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

This is VAERS ID 1020399

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Case Details

VAERS ID: 1020399 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-01-29
Onset:2021-02-04
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute myocardial infarction, Back pain, Catheterisation cardiac abnormal, Condition aggravated, Coronary artery stenosis, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, arterial (narrow), Other ischaemic heart disease (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: aspirin, plavix, tresiba, gabapentin, jardiance, trulicity, metformin, prilosec, wellbutrin, atorvastatin, metoprolol, spironolactone, losartan, lovaza
Current Illness:
Preexisting Conditions: Coronary artery disease, hyperlipidemia, type 2 diabetes, GERD, HTN, mood disorder, cervical spinal stenosis
Allergies: Ace inhibitors, amoxicillin
Diagnostic Lab Data: Cardiac cath on 2/4/21 with 100% stenosis of RCA
CDC Split Type:

Write-up: Patient had vaccine on 1/29/21 and had STEMI on 2/4/21, started with back pain symptoms on 1/31/21 requiring hospitalization and MI occurred in the hospital


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