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This is VAERS ID 998108

History of Changes from the VAERS Wayback Machine

First Appeared on 2/12/2021

VAERS ID: 998108
VAERS Form:2
Age:74.0
Sex:Male
Location:Unknown
Vaccinated:2021-01-31
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9265 / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Acute myocardial infarction, Atrial fibrillation, Cardiac failure congestive, Essential hypertension, Hyperlipidaemia, Acute left ventricular failure, Chronic left ventricular failure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Acute on chronic systolic heart failure; Atrial fibrillation with RVR; CHF (congestive heart failure); Essential hypertension; Hyperlipidemia, unspecified hyperlipidemia type; NSTEMI (non-ST elevated myocardial infarction); New onset a-fib


Changed on 5/7/2021

VAERS ID: 998108 Before After
VAERS Form:2
Age:74.0
Sex:Male
Location:Unknown
Vaccinated:2021-01-31
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9265 / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Acute myocardial infarction, Atrial fibrillation, Cardiac failure congestive, Essential hypertension, Hyperlipidaemia, Acute left ventricular failure, Chronic left ventricular failure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Acute on chronic systolic heart failure; Atrial fibrillation with RVR; CHF (congestive heart failure); Essential hypertension; Hyperlipidemia, unspecified hyperlipidemia type; NSTEMI (non-ST elevated myocardial infarction); New onset a-fib


Changed on 5/14/2021

VAERS ID: 998108 Before After
VAERS Form:2
Age:74.0
Sex:Male
Location:Unknown
Vaccinated:2021-01-31
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9265 / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Acute myocardial infarction, Atrial fibrillation, Cardiac failure congestive, Essential hypertension, Hyperlipidaemia, Acute left ventricular failure, Chronic left ventricular failure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Acute on chronic systolic heart failure; Atrial fibrillation with RVR; CHF (congestive heart failure); Essential hypertension; Hyperlipidemia, unspecified hyperlipidemia type; NSTEMI (non-ST elevated myocardial infarction); New onset a-fib


Changed on 6/25/2021

VAERS ID: 998108 Before After
VAERS Form:2
Age:74.0
Sex:Male
Location:Unknown
Vaccinated:2021-01-31
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9265 / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Acute myocardial infarction, Atrial fibrillation, Cardiac failure congestive, Essential hypertension, Hyperlipidaemia, Acute left ventricular failure, Chronic left ventricular failure

Life Threatening? No
Birth Defect? No
Died? No Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Acute on chronic systolic heart failure; Atrial fibrillation with RVR; CHF (congestive heart failure); Essential hypertension; Hyperlipidemia, unspecified hyperlipidemia type; NSTEMI (non-ST elevated myocardial infarction); New onset a-fib

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