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Report #2858624

Received Sep 14, 2025

Hospitalized
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
64 yrs
State
CO
Recovered
Recovered
Vaccinated
Aug 10, 2021
Onset
Jun 1, 2022
Days to onset
295
Hospital days
6

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (JANSSEN))JANSSEN1202A21ASYR / LA

Symptoms (5)

EchocardiogramHeart valve incompetenceLaboratory testMitral valve prolapseMitral valve repair

Symptom narrative

After the shot I was diagnosed with mitral valve prolapse and had to have surgery to repair the valve as it was leaking.

Current illness

None

Medical history

High Blood Pressure and Kidney Stones

Other medications

Aspirin(low-dose), Lisinopril, Rosuvastatin, Amlodipine

Allergies

None

Lab data

Echocardiogram-July 2022 and July 2023, cardiac endoscopy-2023, Thoracic testing-2023