National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1462046

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1462046
VAERS Form:2
Age:57.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-07-03
Onset:2021-07-03
Submitted:0000-00-00
Entered:2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Acute myocardial infarction, Cardiac arrest, Cardiogenic shock, Coronary artery occlusion

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)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: carvedilol lisinopril atenolol gabapentin buspirone ferrous sulfate pantoprazole rivaraoxaban penteramine alprazolam cetirizine
Current Illness: - PE - CAD - GERD - Anxiety - Hypertension - Chronic hepatitis C - Factor V Leiden carrier - Substance use disorder
Preexisting Conditions: - PE - CAD - GERD - Anxiety - Hypertension - Chronic hepatitis C - Factor V Leiden carrier - Substance use disorder
Allergies: ibuprofen imitrex maxalt
Diagnostic Lab Data: the usual for STEMI and shock
CDC 'Split Type':

Write-up: Driving home (passenger) she suffered a cardiac arrest. Was found to have a total occlusion of her right coronary artery and an inferior ST elevation myocardial infarction and cardiogenic shock

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1462046&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166