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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 2069198 |
VAERS Form: | 2 |
Age: | 16.0 |
Sex: | Female |
Location: | California |
Vaccinated: | 2022-01-21 |
Onset: | 2022-01-24 |
Submitted: | 0000-00-00 |
Entered: | 2022-01-27 |
Vaccination / Manufacturer (2 vaccines) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | FK9896 / 3 | LA / IM |
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
Administered by: Private Purchased by: ??
Symptoms: Chest discomfort, Chest pain, Electrocardiogram QRS complex abnormal, Electrocardiogram T wave amplitude decreased, Pain, Sinus arrhythmia, Sinus bradycardia, Electrocardiogram T wave abnormal, Troponin increased
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1
Extended hospital stay? No
Previous Vaccinations:
Other Medications: None reported
Current Illness: None reported
Preexisting Conditions: Past medical history of sickle cell trait
Allergies: Cetirizine: unknown reaction (in outside hospital record, denied by family), Cefdinir: rash/blotchy skin
Diagnostic Lab Data: EKG (1/24/22): t wave abnormalities Troponin of 86 (1/24/22) Troponin of <6 (1/25/22) EKG (1/25/22): Sinus bradycardia with sinus arrhythmia, normal Rwave progression with low voltage QRS and Twaves noted with flat lateral/inferior Twaves. Abnormal QRS and Twaves for low amplitudes noted.
CDC 'Split Type':
Write-up: Patient reported chest tightness and dull pain in center of chest that varied in intensity that occurred 3 days after receiving the COVID Pfizer booster vaccine. On 1/24/22, patient thought it was related to heartburn; however, symptoms did not improve with Pepcid. She was seen at urgent care the same day where an EKG was performed and found to have twave abnormalities. She was then transferred to Hospital and given a "GI cocktail" for reflux symptoms with no improvement. She was found to have an elevated troponin of 86 at this time. Patient was initiated on ibuprofen and transferred to larger hospital on evening of 1/24/22. Troponin levels were <6 on 1/25/22. The patient''s symptoms were relieved by Ibuprofen 400 mg.
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