VAERS ID: 1386366

AGE: 13| SEX: F|STATE: WA (United States)

Description

Myalgias and low grade fever on first day. Chest pain requiring ER visit on second day. Exam, ECG, lab work, echo consistent with pericarditis

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Symptoms

Brain natriuretic peptide increased, Chest pain, Echocardiogram abnormal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Heart valve incompetence, Myalgia, Pericarditis, Pyrexia, Troponin

Vaccines

VAX DATE: 06-06-2021| ONSET DATE: 06-07-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH IM AR

RECVDATE:06-09-2021
RPT_DATE:
CAGE_YR:13
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Troponin 2.382, BNP 40, ECG with ST elevation consistent with pericarditis, echo with mild TR and MR with echobright pericardium and normal function and no effusion
V_ADMINBY:PVT
OTHER_MEDS:Multivitamin
CUR_ILL:None
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:06-09-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:None
V_FUNDBY:

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