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This is VAERS ID 1430571

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430571
VAERS Form:2
Age:45.0
Sex:Male
Location:Florida
Vaccinated:2021-05-27
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001T21A / 2 LA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Dizziness, Electrocardiogram, Intensive care, Stent placement

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Penicillin
Diagnostic Lab Data: EKG
CDC 'Split Type':

Write-up: Having a slight pain in chest didn''t thing anything of it , it went away until a few days later on June 4th the pain didn''t go, went into the bathroom and almost passed out go the ambulance rushed to the hospital where they had to put a stint in the leg and stayed 4 days in the ICU before being able to come home. Has to take medicine everyday now for heart.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430571&WAYBACKHISTORY=ON

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