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Report #2825957

Received Feb 12, 2025

DiedLife-threateningHospitalizedER / 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
31 yrs
State
IA
Recovered
Not recovered
Vaccinated
May 1, 2021
Onset
May 1, 2024
Days to onset
1096
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1EW0173SYR / UN

Symptoms (10)

Arterial injuryCardiac arrestCardiac stress test abnormalCatheterisation cardiac abnormalCoronary arterial stent insertionDeathMuscular weaknessMyocarditisParaesthesiaPericarditis

Symptom narrative

Diagnosed with myocarditis following ER visit in January 2024 with no history of heart problems. Primary complaint for months leading up to that point was frequent tingling and weakness in both legs. Did not resolve after ER visit, failed stress test. Cardiac catheterization was performed 2/2024 with stent placement due to damaged diagonal vein in heart. At some point in medical records diagnosis was changed to pericarditis. Never diagnosed with hypertension or high blood pressure. Died 12/09/2024 of cardiac arrest. He had received his 2nd Pfizer injection on 05/26/2021 at facility, product number EW0187.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

Extensive, can share medical records upon request.