Report #2855502

Received Aug 25, 2025

Office 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: Female
Age: 63 yrs
State: KY
Recovered: Recovered
Vaccinated: Mar 4, 2021
Onset: Oct 1, 2021
Days to onset: 211
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	027A21A	—

Symptoms (2)

Bundle branch block leftElectrocardiogram abnormal

Symptom narrative

New onset Left Bundle branch block

Current illness

none

Medical history

None

Other medications

None

Allergies

Penicillin

Lab data

EKG performed yearly and change from 2020 to October 2021