Report #2853630

Received Aug 11, 2025

HospitalizedER / ED visitOffice 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: 30 yrs
State: OK
Recovered: Recovered
Vaccinated: Oct 9, 2024
Onset: Aug 11, 2025
Days to onset: 306
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	B0003	IM / LA

Symptoms (6)

AstheniaDyspnoeaHallucination, auditoryMobility decreasedPalpitationsPsychotic disorder

Symptom narrative

Client states he began to react within 30 minutes of administration. Heart started racing, SOB. Went to Hospital 2-3 times. States he spent weeks on the couch unable to get up off of it due to weakness and heart palpations. He also experienced psychosis/mental illness episodes of hearing voices. Client is now able to work and states he is pretty much back to normal.

Allergies

NKA

Lab data

Unknown if client admitted to hospital, unknown what testing was completed.