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Report #2842294

Received May 22, 2025

Office 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
Male
Age
64 yrs
State
AZ
Recovered
Not recovered
Vaccinated
Mar 31, 2021
Onset
Jun 1, 2021
Days to onset
62
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK——

Symptoms (4)

Blood testCardiac failureEchocardiogramMyocarditis

Symptom narrative

Developed Mycarditis/heart failure soon after second vaccine shot, still have condition over 4 years later

Current illness

none

Medical history

lower back bulging disc

Other medications

none

Allergies

none

Lab data

multiple echo tests and other tests on heart/blood since 3/21, last one was done this month (5/25)