Report #2831194

Received Mar 13, 2025

Life-threateningHospitalizedER / ED visitOffice visitDisabled

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 49 yrs
State: OH
Recovered: Recovered
Vaccinated: Apr 17, 2021
Onset: May 1, 2021
Days to onset: 14
Hospital days: 5

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	003B21A	SYR / AR
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	041B21A	SYR / AR

Symptoms (3)

Coronary arterial stent insertionCoronary artery occlusionMyocardial infarction

Symptom narrative

Heart Attack. 100% Blockage of RCA. Total of 3 stents placed in the RCA. Taking Anti-coagulants. lifetime pharma recipient as a result.

Current illness

None

Allergies

None