Report #2843110

Received May 28, 2025

Life-threateningHospitalized

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: 15 yrs
State: OH
Recovered: Not recovered
Vaccinated: Jun 1, 2021
Onset: Jul 16, 2023
Days to onset: 775
Hospital days: 5

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	—	—

Symptoms (6)

Blood testEchocardiogramElectrocardiogramMagnetic resonance imagingMyocarditisX-ray

Symptom narrative

Myocarditis

Current illness

None

Medical history

Just myocarditis from the vaccine

Other medications

None

Allergies

N/A

Lab data

MRI, blood, xray, ekg, evho