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This is VAERS ID 930889

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 930889
VAERS Form:2
Age:48.0
Sex:Male
Location:Minnesota
Vaccinated:2020-12-22
Onset:2020-12-27
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Angioplasty, Coronary artery occlusion, Electrocardiogram ST segment elevation, Myocardial infarction, Stent placement

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Propranolol, Pepcid,cetrizine, losartan
Current Illness: None
Preexisting Conditions: HTN, allergies
Allergies: Nkda
Diagnostic Lab Data: I had a myocardial infarction on December 27, 2020. I had received my first vaccination for COVID-19 on December 22, 2020. I had a ST segment elevation MI requiring emergent angio plasty and stenting with a severe ?99%? proximal LAD lesion.
CDC 'Split Type':

Write-up: I had a myocardial infarction on December 27, 2020. I had received my first vaccination for COVID-19 on December 22, 2020. Not sure if these are related but I felt I should report it.


Changed on 5/7/2021

VAERS ID: 930889 Before After
VAERS Form:2
Age:48.0
Sex:Male
Location:Minnesota
Vaccinated:2020-12-22
Onset:2020-12-27
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Angioplasty, Coronary artery occlusion, Electrocardiogram ST segment elevation, Myocardial infarction, Stent placement

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Propranolol, Pepcid,cetrizine, losartan
Current Illness: None
Preexisting Conditions: HTN, allergies
Allergies: Nkda Nkda
Diagnostic Lab Data: I had a myocardial infarction on December 27, 2020. I had received my first vaccination for COVID-19 on December 22, 2020. I had a ST segment elevation MI requiring emergent angio plasty and stenting with a severe ?99%? proximal LAD lesion.
CDC 'Split Type':

Write-up: I had a myocardial infarction on December 27, 2020. I had received my first vaccination for COVID-19 on December 22, 2020. Not sure if these are related but I felt I should report it.


Changed on 5/14/2021

VAERS ID: 930889 Before After
VAERS Form:2
Age:48.0
Sex:Male
Location:Minnesota
Vaccinated:2020-12-22
Onset:2020-12-27
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Angioplasty, Coronary artery occlusion, Electrocardiogram ST segment elevation, Myocardial infarction, Stent placement

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Propranolol, Pepcid,cetrizine, losartan
Current Illness: None
Preexisting Conditions: HTN, allergies
Allergies: Nkda Nkda
Diagnostic Lab Data: I had a myocardial infarction on December 27, 2020. I had received my first vaccination for COVID-19 on December 22, 2020. I had a ST segment elevation MI requiring emergent angio plasty and stenting with a severe ?99%? proximal LAD lesion.
CDC 'Split Type':

Write-up: I had a myocardial infarction on December 27, 2020. I had received my first vaccination for COVID-19 on December 22, 2020. Not sure if these are related but I felt I should report it.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=930889&WAYBACKHISTORY=ON

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