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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1006641

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Case Details

VAERS ID: 1006641 (history)  
Form: Version 2.0  
Age: 90.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-01-30
Onset:2021-01-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tylonal Extra Strengh Meletona Trazodone Priolsek Phyntanl Patch Laxex Atenolol Alophurinoyl Asa Synthroid Zolofot Tamsulosin
Current Illness: none
Preexisting Conditions: CHF Afib Hypo thirodism HTN Nepolasm of Prostate.
Allergies: none
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: Had Heart Attack like symptoms - sent to Hospital


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