VAERS ID: 1669883

AGE: 32| SEX: M|STATE: FL (United States)

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.

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Symptoms

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

Vaccines

VAX DATE: 08-23-2021| ONSET DATE: 08-23-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FD8448 IM LA

RECVDATE:09-03-2021
RPT_DATE:
CAGE_YR:32
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:09-03-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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