Report #2849770

Received Jul 15, 2025

Life-threateningOffice visitDisabled

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: 27 yrs
State: NC
Recovered: Not recovered
Vaccinated: Jul 1, 2021
Onset: Mar 1, 2023
Days to onset: 608
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	—	IM / RA

Symptoms (8)

Antibody test positiveBiopsy skin abnormalBlood testDeliveryErythema multiformeExposure during pregnancyNeonatal disorderRash

Symptom narrative

mother (reporter) states that her daughter was born. She was diagnosed 2 heart murmurs. She had hypertrophic cardiomyopathy that is genetic from her biological grandfather. The mother herself then developed a rash all of her body. She saw multiple doctors. She ended up having to have a biopsy performed by Dr. and diagnosed with Erythema multiforme. They also found an antibody in her blood and may have either APS or a blood clot disorder. At this time she is waiting for blood results to confirm diagnosis.

Current illness

Medical history

Other medications

Hydroxyzine

Allergies

nka

Lab data

biopsy, bloodwork,

Prior vaccinations

Flu shot- became severely ill after getting vaccinated. Causing stomach cramping, sever headaches, and fatigue.