Report #2858902

Received Sep 15, 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: 61 yrs
State: CA
Recovered: Recovered
Vaccinated: Oct 17, 2024
Onset: Dec 1, 2024
Days to onset: 45
Hospital days: 1

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	—	AR

Symptoms (2)

Blood testPericarditis

Symptom narrative

Covid booster in October 2024. Developed pericarditis December 1, 2024. Had recurrences in January and February 2025. Symptom free since March 2024.

Current illness

none

Medical history

none

Other medications

none

Allergies

none

Lab data

Various blood test at hospital and later through another facility