VAERS ID: 1356079

AGE: 18| SEX: F|STATE: WA (United States)

Description

Presenting symptom palpitations. Elevated troponin, diagnosed with myocarditis

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Symptoms

Myocarditis, Palpitations, Troponin increased

Vaccines

VAX DATE: 04-18-2021| ONSET DATE: 04-18-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) Unknown COVID19 PFIZER\BIONTECH Unknown Unknown

RECVDATE:05-27-2021
RPT_DATE:
CAGE_YR:18
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Elevated troponin 1.0
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:05-27-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:Kiwi, Amoxicillin
V_FUNDBY:

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