Report #2830872

Received Mar 12, 2025

HospitalizedER / 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: 49 yrs
State: MA
Recovered: Not recovered
Vaccinated: Apr 1, 2021
Onset: Nov 1, 2021
Days to onset: 214
Hospital days: 5

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	2	EW0176 EW0175	SYR / RA

Symptoms (3)

Cardiac arrestImplantable defibrillator insertionMyocarditis

Symptom narrative

Cardiac arrest myocarditis

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

Defibrillator installed