Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pulmonary function test, Troponin, Troponin I increased, Ultrasound scan
Clinical narrative: The troponin levels reached 17; myocarditis; chest pain; exercise-induced asthma; couldn't walk; he couldn't do any exercise without a cardiology evaluation/ had to drop out of school because he could not walk without chest pain; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the parent.  A 14-year-old male patient received BNT162b2 (BNT162B2), on 28May2021 as dose 1, single (Lot number: EW0168) at the age of 14 years, in left arm and on 18Jun2021 as dose 2, single (Lot number: EW0167) for covid-19 immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: TROPONIN I INCREASED (hospitalization) with onset 2021, outcome "unknown", described as "The troponin levels reached 17"; CHEST PAIN (hospitalization) with onset 2021, outcome "recovering"; GAIT DISTURBANCE (non-serious) with onset 2021, outcome "not recovered", described as "couldn't walk"; ASTHMA EXERCISE INDUCED (non-serious) with onset 2021, outcome "unknown", described as "exercise-induced asthma"; LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (non-serious) with onset 2021, outcome "not recovered", described as "he couldn't do any exercise without a cardiology evaluation/ had to drop out of school because he could not walk without chest pain"; MYOCARDITIS (hospitalization, medically significant) with onset 2021, outcome "recovering". The patient was hospitalized for myocarditis, chest pain (start date: 22Jun2021, discharge date: 26Jun2021, hospitalization duration: 4 day(s)). The events "myocarditis", "chest pain", "the troponin levels reached 17" and "couldn't walk" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Blood test: (22Jun2021) Troponin was 17, notes: blood draw every four hours on 22-26Jun2021and his Troponin level started to go down; (23Jun2021) Troponin level started to go down, notes: Troponin level started to go down; (24Jun2021) Troponin level started to go down, notes: Troponin level started to go down; (25Jun2021) Troponin level started to go down, notes: Troponin level started to go down; (26Jun2021) Troponin level started to go down, notes: Troponin level started to go down; (09Jul2021) Normal; (17Aug2021) Normal; (18Aug2021) Normal; (20Aug2021) Normal; (15Nov2021) within normal range; (03Dec2021) Normal; Cardiac stress test: (06Dec2021) Abnormal; Chest X-ray: (22Jun2021) Normal; (03Dec2021) Normal; Echocardiogram: (22Jun2021) Normal; (20Aug2021) Normal; Electrocardiogram: (unspecified date) issue showed up, notes: issue showed up; (22Jun2021) Normal; (20Aug2021) Normal; (15Nov2021) within normal range; (03Dec2021) Normal; Magnetic resonance imaging heart: (unspecified date) looking very good; Pulmonary function test: (unspecified date) issue showed up, notes: issue showed up; (06Dec2021) Abnormal, notes: Pulmonary issues; Troponin: (unspecified date) 17; Ultrasound scan: (unspecified date) Unknown Results; X-ray: (unspecified date) Unknown Results. Therapeutic measures were taken as a result of myocarditis, chest pain, troponin i increased, asthma exercise induced, gait disturbance. Clinical course: Caller stated that her son is 15. Stated that he got the Pfizer vaccine on May2021 and the second dose on 18Jun2021. Stated that he had myocarditis reaction/chest and was hospitalized. Stated that he had to be rushed to pediatric cardiac ICU. Stated that since then up until now that he cannot walk without chest pain. Stated that he had all medical testing, cardiac MRI, cardiac EKG, two different stress tests, multiple echo tests like the sonagram test. Stated that he had to drop out of school because he could not walk without chest pain and had to do online school. He has myocarditis and exercise-induced asthma. Stated that he had a blood draw on 22Jun2021 and his Troponin was 17. Stated that he had a blood draw every four hours on 22-26Jun2021and his Troponin level started to go down. Stated that on 22Jun2021  that his EKG was normal. Stated that on 22Jun2021  that he had a cardiac echo that was normal. Stated that on 22Jun2021 that he had a chest X-ray that was normal. Stated that he had blood draws, EKG and echos all throughout his ICU stay. No further details provided. Stated that on 09Jul2021 that he had a blood draw that was normal. Stated that on 20Aug that he had a blood draw, echo and EKG that were normal. Stated that on 17-18Aug he had blood draws that were normal. Stated that on 15Nov2021 that he had an EKG and blood draw that were within normal range. Stated that on 03Dec2021 that he had an EKG, chest X-ray and blood work that were normal. Stated that on 06Dec2021 that he had a cardiac stress test that came back abnormal for cardiac as well as pulmonary issues. Stated that he had MRI appointments, a second stress test, pulmonary and cardiac visits that she does not have dates.  No follow-up attempts are possible. No further information is expected.  Follow-Up (24May2022): Follow-up attempts are completed. No further information is expected.