Report #2832216

Received Mar 19, 2025

ER / ED visitOffice visit

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: Female
Age: 46 yrs
State: CO
Recovered: Not recovered
Vaccinated: Feb 17, 2021
Onset: Feb 17, 2021
Days to onset: 0
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	012m20a	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	Unknown	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	939905	IM / LA

Symptoms (9)

Blood testChest discomfortChest painChillsFeeding disorderMyocarditisPainPericarditisPyrexia

Symptom narrative

Was very sick after first vaccine shot. After second shot, was even sicker and had chest pain/pressure from pericarditis/myocarditis. After 3rd shot, even sicker for longer. Chills, fever, aches & pains and chest pain.

Current illness

None. Was in the best shape of my life post college soccer.

Medical history

None at the time of vaccination. Now, vaccination injury.

Other medications

None.

Allergies

No medication allergies. Food sensitivities- tofu, oatmeal, beer.

Lab data

Blood panel done March 2024 and April 2024. Blood panel in Sept/Oct 2024.