VAERS ID: 1372116

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

Description

She presented with symptoms of palpitations and was diagnosed with myocarditis. She was hospitalized 5/27-5/28/21 and discharged in stable condition.

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Symptoms

Magnetic resonance imaging abnormal, Myocarditis, Palpitations, Troponin increased, Viral test negative

Vaccines

VAX DATE: 04-18-2021| ONSET DATE: 05-27-2021| DAYS TO ONSET: 39
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH Unknown Unknown

RECVDATE:06-03-2021
RPT_DATE:
CAGE_YR:18
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:2
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:Elevated troponin of 2.81 on 5/28/21 Cardiac MRI confirmed diagnosis of myocarditis Viral panel was negative
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:06-03-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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