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VAERS ID: 1669883

AGE: 32| SEX: M|State: FL

Description

Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Severe decrease in heart rate and CHF-Severe, Additional Details: The patient states that he has Graves Disease. After receiving the COVID vaccine he states that his heart rate dropped dangerously low, he was hospitalized and had cardiac problems and developed heart failure. He is now out of the hospital, but is still recovering and is requiring monitoring and echocardiograms to asses his heart function.

Symptoms

Basedow's disease, Heart rate decreased, Cardiac disorder, Cardiac failure, Cardiac failure congestive, Echocardiogram

Vaccines

VAX DATE: 23 August 2021 | ONSET DATE: 23 August 2021 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))

        RECVDATE:
        03 September 2021
        CAGE_YR:
        32
        CAGE_MO:
        RPT_DATE:
        DIED:
        DATEDIED:
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        Y
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        N
        LAB_DATA:
        V_ADMINBY:
        PHM
        OTHER_MEDS:
        CUR_ILL:
        HISTORY:
        PRIOR_VAX:
        SPLTTYPE:
        FORM_VERS:
        2
        TODAYS_DATE:
        03 September 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        V_FUNDBY:
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