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This is VAERS ID 1347855

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1347855
VAERS Form:2
Age:57.0
Sex:Male
Location:Connecticut
Vaccinated:2021-05-18
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Atrial fibrillation, Blood pressure increased, Electrocardiogram, Heart rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metropolol
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: EKG 5/25/2021
CDC 'Split Type':

Write-up: Increased heart rate, raised blood pressure, then went into atrial fibrillation

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1347855&WAYBACKHISTORY=ON


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