VAERS ID: 1413859

AGE: 12| SEX: F|STATE: CO

Description

Seen in office 6/16/21 - Complaints of Shortness of breath, cough, nasal congestion X5 days. Received COVID #2 on 6/11/21. Got fever + chills w/in 24 hours of vaccine. Treated w/ Duoneb + prednisone, QVAR + albuterol at home. Seen in ED 6/16/21 -abnormal EKG; Murmur; Labs ordered; Albuterol + Atrovent nebs, chest xray; Home w/ Albuterol, prednisone

Symptoms

Brain natriuretic peptide normal, Chills, Cough, Dyspnoea, Electrocardiogram abnormal, Nasal congestion, Pyrexia, Troponin increased

Vaccines

VAX DATE: 06-11-2021| ONSET DATE: 06-12-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0196 IM LA

RECVDATE:06-18-2021
RPT_DATE:06-18-2021
CAGE_YR:12
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:Y
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:EKG-abnormal; Triponin level elevated 0.078 ng/ml + BNP ProBrain Natriuretic Peptide 32pg/mL
V_ADMINBY:OTH
OTHER_MEDS:Uses Albuterol + Qvar as needed
CUR_ILL:None
HISTORY:Asthma, Environmental Allergies, Eczema, Prematurity -33 weeks
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:1
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:OTH

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