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From the 10/15/2021 release of VAERS data:

This is VAERS ID 952483

Case Details

VAERS ID: 952483 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: South Carolina  
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Acute myocardial infarction, Catheterisation cardiac abnormal, Chest X-ray, Chest pain, Coronary arterial stent insertion, Coronary artery occlusion, Diastolic dysfunction, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Myocardial infarction, Nausea, Pain in extremity, Vomiting
SMQs:, Cardiac failure (narrow), Acute pancreatitis (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (narrow), Other ischaemic heart disease (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid 100mcg/day lisinopril 10mg/day pravachol hydroxychloroquin 200mg twice a week Zinc 5mg/day Vit D 6000iu/day VitC
Current Illness: HTN Hypothyroid hyperlipidemia
Preexisting Conditions: see above Breast Cancer 1993
Allergies: cipro
Diagnostic Lab Data: 01/14/2021 EKG (STEMI), CXR, admission to hospital (3 day total), emergency heart catheterization and stent placement,(complete blockage of right coronary artery),echocardiogram (01/14/2021..."Systolic function was at the lower limits of normal. EF 50% - 55%. Hypokinesis of the inferior myocardium. Grade 1 diastolic dysfunction")
CDC Split Type:

Write-up: On 01/13/2021 at about 11pm I began having pain in both arms and across my chest. Also nausea and vomiting. At midnight I went to the Emergency room and was diagnosed with a heart attack, underwent emergency catheterization and stent placement. I had complete occlusion of the right coronary artery

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