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From the 5/14/2021 release of VAERS data (an older release, current is 11/12/2021):

This is VAERS ID 949920

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Case Details

VAERS ID: 949920 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: New Hampshire  
Vaccinated:2021-01-01
Onset:2021-01-14
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Angiogram, Chest discomfort, Chest pain, Myocardial infarction
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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? No
Previous Vaccinations:
Other Medications: Irbesarten 300mg Symbicort 160 Celebrex 200
Current Illness: None
Preexisting Conditions: COPD
Allergies: None
Diagnostic Lab Data: 1/14/2021 angiogram slight blockage no stent required
CDC Split Type:

Write-up: Tightness and pain in chest leading to hospitalization and diagnosis of heart attack at 3 am


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210514&IDNUMBER=949920


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