VAERS ID: 2098655

AGE: 17| SEX: M|STATE: CT

Description

Myocarditis, Pericarditis

Symptoms

Echocardiogram, Myocardial necrosis marker, Myocarditis, Pericarditis

Vaccines

VAX DATE: 02-05-2022| ONSET DATE: 02-06-2022| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH Unknown Unknown

RECVDATE:02-09-2022
RPT_DATE:
CAGE_YR:17
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:serial cardiac enzymes, Echocardiogram 2/9
V_ADMINBY:
OTHER_MEDS:Culturelle, Cod liver oil, pepcid
CUR_ILL:none
HISTORY:Austism spectrum disorder, GERD, asthma
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:02-09-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:no known allergies
V_FUNDBY:

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OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.