welcome to another video for those of you who don't know me my name is doctor mike hansen
and in this video i'm going to be talking about a 13 year old boy in michigan who died
three days after getting the pfizer vaccine the cause of death is being investigated by the cdc
and according to the patients on on twitter the preliminary autopsy report showed that he
had fluid around his heart so what caused his death before i tell you my thoughts on that it
first helps to understand what the background on what myocarditis is it's inflammation of the
heart muscle and pericarditis is inflammation of the pericardial sac that's where the heart sits
in there sometimes pericarditis can cause fluid to build up within the sac but around the heart
muscle and this is called a pericardial effusion the first reports of myocarditis after covid 19
mrna vaccines that involved u.s military patients and patients from israel the israeli
cohort identified a male predominance with an incidence of one out of every twenty thousand men
aged eighteen to thirty we know that the covid vaccines from pfizer and modern can cause it but
actual covid infection is a much more common cause the cdc has received 1226 preliminary
reports of myocarditis and pericarditis following about 300 million total doses of the pfizer and
moderna vaccines myocarditis is most common in the ages of 12 to 30 and it's more common in boys
among people 12 and older there were 267 reports of heart inflammation meaning myocarditis after
one dose of vaccine and 827 after the second dose and 132 after an unknown dose
so overall the number of cases of myocarditis related to the covid mrna vaccines is very low
and for those who do get it it's usually a small amount of heart inflammation that lasts for about
a week or so requiring minimal treatment in fact not only is myocarditis way more common from covid
the risks to the heart from infection can be more severe take a look at this ultrasound
of the heart aka an echocardiogram this is of a young patient with covid myocarditis
this is a poorly pumping heart this is why the cdc still recommends vaccination for those 12 and
older now there's three recent studies that came out that looked at specific cases of myocarditis
that developed after getting the covid mrna vaccines pfizer and moderna in the first study
in the journal pediatrics they reported on seven cases of myocarditis from the pfizer vaccine
all the patients were seven otherwise healthy male teenagers all of them tested negative for covid
none of the patients met criteria for multi-system inflammatory syndrome in children or misc
all had an elevated troponin level troponin is a protein in heart muscle cells and whenever there's
heart tissue damage as occurs with either a heart attack or inflammation of the heart that troponin
ends up being leaked into the bloodstream the higher the troponin the more heart tissue damage
an echocardiogram which is great for looking at how the heart is functioning was normal in all but
one patient cardiac mri which is especially great for looking at detailed structure of the heart
especially when looking for heart inflammation showed myocarditis in all of the patients
three patients receive nothing more than nsaids meaning non-steroidal
anti-inflammatory agents this includes things like ibuprofen or the more powerful toradol aka ketorolac
these drugs not only help to suppress inflammation or fight inflammation
but they also help to alleviate pain four patients received iv ig meaning intravenous immunoglobulin
and they receive steroids and all of them had their symptoms resolved in less than a week for
the one who did have an abnormal echocardiogram let's take a closer look at his case so he's a
14 year old previously healthy male who gets the pfizer vaccine one day later he develops a temp of
38.3 celsius and one day after that starts getting shorter breath and he has pleuritic chest pain
pleuritic chest pain meaning it hurts more when he takes a deep breath or hurts more if you cough
or sneeze so he goes to an urgent care clinic ekg shows st segment elevation st elevation can mean a
lot of different things depending on the clinical context sometimes it means there's a heart attack
sometimes it happens with myocarditis and then sometimes it happens with pericarditis especially
when you see it in most of the leads and that's what he had and his ultrasound showed mildly
depressed left and right ventricular systolic function meaning his left ventricle and his right
ventricle weren't pumping quite as strong also he had an elevated troponin eye level of 22.1
ngs per ml which normal range for that hospital was noted to be less than 0.045 ngs per ml now
in hospital day 3 cardiac mri showed some areas of heart muscle swelling meaning edema as well as
some areas of scarring he was treated with nsaids first it was toradol and later with naproxen he
was also treated with a diuretic called lasix aka furosemide they later repeated the echocardiogram
which showed improvement and he was discharged from the hospital after four days on follow-up
13 days later he appeared well but he did have chest pain with exertion despite instructions
to avoid strenuous exercise now an ekg showed non-specific changes at that time and a third
echocardiogram was also done at that time which was back to normal so overall the seven cases
of covet vaccine myocarditis in this study had good outcomes then there was this study which had
eight patients that were hospitalized with chest pain within two to four days of receiving either
the pfizer or the moderna vaccine all of them were otherwise healthy males between the ages of 21 and
56 so older age range in this group all but one patient developed symptoms after their second dose
most had chest pain within a day or two of the vaccine and all had elevated troponin levels and
myocarditis seen on cardiac mri two of them had slight reduction in their heart function one of
them did undergo a heart biopsy and the pathology results didn't show any abnormality all patients
had resolution of their chest pain and they were discharged from the hospital in stable condition
then there was this study that involved seven patients hospitalized for acute myocarditis-like
illness following covid vaccination all were men less than 40 years old six patients received the
mrna vaccine either moderna or pfizer and then one received the johnson and johnson vaccine
all the patients presented within three to seven days after they got the vaccine they all had acute
onset of chest pain and it's basically more of the same as the other patients that we just talked
about the one patient in this study that did have a heart biopsy done it didn't show any evidence of
myocarditis when they did the pathology study now although the heart biopsy was normal that doesn't
necessarily mean that there wasn't myocarditis present in a different part of the heart because
trying to hit that right spot is like throwing darts blindfolded when doing an autopsy though
this changes because you can look at essentially the entire heart underneath the microscope and
finally there's this case report this is a 52 year old man who developed myocarditis shortly after
the moderna vaccine and was ultimately discharged from the hospital they had special permission
from the patient to test him for just about every marker of the immune system that you could think
of all these different cytokines and chemokines and so forth they're trying to identify an
immunological pattern but the authors were unable to identify a characteristic profile so back to
the 13 year old boy in michigan who died three days after getting the pfizer vaccine according
to the patients on twitter the preliminary autopsy report showed that he had fluid around his heart
now the cdc is investigating this but there is no official autopsy report but one of the biggest
questions is what did the pathology show when they looked at the heart underneath the microscope did
it look normal or did it show that there was an inflammatory infiltrate like either one of these
regardless people especially males between the ages of 12 and 30 who get the mrna covid vaccines
should be aware especially aware of the possibilities of myocarditis
especially after the second dose even though it's still very rare getting covid is still far worse
compared to the vaccine including adolescents aged 12 through 15. so right now pfizer is the
only one approved in this age group between 12 and 15 and studies with the other vaccines
in younger children are underway covid is less severe in children compared to adults
but the risk of getting misc following acute covid infection plus the risk of
severe disease in children who have underlying medical conditions and the general desire to
prevent covid in children they're all valid reasons for vaccination of children also because
misc is associated with immune dysregulation that's precipitated by covid immune related
side effects following vaccination in children has to be closely monitored so that's all for
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