 days prior to the chest pain. Upon presentation to the ER he was found to have non-specific T wave changes, elevated troponin, and elevated CRP. He was diagnosed with myocarditis. Ultimately, his hemodynamic status remained stable throughout his hospital stay. He was supported symptomatically and did not require any cardiovascular support. He was discharged home with close cardiology follow-up.

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Symptoms

Pyrexia, Headache, Nausea, Chest pain, Myocarditis, Fatigue, Oropharyngeal pain, C-reactive protein increased, Echocardiogram abnormal, Electrocardiogram T wave abnormal, Troponin increased, Ejection fraction decreased, Left ventricular dilatation, Magnetic resonance imaging heart

Vaccines

VAX DATE: 09-24-2021| ONSET DATE: 10-18-2021| DAYS TO ONSET: 24
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FC3184 SYR

RECVDATE:10-24-2021
RPT_DATE:
CAGE_YR:17
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:4
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:10/20 ECHO showed EF 50% with mild LV dilation. 10/21 ECHO showed EF 50% 10/21 Cardiac MRI demonstrated normal biventricular function/size. Small patchy area of possible mid myocardial enhancement in lateral left ventricular wall.
V_ADMINBY:PVT
OTHER_MEDS:isotretinoin
CUR_ILL:none
HISTORY:Exercise induced asthma
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-24-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:none
V_FUNDBY:

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