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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1378165



Case Details

VAERS ID: 1378165 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-29
Onset:2021-06-04
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Magnetic resonance imaging abnormal, Myocardial infarction, Neurological symptom, X-ray
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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI, CT, x-ray and bubble test
CDC Split Type:

Write-up: Heart attack, stroke like symptoms


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1378165


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