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Report #2859635
Received Sep 18, 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.
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Overview
Sex
Male
Age
24 yrs
State
TN
Recovered
Not recovered
Vaccinated
May 1, 2021
Onset
Apr 1, 2022
Days to onset
335
Hospital days
—
Vaccines (1)
Type
Name
Manufacturer
Dose
Lot
Route / Site
COVID19
COVID19 (COVID19 (MODERNA))
MODERNA
1
00000
SYR / RA
Symptoms (3)
Computerised tomogram
Myocarditis
Ultrasound scan
Symptom narrative
myocarditis
Medical history
Thoracic Outlet Sydrome, PTSD
Lab data
Ultrasound, CT scan