VAERS ID: 1343066

AGE: 16| SEX: M|STATE: IA (United States)

Description

myopericarditis

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

Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Myocarditis, Red blood cell sedimentation rate normal, White blood cell count decreased, Blood glucose normal, Platelet count normal, Haemoglobin normal, C-reactive protein decreased, Troponin, Fibrin D dimer, Serum ferritin normal, Respiratory syncytial virus test negative, Brain natriuretic peptide normal, SARS-CoV-2 test negative, SARS-CoV-2 antibody test positive

Vaccines

VAX DATE: 04-30-2021| ONSET DATE: 05-16-2021| DAYS TO ONSET: 16
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EW0164 IM LA

RECVDATE:05-24-2021
RPT_DATE:
CAGE_YR:16
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:initial troponin 9, follow up troponin 1 =1 , cpk 128 , d dimer 0.19, bnp 25, feritin 35, crp x 2 was <0.4, esr =0, glu 106, ALT 108, AST 45, WBC 4.3 hgb 15.6, plts 217 , Covid 19 AB for spike protein was +, Covid 19 PCR neg. initial resp panel PCR neg. workup ongoing with not collected yet hep B and Hep A antibodies, peds resp panel, CMV and EBV antibody panel. HSV igm and igg antibodies, Parvo B19 Igg and igm and others ordered by peds cardiologists
V_ADMINBY:PVT
OTHER_MEDS:doxycycline, retin A
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:05-24-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:none
V_FUNDBY:

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