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From the 1/7/2022 release of VAERS data:

This is VAERS ID 1023344

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Case Details

VAERS ID: 1023344 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Michigan  
Vaccinated:2021-01-14
Onset:2021-01-16
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood count abnormal, Catheterisation cardiac, Chills, Coronary arterial stent insertion, Cough, Dyspnoea, Gait disturbance, Gastrooesophageal reflux disease, Lethargy, Mobility decreased, Muscle spasms, Muscle tightness, Myocardial infarction, Renal failure
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (broad), Haematopoietic leukopenia (broad), Peripheral neuropathy (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Embolic and thrombotic events, arterial (narrow), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Coronary artery bypass (years ago)
Allergies:
Diagnostic Lab Data: Test Date: 20210116; Test Name: Blood count; Result Unstructured Data: Test Result:went down
CDC Split Type: USPFIZER INC2021086270

Write-up: heart attack; kidneys were compromised; muscles were tightening; could hardly walk; cough; lethargic; chills; reflux in his chest; blood count went down; severe cramping in leg; Difficulty breathing; This is a spontaneous report from a contactable consumer (patient''s wife). An 80-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date not provided), via an unspecified route of administration on 14Jan2021 at a single dose for COVID-19 immunization. Medical history cardiac bypass surgery years ago. The patient''s concomitant medications were not reported. The reporter stated that on 14Jan2021, the reporter and the patient had the first Pfizer vaccine dose, their second dose is scheduled on 04Feb2021. She stated that 2 days after the first dose, on 16Jan2021, the patient''s muscles were tightening, could hardly walk, had a cough, was lethargic, had chills and was compalaining of having reflux in his chest. She stated that they had appointments that day with their Internist and their Cardiologist. Both physicians felt "all his symptoms" were probably from the vaccine. That night she took him to the ER and he had had a heart attack. They did a cardiac cath and had one of two stents put in. His "kidneys were compromised" and the HCP couldn''t give the amount of dye needed to add another stent. So he still needs another stent. Also the "blood count went down." She added that her husband had cardiac bypass surgery years ago. They were concerned that he had a heart attack and asked if he should get the second dose. She added that on 16Jan2021, the patient had severe cramping in the leg, lethargic, chills, and difficulty breathing and he ended up going to the doctor. They had the vaccine on the 14Jan2021. Saturday it just hit him like a ton of bricks. He got worse on Saturday and worse on Sunday and even more worse on Monday. She took him to the Internist and the Cardiologist, they checked him and found he was okay, just lethargic. He also complained of reflux in chest. Around 11:00 that night he had a heart attack and she had to get EMS. He ended up getting a stent and they have to do another one and they had to do something with his kidneys. She wanted to know if he should get the second vaccine. She would hate to put him in a tailspin again. They were trying to get over this huge problem with his heart and then kidneys. They had to hydrate his kidneys in order for dye to go through so it wouldn''t damage his kidney during catherization. She knows that one of the things the vaccine does is it activates the immune system to keep you from getting Covid. She wanted to know if it activates other stuff in the body. She asked if it would be recommended for him to slow it down since he just had the first dose. He is going to the Cardiologist and they say to discuss with the Internist, but she would like to speak with someone. She declined report and asked about the wait time to speak with someone since she does not want to leave him alone for long since he just got home from hospital. The outcome of the events was unknown. Information on the lot/ batch number has been requested.


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