VAERS ID: 1376892

AGE: 17| SEX: M|STATE: WA (United States)

Description

Patient presented to Urgent Care and then was sent to the ED for evaluation. Found to have pericarditis on EKG. Labs including troponin reassuring. Patient discharged home with referral to Cardiology for outpatient follow up.

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Symptoms

Electrocardiogram, Fibrin D dimer normal, Full blood count normal, Metabolic function test, Pericarditis, Troponin normal

Vaccines

VAX DATE: 05-18-2021| ONSET DATE: 06-01-2021| DAYS TO ONSET: 14
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH IM AR

RECVDATE:06-06-2021
RPT_DATE:
CAGE_YR:17
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:06/02/21; normal CBC, normal BMP, normal (negative) d-dimer, normal (negative) troponin
V_ADMINBY:PVT
OTHER_MEDS:None
CUR_ILL:None
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:06-06-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:None
V_FUNDBY:

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