Report #2842698

Received May 26, 2025

Life-threateningHospitalizedER / ED visitOffice visitDisabled

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Overview

Sex: Female
Age: 38 yrs
State: CO
Recovered: Not recovered
Vaccinated: Dec 4, 2021
Onset: Dec 4, 2021
Days to onset: 0
Hospital days: 5

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	UNK	030H21B	SYR / AR

Symptoms (9)

Catheterisation cardiacEchocardiogramElectrocardiogramImmediate post-injection reactionMagnetic resonance imaging heartMalaisePericardial effusionPericardial excisionPericarditis

Symptom narrative

Got very sick immediately and never recovered. Ended up in hospital in Feb/22 with pericardial effusion. Developed chronic pericarditis leading to pericardectomy on 9/14/22.

Current illness

Fibromyalgia

Medical history

Fibromyalgia

Other medications

Ambien, gabapentin, & flexeril

Allergies

None

Lab data

EKG, ECG, echocardiogram, heart cath, heart MRI