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

This is VAERS ID 919428

Case Details

VAERS ID: 919428 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Texas  
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Burning sensation, Catheterisation cardiac normal, Chest pain, Discomfort, Feeling hot, Myocardial infarction, Pain in extremity, Troponin increased
SMQs:, Peripheral neuropathy (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: clopidogrel lisinoprel carvedilol rosuvastatin aspirin symbicort melatonin mvi vitamin d3
Current Illness: none
Preexisting Conditions: mitral valve takotsubo cardiomyopathy myocardial infarction 2011 migraines htn
Allergies: nka
Diagnostic Lab Data: Angiogram 12/31/2020 Troponin levels 12/30/2020 <0.02; 12/31/2020 1.7 PER PATIENT
CDC Split Type:

Write-up: Felt slight warmth throughout body about 5 minutes after vaccine. Disappeared 2 minutes later. Arm started to feel sore as the day went on and was very sore by nighttime. Next day, arm started to feel better and over the next 3 days was no longer sore. On the morning of the 30th, woke up feeling fine, took a 3.5 mile walk and felt fine. Around 12:30 pm, experienced sudden pain and a burning sensation in the chest and both upper arms. Thought it was possibly heartburn ; took a Prilosec. The discomfort (mild but steady) continued so checked blood pressure which was 141/91. Called cardiologist and went to emergency room per instruction, around 1:30. Admitted overnight with the diagnosis of a mild heart attack and performed a heart catheterization where they found no major blockage. One artery noted 30% blocked but that overall heart function looked good. Discharged on 12/31/2020. -reported by patient via email, on 1/3/2021 @ 4:49pm

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