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Report #2842703

Received May 26, 2025

Life-threateningOffice 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
65 yrs
State
TX
Recovered
Not recovered
Vaccinated
Apr 7, 2021
Onset
Apr 14, 2021
Days to onset
7
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA2027B21AIM / LA
COVID19COVID19 (COVID19 (MODERNA))MODERNA1027A21AIM / LA

Symptoms (19)

Atrial fibrillationAtrial flutterCardiac failureCardiomegalyCatheterisation cardiac normalChest painChronic kidney diseaseDyspnoeaEchocardiogram abnormalEjection fraction decreasedElectrocardiogramElectrocardiogram ambulatory abnormalFull blood countHeart rate increasedHeart rate irregularLaboratory test abnormalUrine analysisVentricular extrasystolesVentricular tachycardia

Symptom narrative

Developed chest pain 7 days after 2nd shot followed by shortness of breath. Dentist visit determined that I had irregular and rapid heartbeat during visit. Followed up with family MD who recommended Cardiology and Nephrology follow up. Was determined to have enlarged heart with Heart Failure. Also determined that I had Kidney damage with Stage 3 failure.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

Chemistry panel, CBC, Urine test, Cardiac Echo cardiogram (enlarged heart with ejection fraction of 30), EKG, Halter monitor(Ventricular Tachycardia, Atrial Fibrillation,Atrial Flutter, and PVC), Cardiac Catherization of both sides of heart which showed no heart disease of Coronary Arteries. Chem Labs indicated Kidney Failure.