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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1307490



Case Details

VAERS ID: 1307490 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Maryland  
Vaccinated:2021-04-24
Onset:2021-05-02
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Acute myocardial infarction, Catheterisation cardiac, Stent placement
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: had LHC and had stent placed in ostial LAD 5/2/2021
CDC Split Type:

Write-up: 2nd dose of Moderna vaccine given on 4/23/2021. He presented with acute STEMI on 5/2/2021. He has no family hx of premature CAD and no known cardiac RFs. Although doubt relationship between the vaccine and his acute MI our ID agreed that reporting this to VAERS is reasonable.


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