Received Apr 21, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | N/A | U8252AA | IM / LA |
| TYP | TYPHOID VI POLYSACCHARIDE (TYPHIM VI) | SANOFI PASTEUR | N/A | V2A511M | IM / RA |
Patient woke up 08/17/24 morning with chest pain/tightness, vaccines given day prior. Pain varied in presentation, sometimes dull, sometimes stabbing, sometimes radiating down the left arm. On avg rated as 4/10, at its worst a 7-8/10. Patient also w nausea, fatigue, and shortness of breath described as 'constant'. Patient stated evening of 08/18 into 08/19 was most painful. Tried prn Omeprazole but did not provide relief. Patient endorsed that while this pain was different, he did have similar scenarios after prior Covid vaccines. Patient did a virtual consult with NP on 08/20 who advised the patient be urgently assessed for possible cardiac events (i.e. arrythmia, PE, post-vaccine myo/peri-carditis). Patient then presented to Cardiac Evaluation unit of area health system for urgent same-day assessment (workup results listed in #19) and treated for suspected pericarditis. Patient prescribed colchicine 0.6 mg daily with option to increase to BID. Also prescribed ibuprofen 600mg TID, to titrate down as tolerated. Patient returned to Cardiology for follow-up on 09/25/24, was able to titrate ibuprofen down to 600mg daily (from TID). Patient did endorse self-discontinuing colchicine after around ten days so was no longer taking at time of follow-up. At time of follow-up Cardiology deemed pericarditis resolved and patient to complete taper off ibuprofen. Advised PPI for worsening reflux likely secondary to ibuprofen use. Advised patient consider colchicine for another 3 months to reduce chance of recurrence. This RN met patient on date of report creation, 04/21/2026, for vaccination. While screening patient to ensure safety for live vaccine administration patient recalled above scenario when asked about prior vaccine reactions. This RN did discover note from virtual NP consult on 08/20/24 that had advised urgent assessment by Cardiology. As this RN is aware of APP/Physician knowledge gaps when it comes to reportable criteria, this RN felt need to submit patient case to VAERS due to 'novelty' of pericarditis following non-covid vaccinations (many apologies for its delay).
Denied
GERD
Omeprazole 20mg as needed
No known allergies
08/20/24 w NP: INTERCHEST/MARBURG scores negative 08/20/24 w Rapid Cardiac Unit: EKG sinus brady, Troponin/CBC/lipids/inflammatory markers unremarkable, TTE WNL
Patient endorsed somewhat similar experience after prior Covid vaccines, Covid #1, Pfizer, 03/31/21 at 25yrs, LOT # ER2613; Covi