VAERS ID: 1385235

AGE: 15| SEX: F|STATE: WA (United States)

Description

chest pain thought possibly secondary to pericarditis or myocarditis

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Symptoms

C-reactive protein increased, Chest pain, Troponin increased

Vaccines

VAX DATE: 06-03-2021| ONSET DATE: 06-04-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) Unknown COVID19 PFIZER\BIONTECH Unknown Unknown

RECVDATE:06-09-2021
RPT_DATE:
CAGE_YR:15
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:troponin elevated to 0.78 CRP elevated to 10.4
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:Asthma
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:06-09-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:PCN
V_FUNDBY:

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