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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.
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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)
Type
Name
Manufacturer
Dose
Lot
Route / Site
COVID19
COVID19 (COVID19 (MODERNA))
MODERNA
2
012M20A
SYR / RA
Symptoms (3)
Electrocardiogram
Electrocardiogram ambulatory
Palpitations
Symptom narrative
Heart Palpations,
Current illness
Loss of consciousness
Medical history
NA
Other medications
NA
Allergies
NA
Lab data
Holter monitor, EKG