National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 919428

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 919428
VAERS Form:2
Age:58.0
Sex:Female
Location:Texas
Vaccinated:2020-12-26
Onset:2020-12-30
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Catheterisation cardiac normal, Chest pain, Discomfort, Feeling hot, Myocardial infarction, Pain in extremity, Troponin increased, Angiogram

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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


Changed on 5/7/2021

VAERS ID: 919428 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Texas
Vaccinated:2020-12-26
Onset:2020-12-30
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Catheterisation cardiac normal, Chest pain, Discomfort, Feeling hot, Myocardial infarction, Pain in extremity, Troponin increased, Angiogram

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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 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


Changed on 5/14/2021

VAERS ID: 919428 Before After
VAERS Form:2
Age:58.0
Sex:Female
Location:Texas
Vaccinated:2020-12-26
Onset:2020-12-30
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Catheterisation cardiac normal, Chest pain, Discomfort, Feeling hot, Myocardial infarction, Pain in extremity, Troponin increased, Angiogram

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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 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

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=919428&WAYBACKHISTORY=ON


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