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Report #2859860

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. Full disclaimer

Overview

Sex
Male
Age
29 yrs
State
NY
Recovered
Unknown
Vaccinated
Feb 6, 2021
Onset
Jan 1, 2024
Days to onset
1059
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA2012M20ASYR / RA

Symptoms (3)

ElectrocardiogramElectrocardiogram ambulatoryPalpitations

Symptom narrative

Heart Palpations,

Current illness

Loss of consciousness

Medical history

NA

Other medications

NA

Allergies

NA

Lab data

Holter monitor, EKG