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Report #2832067

Received Mar 19, 2025

Life-threateningOffice visitDisabled
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Overview

Sex
Male
Age
48 yrs
State
CA
Recovered
Not recovered
Vaccinated
Apr 2, 2021
Onset
Dec 7, 2021
Days to onset
249
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1016B21AIM / RA
COVID19COVID19 (COVID19 (MODERNA))MODERNA1007C21AIM / RA
COVID19COVID19 (COVID19 (MODERNA))MODERNA1042J21AIM / RA

Symptoms (8)

Atrial fibrillationCardiac failure congestiveCardiomyopathyCerebral ischaemiaEjection fraction decreasedElectrocardiogram abnormalNervous system disorderTachycardia

Symptom narrative

I lived a healthy and active lifestyle as a former athlete for much of my life. However, after receiving the two Moderna COVID-19 shots and the booster in May 2021, I began experiencing severe health issues. Approximately six months after my first shot, I was diagnosed with atrial fibrillation (A-Fib), cardiomyopathy, tachycardia, and congestive heart failure, with an ejection fraction of 15%. These conditions have left me in need of a heart transplant. Additionally, I began suffering from neurological disorders due to decreased blood flow to my brain, which has compounded my health challenges. I am currently 52 years old.

Current illness

None

Medical history

None at time

Allergies

Latex

Lab data

EKG diagnosed me with A-Fib 12/2021