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Report #2856704

Received Sep 3, 2025

Life-threateningHospitalizedER / ED visitOffice visit
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
27 yrs
State
AK
Recovered
Unknown
Vaccinated
Aug 29, 2021
Onset
Sep 9, 2024
Days to onset
1107
Hospital days
20

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (JANSSEN))JANSSEN1206A21ASYR / AR

Symptoms (5)

Cardiac arrestCoronary artery aneurysmCoronary artery bypassCoronary artery occlusionVentricular fibrillation

Symptom narrative

Suffered a V fib cardiac arrest Sept 09 2024. Total occlusion of proximal LAD requiring coronary bypass grafting LIMA to LAD. No family history and was without any known cardiovascular risk factors. Was hospitalized until Sept 24.

Current illness

None

Allergies

N/A

Lab data

Off pump coronary artery bypass grafting x 1, In situ LIMA to the LAD 9/20/2024 Cath: 9/16/2024 OSH Chronic total occlusion of the ostial LAD, which is supplied by both right-to-left and left-to-left collateral flow. Severely aneurysmal vessels as described above concerning for congenitally abnormal coronary arteries versus undetected vasculitis