From the 4/26/2024 release of VAERS data:

This is VAERS ID 909911

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Case Details

VAERS ID:	909911 (history)
Form:	Version 2.0
Age:	65.0
Sex:	Male
Location:	Alaska

Vaccinated:	2020-12-18
Onset:	2020-12-20
Days after vaccination:	2
Submitted:	0000-00-00
Entered:	2020-12-28

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EH9899 / 1	RA / IM

Administered by: Private Purchased by: ?
Symptoms: Atrial fibrillation, Cardioversion, Echocardiogram, Electrocardiogram, Laboratory test
SMQs:, Supraventricular tachyarrhythmias (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: HYDROCHLORIATHIAZIDE 25 MG 1/DAY, ALODAPRINE 5MG 1/DAY
Current Illness: HYPERTENSION
Preexisting Conditions: HYPERTENSION
Allergies: N/A
Diagnostic Lab Data: EKG ECHOCARDIOGRAM ''VARIETY LABS''
CDC Split Type: vsafe

Write-up: 12/20/2020 12:00 PM DEVELOPED LAPID ATRIAL FIB. WENT TO ER WHEN IT PERSISTED, MEDICAL CENTER. ADMITTED TO INPATIENT; 12/21/2020 - ELECTRICAL CARDIOVERSION. MONITORED OVERNIGHT. 12/22/2020 - DISCHARGED *ON CHRONIC BLOOD THINNER

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