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Report #2825393

Received Feb 9, 2025

ER / 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
33 yrs
State
TX
Recovered
Not recovered
Vaccinated
Sep 21, 2021
Onset
Sep 21, 2021
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1038C21ASYR / LA

Symptoms (8)

Cardiac monitoringCostochondritisElectrocardiogram abnormalHeart rate irregularHypoaesthesiaLeft atrial dilatationSkin discolourationTricuspid valve incompetence

Symptom narrative

03 September 2021 I was in the emergency room. I was hooked up to an EKG, I had an irregular heartbeat and I had lost sense of touch in my hands (they were purple). I had costochondritis, and I was on a 6-month profile. I also was awarded a 30% disability They described it as: severely dilated left atrial cavity with trace tricuspid regurgitation of unknown etiology. I am now wearing a device for two weeks to see if I still have an irregular heartbeat from the vaccine.

Current illness

No illnesses at the time of vaccination or one month prior.

Medical history

I did not have any long-standing health conditions. I was serving active-duty at the time of the vaccination. After the vaccination it significantly changed my life. I have been awarded 30% service connected disability from the hospital for a severely dilated left atrial cavity with trace tricuspid regurgitation of unknown etiology. I arrived at the emergency room that night the day I had been vaccinated with Moderna and I was hooked up to an EKG. I had an irregular heartbeat and costochondritis.

Other medications

No prescriptions, over-the-counter medications, dietary supplements, or herbal remedies taken at time of vaccination.

Allergies

Lactose-Intolerant

Lab data

03 September 2021 I was in the emergency room. I was hooked up to an EKG, I had an irregular heartbeat and I had lost sense of touch in my hands (they were purple). I had costochondritis, and I was on a 6-month profile. I also was awarded a 30% disability. They described it as: severely dilated left atrial cavity with trace tricuspid regurgitation of unknown etiology. I am now wearing a device for two weeks to see if I still have an irregular heartbeat from the vaccine.