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Report #2859811

Received Sep 18, 2025

ER / ED visitOffice visitDisabled
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
31 yrs
State
NC
Recovered
Not recovered
Vaccinated
May 15, 2021
Onset
May 1, 2021
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1—IM / RA

Symptoms (10)

Drug eruptionEchocardiogramEjection fraction decreasedFibrin D dimerHaematocheziaMultisystem inflammatory syndrome in adultsMyocarditisRash maculo-papularTachycardiaUltrasound Doppler

Symptom narrative

Myocarditis, hematochezzia, drug induced exanthem, macular papilar rash, tachycardia, reduced EF and MIS-A

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

Echo d dimer, duplex etc